SCMS BULLETIN - May 2016

www.SaginawCountyMS.com

Slate of Nominees

for 2016-17

SCMS Foundation 7th Annual Golf Outing

Saginaw Delegates

Attend MSMS HOD

How to Beat Burnout -

Seven Signs Physicians

Should Know

p. 8

p. 16-17

p. 24

p. 18-19

BulletinThe

Saginaw County Medical SocietyMay 2016 Volume 77, No 9

©2016 Covenant HealthCare. All rights reserved. Bus. Dev. PK 4/16

Every minute countsCALL 911Do not wait for the symptoms to go away.

WArning SignS of

STroKE

Sudden numbness or weakness of the face, arm or leg, especially on one side of the body.Sudden trouble walking, dizziness, loss of balance or coordination.Sudden, severe headache with no known cause.Sudden trouble seeing in one or both eyes.Sudden confusion, trouble speaking or understanding.

For more information go to www.covenanthealthcare.com

The Bulletin | May 2016 3

All statements or comments in the Bulletin are those of the writers, and not necessarily the opinion of the Saginaw County Medical Society. Contributions are welcome. We publish committee reports, letters to the editor, Alliance reports, public health activities of the members, and some personal items (birthdays, weddings, graduations and like events). The Editor determines which are accepted. Advertisements are accepted as space is available at our going rates. Members may advertise office information, professional services, skills, and procedures, also at our going rates. We do not accept advertisements from non-members, or non-Saginaw hospitals. The Bulletin is mailed free of charge to SCMS members. Complimentary copies are sent to various other parties. Others may subscribe at the rate of $30 per year.

SAGINAW COUNTY MEDICAL SOCIETY2015-2016

OFFICERS AND DIRECTORS

contents169

8SCMS Delegates Attend MSMS HOD

SCMS Volunteers atSoup Kitchen

April Membership Meeting

Slate of Nominees for2016-2017

ON THE COVER: Dr. Sanjay Talati and daughter, Sheebani Talati

EDITORLouis L. Constan, MD

EXECUTIVE DIRECTOR Joan M. Cramer

DESIGNERLori Krygier

PUBLISHERSaginaw County Medical Society 350 St. Andrews Rd., Suite 242, Saginaw, Michigan 48638-5988. Hours: Tuesday, Wednesday, Thursday 8:30 AM - 3:30 PM. Web: SaginawCountyMS.com.

Telephone: (989) 790-3590. Fax: (989) 790-3640. E-Mail: [email protected]

BulletinThe

Saginaw County Medical Society

PRESIDENT Danielle C. Duncan MDPRESIDENT-ELECT Virginia R. Dedicatoria MDPAST PRESIDENT M. Sohail Jilani MDINTERIM SECRETARY Caroline G.M. Scott MD TREASURER Thomas J. Veverka MDDIRECTORSJulia M. Walter MDB.L. Nahata MDZubeda S. Khan MDMaliha N. Shaikh MDSanjay J. Talati MDGopi K. Nallani MDBULLETIN EDITOR Louis L. Constan MDRETIREE REPRESENTATIVE Larry S. Kelly MDRESIDENT REPRESENTATIVE Rahul Jacob MDPEER REVIEW ETHICS COMMITTEE Waheed Akbar MDCaroline G.M. Scott MDJames R. Hines MDMSMS DELEGATESElvira M. Dawis MDB.L. Nahata MDZubeda S. Khan MDMaliha N. Shaikh MDSanjay J. Talati MDJulia M. Walter MDMeena Ramani MDVirginia R. Dedicatoria MDMohammad Yahya Khan MDMSMS ALTERNATE DELEGATESCaroline G.M. Scott MDVijay K. Chaku MDWaheed Akbar MDM. Sohail Jilani MDGopi K. Nallani MDAnthony M. Zacharek MDDennis A. Boysen MDSteven J. Vance MDThomas J. Veverka MDMildred J. Willy MDDaniel J. Wechter MDMSMS DISTRICT 8 DIRECTORDebasish Mridha MDEXECUTIVE DIRECTOR Joan M. CramerEXECUTIVE ASSISTANT Jamie D. Chamberlin

4 President’s Letter

6 From The Editor

7 www.SaginawCountyMS.com

12 MSMS

15 Directory Update

18 SCMS Foundation Golf Outing

20 St. Mary’s of Michigan

22 Covenant HealthCare

24 How to Beat Burnout: Seven Signs Physicians Should Know

25 Applications for Membership

12

26 HealthSource Saginaw

26 Birthdays

28 CMU Health 28 Board Highlights

30 Attention Retired Members!

31 Advertiser Index

31 Health Professional Recovery Program

32 2015-16 Key Providers

32 Mark Your Calendar for 2016

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

ur April meeting was favored by a large attendance, and shared with our spouses and the Midland County Medical

Society and MidMichigan Physicians. I’ve heard from several members that their spouses encouraged them to attend, in large part because the topic was burnout and wellness. While our speaker was first rate, the time spent on burnout and wellness, other than as related to addiction, was not what I had hoped for. The last 10 minutes or so he did cover some ground quickly, and we plan to have him back, spending more time on that topic, which is of vital interest to us all, as well as, the topic of dealing with difficult colleagues and patients. My favorite quote from our speaker, Dr. Schiener, repeating what others have observed was that at some point we have to “Say no, rather than giving more and more of ourselves until there is less and less left to us.” This quote really resonated with me, especially as I have been recently getting dashboard announcements from my EMR telling me facts like how many minutes it takes me to complete an office note versus other orthopaedic surgeons. I told my nurse what I was looking at, and she was aghast, exclaiming, “What more can they ask of you?” In regards to the item in point, I was about on par, but I can imagine how upsetting a statistic like that might be to someone who

struggles compared to their peers. Frustratingly, anytime I hit the “learn more” key on my dashboard, a message appears indicating I don’t have the clearance to proceed to learn more! Dr. Shiener’s entire presentation from the April 19 meeting is available on our website under the Meetings & Calendar of Events tab at www.SaginawCountyMS.Com or by clicking HERE. Some additional resources available for use between now and when Dr. Schiener can get back with us follow: The Happy MD, a site run by Dike Drummond, MD, which offers free information and for a fee, specific life coach/counseling in a confidential setting. AMA Wire blogs, including: “How to Beat Burnout: Seven Signs Physicians Should Know” from March 4, 2015 and published onp. 24, “Specialties with the Highest Burnout Rates” from January 15, 2016. The Mayo Clinic article that everyone is quoting, “Changes in Burnout and Satisfaction With

Work-Life Balance in Physicians and the General U.S. Working Population Between 2011 and 2014,” published in the Mayo Clinic Proceedings, December, 2015 Vol. 90, Issue 12 pgs. 1600-1613 (spoiler alert, we remain at increased risk of burnout vs. the general workforce, and our burnout and satisfaction with work-life balance has worsened). From the British Medical Association, “Doctors for Doctors Burnout Questionnaire.” This uses the Oldenburg Burnout Inventory, and has four useful links after you complete the brief survey. My personal advice is to smile and greet each other by name, remember to eat a well-packed lunch, exercise, practice mindfulness, spend time doing what you love, with people you enjoy, and most importantly, LOL should really happen, and it should be done loudly! I am looking forward to seeing you all in May for an update from Dean Kikano on the College of Medicine, Saginaw campus, and plans for the future of medicine in Saginaw and the region.

6

6

PRESIDENT’S LETTER

OBy Danielle C. Duncan, MD

Danielle C. Duncan, MD

4 The Bulletin | May 2016

PhysicianBurnout-Part 2

My personal advice is to smile and greet

each other by name, remember to eat a well-

packed lunch, exercise, practice mindfulness,

spend time doing what you love, with people

you enjoy, and most importantly, LOL should

really happen, and it should be done loudly!

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http://www.ama-assn.org/ama/ama-wire/post/beat-burnout-7-signs-physicians-should

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http://www.ama-assn.org/ama/ama-wire/post/specialties-highest-burnout-rates

http://www.ama-assn.org/ama/ama-wire/post/specialties-highest-burnout-rates

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octors and patients, they go together. You can’t have one without the other. Which is why you may be curious

as to why, over this six-month series of essays on the legacies of physicians, I have barely mentioned “patients.” As they say, though, save the best for last. This essay is the last (hurray?) and I intend to make an ironclad case for your most important of legacies. Here it is in a nutshell, and you might want to take a deep breath before reading this next sentence (or is it a paragraph?) The legacy we have with respect to our patients is, by far, the most important legacy we have because if we save a patient’s life, then his entire life after that moment is our legacy including all his contributions to society and the contributions of his children and his children’s children; but even if we do not succeed in saving the patient’s life, but are able to help his loved ones to deal with his death through a kind word and encouragement, then the accomplishments of those loved ones going forward become part of our legacy; but if the patient’s disease is not life-threatening, although causing pain and suffering and we cure the patient, then the accomplishments in life that would have been curtailed by the pain and suffering become part of our legacy; but even if the patient has no serious disease at


FROM THE EDITOR

DBy Louis L. Constan, MD

Doctors and the Wonderful Life

Louis L. Constan, MD

all other than the angst of living in a forbidding world and we make the patient’s life better in any way, then the comfort we bring and the joy we bring to the patient and his family become part of our legacy. Time for some examples:• The ER doctor who resuscitates a patient in full cardiac arrest has certainly changed the course of life history for that patient, his loved ones, perhaps also for his friends and employer. Less obvious and less dramatic examples of the patient as legacy:• The consultant who visits the patient in the ICU with a history of multiple admissions for liver failure secondary to alcoholism, puts his hand on the patient’s shoulder, looks him straight in the eye and says, “Joe, if you don’t stop drinking, you will be dead in a month.” The consultant never knew, but the patient did stop drinking, largely recovered his health, became a joy to his children and grandchildren, and died 15 years later of unrelated causes.• The Orthopedist who repairs a skier’s knee ligament, and the skier

goes on to win an Olympic gold medal in downhill racing (I have always maintained that the surgeon deserved a share of the prize).• The Radiologist who, after doing an imaging procedure on a patient, puts his arm on the patient’s shoulder and says, “You sure have had a lot of procedures lately. I see that they’re looking for a possible cancer, and so far have not found it. It just may be that you’re going to be ok. I’m rooting for you.” The patient went on to recover, but never forgot that act of encouragement.• The Family doctor who sees a patient for a (routine?) blood pressure check, and asks the patient what he had been up to, hoping to show concern and care for the whole patient, not just his arteries. The patient admitted he had been staring at the Zilwaukee Bridge, and was thinking of jumping off. The doctor convinces him to get help with his depression, and he goes on to live a full life, never attempting to kill himself again.

continued on page 7

It is amazing to me how much the

routine practice of medicine, and the

encouragement we give our patients, can

have such a profound effect on their lives.


continued from page 6

• The Physical Medicine doctor who sees a patient who had suffered from chronic pain for many months, puts his arm on the patient’s shoulder and says, “Bill, I believe I can help you, if you work very hard on your exercises.” The patient continued to have chronic pain, but inspired by the doctor’s optimism and kindness, resolved to stop letting the pain control his life. He went back to work, re-engaged with his family, and lived a full and productive life. It is amazing to me how much the routine practice of medicine, and the encouragement we give our patients, can have such a profound effect on their lives. I have been much gratified of late, since I’ve been retired, that when I see a former patient about town, they often want to hug me and express their gratitude for the care that I once gave them. For myself, I have experienced this gratitude firsthand towards the nine or 10 physicians who shared in my care when I was so sick and there seemed no hope. You know who you are, and you might just get that hug from me some day, or from any one of the other patients who benefited from your care, and now perhaps they or their families have had better lives than they would have if you hadn’t been there. Now, isn’t that just a wonderful definition of “Legacy?”

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www.SaginawCountyMS.comVisit our website today!

• ICD-10 including updates from MDHHS, MSMS and AMA • Human Trafficking Toolkit to help physicians screen, identify, and get help for trafficked victims

• RSVP for upcoming Membership Meetings

• View the Cleveland Clinic’s “Shared Purpose” video on the home page

• CMU College of Medicine CME 3 Credit reporting information

• Read “The Bulletin”

• Direct link to MSMS Advocacy Center to contact your lawmakers with ease

• Information on Key Providers • Calendar of Meetings and Events • And more!



President Virginia R. Dedicatoria, MDPresident-Elect Julia M. Walter, MD (president 2017-2018)Past President Danielle C. Duncan, MD Secretary Maliha N. Shaikh, MDTreasurer Thomas J. Veverka, MD

Board of Directors B.L. Nahata, MD * (president 2018-2019)Zubeda S. Khan, MD * (president 2019-2020)Sanjay J. Talati, MD * (president 2020-2021)Anthony M. Zacharek, MD**Mildred J. Willy, MD**Daniel J. Wechter, MD**

* Three year Directors in line for the Presidency ** One year Directors

MSMS DelegatesElvira M. Dawis, MD B.L. Nahata, MDZubeda S. Khan, MDSanjay J. Talati, MDJulia M. Walter, MDVirginia R. Dedicatoria, MDMohammad Yahya Khan, MD Mildred J. Willy, MD

Peer Review Ethics CommitteeWaheed Akbar, MDCaroline G.M. Scott, MD James R. Hines, MD

MSMS Alternate DelegatesCaroline G.M. Scott, MD Vijay K. Chaku, MDWaheed Akbar, MDGopi K. Nallani, MDAnthony M. Zacharek, MDDennis A. Boysen, MDSteven J. Vance, MDDaniel J. Wechter, MDJ. Patricia Dhar, MD

The following is the Slate of Nominees for 2016-2017. The Slate was approved by the Board on April 19, 2016, and will be voted on by the membership at the Annual Meeting on Tuesday, May 17, 2016.

SLATE OF NOMINEES FOR 2016-2017

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“Attention to detail since 1980.”

On Wednesday, March 30, 2016, in honor of National Doctors’ Day, SCMS members and office staff volunteered at the East Side Soup Kitchen. Volunteers cleaned and diced celery for future use in soups and gravies, and helped prepare and serve lunch to 288 people. The SCMS also donated $600 for the day’s food. The SCMS sponsors and serves twice each year at the Soup Kitchen. The tradition was started many years ago by Dr. Bill Engelman. The SCMS would like to thank the following who volunteered to serve at the Soup Kitchen:

SCMS VOLUNTEERSat Soup Kitchen

The SCMS would also like to acknowledge and thank SCMS members who staff the clinic at the Soup Kitchen on a regular basis.

Dr. Lou ConstanJoan CramerDr. Ron JensonDr. Zubeda KhanDr. Joseph Natole’s staff Malissa Diedrich Tammie Ramos Karen Raquepaw Salena Rodriquez Felicia Singh

Dr. Arup Sarkar and staff: Suzanne Evans Angela Gage Crystal Greenleaf Krystal Hudie Paula WalkerDr. Caroline ScottDr. Audrey Stryker

Drs. Zubeda Khan and Arup Sarkar

Krystal Hudie, Paula Walker, Crystal Greenleaf and Angela Gage of Dr. Sarkar’s office

Suzanne Evans of Dr. Sarkar's office with Dr. Ron Jenson

Dr. Audrey Stryker and Crystal Greenleaf

Dr. Natole's staff (l-r) Karen Raquepaw, Felicia Singh Malissa Diedrich, Tammie Ramos and Salena Rodriquez

Drs. Caroline Scott and Lou Constan

Danielle C. Duncan, MD, SCMS President, called the meeting to order at 7:03 p.m. Dr. Duncan welcomed Midland County Medical Society and MidMichigan Physicians, spouses, guests and our speaker, Gerald A. Shiener, MD and his wife, Karen, to the meeting. Dr. Duncan thanked the following Key Providers in attendance for their ongoing support of SCMS programs: • Barton Woods Assisted Living – Rebecca Evans, Kelsey Treichel and Jennifer Vacca • Healthway Compounding Pharmacy – Mike Collins and Larry Greene • Sport & Spine Physical Therapy & Rehab – Matt Fogal, Mike Kennedy, Stacey Mapes and Eugene Seals. Dr. Duncan then conducted the following business of the SCMS: • The Minutes of the January 2016 Membership Meeting were attached to the Agenda and published in the February Bulletin. MOTION: Accept the January 2016 Meeting Minutes as printed. MOTION APPROVED.

Top Left to Right: Dr. Tom and Donna Campana Drs. Rahul and Sara Jacobs Bottom Left to Right:Sport & Spine Physical Therapy reps Dr. Jorge and Ileana Plasencia with Dr. Manuel PereaDrs. Mary Jo Wagner and Matt Deibel

The regular meeting of the Saginaw County Medical Society was held on Tuesday, April 19, 2016, at Horizons Conference Center.

NEXTMEMBERSHIP MEETINGTUESDAY, MAY 176:30 p.m.Horizons Conference Center

Dean George E. Kikano, MD of CMU College of Medicine will offer an update on the College of Medicine, Saginaw campus, and plans for the future of medicine in Saginaw and the region.

April 2016 Meeting Minutes

• Introduced new member in attendance: 1) Thomas J. Campana, MD – Aleda E. Lutz VA Medical Center, General Surgery Dr. Duncan welcomed M. Sohail Jilani, MD, Past President and Nominating Committee Chair, to the podium who presented the Slate of Officers for 2016-17. The Slatewill be published in the May Bulletin, and voted on at the May 17, 2016, Annual Meeting. Dr. Duncan then welcomed Matthew D. Deibel, MD, SCMS Foundation President. Dr. Deibel explained all members of the SCMS were also members of the Foundation. He stated the Foundation was interested in increasing its support of medical students, nursing students and possibly other health profession students in Saginaw County, and would like the opinion of SCMS members on how funds should be used. Those in attendance were asked to complete and return the survey available on their dinnertable tonight. Dr. Deibel stated the annual Golf Outing is the major source of income for the Foundation, but the Foundation also needs the financial support of its members to continue and increase funding of programs. Members were asked to take home the envelope and

donation form that was provided, and return with their check in support of the Foundation. Members werealso asked to sponsor or golf in the 7th Annual Foundation Golf Outing scheduled for Saturday, June 11, 2016, at the Saginaw Country Club. Dr. Duncan welcomed Gerald A. Shiener, MD, Chief of Psychiatry at Sinai-Grace Hospital. Dr. Shiener’s CME program was “Physician Burnout/Wellness.” Those attending were instructed to complete and return the CME Evaluation form and make sure to sign in at the registration table to receive CME credit for the program. The next Membership Meeting will be held on Tuesday, May 17, 2016, at Horizons. Dean George E. Kikano, MD of CMU College of Medicine will offer an update on the College of Medicine, Saginaw campus, and plans for the future of medicine in Saginaw and the region. The meeting was adjourned at 8:29 p.m.

Respectfully submitted,

Joan M. CramerExecutive Director

Top Left to Right:John Herek, Dr. Millie Willy, Dr. Danielle Duncan and Darrell ChoDrs. Kathleen Cowling, Sajeda Nusrat and Jerry ShienerDrs. Doug Saylor and Raghu Sarvepalli Bottom Left to Right: Dr. Ken and Mary Catherine Distler with Barton Woods repsDr. Mike Slavin with Mike Collins of Healthway Compounding Pharmacy


Weddings Catering Anniversaries Graduation Parties Corporate Events Holiday Parties

HORIZONS Center 989.799.4122 6200 State Street, Saginaw, MI www.HORIZONSCenter.com

LendKey, New MSMS Practice Solutions Partner, May Save You an Average of $38,000 on Your Student Debt

MSMS Practice Solutions has partnered with LendKey to offer MSMS members a

fast and free way to refinance their student loans and reduce their interest rates. The average physician can save $38,000 in as little as 15 minutes by refinancing their student loans with LendKey! By filling out one form, LendKey shows you how much you can save with a lower rate and monthly payment on your student loans, all funded by not-for-profit credit unions and

community banks. LendKey is also your partner throughout the life of your new loan with a customer service team ready to answer any questions you have from the time you apply until the time you make your final payment.• Physicians save an average of $38,000 in lower interest payments over their loan life• See what rates and savings you qualify for in under five minutes• Rates start at 2.14% APR Variable and 3.25% APR Fixed• No origination fees or prepayment penalties• Cosigner release available after 12 on-time payments

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The Three Options in a Ransomware Attack: Restore If Possible, Pay or Lose Patient Information The news made national headlines: Hollywood Presbyterian Medical Center’s computer systems were down for more than a week as the Southern California hospital became yet another victim of ransomware -- an attack where a business or individual’s computer system is held hostage by cybercriminals until a ransom is paid. Hollywood Presbyterian Medical Center ended up paying $17,000 to restore its systems and administrative functions. Once ransomware is in your medical practice or hospital system, there are only three basic options:1. If you have performed frequent backups, restore your system.2. If you have not performed frequent backups, pay the ransom.3. Put your system back to the default setting -- and lose everything. If before the attack you’ve performed incremental backups, you can restore the areas affected, with minimal data loss (for example, an hour). If you have point-in-

time backups, you can restore with increased data loss (for example, a week). If you have no reliable backups, you can reset the technology back to its “out-of-box,” or default, state and lose all the data, if no paper records exist. The only other option would be to pay the ransom. Besides loss of business, inconvenience to patients, and damage to reputation, a ransomware attack also poses liability risks. The possibility of adverse events and subsequent claims for professional negligence increases when computerized systems necessary for various functions such as CT scans, documentation, lab work and pharmacy needs are offline. If hospital systems are down for any significant period of time, certain patients should be transported to other hospitals. Adverse events can occur when healthcare workers do not have access to EHR systems. However, if this type of case was litigated, the patient would have to prove that something in the records may have had a bearing on the treatment being provided. In the case of emergency care, the claimant would have to successfully argue that the staff should not have undertaken the care until the medical records could be accessed. Hospitals, medical practices, and businesses should take full precautions to prevent a hack that results in ransomware being installed. Prevention strategies include:• Provide security awareness for all employees. Over 80 percent of attacks are made possible by human error or human involvement. Train staff members to avoid downloading, clicking on links, or running unknown USB on computer systems.• Block the malware at the firewall, by using intelligent firewalls to stop the malware from downloading.• Install intrusion detection software to monitor illegal activities on computer networks.• Stop the malware from executing on desktop computers by installing application whitelisting software, anti-virus, or anti-malware.• Perform regular system backups.• Ensure that critical systems and business data are backed up -- even backed up hourly for critical systems.• Test that the backup restore process works.



misbehavior. Where they differ from other professionals, though, is that their mistakes can end in death. Researchers from the University of Michigan Medical School have found that the number of doctors who are either disciplined or required to pay out a malpractice claim is four times higher in certain states than it is in others. They say the problem isn’t cavalier doctors running around behaving poorly. Rather it’s the lack of standardized disciplinary regulations that monitor physician behavior nationwide.READ MORE.

Medical Daily March 23, 2016 07:30 PM By Justin Caba @jcaba33



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• Professional liability • Employment practices liability• Directors & officers liability• Contingency excess liability • Own occupation disability• Group health benefits• Key person life• Umbrella policies

• Avoid relying solely on encryption. Encryption does not protect a business from a ransomware attack. If a cybercriminal has your login, encryption doesn’t do anything to stop the hacker.• Perform penetration testing on a regular basis to determine any existing vulnerabilities that should be patched. Craig Musgrave, Senior Vice President, Information Technology, The Doctors Company

Medical Ethics in America: Why are More Doctors Disciplined for Bad Behavior in Some States Compared to Others? Behind the lab coat, degrees and stethoscope, doctors are ordinary people who are capable of mistakes and


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The Bulletin | April 2016 15

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DIRECTORY UPDATE

New Phone and Fax Numbers

CMU Health - PsychiatrySalisu A. Aikoye MD Thomas K. Bills MD Maryam E. Davari MD Zaira Khalid MD

New Practice and Office AddressErnie P. Balcueva MD St. Mary's of Michigan Cancer Care4599 Towne Centre RoadSaginaw, MI 48604-2804Office (989)-497-3226Fax (989)-497-3146www.stmarysofmichigan.org Hematology, Oncology

Retired 2/29/16Ronald H. Bradley DO Retired - Psychiatry, Pain Medicine/Addiction Medicine

New Practice and Office AddressDelicia J. Pruitt MD CMU Health - Family Medicine1575 Concentric Blvd., Ste. 1Saginaw, MI 48604-9494Office (989)-583-6800Fax (989)-583-7970www.cmich.edu/colleges/cmed/Family Medicine

Dropped MembershipVikas T. Reddy MD Saginaw Township Family PhysiciansFamily Medicine

Thersilla Oberbarnscheidt MD Ferdnand C. Osuagwu MD Sunil D. Parashar MD Priya M. Punnoose MD Nikita Roy MD

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The next Bulletin will be

published inSeptember. Have a safe

and relaxingSummer!

Saginaw Delegates Attend MSMS HOD

Eight Delegates from the SCMS attended the 151st Annual MSMS House of Delegates (HOD) April 30-May 1, 2016, at The Henry in Dearborn. The HOD is the official policy-making body of the 15,000+ member Michigan State Medical Society (MSMS). Seated as SCMS Delegates were Drs. Elvira M. Dawis, Virginia R. Dedicatoria, B.L. Nahata, Gopi K. Nallani, Caroline G.M. Scott, Thomas J. Veverka, Julia M. Walter and Mildred J. Willy. Joan M. Cramer, Executive Director, also attended. Joshua Donkin, CMU CoM student, served on Reference Committee A – Medical Care Delivery; Dr. Willy served on Reference Committee B – Legislation; and Drs. Dedicatoria and Veverka served on Reference Committee D – Public Health. The SCMS gratefully acknowledges the time and energy these members gave in service to their colleagues. David M. Krhovsky, MD, a Kent County Anesthesiologist, was installed as the 151st President of MSMS during the House of Delegates (photo courtesy of MSMS). Cheryl Gibson Fountain, MD, a Wayne County Ob/Gyn, was elected President-Elect to the 2017 HOD. Dr. Veverka was elected to a three-year term as District 8 Director covering Gratiot, Isabella-Clare, Midland, Saginaw and Tuscola Counties.

The following SCMS physicians were acknowledged for 50 years of service:Paul B. Bry, MD – Retired Ob/GynDavid W.T. Chen, MD – Retired CardiologistWilliam R. Engelman, MD – Retired OtolaryngologistSamuel L. Kalush, MD – Retired Thoracic SurgeonJames A. Letson, Jr., MD – Retired OtolaryngologistConchita D. Riparip, MD – Retired PediatricianK.P. Sukumaran, MD – Retired AnesthesiologistLester E. Webb, MD – Retired Family Physician

James R. Hines, MD received the President’s Award for his service as president of the 15,000 member Christian Medical & Dental Associations. Dr. Hines has been a

member of CMDA for the past 40 years. CMDA’s mission is to motivate, educate, and equip Christian healthcare professionals. As part of his acceptance speech, Dr. Hines stated, “I suspect that most of us went into medicine because we genuinely desire to help hurting people. The values that we hold are not just the outgrowth of ‘feelings’ we experience, but are (or should be) grounded in truths that provide a stable foundation for our beliefs, our character, and our behavior. Much of what CMDA does is committed to supporting the truths and values that are essential to the moral and ethical practice of medicine. We want those medical professionals who are coming behind us to have the freedom and opportunity we have enjoyed to care for their patients with competence, compassion, and in good conscience. May God give us the courage to continue to strive in these areas.” David K. Fox, MSMS Senior Director, Federation Relations, will be retiring in June, and was given a warm thank you and send off by the county executives he has worked with over the years. Best wishes on your retirement, Dave!

RESOLUTIONS OF INTEREST If you are interested in the outcome of other the resolutions presented at the HOD, please visit www.msms.org, click on “About MSMS” and then “House of Delegates” to review all information. Dr. Willy submitted Resolution 18-16 Assessing Health Care Needs of the General Population that

Dr. Jim Hines accepts President’s Award from Dr. Rose RamirezPhoto courtesy of MSMS



www.msms.org

was debated in Reference Committee E – Scientific and Educational Affairs. Dr. Willy’s original resolve statements were as follows: RESOLVED: The AMA study the healthcare needs of the general population at large given the effects of the increasing size of the elderly population, large baby boomer population, and increasing size of those eligible for Medicaid benefits specifically addressing the following shortages: Physician, bedside nursing, equipment, hospital critical care and progressive care beds and operating rooms; and be it FURTHER RESOLVED: MSMS Delegates to the AMA submit a resolution to the AMA House of Delegates with the principles of this resolution regarding protecting access to care and providing resources to the general population accessing healthcare; and be it FURTHER RESOLVED: MSMS work with other appropriate agencies and professional societies to study the critical healthcare needs and limited resources in the state of Michigan, and be it FURTHER RESOLVED: MSMS update the House of Delegates on their progress regarding this topic next year. After testimony, the Committee amended the resolved portion(s) to read: 18-16 - Assessing Health Care Needs of the General Population - AMEND RESOLVED: That MSMS work with other appropriate agencies and professional societies to study critical health care needs and limited health care resources in the State of Michigan; and be it further RESOLVED: That MSMS provide an update on their progress in studying the critical health care needs of and availability of resources in the State of Michigan at the 2017 MSMS House of Delegates meeting. The Committee removed the first resolved because this is included in current AMA policy H-200.954 U.S. Physician Shortage. The remaining resolved statements were accepted because they fall under the purview of the MSMS. Additionally, three resolutions were submitted and presented by CMU CoM students, as follows: Reference Committee B - Legislation36-16 Licensure and Reimbursement for Certified Genetic Counselors - APPROVED Reference Committee D – Public Health24-16 Child Passenger Safety – APPROVED Reference Committee E – Scientific and Educational Affairs 37-16 Assessing Caregiver Stress and Burden - AMENDED

Top clockwise:Dr. Tom and Cathleen Veverka Delegates at Sunday morning session Dave Fox honored on retirement

Drs. Dedicatoria, Nallani and Scott at President’s Ball

Right:Dr. Bill Engelman with his wife, Greta, and children

Top clockwise:Dr. Willy testifies on her resolution Josh Donkin of CMU CoM serves on Reference Committee A Dr. Jim and Martha Hines with Dr. Millie Willy and John Herek



SAGINAW COUNTY MEDICAL SOCIETY FOUNDATION 7th Annual Golf Outing – Sponsorship Form

Saturday, June 11, 2016 Saginaw Country Club 12 p.m. Registration 1 p.m. Shotgun Start

The Saginaw County Medical Society (SCMS) Foundation was founded in 1969. Initial funding was provided through physician donation of earnings from educational and charity work. The SCMS Foundation’s primary role has been to provide low interest loans to medical students with “ties” to the Saginaw area. All of the loan interest is forgiven if the individual sets up practice in Saginaw County upon completion of a residency. The Foundation is interested in adding new programs to support the future of medicine and health care in Saginaw, including grants and scholarships to medical students. Proceeds from this event are used for the above initiatives. Title Sponsor - $5,000 (LIMIT OF TWO)

Company name in title of Golf Outing (including banner, program, all signage, etc.)

Company choice of (1) sleeve of golf balls with your company logo provided to each golfer; (2) golf towel with your logo provided to each golfer; or (3) ditty bag with your logo provided to each golfer

A representative from your company will be allowed to address the golfers from the podium at the Award Reception

Includes 4-person team Event Sponsor - $3,000 (LIMIT OF FIVE )

Company name in golf carts and program Company name on sign at driving range and

practice putting green Recognized from the podium Includes 4-person team

Golf Ball Sponsor - $1,500 (Sleeve of golf balls with your company logo provided to each golfer)

Company name listed in program Scorecard/Scoreboard Sponsor - $1,500

Company name on scoreboard and individual scorecards

Company name listed in program

Award Reception Sponsor - $1,000 Company name listed on sign at reception,

table-tents on reception tables and in program Putting Contest Sponsor - $750

Company name on sign at tee and in program Lunch Sponsor - $500

Company name on sign in cookout area and in program

Beverage Sponsor - $500 Company name on sign at beverage stations

and in program Team Sponsor - $500 (Payment for four person golf team of your players)

Company name listed in program Medical Student/Resident Team Sponsor - $500 (Payment for four person golf team of medical students/residents)

Company name listed in program Longest Drive Sponsor - $500 (Men & Women)

Company name on sign at tee and in program Closest to the Pin Sponsor - $500 (Men & Women)

Company name on sign at tee and in program Tee/Hole Sponsor - $500 (LIMIT OF TWO PER HOLE)

Company name on sign at tee and in program

We would like to be a sponsor for the 7th Annual SCMS Foundation Golf Outing, as follows: Company Name: __________________________________________________________________________

Contact Person: __________________________________________________________________________

Address: ________________________________________________________________________________

Phone: ____________________________Email: _______________________________________________

Sponsor Level: __________________________________________________________________________

RETURN FORM AND CHECK BY FRIDAY, MAY 27, 2016, TO: SCMS Foundation 350 St. Andrews Road Suite 242 Saginaw, MI 48638-5988

Questions? Contact Joan M. Cramer, SCMS Executive Director, at [email protected] [email protected] or 989-790-3590

Forms are downloadable at www.SaginawCountyMS.com NOTE: For income tax purposes, the following values are NOT tax deductible: Golf participant, $88 each. An

IRS-compliant tax deduction receipt will be provided upon request.


SAGINAW COUNTY MEDICAL SOCIETY FOUNDATION 7th Annual Golf Outing – Team Registration Form

Four Person Scramble Saturday, June 11, 2016 Saginaw Country Club 12 p.m. Registration 1 p.m. Shotgun Start

Please sign up the following golfers to participate in the 7th Annual SCMS Foundation Golf Outing on Saturday, June 11, 2016. Golfers may sign up as an individual, or as a four-person team. Those that sign up as individuals will be assigned to a four-person team. The charge per golfer is $125. This includes green fees, cart, practice range, cookout lunch, beverages (domestic draft beer, Coke and Pepsi products, bottled water) on the course, two drink tickets (soft drinks, draft beer, house wine) after golf, heavy hors d’oeuvres award reception with prizes.

REGISTRATION PRIOR TO THE GOLF OUTING IS REQUIRED! Please sign up the following golfers:

PLEASE PRINT! GOLFER NAME PHONE EMAIL

1.

2.

3.

4.

If team is sponsored, please indicate name of sponsor for program_______________________________

Please return form and check by Friday, May 27, 2016 ($125 Per Golfer) to:

SCMS Foundation

350 St. Andrews Rd., Suite 242 Saginaw, MI 48638-5988

Call Joan Cramer at 989-790-3590 or email [email protected] or [email protected] with questions.

Forms are downloadable at www.SaginawCountyMS.com If play is stopped because of inclement weather before five holes are completed, there will be no guest fee charged. If play is stopped between five and 13 holes, the guest fee will be the nine-hole rate. Playing 14 holes shall constitute the playing of 18 holes, and guests will be charged the full guest fee. Groups playing less than five holes will still be subject to and responsible for all other non-golfing products and services for which they contracted. The Saginaw Country Club is a spikeless facility and golf course. Arrangements may be made ahead of time with the Saginaw Country Club Pro Shop for guests that need to change spikes. The fee is $7 per set. NOTE: For income tax purposes, $88 of the total per golfer charge is NOT tax deductible: An IRS-compliant tax deduction receipt will be provided upon request.

Ernie P. Balcueva, MD Joins St. Mary’s of MichiganCancer Care Team

St. Mary’s of Michigan is proud to welcome Ernie P. Balcueva MD, medical oncologist and hematologist as an employed physician with their Cancer Care Team. Dr. Balcueva will partner with St. Mary’s of Michigan medical oncologist, Asma Taj MD, to bring unsurpassed experience and compassion to cancer patients throughout the

region. In addition to medical oncology and hematology, the St. Mary’s of Michigan Cancer Care Team also includes cancer prevention specialists, nurse navigators, radiation oncologists, surgeons, researchers and spiritual care advisors. Dr. Balcueva’s new office is located on the 2nd floor at St. Mary’s of Michigan Towne Centre, 4599 Towne Centre Road, Saginaw 48604-2804. His new office phone number is (989) 497-3226. Dr. Balcueva is the St. Mary’s of Michigan Principal Investigator for the Michigan Cancer Research Consortium/National Cancer Institute Community Oncology Research Program (NCORP). He is chairman of the Cancer Committee, Ethics Committee, Division of Medical Oncology/Hematology and a member of the Investigational Review Board at St. Mary’s of Michigan.

Achieved 100,000th Cardiac Cath St. Mary’s of Michigan reached a major milestone - their 100,000th cardiac catheterization was performed Thursday, April 21 at 9 a.m. The honorary 100,000th patient was Mr. Bernard Nelson, a retired teacher from Caro. In recognition of this milestone and as a celebration for being lucky number 100,000, Mr. Nelson was showered with balloons and flowers. St. Mary’s of Michigan is the first in the area to reach this milestone, and was the first to introduce this and many other life-saving procedures including open heart surgery, balloon angioplasty and stents. In 1973, St. Mary’s of Michigan was the first hospital in the area to develop a special procedures room and to use cardiac catheterizations to diagnose heart disease. Dr. John Collins, cardiologist with Michigan CardioVascular Institute, performed the procedure. Cardiac care is our heart and soul, and has been for four decades.

Cheryl Gueldenzopf named Chief Administrative Officer Effective April 11, Cheryl Gueldenzopf was named Chief

Administrative Officer for the Ascension Medical Group (AMG). She will work to develop and implement ideal patient outcomes along with ideal patient and provider experiences. Cheryl previously served as Regional Director of Physician Services, and Executive Director of the St. Mary’s of Michigan PHO. She has worked in a variety

of physician services’ leadership roles for the Mid-Michigan northern ministries since 1998. Cheryl’s office is located in the Riverfront building at St. Mary’s of Michigan.

St. Mary’s Charity Golf Classic is June 1 & 2 at Apple Mountain Golf Club Join the 30th Annual St. Mary’s of Michigan Foundation Charity Golf Classic! Enjoy a day on the course, while feeling good about supporting the hospital’s mission to provide the latest health care technology and treatments to everyone, every day. Over the last 29 years, St. Mary’s of Michigan Foundation has hosted the region’s largest golf outing raising over $2.4 million for the most advanced healthcare equipment, program and services. Your participation in the 2016 Charity Golf Classic will support the purchase of new minimally invasive equipment to support St. Mary’s of Michigan’s comprehensive neurosurgery program. The new system will allow the hospital’s neurosurgery team to care for patients being treated for cranial bleeds with the most technologically advanced equipment today. The Apollo System combines vacuum, irrigation, and internal vibration energy to gently and rapidly remove tissue and fluid through the smallest possible channel. This state-of-the-art equipment will offer patients a minimally invasive option while receiving the very best care. Don’t forget the 7th Annual Charity Golf Classic Online Auction runs through May 20. Visit www.stmarysofmichigan.org/foundation to find the link to the auction catalog. For more information, call the Foundation at (989) 907-8300 or visit stmarysofmichigan.org/foundation.

Save the Date – 38th Annual Run/Walk Mark your calendar and get ready to lace up your walking or running shoes for the 38th annual St. Mary’s of Michigan BEE Healthy for Life Run/Walk taking place on Saturday, June 25. This family friendly health and wellness event includes a 10K run, a 5K run and a 5K walk along a new and improved course by the picturesque Saginaw Riverwalk. All events start and finish at St. Mary’s of Michigan Riverfront. Proceeds from the event will benefit St. Mary’s of Michigan Community Wellness Initiatives to support diabetes education, senior wellness, weight and nutritional management. For registration information, visit stmarysofmichigan.org or call (989) 907-8303. BEE Fit. BEE Active.


www.stmarysofmichigan.org/foundation


Golf Strong

Golf StronG featureS:• Medical treatment by male or female physical therapist – both certified by the Titleist Performance Institute (TPI Certified)

• Personalized physical and biomechanical assessment plus video swing analysis

• Manual therapy and exercise plan

• Therapists pinpoint and treat inefficiencies and weaknesses in flexibility, core strength, balance, hip rotation, or torso/lower body separation

• Designed to improve physical ability AND prevent injuries, potentially adding 10-15 yards to a player’s game

• Compliments a player’s work with a golf professional to improve consistency and efficiency

Who BenefitS:• Golfers of any skill level who have pain or discomfort

• Golfers of all skill levels who are looking to improve power, efficiency, or accuracy

• New golfers looking for a starting point to decrease potential for injury or bad habits

Video analysis and “Body-Swing Connection” assessment to take a player’s game to the next level

To refer a patient or for more information, call (989) 498-5102.

SCMS-golf-FullPg-alt.indd 1 2/22/16 2:38 PM



Covenant Welcomes New Stroke Program AdministratorIn January, Covenant welcomed Melissa Duchene, RN as the Stroke Program Administrator. Duchene has experience as a stroke coordinator and also as a nurse for a cardiac step down unit. She is currently pursuing her Master’s Degree at Ferris State University.

Our Stroke Team includes: • Physicians, nurses, and ancillary personnel specially trained in stroke care • Neurosurgeons, neurologists, and neurointerventional radiologists (on call 24 hours, 7 days a week) • Nurse practitioner-coordinator • Physical, speech and occupational therapists, including our rehabilitation facility staffed with a neuropsychologist and physiatrist • Stroke certified nurses (American Association of Neuroscience Nurses - AANN)

Our advanced technologies include: • 64-slice CT scan • Air ambulance transport system • Angiography suites • MRI equipment • Neuroscience step-down unit • Specialty neuro-critical care unit

Covenant HealthCare is a Primary Stroke Center Our program meets the rigorous standards of, and is accredited by, the Health Facilities Accreditation Program (HFAP) as a Primary Stroke Care Program. To be a HFAP certified Primary Stroke Center, Covenant demonstrates improved treatment, better patient outcomes and reduced costs. Moreover, Primary Stroke centers have the required infrastructure and protocols in place to stabilize and provide rapid and evidence-based care to acute stroke patients. Covenant HealthCare is an American Heart Association Gold Plus Award WinnerOur program received the Gold Plus Award from the American Heart Association. This award recognizes hospitals who demonstrate at least 85 percent of the Get with the Guidelines - Stroke Achievement Measures.

Screening for Lung Cancer with Low Dose CT On February 5, 2015, the Centers for Medicare & Medicaid

Services (CMS) approved the use of Low Dose Computed Tomography, or LDCT, for use in the early detection of lung cancer for those individuals at high risk for the disease. A lengthy decision memo was published by the CMS outlining eligibility guidelines for annual screening of patients and criteria to be used by facilities when establishing a Lung Cancer Screening Program. Covenant Cancer Care Center accepted the challenge and has created a program meeting these parameters. Starting with stringent dose requirements for the LDCT and guidelines for reporting of findings, to submission of data to a national registry, there were many facets to implementing this initiative. The goal was to deliver a quality lung cancer screening program to our community. Vital to the program is the support of our physicians who identify appropriate patients and order the testing. Physicians who have ordered the LDCT for lung cancer screening know that it requires a shared decision making and counseling session with the patient and provision of patient data regarding overall health to order the test. Patients who qualify are current or former smokers with a 30 pack year history of cigarette smoking. Patients who are former smokers must have quit within the past 15 years. Information about tobacco cessation and/or continued tobacco abstinence must be provided to the patient. The age range covered for the screening per the CMS guideline is 55-77 years old. Patients should be willing to undergo any indicated follow up and be healthy enough to have surgery for lung cancer, if it is detected. Submission of all data from each LDCT to the Lung Cancer Screening Registry is mandatory and has provided some interesting revelations thus far in our program. To date, Covenant has completed over 250 screenings and has discovered three lung cancers. Two of these patients had Stage I disease and thus received potentially curative treatment. A great accomplishment in a population of cancer patients where the average one year survival is about 44 percent, with the average five year survival of about 17 percent.* Late stage at detection is a driving factor in these survival rates and one that we hope to improve through the more widespread use of LDCT for annual lung cancer screening. Interestingly, we have incidentally detected a significant amount of coronary artery disease in this screening population. Interventions such as cardiac consultation, diagnostic testing, cardiac catheterization and even CABG for previously undiagnosed heart disease have been performed. As other programs across the nation submit data, we are finding this is not unique to our program, but rather a national finding. The benefit to our community in identifying heart disease and teaching patients about



modifiable risk factors in addition to promoting smoking cessation and detecting early stage lung cancer is undeniably a win-win situation.

Moving forward with using LDCT for annual lung cancer screening, we hope to see not only earlier detection of lung cancers with better survival rates, but a decrease in tobacco use in our community. Physicians who are interested in more information about ordering LDCT or the Lung Cancer Screening or Smoking Cessation Programs at Covenant can call Ann Werle, RN at 989.583.5014.

*ASCO Cancer. Net

SAVE THE DATE: Red Carpet 2016 Thursday, August 11 and Friday, August 12

THURSDAY, AUGUST 11, 2016 NEW THIS YEAR! RED CARPET PAR 3 CHALLENGE This new event offers 18 chances at winning 18 prizes valued at $1,000 or more each! Enjoy light breakfast and the practice range before a shotgun start and 18 holes. This fun-filled event is open to the first 24 teams who register.

CRUMPETS & CROQUET - For those who want to be part of the daytime events, but golf is not your cup of tea,

P R O V I D I N G N E W

COVENANT REGIONAL WOUND HEAL ING & HypERbAR IC MED IC INE CENTER

Extraordinary care for every generation.www.covenanthealthcare.com

900 Cooper, Fourth Floor Saginaw, Michigan 48602989.583.4401 TelHours: Monday – Friday 8 am – 5 pm

join us for a different cup of tea wearing your most festive attire! Women and men will have the chance to enjoy summer refreshments on the lawn, a delicious lunch and a round of croquet.

RED CARPET PREMIERE - Enjoy a fun-filled evening of gourmet food and casino-style gaming events. Snappy casual dress for this blockbuster bash of blackjack, slot machines, with opportunities for auctions, raffles, door prizes and more! FRIDAY, AUGUST 12, 2016 PREMIERE GOLF CLASSIC - This popular event features a full breakfast and practice range, followed by a shotgun start. Pick up pointers with your team while playing with a PGA golf professional. Dinner and awards banquet following golf.

All proceeds benefit Covenant Hospice and Covenant Breast Health Center. For information on how to participate in or sponsor any of the Red Carpet events, call 989.583.7604 or visit covenanthealthcarefoundation.com.


If constant stress has you feeling exhausted, detached from patients, or cynical, take notice. You may be in danger of burnout, which studies show is more prevalent among physicians than other professionals. But how can you avoid it? Learn the signs of physician burnout and what you can do to stay motivated on the job. Mark Linzer, MD, Director of the Division of General Internal Medicine at Hennepin County Medical Center in Minneapolis, has studied physician burnout since 1996. He said he understands why many physicians eventually feel exhausted practicing medicine, but this problem is avoidable. “Burnout doesn’t have to be highly expensive to fix,” Dr. Linzer said. “The problem is that no one is listening. People always want to say that physician wellness and performance measures will cost a lot of money, but preventing burnout can actually save money in the long run on recruiting and training new practice staff.” If physicians want to keep burnout at bay, Dr. Linzer said there are some serious signs they should never ignore. Here are seven ways to know if your practice is getting the best of you - and when to finally do something about it:

1. You have a high tolerance to stress. Stress consistently ranks as the number one predictor for burnout among physicians, Dr. Linzer said. “Please don’t ignore the stress, even if you can take it,” he said. Physicians who consistently operate under high stress are at least 15 times more likely to burn out, according to his research.

2. Your practice is exceptionally chaotic. A quick glance around your practice will let you know if you or your colleagues may cave to stress. “People tend to think it’s the patients that always stress doctors out, but actually, it’s the opposite,” Dr. Linzer said. “Caring for patients keeps doctors motivated.

How to Beat Burnout: Seven Signs Physicians Should Know

What burns them out is caring for patients in a high-stress environment. Change the environment and you’ll change the overall quality of care.”

3. You don’t agree with your boss’ values or leadership. This one is particularly tricky to identify but “necessary to prevent burnout,” Dr. Linzer said. Whether at a large hospital or private practice, physicians need to feel as if the people leading them also share their values for medicine and patient care. Otherwise, their motivation can slowly wane.

4. You’re the emotional buffer. Working with patients requires more than medical expertise. “Often, the doctor acts as an emotional buffer,” Dr. Linzer said. “We will buffer the patient from our own stressful environment until we can’t take it anymore.”

5. Your job constantly interferes with family events. Spending quality time with loved ones helps physicians perform better. “When they can’t do those things, it’s all they think about during the day and the patient suffers,” Dr. Linzer said, citing work-life interference as one of the most common predictors for burnout among physicians in his studies.

6. You lack control over your work schedule and free time. When work demands increase, but control over your schedule doesn’t, stress can kick in and spark burnout. That’s why Dr. Linzer often tells practices, “If you standardize, customize” - a medical mantra to suggest that if physicians must work a long standardized set of hours each week, practices should at least customize their schedules to flexibly fit changes or needs in their daily lives.

7. You don’t take care of yourself. When was the last time you enjoyed a nice bubble bath or morning run? If you continually neglect yourself, you may neglect your patients, too. “As physicians, we want to be altruistic but one of the keys to altruism is self-care,” Dr. Linzer said.

Did you fit most of these signs? Find more onmaintaining a happy medical family in Physician Family, the AMA Alliance’s magazine. Also review these burnout busters and physician-friendly tips to increase satisfaction in yourpractice. Preventing physician burnout is a priority for the AMA’sProfessional Satisfaction and Practice Sustainability initiative, which partners with physicians, leaders, and policymakers to reduce the complexity and costs of practicing medicine so physicians can continue to put patients first.

AMA Wire by staff writer Lyndra Vassar 3/4/2015, 2:35 PM

http://www.physicianfamilymedia.org

http://www.ama-assn.org/ama/ama-wire/post/burnout-busters-boost-satisfaction-personal-life-practice

http://www.ama-assn.org/ama/ama-wire/post/7-steps-prevent-burnout-practice

http://www.ama-assn.org/ama/pub/about-ama/strategic-focus/physician-practices/steps-forward.page

Asma Taj, MD(St. Mary’s of Michigan Medical Oncology)Primary: Medical Oncology, Board Certified 2014.Secondary: Internal Medicine.Medical School: Government Medical College, Srinagar, Jammu and Kashmir, India, 2002.Internship/Residency/Fellowship:

University of Toledo Medical Center, Toledo, Ohio, Internship (Internal Medicine) 7/08 to 6/09; Residency (Internal Medicine) 7/09 to 6/12; and Fellowship (Oncology) 7/12 to 6/14.Sponsors: Doctors Ernie P. Balcueva and Shrinivas Kambali.

Affiliate Membership (cannot vote or hold office)Michael J. Dense, DC, CCSMS

(Shields Chiropractic)Degrees: D.C., Palmer College of Chiropractic, Davenport, Iowa, 2005 and B.S., General Science, 2003.Prior Practice: (1) Student Clinical Intern, Palmer Clinics, Davenport, Iowa and Rock Island, Illinois, 9/04 to 10/05;

(2) Post Graduate Intern, Sebewaing Chiropractic, Sebewaing, Michigan, 12/05 to 3/06; (3) Associate Doctor, Preferred Chiropractic, Saginaw, Michigan, 4/06 to 12/09; and (4) Clinic Director/Partner, Shields Chiropractic, Saginaw, Michigan, 12/09 to present.Sponsors: Drs. Elvira M. Dawis and Gopi K. Nallani.


Visit our website www.SaginawCountyMS.com and Find Us and Like Us on Facebook

APPLICATIONS FOR MEMBERSHIPThe following applications for membership may be recommended for acceptance at the May 17, 2016, Board Meeting. If you have any questions about the applicants, please contact the SCMS immediately at 790-3590 or [email protected].

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CONVENIENTLY LOCATED IN SAGINAW TOWNSHIP3400 North Center Road • Suite 400Saginaw, Michigan 48603Tel: (989) 799-5600

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mailto:Joan%40SaginawCountyMS.com?subject=


JUNE BIRTHDAYSKhurshid Ahmad MD 6/17Edgar L. Allport MD 6/24Usha K. Bulusu MD 6/25William M. Capina MD 6/20George A. Carty MD 6/4Daniel E. Ezekwudo MD 6/10Steven G. Fettinger MD 6/11Rao V.C. Gudipati MD 6/24Val Hereza MD 6/16James R. Hines MD 6/14Ahmad A. Jaber MD 6/22Larry S. Kelly MD 6/12Zubeda S. Khan MD 6/12John A. Kremski MD 6/28Lakshmana R. Madala MD 6/1Binu Malhotra MD 6/19Albert S.M. Manlapit MD 6/13Rama C. Mulpuri MD 6/14Jay B. Nayak MD 6/13Manuel M. Perea MD 6/26Juliette M. Perzhinsky MD 6/17Nasser O. Qadri MD 6/6

Todd G. Richardson MD 6/11Chad D. Ringley MD 6/30Raghu Sarvepalli MD 6/15Keith E. Scharf MD 6/12Tushar R. Shah MD 6/18Kunal Singh MD 6/2Joseph E. Talbot MD 6/2William G. Underhill MD 6/19Thomas J. Veverka MD 6/2Antonio J. Williams, Sr. MD 6/30

JULY BIRTHDAYSMark S. Adams MD 7/17Macksood A. Aftab DO 7/20Firas R. Alani MD 7/19Amjed A. Aljanabi MD 7/1Mohammed A. Alkhalifah MD 7/20Joan M. Cramer 7/11Kevin F. Cumper MD 7/7Thomas E. Damuth MD 7/9Maryam E. Davari MD 7/7

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Almohanad Abdulghani Eidah MD 7/31Jerry J. Evans MD 7/23Ramakrishnayya Gadam MD 7/13Paritharsh Ghantasala MD 7/19Charles A. Guidot MD 7/14Richard C. Hausler MD 7/1Victor L. Hill, Jr. MD 7/13Mirza J. Hussain MD 7/12Ronald L. Jenson MD 7/2Samuel L. Kalush MD 7/12Jessica A. Lancaster MD 7/21Colleen A. Linehan MD 7/19Devika M. Madhavan MD 7/8Therese G. Mead DO 7/9Sudha Nallani MD 7/30Dermot D. O’Brien MD 7/30David B. O’Donnell MD 7/6Sunil D. Parashar MD 7/19Donald B. Passal MD 7/11Jamie L. Ross MD 7/29Kevin R. Roy MD 7/26Galileo A. Sarmiento MD 7/11Gerald R. Schell MD 7/16Frank P. Schinco MD 7/17Therron R. Scobbie MD 7/27Bilal A. Shah MD 7/25Gerald A. Sieggreen MD 7/27David D. Udehn MD 7/6Steven J. Vance MD 7/8

AUGUST BIRTHDAYSLayla S. Abubshait MD 8/1Salisu A. Aikoye MD 8/16Michael J. Argyle MD 8/24Ronald C. Barry MD 8/31M. Arshad Bashir MD 8/15Sussan M. Bays MD 8/29Ronald H. Bradley DO 8/21Brian D. Dudenhoefer MD 8/8Michael L. Fiore MD 8/24Shahrukh Hashmi MD 8/24Mark J. Heinzelmann MD 8/16Perlita P. Ilem MD 8/7Harold B. Lenhart MD 8/1Ruth M. Licht DO 8/30Miles P. Light MD 8/8Robyn M. Lorenzo DO 8/27Amita Kakarla Maganti MD 8/28Rick A. Meyer MD 8/30Steve Min DO 8/25Charles E. Mueller MD 8/28

Gopi K. Nallani MD 8/1Ferdnand C. Osuagwu MD 8/17Sujal G. Patel MD 8/14Priya M. Punnoose MD 8/7Brian D. Purchase DO 8/24Zakir H. Qureshi MD 8/28Ramesh Penumetsa Raju MD 8/3Nikita Roy MD 8/10Manoj Sharma MD 8/31Heather K. Sherwin MD 8/3Stephen A. Smith MD 8/10Chander W. Srinivasan MD 8/21Vasanth Stalin MD 8/21Kimiko D. Sugimoto MD 8/26Pauline D. Watson DO 8/22Tiffany A. Weiss-Feldkamp DO 8/18Claudia C. Zacharek MD 8/31

SEPTEMBER BIRTHDAYSAmanda J. Allen MD 9/30Corey L. Alvarez MD 9/6Umesh A. Badami MD 9/18Leroy C. Barry MD 9/14Chirdeep Bhutani MD 9/6Jacquelyn M. Charbel DO 9/5Radha Cherukuri MD 9/29Kristin M. Constantino MD 9/5Matthew D. Deibel MD 9/9Paul R. Goyt MD 9/26Nina R. House MD 9/21Parminder S. Jaswal MD 9/11Zaira Khalid MD 9/12Deirdre H. Knobeloch DO 9/26Palaniandy K. Kogulan MD 9/16John B. Llewelyn MD 9/5Ashley M. Lopez MD 9/24Thersilla Oberbarnscheidt MD 9/7James E. Packer MD 9/24Brian F. Perry MD 9/11Kaushik Raval MD 9/25Naman A. Salibi MD 9/25Tory K. Snyder DO 9/14Joseph C. Spadafore MD 9/20Dennis M. Tibble MD 9/19Prabhundha Vanasupa MD 9/18Neill D. Varner DO 9/3Mary Jo Wagner MD 9/20James R. Weir MD 9/20Lawrence C. Whiting MD 9/30Fakhar H. Zaidi MD 9/19


BOARDHIGHLIGHTS

Seeking Retired MDsFor the ContinuingMedical Education (CME) Committee

Would you like to stay involved with CME for practicing physicians?

Do you identify with our Mission?

…to foster an environment rich in opportunities for lifelong learning for physicians …

by providing CME activities designed to enhance physician and the healthcare team’s

clinical knowledge and professional competence through integration of new

technologies, identification and overcoming of barriers to change as well as

state-of-the-art healthcare information and research with the goal of improving

patient care and outcomes among all populations in east-central Michigan.

We treasure your years of professional practice and accumulated wisdom and invite

your participation

ONLY SIX HOURS A YEAR!The CME Committee will meet six times

a year for one hour with lunch at the new CMU College of Medicine

1632 Stone StreetSaginaw, MI 48602

If interested, please contact

Joan Ford, CHCPAdministrator, Continuing Medical Education

CMU [email protected]

989-746-7555

The March meeting of the Board of Directors of the Saginaw County Medical Society was held on Tuesday, March 15, 2016, at CMU Health in Saginaw. Danielle C. Duncan MD, President, called the meeting to order at 5:35 p.m. The minutes of the February 17, 2016, Board meeting were reviewed. MOTION: Approve the February Board Meeting Minutes. MOTION APPROVED. Dr. Veverka presented the Treasurer’s Report for February 2016. MOTION: Approve the February Treasurer’s Report. MOTION APPROVED.

OLD BUSINESS1. CMU Update - Dr. Vance gave an update on the CMU College of Medicine (CoM). He said they are currently placing students into 41 electives for their fourth year, and are looking to expand subspecialties available to students. Dr. Vance reported CMU saw a nice increase in both Covenant and St. Mary’s community providers in February, and thanked the SCMS for encouraging employed practices to participate. Ninety M3 and M4 students will be training in Saginaw in July. All six CMU CoM graduate medical education programs have achieved full accreditation by the Accreditation Council for Graduate Medical Education (ACGME). He also said residency programs in Saginaw at CMU Health matched all 31 available spots on the first day of Match Week in March. Dr. Vance was asked if there were plans to reestablish the General Surgery Residency. He stated there were plans to do so in the future, but the timeframe is unknown. CMU must wait at least two years to submit a new application for accreditation.2. Resolutions to MSMS HOD - Dr. Willy gave an update on her resolution “Assessing Health Care Needs of the General Population.” She was looking for statistics related to expected shortages in the future. Dr. Constan thought MSMS did a manpower study in 2011 that would provide information. Dr. Veverka mentioned MiHIA should have useful information as well. Any board members with information were asked to contact Dr. Willy. The Board quickly reviewed three draft resolutions from CMU CoM students, as follows: (a) Assessing Caregiver Stress and Burnout in the Elderly; (b) Licensure and Reimbursement for Certified Genetic Counselors; and (c) Passenger Safety Legislation.3. Membership Update – Joan presented a membership graph that indicated 23 percent of members (113) were


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retired and paid no dues; 19 percent (97) were residents and fellows and paid no dues; leaving 58 percent (289) dues paying members (seven of those were first year or part time paying half dues). The Board then reviewed Dr. Duncan’s article on membership from the March Bulletin, along with the list of non-members. All non-members will be sent a public issue of the Directory, a membership application and invitation to the April meeting. Finally, the Board reviewed the list of physicians who had not yet paid their 2016 membership dues, and were asked to contact anyone they knew and encourage payment. Dr. Willy mentioned MSMS was in the midst of a redesign, and several board members asked if we needed to rebrand to retain members. Other board members indicated it is the physician’s responsibility to be involved. Joan noted the SCMS does much more than many of the larger county societies with less staff and limited resources.4. Health Fair – The 12th Annual SCMS Health Fair “The Doctor Is In” is scheduled for Saturday, March 19. Board members were asked to attend and staff the SCMS booth, answer visitor questions, and distribute the new public Membership Directory and other information.

5. MSMS HOD – Joan reported Dr. Boysen had to decline attending this year’s HOD due to a family commitment, and Dr. Nahata indicated he would attend and be seated as a Delegate along with Drs. Dawis, Dedicatoria, Nallani, Walter, Scott, Veverka and Willy. Drs. Dedicatoria, Willy and Veverka have all been asked and accepted appointment to Reference Committees D, B and D respectively. The District Director’s Briefing will be held on Wednesday, April 27, at 6 p.m. at the Saginaw Country Club.6. Nominating Committee – Those attending who did not complete a Position Interest Form at the February Board Meeting were asked to complete and return tonight to assist the Nominating Committee in forming the Slate of Officers for 2016-17.

NEW BUSINESS1. Application for Membership – Dr. Caroline Scott, Interim Secretary, presented the following applicant for his second reading: (a) Thomas J. Campana MD, Aleda E. Lutz VA Medical Center, General Surgery - board certified in 1993, sponsored by Drs. Anthony deBari and George J. Gugino.



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Foot and Ankle Pain

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Back Pain

Strains or Sprains

Foot and Ankle Pain

Shoulder/Arm/Hand Pain

Arthritis

Head and Neck Pain

Sports Related Injury

Work Related Injury

Don’t let pain keep you down. If you are

experiencing the following, WE CAN HELP!

BAY ROAD 3901 Bay RoadSaginaw, MI 48603t: 989.797.6040

DAVENPORT 3525 DavenportSaginaw, MI 48602t: 989.497.6040

SHIELDS 7680-4 GratiotSaginaw, MI 48609t: 989.781.1258

MOTION: Approve the application of Dr. Campana as presented. MOTION APPROVED.2. SCMS Foundation – Dr. Matt Deibel, Foundation President, updated the Board on possible future activities of the Foundation. The Foundation Board would like to consider offering grants and scholarships to medical students, in addition to or in lieu of medical student loans. For example, CMU’s Research Day is on May 20, and the Foundation could offer cash prizes to the winners thereby creating goodwill with the medical students and fostering a mentorship with the students. Ideally, Dr. Deibel would like to see half of the money raised at each year’s Golf Outing distributed, and half invested in the endowment fund. Joan will publish a survey in the April issue of The Bulletin asking members to help determine the best way to use Foundation funds. In addition, Dr. Deibel will give a short presentation at the April Membership Meeting about the Foundation, and copies of the survey will be available for members to complete. Joan will also have donation forms and envelopes available at the meeting, along with Golf Outing Sponsorship and Team Registration forms.

The next meeting of the Board will be held on Tuesday, April 19, 2016, at Horizons Conference Center prior to the Membership Meeting which includes spouses and Midland County Medical Society/MidMichigan Physicians. The meeting was adjourned at 6:53 p.m.

Respectfully submitted,JOAN M. CRAMERExecutive Director


ATTENTION RETIRED MEMBERS!Retired physicians meet for lunch every Wednesday

at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their

own lunch, and the informal gathering lasts about an hour. Join your retired colleagues whenever you like!

If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or

by email at [email protected].

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Program Helps Impaired Health Care Professionals Health care professionals are not immune to substance abuse or mental health disorders. Many otherwise highly qualified professionals may develop these problems due to stress, long hours, a genetic predisposition, or a tendency to self-medicate. To assist health care professionals impaired by these disorders, consider the care monitoring services of the Health Professional Recovery Program (HPRP). The Michigan HPRP was established by legislation in 1993 to assist impaired professionals before their actions harm a patient or damage their careers through disciplinary action. Any licensed or registered health care professional in the State of Michigan is eligible to participate in the program. To maintain participant confidentiality, the HPRP is operated by a private-sector contractor under the authority of the Health Professional Recovery Committee (HPRC), a committee comprised of a representative from each of the health professional licensing boards. The Michigan Department of Community Health, Bureau of Health Professions provides

TO MAKE A REFERRAL OR SELF REPORT, CALL 1-800-453-3784

SCMS Physician Health & Well-Being CommitteeConfidential assistance to physician members with personal issues affecting their private and professional lives

The SCMS Physician Health & Well-Being Committee is a CONFIDENTIAL resource for SCMS members who have issues affecting their private and/or professional lives. The Committee acts totally independently, and NO INFORMATION is shared with the SCMS Board, members or staff. If you are in need of confidential assistance, or know of another member who is having a difficult time, please contact Dr. Kaushik Raval, Chair of the Committee, at (989) 790-7742. If he is not available, leave a message and he will return your call.

administrative services to the HPRC. Participation in the HPRP is confidential. If a licensee/registrant is referred to the program, has a qualifying diagnosis

and complies with the HPRP requirements, his/her name will not be disclosed to state regulatory authorities or the public. Provided there is no readmission, records of HPRP participants are destroyed five years after successful completion. Referrals to the HPRP may come in the form of a self-referral from a licensee/registrant or from colleagues, partners, employers, patients, family members or the State. Any of the 20 health professional licensing boards may also refer

licensees/registrants to the HPRP for monitoring as a condition to regain or retain their license to practice. The names of individuals reporting a licensee/registrant suspected of impairment are also kept confidential. For more information on the HPRP, call 1-800-453-3784 or visit www.HPRP.org. Informational presentations on the HPRP are available to employers and health professional groups at no charge. Call the toll-free number to arrange a presentation at your facility.

PRSRT STDU.S. POSTAGE

PAIDSaginaw, MI

48605PERMIT #228

350 ST. ANDREWS ROAD | SUITE 242SAGINAW, MI 48638-5988

These Area Businesses Support Saginaw County Medical Society Membership Meetings

When you have a need for a service, please consider our Key Providers

MARK YOUR CALENDAR FOR 2016

2015-2016 KEY PROVIDERS

Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | [email protected] or [email protected]

ADDRESS SERVICE REQUESTED

Tuesday, May 17, 2016SCMS Board meets at Horizons Conference Center at 5:30 p.m. Annual Membership Meeting at Horizons Conference Center. Social at 6:30 p.m. (cash bar), followed by meeting and program at 7 p.m. Program: “CMU College of Medicine Update – The Future of Medicine in Saginaw and the Region.” Speaker: CMU College of Medicine Dean George E. Kikano, MD.

Saturday, June 11, 20167th Annual SCMS Foundation Golf Outing at the Saginaw Country Club.

Tuesday, June 21, 2016SCMS Board meets at CMU Health, 1632 Stone Street, Saginaw in Room 1016 at 5:30 p.m. There is no membership meeting in June.

Tuesday, August 16, 2016SCMS Board meets at CMU Health, 1632 Stone Street, Saginaw in Room 1016 at 5:30 p.m. There is no membership meeting in August.

Tuesday, September 20, 2016SCMS Board meets at Horizons Conference Center at 5:30 p.m.Membership Meeting at Horizons Conference Center joint with the Saginaw County Osteopathic Society. Social at 6:30 p.m. (cash bar), followed by meeting and program at 7 p.m. Program: TBD.

Tuesday, October 18, 2016SCMS Board meets at 5:30 p.m. at HealthSource Saginaw. Membership Meeting at HealthSource Saginaw with Social at 6:30 p.m., followed by meeting and program at 7 p.m. Program: Candidate’s Forum (tentative).

Tuesday, November 15, 2016SCMS Board meets at CMU Health, 1632 Stone Street, Saginaw in Room 1016 at 5:30 p.m. There is no membership meeting in November.

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Documents

SCMS BULLETIN - May 2016