Paid Advertisement · 1. Soaking in Epsom salt, shower water, dish soap and broad-spectrum antibiotic-containing foot baths daily. I have only ever seen this result in denuding of

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Tennessee AcAdemy of fAmily PhysiciAns 3

CO-EDITORS:Michael Hartsell, M.D., FAAFP

Greeneville

Kim Howerton, M.D.Jackson

Sherry L. Robbins, M.D.Knoxville

OFFICERS:PRESIDENT:

Ty Webb, M.D., FAAFP

PRESIDENT-ELECT:Jerry Wilson, M.D.

VICE PRESIDENT:Daniel Lewis, M.D., FAAFP

SECRETARY-TREASURER:James D. Holt, M.D., FAAFP

IMMEDIATE PAST PRESIDENT:Sherry L. Robbins, M.D.

SPEAKER OF THE CONGRESS:T. Michael Helton, M.D.

VICE SPEAKER OF THE CONGRESS:Gregory H. Blake, M.D., FAAFP

DELEGATES TO THE AAFP:Wes Dean, M.D., FAAFP

Alan Wallstedt, M.D.

ALTERNATE DELEGATES TO THE AAFP:Beth Anne Fox, M.D., MPH, FAAFP

Daniel Lewis, M.D., FAAFP

EXECUTIVE DIRECTOR/Managing Editor:

Cathy Dyer

Please send address changes to:Tennessee Academy of Family Physicians

212 Overlook Circle, Suite 201Brentwood, TN 37027

The publication of paid advertisements in this journaldoes not constitute the endorsement or approval ofproducts, services, claims or opinions within said

advertisements by the Tennessee Family Physicianof the Tennessee Academy of Family Physicians.

Tennessee Academy of Family Physicians212 Overlook Circle, Suite 201

Brentwood, TN 37027

TENNESSEE ACADEMY OF FAMILY PHYSICIANS

Spring 2019 • Vol. 12 number 1

EDITION 44

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Created by Publishing Concepts, Inc.David Brown, President • [email protected]

For Advertising info contact Catherine Carter • 800.561.4686, ext. 106

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AN OFFICIAL PUBLICATION OF THE TENNESSEE ACADEMY OF FAMILY PHYSICIANS

President’s Corner

Wound Care Overview

Should I Test for Measels? A Guide for Tennessee Healthcare Providers

Call for Nominees for the 2018 Tennessee Academy of Family Physicians’ “John S. Derryberry M.D., Distinguished Service Award” and “Family Physician of the Year Award”

Call for 2018 Constitution & Bylaws Amendments and Call for Resolutions for 2018 Tennessee AFP Congress of Delegates

Leaders on the Move: Information for Members

Happy National Doctor’s Day!

Recap of November 1, 2018 TNAFP Board of Directors’ Meeting

AAFP Self-Study CME Revenue Share

Tennessee AFP Members: Post Your Practice Opportunities at No Cost

Tennessee Academy of Family Physicians 71st Annual Scientific Assembly

Cover photo courtesy of Celeste Goodman, TNAFP staff member.

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PLEASE MAKE NOTE OF THE TENNESSEE AFP’S NEW EMAIL ADDRESS – [email protected] previous email – [email protected] – has not been accessible to the TNAFP since the middle of February of 2018. If you sent any emails to [email protected] since the middle of February last year, TNAFP is not able to access them.

4 Tennessee AcAdemy of fAmily PhysiciAns

s I write this, January is coming to a close and new year resolutions are being put to the test. Ground Hog Day is just around the corner, and both of these relate directly to what we are all seeing as we read these words now — the rebirth of Spring. The paradox of repetition, of duplication, and yet, renewal. We see repetition in nature and the habits of our lives. We gravitate toward doing that which we have done before, even when that routine fails to move us forward. Often, the routine is even harmful. However we do have the amazing opportunity of choice, which brings newness. Renewal. Whether the new growth of a branch that was already present, or the germination of a seed, a thought, an idea in a completely new place. Your Academy is doing this. We just opened a new meet-ing space in our Brentwood office, equipped for in-person

and remote communication. We are meeting with the TMA and other key medical societies to re-shape the image and legislative foundation of medical care in Tennessee. We are discussing shifting our annual meeting in Gatlinburg to reduce missed revenue generating days in our practices. As individual physicians we must undertake the same. To not just lather, rinse and repeat, but to take new steps, embrace change and endeavor to become an improved version of our yesterday’s self. We have a unique and critical responsibility as stewards of our profession. Join me and our Academy as we grow together, mentoring nurses and pharmacists, NPs and PAs, and the next generation of physicians. Renewal is before us, if we choose it. Ty Webb, M.D., Sparta 2019 Tennessee AFP President

A

PRESIDENT’S CORNERTy Webb, M.D.


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WOUND CAREOVERVIEW here are many factors that go into the effective treatment of wounds, whether acute or chronic. Everything from circulatory issues, diabeticcontrol, environmental factors, compliance to care,concurrent medication uses, smoking, etc., is important.There is no one-size-fits-all method for resolving wounds,and the treatment of these issues without a structuredmethodology of effectively evaluating all these factorsand of stewardship of both antibiotics and resistanceprofiles can lead to disastrous consequences. The basics of wound repair at the cellular level requirethat the area have just the right amount of moisture; toomuch and the cells cannot migrate effectively and too little,the cells cannot move at all. There needs to be suppressionof bacterial and fungal growth without creating toxicentities to the growing tissues, adequate circulation toallow the various cells and factors to reach the site, anda lack of other stressors, including pressure, shearingforces or friction. Lack of adequate nutrition (primarilyprotein) also depletes the patient’s ability to bring forththe optimal forces to heal. Some common patient-initiated and, sometimes,physician-recommended, therapies that are deleterious in almost all instances:1. Soaking in Epsom salt, shower water, dish soap and broad-spectrum antibiotic-containing foot baths daily.

I have only ever seen this result in denuding of tissues and amputations.2. Betadine, airing-out-to-dryness, peroxide use, straight bleach use, and alcohol use on the wounds. These are all nonspecific killers of cells—taking out the baby cells trying to grow, as well as the intruding infectious factors. Typically, you want to verify control of diabetes, ifpresent, optimize therapy for other chronic conditions,provide optimal oxygenation of patient, and optimizationof the vascular system—including checking for arterialdoppler for lower extremity involvement and smokingcessation. Protein nutrition should be optimized. Addi-tionally, a culture from the wound base, after removal of all devitalized tissues and secretions, should always be obtained. Without culturing the base of the wound, you are only sampling what lies on top and not what isactually affecting the wound, itself. Leaving devitalizedtissues is just leaving both food and hiding places forbacteria to flourish. Also advisable are keeping the woundcovered to avoid further introduction of contaminants andnot letting the patient wet the area outside of prescribedtreatments. For example, showering is a common issuewith washing contaminants from both water source andother body parts into a wound. Edema control in a setting where arterial flow isadequate and has been verified, should always include notjust elevation, but compression therapy from mild stock-ings to Unna boots or even instigation of lymphedemapump therapy in appropriate candidates. Vascular referralfor venous hypertension therapy and sclerosis of underly-ing peripherals to reduce the contribution of insufficiencyof drainage is very important to consider as well. Important pearls to keep in mind:• If it is not working, change it, in terms of your treatment plan.• If not improving, re-culture; there is a hidden enemy there.• Continuous encouragement of patients to adhere to the plan and that it IS improving is crucial in chronic wounds—patients get discouraged easily.• Don’t forget there are advanced wound centers nearby in most areas for consult or referral when you are not getting the control and healing that you need.

Katherine R Hall M.D.Medical Director

Advanced Wound Careand Hyperbaric Center

Etowah, TN

T



CALL FOR AWARD NOMINEES BY MAY 15, 20192019 JOHN S. DERRYBERRY, M.D. DISTINGUISHED SERVICE AWARD

Nominations are being sought for the Tennessee AFP’s John S. Derryberry M.D. Distinguished Service Award by May 15, 2019. Nominations received should be for persons who deserve recognition of their outstanding service or contribution to the advancement of Family Medicine, to the Tennessee Academy of Family Physicians, or to the public welfare on Family Medicine’s behalf, whether of a civic, scientific, or special service nature. This Award was established to recognize out-standing and distinguished service by a physician or by a non-physician demonstrating exemplary leadership, character, and/or dedication to community involvement. The Award is named in honor of the late John S. Derryberry, M.D., Shelbyville, who served the TNAFP and AAFP with honor and distinction from 1964 until his passing in 1998, having served as AAFP President in 1979. Nominees are NOT required to be members of the Tennessee AFP, but nominations must be made by a Tennessee AFP member in good standing.

The following supporting data is required for each nominee:1) A detailed statement of the scientific, cultural, or special service justification for the nomination.2) Biographical information on the nominee, including a recent black and white photograph.3) Education and training of nominee.4) Professional history, contributions to Family Medicine, special appointments.5) Substantial evidence of merit, including printed material, publications, articles, or other citations or relevant supporting documents.

The award will be presented during the Tennessee AFP’s 71st Annual Scientific Assembly in Gatlinburg the week of October 21-25. To obtain a nomination packet, please contact the TNAFP office at 1-800-897-5949 or by email at [email protected]. Complete nomination packets must be received by the Tennessee AFP prior to May 15.

2019 FAMILY PHYSICIAN OF THE YEAR AWARD

The Tennessee Academy of Family Physicians is soliciting nominations for the Tennessee AFP Family Physician of the Year Award with a deadline of May 15, 2019. The Family Physician of the Year is selected by members of the Tennessee AFP Congress of Delegates, voting by mail ballot in June.

The Tennessee AFP’s Family Physician of the Year Award honors a member of the TNAFP who has made an outstanding contribution to Family Medicine, to the advancement of health and/or medical training and medical education. Any physician who meets the criteria is eligible for nomination for this Award. All nominations must be submitted on an official nomination form, available from the TNAFP office. In addition to the completed nomination form, all nominations must be submitted with updated curriculum vitae, a current photograph of the nominee and up to five (5) pages of addi-tional supporting documentation, such as personal letters or testimonials. All nominees MUST be a current member in good standing of the Tennessee Academy of Family Physicians. The award will be presented during the Tennessee AFP’s 71st Annual Scientific Assembly in Gatlinburg the week of October 21-25.

This is an opportune time to honor one of your colleagues! Consider submitting a nominee this year, or see that your Tennessee AFP component chapter/district submits one. To receive a nomination packet, please contact the TNAFP office at 1-800-897-5949, or by email: [email protected]. Remember, the deadline for nominations for the 2019 Family Physician of the Year is May 15. Only complete nomination packets will be accepted.

Call for Nominees for the2019 Tennessee Academy of Family Physicians’

“John S. Derryberry M.D., Distinguished Service Award” and “Family Physician of the Year Award”

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Pursuant to Article X of the Tennessee AFP Constitution & Bylaws, “An amendment to the Constitution & Bylaws may be proposed by any regularly appointed committee of thisAcademy or by any five (5) or more members. The proposed amendment(s) must be submitted to the Executive Directorof the Academy no less than 100 days prior to the meeting in which the proposed amendment(s) is to be considered.” “...notice of such proposed amendments to be made to members of the Academy by the Executive Director at least 30days before the meeting at which such proposed amendments are to be acted upon. Publication of proposed amendmentsin the official publication of the Academy shall be sufficient to constitute notice thereof to the members.”

CALL FOR 2019 CONSTITUTION& BYLAWS AMENDMENTS

Proposed amendments to the Tennessee AFP Constitution & Bylaws must be received by the TNAFP office by July 1.

If a Resolution is not received in writing by the Tennessee AFP office in Brentwood prior to September 15, any memberof the Tennessee AFP may present IN WRITING at the opening of the Congress of Delegates’ meeting on October 22,any Resolution pertinent to the objectives of the Academy. Three copies are required of Resolutions to be presented fromthe floor of the Congress, with one copy to the TNAFP Speaker, one copy to the TNAFP Executive Director and onecopy retained by the presenter.

Important Resolution Writing Tips: “Whereas” clauses explain the problem and/or situation. “Resolved” clauses must be written to stand alone.(Only “Resolved” clauses are subject to be voted on and adoption, meaning that whatever action is called for in theResolution must be clearly stated in the “Resolved” portion of the Resolution. Keep the “Resolved” clauses focused onwhat is desired as the end result.)

Submit Proposed Bylaws Amendments and/or Resolutions to the Tennessee AFP:Email: [email protected]

Fax: 615-370-5199Mail: 212 Overlook Circle Suite 201, Brentwood, TN 37027

CALL FOR RESOLUTIONS FOR 2019TENNESSEE AFP CONGRESS OF DELEGATES

Deadline for receipt of Resolutions for publication to membership is July 1.Deadline for receipt of Resolutions for reproduction and inclusion in the Delegates’ kits is September 15.


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• Congratulations to TNAFP member, Jose Velasco, M.D., Kingsport, upon receiving the Rural Health Association of Tennessee’s “Rural Practitioner of the Year” award for his leadership in bringing health services to citizens of rural Tennessee, providing outstanding care, and providing lasting contributions to the rural health care system in Tennessee.

• Mark your calendar for the Tennessee AFP’s 71st Annual Scientific Assembly October 21-25, 2019 at the Park Vista Doubletree Hotel, Gatlinburg.

• Like the Tennessee AFP on Facebook! Tennessee Academy of Family Physicians—TNAFP.

LEADERS ON THE MOVE I N F O R M AT I O NF O R M E M B E R S

The Tennessee Academy of Family Physicians sincerely wishes all of you a very Happy National Doctors’ Day on March 30! National Doctors’ Day is observed each year to honor all physicians for their caring of their patients, the communities in which they work and society as a whole. The first Doctors’ Day was observed March 30, 1933 in Winder, Georgia, and was originally started by Eudora Brown Almond, the wife of a prominent doctor. Ms. Almond wanted to create a day for just honoring doctors. She placed red carnations on the graves of deceased doctors; a flower which is still used today for National Doctors’ Day celebrations. On March 30, 1958, a Resolution Commemorating Doctors’ Day was adopt-ed by the U.S. House of Representatives. In 1990, legislation was introduced in the House and Senate to establish a national Doctors’ Day, and following over-whelming approval by the United States Senate and the House of Representatives, on October 30, 1990, President George Bush signed S.J. RES. #366 (creating Public Law 101-473) designating March 30th as “National Doctors’ Day.” Reference National Doctors’ Day website: http://www.doctorsday.org.

HAPPY NATIONAL DOCTORS’ DAY!


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• Approved Minutes of the June 30, 2018 Board of Directors’ Meeting.

• Received “Call for Nominees” for the Tennessee AFP’s 2019 Family Physician of the Year Award and John S. Derryberry M.D. Distin- guished Service Award.

• Approved no changes in 2020 dues for first-year new physicians and resident members.

• Received for information ETSU medical student and TNAFP member, Margaret Smith, was

elected during the 2018 AAFP National Conference of Family Medicine Residents and Medical Students to serve as the Chair of the 2019 AAFP National Confer- ence of Medical Students.

• Received an update from Doctor Webb, President, on discussions by the Executive Committee and Legislative Committee on educating members of the 2019 Tennessee General Assembly on Family Medi- cine and what Family Physicians do.

• Received for information that the

AAFP 2018 Congress of Delegates approved a Bylaws Amendment for inclusion of a Transitional Membership category effective December 18, 2018. AAFP will be charging yearly dues of $125, with the TNAFP to charge no dues to Transitional members.

• Approved a donation to the Tennessee Medical Foundation.

• Received referred Resolution 1-2018: Physician Supervision of Practitioners in Tennessee from the TNAFP Congress, with discussion by the Board of each portion of the resolution.

• Received for information Reso- lution 2-2018: Congress of Delegates Voting Mechanism, with the TNAFP Delegation to the AAFP Congress to bring the Resolution before the June 2019 TNAFP Board Meeting for final approval to be sent to the AAFP for the 2019 AAFP Congress.

• Noted the AAFP Resolution passed by the 2018 AAFP Congress on “Medical Aid in Dying” which adopted AAFP position of engaged neutrality toward medical-aid-in- dying as a personal end-of-life decision in the context of the physician-patient relationship, and rejected the phrase “assisted suicide’ or “physician-assisted suicide.”

For additional information on anyof these items, please contact Cathyat the Tennessee AFP office.

RECAP OF NOVEMBER 1, 2018 TNAFP BOARD OF DIRECTORS’ MEETING

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16 Tennessee AcAdemy of fAmily PhysiciAns16 Tennessee AcAdemy of fAmily PhysiciAns

Tennessee AFP Members Attention: If you are looking for a partner or a practice location, send information, preferably by email as an MS Word attachment to [email protected] or by mail to Tennessee AFP, 212 Overlook Circle, Suite 201, Brentwood, TN 37027, or by fax to 615-370-5199. Information for practice opportunities will be accepted only from TNAFP members and will be placed in the

Tennessee Family Physician at no charge. You are required to include your name, address and/or telephone number and/or fax number and/or email address, as contact concerning opportunities will be made directly between interested parties, and not through the Tennessee AFP. Information will be placed in four (4) editions, unless the Tennessee AFP is notified otherwise. Deadline for the next issue (Summer 2019) is April 19.

Primary care physician with experience wanted Primary care physician with experience wanted for an established safety net clinic based at the Maury and Lawrence County Health Departments in Columbia and Lawrenceburg. Position is a full time state position with state benefits. Practice is office based with minimal after-hours respon-sibility. Contact Dr. Lang Smith at [email protected]

Neighborhood Health Seeks a Chief Clinical Officer in Nashville area Neighborhood Health seeks a Chief Clinical Officer in Nashville area. This physician leader will simultaneously serve as the Chief Medical Officer and supervise the Director of Dental Services, Director of Pharmacy Services, and the Director of Integrated Behavioral Health. Reporting directly to the CEO, the Chief Clinical Officer will have primary responsibility for all aspects of care delivery, provider supervision, and quality assurance and improvement. We encourage all interested candidates to apply as soon as possible; please submit letters of interest and resumes to [email protected]; or call 615-227-3000 Ext. 1007. (Neighborhood Health is a network of 13 community health centers in Nashville, Lebanon, and Hartsville, Tennessee, providing comprehensive primary care, integrated behavioral health, and dental services to almost 30,000 patients. Our patients include immigrants, residents of public housing, individuals experiencing homelessness, and persons living with addiction. As a federally qualified health center, we provide care without regard to health insurance or a patient’s ability to pay.)

Cumberland Family Practice Is a Private Practice Group Cumberland Family Practice is a private practice group located in the beautiful lake community of

Hendersonville, TN. Just north of Nashville, this thriving practice is seeking a new physician to assume the patient base of a retiring physician. Practice details include: *Well-established FP is retiring from Primary Care group consisting of 4 FP’s, 3 PA’s and 2 FNP’s; *Average daily patient office visits of 22-24 patients per physician; *Outpatient Only clinical setting as well as NH/SNF patient coverage; *Experienced medical staff; *Patient mix: largely adult and geriatric, with limited pediatric and no OB or pre-natal care; *Call coverage: 1:9 (office-nursing home via phone); *No hospital call obligation; Hospitalist Program covers ED/unassigned patients and all admissions; *Competitive compensation package (partnership track potential after first year) with full benefits, i.e., 401k, malpractice insurance, disability and life insurance, CME/travel allowance, retirement planning and student loan assistance. Thanks for your time and we would welcome the opportunity to speak with you. Please contact our office manager, Betty Childress, at 615.824.4244 or [email protected] for more information.

Family Medicine Practice—Hendersonville Family Medicine Practice-Hendersonville. For Your Consideration: 24 year stable family medicine practice. Solo physician desires to slow down or retire completely next year. Will stay to help provider(s) assimilate to practice. About the location: On main street, parking at front door, handicap accessible. Rear parking for staff and rear entrance. Landlord local and responsive. 3 LARGE exam rooms, waiting room, business/private office, nurse and provider work zone, break room, and 2 restrooms. About the practice: 90+% insurance, most Medicare is Health Spring. AR lower than average, computerized appts and billing

Tennessee AFP MembersPOST YOUR PRACTICE OPPORTUNITIES AT NO COST


(capable of more-Doctor’s Access software-272.03/mo), COMCAST. Call group quite reasonable, 1 : 5, no inpt or ER coverage. About the patients: I like to say most of my elderly pts are playing golf, not chronically ill on mega meds and oxygen. Many have become friends of my family. About the staff: Nurse for 20+ years, office manager 18 years, office help 3 mornings a week. All will need replaced. Obviously, type of practice, kind of patients, EMR, and staffing all flexible as desired by provider(s)- DRs, NPs, OR PAs. Practice is on the edge of town where there has been and will continue to be large scale housing built. Several full and/or part time providers could easily thrive. Terms would be quite negotiable. See pictures at https://photos.app.goo.gl/6w5eU7dQrGjk5RWx5. Please call anytime. Contact: Stephen Bollig, M.D., 625 E Main Street, Ste 4, Henderson-ville 37075; (c) 615-308-3381; [email protected].

Primary Care/Addiction Medicine Physician Wanted Primary Care/Addiction Medicine Physician Wanted —Primary care physician wanted to provide primary care and addiction medicine services at

Cherokee Health Systems, an integrated primary care and behavioral health FQHC with multiple locations in Knoxville/East Tennessee, Chattanooga, and Memphis. Addiction medicine experience not required, will train the interested candidate. Position is full time, outpatient only, and may be placed at any of our locations to provide care on-site and via telemedicine. Opportunities exist to participate in training of family medicine residents and to engage with community partners for the care of patients with substance use disorders. Cherokee Health Systems is an integrated, federally-qualified health center caring for over 70,000 patients in multiple counties across Tennessee. A nationally-recognized leader in integrated primary and behavioral health care, Cherokee offers physicians the opportunity to practice comprehensive outpatient primary care alongside behavioral health providers in a collegial and efficient setting. Enjoy a competitive compensa-tion and benefits package, ready access to in-house specialties of OB-GYN, cardiology, and nephrology, and being part of a caring team of health care professionals. Contact Dr. Mark McGrail at [email protected] or 865-934-6748.

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TUESDAY, OCTOBER 22:7:00 a.m.-6:00 p.m. TNAFP Physician and Exhibitor Registration Desks Open

8:00 a.m.-6:00 p.m. Exhibit Booth Set-Up — Exhibit Hall Open Only to Exhibiting Representatives

8:30 a.m.-2:30 p.m. OPTIONAL KNOWLEDGE SELF-ASSESSMENT (KSA) — “Coronary Artery Disease’ — James D. Holt, M.D., Johnson City, TN & Gregg Mitchell, M.D., Jackson, TN

3:00 p.m.-6:00 p.m. TENNESSSEE AFP CONGRESS OF DELEGATES’ MEETING — T. Michael Helton, M.D., Speaker-Presiding

WEDNESDAY, OCTOBER 23:7:00 a.m.-6:00 p.m. TNAFP Physician and Exhibitor Registration Desk Open

7:00 a.m.-8:30 a.m. Light Continental Breakfast

7:50 a.m.-8:00 a.m. “Welcome and Announcements” — Ty Webb, M.D., FAAFP, 2019 TNAFP President, Sparta, TN

8:00 a.m.-8:30 a.m. “Greetings & Update from the AAFP”— Windel Stracener, M.D., AAFP Board of Directors, Richmond, IN

8:30 a.m.-10:00 a.m. “COPD” — William Dabbs, M.D., Knoxville, TN & Ty Webb, M.D., FAAFP, Sparta, TN 10:00 a.m.-10:30 a.m. BREAK — Visit Exhibits

10:30 a.m.-11:15 a.m. “CBD/THC and Medical Marijuana” — McKenzie Calhoun, PharmD., Assistant Professor of Pharmacy and Family Medicine, ETSU Bill Gatton College of Pharmacy and Quillen College of Medicine; Clinical Pharmacist, ETSU Family Physicians of Kingsport; Johnson City, TN

11:15 a.m.-12:00 noon “Sleep Apnea” — G. Anthony Wilson, M.D., University Family Physicians; Associate Professor, UT Graduate School of Medicine; Knoxville, TN

12:00 noon-12:15 p.m. Resident/Student Research Paper Presentation #1

Mark your calendar now to attend the Tennessee AFP’s 71st Annual Scientific Assembly October 21-25 in Gatlinburg! This year’s program will offer quality continuing medical education with professional and experienced speakers. Consider taking advantage of this outstanding CME opportunity, while receiving your required 2 hours on Controlled Substance Prescribing to meet the Tennessee licensure requirement, and at the same time receiving a 10% premium credit with SVMIC if you are a physician policy holder. Program/Registration Brochures will be available in June.

TENNESSEE ACADEMY OFFAMILY PHYSICIANS 71st

ANNUAL SCIENTIFIC ASSEMBLYThe Park Vista Doubletree Hotel, Gatlinburg, Tennessee, October 21-25, 2019


12:15 p.m.-1:15 p.m. LUNCH — Visit Exhibits

12:15 p.m.-1:30 p.m. RESIDENT & STUDENT LUNCH (Limited to resident and student members and spouse/significant other ONLY) — Windel Stracener, M.D., AAFP Board of Directors, Richmond, IN

1:15 p.m.-2:00 p.m. “Wound Care” — Katherine Hall, M.D., Family Physician, Athens, TN

2:00 p.m.-2:45 p.m. “Well Child Visits” — Suzanne Berman, M.D., FAAP, Plateau Pediatrics, Crossville, TN

2:45 p.m.-3:15 p.m. BREAK — Visit Exhibits

3:15 p.m.-3:30 p.m. Resident/Student Research Paper Presentation #2

3:30 p.m.-4:15 p.m. “Skin Clues of Internal Disease” — Jeffrey Byers, M.D., Vanderbilt University Medical Center, Nashville, TN

4:15 p.m.-4:30 p.m. Resident/Student Research Paper Presentation #3

4:30 p.m.-5:30 p.m. “Atopic Dermatitis Management: Practical Guidelines for the Family Physician” — Anthony J. Mancini, M.D., FAAFP, FAAD; Chicago, IL

4:30 p.m.-5:30 p.m. “What’s New in Eczema Manage- ment: Practice Pearls for the Family Physician” — Anthony J. Mancini, M.D., FAAFP, FAAD; Head, Division of Dermatology, Ann & Robert H. Lurie Children’s Hospital of Chicago; Professor of Pediatrics and Dermatology, Northwestern University Feinberg School of Medicine; Chicago, IL

5:30 p.m. – 5:45 p.m. Announcements—Daily Door Prize Drawings—Adjournment of Scientific Sessions for the Day

6:30 p.m. – 8:00 p.m. ANNUAL PRESIDENT’S BANQUET

THURSDAY, OCTOBER 24:6:30 a.m.-6:00 p.m. TNAFP Physician and Exhibitor Registration Desk Open


7:15 a.m.-8:00 a.m. “Hepatitis C in Family Medicine” — Ty Webb, M.D., Family Physician, Sparta, TN

8:00 a.m.-8:45 a.m. “Top 10 Questions About Osteo- porosis” — S. Bobo Tanner, M.D., Assistant Professor of Medicine, Osteoporosis, Rheumatology & Allergy, Department of Medicine, Vanderbilt, Nashville, TN

8:45 a.m.-9:30 a.m. “Acute Non-OB Problems in OB Patients” — Leslie Griffin, M.D., Assistant Professor and Clerkship Director, Department of Family Medicine, UT College of Medicine; Chattanooga, TN

9:30 a.m-10:00 a.m. FOOD/BEVERAGE BREAK — Resident & Student Research Poster Displays

10:00 a.m.-10:45 a.m. “Pelvic Pain” — Janelle K. Moulder, M.D., MSCR, Assistant Professor, UT Graduate School of Medicine, Knoxville, TN

10:45 a.m.-11:45 a.m. “Evaluation and Workup for Pelvic Pain in Women: The Critical Role of Family Physicians” — Erin T. Carey, M.D., MSCR, Division Director, Minimally Invasive Gynecologic Surgery, Fellowship Program Director, Assistant Professor, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill; Chapel Hill, NC

11:45 a.m.-12:15 p.m. “Preventive Dentistry” — Veran Fairrow, DDS, MPH, Director, Oral Health Services, Division of Community Health Services, Tennessee Department of Health; Nashville, TN


12:15 p.m.-1:15 p.m. LUNCH—Visit Exhibits — Resident & Student Research Poster Displays

12:15 noon.-1:30 p.m. 2019 TENNESSEE AFP EXECUTIVE COMMITTEE MEETING/LUNCH

1:15 p.m.-2:00 p.m. “Cardiovascular Update”—Grant Studebaker, M.D., Assistant Professor, Family Medicine, UT Jackson Family Medicine Resi- dency Program; Jackson, TN

2:00 p.m.-2:45 p.m. “Thyroid Disorders”—Amit C. Vora, M.D., Endocrinology Consultants of East Tennessee; Knoxville, TN

2:45 p.m.-3:15 p.m. BREAK — Visit Exhibits — Resident & Student Research Poster Displays

3:15 p.m.-4:00 p.m. “Prostate Cancer” — James D. Holt, M.D., Professor of Family Medicine, ETSU Quillen College of Medicine; Associate Program Director, Johnson City Family Medi- cine Residency; Johnson City, TN 4:00 p.m.-4:45 p.m. “Rheumatology Update: Approach to Patient with Joint Pain” — Joseph Huston, III, M.D., Assistant Professor, Rheumatology Division, Vanderbilt, Nashville, TN

4:45 p.m.-5:30 p.m. “Ag Medicine” — Leah Gilliam, M.D., Family Physician, Lexington, TN

5:30 p.m.-5:45 p.m. Announcements—Daily Door Prize Drawings—Adjournment of Scientific Sessions for the Day

5:45 p.m.–6:30 p.m. HALLOWEEN IN EXHIBIT HALL

6:30 p.m.-8:00 p.m. BOARD OF DIRECTORS’ MEETING

FRIDAY, OCTOBER 25:6:30 a.m.-2:00 p.m. TNAFP Physician and Exhibitor Registration Desk Open


7:15 a.m.-8:00 a.m. “Improving Diagnosis and Man- agement of Pediatric mTBI”— Wendy Elmo, M.S., CCC_SLP, BCNCDS, Brain Injury Specialist, Brain Links, TN Disability; Nashville, TN

8:00 a.m.-8:45 a.m. “Immunization Update”—Kelly Moore, M.D., MPH, Clinical Assistant Professor, Department of Health Policy, Vanderbilt School of Medicine; Member, CDC Advisory Committee on Immuni- zation Practices; Nashville, TN

8:45 a.m.-9:30 a.m. “ABFM: What’s New, What’s True and What’s Ahead?”— Elizabeth G. Baxley, M.D., Senior Vice President, ABFM, Lexington, KY

9:30 a.m.-10:00 a.m. BREAK—Visit Exhibits

10:15 a.m. Exhibit Break-Down

10:00 a.m.-10:45 a.m. “Myths and Facts About Hospice and Palliative Care” — Steven J. Baumrucker, M.D., FAAFP, FAAHPM, Medical Director, Wellmont Hospice and Palliative


Medicine Associates, Ballad Health System; Associate Editor- in-Chief, The American Journal of Hospice and Palliative Medicine; Assistant Clinical Professor, ETSU College of Medicine; Kingsport, TN

10:45 a.m.-11:30 a.m. “Targeted Pain Management” — Stephanie G. Vanterpool, M.D., MBA, University Anesthesiologists, UT Medical Center; Knoxville, TN

11:30 a.m.-1:30 p.m. “Prescribing Practices & TN Chronic Pain Guidelines”— Steven J. Baumrucker, M.D., FAAFP, FAAHPM, Medical Director, Wellmont Hospice and Palliative Medicine Associates, Ballad Health System; Associate Editor-in-Chief, The American Journal of Hospice and Palliative Medicine; Assistant Clinical Professor, ETSU College of

Medicine; Kingsport, TN “Prescribing Practices & TN Chronic Pain Guidelines” fulfills the State of Tennessee’s Board of Medical Examiner’s continuing medical education requirement of two hours every two years related to controlled substance prescribing including instruction in the Tennessee Chronic Pain Guidelines. This course provides SVMIC physician policyholders a 10% premium credit.

1:30 p.m.-1:45 p.m. Final Announcements — Drawing for Exhibit Booth Attendance Grand Door Prize Final Adjournment of 2019 Tennessee AFP Annual Scientific Assembly

“Thank you” to Sharon Rinehart, Director of Sales, The Park Vista,

for permission to use the Park Vista pictures.

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