Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org

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Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
WINTER 2017

Register now to attend the 2018 VAFP Winter
  Family Medicine Weekend scheduled January
  25-28 at Wintergreen Resort www.vafp.org

                                           1
Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
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        VAFP Winter Family

                                                       VAFP
         Medicine Weekend
        January 25-28, 2018
        Wintergreen Resort
                                                       Virginia’s Family Physicians

   V family physician
    
                            WINTER•2017                  VAFP Mission Statement                                  VAFP Vision Statement
            The                                          The mission of the VAFP is to empower its               The vision of the VAFP is for Virginia to be
                                                         members to be personal physicians who provide           the best place for our citizens to receive their
                                                         high quality, accessible health care, dedicate          healthcare and for family physicians to practice
                                                         themselves to the well-being of the citizens of         medicine.
                                                         Virginia, and are guided by the principle that
                                                         the family physician is the specialist of choice for
                                                         lifelong health care.

OFFICERS                            DIRECTORS                                  ADVISORS                                    EX OFFICIO
PRESIDENT                           Robin N. Anderson, M.D.                    MSV DELEGATE                                MEMBERS
Rupen S. Amin, M.D., MBA, FAAFP     • Virginia Beach
                                                                               Rupen S. Amin, M.D., MBA, FAAFP             Alison Dobbie M.D.
• Harrisonburg                                                                                                             Eastern Virginia Medical School
                                    Amber Fedin, D.O.                          • Harrisonburg
PRESIDENT-ELECT                     • Danville                                                                             Brian Dickens, D.O.
                                                                               MSV ALTERNATE DELEGATE                      Virginia College of Osteopathic Medicine
Delmas J. Bolin, M.D., PhD, FAAFP   Neeta Goel, M.D.                           Delmas J. Bolin, M.D., PhD, FAAFP           Michael P. Jeremiah, M.D., FAAFP
• Roanoke                           • Leesburg
                                                                               • Roanoke
                                                                                                                           Virginia Tech Carilion School of Medicine
FIRST VICE-PRESIDENT                David S. Gregory, M.D., FAAFP              AAFP DELEGATES                              Anton J. Kuzel, M.D., FAAFP
Emmeline C. Gasink, M.D., FAAFP     • Lynchburg
• Newport News                                                                 Sterling N. Ransone, Jr., M.D.,             Virginia Commonwealth University
                                    John Scott Litton, M.D., FAAFP             FAAFP
PAST PRESIDENT                      • Pennington Gap                                                                       Raena M. Pettitt, D.O.
                                                                               • Deltaville                                Liberty University College of Osteopathic
Lindsey D. Vaughn, M.D., FAAFP      Daniel F. McCarter, M.D.
• Suffolk
                                                                               Jesus L. Lizarzaburu, M.D., FAAFP           Medicine
                                    • Richmond
                                                                               • Grafton                                   Susan Pollart, M.D., MS
TREASURER                           Jerry A. Provenzano, M.D.                                                              University of Virginia School of Medicine
                                                                               AAFP ALTERNATE DELGATES
Dena R. Hall, M.D.                  • Newport News
• Suffolk                                                                      E. Mark Watts, M.D., FAAFP
                                    Jeffrey B. Roberts, M.D.                   • Vinton
SECRETARY                           • Richmond
Charles O, Frazier, M.D., FAAFP                                                Kent E. Willyard, M.D., FAAFP
                                    Sebastian Tong, M.D., PhD                  • Newport News
• Williamsburg                      • Richmond
EXECUTIVE VICE PRESIDENT
Mary Lindsay White, MHA
• Richmond

The Virginia Family Physician is
published by the Virginia Academy of
Family Physicians
1503 Santa Rosa Road
Suite 207                                                                                                                    pcipublishing.com
Richmond, VA 23229
                                                                                                             Created by Publishing Concepts, Inc.
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Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
VAFP President’s Message
                                                                         Rupen S. Amin, MD, MBA, FAAFP

Dear Colleagues,                                 (ACLF) which is held concurrently with the       represent ALL of
    I would like to wish you and your loved      AAFP National conference of Constituency         our members, no
ones a happy holiday! As we prepare              Leaders (NCCL). This conference serves           matter the practice
to turn the calendar to 2018 I think it          as a platform for different perspectives         style, employment
only appropriate to celebrate yet another        and concerns of the AAFP membership              status, geographic
successful year for the VAFP. 2017 was a         and includes members from the following          location, etc. With that being said, I am
busy year for many reasons and this next year    constituencies: Women, Minorities,               soliciting your feedback for any concerns
promises to follow suit.                         New Physicians (
Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
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                                            5
Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
LegalLEGAL
       andLegislativeUpdate UPDATE
            AND LEGISLATIVE
                                                                                     Hunter Jamerson, JD, MBA, VAFP General Counsel

     The November elections resulted in a            VAFP will tackle in the upcoming General         General Assembly, your engagement and
 sea of change in the makeup of the Virginia         Assembly session are familiar: Medicaid          participation is more important than ever.
 General Assembly. Gone is the super-                Expansion and patient access; prior              Consider becoming a VAFP Key Contact,
 majority Republican House of Delegates.             authorization and step-therapy reforms;          consider serving as Family Physician of
 Instead, the Board of Elections has certified a     provider reimbursement; and, looming large       the Day during the General Assembly, and
 razor-thin 51-49 Republican majority. The           this session, mid-level scope of practice.       consider contacting your Delegate and
 certified results are subject to recounts and       VAFP anticipates the General Assembly to         Senator to reflect your views and educate
 may yet yield a 50-50 tie. Regardless, we           once again consider legislation to allow nurse   new members of the General Assembly.
 can be sure that the 2018 General Assembly          practitioners to practice independently of
 Session will be fundamentally different than        physicians. Legislation to modify the scope
 in recent years.                                    of practice and the supervision of physician       To Become a Key Contact:
     Governing the Commonwealth in 2018              assistants is also likely.                         Please e-mail Matt Schulte at
 will be a physician Ralph Northam, MD.                  Developments at the federal level also         mschulte@vafp.org or call
 Governor-Elect Northam practices as a               have implications of health care reforms in        804-968-5200.
 pediatric neurologist and moves into the            Virginia. The pending federal tax reform
 Governor’s mansion after having served as a         bill proposes to eliminate the individual
 state Senator and Lt. Governor of Virginia.         mandate to purchase health insurance. A
 New administrations bring new personnel             new Secretary of Health and Services will          To Volunteer for Family
 and Governor-Elect Northam’s transition             be confirmed by the Senate this winter;            Physician of the Day: Please visit
 team will be considering key appointments           that Secretary will consider many pending          http://vafp.org/family-physicians-
 such as the Secretary of Health and Human           waiver applications for Medicaid program           of-the-day/ or e-mail Matt
 Resources and the Director of the Virginia          reforms including work requirements, copay         Schulte at mschulte@vafp.org or
 Medicaid program.                                   requirements, and benefit flexibility. And         call 804-969-5200.
     While many faces in the General                 then there is MACRA…
 Assembly will be new, many of the issues                With so many new faces in the Virginia

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Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
VAFP RESOLUTIONS ADOPTED BY 2017 AAFP
            CONGRESS OF DELEGATES

The 2017 AAFP Congress of Delegates, held September 11-13          RESOLVED, That the American Academy of Family
in San Antonio, TX, was quite productive for the VAFP. In          Physicians, in collaboration with the Centers for Medicare
addition to the election of Sterling N. Ransone, Jr., MD,          and Medicaid Services and America’s Health Insurance Plans,
FAAFP, to the AAFP Board of Directors, two resolutions             identify and request development of an online, accessible, and
authored by the VAFP were substituted in reference committee       up-to-date database of accredited durable medical equipment
and adopted by the COD. (please see the resolved portions          suppliers for each health plan.
below) The Delegates and Alternates representing the state
chapters and the member constituencies reviewed over 60            Resolution No. 510 UNSOLICITED REQUESTS FOR
resolutions in reference committees with a wide array of topics.   COMPOUND TOPICAL MEDICATIONS

Resolution No. 309 REDUCE THE FRUSTRATION OF                       RESOLVED, That the American Academy of Family
OBTAINING DURABLE MEDICAL EQUIPMENT FOR                            Physicians develop policy describing best practices pertaining to
PATIENTS                                                           compounded medications including cost transparency.

RESOLVED, That the American Academy of Family                      Our delegation wishes to thank Dr. Roger Hofford for his work
Physicians, in collaboration with the stakeholders, identify       in authoring these resolutions and to our staff for its hard work
opportunities to simplify and standardize medical necessity        on Dr. Ransone’s campaign and this year’s COD activities.
documentation requirements for durable medical equipment, and
be it further                                                      Respectfully submitted,

RESOLVED, That the American Academy of Family Physicians           Sterling Ransone, MD
advocate that physician attestation of clinical diagnosis is       Jesus Lizarzaburu, MD
sufficient documentation of medical necessity for durable          E. Mark Watts, MD
medical equipment and be it further                                Kent Willyard, MD

                                                                                                                                    7
Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
JANUARY 2018                   Monday, February 12
       Virginia Academy of Family                                             Wednesday, January 10          Tuesday, February 13
                                                                              Friday, January 12             Wednesday, February 14
                Physicians                                                    Monday, January 15             Thursday, February 15
    2018 Family Physician of the Day                                          Tuesday, January 16            Friday, February 16
                                                                              Wednesday, January 17          Monday, February 19
                                                                              Monday, January 22             Tuesday, February 20
        Volunteers are needed to serve as Family Physician of the Day         Tuesday, January 23            Wednesday, February 21
    during the 2018 Virginia General Assembly. As the Family Physician        Wednesday, January 24          Thursday, February 22
    of the Day, you are asked to provide medical care in the courtesy
    medical station from 9:00 am to 3:30 pm Monday - Thursday and             Thursday, January 25           Monday, February 26
    9:00 am – 12:00 noon on Friday. Nurse staffing is provided daily by       Monday, January 29             Tuesday, February 27
    Virginia Commonwealth University. Directions and more specific            Tuesday, January 30            Wednesday, February 28
    information will be provided with confirmation of your assigned date.     Wednesday, January 31
    Reimbursement for participation as Family Physician of the Day
    includes $100.00 per day per diem and mileage reimbursement.
                                                                                                             March 2018
        The VAFP requires that any physician serving as Family Physician      February 2018                  Thursday, March 1
    of the Day in the General Assembly have professional liability            Thursday, February 1           Monday, March 5
    insurance coverage that insures this activity.
                                                                              Monday, February 5             Tuesday, March 6
       To sign up, please call Matthew Schulte at 804-968-5200 or email       Tuesday, February 6            Wednesday, March 7
    mschulte@vafp.org.                                                        Wednesday, February 7          Thursday, March 8
                                                                              Thursday, February 8           Friday, March 9
                                                                              Friday, February 9

                         Donate now to FamDocPAC, the Political Action Committee
                                    of Virginia’s Family Physicians!!

                                                      FamDocPAC
                              The Political Action Committee of Virginia’s Family Physicians

                              “FamDocPAC puts family doctors at the table when health care decisions are made.”

               FamDocPAC is the political action committee through which you can support the election or re-election of
                         those candidates for state office who share your commitment to family medicine.

    Richmond Donor                         Yorktown Donor                     Williamsburg Donor                  Jamestown Donor
        $250+                                $175 to $249                         $100 to $174                       $50 to $99

                       To donate please visit www.famdocpac.org. You will receive a commemorative
                                          lapel pin in recognition of your donation.
                                                           FamDocPAC
               1503 Santa Rosa Road, Suite 207, Richmond, Virginia 23229 Phone: 804-968-5200 Fax: 804-968-4418

8
Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
VAFP Makes Donation in Effort to Assist Fellow Family
                  Physicians in Puerto Rico
        The VAFP is pleased to report that a donation of $1,000 was made from the chapter to assist in the disaster relief efforts in Puerto
     Rico. As you all know, Hurricane Maria devastated the country and government officials estimate that parts of Puerto Rico will be
     without power for many months to come. The Indiana Academy of Family Physicians reached out to other constituent chapters of
     the AAFP and asked for monetary donations to be used to purchase generators, communication devices and other desperately needed
     healthcare supplies. The purchases went directly to family physicians in Puerto Rico so they could continue to care for those patients
     most in need. Members of the Puerto Rico Academy of Family Physicians were on hand to personally accept and deliver supplies, and
65146will
      Halfcontinue to do
           Pg Ad_Layout 1 so as long
                          6/25/14 9:33asAM
                                         they are1needed. Accolades to the VAFP - what a great way to show family physicians helping each
                                            Page
     other in times of turmoil and need!

    TOTAL FUNDS RAISED - $102,050			                             NUMBER OF GENERATORS DONATED - 66

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Register now to attend the 2018 VAFP Winter Family Medicine Weekend scheduled January 25-28 at Wintergreen Resort www.vafp.org
AAFP     State
 AAFP STATE      LegislatiCONFERENCE
            LEGISLATIVE    veConferenceReport
                                       REPORT

    VAFP President Rupen Amin, MD, VAFP President-Elect
Del Bolin, MD, PhD, VAFP Legislative Committee Chair Jesus
Lizarzaburu, MD, VAFP General Counsel/Legislative Consultant
Hunter Jamerson, JD, MBA and VAFP EVP Mary Lindsay White
attended the AAFP State Legislative Conference November 2-4,
2017 in Dallas, TX. This annual conference is focused on both
state and federal legislation and provides physicians from across the
country the opportunity to network and discuss initiatives focused
on improving patient care and the practice of family medicine.
Dr. Lizarzaburu, who is a member of the AAFP Commission on                 effectiveness in state Medicaid and CHIP programs.
Governmental Advocacy, served as moderator during the conference.        • Health Reform 2.0: Insurance – Experts commented on trends
    Topics that were included on the two-day agenda included:              and innovations across the nation to reduce costs while increasing
                                                                           quality.
• State Roundtable – Chapter representatives outlined their top          • Administrative Burden: Legislative and Regulatory Advocacy to
  legislative priorities for 2017-2018.                                    Improve Physician Wellness – A focus on prior authorization
• AAFP Government Affairs Update - How the AAFP is advocating              reform and efforts to reduce the administrative burn on daily
  for family medicine on Capitol Hill.                                     practice.
• MACRA – An overview of new payment models, impacts MACRA               • Direct Primary Care – Background and the current state and
  will have on providers and the broader healthcare market, and            federal landscape on barriers to implementation.
  necessary steps for both regulators and providers if readiness is to   • Workforce Development: Perspective from a Physician Legislator
  be achieved before implementation.                                       – Comments from a rural Texas family physician on his service in
• Health Reform 2.0: CHIP and Medicaid Reforms – Experts                   the legislature and work to improve rural healthcare and GME.
  commented on the best practices for improving efficiency and

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                                                                  with their general medical background.

                                                                    When is the last time you considered hiring a PA?

       TO LEARN MORE ABOUT PHYSICIAN ASSISTANTS, PLEASE VISIT  WWW.VAPA.ORG

10
Virginia Academy of Family Physicians
                                                Board of Directors Meeting
                                                                  Stonewall Jackson Hotel, Staunton, VA, October 14, 2017

• Approved minutes from the July 21 and      • Heard reports from Dr. Lizarzaburu           • Heard an update related to the JCHC
  23, 2017 meetings of the VAFP Board          on the AAFP Commission on                      Study on ADHD Medications from
  of Directors held at Lansdowne Resort        Governmental Affairs and from AAFP             VAFP Past President Roger Hofford,
  in Leesburg, VA.                             Delegate Sterling Ransone, MD on               MD.
                                               the Commission on Membership and
• Heard report from VAFP President             Member Services.
  Rupen Amin, MD regarding the
  VAFP’s donation to the Hurricane
  Maria relief efforts.

• Heard report from VAFP Legislative
  Committee Chair Jesus Lizarzaburu,
  MD and VAFP General Counsel
  Hunter Jamerson, JD on the anticipated
  2018 Virginia General Assembly
  legislative issues and VAFP priorities.

                                                    WE   CALL   IT HOME.
• Heard report from VAFP Secretary
  Charlie Frazier, MD on the Emergency
  Department Care Coordination efforts
  in the Commonwealth.

• Heard report on the plans and
  programming for the 2018 Winter
  Family Medicine Weekend scheduled
                                                    SO CAN YOU.
  January 25-28, 2018.

• Heard report on the 2017 VAFP Group
  Family Medicine Certification Sessions.                  Here in Virginia’s Blue Ridge Mountains, Carilion Clinic is changing
                                                           the way we care for patients. We invite you to join our nationally
• Heard report from VAFP Practice and                      recognized team of nearly 700 physicians.
  Quality Committee Chair Tony Kuzel,                      Our innovative approach to primary care lets you focus on your
  MD on the AHRQ grant.                                    patients and seamlessly coordinate care with specialists in nearly
                                                           60 fields. With electronic medical records (Epic) and a medical home
• Heard report from VAFP Resident,                         approach, our physicians are collaboratively healing patients and
  Student & Faculty Initiatives                            improving outcomes.
  Committee Chair Emmeline Gasink,
                                                           In the Shenandoah, Roanoke and New River valleys you’ll find a
  MD on the VAFP student and resident
                                                           year-round outdoor recreation destination that offers a low cost of
  representation on the VAFP Board of                      living and cultural experiences.
  Directors and the resident and student
  activities to be held in conjunction                     Student loan and additional incentives are available
  with the 2018 Winter Family Medicine                     in all locations.
  Weekend.                                                 For more information, contact Amy Silcox, physician recruiter,
                                                           at 800-856-5206 or amsilcox@carilionclinic.org.
• Heard report from Dr. Amin on the
  2017 Southeast Family Medicine Forum
                                                           Equal Opportunity Employer - Minorities • Females • Protected Veterans
  held August 10-12, 2017 in Savannah,                     Individuals with Disabilities • Sexual Orientation • Gender Identity
  GA.

• Heard report on the AAFP Congress of
  Delegates held September 10-13, 2017
  in San Antonio, TX. (see page 7 for full
  report)

                                                                                                                                    11
2018
   The Virginia Academy of Family
Physicians invites you to nominate
a VAFP member for one of the

These awards were established
to recognize members who have
                                  VAFP Awards
Academy’s Prestigious Service Awards.

distinguished themselves either as an
extraordinary teacher, volunteer or
                                                    2018 VAFP Awards
                                                    level. Award recipients will receive a
                                                    commemorative certificate during the
                                                    2018 VAFP Annual Meeting, land travel
                                                    expenses, one night’s lodging and a
                                                    $100 honorarium.

                                                    F. ELLIOTT OGLESBY, M.D.
                                                    VOLUNTEER OF THE YEAR
                                                                                                     volunteerism. Award recipients will
                                                                                                     receive a commemorative certificate
                                                                                                     during the 2018 VAFP Annual Meeting,
                                                                                                     land travel expenses, one night’s
                                                                                                     lodging and a $100 honorarium. In
                                                                                                     addition, the award recipient will be
                                                                                                     provided a $1,000 grant to donate in his
                                                                                                     or her name to the organization of their
exemplary Virginia Family Physician.                                                                 choice.
                                                    AWARD
JAMES P. CHARLTON, MD                                  “The voluntary gift of one’s time             VIRGINIA FAMILY
                                                    on behalf of our profession is one of the
TEACHER OF THE YEAR                                 greatest gifts one can make.”                    PHYSICIAN OF THE YEAR
AWARD                                               In honor of former VAFP President                AWARD
   In memory of James P. Charlton,                  F. Elliott Oglesby, MD, the Virginia               Nominees should:
MD, a VAFP Past President, the VAFP                 Academy of Family Physicians’ Board
awards annually the James P. Charlton,              of Directors has established the “F.                 • Provide his/her community with
MD Award for excellence in teaching                 Elliott Oglesby, MD Volunteer of the                   compassionate, comprehensive
in family medicine. Nominees may                    Year Award.” The award is designed                     and caring medical service on a
include teachers of family medicine                 to recognize annually a Virginia                       continuing basis.
who participate in teaching at the                  Family Physician whose service to his
medical school level, residency faculty             or her profession and/or community                   • Be directly and effectively
level or community preceptorship                    exemplifies the true nature of                         involved in community affairs
                                                                                                           and activities that enhance the
                                                                                                           quality of life of his/her home
                                                                                                           area.

      This is the work/life                                                                              • Provide a credible role model
      balance you’ve                                                                                       as a healer and human being
                                                                                                           to his/her community, and as a
      been looking for                                                                                     professional in the science and
                                                                                                           art of medicine to colleagues,
                                                                                                           other health professionals and
                                                                                                           especially, to young physicians in
                                                                                                           training and to medical students.
      CMH Family Care Center in South Hill, Virginia, is seeking a
      Family Medicine Physician.
                                                                                                         • Be in good standing in his/her
      The benefits of this career move are clear:                                                          medical community.
      • Work with a dedicated support team within a brand-new hospital
        affiliated with VCU Health                                                                       • Be a member of the VAFP.
      • Competitive compensation and comprehensive benefit package,
        made better by a signing bonus and relocation reimbursement                                     Award recipients will receive a
      • A lower cost of living and relaxed pace of life in South Hill, nestled                       commemorative certificate during the
        75 miles south of Richmond and 75 miles north of Raleigh                                     2018 VAFP Annual Meeting, land travel
                                                                                                     expenses, one night’s lodging and a
      To learn more or apply for the position call (434) 447-3151 x3700                              $100 honorarium.
      or email Brenda.Palmore@vcuhealth.org.
                                                                                                        Please submit your nomination(s) no
                                                                                                     later than June 15, 2018
                                                                 joinvcuhealth.org                      Please visit www.vafp.org/awards
                                                                                                     or call 1-800-THE-VAFP for more
                                                                                                     information.

  VCU4283_CMH_RcrtAd_5_125x4_875_4Color_D2.indd 1                                11/21/17 12:49 PM
12
Thank you
         A special thank you to those VAFP members that donated to
          FamDocPAC in 2017 - your support is greatly appreciated.

  RICHMOND DONOR
         Kim Combs, MD
      Charles Frazier, MD
     Jesus Lizarzaburu, MD
      Andrew Nelson, MD
    Jerome Provenzano, MD
                                      WILLIAMSBURG DONOR
                                              Moses Adiele, MD
                                                Grace Chiu, MD
                                              Brandon Cox, MD
                                            B. Kent Diduch, MD
                                              Neeta Goel, MD
                                                                             JAMESTOWN DONOR
                                                                                    James Barton, MD
                                                                                Delmas Bolin, MD, PhD
                                                                                  Olympia Dallas, MD
                                                                                  Robert Elliott, MD
                                                                                  David Gregory, MD
     Sterling Ransone, MD                  Mark Greenawald, MD                       Dean Hall, MD
         Sean Reed, MD                      Susan Hundley, MD                Valerie Mutchler-Fornili, MD
     Scott Rosenfeld, MD                  Masoumeh Kiamanesh, MD                   David Nelson, MD
     J. Douglas Smith, MD                  Michelle Kingsbury, MD                  Susan Osborne, DO
      Lindsey Vaughn, MD                    Augustine Lewis, MD                  Catherine Pipan, MD
      Kent Willyard, MD                        Janice Luth, MD                    Janice Ragland, MD
                                            Scott Macleod, MD                        Steve Reed, MD
  YORKTOWN DONOR                          Monique Matuskowitz, MD                 Jeffrey Roberts, MD
      Thomas Eppes, MD                     Daniel McCarter, MD                  Kathryn Sparhawk, MD
        JW Kerns, MD                       Kathleen Meehan, MD                    Sebastian Tong, MD
      Donna Landen, MD                         Ken Moles, MD
                                            Elizabeth Polk, MD
                                           Valerie Renninger, MD
                                            Daniel Salmeron, MD
                                            Randall Suslick, MD
                                            William Tanner, MD
                                           Michael Thompson, MD
                                              Brian Unwin, MD

 Virginia Academy of Family Physicians Foundation
              Support Family Medicine
   For more information on the VAFP Foundation, please          Blue Ridge Academy of Family Physicians
visit www.vafpf.org or call 1-800-THE-VAFP. Secure                         James Barton, MD
donations can be made online at www.vafpf.org or checks                      Grace Chiu, MD
can be mailed to the VAFP office.                                          Diane Johnson, MD
                                                                             Sam Jones, MD
 THE VAFP FOUNDATION WOULD LIKE                                         Michelle Kingsbury, MD
TO THANK THE FOLLOWING FOR THEIR                                          Donna Landen, MD
        SUPPORT THIS YEAR.                                               Jesus Lizarzaburu, MD
                                                                            Janice Luth, MD
                                                                         Daniel McCarter, MD
                                                                           Steven Mohlie, MD
                                                                           Denne Moore, MD
                                                                          Catherine Pipan, MD
                                                                        Jerome Provenzano, MD
                                                                         Sterling Ransone, MD
                                                                             Sean Reed, MD
                                                                          Lindsey Vaughn, MD
                                                                           E. Mark Watts, MD

                                                                                                            13
Resident & Student Corner
       RESIDENT AND                                                               EMPLOYMENT
                                           5:30 p.m. – 6:30 p.m. - Resident
       STUDENT ACTIVITIES –                & Student Reception                    CONTRACT
       2018 WINTER FAMILY                                                         NEGOTIATION
       MEDICINE WEEKEND                    Sunday, January 28                         The VAFP and Hunter
                                           7:00 a.m. – 7:45 a.m. - VAFP           Jamerson, MBA, JD have
                                           Resident Meeting                       partnered to provide a
       Saturday, January 27                Emmeline Gasink, MD                    legal resource for physician
       7:00 a.m. – 7:45 a.m. - VAFP                                               employment contract review.
       Medical Student Meeting             CAREER CENTER                          Mr. Jamerson has developed
       Emmeline Gasink, MD                                                        a flat fee pricing structure
                                           CHOOSE VIRGINIA                        for negotiating employment
       1:15 p.m. - 3:15 p.m. - Clinical       The premier resource for you to     contracts in the Commonwealth
       Decision Making: How do I           explore employment opportunities       of Virginia. For additional
       Figure Out What is Going On?        in Virginia. Visit http://             information on this resource,
       Mark H. Ryan, MD, Sharon            careercenter.vafp.org to access the    please contact the VAFP
       Diamond-Myrsten, MD                 VAFP Career Center.                    Headquarters office at 804-968-
                                              If you have any questions, please   5200.
       3:30 p.m. - 5:30 p.m. - Resident    do not hesitate to contact the
       Research                            VAFP at 804-968-5200 or email
                                           Matt Schulte at mschulte@vafp.org

             Graduating Family Medicine Residents
                   – Mark Your Calendars!

              The Virginia Academy of Family                 CME credits in main stage and workshop
          Physicians is pleased to offer all graduating      formats. The VAFP is known nationally for
          family medicine residents a complimentary          its’ outstanding continuing medical education
          registration fee ($285 value) to attend the        programs. Each program is created by family
          2018 VAFP Annual Meeting & Exposition              physicians for family physicians. Offering an
          scheduled July 26-29, 2018 at the                  array of outstanding topics and exceptional
          Williamsburg Lodge. The promotional                workshops all presented by engaging and
          materials and preliminary program for the          knowledgeable speakers.
          conference will be available in April 2018.            Don’t miss out on the complimentary
          The VAFP Annual Meeting & Exposition               registration fee! For additional information,
          is known as the Premier CME Event of the           please contact Cheryl Modesto at the VAFP
          Year and offers over 20 A AFP Prescribed           Headquarters Office cmodesto@vafp.org.

14
Resident & Student Corner
“CHOOSE VIRGINIA”                                        • Graduating Virginia medical student in         • Have an up-to-date Virginia medical
SCHOLARSHIPS                                                good academic standing.                           license.
                                                         • Entering a Virginia family medicine            • Practicing family medicine in an
    “Choose Virginia” Scholarships for                      residency program. A letter from the              underserved medical area after
Graduating Medical Students and Family                      program director is required.                     graduation as designated by United
Medicine Residents                                       • Will have completed the PGY-1 year                 States Human Resource Service
    The Virginia Academy of Family                          successfully and be entering into the             Administration (HRSA) and/or
Physicians (VAFP) Foundation is delighted                   PGY-2 year at that program. A letter              Virginia Department of Health. A
to offer a medical student scholarship and a                from the program director is required             letter verifying this is required.
resident scholarship in 2018 for assistance                 in order to receive the scholarship           • Must submit a 250-500-word letter
with education loan repayment. Many                         check for loan repayment at that time.            explaining why he/she wants to practice
medical students and family medicine                     • Must submit a 250-500 word letter                  in an underserved area of Virginia.
residents in Virginia have expressed an                     explaining why he/she wants to practice       • Practicing at the underserved site for
interest in staying in Virginia after their                 family medicine in Virginia as a                  one year. Documentation is necessary
graduation to complete a family medicine                    resident and as a family physician.               to receive the scholarship check for
residency or to practice in a medically                  In addition, we are offering one $1,500              loan repayment after one year of
underserved area. Over the past two years the        scholarship for a graduating PGY-3 Virginia              practice in an underserved area.
VAFP Foundation has received donations to            family medicine resident who wishes to                Application letters may be sent to Mrs.
support this effort to keep our own.                 practice in an underserved area of Virginia.      Mary Lindsay White at mlwhite@vafp.
    This year the Foundation will offer one          The requirements for this scholarship are as      org or to Dr. Roger Hofford at rahofford@
graduating Virginia medical student a $1,000         follows:                                          carilionclinic.org. The deadline for
scholarship. The successful candidate will               • Graduating as a PGY-3 Virginia family       application letters is June 30, 2018
meet the following criteria:                                medicine resident

                   VAFP KSA/CSA Group Learning Sessions
                                           AAFP Member $175 per session
                                           Non-Member $300 per session

THURSDAY, JANUARY 25, 2018                                                   SATURDAY, SEPTEMBER 22
Cerebrovascular Disease KSA/CSA                                              Heart Failure KSA/CSA (morning session)
Wintergreen Resort                                                           Charlottesville
(This session is for those attending the 2018 Winter Family Medicine
Weekend as a full registrant.)                                               SATURDAY, SEPTEMBER 22
                                                                             Cerebrovascular Disease KSA/CSA (afternoon session)
FRIDAY, JANUARY 26, 2018                                                     Charlottesville
Heart Failure KSA/CSA
Wintergreen Resort                                                           SATURDAY, NOVEMBER 3, 2018
(This session is for those attending the 2018 Winter Family Medicine         Pain Management KSA/CSA (morning session)
Weekend as a full registrant.)                                               Richmond
                                                                             (This session satisfies the Board of Medicine controlled substances CME
SATURDAY, APRIL 28, 2018                                                     requirements.)
Care of the Elderly KSA/CSA
Roanoke                                                                      SATURDAY, NOVEMBER 3, 2018
                                                                             Mental Health in the Community KSA/CSA (afternoon session)
THURSDAY JULY 26, 2018                                                       Richmond
Care of the Elderly KSA/CSA
Williamsburg Lodge                                                                       To register for these sessions, please visit www.vafp.org/
 (This session is for those attending the 2018 Annual Meeting as a full                             familymedicinecertification
registrant)
                                                                                      Please note, in order to participate in the sessions held in
FRIDAY, JULY 27, 2018                                                          conjunction with the 2018 Winter Family Medicine Weekend and
Mental Health in the Community KSA/CSA                                          the 2018 VAFP Annual Meeting physicians must be registered to
Williamsburg Lodge                                                            attend the CME conference. Registration for these sessions is within
(This session is for those attending the 2018 Annual Meeting as a full         the registration for the specific event and not on the VAFP Family
registrant)                                                                                      Medicine Certification webpage.

                                                                                                                                                       15
Don’t Miss Out on a Complimentary VAFP Membership Benefit
  Daily INFOPOEMs
   The VAFP is pleased to provide as a e-mail address can be added to the
membership benefit a free subscription              distribution list.
to Daily POEMs from Essential                          Please enjoy this complimentary
Evidence Plus. Daily POEMs (Patient                 VAFP    membership benefit.
Oriented Evidence that Matters) alerts
and 3,000+ archived POEMs help you
stay abreast of the latest and most
relevant medical literature. Delivered
directly to you by e-mail every Monday
through Friday, Daily POEMs identify
the most valid, relevant research that
may change the way you practice.
Monthly, the complete set is compiled
and sent for additional summary
review. Ongoing since 1996, their
editors now review more than 1,200
studies monthly from more than 100
medical journals, presenting only the
best and most relevant as POEMs.
The acclaimed POEMs process
applies specific criteria for validity and
relevance to clinical practice. If you
want to subscribe, please e-mail the                             Visit www.aafp.org/about/membership/services/primary-plus to learn more
  2018 Williamsburg
VAFP                Promo for Magazine_Layout
       at cmodesto@vafp.org          so your1 8/24/2017 2:04 PM Page 1                about this new member benefit!

                     MARK YOUR CALENDARS!
                        Virginia Academy of Family Physicians
                                    2018 Annual Meeting & Exposition

                                                        July 26 - 29, 2018
                                                        The Williamsburg
                                                             Lodge

                                                    Williamsburg, Virginia
16
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 1-800-QUIT NOW
             (1-800-784-8669)

   Urge Your Patients Who
Smoke Or Use Tobacco To Call
       Quit Now Virginia
        To Speak To A
 Trained Cessation Counselor

   To Become a Referral Site
   please contact: Rita Miller
  Rita.miller@vdh.virginia.gov.
         804-864-7897

          Virginia
         Tobacco Use Control
              Program

                           VDHLiveWell.com/tobacco   17
In Memoriam
                                                  Fitzhugh Mayo, MD
    Fitzhugh Mayo, MD passed away on                                                        as an essential guide for undergraduate and
November 11, 2017. He was recruited                                                         graduate curriculum in the discipline as well
from his private practice in Virginia                                                       as continuing practice-based research. In
Beach by Dean Kinlough Nelson to                                                            recognition of this, the American Academy of
become the founding Chair of the                                                            Family Physicians awarded him the Thomas
Department of Family Medicine at                                                            Johnson Award for lifetime contributions
MCV in 1970, and served in that role                                                        to Family Medicine education. Hugh also
until 1987. The MCV Department was                                                          served as the President of the Association
one of the first six in the country, and                                                    of Departments of Family Medicine. The
Hugh was deservedly seen as one of the                                                      family wishes any memorial contributions
founding fathers of the discipline. During                                                  be made to support the Harris-Mayo Chair
his tenure the Department established                                                       in the Department of Family Medicine and
residency programs in Newport News,                                                         Population Health at VCU. Contributions
Blackstone, Fairfax, Virginia Beach, and                                                    can be made online at https://www.support.
Chesterfield. Along with David Marsland                                                     vcu.edu/give/familymedicine (click on Harris-
and Maurice Wood, Hugh was an author                                                        Mayo Chair in Family Practice in the drop
of “the Virginia Study” which compiled                                                      down box) or by check payable to the MCV
over 450,000 visits to family physicians                                                    Foundation, Box 980022, Richmond, Va.
across the Commonwealth and thereby                                                         23298. Please note ‘Harris-Mayo Chair in
established an accurate picture of the                                                      Family Practice’ in the memo line of your
content of family medicine. This served                                                     check.

  You Take
   Physician     Founded.
  Care of Patients.
  We Take Patient Focused.
  Care of You.
      With an outstanding staff, Patient First
      supports you in providing excellent care.

      We are looking for full- and part-time physicians.
      With over 70 locations throughout greater Washington, D.C., Maryland, Virginia, Pennsylvania, and New Jersey, Patient First
      physicians have been providing urgent and primary care for over 35 years. In addition to flexible schedules and career advancement
      opportunities, we offer a comprehensive compensation package that includes:

      • Excellent salary             • Relocation package                    To learn more, contact
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      • Licensure and certification  • Health, dental, vision, life, and     at 804-822-4478 or eleanor.hertzler@patientfirst.com,
        assistance and reimbursement disability insurance, plus more.        or visit www.patientfirst.com/PatientFirstCareers         vafp

18
Members in the News
 VAFP Member Ana Vazquez, MD                                                                                   VAFP Past
 honored as EVMS Champion of                                                                               President Kurtis S.
    Diversity and Inclusion                                                                                 Elward, MD, MPH,
                                                                                                           FAAFP Installed as
    On October 24th, 2017 Dr Ana Vazquez,            I worked at a local                                   2018-2019 Medical
Family Medicine faculty at Eastern Virginia     hospital on weekends                                       Society of Virginia
Medical School, was honored with the            when I was in              Photo by Doug Gardner
inaugural EVMS Champion of Diversity and        college to help pay                                            President
Inclusion. Dr. Vazquez is of Puerto Rican       my tuition where I
heritage, and has a long record of altruistic   witnessed the inequity in health care between                  Kurtis S. Elward, MD, MPH, FAAFP
service to patients and students both locally   the social classes. Thus, I went to medical school         was installed as President of the Medical
and globally.                                   with the sole purpose of providing health care             Society of Virginia (MSV) on October
    Dr. Vazquez spends a significant portion    to the underserved. I have dedicated my life to            21, 2017 at the MSV Annual Meeting
of her clinical time serving underinsured       this commitment and to educate the students                in Norfolk. Dr. Elward practices
or uninsured patients at the Ambulatory         and residents regarding the same. Social                   full spectrum Family Medicine in
Care Clinic (ACC) located on the medical        justice in health care is my passion and this              Charlottesville and is a member of national
campus at Sentara Norfolk General               commitment I learned from both of my parents               quality measurement panels including
Hospital. She also frequently volunteers at     who recently passed away and were advocates                National Committee
the student-run HOPES clinic, especially        for social justice.                                        for Quality Assurance
the Clinica Esperanza, the Spanish-speaking          Thirty plus years after graduating from               (NCQA), the National
arm of HOPES.                                   Tufts Med school, I still love medicine and what           Quality Forum (NQF)
    Dr. Vazquez is pictured receiving her       I do. I am honored to be recognized for the                and the NIH Asthma
award with the EVMS President, Dr.              work I love to do.                                         Coordinating Committee.
Richard Homan, and Dr. Mekbib Gemeda,                                                                      Congratulations Dr.
Vice President for Diversity and Inclusion.        Ana Vazquez, MD                                         Elward!

 Congratulations
to Hughes Melton,
MD on his selection
                                                        Could you be the primary
  to serve on the                                       care physician we’ve
 AAFP Commission                                        been looking for?
 on Health of the
Public and Science
                                                        The benefits of this career move are clear:
                                                        • Work within an AMC that is consistently ranked at the top in Virginia
   Dr. Melton was nominated by the
                                                          by U.S.News & World Report.
VAFP and will serve a 4 year term
beginning December 15, 2017 ending                      • Opportunities and support for professional development and loan
December 14, 2021.                                        repayment.
Dr. Melton is a past                                    • Competitive compensation and comprehensive benefits package.
Director of the VAFP                                    • Work in the newly remodeled Nelson Clinic, a Patient Centered
Board and currently                                       Medical Home.
serves as Chief Deputy
                                                        With each new member of our team we are Making Life Better, By Design.
Commissioner at the
Virginia Department of                                  To learn more or apply for the position call (804) 628-9660, or email
Health.                                                 Stacey.Ellis@vcuhealth.org.

                                                    VCU4136_VCU_MCVP_RcrtAd_5_125x4_875_4Color-D2.indd 1                                11/21/17 12:48 PM
                                                                                                                                                     19
VAFP Past President Sterling N. Ransone, Jr.,
      MD Elected to the AAFP Board of Directors

                                                                  The VAFP is proud to announce that Past
                                                              President Sterling N. Ransone Jr., MD was
                                                              elected to a three-year term as Director on
                                                              the AAFP Board of Directors. The election
                                                              took place during the 2017 AAFP Congress
                                                              of Delegates, September 11-13, 2017 in
                                                              San Antonio, TX. Dr. Ransone is a third-
                                                              generation family physician in Deltaville,
                                                              Virginia, who has practiced medicine for 25
                                                              years. He currently serves as physician practice
                                                              director at Riverside
                                                              Fishing Bay Family
                                                              Practice and as clinical
                                                              assistant professor of
                                                              family medicine and
                                                              population health at
                                                              Virginia Commonwealth
                                                              University in Richmond.
       PDF/X-1a:2003                                          Congratulations Dr.
                                                              Ransone!!

      You’re there for Mom.
       We’re here for you.

                 Connect with experts   aarp.org/caregiving
                 and other caregivers   1.877.333.5885

20
12, 2017
                                                  ates on Tuesday, September
                                      ess of Deleg
           ’s speech to the AAFP Congr
Dr. Ransone
Good morning!!                                                                                                                                                           u on our Board.
                                                                                                          rgini  a,  ask ing    for your vote to serve yo
                                                                                                  le,  Vi
                                                                 ysician from Deltavil                                                                                                                    t to share in their
                              e, a proud family ph                                                                                                                            human being. We ge
I’m Sterling Ranson                                                                                                      or to focus on          he    lpi ng   an  oth  er
                                                                                                                                                                                                 joy. There should be
                                                           rs  ea ch  tim   e  we    clo se the exam room do                         is is   wh    ere    we    de rive our energy and
                              and sacred occu                                                                             life. Th                                                                 m it.
 Something magical                                                                      their journey through                                                        lost. It is time to reclai
                        e  in  the   ir vic  tor  ies  , and guide them in                          the   san  cti ty  of  the   exam room has been
 concerns, rejoic                                                                                 t
                                                                  us. Yet many feel tha                                                                                                                 ing my residency,
                               ters that room with                                                                                                                        unities. After complet
 nothing else that en                                                                                                  of our patie      nts    an   d   ou  r  co mm
                                                                                                                                                                                                 of my patients fondly
                                                         e  ha  ve  an  inc  red    ible impact on the lives                      cad  es.  N    ot   a  we   ek   goes by without one                       ry later, the patients
  I love being a family
                                  physician. W
                                                                          fat he   r ser ve d  as  family doctor for de                            d    27   ye ars   ag o   an d a quarter of a centu
                                the rural area where
                                                                    my                                                              . He die                                                                  ber us.
  I returned home to                                                                                 his humor and grace                                                          ir doctor. They remem
                                        car  e  an  d   ho   w   mu  ch they appreciated                           be  ne  fit ma  na  ge  r.  They remember the
                                  his                                                                  armacy
  recalling the days of                                               ir insurer or their ph                                                                                                                   r generation must
                                     don’t remember the                                                                                                                               acticing our art. Ou
   still remember. They                                                                                                             room and             dis tra  ct us   fro  m   pr
                                                                                                                                                                                                         rtain conversations
                                                                                 wh   ich  no  w  intrude into our exam                                    co  rd s,  Le  gis lation forbidding ce                            code
                                  fore the onslaught of
                                                                      iss ue  s
                                                                                            authorizations, Elec
                                                                                                                            tronic Med        ica  l  Re                                           Do we really need a
    Dad left practice be                                        es: In su  ltin   g  pr ior                                          al  an   d  irr   ele  va nt  co   ding requirements.
                                  inane interferenc                                        medical validity; Non
                                                                                                                             sensic
    deal with countless                         ati ng     others, regardless of
                         nts  an    d ma   nd
    with our patie                                                                                                                                                                                      g recommendations
     for “Struck by turtle
                                     ”?
                                                                                                                                           on    s.  Sa   tisfyi ng    the   USPSTF’s screenin
                                                                                                                        le organizati
                                                                                          proffered by multip                                                  nts seek help.
                             we   ll- me   an  ing    ye   t tedious guidelines                       e the   co nc   ern  s for which our patie
      Then there are                                                    da   y,  ov  er  an d  ab ov
                                                                                                                                                                                                        ge of countering
                                     ditional 7 hours each                                                                                                                  e-consuming challen
      alone requires an ad                                                                                                   science bia      s  pr   ese  nt   the   tim
                                                                                              d an emerging anti-
                              ltu   re of   ce  leb  rit  y, internet expertise, an
      Our national cu                                                    appropriately.                                                                                                                    bet soup of regulatio
                                                                                                                                                                                                                                     ns
                                      guiding our patients                                                                                                                      ements and an alpha
       misinformation and                                                                                                       g mandate         s,  po   int les s  req  uir
                                                                                               al with ever increasin
                                   inu  te  offi  ce   vis  it:  We are forced to de                        pp  or  t or   res  ou rces to do so.
       Beyond the 15-m                                  ,  ye t  we  are   no   t giv  en adequate su
                                      profession                                                                                                                                              .
       just to practice our                                                                                                                                    spent with our patients
                                                                                               ea  dy  pr  eciou   s tim   e. Time that should be
                                                                              s on our alr                                                                                                                               . Significant
            ese   iss ue  s pla  ce   ev er increasing demand                                                                                                     an  d  pr  ess ing   issue facing our profession
        Th                                                                                                                                         relevant
                                                                                                                  t, possibly the most
                                                       th    a los s of  au  ton    omy, lead to burnou                       fro m   mi  nd    ful  ness to meditation.
                      e  pr ess ur   e, alo  ng    wi                                              ng  wi  th  bu  rn  ou  t,
         This tim                                                         assist us in deali                                                                                                      in which we operate.
                                                                                                                                                                                                                             We do not
                                        has been applied to                                                                                                          hcare environment
         effort and expertise                                                                                                        ’t us  . It  is    the   he  alt
                                                                                                                          lem isn
                                                                                            problem. The prob
                        lp  wi th    the   sym    pto   ms but don’t solve the
          These he                                                             .
                                            e need to fix the system
          need to fix ourselves. W
                                                                                                                                                                                                                  and concerns to our
          That is why I am he
                                           re today.
                                                                                                                                                              en  erg  y an   d dr  ive , your commitment
                                                                                                                                    to carry yo          ur
                                                                                                      and skill. My goal is
                                      he  re,    co mm      itt ing  your time, expertise
           It is why you are                                                                                                                                                                                           ch as prior
                                                                                                                                                                                            successes on issues su
           Board.
                                                                                                                              at ma   ny   lev   els  ,  we   achieved legislative
                                                                                                            profession
                                                                              cacy efforts for our                         aningful anti-tobacc
                                                                                                                                                              o regulation.
                         sp en  t  mo   st  of my career in advo                                     act ice , an  d  me
            H  av  ing
                                              al malpractice refor
                                                                               m, scope       of pr                                                                                                                    hope in our future.
            authorization, medic                                                                                                                                         e  for  yo  u  an d our patients. I have                      My
                                                                                                                                        as a strong ad           vo  cat                                      house of medicine.
                                                                           lls,   an  d my   pr  ox im  ity to D.C., to serve                            on  sh  ips  bo   th  wi  thin and beyond the                      an swer to our
                                                   passion, my ski                                                            d leverage rel        ati                                               ly Medicine is the
             I would like to use my                                r vis ion   , we    ne ed  to forge alliances an                       lic  y  ma     ke rs.  To  let  them know that Fami
                                                  o share ou                                                                and to po
             Along with others wh                                                            to business leaders,
                             sp  ea  k  bo  ldl  y, to    ins  urers, to Congress,
             wish is to                                                                                                                                                                                                              patients
                                                                                                                                                                                                           orm focused on our
              national health care cri
                                                 sis.
                                                                                                                                                      .  W  e  ne  ed   to  ke ep any healthcare ref
                                                                                                                                   ate system
                                                                                                 and more compassion
                                   cre  ate   an   im   pr   ov ed, more sustainable                         wh   o  fur nis   h tha  t care.
              We want to                                      the  fro ntl  ine    family physicians                                                                                                           sanctity of the exam
                                                                                                                                                                                                                                        ination
               and their needs, along
                                                    wi   th
                                                                                                                                                        pa  tie nt- ph   ysi cia n relationship and the                   t exam  ro om   and
                                                                                            n   ou  r pa tie nts   an  d us, to restore the                                  no  w.  To  ge the r, we can reclaim tha
                                                remove the barriers
                                                                                  betwee                                                             ions by acting
               Above all, we must                                                                                on for future generat
                                                        ce   en  joy ed  . Le   t’s  protect our professi
                                                 r on
                room that my fathe                                                    nts deserve.
                    liv er  the    fam   ily  me    dicine that our patie
                de
                                                                                            effort with your vote.
                              rli ng    Ra  ns   on  e.   Pl ease join me in this
                 I am Ste

                                  Thank you.

                                                                                                                                                                                                                                                  21
OpEd                   Virginia Has a New Governor
        The nation’s eyes were fixed on     that they will fill the need of the        Some of you who know me
     the Virginia election. I found it      rural areas in the state. Yet, CMS     well know that I live by two rules:
     very interesting to see Governor-      data from 2014 shows that the          1) Have I done my best? and 2)
     Elect Northam play the “Doctor”        distribution of nurse practitioners    Would I do that same thing if the
     card later in the election when Ed     mirrors that of physicians. No         patient was my mother?”
     Gillespie started to close in the      additional NPs are in the rural            I am not sure who would be
     polls.                                 areas.                                 willing to turn over the care of
        Now that the elections in              Now, to anyone reading this         their loved one to a recently
     Virginia are over, it will be very     opinion and not well versed with       graduated nurse practitioner. I
     interesting to see where the           this issue will think that anyone      know I would not let just any
     political waters take us.              opposing NP’s independent              doctor take care of my mother.
        I say that because nurse            practice is only looking out for       Some research would take place
     practitioners will be coming back      self-interest and that physicians      prior to that.
     to the General Assembly to lobby       are afraid of competition.                 A nurse I work with in the
     for independent practice once          As an immigrant, I believe             office recently applied to nurse
     again. They will argue that they       wholeheartedly that competition        practitioner school. I gave her a
     serve a great role in the delivery     is what makes our country great!       letter of recommendation for she
     of care to the citizens of the         The concern is patient safety. The     is a great nurse. She was accepted.
     Commonwealth. And they do,             training that new nurses get is a      I was happy for her and I wished
     because they are collaborating         lot more theoretical. The practical    her well. I believe that everyone
     with physicians while they care        aspect of being a nurse is acquired    should pursue self-improvement as
     for patients. They will argue          after working as a nurse for several   long as one is alive and wants to
     that the Veterans Administration       years. The nurses advocating for       do so. We then began to discuss
     already has nurse practitioners        independent practice are wonderful     the possibility of her working by
     working independently. A fact that     experienced nurses whom I would        herself without collaborating with
     I personally find very concerning      be privileged to work side by side.    a physician once she graduated. I
     when considering the wellbeing of      However, those nurses are fewer        could see her wheels turning, but
     our veterans. They do not mention      and fewer in this day and age. The     then she said: “I don’t know Dr.
     reasons for the VA to adopt this       days of nurse practitioners that       L., there has never been a nurse
     policy such as that the VA can save    were ICU nurses for 15 years or        and a patient without a doctor,
     money in the short run and that        more and then became NPs are           or a doctor and a patient without
     there is no real liability for a bad   gone. Soon after graduating from       a nurse. I think we complement
     outcome (have you ever tried to sue    nursing school, some nurses go         each other to best take care of the
     the federal government?).              on to online nurse practitioner        patient.” I could not agree with her
        Nurse practitioners will argue      schools. I do not recognize many       more.
     that the hospitals support them        of these schools because most are          Any doctor knowing the
     wholeheartedly to be independent       new and some are entirely online.      qualifications required to get into
     or that the hospital system will be    Few nurses have asked me to            medical school, and the rigor of our
     collaborating with them, so that       mentor them and I have not been        training would feel uncomfortable
     a physician is no longer directly      able to be of help, as I am leery      with nurse practitioners practicing
     involved. But, ask yourself why.       of the online training that they       independently.
     Hospitals are cost centers that need   get. Imagine if we went to a new           Now that Dr. Northam is the
     the constant feeding of business       medical school online.                 Governor-Elect of Virginia, I
     such as imaging, laboratory testing,      I asked my son when he was          wonder if he will remember he is a
     surgical procedures, etc. A good       12 if he would consider being a        doctor.
     family doctor already knows plenty     doctor. He said “No.” When asked
     about their patient and will be        why not, he said, “Dad, in any job     Respectfully submitted,
     less likely to order testing that is   you can make a mistake, but when
     unnecessary or redundant.              you are a doctor you can’t make a      Jesus Lizarzaburu, MD
        Nurse practitioners will argue      mistake.”                              A Concerned Citizen

22
We surround conditions of the brain and spinal cord
    with expert care from the heart and soul.
Children who have a disorder, disease, or injury of the brain, spinal cord, or musculoskeletal system also have
great potential. Our renowned specialists work as one interdisciplinary team to provide expert, individualized
treatment and rehabilitation. We have remarkable success helping children not only to recover but to thrive.
Let’s discuss your patients and how we can help them reach their full potential. Call us at 443-923-9403.

                                        KennedyKrieger.org/4Hope

                                                                                                                  23
THE VAFP WELCOMES NEW MEMBERS
               ACTIVE                  Masaru Nishiaoki, MD          Marquise Hopson          Matthew Peworchik
          David K. Auh, MD              Bradley Restivo, MD            Kara Hostetter           Jasmine Phaguda
          Sajuma Bhaju, MD             Phillip Sasser, III, MD        Megan Howard                 Isaac Prince
      Jonathan W. Biggers, DO         Uma Senthilkumar, MD           Alexander S. Hoy              Aaron Pruitt
        Daphne L. Bryan, MD               Erika Snyder, DO                Kevin Hu             Naomie Ranatunge
         Jasmin K. Cole, MD        Danielle A.W. Tchoungang, MD         Scott Huang              Kristeer Rayner
        Martha W. Cole, DO                 Andrea Tse, DO               Sean Hurley               Kaitlyn Reichl
       Andrew A. Cureton, MD          Jacquae M. Walker, MD            Mariya Husain              Nadia Rentia
  Fabrice Czarnecki, MD, FAAFP                                    Katherine Hutchinson             Miguel Ribe
        Tabatha B. Davis, MD                STUDENT                     Chris Huxel            Joseph Richardson
       Patience N. Ekperi, DO                Patrick Akin             Trevor Hyland             Gavin D. Rogers
 John W. Epling, MD, MS, FAAFP                Alex Allen                 Lance Irons              Sruchika Sabu
    Reed A. Erickson, MD, MBA                 Reid Alley               Kevin Jackson            Divya Sahajwalla
      Marissa W. Esquivel, MD               Sarah Andrew              Tameem Jamal                 Derek Saku
        Francis J. Falbo, MD                 Sathya Areti             Medjine Jarbath             Omar Salman
            Nir Horev, MD                     Vik Aulakh                Sarah Jensen             Carrie K. Sartor
       Pamela C. Johnson, MD                Adel Azghadi              Aaron A. Joiner           Nathan Seeberger
Michael W. Jones, DO, MBA, FAAFP            Will Bafaller              Daniel Jordan             Jonathan Segars
         Brian D. Jones, DO                  Gurjas Bajaj            Andrew Kanouse                Dhruv Sethi
           Jin M. Kang, MD                  Bharat Balan                  Ejay Kao             Athanasios Sevdalis
       Thomas F. Knisely, DO               Daniel Berman               Madiha Khan                 Aria Shakeri
   Timothy C. Kwiatkowski, MD                  Ben Blake                  Alice Kim             Musa A. Shakoor
   Susannah O. Lichtenstein, DO            Kristin Boakye                Brian Kim             Siddharth Shankar
       Syed K. Mahboob, MD                Amanda Borden                  Davis Kim              Connor Sheehan
       Rachel N. Marquez, MD               Austin Bowyer             Irene W. Kimree              Angela Sickels
        Nail M. Miakhel MD                  Zachary Braig           Annette Kleinman      Lauren Siewertsz van Reesema
         Ann M. Morey MD                  Brandee Branche             Agnijita Kumar          Mary Helen Simpson
        Katelyn I. Myers, DO            Morgan Brockington             Kevin Kurack               Holly Skinner
    Paul D. Nielson, MD, FAAFP            Samantha Brown             Vaishnavi Lanka           Kate A. Slaymaker
      Mary C. Nishimura, MD             Devin Buennemeyer              Matthew Laws               Nazmine Sohi
          Sejal S. Patel, MD              Vanessa Candare                Emily Lee             Kathryn Sommese
            Ohsang Ro, MD                  Brianna Caraet              Dylan Lescure                Yena Son
       Courtney K. Ryan, MD                  Auri Caudill                 Grace Lin               Maya Srihath
   Mitzi J. Sampson, MD, FAAFP              Justin Chang               Eleanor Love             Lindsay Sterling
         Nancy Y. Selim, DO                Shawn Cherian              Chih-Huan Lu                Phillip Stone
        Sumi M. Sexton, MD                Sravya Chilukuri            Jennifer Luong           Karanpreet Takhar
            Kyle Smith, MD               Miranda Chimzar                 Matt Lustig              Cindy X. Tay

                                                                                         New Members
   John E. Snellings, MD, FAAFP         Taslima Choudhury               Erika Lutins           Chih Yun A. Teng
      Jonathan D. Stewart, MD                Wendy Clay            Jason Manaparambil              Anne Tenser
         Kavita Tripathi, MD               Grayson Cobb                Lani Matthews            Tippy Tonguchit
          Timothy Zee, MD                Connor Comstock               Cara McCurry        Elefterias Trikantzopoulos
                                             Sam Creden             Hannah McGarey             Anastasia Turenkov
              RESIDENT                    John DelBianco            Shannen McGinley         Matthew Van Dongen
         Wahida Akberzie, MD              Katie Dempster            Tatiana McIntyre            Matthew Walton
         Cshantara Audap, MD             Alexandra Dennee               Vamsi Meka                 Sarah Wang
        Jacqueline B. Britz, MD               Scott Estep              David Mendel                Ryan Wang
           Joshua Burg, DO                  Daniel Foley               Christiana Mo          Douglas W. Warner
     Kun-Young Rachel Choi, MD               Ryan Foster               Spencer Moen             Catherine Wilson
          Alexander Choi, MD               Lisa Friedman            Michaella Montana             Abigail Winz
          Patricia T. Dell, DO               Lilian Fung               Diana Morales             Keianne Yamada
       Elizabeth J. Dockery, DO          Brian Gambardella            Thomas Moran                Ouwen Yang
           Sara Dusing, MD               Graham Gardner                  Zoe Moyer           Ferin Yazdani-Biyouki
         Bethany Gargon, MD                Jason Gassman               David Musher              Haigreev Yedla
        Philip M. Guilford, DO           Mary Rose Gaylor            Pratyush Narayan             Kyeong R. Yu
       Michelle E. Hoadley, DO          Armandeep Ghuman             David Neuberger                Shirley Yu
          Beverly Huang, MD                Vijay Gottipati             Harrison Ngo                 Victor Yu
      Vinh Thinh T. Huynh, MD              Shivam Gulhar             Andy R. Nguyen              Rachel Zaragoza
         Tyler H. Jenkins, DO              Ellen Hammett             Nicholas Nowell                Yue Zhang
           Nicole Jensen, MD             Andrew O. Hanna                 Vera Okons               William York
          Kevin Kawalec, MD                  Yurika Hara             Vivek Pandrangi
         Rashid M. Kikhia, MD               Jason Harter                Jong K. Park
           Edward Kim, MD                    Julia Heaton              Saloni Patolia
          Callie M. Lugo, DO                Isabel Hefner             Nathalie Paucar
         Kosha Nathwani, MD                    Chau Ho                 Bishal Paudel
       Bleck B. Ngwafang, MD               Kyle Hollmann                 Jim Pecsok

24
Johnston Memorial Hospital and Mountain                       • Competitive Annual Salary (Earning potential up to $300K)
States Medical Group (MSMG/HIMA) located                      • Employment through MSMG/HIMA
in Historic Abingdon, Virginia, currently have                • Production Bonus based on Work RVUs
Full Time, Day Shift (7 am to 7pm) and                        • Performance Bonus
                                                              • Excellent Benefits and Paid Malpractice
Nocturnist (7pm to 7am), 7 days on - 7 days
                                                              • Pleasant Working Conditions
off, Hospitalist opportunities for BE/BC, FM or               • Generous Sign On Bonus
Internal Medicine Residency Trained Hospitalist               • Relocation and Educational Loan Assistance
Physicians to join their group.                               • Work within Brand New Hospital which opened July 2011
                                                              • Stable and Unique Group
These are Employed positions through                          • 7 on 7 off Schedule
MSMG/HIMA with the following incentives:                      • 6 Physician Extenders to assist with discharges, prescriptions, rounding and communication flow with PCP
                                                              • Teaching and Faculty opportunities with the JMH FM/IM Residency Training Programs
                                                              • Critical Care Physicians Covering CCU/PCU

   At Johnston Memorial Hospital, we strive to provide an environment in which physicians and families will grow and thrive. You'll be surrounded by other regionally-known
   physicians and a supportive management team as well as an expert and caring staff of nurses and technicians. State-of-the-art technology that you need for success in your
   practice is all available. You and your family will enjoy a high standard of living in this community, surrounded by the beautiful mountains, the lush scenery, the friendly
   neighborhoods, and the rich culture and history of Abingdon.

   Nestled in the Virginia Highlands, Abingdon is within driving distance of Roanoke, Asheville, Knoxville, and Nashville and is home to an excellent school system and a wealth of
   social, community, and religious organizations. This small town is known for bigger-city amenities. If you're seeking the perfect balance of personal and professional growth, you
   won't find a better home than Johnston Memorial Hospital.

                           View Virtual Job Tour:
                                                                                                                       Please Contact:
                           www.mshajobtour.com/jmh                                                                     Tina McLaughlin, CMSR
                                                                                                                       Senior Physician Recruiter
                                                                                                                       MSHA NE Market
                                                                                                                       O) 276.258.4580
                                                                                                                       mclaughlint@msha.com

                                                                                                                                                                                        25
designed to infuse
     we l l ne s s
     innovation
     into physician life.
     MAY 5 & 6, 2018 • RICHMOND, VA
          www.infusevirginia.com
                Brought to you by

26
ABOUT
Infuse is a gathering of physicians of all specialties, ages, and interests from
across the commonwealth. It is a collaboration led by the Medical Society of
Virginia and developed in partnership with 12 medical societies from around
the commonwealth. The event will feature an array of presenters, performers
and provocateurs all designed to “infuse” conversations about innovation
and rejuvenation with physicians.

DETAILS
               Infuse 2018 will feature speakers from many different fields and
               from across the country, including the Virginia Center for
               Addiction, the University of California, NASA iTech, Virginia
               Commonwealth University, and more.

               Bon Secours Washington Redskins Training Center
                                           2401 W. Leigh Street
                                          Richmond, VA 23220

               May 5 & 6, 2018

                         www.infusevirginia.com
                          Sponsorship opportunities are available!
     For more information or to apply, contact Lynne Huges at lhughes@msv.org or 804-377-1047.

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