VOL. XLVI NO. 3 / SUMMER 2019 Rural Medicine Issue INSIDE: • RURAL MEDICINE FROM DIFFERENT PERSPECTIVES • 2019 CLINICAL EDUCATION PROGRAM “STRONG MEDICINE FOR IOWA” Des Moines, Des IA Des Moines, Iowa 50309 Iowa Moines, Des Permit No. 762 No. Permit PAID 100 East Grand, Suite 240 Suite Grand, East 100 ostage P US STD PRSRT Iowa Academy of Family Physicians Family of Academy Iowa It doesn’t matter where you’re from. It doesn’t matter how old you are. It doesn’t matter where you live. You deserve high-quality health care. Families deserve high-quality health care. Everyone deserves peace of mind. Everyone deserves a partner in health. Everyone deserves a family doctor. American Academy of Family Physicians and FamilyDoctor.org Table of Contents Vision Statement for the Iowa Academy of Family Physicians “Family Medicine will be the foundation for a healthier Iowa.” OFFICERS DISTRICT 4 Michael Lindstrom, D.O. President Mason City James Bell, M.D. Cedar Rapids Mara Groom, D.O. Spirit Lake OFFICIAL PUBLICATION OF THE IOWA ACADEMY OF FAMILY PHYSICIANS President-elect Vol. XLVI No. 3 / SUMMER 2019 Sherry Bulten, M.D. At-Large Humboldt Joshua Tessier, D.O. Des Moines Vice President Lonny Miller, M.D. Candice Smith, M.D. IN THIS ISSUE Knoxville Creston President’s Message ........................................................................2 Secretary-Treasurer Residency Representative Editor’s Desk ...................................................................................4 Corrine Ganske, M.D. Anthony Day, M.D. Des Moines Student’s Corner Resident Members Board Chair Tyler Olson, M.D. Changing Perceptions About Rural Medicine: What Works? .......6 Scott Bohner, D.O. Decorah Student Members Resident’s Corner Melissa Chan Executive Vice-President Is This Heaven? No, It’s (Rural) Iowa! .........................................8 Pamela Williams Des Moines AAFP Delegates Office News Douglas Martin, M.D. Brian Mehlhaus, M.D. The Future of Family Medicine ..................................................10 BOARD OF DIRECTORS Member Advocacy DISTRICT 1 OFFICE STAFF Angela Greif, M.D. 2019 Legislative Coffee Recap ...................................................12 Anamosa Executive Vice President Pam Williams Thomas Richmann, M.D. End of Session 2019 Report .......................................................13 Springville Deputy E.V.P. Katie Cox Guest Article Director or Education & Advocacy DISTRICT 2 Relearning Dutch Bingo Donal Gordon, M.D. Kelly Scallon .............................................................18 Solon Education Sarah Ledger, D.O. IAFP OFFICE st Mount Pleasant 100 East Grand, Suite 240 IAFP 71 Anniversary Annual Conference .................................20 Des Moines, IA 50309-1800 IAFP 71st Anniversary Annual Conference Registration.............22 DISTRICT 3 Phone: (515) 283-9370 Laura Bowshier, M.D. Toll Free: (800) 283-9370 Urbandale Fax: (515) 283-9372 2019 IAFP Summer CME Weekend Getaway in Lake Okoboji ..23 E-mail: [email protected] Laura Abels, D.O. Website: www.iaafp.org IAFP 2019 Volunteer Form .........................................................24 Des Moines Members in the News 2018-2019 Committee/Board Chairs New Members .............................................................................28 New Residents ............................................................................29 Board of Directors Member Services Scott Bohner, D.O. Scott Bohner, D.O. Members Up for Re-Election in 2019 ........................................30 Education Committee IAFP Foundation President Jenny Butler, M.D. Dawn Schissel, M.D. Member Advocacy Magazine Editor Dave Carlyle, M.D. Jason Wilbur, M.D. Brent Hoehns, M.D. PrimCare PAC Brent Hoehns, M.D. Created and printed by Iowa Family Physician is addressed and mailed to every family physician, resident, ADVERTISING & PRINTING medical student, hospital and medical school throughout the state and serves as 810 East First Street • Pella, Iowa 50219 the Academy’s major communication source regarding public relations, legislative and membership information. Phone: (641) 628-1130 • Toll Free: (800) 326-6491 • Fax: (641) 628-2826 www.towncrierltd.com • www.towncriernews.com Send news and editorial communications to: Summer 2019 The Iowa Academy of Family Physicians • 100 East Grand, Suite 240 • Des Moines, IA 50309-1800 1 CRIER President’s Message RURAL MEDICINE TOUCHES US ALL If You Don’t Know Us ... By Jim Bell, M.D. It’s hard to know how to start a message there was Dr. Larry Severidt. I know Maybe You Should in an issue that focuses on rural health those are revered names in our circles care. It might be sort of like confession. and that many of your heads are When I applied to medical school, I nodding. There are many more names remember writing in my personal essay that belong on the “revered” list of the that I wanted to become a rural family giants of rural medicine. doctor. My grades and MCAT scores weren’t that great, so I assume that Moonlighting is where I grew up. My expressed intention is why I got in. Since first weekend in the ER, a 16-year-old Individualized I grew up in Des Moines, my definition boy drowned in Lake Delhi. I used of rural was probably “anything smaller everything that 1984 ACLS training than Des Moines.” So God, I am sorry had to offer, worked for almost an attention—not that I ended up in Cedar Rapids. In my hour, then sat down and cried with the defense, I practiced in the outermost family over their loss. It wasn’t my first governor and legislature also recognize corner of Marion, so I took care of a lot exposure to end of life but the first time the need with increased residency cookie cutter of rural patients. They were the best. I was in the driver’s seat. I don’t know if funding (particularly for mental health) that experience had any bearing on my and ongoing support for the Rural Loan My mother was a farmer’s daughter from predisposition to provide good end of Repayment program. near Tipton, and even though it isn’t far life care, but I can say that it made me from Iowa City, I think Cedar County respect being the responsible physician There might be ways we could influence still only has one stoplight. I remember in an isolated place. policy makers to improve the Rural hearing on the farm when I was a kid that Loan Repayment Program, or maybe if there was a big problem, they might All family physicians in Iowa have you have ideas of your own that could have to call Dr. Kruse or Dr. Kopsa (the many stories similar to mine. How do potentially improve the status of rural only two doctors in the county as far as these stories relate to what we can and family practice in Iowa. How about I know). Though I never met either of should do as an Academy? First, I think sharing them? Last issue I stepped out in them, they became part of the legend is to call out the importance of rural faith and shared my e-mail address not that made me want to pursue medicine. family medicine and beat the drum knowing how many physicians would Even now practicing palliative medicine hard. I just read in the Family Medicine respond to me. One did. The intent of the at St Luke’s, it’s easy to identify patients Action Network Digest (get it through IAFP is to be inclusive and responsive, and families who come from rural Iowa the AAFP!) of a CBS News story on the not aloof! My e-mail address again is because they understand the work ethic, crisis of rural medical care with hospital [email protected] and I’d You treat your patients as individuals. they don’t complain about little things, closures and declining access to care, love to hear from you. In closing, my Shouldn’t your malpractice insurance and they know the “circle of life.” I still and how one community in western thanks and gratitude to our rural family see people from Tipton who know my Kansas is responding with a concerted physicians—you are my heroes. company give you the same consideration? relatives and I love to hear stories. Life effort that pivots around family is stories. physicians. Next, we need to respond At Professional Solutions, you’ll get the at the advocacy level with policies that The most significant memories I encourage medical students to choose personalized attention you deserve, so you have during training were in small family medicine, and especially rural can focus on what makes you happy—treating communities (again I apologize if I practice. We can be thankful that in am misinterpreting “small”). I literally Iowa, some of that is happening. Des your patients. Get to know Professional lived for a month with Dr. Jim Dunlevy Moines University has the highest Solutions today! in Fairfield. During residency training, percentage of any osteopathic college in my moonlighting experience was the country going into family medicine, mostly at Delaware County Hospital just over 27%. Yes, University of Find out more at in Manchester, and among my mentors Iowa, that should be a motivator. Our www.psicinsurance.com/physicians Malpractice insurance is underwritten by Professional Solutions Insurance Company (doing business in California as PSIC Insurance Company). ©2019 PSIC NFL 9090-C-MD 2 The Iowa Family Physician If You Don’t Know Us ... Maybe You Should Individualized attention—not cookie cutter You treat your patients as individuals. Shouldn’t your malpractice insurance company give you the same consideration? At Professional Solutions, you’ll get the personalized attention you deserve, so you can focus on what makes you happy—treating your patients. Get to know Professional Solutions today! Find out more at www.psicinsurance.com/physicians Malpractice insurance is underwritten by Professional Solutions Insurance Company (doing business in California as PSIC Insurance Company). ©2019 PSIC NFL 9090-C-MD Winter 2017-2018 3 Editor’s Desk FOCUS ON RURAL FAMILY MEDICINE By Jason Wilbur, M.D. The more things change, the more they they had with their patients and the stay the same.