February SCMS The Message Open2 · 2020-02-21 · February SCMS The Message 1 A New Paradigm: Health and Health Care for Our People (Part 1) By David Bare, MD SCMS President When

February SCMS The Message Open2

February SCMS The Message Open3

TABLE OF CONTENTS

A NEW PARADIGM: HEALTH AND HEALTH CARE FOR OUR PEOPLE (PART 1) 1

BREAKING THE CYCLE: SCMS FOUNDATION PART OF INTEGRATED APPROACH

TO ADDRESSING OFFENDERS’ UNDERLYING PROBLEMS 2

MEDICAL EDUCATION UPDATE 4

MEMBERSHIP RECOGNITION FOR JANUARY AND FEBRUARY 2014 4

EASTERN WASHINGTON PHYSICIAN HEALTH COMMITTEE 6

SCMS 2013 PHYSICIAN CITIZEN OF THE YEAR NOMINATION FORM 7

IN MEMORIAM 8

SAVE THE DATE: “BECOMING A MORE EFFECTIVE EDUCATOR 10

PROJECT ACCESS CLIENTS CHALLENGE CONVENTIONAL WISDOM 11

THANK YOU FROM CHRIST CLINIC - TO OUR DONORS,

VOLUNTEERS AND MEDICAL PARTNERS 12

NEW PHYSICIANS / CME / MEETINGS / CONFERENCES / EVENTS 13

POSITIONS AVAILABLE 14, 15

REAL ESTATE / MEDICAL OFFICIES & BUILDINGS 15

“Each of us brings to our job, whatEvEr it is, our lifEtimE of ExpEriEncE and our valuEs.” –sandra day o’connor

2014 Officers and Board of Trustees

David Bare, MDPresident

Matt Hollon, MDPresident-Elect

Anne Oakley, MDImmediate Past President

J Edward Jones, MDVice President

Gary Newkirk, MDSecretary-Treasurer

TrusteesCharles Benage, MD Audrey Brantz, MDKarina Dierks, MDElizabeth Grosen, MDClinton Hauxwell, MDLouis Koncz, PA-CFrank Otto, MDFredric Shepard, MDCarla Smith, MD Newsletter Editor – Matt Hollon, MD

Spokane County Medical Society Message

A monthly newsletter published by the Spokane County Medical Society

Advertising CorrespondenceSCMS PublicationsAttn: Shannon Hill518 S Maple Spokane, WA 99204 509-343-0123 Fax 509-325-3889 ShannonH scms@gmail com

All rights reserved This publication, or any part thereof, may not be

reproduced without the express written permission of the Spokane County Medical Society Authors’

opinions do not necessarily reflect the official policies of SCMS nor the Editor

or publisher The Editor reserves the right to edit all contributions for clarity and length, as well as

the right not to publish submitted articles and advertisements,

for any reason Acceptance of advertising for this publication in

no way constitutes Society approval or endorsement of products or

services advertised herein

February SCMS The Message 1

A New Paradigm: Health and Health Care for Our People (Part 1)

By David Bare, MD SCMS President

When I reflect on my life as a private practice family physician over a 22-year period in central Washington, I’d like to think I made a modicum of difference in my patients’ lives (although I only had anecdotal stories of how they faired, not measurements thereof). I’d get up early to see my patients in one of two hospitals (one on the medical floor with

pneumonia, a new mom and babe on the OB floor and a Post MI patient in the Progressive Care Unit), rush to the office to see 30-40 more (one pediatric patient that required hospitalization for a cellulitis that day) and at day’s end, turn the office phone over to my home so I’d be reachable through the night. I was a member of this small community and whenever, on those rare occasions I was in the local supermarket, I would run into patients who’d show me a rash, ask me how my pigs were growing or advise me of a malady they thought might need “looking into”. I fellowshipped in this community, my children went to school there and my wife was on the school board and ran a gift shop and latte bar. Between my wife and me we knew everyone in the community, many of whom had been to our house for a meal. I was in the apartment of one of my patients when he died from brain cancer, able to console his family, many of whom where also my patients. But regarding the new concept of “patient centered care”, I can see now that I made decisions “for” my patients without fully understanding their desires. I’d give advice that was “my” best idea, without explaining there were three other approaches available. I was a doctor of the old school of thought that “I knew best” and many times patients needed to be guided to action with a firm hand and a lecture about what bad things would happen if they didn’t follow my sage advice. I did brief notes, first in long hand and then through a dictation service but frequently didn’t have time to record in a systematic way all of a patient’s past medical history or the last time they had a Pap smear done or all of the past medications they had been on, at what doses and how much was given.

Did that qualify me as a patient centered provider? National thought leaders, including my own specialty society, the AAFP, promoted the initiative a “Patient Centered Medical Home” (PCMH). How could there possibly be a different way of caring for patients that would be any better than what I had done for all those years? Besides, how would I know how I compared in this new paradigm where outcomes were measured, since I didn’t keep information about how populations of patients faired, only how individuals were doing one by one? Was there something new this old dog needed to learn?

Moving to the “big city” of Spokane 11 years ago, had me involved in another world of medicine that was very different than my small town practice. I began working for a Community Health Center, going from private proprietor to salaried employee. We

had hospitalists who cared for our in-patient adult, children and obstetrical patients. I was only one physician in an organization with 42 other providers, two-thirds of whom were non-physician providers. I found some things similar – such as having panels of patients that we followed longitudinally over time. We did get to know those patients but because of the size of the community there wasn’t as much I knew about their intimate life or their family. I also became aware of new trends that required me to look at disease management guidelines and health maintenance from the perspective of outcomes related to the care I was giving. This new organization, with the help of an electronic medical record, was able to measure the different parameters of care outcomes. But how could they expect me to do all this required “care” when the patient was only there for their cold, in a 15 minute visit of which I had eight minutes to see them? Besides, I was finding that my new patient panel was not like the more motivated patients I had dealt with in my private practice. They were frequently “Non-compliant” patients who didn’t always follow my instructions and often didn’t return for routine follow ups. They only came in when “something was wrong” as each visit, for uninsured patients, costs them precious resources they didn’t have. Surely there must be a way to do this differently, as I wasn’t able to manage by myself, everything that was now expected of me. There had to be a way to take the good part of the “old” practice style and add elements that that would get to the issue of quality outcomes, cost effectiveness and accessibility.

Enter in the concept of “Patient Centered Medical Home” (PCMH). (Adapted from the Agency for Healthcare Research and Quality (AHRQ), the following definition is this approach to the delivery within primary care.)

Patient-centered: A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs, and preferences, and that patients have the education and support they need to make decisions and participate in their own care.

Comprehensive: A team of care providers is wholly accountable for a patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care.

Coordinated: Care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services and supports.

Accessible: Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access and strong communication through health IT innovations.

Committed to quality and safety: Clinicians and staff enhance quality improvement through the use of health IT and other tools to ensure that patients and families make informed decisions about their health.

CONTINUED ON NEXT PAGE


CONTINUED FROM PREVIOUS PAGE

Within this framework began the journey, the “make over” of a country Doc to a 21st century leader of a care team – me. In coming editions of the SCMS Newsletter I’ll continue to share this journey with you, both from the perspective of a Family Doc, the past medical director of the largest safety net organization in Spokane and finally as the President of your Medical Society.

A closing thought. Although many of us have had thoughts about how much the “government” now seems to get in our way of practicing medicine the way we see as “best”, it wasn’t the government that first started this whole process of self reflection on what it is we are doing related to patient care, when we see outcomes that are harmful. It was rather a book, a person, a movement and an organization that was front and center in all of this. Crossing the Quality Chasm (produced by the Institute of Medicine, a nonprofit, nongovernmental organization) was the book; Don Berwick, MD was the man; patient safety was the topic of the movement and the Institute of Health Improvement (IHI) was the organization. We since have certainly seen much involvement by the government to move those concepts forward but always with the vision and supervision of our professional medical organizations through their advocacy role.

So as not to be too jaded in our concerns that government could step too far into our private practices, I find a quote on the HHS Hubert H. Humphrey Building wall that gives me hope and a yardstick to measure such interventions:

“The moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged; and those in the shadows of life, the sick, the needy and the handicapped.”

Just as all of us as medical providers are now being graded on the care we give to our patients, so should our government be given a moral test and subsequent passing or failing grade, as to their treatment of our citizenry, which as you think about it is all of us.

Breaking the Cycle: SCMS Foundation Part of Integrated Approach to Addressing Offenders’ Underlying Problems By Jim Ryan Project Access Care Coordinator

In 2013, a period of rapid and exciting change for the Spokane County Medical Society Foundation began. As we prepared for the full implementation of the Patient Protection and Affordable Care Act to significantly reduce the Project Access workload, it became clear that the knowledge we’ve gained and the networks we’ve built over the years could—and should—be effectively applied to other gaps in our community’s public health system.

Specifically, we increasingly saw that we were valued as facilitators of collaboration among a myriad of medical, behavioral and social services organizations and professionals with the goal of providing more comprehensive, coordinated care for the most complicated individuals in our community. The early successes of the Hot Spotters Group and the city’s H3 (Health Homeless Housing Systems Integration Pilot) grant have clearly demonstrated that this work is vital and has the potential to drastically reduce wasteful spending while vastly improving health


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outcomes for a population that has historically been impervious to lasting change. When the Foundation met with the team heading up Spokane’s new Community Court, we knew it was a good fit.

Municipal Court Judge Mary Logan, city prosecutor Adam Papini, public defender Francis Adewale and chief probation officer Donna McBride compose the team that brought this alternative court to realization in December after years of research, work and patient “waiting for the right moment politically to make it happen.” Housed in the Spokane Public Library downtown, Community Court takes a different approach to recidivistic perpetrators of the kinds of non-violent, quality-of-life crimes that have long plagued Spokane’s downtown corridor and the municipal court’s docket. These include charges like public urination, pedestrian interference (panhandling), and public intoxication. In the past, these charges would have resulted in a failure to appear in court, resulting in an arrest warrant, leading to a short and costly stint in jail and a fine that was unlikely to ever be paid. Often, this process would then be repeated over and over again, at great cost and no benefit to the taxpayers.

The idea behind alternative courts all over the nation is that the regular judicial system is relatively inefficient in its handling of certain populations. Drug courts, for example, have become extraordinarily effective in addressing the particular challenges endemic to addicts and their families by attempting to deal humanely with the underlying medical-behavioral issues rather than simply writing them off, tossing them in jail and allowing the cycle to continue. While Spokane’s Community Court certainly sees its fair share of individuals with substance abuse problems, the scope is more broadly defined to encompass the combination of social, medical, and behavioral issues that have contributed to the “street people” culture that has created a sense of seediness downtown.

Considered pragmatically, yes, this is an effort to clean up downtown in response to the complaints of business owners who believe, perhaps rightfully so, that customers are being driven away by concern for personal safety. It is also, however, an acknowledgement that past attempts to solve this problem have generally been shallowly focused on the cosmetic problem. In addition to being inhumanely designed and implemented, these attempts have been unsuccessful in the long-term, as they have failed to get at the root of the problem. Community Court seeks to address the human problem, rather than the commercial problem.

In an early meeting to determine whether the Foundation’s involvement made sense, prosecutor Papini and probation officer McBride shared with us a list of repeat offenders with outstanding warrants. With just a brief glance through the stack of pages, we found no less than a dozen names that overlapped with our

work on the Hot Spotters Group and H3 grant, some of whom had resisted our attempts to connect them to health and social services. The potential became immediately clear: the court has the authority to make demands of these individuals while we have the network and knowledge needed to make those demands meaningful and beneficial.

Now that may sound a bit authoritarian, but rest assured that these clients have every right to refuse what is asked of them at Community Court and proceed through the system as usual. The court merely offers them an alternative to the usual rigmarole. When an offender arrives at 10:30 on Monday morning, s/he is greeted by a host of community service providers, including: Suellen Pritchard and Robert Martin, in-person assisters that can help clients sign up for Medicaid through the Affordable Care Act; a team of screeners from Frontier Behavioral Health; Rosemary Wear, an attorney who provides legal assistance with Social Security Disability claims and case managers from Goodwill Supportive Service for Veterans Families. In addition, the Department of Licensing will come once each month to facilitate state ID cards for individuals who lack any form of personal identification, which can be a major barrier to services.

The court relies on the Community Health Worker team from the Spokane County Medical Society Foundation—Sarah Bates, Jim Ryan, Margie Locher and Lee Taylor—to assess the needs of these individuals and recommend a course of action that will give them the best chance of breaking out of the cycle they’re in. Our recommendations are then paired with court imposed community service requirements and the defendant is given a timeline within which to complete those requirements while not picking up new charges. Most often, the “birth-to-death” timeline of one of these cases is set at six months, but the client is usually asked to accomplish certain goals within the first week or two. All of this is laid out when the client appears before Judge Logan during the 1:30 court session.

These sessions are surprisingly informal, with the prosecutor, public defender and judge going to great lengths to show their support and encouragement for the defendant. At the first session in January, they were especially enthusiastic in their admiration for a defendant who, just one week earlier had appeared before the court in an extremely strung out and non-lucid state. To everyone’s surprise, he returned to court, as required, sober and actively striving for rehabilitation by availing himself of the support the court offered. While this gentleman and many like him have a long way to go, cases like this one offer early promise for the Community Court model. We are proud to be involved in the early stages of this effort and look forward to being a part of its continued growth and success.


Medical Education UpdateBy John McCarthy, MD Assistant Dean for Regional Affairs - WWAMI University of Washington School of Medicine Faculty Family Medicine Spokane

As WWAMI-Spokane begins 2014, we continue to be working in a world filled with changes. Fortunately, most of these changes are moving medical education thoughtfully forward with clear objectives and goals in spite of a fair number of intrinsic obstacles. It remains an exciting and transitional time for medical education in general and specifically for our community.

We begin this academic year with Darryl Potyk, MD stepping in to the role of Clinical Assistant Dean working closely with the WWAMI Spokane team to increase clinical experience in town. He has taken to this position well, and similar to the medical students, he has been drinking from the fire hose of medical education. He is looking forward to developing longitudinal clerkships in Spokane that will break from the training modality of working within one specialty at a time. Many of our patients are undifferentiated and many medical schools have come to appreciate that exposure to multiple specialties simultaneously has advantages.

Spokane is also staring down the barrel of having 40 first year medical students in Spokane with the transition of the WSU-Pullman medical students moving up and becoming WSU-Spokane medical students beginning in 2014. This transition will result in 80 Washington students starting in Seattle and 40 Washington students starting in Spokane. As Dean Ramsey and Chancellor Brown jointly wrote last year, there will then be a request to the state to fund an increase in the number of medical students. This request for growth will be important for our community as it will define whether we can grow the number of students in our community. Stay tuned as I truly believe that this proposed growth will be very important for our patients and for our community.

Another exciting change has been introduced. The WSU-Riverpoint campus will be home to a newly created Teaching Health Center. A consortium consisting of WSU, Providence and the Empire Health Foundation applied for a grant and was awarded $900,000; enough to fund the building and 6 additional primary care residency positions which will be split between the Family Medicine and the Internal Medicine residency programs. This clinic will be designed to provide health care services while emphasizing interprofessional education. This is very much in line with Chancellor Brown’s vision to make the Riverpoint campus a place for excellent medical science education in an innovative fashion.

SCMS has created a “medical education taskforce” to help align our community with the needs of the future. This is very forward thinking and, in my biased opinion, it is the right thing to do. It is an exciting and challenging time to be in medical education in our community. We continue to be ramping up, continue to be growing, and continue to be meeting a need. We do most of this on the backs of committed physicians, physician assistants and other allied health professional. We are very appreciative of your engagement and look forward to a future which remains challenging, bright, and rewarding both for our patients and ourselves.

I know I speak for all of us involved in medical education in the community when I emphasize how much we appreciate the work many of you are doing to train the residents, students, and physician assistants. We fully realize that it is through your generosity as professionals that we are able to bring more highly skilled colleagues into our community and we thank you and applaud you for your engagement.

Membership Recognition for January and February 2014Thank you to the members listed below. Their contribution of time and talent has helped to make the Spokane County Medical Society the strong organization it is today.

JANUARY50 YearsWayne L. Attwood, MD 1/28/1964Gordon W. Moore, MD 1/28/196440 YearsNicholas A. Bachhuber, MD 1/22/197430 YearsThomas J. Allerding, MD 1/24/1984Carl J. Bodenstein, MD 1/24/1984Lee F. Fletcher, MD 1/24/1984Robert J. Golden, MD 1/24/1984Priscilla J. Hancock, MD 1/24/1984Ralph M. Kunkel, MD 1/24/1984Bradley W. Pope, MD 1/24/1984Fredric A. Shepard, MD 1/24/1984Gary Van Heuvelen, MD 1/24/198410 YearsThomas L. Cotter, MD 1/5/2004Daniel T. Yang, MD 1/5/2004Gary D. Kaneshige, MD 1/29/2004

FEBRUARY50 YearsJohn H. Hurley, MD 2/20/1964Robert W. Kendall, MD 2/20/1964


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IN MEMORIAM

Wallace John, CHAPMAN, MDWallace John Chapman, MD passed away quietly on January 16, 2014 at the age of 86. John was born on May 2, 1927 in Los Angeles, CA to Wallace Maxwell Chapman, MD and Edith Marie

Reekie. At age 17 he joined the Navy and served during WWII in the Pacific Theatre. After his honorable discharge in 1946, John enrolled in the University of California, Berkeley, earning a Bachelor of Arts with a major in Medical Sciences in 1954. He then enrolled in the UCLA School of Medicine, graduating in 1959. After moving to Alaska, he served as Commissioner of the Department of Health and Welfare for the state from 1967-1968 under Governor Hickel.

During his time in Alaska he took up flying, was certified by the FAA as a Class 1 Senior Aviation Medical Examiner and operated a private medical practice. While in Alaska he met Nadine Woodworth whom he later married in 1976 in Berkeley, CA. John worked for Kaiser Permanente in Martinez, CA in the Emergency Department. The two later purchased and ran a farm and ranch in Ferdinand, ID while John split his time between farming and practicing medicine in CA, flying his Cessna 180 between the states.

He later began working for the Urgent Care department of Group Health Permanente in Spokane, WA. John always spoke fondly of his co-workers in the medical profession as well as the farming industry. His sharp wit and gentle manner will be sorely missed. John is survived by his sister, Betty Massman; his stepmother, Mary Louise Chapman; his three daughters, Keely Chapman, Johnny Chapman and Madeline Chapman, his two sons, Ian Chapman and Evan Chapman and four grandchildren. His wife, Nadine Chapman, passed away in 2008.


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SAVE THE DATE“BECOMING A MORE EFFECTIVE EDUCATOR”

The evening of April 2ndPresenters Christina Surawicz, MD, MACG

and Lynne Robins, PhDfrom the University of Washington School of Medicine

Hosted by UWSOM Regional Dean’s OfficeJohn McCarthy, MD and Darryl Potyk, MD

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Project Access Clients Challenge Conventional WisdomBy Jim Ryan

Project Access Patient Care Coordinator

Project Access exists to help anyone who is uninsured and makes less than 200% of the Federal Poverty Level income guidelines. For reasons that are as practical as they are principled, we make no judgment about who “deserves” help based on whatever arbitrary moral rubric might be used to make such decisions. We are not concerned with why an applicant is uninsured or how s/he came to be poor. We simply seek to address the immediate medical needs of those who come to us for help. Our donating providers have always clearly been on the same page, giving generously and non-judgmentally of their time and talent to the patients we refer to them.

Having said all of that, I have been researching and writing these Project Access client stories for about six months now and I have been taken aback by just how consistently our clients do deserve the help that we facilitate for them. For all of the anecdotal evidence of “freeloaders” and “takers” that can be heard in the political discourse, the vast majority of people in need that I have encountered through Project Access form a completely different picture. Prior to whatever medical need brought them to our door, they have been, by and large, hardworking and upstanding individuals who were unfortunate enough to be hit with the double whammy of medical need during a period of financial hardship.

Gary Ishler is a perfect example. For 41 years, Gary worked in jobs that were physically demanding. He started in the dry cleaning business and then became a cabinet maker, working in the custom coach industry in Ohio, building custom buses and RV’s for the likes of Clint Eastwood, John Madden, and Johnny Cash (who once invited a 27-year old Gary to spend a week fishing with him). His ability and dedication allowed him to rise into management as a supervisor and plant manager until 2009 when he was replaced by the owner’s brother at the family-owned business to which he had devoted decades of his life. (He still refuses to speak ill of the company, saying “they’re great people to work for.”)

At 58-years old, employment was elusive. Gary became discouraged and depressed by his prospects. He decided to sell everything and move to Spokane, where he had an employment opportunity—one that ultimately did not pan out. Meanwhile, the back pain that Gary had spent years earning became more of a problem and was compounded in late 2012 by a new pain, accompanied by a “left groin snapping sensation,” that dramatically worsened over a short period of time. This was not terribly surprising to Gary. In 1982, he had injured his back installing 240-lb lead sheets along the underside of the generator of a tour bus. The management refused to send him

to a doctor, telling him to “ice it.” About six months later, his leg began to collapse beneath him periodically. At the time a doctor told him, “When you’re about 55, you’re going to be looking at some surgeries and you’ll probably be physically done working by then.” The symptoms associated with this injury persisted over the years, but Gary worked through them with chiropractic adjustments.

With his three-year, $480/month Cobra extension running out, Gary went to a chiropractor, assuming that this new pain was related to his ongoing back problems. Sure enough, the doctor refused to work on him, saying, essentially, that his back was too much of a mess for him to treat. Gary went to CHAS and Providence Orthopedics, where he was told that he needed three MRI’s. His COBRA insurance carrier stalled—running out the clock on his coverage—and ultimately denied his claim on the basis that it was related to a previous work-related injury. Inland Imaging priced the required MRIs at approximately $5000. They also referred him to Project Access.

Gary came to us with his savings depleted. Having lost his motor home and moved in with friends, he was unsure how he would pay for even one MRI, let alone three plus whatever intervention might be recommended based on the results. He was approved for Project Access and went to Inland Imaging for the requested MRIs. (He related the fact that he had no idea he was claustrophobic until he went into the tube and “freaked out.” He was especially distraught because the MRI was being donated. “I didn’t want to screw this up,” he told me. The folks at Inland Imaging were understanding and helpful. They put him under and got the job done.)

Upon reviewing the charts, Dr. Andrew Howlett at Providence Orthopedics informed Gary that he needed a total hip replacement. His Project Access enrollment was extended to allow time for the surgery that took place on September 5, 2013. Four months later, Gary reports that he “feels like a new man.” He feels a sense of worth and vitality again. For this he is extraordinarily grateful to everyone involved in his recovery. ”The doctors, nurses, receptionists...everyone

treated me every bit as well as if I’d been a paying customer.” In his desire to give back to those who helped him, Gary has been advising Dr. Craig Henneberry, his physical therapist at Physical Therapy Associates, on some improvements to the clinic’s exercise room.


Dr. Andrew Howlett



I asked Dr. Henneberry why his organization participates in Project Access and what it was like to work with Gary. He had this to say:

I think for me, and I would hope for everyone in the profession of Physical Therapy, we entered this field with the goal being to help people get healthy again. Whether that means recovering from a surgery, an accident, or just normal “wear and tear” on the body; it is our goal to return our patient’s to their previous activity levels. Project Access allows us to do this in the truest sense of the word. We are able to give back to the community while at the same time helping individuals return to that same community at a healthier, more functional level.

Gary embodies what Project Access is all about. He was always so gracious and willing to do anything we asked of him throughout the rehab process. I was happy to be a part of his treatment and hope to continue the relationship with him beyond the walls of our clinic.

These stories would be difficult to write if Project Access clients in any way resembled the caricatures of freeloaders that are bandied about in certain circles. You would undoubtedly be able to detect a thick layer of disingenuous schlock if I were trying to sell you on the merits of helping people less sympathetic than Gary. Fortunately, I don’t have to do that. Our donating providers, such as Dr. Howlett at Providence Orthopedics and Dr. Henneberry at Physical Therapy Associates, know this from experience. Their example certainly promotes compassion and generosity in our community. Just as important, their experience with these patients challenges perceptions about the fundamental worthiness of those who need help of all kinds.

Thank You from Christ Clinic - To Our Donors, Volunteers and Medical PartnersBy Raelene Vogelsang, Development Director for Christ Clinic/Christ Kitchen

Christ Clinic cares for the whole person … the physical, mental and spiritual health of each patient. We are not a “free clinic.” Those in need of care pay on a sliding scale based on their income and the size of their family. Primarily, we serve the working poor of Spokane.

Donors, Community Medical Partners and Medical Volunteers make the work of Christ Clinic possible. Our current Medical Volunteers include:

Thank you to all our current and past volunteers. If you are interested in being a Christ Clinic volunteer, contact: Larry Carpenter, PA at the Clinic Monday through Friday at (509) 325-0393 ext. 310.

We appreciate our Community Medical Partners that come along side our patients:

To experience the joy of giving to the work of Christ Clinic, please direct your gifts to: Christ Clinic, P.O. Box 28236, Spokane, WA 99228 or online at www.ccckministry.org .

The patients and providers of Christ Clinic are grateful for your help that gives HOPE to your neighbors in need.

Scott Edminster, MDJenny Edminster, ARNPKathy Goins, DietitianJonathan Hook, PTGreg Linwick, PTElizabeth Nega, MDJeff O’Connor, MD

Frank Otto, MDSam Palpant, MDTad Patterson, MDPaul B. Phillips, DCChristine Schueler, RPHDonella Young, MD

Incyte PathologyInland ImagingInland Northwest Health Services

PAMLProject AccessProvidence Health Care

Clinic Director Larry Carpenter, PA praying with a Christ Clinic patient at the end of a visit. Each

patient may pray with his/her provider; this deeper connection can open doors to hope

and changes in people’s lives.


The following physicians and physician assistants have applied for membership and notice of application is presented. Any member who has information of a derogatory nature concerning an applicant’s moral or ethical conduct, medical qualifications or such requisites shall convey this to our Credentials Committee in writing to the Spokane County Medical Society, 104 South Freya Street, Orange Flag Building, Suite 114, Spokane, Washington, 99202.

PHYSICIANS

Brown, Keri Li, MDObstetrics and GynecologyMed School: Creighton U (2003)Internship: U of Hawaii (2004)Residency: U of Hawaii (2007)Joining Obstetrix Medical Group of Washington 03/2014

Tran, Lan T., MDObstetrics and Gynecology/ Maternal Fetal MedicineMed School: U of Texas, Southwestern (1999)Internship: U of Texas, Southwestern (2000)Residency: U of Texas, Southwestern (2003)Fellowship: U of Washington (2006)Joining Obstetrix Medical Group of Washington 03/2014

PHYSICIANS PRESENTED A SECOND TIME

Dieter, Garry P., MDAnesthesiologyJoining Providence Anesthesia Services 03/2014

Rostad, Steven W., MDAnatomical and Clinical PathologyPracticing with Cellnetix Pathology 12/2013

Weiss, Joseph B., MDCardiovascular DiseasePracticing with Rockwood Heart & Vascular 11/2013

PHYSICIAN ASSISTANTS

Benson, Andrew, PA-CPhysician AssistantSchool: U of WA - (2011)Practicing with Spokane Emergency Physicians (Sacred Heart) 01/2014

CONTINUING MEDICAL EDUCATION

Update in Internal Medicine 2014: This seminar is jointly sponsored by the Spokane Society of Internal Medicine and the Spokane County Medical Society. 9.0 AMA Category 1 Credits. Conference will be held on February 22, 2014 from 6:45 a.m. – 5:30 p.m. at the Spokane WSU River Point Campus, Health Sciences Building. For additional information please contact Jennifer Anderson at (509) 448-9709 or email [email protected].

MEETINGS/CONFERENCES/EVENTS

SAVE THE DATE! Primary Care Update 31st Annual

Conference May 2 and 3, 2014 Red Lion at the Park – Spokane, WA This well established update is a tremendous opportunity for physicians and other health professionals to choose from more than 20 CME sessions and workshops designed specifically for primary care practitioners. Touted as the largest gathering of primary care providers on the West Coast, this forum provides time to connect with long-time colleagues and learn from others. Combined with the general excitement of Spokane’s Bloomsday Run on Sunday, May 4, this conference is one not to miss! Watch for registration information coming soon!

Institutional Review Board (IRB) - Meets the second Thursday of every month at noon at the Heart Institute, classroom B. Should you have any questions regarding this process, please contact the IRB office at (509) 358-7631.

National Environmental Health Association Courses

sponsored by the CDC and EPA available. Courses include National Environmental Public Health Performance Standards Workshop: Building Local and National Excellence, Biology and Control of Insects and Rodents Workshop, Environmental Health Training in Emergency Response and Environmental Public Health Tracking 101. For more information go to the website at www.nehacert.org.

Physician Family Alanon Group: Physicians, physician spouses or significant others and their adult family members share their experience, strength and hope concerning difficult physician family issues. This may include medical illness, mental illness, addictions, work-related stress, life transitions and relationship difficulties.

We meet Tuesday evenings after 6 p.m. The format is structured by the 12-Step Alanon principles. All is confidential and anonymous. There are no dues or fees. To discuss whether this group could be helpful for you, please contact Bob at (509) 998-5324.


POSITIONS AVAILABLE

PHYSICIAN (OB/GYN and Urgent Care) OPPORTUNITIES

AT COMMUNITY HEALTH ASSOCIATION OF SPOKANE-Spokane Locations (CHAS) Enjoy a quality life/work balance and excellent benefits including competitive pay, generous personal time off, no hospital call, CME reimbursement, 401(k), full medical and dental, NHSC loan repayment and more. To learn more about physician employment opportunities, contact CHAS Human Resources at (509) 444-8888 or [email protected]. Visit our website to learn more and to apply www.chas.org.

QTC MEDICAL GROUP is one of the nation’s largest private providers of medical disability evaluations. We are contracted through the Department of Veterans Affairs to manage their compensation and pension programs. We are currently expanding our network of Psychology, Psychiatry, Physical Medicine and Rehabilitation, Family Medicine, Occupational Medicine, Internal Medicine and General Medicine providers for our Washington Clinics. We offer excellent hours and we work with your availability. We pay on a per exam basis and you can be covered on our malpractice insurance policy. The exams require NO treatment, adjudication, prescriptions to write, on-call shifts, overhead and case file administration. Please contact Maggie Dillon directly at (909) 978-3548 or [email protected] or visit our website www.qtcm.com to learn more about our company.

PROVIDENCE FAMILY MEDICINE RESIDENCY SPOKANE - Immediate opening with Providence Family Medicine Residency Spokane (PFMRS) for a full- time BC/BE FP physician who has a passion for teaching. PFMRS is affiliated with the University of Washington School of Medicine. We have seven residents per year in our traditional program, one per year in our Rural Training Track and also administer OB and Sports Medicine Fellowships. This diversity benefits our educational mission and prepares our residents for urban & rural underserved practices. We offer a competitive salary, benefit package and gratifying lifestyle. Please contact Linda Barkley, Program Assistant at (509) 459-0688 or [email protected].

PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington has immediate opportunities for BE/BC Family Physicians to join our expanding primary care team in Spokane, eastern Washington’s largest city. Newborns to geriatrics, no OB. Excellent compensation and benefits. PMG – Eastern Washington is our physician-led network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at [email protected] or (509) 474-6605 for more information.

PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington is recruiting for an excellent Family Medicine physician to join our care team in Spokane Valley, a scenic suburb of Spokane. Full-time opportunity with our growing medical group in what will be a large, state-of-the-art medical ambulatory center (construction completion target is spring 2014). No OB. Outpatient only. Competitive compensation and comprehensive benefits. PMG – Eastern Washington is our physician-led network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at [email protected] or (509) 474-6605 for more information.

SPECTRUM HEALTHCARE RESOURCES has an immediate opportunity for a civilian Family Practice Physician at Fairchild Air Force Base. This contract position offers: Full-time; Outpatient setting; Monday through Friday, 7:30am to 4:30pm; Manageable patient load (20-25 per day) and Shared on-call responsibilities (mostly telephone consulting). The position will have the following requirements: Current and unrestricted medical license; Successful completion of a family medicine residency; Board Certified by the ABFM or AOBFP; BLS, ACLS, PALS and Ability to work in a team setting. Contact Spectrum recruiter Lisa Paska for more information at [email protected] or (314) 744-4107.

MID-LEVEL OPPORTUNITIES AT COMMUNITY HEALTH

ASSOCIATION OF SPOKANE - Family Practice ARNP and Physician Assistant needed in Spokane, WA and Moscow, ID. Enjoy a quality life/work balance and excellent benefits including competitive pay, generous personal time off, no hospital call, CME reimbursement, 401(k), full medical and dental, NHSC loan repayment and more. To learn more about employment opportunities, contact CHAS Human Resources at (509) 444-8888 or [email protected]. Visit our website to learn more and to apply www.chas.org.

We are looking for a COMPASSIONATE AND SKILLED

FAMILY/INTERNAL MEDICINE PHYSICIAN/ FINAL YEAR

RESIDENT for our growing clinic in the Olympic Peninsula. This setting provides a place and all the resources for setting up your own private practice in a complete turnkey manner with regulatory and administrative matters taken care of professionally. The organization is physician led and takes care of physicians very well.

We would expect the new physician to start with some urgent care hours and slowly transition to a full time private practice primary care. Candidates signing up in during their residency are eligible for a $1000 per month stipend for the remainder of their residency. For further details, please call (509) 414-6390.



POSITIONS AVAILABLE (CONT’D)

FULL-TIME LICENSED PHYSICIAN ASSISTANT (PA) wanted for expanding clinic in Spokane, Washington. Currently patients are seen four days per week, Monday through Thursday, 8 a.m. to 5 p.m. Approximately 24 patients per day. This could expand into five days a week in the future. No call, weekends or holidays. Fabulous benefit package offered, including vacation and CME benefits. Starting salary depends on experience. Submit resume and cover letter to Kris Norton, Office Manager Inland Neurosurgery & Spine Associates, P.S. 105 W 8th Ave, Ste. 200 Spokane, WA 99204 or [email protected].

REAL ESTATE

Large Second Owner Custom Built Executive Home with unparalleled views of Liberty Lake and Spokane Valley on five acres available for sale or lease. Custom hardwood floors and woodwork throughout, cherry office shelves, cathedral ceilings, central air, three car garage, brick porch, tile roof, large deck, three fireplaces, four bedrooms, four bathrooms, formal dining room, large kitchen, large eating room and den. Walk out basement, wood stove, kitchen and bathroom. Large 30’ x 100’ pole barn with separate utilities, two phase power, three twelve-foot overhead doors. 30 x 60 sports court. Large animals allowed. Water rights included. 4Kw grid interactive, portable battery backup solar system available. Offered for $600k or for lease $3250, no pets/smokers. Seller is a real estate broker at (509) 220-7512.

Beautiful Priest Lake Cabins for Rent Our newly restored cabins are located on the historic site of Forest Lodge in the entrance to the scenic Thorofare. Two cabins are available. Each sleeps 8. They are located at the water’s edge, have gorgeous views, bordered by the National Forest and 18 acres of private land. The beds and furnishings are all new and cabins have all the amenities - decks, docks, beaches with fire pits, walking trails and forest to explore. Boating, hiking, swimming, sailing, snowmobiling in winter or just relaxing in the sunshine. You will enjoy a peaceful, fun-filled vacation at this amazing site. For available dates, pricing, photos and details call Jeannie or John at (509) 448-0444.

Comfortable Three-Bedroom Home in quiet neighborhood for rent. Good storage in kitchen, gas stove, dishwasher, refrigerator, washer/dryer and fireplace. Comes furnished or can negotiate. Close to Hamblen Grade School, Sac Middle School and Ferris High School. Three bedrooms, three baths, large living room, family/TV room, master bedroom has private bathroom, two-car garage. Large windows in living room look out into large fenced yard with automatic sprinkler system (front and back). Snow blower and lawnmower provided. Call (408) 594-1234 or (509) 993-7962.

River Front and Acreage, 3300ft², 4 Bedroom Home for Lease (Or Sale) $1,850/month. Close in but feels like the country. Four bedroom, three and ½ bath, master suite with corner jetted tub and large walk-in closet, open living and dining area with great views and gas fireplace, family room with wood stove, attached two-car garage and detached two-place carport. Forced air natural gas furnace. Large multilevel deck and patio looking toward river. Wooded acres on the Little Spokane River with private trails, sandy beach and swimming hole. Plentiful wildlife. School bus comes to front drive. Mead school district. Close to Whitworth, shopping and freeways but very quiet and secluded. Cable hook-up. Grounds are river irrigated. First and last plus cleaning deposit. Utilities not included. No indoor pets. $150/month grounds maintenance fee if you choose not to do it yourself. Contact Scott (509) 435-7099. For photos go to Craig’s list - http://spokane.craigslist.org/apa/3984125910.html.

One of Copeland’s Best North Side Homes on over fifty acres with meadows, trees, complete privacy and gorgeous views. This home offers contemporary living at its best featuring four bedrooms, four bathrooms, three-car garage, hard rock maple floors, cabinets and built-ins, three balcony decks plus a patio with water feature. The second level has a distinctive master suite with custom built-ins, large walk-in closet, lovely master bath with lowboy toilet and bidet, a large sitting room with built-in shelving, raised gas fireplace and extraordinary views! The main floor great room boasts granite, stainless appliances, oversized pantry and very functional laundry suite with chute. Super-efficient geothermal heating and cooling affords economical year ‘round comfort. Twenty minutes from Holy Family Hospital. Mead schools! $750,000 Call Marilyn Amato at ( 509) 979-6027.

MEDICAL OFFICES/BUILDINGS

South Hill – on 29th Avenue near Southeast Boulevard - Two offices now available in a beautifully landscaped setting. Building designed by nationally recognized architects. Both offices are corner suites with windows down six feet from the ceiling. Generous parking. Ten minutes from Sacred Heart or Deaconess Hospitals. Phone (509) 535-1455 or (509) 768-5860.

North Spokane Professional Building has several medical office suites for lease. This 60,000 sf. professional medical office building is located at N. 5901 Lidgerwood directly north of Holy Family Hospital at the NWC of Lidgerwood and Central Avenue. The building has various medical office spaces available for lease from 635 to 10,800 contiguous usable square feet. and has undergone extensive remodeling, including two new elevators, lighted pylon sign, refurbished lobbies, corridors and stairways. Other tenants in the building include urgent care, family practice, pediatrics, dermatology, dentistry, pathology and pharmacy. Floor plans and marketing materials emailed upon request. A Tenant Improvement Allowance is available, subject to terms of lease. Contact Patrick O’Rourke, CCIM, CPM®with O’Rourke Realty, Inc. at (509) 624-6522, mobile (509) 999-2720 or [email protected].


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A social evening of laughter and collegiality for

SCMS members and their guests.

CREDIT CARD Visa MasterCard MAKE CHECKS PAYABLE TO SCMS

TOTAL$

Account Number Expiration Date Phone # Card Holder’s Name Card Holder’s Billing Address City State Zip Code

Meal Requests: Name_________________________________________ Pork Chicken Vegetarian Name_________________________________________ Pork Chicken Vegetarian

SCMS * Orange Flag Building * 104 S. Freya St., Ste. 114 * Spokane, WA 99202 (509) 325-5010 Fax (509) 325-5409

RSVP by April 10, 2014 No cancellations or refunds after April 10.

Double Cut Pork Loin Chop Served with apple bourbon mustard

glaze, smashed red potatoes and fresh

vegetable

Chicken Oscar Boneless skinless breast of chicken

topped with Dungeness crab,

asparagus and béarnaise sauce with

saffron rice and fresh vegetable

Vegetarian Chef’s choice

$20 per person

M E A L C H O I C E S

S E R V E D W I T H S A L A D , B R E A D , D E S S E R T A N D C O F F E E / T E A

Guest Speaker: Mack Dryden Comedic Motivator and Emcee “He was a BIG hit! Everyone was rolling in the aisles with laughter.”

Live Happy, Laugh Loud As a comedian he’s performed on dozens of TV shows, including The Tonight Show with both Johnny Carson and Jay Leno. As an actor he’s appeared in several movies and on many TV shows, including JAG and a recurring role as a judge on ABC’s The Guardian. Before becoming an entertainer, he was an award-winning journalist and a black belt karate champion.

NEW DATE!

GENERAL MEMBERSHIP MEETING

SPOKANE COUNTY MEDICAL SOCIETY - ORANGE FLAG BUILDING104 S FREYA ST STE 114SPOKANE, WA 99202

ADDRESS SERVICE REQUESTED

Printed on GP Spectrum® Paper: Certified by the Sustainable Forestry Initiative. Please recycle.

PRSRT STDU.S. Postage

PAIDSpokane, WA

Permit No. 307

The Spokane County Medical Society is changing

the monthly newsletter, The Message, and is

looking to include human interest stories about our

physician and physician assistant members.

We are interested in exciting, different and/or

unusual activities and hobbies. It can be anything

from gardening to skydiving. We just need your help

getting names and ideas. Our writers will contact

members to do interviews.

Please contact Michelle at [email protected] or

(509) 325-5010 with any information. Thank you.

February SCMS The Message Open2 · 2020-02-21 · February SCMS The Message 1 A New Paradigm: Health and Health Care for Our People (Part 1) By David Bare, MD SCMS President When

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