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SUMMER 2020 COLORADO FAMILY PHYSICIAN RESOURCES AND GUIDANCE FOR REOPENING MEDICAL PRACTICES PG…15 CONSIDERATIONS FOR RETURN TO YOUTH SPORTS AMIDST COVID-19 PANDEMIC PG…16 ANNUAL REPORT 2019 PG…19 YOU ARE THE KEY TO ZERO SUICIDE of those who complete suicide see a primary care physician in the 30 days before they die. The Journal of General Internal Medicine ‘Health Care Contacts in the Year before Suicide Death’ (June 2014 Vol 29 Issue 6 pp870-877) notes that nearly all completed suicides receive health care in year prior to death (83%), yet less than 25% had a mental health diagnosis in the month prior to death. The new West Springs Hospital is a resource for you and your patients. Our psychiatric staff is happy to consult regarding identification of mental illness and suicidal ideation. Should your patient need our services, we provide a world-class, state-of-the-art healing environment set amongst the majestic vistas of Western Colorado. ConsultationsandWalkinCrisisServicesAvailable /ExpeditedAssessment&Admissions WSH﹒ Francis Lotrich, MD, PhD Kim Boe, ACHE, MM, HRM Shona Vocke-Page, RN Medical Director Executive Vice President Director of Nursing NA&/R﹐GJ﹐C CAFP CHAIR/PAST PRESIDENT ZACH WACHTL, MD SECRETARY/ ALAN-MICHAEL VARGAS, MD DENVER TREASURER PARACHUTE [email protected] [email protected] Board of PRESIDENT JOHN CAWLEY, MD MEMBER-AT-LARGE STEPHANIE GOLD, MD FT. COLLINS DENVER [email protected] [email protected] Directors PRESIDENT-ELECT GINA CARR, MD EXTERNAL RELATIONS/ MONICA MORRIS, DO LAKE CITY AWARDS COMM.CHAIR DENVER [email protected] [email protected] Officers VICE PRESIDENT CRAIG ANTHONY, MD DENVER [email protected] 2019-2020 Board Members Resident Representatives Student Representatives Vision Statement: Term Expiring 2020 Emily Aquila, DO, 2021, St. Anthony North, Denver Bijan Ghaffari, CU,2019 Thriving Family Physicians Melissa Devalon, MD, Monument [email protected] [email protected] [email protected] creating a healthier Colorado. Sean Buck, MD, 2021, University of Colorado Leah Kellogg, CU, 2019 Stephanie Gold, MD, Denver Family Medicine Residency, Denver Health, [email protected] [email protected] Greenwood Village [email protected] Shannon Jantz, MD, Denver Mallory Krueger, RVU, 2019 Katie Doster, DO, 2022, North Colorado Mission Statement: [email protected] [email protected] Family Medicine, Greeley Corey Lyon, DO, Denver [email protected] Danielle Lattes, RVU, 2020 The CAFP’s mission is to serve as [email protected] Kale Flory, DO, 2021, Ft. Collins Family [email protected] the bold champion for Colorado’s Medicine Residency, Ft. Collins, Ft. Collins [email protected] Filiberto Morales, Denver, CU, 2020 Term Expiring 2021 family physicians, patients, and [email protected] Bryce Galbraith, MD, 2020, St. Anthony communities through education and Rachel Carpenter, MD, Denver North Family Medicine Residency, Westminster [email protected] [email protected] Sara Schuster, Denver, CU, 2019 advocacy. [email protected] Cleveland Piggott, MD, MPH, Denver Kenny Herring, MD, 2020, University of [email protected] Colorado Family Medicine Residency, Denver Katie Doster, RVU, 2019 [email protected] Roxi Radi, MD, Denver [email protected] [email protected] Morgan Hungenberg, DO, PGY-II, University of Colorado Family Medicine Editor Abbie Urish, MD, Rangely Residency, Denver [email protected] [email protected] Zach Wachtl, MD [email protected] Allison Johnson, MD, 2021, University of Term Expiring 2022 Colorado Family Medicine Residency, Denver Legislative Committee Chairs Staff Health, Denver Raquel Alexander, MA, CAE Jen Feng, MD, Denver [email protected] Craig Anthony, MD Chief Executive Officer [email protected] [email protected] Leah Kellogg, MD, 2022, St. Joseph Family [email protected] Kyle Leggott, MD, Aurora Medicine Residency, Denver Gina Carr, MD, MPH [email protected] [email protected] Ryan Biehle, MPH, MPA [email protected] Deputy CEO for Policy and Katharine Kelly, MD, 2021, University of Education Committee Chairs Lindsey Pearson, MD, Boulder External Affairs Colorado Family Medicine Residency, Denver [email protected] [email protected] Health, Denver Emily Garban, MD [email protected] [email protected] Karin Susskind, MD, Boulder Resident & Student Activities Task Force Chair Jeff Thormodsgaard [email protected] Poorvi Pfenning, MD, 2020 Swedish Family Lobbyist Medicine Residency, Denver Corey Lyon, DO [email protected] [email protected] [email protected] Erin Watwood Delegates Karin Susskind, MD Lindsey Romero, MD, 2021, Southern Director of Education, [email protected] Brian Bacak, MD, FAAFP, Colorado Family Medicine Residency, Pueblo Events, & Meetings Highlands Ranch [email protected] [email protected] [email protected] Health of the Physician and Public term expires 2019 Alexandra Targan, MD, 2021, University Committee Chair Joshua Foust of Colorado Family Medicine Residency, Abbie Urish, MD Director of Communications, Marketing, and Glenn Madrid, MD, Grand Junction University, Denver [email protected] Membership [email protected] [email protected] [email protected] term expires 2019 Jesse Troutman, DO, 2021, St. Anthony North Alternate Delegates Family Medicine Residency, Westminster [email protected] Tamaan Osbourne-Roberts, MD, Denver Contact Colorado Academy of Family Physicians [email protected] 2224 S. Fraser St., Unit 1 term expires 2019 Information Aurora, CO 80014 Zach Wachtl, MD, Denver phone 303-696-6655 or 1-800-468-8615 [email protected] for the CAFP term expires 2019 fax 303-696-7224 e-mail [email protected] Colorado Family Physician 3 COLORADO FAMILY PHYSICIAN CONTENTS SUMMER 2020 6 PRESIDENT’S LETTER 16 CONSIDERATIONS FOR RETURN TO YOUTH SPORTS AMIDST COVID-19 PANDEMIC 8 CEO’S REPORT 18 DOES YOUR CLINIC HAVE A CULTURE OF SECURITY? 10 ADVOCACY IN THE TIME OF COVID-19 21 ANNUAL REPORT 12 CAFP ON THE GO 34 MANAGING COVID-19 LONG-TERM 14 GREETINGS FROM SNOCAP 35 ARE YOU BEING SOCIAL, ON SOCIAL MEDIA? 15 RESOURCES AND GUIDANCE FOR REOPENING MEDICAL PRACTICES 36 VACCINE NEWS YOU CAN USE 40 PRIMARY CARE’S AFFORDABILITY CRISIS Edition 64 42 A LEGACY OF GIVING pcipublishing.com Created by Publishing Concepts, Inc. CONGRATULATIONS TO ALL ADVANCING RESIDENTS! David Brown, President • 1-800-561-4686 ext.103 45 [email protected] For Advertising info contact Michelle Gilbert • 1-800-561-4686 ext.120 [email protected] 46 WELCOME NEW MEMBERS Acceptance of ads does not constitute an endorsement by the CAFP of the service or product. 4 Colorado Family Physician Have a career. Have a life. LifePoint Health offers unique opportunities for providers to prosper professionally and personally at hospital campuses nationwide. Quality care is our top priority – we give you access to the tools, resources, and support you need to help you care for your patients and grow your business. In addition, we offer competitive compensation packages, which may include a sign-on bonus, student loan reimbursement, and residency stipends. Join us in Making Communities Healthier.® For more information, visit MeetLifePoint.com Submit your CV for consideration to [email protected] We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Advocacy BY JOHN CAWLEY, MD, FAAFP PRESIDENT’S LETTER The last 12 months have shown us reminded me of that. Recently, I lost recent experiences have helped reinforce record snow falls, avalanches, floods, track of my daughter while skiing and my faith in humanity. and another disappointing end to the while we fervently searched the resort Despite the implementation of Broncos season, all followed by a global for her, a kind soul drove her back to our social distancing, telemedicine and pandemic, an invasion of Miller moths neighborhood and dropped her off with virtual visits have presented an intimate of biblical proportions, and ongoing neighbors. The following week, a close opportunity to meet with patients in systemic brutality towards people of friend asphyxiated on a piece of steak in their homes and their personal spaces. color. A good friend recently reflected his salad but received nearly immediate They have shared with me exquisite on the senseless chaos we find ourselves CPR from a bystander in the airport needle point quilting, a folded flag sitting in, “The air has a palpable anxious feel restaurant (he has recovered fully). Only on the mantle, cherished four-legged to it… People need something beautiful a few days after that, while traveling family members, and a family’s bare to happen soon!” He couldn’t be more home from Steamboat with our children, kitchen. We must get close, dive deep, right: people do need something my wife came upon a young man who and sometimes even get dirty if we are beautiful to happen soon. His reflection had flipped his car on the ice and rolled to wholeheartedly care for patients and led me to recall a quote from the movie off the road. He was