American Association of Ph.sicians of Indian origin

aapi 

American Association of Physicians 

of Indian Origin 

The Journal for Indian American Physicians, Fall 2009 

inside 

28 AAPI President Meets 

with the President 

of the United States 

30 Introduction to Compliance, 

What Every Physician 

Should Know 

22 Past President’s Highlights 

15 AAPI 2009 Annual 

Convention Report, 

Orlando 

29 The Next Step for AAPI’s 

Political Power 

www.aapiusa.org

A medical school created by physicians practicing 

and teaching medicine in America 

Study medicine on the hurricane-free, tranquil and safe 

Caribbean island of Bonaire 

4-year M.D. program for quali ed college graduates 

5-year combined PreMed/M.D. program for quali ed 

high school graduates 

Thorough USMLE preparation integrated into the 

curriculum 

Final two years (clinical sciences) in the United States 

Financial aid available 

ECFMG, IMED and WHO listed! 

! 

www.xavieru.org! 

(888) Xavier-U (928-438)

;IPGSQIXS3YV2EXMSRvW'ETMXEP 

Wednesday, June 23, 2010 - Sunday, June 27, 2010 

Gaylord National Convention Center, National Harbor, MD 20745

AAPI EXECUTIVE OFFICERS 

Vinod K Shah, MD 

4VIWMHIRX 

Ajeet Singhvi, MD 

4VIWMHIRX)PIGX 

Sunita Kanumury, MD 

:MGI4VIWMHIRX 

Narendra Kumar, MD 

7IGVIXEV] 

Jayesh Shah, MD 

8VIEWYVIV 

Sanku Rao, MD 

4EWX4VIWMHIRX 

Sanat Gandhi, MD 

'LEMV&38 

AAPI JOURNAL FALL 2009 www.aapiusa.org 7

Letter from the Editors 

.%=)7,/%29+% 

1( 

46%7%(76-2-:%7%2 

1( 

;I[SYPHPMOIXSI\TVIWWSYVKVEXMXYHIXS(V:MRSH7LEL 

ERHEPPXLI%%4-QIQFIVWXSEPPS[YWXSXEOIGLEVKISJXLMW 

TVIWXMKMSYWNSYVREP3YVTEWXIHMXSVWLEZIHSRIEJERXEWXMG 

NSF[MXLMXXLYWJEVERH[ILYQFP]EGGITXXLMWKVIEXVIWTSR 

WMFMPMX]8LI%%4-.SYVREPLEWFIGSQIEJSVQSJGSQQYRM 

GEXMSRFIX[IIR%%4-QIQFIVWzSYV[E]SJGSQQYRMGEX 

MRK SYV I\TIVMIRGIW MHIEW ERH MRXIVIWXW 8LMW QIERW SJ 

GSQQYRMGEXMSREQSRKWXSXLIVWLEWLIPTIHYWFVMRK XLMW 

JEFYPSYWSVKERMÊXMSRXSEREXMSREPPIZIP;I[SYPHPMOIXS 

I\TVIWWSYVKVEXMXYHIXSSYVTEWXPIEHIVW[LSLEZILIPTIH 

YW VIEGL XLMW WXEKI ERH XLIMV WIRXMQIRXW LEZI FIIR 

I\TVIWWIHMREWTIGMEPEVXMGPI 

(YIXSXLIEHZIRXSJXIGLRSPSK]XLIVIMWEZEWXEQSYRXSJ 

QIHMGEPPMXIVEXYVIEZEMPEFPIXSYW8LI%%4-.SYVREPMWEPPSJ 

XLEXERHQSVI-REHHMXMSRXSTVSZMHMRKMQTSVXERXEVXMGPIW 

XLEX [MPP LIPT YW TVEGXMGI FIXXIV QIHMGMRI XLMW NSYVREP 

TVSZMHIWYW ERSTTSVXYRMX]XSPIEVREFSYXXLIMRXIVIWXWSJ 

SYVJIPPS[QIQFIVWSYXWMHISJXLISJJMGIIRZMVSRQIRX;I 

LEZI EP[E]W ERHGSRXMRYI XS IRGSYVEKI SYVQIQFIVWXS 

WLEVIXLIMVWXSVMIWERHZMI[W 

)HMXSV%%4- 

'S)HMXSV%%4- 

GIRX TL]WMGMERWFIGSQI ZMGXMQW SJ IVVSVSVSZIVWMKLX8S 

IHYGEXI TL]WMGMERW SR GSQTPMERGI [I LEZI MRZMXIH E 

TVSQMRIRXLIEPXLGEVIEXXSVRI]4IXIV4EVZMWXSTVSZMHILMW 

MRWMKLXERHLIPTYWJEQMPMEVMÎSYVWIPZIW[MXLXLIGYVVIRX 

IRZMVSRQIRXMR[LMGL[I[SVO;IWXVSRKP]YVKI]SYXS 

VIEHXLIMRGPYHIHEVXMGPIXMXPIHw-RXVSHYGXMSRXS'SQTPMERGI 

;LEX)ZIV]4L]WMGMER7LSYPH/RS[x 

4PIEWIGSRXMRYIXSWIRHMR]SYVEVXMGPIWERHRI[MHIEWJSV 

XLI NSYVREP EW[I XVYP]IRNS]VIEHMRKXLIQ 3RGIEKEMR 

XLERO]SYJSVKMZMRKYWXLMWLSRSV 

,IEPXLGEVIVIJSVQMWXLIQSWXHIFEXIHWYFNIGXMRXLMWHE] 

ERH EKI 'YVVIRXIGSRSQMGGSRWXVEMRXW ERH WIRXMQIRXWSJ 

QIHMGEP [EWXIJVEYH EFYWI MW UYMXI TVIZEPIRX ;MXL 

MRGVIEWIHJYRHMRKERHYRYWYEPMRGIRXMZIWXLIVILEWFIIRER 

MRGVIEWI MR FSYRX] LYRXIVW HMWKVYRXPIH IQTPS]IIW ERH 

[LMWXPIFPS[IVW8MQIERHXMQIEKEMR[IEVIWIIMRKMRRS 


%GGIPIVEXIH,IEPMRK 

+IX]SYVHMEFIXMGJSSXYPGIVTEXMIRXWYTXSWTIIH 

'PMRMGEPGSRWIRWYWWE]WXLEXJEMPYVIXSVIHYGIHMEFIXMGJSSXYPGIVWMÎEJXIV[IIOWSJGSRZIRXMSREPXVIEXQIRX 

WLSYPHXVMKKIVGSRWMHIVEXMSRSJEHZERGIHXLIVET](IVQEKVEJXvWPMZMRKGIPPXLIVET]EPPS[W[SYRHGEVIWTIGMEPMWXW 

XSTVSZMHIJEWXIVLIEPMRKXMQIW[MXLGPMRMGEPP]TVSZIRVIWYPXW 

'SRXEGX]SYVPSGEP[SYRHGEVIWTIGMEPMWXXS 

SYXQSVI 

ZMWMXYWEX[[[HIVQEKVEJXGSQ

Vice President’s Report 

792-8%/%29196= 

1( 

(IEV'SPPIEKYIW 

1IQFIVWLMTMWXLIwQERXVEXSQEREK 

MRKSVKERMÊXMSRWx-EQEPWSIRXVYWXIH 

[MXLXLIXEWOSJ'LEMVMRKXLI1IQFIV 

WLMT 'SQQMXXII[LSWI WSPI KSEP MWXS 

PSSOEJXIVXLIMRXIVIWXWSJGYVVIRXQIQ 

FIVWERHXSGVIEXIGSRHMXMSRWGSRHYGMZI 

XSEXXVEGXMRKQSVIQIQFIVWXSXLI%%4- 

JEQMP] 

8SQEOIETSWMXMZIMQTEGX-[ERXIHXS 

HS XLMRKW HMJJIVIRXP] /RS[MRK XLI 

XLSYKLXW SJ ]SYV GSPPIEKYIW MW OI] XS 

FYMPHMRK E TVSKVEQ [LMGL ERW[IVWEPP 

SJXLIWIGLEPPIRKIW-WTIRXXLIJMVWXJSYV 

[IIOWSJQ]XIRYVIGVIEXMRKESRI[E] 

PMRI SJ GSQQYRMGEXMSR [LIVI - NYWX 

PMWXIRIH - LIEVH [LEX QER] XLSYKLX 

EFSYX%%4- zXLIMVI\TIGXEXMSRW XLIMV 

EHZMGIERHXLIMVGSRGIVRW8LIWITSMRX 

IVWPEMHXLIJVEQI[SVOJSVQ]QMWWMSR 

-[SVOIHSRFVMRKMRKEXIEQXSKIXLIVF] 

JSVQYPEXMRKXLIJSPPS[MRKEGXMSR8IEQW 

YRHIVQ]3JJMGISJ:MGI4VIWMHIRXERH 

1IQFIVWLMT(IZIPSTQIRX 

1IQFIVWLMT7XVEXIKMIW 

4PERRMRK8IEQ 

1IQFIVWLMT(EXEFEWI8IEQ 

1IQFIVWLMT-RMXMEXMZIW)\IGYXMSR 

4VSQSXMSR8IEQ 

&YMPHMRK &VMHKIW [MXL -RHMZMHYEP 

1IQFIVWERH0SGEP3VKERMÊXMSRW 

1]XIEQERH-EVIGYVVIRXP][SVOMRK 

SR HIWMKRMRK ER MRMXMEXMZI SJ ZIXXMRK 

=47 4L]WMGMERW XS FI 4EXVSR 1IQ 

FIVWSJ%%4--LEZIPEYRGLIHERI[ 

MRMXMEXMZI GEPPIH w%%4- 'SRRIGXWx 

[MXLXLIWPSKERw)RLERGI]SYVTVSJIW 

WMSREHZERGI]SYVGEVIIVERHIRVMGL 

]SYVGSQQYRMX]x-EQGSQQMXXIHXS 

FVMRKMRK E[EVIRIWW XS PSGEP IN THIS GLETXIVW ARTICLE . . . 

ERHEPYQRM 

:MGI4VIWMHIRX%%4- 

1EVOIXMRKERH4VSQSXMRK%%4- 

- LEZI XVEZIPIH XS QYPXMTPI QIIXMRKW 

F]ZEVMSYW-RHMER4L]WMGMER3VKERMÊ 

XMSRW[LMGLEVIETEVXSJ%%4-EHZS 

GEXMRK XLI RIIH JSV %%4- XS FI 

WXVIRKXLIRIH%HHMXMSREPP]-LIPTIHXS 

MRGVIEWI QIQFIVWLMT WYTTSVX QEXI 

VMEP WYGL EW FVSGLYVIW ERH WPMHIW 

[LMGL EVI FIMRK HMWXVMFYXIH XS EPP 

GLETXIVW 

'SVVIGXMRKXLI(EXE&EWI 

%WMKRMJMGERXTSVXMSRSJEHHVIWWIWERH 

IQEMPWMRSYVHEXEFEWIEVIMRGSVVIGX- 

VIUYIWXXLEXEPPQIQFIVWZMWMXSYVRI[ 

MRXIVEGXMZI[IFWMXI[[[EETMYWESVKXS 

YTHEXIXLIMVGSRXEGXHIXEMPW-LEZIEPWS 

MRWXVYGXIH XLI%%4- 3JJMGI XS GSRXEGX 

EPP QIQFIVW VIUYIWXMRK GSVVIGX 

EHHVIWWIW ERH [SYPH OMRHP] VIUYIWX 

]SYVGSSTIVEXMSR 

:SMGIERH4VMRX 

- VIUYIWX EPP QIQFIVW XS GEPP QI ERH 

TEVXMGMTEXI MR%%4- .SMR YW ERH EHH 

]SYV ZSMGI XS SYVW SR FILEPJ SJ XLI 

JYXYVI [I [MPP WLEVI - PSSO JSV[EVH 

WLS[GEWMRK%%4-XSIZIV]SRI%%4-MW 

ERSVKERMÊXMSRXLEXQIQFIVWGERXEOI 

TVMHIMRTEVXMGMTEXMRKMRERSVKERMÊ 

XMSR XLEX GER WTIEO SYX SR XLI MWWYIW 

EJJIGXMRKXLIJMIPHSJQIHMGMRIMRGSQ 

QYRMXMIWREXMSR[MHI 

4PIEWI GSRXEGX QI EX ER]XMQI EPP XLI 

XMQI 

-EQ]SYV:MGI4VIWMHIRXERH-EQLIVI 

XSWIVZI 

7YRMXE/ERYQYV]1( 

'IPP 

)QEMPWYRMXEOERYQYV]$]ELSSGSQ 

12 www.aapiusa.org FALL 2009 AAPI JOURNAL

Treasurer’s Report 

.%=)7,7,%, 

1( 

(IEV*VMIRHW 

-XMWQ]TVMZMPIKIERHLSRSVXSWIVZI 

]SYEW]SYV8VIEWYVIV[MXLXLMWYTHEXI 

XS[EVHWQ]KSEPW 

8VIEWYVIV%%4- 

-LEZIEPWSFIIRMRZSPZIHMRQER]SXLIV 

 

 

*MRERGMEPWXEFMPMX]XLVSYKLTVYHIRX 

FYHKIXMRK QEMRXEMRMRK XVERWTEV 

IRG]ERHGVIEXMZIWTSRWSVWLMT 

 

 

 

WXEXYW 

 

 

 

- [ERX XS TIVWSR 

EPP]MRZMXI]SYXSQ]LSQIXS[R7ER 

%RXSRMSEXSYVRI\X+SZIVRMRK&SH] 

QIIXMRK JVSQ 3GXSFIV XS 

LEZIE[EVQ8I\EWWMÎHJYR 

.E]IWL7LEL1( 

)\TIRWIW 

'EWL 

&EPERGIW 

-RGSQI 






(613,%2(96:)46)7)287'1)463+6%17*36=)%6 

XVMTW(V(YVZI[MPPFIIWGSVXMRK;)&WMXI'1)8VEZIPWGSQ 

1SVEGGS 3GXSFIV 

%PEWOE'VYMWI7IEXXPI .YP] 

*VSQXE\IW 

%RXEVGXMGEHE]W 

(IGSV*IF(IGSV.ER*VSQ 

%YWXVEPME2I[>IEPERHHE]W 

SV*VSQ 

'EVMFFIER'LEVMX]'VYMWI4SVX'EREZIVEP (IG'EVRMZEPvWRI[IWX(6)%1 *VSQ 

'EVMFFIER'VYMWI1MEQM2SV[IKMERvWRI[IWX)4-'(IG 

*VSQ 

'LMREXVEMRXS8MFIX .YP]SV7ITX3GX *VSQ 

'LMRE[=ERKXÎ 

.YP]*VSQSV7ITX *VSQMRXIVREPEMV 

)K]TX7QMXLWSRMERHE]W SV *VSQMRXIVREPEMV 

)K]TX.SVHER7QMXLWSRMER 

%TVMPJVSQSV2SZ *VSQMRXIVREPEMV 

-GIPERH7QMXLWSRMERHE]W .YRI.YP]%YK7ITX *VSQ 

1EGLY4MGGLY+EPETEKSW 1EVGL *VSQ 

1IHMXIVVERIER'VYMWI&PEGO7IE %YK7ITX %WPS[EW 

6YWWMER6MZIV'VYMWI7X4IXIVWFYVKXS1SWGS[HE]W.YP]SV%YK 

*VSQ 

7SYXL%JVMGE 

HE]WSV 

SV 

*VSQMRXIVREPEMV 

7%QIVMGE'VYMWI .ERSV*IF1EVGL *VSQ 

7XEV4VMRGIWW&YIRSW%MVIWXS7ERXMEKS'LMPIER*NSVHWERH9WLYEME 

7%QIVMGE6MS-KYEWWY*EPPW&YIRSW%MVIW .ER*IF1EVGLSV%TV *VSQ 

7TEMRvW'PEWWMGHE]W *VSQ 

'EPPJSV%MV4VMGIWJSVXLIEFSZIXVMTW'EPPJSV(MWGSYRXIH4VMGIWJSV)\SXMG'SYRXVMIWPMOI-XEP] 

4SVXYKEP+VIIGI8YVOI]-WVEIP1SVSGGS1EPXE7MGMP]ERH8YRMWME 

'EPP(V1SLER(YVZIEXSV)QEMPEXQNHYVZI$]ELSSGSQSVQNHYVZI$WFGKPSFEPRIX 

;I[MPPEPWSSVKERMÎ*EQMP]SVKVSYTZEGEXMSRWXS]SYVHVIEQHIWXMREXMSRWSR]SYVHEXIWSJGLSMGI 

%00VEXIWEVIJSVPERHSRP]'EPPJSV%MVTVMGIW;I[MPPLIPTFSSO]SYVEMVJSV]SY 



Dr. Roshan Lal – President of AAPI, 1986-1987 

(V0EP[EWGLEMVQERSJXLIJMVWXGSRZIRXMSRLIPHMR'LMGEKS 

MRYRHIVXLIFERRIVSJ-2%-PPMRSMW8LIEXXIRHERGI 

[EWQIQFIVWJVSQEWWSGMEXMSRW 

%W%%4-4VIWMHIRXMRWTMXISJGLEPPIRKIW[MXLGSQQYRMGE 

XMSRJMRERGIWPEGOSJSJJMGIWTEGIERHSJJMGIWXEJJ(V0EP 

[SVOIH HMPMKIRXP] ERH ZIV] LEVH XS EGLMIZI XLI JSPPS[MRK 

SFNIGXMZIW 

REXMSR[MHI 

 

GMEXMSRXSTEVXMGMTEXIMRSVKERMÎHQIHMGMRIERH[EWEFPIXS 

SFXEMREPMWXSJTVEGXMGMRKTL]WMGMERWSJ-RHMERSVMKMR 

Roshan Lal, MD 

7YKKIWXMSRWJSV%%4-JVSQ(V0EP 

VIKMSREPHMVIGXSVW[IVIETTSMRXIH 

 

WYOLERM [EW LIPHMR%XPERXMG'MX] [LIVIQSVIXLER 

TEVXMGMTERXW[IVITVIWIRX 

%%4-WLSYPHFIVEMWIHXSX[S]IEVWXSIRWYVIGSQTPIXMSR 

SJMRMXMEXIHTVSNIGXW 

IRGSYVEKIQSVIQIQFIVWXSEXXIRH 

EWXLI]EVIXLIJYXYVISJ%%4- 

Dr. Jagan Kakrala - President of AAPI, 1987-1988 

Chair BOT, 1990-1991 

%%4-vWJMWGEPWXEFMPMX] 

Jagan Kakrala, MD 

XSEHHVIWWWMKRMJMGERXMWWYIWJEGMRKEPPSJYW 

AAPI JOURNAL SEPTEMBER 2009 www.aapiusa.org 23

Dr. Suvas Desai - President of AAPI, 1988-1989 

Suvas Desai, MD 

Dr. Navin Nanda – President of AAPI, 1989-1990 

 

Navin Nanda, MD 

 


Dr. Venkat Ram - President of AAPI, 1995-1996 

 

Venkat Ram, MD 

Dr. Ranga Reddy – President of AAPI, 1997-1998 

Ranga Reddy, MD 


974,=7-'-%26)7396')7-280-2' 

:MGIVS](V(EPPEW 8< 

8IP*E\ 

YWHVNSFW $YWHVNSFW 

3JJMGIWMR2I[=SVO'MX]ERH(EPPEW 

%%4- TVIJIVVIH4VSZMHIV 1( 7XEJJMRK 6IGVYMXMRK 7MRGI 

&9=77)001)(-'%046%'8-')72%8-32;-() 

)1403=)67033/-2+ *364,=7-'-%27# -7=396,374-8%0 

,-6-2+4,=7-'-%27# 

;ILEZIEHEXEFEWISJTL]WMGMERWPSSOMRKJSVNSFWVIPSGEXMSR 2EXMSR[MHI 

)WXEFPMWLIH4L]WMGMERW97'MXMÎRW+VIIR'EVH,SPHIVWEZEMPEFPIJSV 

.SFW4EVXRIVWLMT8EOISZIVSJTVEGXMGIW 

*MREP=IEV6IWMHIRXW=SYRK4L]WMGMERW7IIOMRK, ..,8VERWJIVWMRQER] 

WTIGMEPXMIW 2EXMSR[MHI 

4,=7-'-%27 %6)=39033/-2+*36.3&76IPSGEXMSR# 

;ILEZINSFWREXMSR[MHI .3&7JSV97GMXMÎRWHSGXSVW[MXL+VIIR GEVHW 

%PWS,.NSFW 4EVXXMQI*YPPXMQI6IXMVIH -QQMKVEXMSRPMGIRWMRKEWWMWXERGI 

EZEMPEFPI 

03;'378,)%08,&)2)*-87 3*%1)6-'%+03&%0 

PGLF97% PGLF+03&%0 

(MWGSYRXIH TVSZMHIVW 2EXMSR[MHI 

'YVVIRX 'YWXSQIVWQQMR2IX[SVO 

1IHMGEP8SYVMWQ 

4VIWMHIRXERH')37ERXI 7'LEV]z (MV4L 

)QEMP $YWHVNSFW 

7LIVSP&IPP7SQE>EGL0EXE7ERXLEREQ7YHLE7YVIWL%VMJ)WU7MH0IZM&YGO2SVE 

1IQFIV :4,EVZEVH &YWMRIWW7GLSSP%PYQ%WWR 

1IQFIV%44-%81%%41+97% 

! 

%&'

Dr. Vijay Koli - President of AAPI, 2005-2006 

Vijay Koli, MD 

Dr. Hemant Patel – President of AAPI, 2007-2008 

Hemant Patel, MD 


AAPI President Meets With President of the United States 

3R7ITXIQFIVMX[EWQ]KVIEXTPIEWYVIXSZMWMX[MXL4VIWM 

HIRX&EVEGO3FEQESRFILEPJSJSYVQIQFIVW-TVIWIRXIHXS 

LMQXLI FSSO[LMGLQER]SJ]SYLEHWIIREX XLI 3VPERHS 

GSRZIRXMSRXLIFSSOGSRXEMRMRKEPIXXIVEWOMRKSYV4VIWMHIRX 

XSQEOIETVSZMWMSRMRLMWLIEPXLGEVIVIJSVQFMPPJSVJYRHMRK 

JSVKVEHYEXIQIHMGEPIHYGEXMSR-LEZIEPWSJSVQEPP]MRZMXIH 

XLI4VIWMHIRXXSSYVYTGSQMRK%%4-'SRZIRXMSRMR;EWLMRK 

XSR (' JVSQ .YRI I\TVIWWMRK LS[ LSRSVIH [I 

[SYPHFIMJLIEXXIRHIHSYVGSRZIRXMSR-[MPPWYVIP]JSPPS[ 

YT SRQ]MRZMXEXMSRXSIRWYVI XLEXXLI4VIWMHIRX[MPP QEOI 

XMQIXSZMWMXSYVTVIWXMKMSYWSVKERMÊXMSR8LERO]SYEKEMR 

Q]HIEVJVMIRHWJSVEPPSJ]SYVWYTTSVX 


The Next Step for AAPI’s Political Power 

Dino Teppara, Esq. 

AAPI Director of Legislative Affairs 

IN THIS ARTICLE . . . 

-J [I GER GSQI XSKIXLIV MR XLMW 

JEWLMSR[I[MPPFITVSQSXMRKXLI 

FIWX MRXIVIWXW SJ TL]WMGMERW SJ 

-RHMERSVMKMRERHVIQEMRXVYIXS 

XLIJSYRHMRKTVMRGMTPIWSJ%%4- 

%%4-LEWGSQIEPSRK[E] 

WMRGI MXW JSYRHMRK RIEVP] 

XLVII HIGEHIW EKS -X LEW 

VMWIRXSFIGSQISRISJXLI 

PEVKIWX TVSJIWWMSREP 

QIQFIVWLMTFEWIH SVKERM 

ÊXMSRW MR XLI -RHMER ERH 

%WMER%QIVMGERGSQQYRM 

XMIW%%4-LEWQER]PSGEP 

GLETXIVW XLEX TVSZMHI 

I\GIPPIRXGSRXMRYMRKQIHM 

GEPIHYGEXMSRGSYVWIWXSMXW 

QIQFIVW EW [IPP EW 

GSRJIVIRGIW ERH ERRYEP 

HMRRIVW 2EXMSREPP]%%4-vW SJJMGIVW 

VIKMSREPHMVIGXSVWERHFSEVHSJXVYWXIIW 

VIQEMRZIV]EGXMZIF]TVSQSXMRKMWWYIW 

MQTSVXERXXSSYVGSQQYRMX]ERHTPER 

RMRKXLI]IEVP]GSRZIRXMSR 

(IWTMXI XLIWIRYQIVSYW EGXMZMXMIW XLI 

SVKERMÊXMSR VIQEMRW GSQQMXXIH XS MXW 

SVMKMREPJSYRHMRKQMWWMSRXSWIVZIEWE 

VIWSYVGI JSV ERH GLEQTMSR MWWYIW SR 

FILEPJSJTL]WMGMERWSJ-RHMERSVMKMR 

%%4-vW GYVVIRX PIKMWPEXMZI EKIRHE 

HIQSRWXVEXIW XLMW GSQQMXQIRX 

*MVWX %%4- WYTTSVXW MRGVIEWMRK XLI 

RYQFIVSJQIHMGEPVIWMHIRG]TSWMXMSRW 

EGVSWW XLI 97 TVSZMHMRK MRGVIEWIH 

STTSVXYRMXMIW JSV -RHMER %QIVMGER 

TL]WMGMERW ERH -RXIVREXMSREP 1IHMGEP 

+VEHYEXIWXSWYGGIWWJYPP]QEXGLHYVMRK 

XLI VIWMHIRG] TVSGIWW ERH JMPP GVMXMGEP 

KETWMRSYVREXMSRvWLIEPXLGEVIHIPMZIV] 

W]WXIQ%%4-EPWSWYTTSVXWGLERKMRK 

EJIHIVEPPE[XSEPPS[QIHMGEPWXYHIRXW 

XS HIJIV XLIMV JIHIVEP WXYHIRX PSER 

TE]QIRXW HYVMRK XLIMV VIWMHIRGMIW 

%%4-MWEPWS[SVOMRK[MXLXLI%QIVM 

GER 1IHMGEP%WWSGMEXMSR XS JMKLX JSV 

XLIVMKLXWSJTL]WMGMERWSJ-RHMERSVMKMR 

[LS VIGIRXP] LEH XLIMV +VIIR 'EVH 

ETTPMGEXMSRW HIRMIH HYI XS E RI[ 

HIGMWMSRQEOMRK TVSGIWWF]MQQMKVE 

XMSRSJJMGMEPW 

;LEX MW XLI RI\X WXIT JSV %%4- XS 

MRGVIEWIMXW TSPMXMGEPTS[IV#;MXLSYX 

UYIWXMSR [I QYWX JSVQ E TSPMXMGEP 

EGXMSRGSQQMXXII-J[I[ERXTSPMXMGEP 

PIEHIVW XS YRHIVWXERH SYV MWWYIW ERH 

WYTTSVXYW[IQYWXEPWSWYTTSVXXLIQ 

)EGLSRISJYWSRSYVS[RGERQEOI 

WSQI TVSKVIWW MR XLI TSPMXMGEP EVIRE 

[MXL JMRERGMEP GSRXVMFYXMSRW 

6IWXVEMRIHF]MRHMZMHYEPJMRERGIWERH 

PMQMXW TPEGIH F] JIHIVEP PE[ SR 

MRHMZMHYEPGSRXVMFYXMSRWSYVIJJIGXMZI 

RIWW MW QYXIH ,S[IZIV F] TSSPMRK 

SYVVIWSYVGIW[IKEMRWXVIRKXLMRRYQ 

FIVWERHZEWXP]MRGVIEWIXLIPMOIPMLSSH 

SJSYVTSPMXMGEPTS[IVERHMRJPYIRGI 

-J%%4-QIQFIVWHSREXIHXS 

E4%'[IGSYPHVEMWI-J 

QIQFIVWHSREXIH[IGSYPHVEMWI 

%RH MJ QIQFIVW IEGL 

KEZINYWX[I[SYPHLEZIE4%' 

ZEPYIHEXQSVIXLER-XMWXLI 

GSRGIVXIHIJJSVXXSVEMWIWQEPPEQSYRXW 

SJ JYRHW JVSQ E PEVKI HSRSV TSSP XLEX 

[MPP VIET WYGGIWW -R JEGX QSWX PEVKI 

GSVTSVEXMSRW QEMRXEMR 4%'W ERH XLI] 

VEMWI QSRI] JVSQ XLIMV IQTPS]IIW MR 

WQEPPZSPYRXEV]QSRXLP]GSRXVMFYXMSRW 

;I GER IQTPS] WMQMPEV QIXLSHW F] 

GSPPIGXMRK IMXLIV QSRXLP] SV UYEVXIVP] 

HSREXMSRW SRPMRI GVIEXMRK E 4%' 

TVSKVEQ JSV HSRSVW ERH IRWYVMRK SYV 

ZSMGIW SYV LIEVH MR XLI LEPPW SJ 

'SRKVIWW 

8LI XMQI JSV %%4- XS QSZI JSV[EVH 

TSPMXMGEPP] LEW GSQI ;IQYWX WXEVX E 

FMTEVXMWER 4%' TYX EWMHI TSPMXMGEP 

HMJJIVIRGIW ERH GSQI XSKIXLIV FSXL 

PSGEPGLETXIVERHREXMSREP%%4- QIQ 

FIVW -J [I GERGSQIXSKIXLIV MRXLMW 

JEWLMSR[I[MPPFITVSQSXMRKXLIFIWX 

MRXIVIWXWSJTL]WMGMERWSJ-RHMERSVMKMR 

ERH VIQEMR XVYI XS XLI JSYRHMRK 

TVMRGMTPIWSJ%%4- 


Introduction to Compliance 

What Every Physician Should Know 

Peter P. Parvis 

Peter P. Parvis IN THIS ARTICLE . . . 

PIWWSRWXLEXGERWEZI]SYVGEVIIV*MVWXERHJSVI 

QSWXMWXLEXGSQTPMERGIMWEXSTHS[RI\IVGMWI-J 

XLITL]WMGMERWTEVXMGYPEVP]XLSWIEXXLIXSTSJXLI 

IRXIVTVMWIHSRSXXEOIMXWIVMSYWP]MXMWFSYRHXSJEMP 

ERH ]SY [MPP TVSFEFP] FI FIXXIV SJJ [MXLSYX SRI 

8EOIMXWIVMSYWP]-XGERWEZI]SYVGEVIIV 

4L]WMGMERW JEGI E QYPXMXYHI SJ TVSF 

PIQW PEVKIP]YRVIPEXIH XS XLITVEGXMGI 

SJQIHMGMRI MXWIPJERHJVIUYIRXP]RSX 

GSZIVIH MR XLI QIHMGEP WGLSSP ERH 

VIWMHIRG] GYVVMGYPYQW 3RI SJ XLI 

PEVKIWXSJXLIWIMWXLIX[MRXLVIEXSJXLI 

YTGSQMRK 6%' EYHMXW JSGYWIH SR 

FMPPMRKIVVSVWERHMRZIWXMKEXMSRWF]SRI 

SJXLIQER]IRJSVGIQIRXIRXMXMIWSJXLI 

WXEXIERHJIHIVEPKSZIVRQIRX,IEPXL 

GEVI VIJSVQ IJJSVXW LEZI RSXIH XLEX 

FMPPMSRWSJHSPPEVWEVI[EWXIHSR[LEX 

XLI]XIVQJVEYH8LIJIHIVEPKSZIVR 

QIRX MRMXMEXIH XLI 2EXMSREP 'SVVIGX 

'SHMRK -RMXMEXMZI 2''- XS TVSQSXI 

REXMSREPGSVVIGXGSHMRKQIXLSHSPSKMIW 

ERHXSGSRXVSPMQTVSTIVGSHMRKPIEHMRK 

XSMRETTVSTVMEXITE]QIRXMR1IHMGEVI 

4EVX&GPEMQWIWXMQEXIHXSEPWSVIEGL 

XLIFMPPMSRWSJHSPPEVW%PXLSYKLXLIVI 

EVI GIVXEMRP] WSQI WQEPP RYQFIV SJ 

LIEPXL GEVI TVSZMHIVW [LS [MPPMRKP] 

ZMSPEXIXLIVYPIWJSVQSRIXEV]KEMRXLI 

SZIV[LIPQMRKQENSVMX]SJLIEPXLGEVI 

TVSZMHIVWEVIXV]MRKXSGSQTP][MXLXLI 

PE[ 9RJSVXYREXIP] QER] LSRIWX 

TVSZMHIVWGERZMSPEXIXLIPE[XLVSYKL 

PEGO SJ WYJJMGMIRX ORS[PIHKI SJ XLI 

MRGVIEWMRKP]GSQTPI\PIKEPJVEQI[SVO 

WYVVSYRHMRKLIEPXLGEVIXSHE]GSYTPIH 

[MXL XLI PMQMXEXMSRW ERH HMJJMGYPX] SJ 

FMPPMRKMXWIPJ8LMWEVXMGPI[MPPFVMIJP] 

HIWGVMFI WSQI SJ XLI JEGXSVW SJ XLEX 

PIKEP JVEQI[SVO ERH TVSZMHI WSQI 

EHZMGI SR E GSQTPMERGI TPER XLEX 

GSYPHMJEHSTXIHERHJSPPS[IHGSYPH 

TVSXIGX]SYVTVEGXMGIJVSQMREHZIVXIRX 

FYXXVIQIRHSYWP]GSWXP]ZMSPEXMSRW 

%PXLSYKL XLI PMWX SJ WXEXYXIW XLEX 

TSXIRXMEP GSZIV TL]WMGMER EVVERKI 

QIRXW ERH FMPPMRK EGXMZMXMIW MW UYMXI 

PSRKXLIVIEVIFEWMGEPP]XLVIIWXEXYXIW 

XLEX KSZIVR QSWXSJMX zXLI GVMQMREP 

%RXM/MGOFEGO WXEXYXI %/7 ERH MXW 

GMZMPGSYRXIVTEVX XLI 'MZMP1SRIXEV] 

4IREPXMIW%GX'14XLITL]WMGMER 

WIPJVIJIVVEPWXEXYXIVIJIVVIHXSEJXIVMXW 

WTSRWSV 7XEVOERHXLI*EPWI 'PEMQW 

%GX*'%:MSPEXMSRWSJER]SJXLIQ 

GVIEXIQENSVJMRERGMEPERHSXLIVTVSF 

PIQWERHXLIVIMWEGEWXSJXLSYWERHW 

XS LIPT IRJSVGI XLIQ -R EHHMXMSR 

FSYRX] LYRXIVW GER FVMRK EGXMSRW 

YRHIV XLI JIHIVEP UYM XEQ WXEXYXIW 

EPPIKMRKZMSPEXMSRW[LMGLMJWIXXPIHSV 

[SRIEVRXLIUYMXEQVIPEXSVWEWXLI] 

EVIGEPPIHEWYFWXERXMEPTSVXMSRSJXLI 

WIXXPIQIRXSVNYHKQIRX8LIVIWYPXMWE 

QMRIJMIPH %R] IQTPS]II SV JSVQIV 

IQTPS]IISJ]SYVWSVER]IRXMX][MXL 

[LMGL ]SY HS FYWMRIWW MW E TSXIRXMEP 

UYM XEQ VIPEXSV ERH XLIVI EVI 

FYWMRIWWIW [LSWI SRP] FYWMRIWW MW 

PSSOMRK JSV UYM XEQ STTSVXYRMXMIW 

,IEPXL GEVI TVSZMHIVW XLEX HS RSX TE] 

EXXIRXMSRXSGSQTPMERGIMWWYIWEVIXLIMV 

XEVKIX;I[MPPWXEVX[MXLEFEWMGHMWGYW 

WMSR SJ XLI WXEXYXIW ERH HMWGYWW XLI 

TVMQEV]IPIQIRXWSJEGSQTPMERGITPER 

XS LIPT ]SYV TVEGXMGI EZSMH GSWXP] 

QMWXEOIW SVHIXIGX XLIQIEVP]IRSYKL 

XSHSWSQIXLMRKEFSYXXLITVSFPIQ 

8,)%28-/-'/&%'/ 78%898) 

%2( 8,) '-:-0 132)8%6= 

4)2%08-)7%'8 

8LI%/7QEOIWMXE*)032=XS 

ORS[MRKP]ERH[MPPJYPP] 

SJJIVWSPMGMXTE]SVVIGIMZI 

ER]VIQYRIVEXMSRSJER]X]TI 

HMVIGXP]SVMRHMVIGXP] 

MRVIXYVRJSVSVXSMRHYGISV 

EVVERKIIMXLIV 

%VIJIVVEPSJER]1IHMGEVISV1IHMG 

EMHFYWMRIWWSV 

&Y]MRKPIEWMRKEVVERKMRKSVVIGSQ 

QIRHMRKER]WIVZMGIKSSHSVMXIQTEMH 

JSVF]1IHMGEVISV1IHMGEMH 

30 www.aapiusa.org FALL SEPTEMBER 2009 AAPI 2009 JOURNAL AAPI JOURNAL


8LIUYMHTVSUYSz 

XLIMRHYGIQIRXzMW 

XLI KVEZEQIR SJ E 

ZMSPEXMSR -X MW E 

GVMQMREPWXEXYXI[MXLE 

GMZMPGSYRXIVTEVXWSXLI 

FEH EGXMSRW QYWX FI 

YRHIVXEOIR ORS[MRKP] 

ERH[MPPJYPP]ERH[MXLFEH 

MRXIRX ,S[IZIV ER] 

EVVERKIQIRX XLEX VIWYPXW MR 

E TL]WMGMER HMVIGXP] SV 

MRHMVIGXP] XLVSYKL E JEQMP] 

QIQFIV SV SXLIV IRXMX] 

VIGIMZMRK VIQYRIVEXMSR MR 

VIXYVR JSV IMXLIV HMVIGXP] VIJIV 

VMRK SV EVVERKMRK E VIJIVVEP SJ 

FYWMRIWWSVJSVFIMRKMRZSPZIHMR 

EVVERKMRK JSV XLI PIEWI SV WEPI SJ 

ER]KSSHSVWIVZMGIVIMQFYVWIHF] 

1IHMGEVI SV 1IHMGEMH QE] ZMSPEXI XLI WXEXYXI ERH 

I\TSWI XLI TL]WMGMER XS WIZIVITIREPXMIW MRGPYHMRK TVMWSR 

JSVXLIQSWXIKVIKMSYWZMSPEXMSRW8LITIREPXMIWSRXLIGMZMP 

WMHIMRGPYHIXVIFPIHEQEKIWTPYWEJMRISJSVQSVI 

TIV ZMSPEXMSR ERH TSWWMFPI 1IHMGEVI I\GPYWMSR %R 

MRHMZMHYEP [LS MW I\GPYHIH JVSQ 1IHMGEVI GER RSX FI 

IQTPS]IHF]SVGSRXVEGX[MXLER]IRXMX]XLEXTEVXMGMTEXIWMR 

XLI 1IHMGEVI TVSKVEQ )\GPYWMSR IJJIGXMZIP] IRHW ]SYV 

QIHMGEPGEVIIV 

-RSVHIVXSIWXEFPMWLEZMSPEXMSRSJXLIERXMOMGOFEGOPE[MXMW 

RIGIWWEV]XS IWXEFPMWL E RYQFIV SJ IPIQIRXW -R SVHMREV] 

GEWIW XLI IPIQIRXW EVI VIPEXMZIP] WMQTPI WSQISRI [LS 

GSYPHFMPP1IHMGEVISV1IHMGEMHTEMHWSQIXLMRKSJZEPYI 

XSETL]WMGMERMRSVHIVXSTVSZMHIERMRHYGIQIRXXSVIJIVE 

TEXMIRX XIWX SV TVSGIHYVI *VIUYIRXP] XLEX WSQIXLMRK SJ 

ZEPYI[EWHMWKYMWIHEWETE]QIRXJSVEWIVZMGI[LMGLQE] 

IZIRLEZIFIIRTVSZMHIHF]XLIVIJIVVMRKTL]WMGMER 

-RXLIWIQMREP+VIFIVGEWIETL]WMGMERXV]MRKXSWIPP,SPXIV 

QSRMXSVWIVZMGIW TEMH VIJIVVMRK TL]WMGMERW EJII[LMGLLI 

GPEMQIH[EWMRXIRHIHXSVIMQFYVWIXLIQJSVXLIMVIJJSVXWMR 

I\TPEMRMRKXLIVIWYPXWXSXLIVIJIVVIHTEXMIRXW8LEXI\TPERE 

XMSREW[IPPEWLMWEWWIVXMSRXLEXLILEHHSRIRSXLMRKXLEX 

IZIV]SRIIPWI[EWHSMRKHMHRSXTVSXIGX 

LMQ 8LI 'SYVX LIPH XLEX XLI WXEXYXI 

[EW ZMSPEXIH IZIR MJ XLIVI QE] LEZI 

FIIR PIKMXMQEXI TYVTSWIW XS XLI 

TE]QIRXEWPSRKEWXLIVI[EWEPWSXLI 

MRXIRX XS MRHYGI VIJIVVEPW 8LIVI 

JSVI MX HSIW RSX QEXXIV MJ WSQI 

WIVZMGI [EW TVSZMHIH JSV XLI 

VIQYRIVEXMSRMJXLIMRXIRXSJXLI 

TE]QIRX JSV XLI WIVZMGI [EW XS 

MRHYGIVIJIVVEPWSVFYWMRIWW 

8LMW NYHMGMEP ZMI[ XLEX 

TE]QIRXSJQSRI]MWEZMSPE 

XMSR MJ MRXIRHIH XS MRHYGI 

VIJIVVEPWIZIRMJXLIVIGSYPHLEZI 

FIIR E PIKMXMQEXI VIEWSR XS QEOI XLI 

TE]QIRXLEWFIIRJSPPS[IHF]WYFWIUYIRXGSYVXW 

-R97Z/EXW*HXL'MVXLIHIJIRHERXW 

EVKYIHXLEXXLIXVMEPGSYVXIVVIH[LIRMXMRWXVYGXIHXLINYV] 

XLEXXLIEPPIKIHTE]QIRXGSYPHFIGSRWMHIVIHETVSLMFMXIH 

TE]QIRXYRPIWWMX[EWw[LSPP]ERHRSXMRGMHIRXEPP]EXXVMFYX 

EFPIXSXLIHIPMZIV]SJKSSHWERHWIVZMGIWx-H8LI'SYVX 

HMWEKVIIHJSPPS[MRK+VIFIV-H8LI3JJMGISJ-RWTIGXSV 

+IRIVEP3-+LEWEHSTXIHXLMWZMI[MRMXWGMZMPQSRIXEV] 

TIREPX]VIKYPEXMSRW7II'*6E 

7MQMPEVP] MX HSIW RSXQEXXIV MJ XLI TE]QIRX MW QEHIXSE 

TIVWSR[LSMWRSXHMVIGXP]MRETSWMXMSRXSVIJIV8LI%GX 

VIEGLIW TE]QIRXW XS TISTPI MR E TSWMXMSR XS FVSOIV SV 

EVVERKIJSVFYWMRIWWSVXSTYVGLEWISVPIEWIWIVZMGIW-R 

97Z&E]7XEXI%QFYPERGIERH,SWT6IRXEP7IVZ 

*H WX 'MV ER EQFYPERGIGSQTER] TVSZMHIH 

JVIIGEVWERHSXLIVWIVZMGIWXSELSWTMXEPIQTPS]II[LS[EW 

[VMXMRK XLI FMHHMRK TVSXSGSPW JSV LSWTMXEP EQFYPERGI 

WIVZMGIW -XMW [SVXL RSXMRK XLEX XLIVI [EW RS TVSSJ XLEX 

GSWXWXS1IHMGEVI [IVI MRGVIEWIH F] XLI WGLIQI ERH RS 

HMVIGXXVEGMRKSJE1IHMGEVIVIJIVVEP[EWIMXLIVTVIWIRXIHSV 

RIGIWWEV]8LIHIJIRHERXWLEHTEMHERHVIGIMZIHVIQYRIVE 

XMSRMRVIXYVRJSVEVVERKMRKJSVEWIVZMGIJSV[LMGL1IHMGEVI 

QEOIWTE]QIRX[MXLXLI MRXIRXXS EGLMIZIXLEXVIWYPX % 

ZMSPEXMSR[EWJSYRHXSI\MWX 


;,%8-7%6)*)66%0# 

;,%8%6)8,))

7TIGMEP*MVWX 

&YWMRIWW'PEWW(MWGSYRX 

3JJIVJVSQ%MV-RHME 

%XXLI XL %RRYEP %%4- 'SRZIRXMSR MR3VPERHS *PSVMHE EZIV]WTIGMEPSJJIV[EWI\XIRHIHXSEGXMZIQIQFIVWSJ 

%%4-EHMWGSYRXSJJVSYRHXVMT*MVWXSV)\IGYXMZI&YWMRIWW'PEWWJEVIWJVSQXLI97%XS-RHMEZME 

%MV -RHME ;LEXvW QSVIXLISJJIVMRGPYHIW YT XS JMZIEGGSQTER]MRK JEQMP] QIQFIVW SVJVMIRHW 8S XEOI 

EHZERXEKISJXLISJJIVWMQTP]TVMRXXLMWTEKIERHTVIWIRXMXEPSRK[MXL]SYVZEPMH%%4-1IQFIVWLMTGEVHXSER 

%MV-RHME8MGOIX3JJMGISV]SYVXVEZIPEKIRXMRXLI97%VIJIVXSXLIWTIGMEP4VSQSXMSREP'SHIw%7%%4-xERH 

[MPPFIHIHYGXIHJVSQXLIGSWXSJ IEGLUYEPMJ]MRKXMGOIX 

'SRHMXMSRW 

%TTPMGEFPIXS EPPEHYPXVSYRHXVMT*MVWX ERH)\IGYXMZI'PEWWJEVIWJVSQ2I[ =SVO 'LMGEKSXS -RHME 

YRPIWWWTIGMJMGEPP]VIWXVMGXIHMRXLIJEVIVYPI 

2SX ETTPMGEFPIXSEPVIEH]HMWGSYRXIHJEVIW MRGPYHMRKFYX RSX PMQMXIHXSGLMPHVIRERHMRJERXJEVIXMGOIXW 

8VEZIPQYWXFIIRXMVIP]ZME%MV -RHMEMRGPYHMRKw-'-RHMER%MVPMRIWx STIVEXIHJPMKLXW 8VEZIPSRGSHI 

WLEVIJPMKLXWSTIVEXIHF]SXLIVGEVVMIVWSV%MV-RHME)\TVIWWMWRSX TIVQMXXIH 

8LI%%4-QIQFIVQYWX FITEVXSJXLIXVEZIPMRKTEVX]ERHQYWXTVIWIRXLMWLIV%%4-QIQFIVWLMTGEVH 

EXXLIXMQISJGLIGOMREX 2I[=SVO.*/SV);62I[EVO%MVTSVXWSV'LMGEKS3v,EVI%MVTSVX 

%PP TEWWIRKIVWMRXLI%%4-QIQFIVvWTEVX]QYWXXVEZIPXSKIXLIVJVSQ2I[=SVOSV'LMGEKSXS-RHME 

4EWWIRKIVW[MPPFITIVQMXXIHXSVIXYVRWITEVEXIP] 

8MGOIXWQYWXFI TYVGLEWIHERHMWWYIH RSPEXIVXLER1EVGLERHQYWXFIMWWYIHEXXLIWEQI 

XMQIJSVEPPQIQFIVWSJXLIXVEZIPMRK TEVX] 

3YXFSYRHXVEZIPQYWXGSQQIRGIRSPEXIVXLER1E] 

8VEZIPMWWYFNIGXXSEPPGSRHMXMSRWSJXLIJEVITYVGLEWIHMRGPYHMRK FYXRSXPMQMXIHXSGETEGMX]GSRXVSPW 

QMRMQYQQE\MQYQWXE] GERGIPPEXMSR TIREPXMIWERHGLERKISJ FSSOMRKEHQMRMWXVEXMZIJIIW 

8LI HMWGSYRX MWRSXETTPMGEFPIXSTVIZMSYWP]TYVGLEWIHXMGOIXWERHLEWRSGEWLVIHIQTXMSRZEPYI 

8VEZIP %KIRX8MGOIXMRK-RWXVYGXMSRW 

6IWIVZEXMSRW 

E 'VIEXIE*MVWX SV)\IGYXMZI&YWMRIWWGPEWW426MRXLI RSVQEPQERRIV 

F )RXIV 37- %- %%4- 463131)1&)61IQFIVWLMT2YQFIV 

G )RXIV 37- 8'4CC%%4- MRHMGEXIXSXEPRYQFIVMRXLIQIQFIVvWTEVX]MJQSVIXLERSRI426 

8MGOIXMRK 

E *EVIERHHMWGSYRX QYWXFIEYXSTVMGIHYWMRK %GGSYRX'SHI%7%%4- 

F 8MGOIX (IWMKREXSVEJXIVETTPMGEFPI*EVI&EWMG'SHI %%4- 

G )RXIV XLI %%4- 1IQFIVvW 1IQFIVWLMT 2YQFIV SR %00 XMGOIXW MR XLI )RHSVWIQIRX &S\ EW 

JSPPS[W w1-(x w1-(wJSPPS[IHF]XLIQIQFIVWLMT RYQFIV 

*EMPYVIXSJSPPS[XMGOIXMRKMRWXVYGXMSRWQE]VIWYPX MRER%(1 

'SQQMWWMSR[MPP FI TEMHSRXLIHMWGSYRXIHFEWIJEVIZEPYISRXLIXMGOIX 

(SRvXJSVKIXXSFVMRKXLMWTEKIERHWLS[MXXS]SYVTVSJIWWMSREP8VEZIP%KIRX

)\GITXMSRWJSVGSQTIRWEXMSR 

EVVERKIQIRXW 

6IRXEPSJSJJMGIWTEGI 

6IRXEPSJIUYMTQIRX 

&SRE JMHI IQTPS]QIRX VIPEXMSR 

WLMTW 

4IVWSREP WIVZMGI EVVERKIQIRXW JSV 

IRYQIVEXIHWIVZMGIW 

4L]WMGMERVIGVYMXQIRXEVVERKIQIRXW 

-WSPEXIHXVERWEGXMSRWWYGLEWESRI 

XMQIWEPISJTVSTIVX]SVTVEGXMGI 

6IQYRIVEXMSRTVSZMHIHF]ELSWTM 

XEP XS E TL]WMGMER MJ MX HSIW RSX 

VIPEXIHMVIGXP]SVMRHMVIGXP]XSXLI 

JYVRMWLMRK SJ HIWMKREXIH LIEPXL 

WIVZMGIWZIV]PMQMXIH 

6IQYRIVEXMSR KVSYT TVEGXMGI 

EVVERKIQIRXW[MXLELSWTMXEPXLEX 

WXEVXIH TVMSV XS (IGIQFIV 

WTIGMEPMRXIVIWXPIKMWPEXMSR 

4E]QIRXW F] E TL]WMGMER XS ER 

IRXMX] EW GSQTIRWEXMSR JSV MXIQW 

SV WIVZMGIW JYVRMWLIH EX JEMV 

QEVOIXZEPYI 

'LEVMXEFPI HSREXMSRW F] E TL]WM 

GMERXSERIRXMX] 

2SR QSRIXEV] GSQTIRWEXMSR XLEX 

HSIW RSX I\GIIH ER EKKVIKEXI SJ 

TIVGEPIRHEV]IEVTIVTL]WM 

GMER EHNYWXIH JSV MRJPEXMSR EW 

PSRKEWMX[EWRSXWSPMGMXIHF]XLI 

TL]WMGMERSVXLIMVIQTPS]IIWERH 

MW RSX HIXIVQMRIH MR ER] QERRIV 

XLEXXEOIWXLIZSPYQISVZEPYISV 

VIJIVVEPWMRXSIJJIGXMIXEVKIXIH 

XSLMKLVIJIVVEPTL]WMGMERW 

SRI PSGEP QIHMGEP WXEJJ ETTVIGME 

XMSRIZIRX TIV]IEVJSVXLIIRXMVI 

QIHMGEP WXEJJ EPXLSYKL ER] KMJXW 

SVKVEXYMXMIW TVSZMHIH MR GSRRIG 

XMSR [MXL XLEX WMRKPI IZIRX GSYRX 

XS[EVHWXLI 

*EMV QEVOIX ZEPYI GSQTIRWEXMSR 

FIX[IIRERIRXMX]ERHETL]WMGMER 

SV KVSYT SJ TL]WMGMERW JSV XLI 

TVSZMWMSR SJ MXIQW SV WIVZMGIW 

SXLIV XLER XLI VIRXEP SJ SJJMGI 

WTEGI [LMGL QYWX JMX XLI PIEWI 

I\GITXMSR 

1IHMGEP 7XEJJ MRGMHIRXEP 

FIRIJMXW SJJIVIH XS EPP QIQ 

FIVW SJ XLI 1IHMGEP 7XEJJ 

TVEGXMGMRK MR XLI WEQI 

WTIGMEPX]YWIHSRP]SRXLI 

LSWTMXEPvW GEQTYW [MXL 

I\GITXMSRW JSV 

IPIGXVSRMG QEXIVMEPW 

MRXIRHIH XS JEGMPM 

XEXIXLIHIPMZIV]SJ 

QIHMGEP WIVZMGIW 

EX XLI LSWTMXEP 

ERH SJ PS[ ZEPYI 

PIWWXLER[MXL 

VIWTIGX XS IEGL 

SGGYVVIRGI 

'IVXEMR VMWO WLEVMRK 

EVVERKIQIRXW[MXL1IHM 

GEVI ERH 1IHMGEMH 

1'3vW 

'SQTPMERGI XVEMRMRK XS 

XLI TL]WMGMER SV QIQ 

FIVWSJXLIMVSJJMGIWXEJJ 

LIPH MR XLI PSGEP GSQ 

QYRMX] MRGPYHMRK XVEMR 

MRK VIUYMVIH VIKEVHMRK 

XLI VIUYMVIQIRXW SJ 

*IHIVEPERH7XEXILIEPXL 

GEVI TVSKVEQW FMPPMRK 

GSHMRK RIGIWWEV] 

WIVZMGIW HSGYQIRXEXMSR 

7XEVO SV /MGOFEGO SV 

,-4%%6YPIW 

-RHMVIGX GSQTIRWEXMSR EVVERKI 

QIRXW 

4L]WMGMERVIJIVVEPWIVZMGIW 

3FWXIXVMGEP QEPTVEGXMGI MRWYVERGI 

WYFWMHMIW 

4VSJIWWMSREP GSYVXIW] SJJIVIH XS 

TL]WMGMERW SV MQQIHMEXI JEQMP] 

QIQFIVW TYVWYERX XS E JSVQEP 

TVSJIWWMSREPGSYVXIW]TSPMG] 

6IXIRXMSR TE]QIRXW MR QIHMGEPP] 

YRHIVWIVZIHEVIEWXLIGSYRXIVXS 

VIGVYMXQIRXSJTL]WMGMERWMRYRHIV 

WIVZIHEVIEW 

'SQQYRMX] [MHI LIEPXL MRJSVQE 

XMSRW]WXIQW 

)PIGXVSRMG TVIWGVMFMRK MXIQW ERH 

WIVZMGIW 

)PIGXVSRMGLIEPXLVIGSVHWMXIQWERH 

WIVZMGIW 

-RWYQQEV]KVSYTTVEGXMGIWERHVYVEP 

TVEGXMGIW EVI WXMPP MR E TVIJIVVIH 

TSWMXMSR ERH WXVEMKLXJSV[EVH JEMV 

QEVOIXZEPYIPIEWIWSJWTEGISVIUYMT 

QIRX IQTPS]QIRX EVVERKIQIRXW JEMV 

QEVOIXZEPYIWIVZMGIWEKVIIQIRXWERH 

GEVIJYPP]WXVYGXYVIHNSMRXZIRXYVIWXLEX 

HSRSXMRZSPZIXLITVSZMWMSRSJHIWMK 

REXIH LIEPXLWIVZMGIW PMOI EQFYPEXSV] 

WYVKMGEP GIRXIVW ERH WSQI HMEKRSWXMG 

MQEKMRK SV VEHMEXMSR XLIVET] GIRXIVW 

[MXLSRP]VEHMSPSKMWXWEWTEVXRIVW EVI 

WXMPPVIEWSREFP]WEJI,S[IZIVEPQSWX 

ER]EVVERKIQIRXzMRGPYHMRKIWTIGMEPP] 

XLI WXVYGXYVI SJ XLI GSQTIRWEXMSR 

EVVERKIQIRXWERHWXVYGXYVISJEKVSYT 

TVEGXMGIzWLSYPHFIVIZMI[IHF]GSQ 

TIXIRX GSYRWIP I\TIVMIRGIH MR LIEPXL 

GEVIQEXXIVW 


8,)*%07)'0%-17%'8 

78%898) 

8LI*EPWI'PEMQW%GXMWXLITVMQEV] 

XSSPMRXLIJIHIVEPTVSWIGYXSVvWEVWIREP 

FIGEYWIMXETTPMIWFVSEHP]XSER]WMXYE 

XMSRMR[LMGLEJEPWIWXEXIQIRXMWQEHI 

MRGSRRIGXMSR[MXLWIIOMRKVIMQFYVWI 

QIRX JVSQ ER] JIHIVEP IRXMX] *EPWI 

WXEXIQIRXW QEHI MR GSRRIGXMSR [MXL 

1IHMGEVISV1IHMGEMHFMPPWSVETTPMGE 

XMSRW JSV TEVXMGMTEXMSR JVIUYIRXP] 

GSRWXMXYXI JEPWI GPEMQW -RRSGIRX 

FMPPMRK QMWXEOIW EVI RSX JEPWI GPEMQW 

WMRGI MX XEOIW WSQI PIZIP SJ QEPJIE 

WERGI XSZMSPEXI XLI WXEXYXI EW MR XLI 

GEWISJXLI%/78LI*EPWI'PEMQW 

%GXGSRXEMRWWMKRMJMGERXTIREPXMIW*SV 

TL]WMGMER TVEGXMGIW FMPPMRK VIZMI[ 

MRMXMEXMZIW EVI E LMKL TVMSVMX] MWWYI 

9WMRK E FMPPMRK GSQTER] HSIW RSX 

MRWYPEXIXLITVEGXMGIJVSQPMEFMPMX]FYX 

YWI SJ E VIWTIGXIH FMPPMRK GSQTER] 

KSIWEPSRK[E]-J]SYYWISRI]SY 

WLSYPHEWO[LIXLIV]SYVFMPPMRKGSQ 

TER]LEWEGSQTPMERGITVSKVEQ 

'17 I\TIGXW XLEX TL]WMGMERW XEOI 

VIWTSRWMFMPMX] JSV XLIMV FMPPW 8LI 

TL]WMGMER LEW GIVXMJMIH MR IZIV] FMPP 

XLEX XLI WIVZMGIW FMPPIH [IVI EGXYEPP] 

TVSZMHIH ERH XLEX XLI QIHMGEPVIGSVH 

WYTTSVXWXLIQIHMGEPRIGIWWMX]JSVXLI 

WIVZMGISVXIWX8LIFEWMGVYPIMWMJXLI 

VIGSVHHSIWRSXWYTTSVXXLIVIEWSRJSV 

XLI XIWX SV WIVZMGI ]SY GER RSX FMPP 

6IQIQFIVXLEX]SYVREQIERHWMKRE 

XYVIETTIEVWSRIZIV]FMPPWS]SYEVI 

TIVWSREPP] EXXIWXMRK XLEX XLI 

WIVZMGIXIWX FMPPIH [EW TVSZMHIH ERH 

[EW ETTVSTVMEXI JSV XLI TEXMIRX % 

GSRWMWXIRX TEXXIVR SJ YT GSHMRK [MPP 

KIRIVEPP]FIHIEPX[MXLLEVWLP]ERHMW 

XLIWYFNIGXSJEWMKRMJMGERXGMZMPQSVI 

XSV]TIREPX] 

;,%8'%24,=7-'-%27(383 

4638)'88,)17)0:)7# 

8LI 3JJMGI SJ XLI -RWTIGXSV +IRIVEP 

3-+SJXLI(ITEVXQIRXSJ,IEPXLERH 

,YQER7IVZMGIWLEWTYFPMWLIH+YMHI 

PMRIW JSV E GSQTPMERGI TVSKVEQ JSV 

TL]WMGMER TVEGXMGIW % GSQTPMERGI 

TVSKVEQMWEZIV]KSSHMHIEJSVER] 

TL]WMGMER TVEGXMGI SJ ER] WMÎ MJ XLI 

TVEGXMGI [MPP GSQQMX VIWSYVGIW ERH 

XEOI MX WIVMSYWP] % GSQTPMERGI 

TVSKVEQ GERLIPTXSEZSMH TVSFPIQW 

SV GEXGL XLIQ [LIR XLI] EVI WXMPP 

WQEPPIRSYKLXSLERHPIFYXER]GSQ 

TPMERGITVSKVEQXEOIWXMQIERHIJJSVX 

8LI 3-+ EGORS[PIHKIW XLEX TL]WM 

GMERTVEGXMGIWRIIHXSEHSTXEW]WXIQ 

XLEX[MPP[SVOZEV]MRK[MXLXLIWMÎ 

ERHGSQTPI\MX]SJXLITVEGXMGI0EVKI 

TVEGXMGIW EVI EHZMWIH XS JSPPS[ XLI 

FMPPMRK GSQTER] GSQTPMERGI TPER 

[LMGL MW QSVI HIXEMPIH FIGEYWI 

FMPPMRK TVEGXMGIW EVI XLI WMRKPI QSWX 

PMOIP] MWWYI XLEX PIEHW XS TL]WMGMER 

RSRGSQTPMERGI 

8LIWTIGMJMGVMWOEVIEW XLEX XLI 3-+ 

HMVIGXWTL]WMGMERTVEGXMGIWXSEHHVIWW 

MRGPYHI E GSHMRK ERH FMPPMRK F 

VIEWSREFPIERHRIGIWWEV]WIVZMGIWG 

HSGYQIRXEXMSR ERH H MQTVSTIV 

MRHYGIQIRXW OMGOFEGOW ERH WIPJ 

VIJIVVEPW 8LI 3-+ LEW MHIRXMJMIH XLI 

JSPPS[MRK EVIEW EW XLI QSWX JVIUYIRXP] 

MRZIWXMKEXIHERHXLI]EVIEPWSXLIJSGYW 

SJXLIYTGSQMRK6%'EYHMXW 

VIRHIVIHSVRSXTVSZMHIHEWGPEMQIH 

GEPWYTTPMIWERHWIVZMGIWXLEXEVIRSX 

VIEWSREFPIERHRIGIWWEV] 

TE]QIRX 

GSZIVIH 

XMSRRYQFIVW[LMGLVIWYPXWMRMQTVSTIV 

FMPPMRK 

RIRXSJXLIWIVZMGIMRWXIEHSJFMPPMRKSV 

YWMRKEREPPMRGPYWMZIGSHI 

QSHMJMIVW 


;IKMZIFIPS[EPMWXSJPIWWSRW[I 

LEZIPIEVRIHSZIVXLI]IEVWMREHZMWMRK 

GPMIRXWPEVKIERHWQEPPSRGSQTPMERGI 

TVSKVEQW *MVWX ERH JSVIQSWX MW XLEX 

GSQTPMERGIMWEXSTHS[RI\IVGMWIz-J 

XLITL]WMGMERWTEVXMGYPEVP]XLSWIEXXLI 

XST SJ XLI IRXIVTVMWI HS RSX XEOI MX 

WIVMSYWP] MX MW FSYRH XS JEMP ERH ]SY 

[MPP TVSFEFP] FI FIXXIV SJJ [MXLSYX 

SRI8EOIMXWIVMSYWP]-XGERWEZI]SYV 

GEVIIV 

4VITEVEXMSR ERH HMWXVMFYXMSR SJ 

[VMXXIR QEXIVMEPW 8LI [VMXXIR 

TVSKVEQQEXIVMEPWQYWXFIHMWXVMFYXIH 

XSEPPIQTPS]IIWERHWLSYPHFIKMZIR 

XSRI[IQTPS]IIWEWXLI]EVVMZI-XMW 

GVMXMGEP XLEX EPP IQTPS]IIW EVI 

MRJSVQIH EFSYX XLI I\TIGXEXMSR XLEX 

XLI][MPPFVMRKER]IVVSVWXSXLIETTVS 

TVMEXITIVWSRvWEXXIRXMSR MQQIHMEXIP] 

ERHXLEXXLI][MPPRSXFITYRMWLIHJSV 

HSMRK WS 8LI TVSKVEQ WLSYPH FI 

QEHIORS[RXSZIRHSVW[MXLXLIGPIEV 

YRHIVWXERHMRK XLEX ZIRHSVW [LS EVI 

RSRGSQTPMERX[MPPFIHMWGSRXMRYIH 

)HYGEXMSR ERH XVEMRMRK 8LI 

TVSKVEQQYWXHIWGVMFIIHYGEXMSRERH 

XVEMRMRK ERH GSRXEMR E W]WXIQEXMG 

ETTVSEGLJSVIRWYVMRKXLEXMXMWHIPMZ 

IVIH 8LMW MW TEVXMGYPEVP] GVMXMGEP JSV 

FMPPMRKERHVIGSVHOIITMRKTIVWSRRIP 

XLI EVIEW SJ PEVKIWX GSRGIVR JSV XLI 

KSZIVRQIRX4VSZMHMRKXLIIHYGEXMSR 

MWMQTSVXERXFYXEPQSWXYWIPIWWYRPIWW 

XLI WYFWXERGI SJ ER] IHYGEXMSREP 

TVSKVEQW ERH XLI REQIW SJ XLSWI MR 

EXXIRHERGIEVIHSGYQIRXIH 

'SQTPMERGI3JJMGIV7SQISRIEXE 

LMKL PIZIP QYWX FI EWWMKRIH XLI 

VIWTSRWMFMPMX]JSV XLMWXEWO=SYQE] 

GSRWMHIV YWMRK ]SYV 4VMZEG] 3JJMGIV 

JSVXLMWJYRGXMSREW[IPP 

6IKYPEVWGLIHYPIH QIIXMRKWSJXLI 

GSQTPMERGIGSQQMXXII8LIGSQTPM 

ERGIGSQQMXXIIQYWXQIIXSREVIKY 

PEV FEWMW ERH [I WYKKIWX UYEVXIVP] 

QIIXMRKW 

%YHMXW % GSQTPMERGI TVSKVEQ 

WLSYPHMRGPYHIWSQIPIZIPSJVSYXMRI 

MRXIVREP SV I\XIVREP EYHMXW XS XIWX 

[LIXLIVXLISVKERMÊXMSRMWMRGSQ 

TPMERGI*SVETL]WMGMERKVSYTSRI 

EYHMXSVMRMXMEXMZITIV]IEVWLSYPHFI 

WYJJMGMIRX ERH MX GER FI KIEVIH XS 

TIVGIMZIH EVIEW SJ [IEORIWW -X MW 

[MWI XS JSGYW SR XLI TVSGIWW F] 

[LMGL FMPPW EVI WIRX ERH QIHMGEP 

VIGSVHWEVIOITXXSWIILS[XLITVEG 

XMGIMWHSMRK[MXLETTPMGEFPIGSHMRK 

FMPPMRK ERH HSGYQIRXEXMSR VIUYMVI 

QIRXW 8LI KSZIVRQIRX EHZMWIW 

YWMRKXLITIVWSRMRGLEVKISJFMPPMRK 

XSKIXLIV[MXLEVIKMWXIVIHRYVWISVE 

TL]WMGMER;IWXVSRKP]VIGSQQIRH 

GSRGYVVIRX VIZMI[ JSV XLMW TYVTSWI 

-R XLI 8LMVH4EVX] 1IHMGEP &MPPMRK 

'SQTPMERGI4VSKVEQ +YMHERGIXLI 

3-+VIGSQQIRHIHXLEXEFEWIPMRISV 

WRETWLSXFIYWIHXSIREFPIETVEG 

XMGIXSNYHKISZIVXMQIMXWTVSKVIWWMR 

VIHYGMRK SV IPMQMREXMRK TSXIRXMEP 

EVIEW SJ ZYPRIVEFMPMX] ;I GSRGYV 

[MXLXLI3-+VIGSQQIRHEXMSRXLEXE 

FIRGLQEVO FI IWXEFPMWLIH EJXIV XLI 

TPER MW MQTPIQIRXIH 8LI 3-+ 

VIGSQQIRHW XLEX GPEMQWWIVZMGIW 

WYFQMXXIHERHTEMHHYVMRKXLIMRMXMEP 

XLVIIQSRXLWEJXIVMQTPIQIRXEXMSRSJ 

XLI IHYGEXMSR ERH XVEMRMRK TVSKVEQ 

FI YWIH EW XLI FIRGLQEVO 'SHMRK 

ERH HSGYQIRXEXMSR MWWYIW EVI XVEHM 

XMSREPP] XLI KSZIVRQIRXvW TVMQEV] 

GSRGIVRERHQYWXFIEQENSVTEVXSJXLI 

TPER 

6ITSVXMRK1IGLERMWQ0EVKIVSVKE 

RMÊXMSRWKIRIVEPP]YWIELSXPMRISVHVST 

FS\ EW TEVX SJ XLI TVSKVEQ 8LIVI 

WLSYPHFIWSQI[E]JSVTISTPIXSVITSVX 

SRERERSR]QSYWFEWMW*SVETL]WMGMER 

SVKERMÊXMSR TSWXMRK XLI REQI ERH 

EHHVIWW SJ XLI GSQTPMERGI SJJMGIV 

WLSYPHFIWYJJMGMIRX 

%WWMKRVIWTSRWMFMPMX] JSV ERHGLIGO 

XLEX XLI TVMRGMTPI SJ GLIGOMRK XLI 

I\GPYHIH PMWX [LIRIZIV LMVMRK SV 

GSRXVEGXMRK MWFIMRK JSPPS[IH ;LIR 

]SY LMVI RI[ TIVWSRRIP SV IRXIV MRXS 

GSRXVEGXW [MXL SVKERMÊXMSRW ]SY LEZI 

RSX HIEPX [MXL FIJSVI]SY QYWX GLIGO 

XLI3-+vWPMWXSJI\GPYHIHTIVWSRWERH 

SVKERMÊXMSRW 8LI 'SQTPMERGI 4PER 

QYWX IWXEFPMWL [LS MW VIWTSRWMFPI JSV 

XLEXEGXMSRERHVIUYMVIE[VMXXIRGSRJMV 

QEXMSR)QTPS]MRKERI\GPYHIHTIVWSR 

MWMXWIPJEZMSPEXMSRERHSRIXLEXGERFI 

IEWMP]EZSMHIH 

6IGSVH /IITMRK 8LI 4PER QYWX 

VIUYMVIHSGYQIRXEXMSRSJXLIJSPPS[YT 

IJJSVXWERHXLIHMWTSWMXMSRSJGSQTPEMRXW 

ERHEYHMXWERHHIPIKEXIVIWTSRWMFMPMX] 


8LIVIKYPEXMSRWTIVQMXXLI3-+XSwI\GPYHI ER]MRHMZMHYEPSV 

IRXMX] XLEX MX HIXIVQMRIW LEW GSQQMXXIHER EGX HIWGVMFIH MR 

&FSJXLI%GX;MXLVIWTIGXXSEGXWHIWGVMFIHMR& 

SJXLI%GXXLI3-+MQE]I\GPYHIER]MRHMZMHYEPSVIRXMX]XLEX 

MX HIXIVQMRIW LEW ORS[MRKP] ERH [MPPJYPP] WSPMGMXIH VIGIMZIH 

SJJIVIH SV TEMH ER] VIQYRIVEXMSR MR XLI QERRIV ERH JSV XLI 

TYVTSWIW HIWGVMFIH XLIVIMR MVVIWTIGXMZI SJ [LIXLIV XLI 

MRHMZMHYEPSVIRXMX]QE]FIEFPIXSTVSZIXLEXXLIVIQYRIVEXMSR 

[EWEPWSMRXIRHIHJSVWSQISXLIVTYVTSWIx 

4L]WMGMERXVEMRMRK8LI XVEMRMRKERH 

IHYGEXMSR WIWWMSRW JSV TL]WMGMERW [MPP 

RIGIWWEVMP] FI HMJJIVIRX XLER XLSWI SJ 

SXLIV IQTPS]IIW ERH QYWX FI WMQMPEVP] 

TPERRIH ERH HSGYQIRXIH =SYV VIKYPEV 

QIIXMRKW GSYPH MRGPYHI E GSQTPMERGI 

IJJSVXXSQE\MQMÎIJJIGXMZIRIWWERHEPIVX 

TL]WMGMERW XS GSQTPMERGI VMWO EVIEW ERH 

EHZMWIXLIQEWXSTVSTIVGSQTPMERGITVEG 

XMGIW 

6IZMI[ EKVIIQIRXW [MXL WYTTPMIVW 

ERH SXLIV TVSZMHIVW 8LI 4PER WLSYPH 

VIUYMVIXLIGSQTPMERGISJJMGIVXSVIZMI[ 

EKVIIQIRXW [MXL SXLIV TVSZMHIVW SV 

ZIRHSVWSRETIVMSHMGFEWMW8LIGSQTPM 

ERGISJJMGIVGERHITIRHYTSRXLIEHZMGI 

SJGSYRWIPSVSXLIVEHZMWIVW 

*MREPP]X[SPEWX[SVHWSJEHZMGI*MVWXMJ 

ER] HIEP WIIQW XSS KSSH XS FI XVYI MX 

TVSFEFP]MWRvX7IGSRHIVVSVWSGGYV[LIR 

TISTPI HSRvX TE] EXXIRXMSR ERH KVIIH 

XIRHW XS QEOI TISTPI RSX TE] EXXIRXMSR 

8LI KSZIVRQIRX I\TIGXW ]SY XS FI 

VIWTSRWMFPI JSV ERH TE] EXXIRXMSR XS XLI 

EGXMZMXMIW ERHFMPPMRK SJ]SYVTVEGXMGI - 

HMHRvXORS[MWRSXEHIJIRWI 

-REHHMXMSRXSXLIGVMQMREPWXEXYXI1IHMGEVIPE[ERHVIKYPEXMSRW 

EPWSTIVQMXER]MRHMZMHYEPXSFII\GPYHIHJVSQSRKSMRKTEVXMGM 

TEXMSR MR XLI 1IHMGEVI TVSKVEQ JSV E ZMSPEXMSR SJ XLI ERXM 

OMGOFEGO VYPIW ERH TIVQMX XLI MQTSWMXMSR SJ GMZMP QSRIXEV] 

TIREPXMIW MJ XLI 3JJMGI SJ XLI -RWTIGXSV +IRIVEP w3-+x XLI 

1IHMGEVIEKIRG]VIWTSRWMFPIJSVGMZMPIRJSVGIQIRXSJXLI1IHM 

GEVIPE[WJMRHWXLEXERMRHMZMHYEPSVETVSZMHIVLEWGSQQMXXIH 

ER]EGX[LMGL[SYPHGSRWXMXYXIEZMSPEXMSRSJ&FSV 

SJXLI1IHMGEVI%GX7II'*6EHSTXIHMR 

*IH6IK.ERYEV]-R'*6 

I\GITXMSRWEVIPMWXIHJSVZMSPEXMSRWSJ&F[LMGLQMVVSV 

XLI7EJI,EVFSVVIKYPEXMSRWXSFIHMWGYWWIHFIPS[ 

97Z+VIFIV *HVH'MVGIVXHIRMIH 

97%,SPXIVQSRMXSVWYTTPMIVTEMHEJIIXSIEGLVIJIV 

VMRK TL]WMGMER XS MRXIVTVIX SV GSRWYPX SR XLI XIWX XS LMW 

TEXMIRX8LI'SYVXRSXIHXLEXXLIJII[EWTEMHSRP]XSVIJIVVMRK 

HSGXSVWSRP]JSVXLIMVS[RTEXMIRXWERH[EWTEMH[MXLSYXVIKEVH 

XS SV ZIVMJMGEXMSRSJ[LIXLIV EWIVZMGI [EW EGXYEPP] TVSZMHIH 

+VIFIV WXERHW JSV XLI TVSTSWMXMSR XLEX E ZMSPEXMSR GER SGGYV 

wIZIR MJ XLI TE]QIRXW [IVI EPWS MRXIRHIH XS GSQTIRWEXI JSV 

TVSJIWWMSREPWIVZMGIWxEWPSRKEWwSRITYVTSWISJXLITE]QIRX 

[EWXSMRHYGIJYXYVIVIJIVVEPWx+VIFIV*HEX 

8LI7EJI,EVFSVVIKYPEXMSRWEVIJSYRHEX'*6 

*EMPYVIXSGSQTP][MXLE7EJI,EVFSVHSIW RSXQIER XLEXXLI 

XVERWEGXMSRZMSPEXIWXLIPE[ -XQIVIP] MWRSX IRXMXPIH XS 7EJI 

,EVFSV TVSXIGXMSR 'SRXVEWX XLI JEMPYVI XS JEPP [MXLMR E 7XEVO 

I\IQTXMSR[LMGLVIWYPXWMREZMSPEXMSRMJER]1IHMGEVISV1IH 

MGEMHFYWMRIWWMWVIJIVVIH 


46%'8-')*3'97 

4IXIV 4EVZMW LIPTW GPMIRXW MHIRXMJ] XLIMV KSEPW ERH SFNIGXMZIW ERH WXVEXIKMIW XS 

EGLMIZIXLIQWXVYGXYVIWXLSWIWXVEXIKMIWXSEZSMHXLIQMRIJMIPHSJVIKYPEXMSRW 

ERHGVMQMREPERHGMZMPTIREPXMIW[LMGLEVIXLILEPPQEVOSJQSHIVRLIEPXLGEVIERH 

EWWMWXWGPMIRXWMRMQTPIQIRXMRKXLIGLSWIRWXVEXIKMIW 

6)46)7)28%8-:)'0-)287 

1V4EVZMWvGPMIRXWMRGPYHITLEVQEGIYXMGEPGSQTERMIWERHLIEPXLGEVIWYTTPMIVW 

LSWTMXEPWPSRKXIVQGEVITVSZMHIVW(1)ERHVIPEXIHIRXMXMIWTL]WMGMERKVSYTW 

TL]WMGMERQEREKIQIRXIRXMXMIWERHMRWYVERGIIRXMXMIW 

'0-)28&)2)*-87 

)\TIVMIRGIH ERH ORS[R JSV LMW ORS[PIHKI SJ PIKEP HIXEMPW 1V 4EVZMW SJJIVW 

GPMIRXWXLIFIRIJMXWSJLMWPSRKERHWYGGIWWJYPVIGSVHMRXLIVETMHP]GLERKMRKJMIPH 

SJLIEPXLGEVI,ILEWWTIEVLIEHIHIJJSVXWXSGSRWSPMHEXIQIHMGEPVIWSYVGIWJSV 

IJJMGMIRG]ERHUYEPMX]GEVI,MWI\TIVMIRGIMRLEZMRKVITVIWIRXIHEPPIPIQIRXWSJ 

XLITLEVQEGIYXMGEPERH(1)JMIPHLSWTMXEPWSXLIVMRWXMXYXMSREPTVSZMHIVWTL]WM 

GMERW ERHTE]SVWMRGPYHMRK&PYI'VSWW%WWSGMEXMSRW ERH,13W TVSZMHIW XLI 

RIGIWWEV]FEWIXSEHZMWIGPMIRXWMRLS[FIWXXSTVSXIGXERHTSWMXMSRXLIQWIPZIWMR 

XLI JVIUYIRXP] GLESXMG LIEPXL GEVI IRZMVSRQIRX 1V 4EVZMW [EW REQIH SRI SJ 

&EPXMQSVIvWSYXWXERHMRKPE[]IVWF]&EPXMQSVIQEKE^MRI 

7-+2-*-'%281%88)67 

1V4EVZMWVITVIWIRXIHGPMIRXWMRXLI,SYWI)RIVK]ERH'SQQIVGI'SQQMXXIIvW 

MRZIWXMKEXMSRMRXSTLEVQEGIYXMGEPTVMGMRKERHXLI1IHMGEMH W]WXIQ 

ERHXLI*IHIVEP8VEHI'SQQMWWMSRvWWXYH]SJXLIGSQTIXMXMZIMQTEGXSJXLI 

4&1MRHYWXV]vWTVEGXMGIW[MXLTEVXMGYPEVJSGYWSRXLIS[RIVWLMTSJQEMPSVHIV 

TLEVQEGMIW 

1V4EVZMW&MPP'SWXSRERHSXLIV:IREFPIPE[]IVWSRFILEPJSJEREXMSREPIRXMX] 

FVSYKLX E JIHIVEP EGXMSR[LMGLVIWYPXIHMRHIGPEVMRKE WXEXI 1IHMGEMHW]WXIQvW 

X[SXMIVIH ETTVSEGL XLEX TEMH GLEMR TLEVQEGMIW WYFWXERXMEPP] PIWW XLERWQEPPIV 

TLEVQEGMIWJSVMHIRXMGEPHVYKWYRPE[JYPYRHIVXLIJIHIVEP1IHMGEMH%GXERHXLI 

97'SRWXMXYXMSR7II;EP1EVX7XSVIW-RGZ/RMGOVILQ)(%VO 

.YRI 

%'8-:-8-)7 

1V4EVZMWMWEGXMZIMRWIZIVEPLIEPXLGEVIEWWSGMEXMSRWWYGLEW,IEPXL'EVI*MRER 

GMEP1EREKIQIRX XLI%QIVMGER,IEPXL0E[]IVW%WWSGMEXMSRERH XLI2EXMSREP 

%WWSGMEXMSRSJ'SPPIKIERH9RMZIVWMX]%XXSVRI]W,IMWEPWSEQIQFIVSJ(SGXSVW 

%HZMWSV]7IVZMGISJXLI%QIVMGER1IHMGEP%WWSGMEXMSR 

49&0-'%8-327 

%QSRK1V4EVZMWWVIGIRXEVXMGPIWEVI8LI4VEGXMGEP+YMHIXS2SR4VSJMX,SWTM 

XEP1IVKIVWTYFPMWLIHMR8LI(EMP]6IGSVH8LI4VEGXMGEP+YMHIXS4L]WMGMER 

4VEGXMGI 1EREKIQIRX XLIPIEHEVXMGPI MR8LI 2EXMSREP0E[ .SYVREPvW%RRYEP 

,IEPXL'EVI-WWYIERH1EREKIH'EVIERH4VEGXMGI7XEVOERH%RXM/MGOFEGO 

9THEXI 

74)%/-2+)2+%+)1)287 

1V4EVZMWWTIEOWJVIUYIRXP]SRLIEPXLGEVIMWWYIWMRWIQMREVWMRJVSRXSJXVEHI 

KVSYTW XLI ,IEPXLGEVI *MRERGMEP 1EREKIQIRX%WWSGMEXMSR ERH MR TVIWIRXMRK 

IHYGEXMSREPWIWWMSRWJSVLSWTMXEPWERHTL]WMGMERW 

)(9'%8-32 

9RMZIVWMX]SJ1EV]PERH 

.(GYQPEYHI 

3VHIVSJXLI'SMJ 

2EXMSREP1SSX'SYVX 

8IEQ1IQFIV 

9RMZIVWMX]SJ1EV]PERH 

&%GYQPEYHI 

&%6%(1-77-327 

1EV]PERH 

%6)%73*46%'8-') 

,IEPXL'EVI'SVI+VSYT 

-2(9786-)7 

4LEVQEGIYXMGEPW 

,IEPXL'EVI 

,32367 

0MWXIH8LI&IWX0E[]IVWMR%QIVMGE,IEPXL'EVITVIWIRX 

0MWXIH'LEQFIVW97%,IEPXL'EVI 


%QIVMGER%WWSGMEXMSRSJ4L]WMGMERWSJ-RHMER3VMKMR 

)\IGYXMZI3JJMGI)RXIVTVMWI(VMZI7YMXI3EO&VSSO-0 

8IPITLSRI*E\ 

[[[EETMYWESVK 

6)59)7883&)'31)%4,=7-'-%246)')483692()6 %%4- 

'0-2-'%03&7)6:)67,-4463+6%1 

(IEV%%4-1IQFIV 

(EXI 

%W]SYEVI E[EVI%%4-LEWVIGIRXP]IWXEFPMWLIH 'PMRMGEP 3FWIVZIVWLMT4VSKVEQJSV -RXIVREXMSREP1IHMGEP+VEHYEXIW 

-1+WJVSQ-RHMEWIIOMRK97,SWTMXEPI\TIVMIRGIFIJSVIWXEVXMRKXLIMV6IWMHIRG]MRXLI9RMXIH7XEXIW8LITYVTSWISJ 

XLMW 'PMRMGEP 3FWIVZIVWLMT 4VSKVEQ MW XS LIPT XLI -1+ PIEVR EQSRK QER] XLMRKW XLI %QIVMGER QIXLSHSPSK] SJ 

SFXEMRMRKETEXMIRXvWQIHMGEPLMWXSV]ERHGSRHYGXMRK ETEXMIRXI\EQMREXMSREWMXQE]HMJJIVJVSQXLIMVQIHMGEPXVEMRMRK 

%W [I EPP ORS[ GIVXMJMGEXMSRF] )'*1+ ERH IZIRXYEPQIHMGEP PMGIRWI MRGPYHIWER EWWIWWQIRX SJ GPMRMGEP WOMPPW XIWX 

9710) WXIT '7 XS IZEPYEXI GPMRMGEP GSQTIXIRGI ERH XLI EFMPMX] XS GSQQYRMGEXI IJJIGXMZIP] MR )RKPMWL 8LMW 

WXERHEVHMÎH TEXMIRX I\EQMREXMSR VIUYMVIWXLIGERHMHEXIXSXEOIELMWXSV]GSQTPIXIETL]WMGEPI\EQMREXMSRGSQQYRMGEXI 

HMVIGXP] XS XLI TEXMIRX ERW[IV XLI TEXMIRXvW UYIWXMSRW WYQQEVMÎ JMRHMRKW ERH TVSTSWI E HMJJIVIRXMEP HMEKRSWMW ERH 

HMEKRSWXMG [SVOYT TPER 8LMW XIWX VIUYMVIW E [SVOMRK ORS[PIHKI SJ GSQQSRP] YWIH XIVQMRSPSKMIW IJJIGXMZI 

GSQQYRMGEXMSR[MXLXLITEXMIRXERHERYRHIVWXERHMRKSJXLIETTVSTVMEXI QIXLSH SJ GSRHYGXMRKETL]WMGEP I\EQMREXMSR SJ 

XLITEXMIRXEQSRKSXLIVXLMRKW%PPSJXLIWIWOMPPWGERFIPIEVRIHIJJIGXMZIP]MRER3FWIVZIVWLMT4VSKVEQ 

8LI-1+[MPPPIEVRF]SFWIVZMRKXLI4L]WMGMER4VIGITXSV[MXLSYXI\EQMRMRK XEOMRKELMWXSV] XVIEXMRK SV HMEKRSWMRK ER] 

TEXMIRXW4L]WMGMER4VIGITXSVWEVIPMGIRWIH4L]WMGMERWMRXLIMV7XEXISJ.YVMWHMGXMSRMR97%3FWIVZIVWLMTTIVMSHMWJSV 

ETIVMSHSJHE]W 

8LI3FWIVZIVEGGSQTERMIWXLI4L]WMGMER4VIGITXSVXSXLISJJMGIERHSVLSWTMXEPERHWLEPPVIQEMR YRHIVXLIWYTIVZMWMSR 

SJXLI4L]WMGMER4VIGITXSV,SWTMXEP[SVOQMKLXRIIHTIVQMWWMSR JVSQ%HQMRMWXVEXMSR(ITEVXQIRXGLEMV,IWLI HSIW 

RSX HMVIGXP] IRKEKI MR ER] TL]WMGEP I\EQMREXMSRW TIVJSVQ ER] TVSGIHYVIW SR E TEXMIRX SV QEOI ER] IRXVMIW MR XLI 

TEXMIRXvW GLEVXW 8LI TVIGITXSV [MPP TVSZMHI JIIHFEGO SR E GSRXMRYMRK FEWMW HYVMRK XLI 3FWIVZIVWLMT 1EPTVEGXMGI 

GSZIVEKIJSVXLI4L]WMGMER4VIGITXSVMWMRGPYHIHYRHIVKIRIVEPw3JJMGIVWSJ%%4-xPMEFMPMX]TSPMG] 

-1+3FWIVZIVWSJ-RHMERSVMKMR ;,3 %6)%06)%(= 0-:-2+,)6)-297%WLEPPWYFQMXETTPMGEXMSRJSVQEPSRK 

[MXL XLIMV IHYGEXMSREP FEGOKVSYRH :-7% WXEXYW 9710) WGSVIW EVIEW SJ MRXIVIWX ERH EZEMPEFMPMX] HEXIW JSV XLI 

3FWIVZIVWLMT4VSKVEQ%%4-3FWIVZIVWLMT'SQQMXXIIWLEPPVIZMI[XLIETTPMGEXMSRWERHQEOI ETTVSTVMEXI EWWMKRQIRXW 

FEWIHSRSYVWIPIGXMSRGVMXIVMEERHXLIEZEMPEFMPMX]SJ4L]WMGMER4VIGITXSVW 

9TSRWYGGIWWJYPGSQTPIXMSRSJXLI3FWIVZIVWLMT4VSKVEQXLI4L]WMGMER4VIGITXSV[MPPFIEWOIHXSGSQTPIXIERHVIXYVR 

ERIZEPYEXMSRJSVQ%JXIVXLIIZEPYEXMSRJSVQLEWFIIRVIGIMZIHXLI3FWIVZIV[MPPFIKMZIRE'IVXMJMGEXISJ'SQTPIXMSR 

MRHMGEXMRK XLIRYQFIV SJ [IIOW ERH LSYVW WTIRX MR XLI TVSKVEQERHLMWLIVPIZIPSJTIVJSVQERGIFEWIHSRXLI4L]WMGMER 

4VIGITXSVvW WYFQMXXIH IZEPYEXMSR %%4- GERRSX TE] XLI 4L]WMGMER 4VIGITXSV SV XLI 3FWIVZIV 0SHKMRK 1IEPW ERH 

8VERWTSVXEXMSREVIXLIWSPIVIWTSRWMFMPMX]SJXLI3FWIVZIV 

%W XLI 'LEMVQER SJ %%4- 'PMRMGEP 3FWIVZIVWLMT 'SQQMXXII JSV - LIVI[MXL VIUYIWX ]SY XS TEVXMGMTEXI EW E 

4L]WMGMER4VIGITXSVYRHIVXLMWTVSKVEQ4PIEWIGSQTPIXIERHVIXYVRXLIEXXEGLIHWLSVXETTPMGEXMSRJSVQ-REHHMXMSRMJ 

]SYORS[ER]-1+W JVSQ-RHME ;,3 %6)%06)%(= 0-:-2+,)6)-297% E[EMXMRK VIWMHIRG]XVEMRMRK ERH[LS 

EVIMRXIVIWXIHMR%%4-'PMRMGEP3FWIVZIVWLMT4VSKVEQTPIEWI EWOXLIQXS GSRXEGX %%4- SJJMGI EX SV ZMWMX 

%%4-[IFWMXI[[[EETMYWESVK 

;MXL6IKEVHW 

1SLER1EPPEQ1(*%'4'1( 

'LEMV%%4-'PMRMGEP3FWIVZIVWLMT'SQQMXXII 

4 

* 

HVQEPPEQ$ESPGSQ 

[[[EETMYWESVK 


%FIRIJMXXLEX 

]SYGERKIX 

I\GMXIHEFSYX 

%PP%%4-TL]WMGMERWERHTL]WMGMER 

IQTPS]IIWEVIIRXMXPIHXSI\GPYWMZI 

WEZMRKWXLVSYKL7TVMRX 

-REHHMXMSRXSXLIGSVTSVEXIHMWGSYRX 

%%4-TL]WMGMERWGERIRNS]I\GPYWMZI 

HIZMGITVMGMRKERHEHHMXMSREPFIRIJMXW 

PMOIJVIIEGGIWWSVMIW 

} 

,8'8SYGL4VS 

"1MGVSWSJX;MRHS[W1SFMPI 

"*YPP5;)68=/I]FSEVH 

"QIKETM\IPGEQIVE 

8SSFXEMR]SYVQIQFIVHMWGSYRXSVWMQTP]WMKRYTJSVRI[WIVZMGI 

'EPPYWEX 

I\X 

3VZMWMXYWSRPMRIEX 

;;;%%4-97%746-2836()67'31 

1E]VIUYMVIYTXSEEGXMZEXMSRJIIPMRIGVIHMXETTVSZEPHITSWMX9TXSIEVP]XIVQMREXMSRJIIPMRIETTPMIW-RHMZMHYEP 0MEFPI 3JJIV %TTPMIWXSMRHMZMHYEPPMEFPIEGGSYRXW SJ%%4- 

QIQFIVW HMWGSYRX YRHIVXLIMVIQTPS]IVvWWIVZMGIWEKVIIQIRX7TVMRX 1SFMPI&VSEHFERH 2IX[SVO VIEGLIWSZIV QMPPMSR TISTPI3XLIV 8IVQW 'SZIVEKIRSXEZEMPEFPI 

IZIV][LIVI2EXMSR[MHI7TVMRX 2IX[SVOVIEGLIWSZIVQMPPMSRTISTPI3JJIVWRSXEZEMPEFPIMREPPQEVOIXWVIXEMP PSGEXMSRW SVJSVEPPTLSRIWRIX[SVOW4VMGMRKSJJIVXIVQWJIIW 

JIEXYVIWQE]ZEV]JSVI\MWXMRKGYWXSQIVWRSXIPMKMFPIJSVYTKVEHI3XLIVVIWXVMGXMSRWETTP]7IIWXSVISV7TVMRXGSQJSVHIXEMPW7TVMRX7TVMRXERHXLIPSKSEVIXVEHIQEVOWSJ7TVMRX

Bringing AAPI Families Together 

Apurv Gupta, MD 

%YKYWX z XLI%%4- *EQMP] 'VYMWI JVSQ 2I[ 

=SVO XS 2I[ &VYRW[MGO 'EREHE XYVRIH SYX XS FI E KVIEX 

WYGGIWW%RIZIRX[LMGLWXEVXIH[MXLERMHIESRI]IEVEKSXS 

FVMRK%%4-JEQMPMIWXSKIXLIVXYVRIHSYXXSFIERI\TIVMIRGI 

XLEXQSWXSJXLIVIKMWXVERXW[ERXIHXSQEOIMRXSERERRYEP 

IZIRX8LEROWXS(V.E]IWL7LELERH(V6ENIWL/EOERMJSV 

WTIEVLIEHMRKXLMWIZIRX8LIVIKMWXVERXWVITVIWIRXIHEPP 

KIRIVEXMSRW ERH WTERRIH XLI GSYRXV] JVSQ )EWX XS ;IWX 

;LMPIQER][IVI%%4-VIKYPEVWERHSJJMGMEPWSXLIVW[IVI 

WXMPPRI[XS%%4-ERH[IVIEPSRKXSKIXEXEWXISJXLISVKERM 

ÊXMSRERHMXWEGXMZMXMIW 

(V7EVNSS&LEKMESVKERMÎHERLSYV'1)WIVMIWSRX[S 

QSVRMRKW[MXLXSTMGWEMQIHEXXLI4VMQEV]'EVI4L]WMGMER 

[LMGLTPE]IH[IPPXSXLIHMZIVWIEYHMIRGI8LIPIGXYVIW[IVI 

TVIWIRXIH F] (VW 6ENIRHVE 7IXL 6ENIWL /EOERM 6EZMWL 

1ELENER 1EPEXLM /SPM :MNE] %V]E .E]IWL 7LEL 7EVNSS 

&LEKME2EVIWL4EVMOLERH/EZMXE+YTXE8LIEYHMIRGI[EW 

IRKEKIH ERH TEVXMGMTEXSV] EWOIH HMJJMGYPX UYIWXMSRW ERH 

VIUYIWXIHJSVEGSRXMRYIHHMEPSK8LIWTIEOIVWEPPI\TIVXWMR 

XLIMV JMIPHW [IVI HVE[R JVSQ XLI EYHMIRGI MXWIPJ PIEZMRK 

IZIV]SRI[MXLEWIRWISJTVMHIEXXLIMRREXIXEPIRX[MXLMRXLI 

SVKERMÊXMSR (V 7YRMXE /ERYQEV] KEZIE TVIWIRXEXMSR SR 

%%4-%GXMZMXMIWERH1IQFIVWLMT[LMGL[EW[IPPVIGIMZIH 

(V &LYWLER 4ERH]E QEWXIVJYPP] IQGIIH ERH GSSVHMREXIH 

X[SIRXIVXEMRQIRXWIWWMSRWXLEXI\TPSHIHSRXLIJMREPRMKLX 

[MXLERMQTVSQTXYHERGIQIHPI]ERHQYGLSJXLIEYHMIRGI 

NYQTMRK MR;I LEHSYVS[R w/MWLSVIx(V 1EHERQSLER 

4EXIPw1YOIWLx6ENMZERH6ELYP7EHH]ERHw0EXEx(V 

+IIXE+SPPYTEHMXSOIITIZIV]SRILYQQMRKERHGPETTMRK 

VL]XLQMGEPP]8LIEYHMIRGIGLERXIHwSRGIQSVIxUYMXISJXIR 

EWXLIwEQEXIYVxIRXIVXEMRIVWORSGOIHYWSYXXMQIERHEKEMR 

1IHMGEPI\TIVXW[MXLMR%%4-[IVII\TIGXIHLS[IZIVXLIMV 

QYWMGEPI\TIVXMWI[EWEGSQTPIXIFSRYW 

)ZIV]SRI QEVZIPIH EX XLI GSSVHMREXMSR SJ EPP IZIRXW XLI 

QMRMQEPLYFFYFERHXLIJVIIHSQJVSQXLIYWYEPTSPMXMGW 

ERHWTIIGLIW8LIWLMTTVSZMHIHJSVERIZIVIRHMRKPMRIYT 

SJ EGXMZMXMIW IRXIVXEMRQIRX ERH JSSH z MRGPYHMRK -RHMER 

QIRY STXMSRW 8LI IRXMVI GVI[ [EW WIEXIH XSKIXLIV JSV 

HMRRIVERH [EW TPIEWERXP] WYVTVMWIH F] XLI HMRMRK GVI[vW 

HERGITIVJSVQERGIXS%66ELQERvWw.EM,SxJVSQ7PYQ 

HSK1MPPMSREMVISRSRISJXLIIZIRMRKW 

8LIXMQMRKMXMRIVEV]TVMGIERHYRMUYIQM\SJUYIWXWPIHXS 

EZIV]WEXMWJ]MRKI\TIVMIRGIJSVEPP[LSTVSZMHIHXLIJIIH 

FEGO;I[IVIWXMQYPEXIHXSTSRHIVLS[XSGSRXMRYIGETMXEP 

M^MRKSRXLMW[SRHIVJYPI\TIVMIRGIERHXSTPERJYXYVIIZIRXW 

[MXLEPPKIRIVEXMSRWERHWXEOILSPHIVWMRQMRH 

8[S-RHMERQIHMGEPEPYQRMEWWSGMEXMSRWXSSOXLMWIZIRXEW 

ERSTTSVXYRMX]XSGSQFMRI[MXL%%4-XSLEZIXLIMVERRYEP 

QIIXMRKWEXXLIWEQIXMQIz141%%2%1EHL]E4VEHIWL 

1IHMGEP%PYQRM%WWSGMEXMSRSJ2SVXL%QIVMGE ERH4EXRE 

1IHMGEP'SPPIKI%PYQRMzTVSZMHMRKERSXLIVI\EQTPISJXLI 

MQTEGXXLEX%%4-GERLEZIMRTVSZMHMRKEJSYRHEXMSRJSVXLI 

EGXMZMXMIWERHTVSKVEQWSJMXWWMWXIVSVKERMÊXMSRW 


A Matter of Serious Concern 

97-QQMKVEXMSR7XVMOIW%KEMR 

Jayesh Shah, MD 


%%4-[MPPGSRXMRYIXSJMKLXSRFILEPJSJTL]WMGMERW 

SJ -RHMER 3VMKMR XSHE] XLI [E] [I LEZI JSV XLI 

TEWX]IEVW 

%%4-QIQFIVWWLSYPHFI 

GSRGIVRIH XLEX XLIVI QE] 

FI ER ERXM-1+ GPMQEXI 

FVI[MRK0EXIPEWX]IEVXLI 

9RMXIH 7XEXIW 'MXMÎRWLMT 

ERH -QQMKVEXMSR 7IVZMGIW 

97'-7 HIXIVQMRIH XLEX ER 1&&7 

HIKVII [EW RSX IUYMZEPIRX XS XLI 1( 

HIKVIIHIWTMXIXLIJEGXXLEXXLIHIKVIIWLEZI 

FIIRJSYRHXSFIIUYMZEPIRXF]XLI7XEXI(ITEVX 

QIRX(ITEVXQIRXSJ)HYGEXMSRERHXLI)HYGEXMSREP'SQ 

QMWWMSRJSV*SVIMKR1IHMGEP+VEHYEXIW)'*1+ 

%TTIEPW [IVI QEHI ERH XLIMRMXMEP HIGMWMSR [EWVIZIVWIH 

,S[IZIV4IVQERIRX6IWMHIRXETTPMGEXMSRW[IVIVIGIRXP] 

HIRMIH JSV QIHMGEPVIWMHIRXW-EQKVIEXP]GSRGIVRIHXLEX 

SXLIVMQQMKVEXMSRERHZMWEGEWIWMRZSPZMRK-1+WWYGLEW. 

ZMWEW.ZMWE[EMZIVW,,7[EMZIVW3SV,&ZMWEWQE] 

FIHIRMIHHIPE]IHSVIPMQMREXIHGSQTPIXIP] 

1SVIXLER]IEVWSJMQQMKVEXMSRGSYVXHIGMWMSRWI\MWXMR 

JEZSVSJ-1+QIHMGEPVIWMHIRXWSFXEMRMRK+VIIR'EVHWWTSR 

WSVIHF]XLIMVIQTPS]IVW8LIWIVIGIRXHIRMEPW[IVIQEHI 

SRXLIFEWMW XLEXQIHMGEPVIWMHIRXWHSRSX LSPHTIVQERIRX 

NSFW ERH XLIVIJSVI HS RSX UYEPMJ] JSV IQTPS]IVWTSRWSVIH 

+VIIR'EVHW8LIWIHIRMEPWEVIEVIGIRXGLERKIMRHIGMWMSRW 

QEHIF]XLI(ITEVXQIRXSJ0EFSVvW)QTPS]QIRXERH8VEMR 

MRK%KIRG] 

8EOIJSVI\EQTPIER-1+MRXLI97SRE,&ZMWE8LIWI 

ZMWEWEVIKSSHJSVEXSXEPSJWM\]IEVW-JER-1+XVEMRWJSVE 

QIHMGEP WYFWTIGMEPX] MW ETTSMRXIH GLMIJ VIWMHIRXSV XEOIW 

XMQIJVSQXLIMVXVEMRMRKXSGSQTPIXIQIHMGEPVIWIEVGLSVE 

4L( XLMW WM\ ]IEV ZMWE WMQTP] HSIW RSX TVSZMHI IRSYKL 

XMQIXSGSQTPIXIXLIRIGIWWEV]XVEMRMRKSVVIWIEVGL 

)\MWXMRKGEWIPE[WYTTSVXWXLIPSRKI\MWXMRKTVIGIHIRXXLEX 

QIHMGEPVIWMHIRXWLSPHTIVQERIRXNSFWFIGEYWISJXLIREXYVI 

SJXLIWIVZMGIXLI]TVSZMHI8LIMV[SVOMW]IEVVSYRHERH 

TIVJSVQIHSREHEMP]FEWMW;LMPIXLIVIWMHIRXMWRSX 

TIVQERIRXXLI TSWMXMSR XLI]LSPH MW TIVQERIRX MR 

REXYVI ERH QIIXW XLI (ITEVXQIRX SJ 0EFSVvW 

WXERHEVHJSVETIVQERIRXNSF 

8LI (ITEVXQIRX SJ 0EFSV TVSGIWWIW 

IQTPS]IVWTSRWSVIH +VIIR 'EVHW XS 

IRWYVI XLEX 97 GMXMÎRW EVI RSX 

HMWTPEGIHJVSQNSFWF]RSRGMXMÎRW 

8LIVI MW E REXMSREP GSRWIRWYW XLEX 

XLIVIMWETL]WMGMER[SVOJSVGIWLSVX 

EKI TEVXMGYPEVP] MR TVMQEV] GEVI ERH 

GIVXEMR WYFWTIGMEPXMIW VIJIV XS XLI %1%'1) 6ITSVXW 

%1%-1+;SVOJSVGI (MWGYWWMSR 4ETIV '3+1) VITSVX 

ERH%'4;SVOJSVGI[LMXITETIV-1+WEVIRSXHMWTPEGMRK 

97 GMXMÎRW JVSQ FIGSQMRK TL]WMGMERW SV QIHMGEP 

VIWMHIRXW3RXLIGSRXVEV]QSVIXLER SJEPP-1+WHS 

RSXKIXWIPIGXIHF]97VIWMHIRG]TVSKVEQW[LMPIZMVXYEPP] 

EPP 97 QIHMGEP KVEHYEXIW EVI WYGGIWWJYP MR XLI QEXGLMRK 

TVSGIWWIZIV]]IEV 

8LIVIEVIWMQTP]RSXIRSYKLTL]WMGMERWMRXLI97XSQIIX 

XLIIWGEPEXMRKRIIHWSJSYVREXMSRvWTEXMIRXWGSRWMHIVMRKXLI 

EKMRKTSTYPEXMSRMRGVIEWIMRGLVSRMGHMWIEWIWERHGSRWXERX 

RIIHJSVTL]WMGMERWMRYRHIVWIVZIHEVIEW;IVIP]SR-1+W 

XSJMPPXLIZSMHMRSYVTL]WMGMER[SVOJSVGI-1+WQEOIYT 

SJXLIETTVS\MQEXIP]TL]WMGMERWMRXLI97 

- EQLETT]XLEXSYVTVIWMHIRX(V:MRSH/7LELERH SYV 

(MVIGXSVSJ0IKMWPEXMZI%JJEMVW(MRS8ITTEVELEZIXEOIRXLMW 

MWWYIZIV]WIVMSYWP]8LI]EVI[SVOMRKXSNSMRJSVGIW[MXL 

XLI%1%-1+7IGXMSRXSWXVSRKP]STTSWIXLMWQMWMRXIVTVI 

XEXMSRSJXLI(ITEVXQIRXSJ0EFSVvWYRHIVWXERHMRKSJTIVQE 

RIRX ERH XIQTSVEV]NSFW %%4-[MPP GSRXMRYI XSJMKLX SR 

FILEPJSJTL]WMGMERWSJ-RHMER3VMKMRXSHE]XLI[E][ILEZI 

JSVXLITEWX]IEVW 


Reflections 

of 

an MSRF 

',-6%+4%6+,- 

1( 

4VIWMHIRX176* 

%W[IIRXIVSYVXL]IEVEWEWIGXMSR 

XLI QIHMGEP WXYHIRX VIWMHIRX ERH 

JIPPS[ 176* WIGXMSR SJ %%4- MW 

I\GMXIHEFSYXXLIQER]XEWOWELIEHSJ 

YWFSXLMRXLMWGEPIRHEV]IEVERHMRE 

QSVIKPSFEPWIRWI1IHMGEPWXYHIRXW 

SJ -RHMER SVMKMR GSQTVMWI VSYKLP] 

SJ IRXIVMRK JMVWX ]IEV QIHMGEP 

WGLSSPGPEWWIWEWXEXMWXMGXLEXMWUYMXI 

MQTVIWWMZI MR PMKLX SJ XLI JEGX XLEX 

-RHMER%QIVMGERWGSRWXMXYXIPIWWXLER 

SJ XLI SZIVEPP TSTYPEXMSR 8LMW 

PEVKI TVIWIRGI [MXLMR XLI RYQIVSYW 

XVEMRMRK JEGMPMXMIW EGVSWW XLI GSYRXV] 

QEKRMJMIWXLIRIIHXSQSFMPMÎ1SFM 

PM^MRK XS[EVHW TVSJIWWMSREP TSPMXMGEP 

ERHWSGMEPKSEPWXSREQIEJI[8LI 

JEMPYVI XS EGLMIZI SR ER] SJ XLIWI 

JVSRXW LYVXW RSX SRP] SYV WIGXMSR FYX 

EPWS XLI JYXYVI KIRIVEXMSRW SJ -RHMER 

TL]WMGMERWMRXLI97 

-R EPP HMWGMTPMRIW GEVIIV 

EHZERGIQIRX SGGYVW F] w[LS ]SY 

ORS[xVEXLIVXLERw[LEX]SYORS[x 

QIHMGMRIMWRSI\GITXMSRXSXLMWVYPI 

6IWMHIRG]TSWMXMSRWJIPPS[WLMTWTSXW 

ERH IZIRXYEP EXXIRHMRK TL]WMGMER 

IQTPS]QIRXSGGYVWTVIHSQMRERXP]F] 

VIJIVVEPSV[SVHSJQSYXL2EXYVEPP] 

STTSVXYRMXMIW JSV XLIWI X]TIW SJ 

EHZERGIQIRX EVI VIKYPEVP] JSYRH 

XLVSYKL RIX[SVOMRK MR FSXL JSVQEP 

ERH WSGMEP IRZMVSRQIRXW %W TEVX SJ 

Q]]IEV-EQ[SVOMRKXS[EVHWGVIEX 

MRK XLIWI IRZMVSRQIRXW XS IRGSYVEKI 

MRXIVEGXMSRW EQSRK %%4-176* 

QIQFIVW3YVTVIZMSYWSJJMGIVWLEZI 

GVIEXIH ERSRPMRIHEXEFEWI GEXIVIHXS 

XLMW ZIV] GEYWIERH MX LEW FIIR[IPP 

VIGIMZIH ;I VIKYPEVP] LIEV JVSQ 

QIHMGEP WXYHIRXW WE]MRK XLI] JSYRH 

QSVI MRJSVQEXMSR EFSYX E WTIGMJMG 

VIWMHIRG] TVSKVEQ SV SFXEMRIH WEKI 

EHZMGIJVSQSYVHEXEFEWI-IRGSYV 

EKIEPP-RHMERTL]WMGMERWMRXVEMRMRKXS 

XEOIEHZERXEKISJXLMWVIWSYVGIEWMXMW 

HIWMKRIHWTIGMJMGEPP]JSVXLIMVFIRIJMX 

4SPMXMGEP QSFMPMÊXMSR MW XLI 

GSVRIVWXSRI SJ ER] TVSJIWWMSREP 

WSGMIX] ERH TSPMXMGEPP] WTIEOMRK 

-RHMERW MR QIHMGEP XVEMRMRK JEGI 

YRMUYI WXVYKKPIW *SV I\EQTPI PEWX 

7TVMRKXLI(ITEVXQIRXSJ)HYGEXMSR 

WGVETTIHXLITEXL[E]XLVSYKL[LMGL 

VIWMHIRXWGSYPHHIJIVQIHMGEPWXYHIRX 

PSERW 8LMW MWWYI HMVIGXP] EJJIGXW 

SRIvW UYEPMX] SJ PMJI ERH WXVIWW PIZIP 

[LMPI MR VIWMHIRG] SV JIPPS[WLMT 

176*FVSYKLXXLMWMWWYIXSPIKMWPEXMZI 

HE] ERH WTIGMJMGEPP] LMKLPMKLXIH XLI 

RIIHXSQEOIQIHMGEPXVEMRMRKEJJSVH 

EFPI &IMRK E KIRIVEXMSR VIQSZIH 

JVSQ XLI TEVIRX WIGXMSR MWWYIW PMOI 

PSERHIJIVQIRXEVITVMSVMXMÎHHMJJIV 

IRXP]F]SYVWIGXMSRERHRIGIWWMXEXIE 

PSYHGSPPIGXMZIZSMGI176*MWMRXLI 

TVSGIWWSJMRJSVQMRKSYVQIQFIVWSJ 

XLIPIKMWPEXMZIGLERKIWSGGYVVMRKXLEX 

WTIGMJMGEPP]EJJIGXSYV[IPJEVI 

176*MWERMRLIVIRXP]WSGMEP 

WIGXMSREW-RHMERTL]WMGMERWMRXVEMR 

MRKSJXIRWIIOIEGLSXLIVSYXFIGEYWI 

SJ E WIRWI SJ MHIRXMJMGEXMSR 8LMW 

EJJMRMX]HSIWLEZITSXIRXMEPJSVKVIEXIV 

EGGSQTPMWLQIRXWEW[IPP8LMW]IEV 

176* MW LSWXMRKJYRHVEMWIV RIX[SVO 

MRKWSGMEPWEGVSWWXLI97[LIVIGLEVM 

XEFPI GSRXVMFYXMSRW EVI GSPPIGXIH XS 

WYTTSVXZEVMSYW-RHMER%QIVMGERGLEV 

MX]SVKERMÊXMSRW8SHEXIXLIWIIZIRXW 

LEZIFIIRI\XVIQIP]WYGGIWWJYPEWSYV 

QIQFIVW IRNS] FSXL QIIXMRK SXLIV 

TEXVSRW ERH GSRXVMFYXMRK XS[EVHW E 

RSFPIGEYWI8LMWWIXYTMWSRISJQER] 

I\EQTPIW [LIVI XLI wHIWMx YVKI XS 

WSGMEPMÎ LEW XLI TSXIRXMEP XS JYRH 

GEXEVEGXWYVKIVMIWMR-RHME7EROEVE)]I 

*SYRHEXMSRSVXSVIKMWXIV7SYXL%WMERW 

MR XLI &SRI 1EVVS[ 6IKMWXV] 

7%1%6 

176* WXEVXIH EW E JI[ 

MRHMZMHYEPWXLEXVIEPMÎHXLEXXLI][IVI 

RSX WMXXMRK EX XLI OMHvW XEFPI ER]QSVI 

7MRGI XLIR MX LEW IZSPZIH MRXS E 

H]REQMG I\TERHMRK WIGXMSR XLEX MW 

GSRXMRYEPP] SYXKVS[MRK MXW S[R 

VIWSYVGIW-RSVHIVXSFSXLEHZERGISYV 

GEYWIERHFIWXTSWMXMSRSYVWIPZIWMRXLI 

JYXYVI[IEW-RHMERTL]WMGMERWMRXVEMR 

MRK QYWX TVMSVMXMÎ XLI ZEPYI SJ 

RIX[SVOMRKEWXLMWMWXLIOI]XSEGSPPIG 

XMZI WYGGIWW %W ER] VETMHP] KVS[MRK 

WIGXMSR[IEVIGSRWXERXP]WIIOMRKRI[ 

PIEHIVWERH JVIWL TIVWTIGXMZIW -J]SY 

EVI MRXIVIWXIH MR FIGSQMRK QSVI 

MRZSPZIH TPIEWI ZMWMX SYV [IFWMXI EX 

[[[EETMQWVSVK ERH QIWWEKI SYV 

SJJMGIVW 

8LERO]SY 

'LMVEK4EVKLM1( 


Calender of Events 

.YP] (MRRIV[MXL-RHMER%QFEWWEHSV1VW1IIVE7LEROEV 

7IREXI-RHME'EYGYW6IGITXMSR 

%YKYWX %%4-*EQMP]'VYMWI'EREHE2I[)RKPERH'VYMWIJVSQ2I[=SVO2= 

'%62-:%0869-14, 

'SSVHMREXSVW 

:MRSH7LEL1(ZMRR]WLEL$LSXQEMPGSQ 

.E]IWL7LEL1(NE]IWLRILE$]ELSSGSQ 

7ITXIQFIV WX0IKMWPEXMZI(E]EX'ETMXSP,MPP;EWLMRKXSR(' 

'SQQMXXIISR7GMIRGIERH8IGLRSPSK]&VMIJMRK6SSQz6E]FYVR 

(MRRIV[MXL%%4-PIEHIVWLMTEX'ERRSR'EYGYW6SSQz97'ETMXSP 

'SSVHMREXSVW 

7IIQE.EMR1(NNLIEPXLGEVI$LSXQEMPGSQ 

7YZEW(IWEM1(WYRMQE$ESPGSQ 

0IKMWPEXMZI(MVIGXSV(MRS8ITTEVE)WUWGEXXSVRI]$LSXQEMPGSQ 

3GXSFIV %%4-*EPP+SZIVRMRK&SH]1IIXMRK7ER%RXSRMS8< 

3QRM7ER%RXSRMS%X8LI'SPSRREHI,SXIP 

6IWIVZEXMSRW+VSYT6EXIRMKLX+VSYT'SHI%%4- 

'SSVHMREXSV 

.E]IWL7LEL1(NE]IWLRILE$]ELSSGSQ 

(IGIQFIV '1)MR(YFEM 

'SSVHMREXSV 


.ERYEV] VH%RRYEP+PSFEP,IEPXLGEVI7YQQMX 

0I1IVMHMIR2I[(IPLM-RHME 

4VIWMHIRX:MRSH/7LEL1( 

'SRXEGX%%4-3JJMGI 

.ERYEV] 4VEZEWM&LEVEXM]E(MZEW:MK]ER&LE[ER2I[(IPLM 

6IKMWXIVEX[[[TFHMRHMESVK 

'SRXEGX%%4-SJJMGI 

.ERYEV] 1IIXMRK[MXL+YNEVEX'LMIJ1MRMWXIV7LVM2EVIRHVE1SHMNM+YNEVEX-RHME 

'SSVHMREXSV 


%TVMP %%4-7TVMRK+SZIVRMRK&SH]1IIXMRK'LMGEKS-0 

'SSVHMREXSVW 

7YWLMP8MFVI[EPE1(6IKMSREP(MVIGXSV6IKMSR 

%WLSO*YPEQFEVOIV1(4VIWMHIRX)PIGX-RHMER%QIVMGER1IHMGEP%WWSGMEXMSR-0 

%TVMP RH0IKMWPEXMZI(E]EX'ETMXSP,MPP;EWLMRKXSR(' 

'SQQMXXIISR7GMIRGIERH8IGLRSPSK]&VMIJMRK6SSQz6E]FYVR 

(MRRIV[MXL%%4-PIEHIVWLMTEX'ERRSR'EYGYW6SSQz97'ETMXSP 

'SSVHMREXSVW 

7IIQE.EMR1(NNLIEPXLGEVI$LSXQEMPGSQ 

7YZEW(IWEM1(WYRMQE$ESPGSQ 

0IKMWPEXMZI(MVIGXSV(MRS8ITTEVE)WU 

WGEXXSVRI]$LSXQEMPGSQ 

.YRI %%4-%RRYEP'SRZIRXMSR;EWLMRKXSR(' 

+E]PSVH2EXMSREP6IWSVX'SRZIRXMSR'IRXIV 

6IWIVZEXMSRW 

'SRZIRXMSR'LEMV2E]ER7LEL1(RE]ERWLEL$KQEMPGSQ 


Dass Family Praised for Generosity 

%YHMXSVMYQEX1G0EVIR6IKMSREP1IHMGEP'IRXIV 

HIHMGEXIHMRXLIMVLSRSV 

1G0EVIR6IKMSREP1IHMGEP'IRXIVMW 

TVSYHXSERRSYRGIXLIHIHMGEXMSRSJ 

XLI (EWW *EQMP] 1IHMGEP )HYGEXMSR 

%YHMXSVMYQ 

-R XLI vW XLI JMIPH SJ QIHMGMRI 

SJJIVIH STTSVXYRMXMIW JSV ]SYRK TL]WM 

GMERWJVSQEVSYRHXLI[SVPHXSTVEGXMGI 

MRXLI97-WL[EV(EWW1(ERSVXLS 

TIHMGWYVKISRERHLMW[MJI7LEOYRXPE 

(EWW1(ETEXLSPSKMWXEVVMZIHMR*PMRX 

[MXL XLIMV X[S ]SYRK WSRW MR 

,INSMRIHXLIQIHMGEPWXEJJSJ[LEXMW 

RS[ 1G0EVIR 6IKMSREP 1IHMGEP 

'IRXIV ERH TVEGXMGIH QIHMGMRI JSV 

QSVIXLER]IEVW7LEOYRXPETVEG 

XMGIH SYX SJ *PMRX +IRIVEP ,SWTMXEP 

ERH*PMRX3WXISTEXLMG,SWTMXEPEW[IPP 

EW &PSHKIXX 1IQSVMEP ,SWTMXEP MR 

+VERH6ETMHW 

8LVSYKL XLI ]IEVW -WL[EV ERH 

7LEOYRXPEQIRXSVIHHSÎRWSJEWTMV 

MRK TL]WMGMERW MRGPYHMRK XLIMV X[S 

WSRW 'YVVIRXP] +ISVKI (EWW 1( 

TVEGXMGIW SVXLSTIHMG WYVKIV] EX 

1G0EVIRERH&E[E(EWW1(MWER 

3TLXLEPQSPSKMWXERH6IXMREP7TIGMEP 

MWXMR%RR%VFSV1MGLMKEREWETEVXSJ 

6IXMRE'SRWYPXERXW 

-R-WL[EVERH7LEOYRXPEGSRXMR 

YIHXLIMVXVEHMXMSRSJWYTTSVXMRKQIHM 

GEP IHYGEXMSR z XLMW XMQI XLVSYKL XLI 

KIRIVSWMX]SJGSRXVMFYXMRKXSXLIRI[P] 

STIRIH 1G0EVIR 1IHMGEP )HYGEXMSR 

&YMPHMRK-RVIGSKRMXMSRSJXLIMVGSQ 

QMXQIRX XS QIHMGEP IHYGEXMSR ERH 

1G0EVIR XLI WIEX EYHMXSVMYQ LEW 

FIIRREQIHMRXLIJEQMP]vWLSRSV8LI 

(EWW *EQMP]1IHMGEP )HYGEXMSR%YHM 

XSVMYQ [MPP TVSZMHI E TPEGI JSV XLI 

QIHMGEPVIWMHIRXWXSEXXIRHHEMP]GSRJIV 

IRGIW ERHWTIGMEP TVSKVEQWEW[IPPEW 

FIEZEMPEFPIJSVXLIGSQQYRMX] 


%GGVIHMXIH 'SRXMRYMRK )HYGEXMSR 7MRGI 

 

)1EMP EWM$WSTVMWRIX 

1)(-'%0 7)1-2%67 

8%/) 

%2= 

'3967) 3967); ;,)6):)6 

=39 

',337) 

))/2 

8,-7 

;))/ 2)

AAPI EXECUTIVE OFFICE 

600 Enterprise Drive, Suite 108 

Oakbrook, IL 60523 

PRSRT STD 

U.S. POSTAGE 

4%-( 

Permit # 766 

Rahway, NJ

American Association of Ph.sicians of Indian origin

Create successful ePaper yourself

Delete template?

Save as template?