GEORGIA ACADEMY of FAMILY PHYSICIANS 52Nd CONGRESS of DELEGATES

GEORGIA ACADEMY of FAMILY PHYSICIANS 52nd CONGRESS of DELEGATES

First Session: Thursday, October 29, 2020 – 6PM GoToWebinar

Second Session: Sunday, November 15, 2020 – 2:30PM Zoom Meeting & YouTube

The Mission of the Georgia Academy of Family Physicians is to promote the health of the citizens of Georgia by advancing the specialty of Family Medicine through education, advocacy and service to family physicians in the State of Georgia. Georgia Academy of Family Physicians Specializing in You!

Table of Contents

Congress of Delegates Session Agendas ...... 5

Congress of Delegates Schedule ...... 7

GAFP District Map ...... 8

2020 Congress of Delegates by District ...... 9

Pledge of Allegiance ...... 11

GAFP Past Presidents ...... 12

The Omega Report ...... 13

Member Anniversaries in 2020 ...... 14

Congress of Delegates Officers 2020 ...... 17

Delegate & Alternate Delegate Instructions ...... 18

Parliamentary Procedures ...... 21

2019 COD Action Grid ...... 25

Congress of Delegates Reports (Additional oral addendums to printed reports will be given at the discretion of the Speaker)

Leadership Reports Report of the President ...... Jeff Stone, MD ...... 30 Report of the Chair ...... Donald Fordham, MD ...... 33 Report of the Treasurer ...... Sharon Rabinovitz, MD ...... 38 Report of the Secretary ...... Samuel Le Church, MD ...... 41 Executive Vice President ...... Fay Fulton, MHS ...... 43

Committee Reports: Education and Research ...... Theresa Jacobs, MD, Ken Howard, MD ...... 45 Legislative ...... Bruce LeClair, MD, Loy “Chip” Cowart, MD .... 48 Membership ...... Elvan Daniels, MD, Folashade Omole, MD ...... 52 Report of the Nominating Committee ...... Jeff Stone, MD ...... 55 Practice Management ...... Michael Satchell, MD, Collyn Steele, MD ...... 56 Public Health ...... Dan Singleton, MD, Angeline Ti, MD ...... 58 Student and Resident Recruitment ...... Julie Dahl-Smith, DO, Kevin Johnson, MD ...... 63

Other Reports: AAFP Delegates...... Beulette Hooks, MD, Harry Strothers, MD ...... 70 Georgia Healthy Family Alliance ...... Patrick “P.J.” Lynn, MD, President ...... 71 Political Action Committee Board ...... Donald Fordham, MD, Monica Newton, DO ...... 79 Resident Directors ...... Hikma Jemal, MD, Macy McNair, MD ...... 81 Student Directors ...... Leticia Cardoso do Nascimento, Grace Saxon, ...... Sydney Koenig ...... 83

2 Georgia Academy of Family Physicians Specializing in You!

Family Medicine Residency Program Reports: Atlanta Medical Center/Wellstar ...... George Brown, MD ...... 86 Augusta University ...... Julie Dahl-Smith, DO ...... 87 Columbus ...... John Bucholtz, DO ...... 89 Emory ...... Jose Villalon-Gomez, MD, MPH ...... 91 Floyd ...... Frank DonDiego, MD ...... 94 Houston Healthcare ...... LaToya Jackson, MD ...... 96 Medical Center of Central Georgia/Navicent Health ...... Monique Davis-Smith, MD ...... 98 Morehouse...... Riba Kelsey-Harris, MD ...... 100 Northeast Georgia ...... Monica Newton, DO ...... 104 Northside Hospital Gwinnett Medical ...... Kevin E. Johnson, MD ...... 106 Phoebe ...... William Fricks, MD ...... 108 Satilla ...... Brent Waters, MD ...... 109 Savannah ...... Robert Pallay, MD ...... 111 Wellstar Kennestone Regional ...... Viktoria Nurspeisov, MD ...... 113

Resolutions: Policy Approvals – Located in Chairman’s Report to the Congress of Delegates ...... 33

Bylaws Updated presented by Alice House, MD, Bylaws Chair on behalf of the Bylaws Committee ...... 114

Hospital Operative and Non-Operative Obstetric Privileges for Family Physicians Submitted by: Omoniyi Yakubu Adebisi, MBChB, MD ...... 123

Endorsing “Daylight Saving Time: an American Academy of Sleep Medicine position statement” Submitted by: John Desmond, MD ...... 124

Implicit Bias Training for GAFP Leadership Submitted by: Daniel Singleton, MD, MAS ...... 126

Continue seating medical student board members amongst physician board members Submitted by: GAFP Student Board Members ...... 127

Continue hosting the GAFP Medical Students Day annually with the goal of extending the opportunity to a greater number of students each year Submitted by: GAFP Student Board Members ...... 127

Advocate for state funding for residencies, graduate medical education, and undergraduate medical education and against additional cuts to state funding. Submitted by: GAFP Resident and Student Board Members ...... 127

Encourage Medical Schools in Georgia to graduate more students from Georgia into Primary Care Submitted by: Floyd Family Medicine Residency Program ...... 128

Policies for Review presented by Donald Fordham, MD, Board Chair on behalf of the Policy Review Group ...... 128 Policies for Review: Internal Policy Review: GAFP PAC Board - COD Progress Report to the Board of Directors Internal Policy Review: GAFP Supports the Georgia Patient Centered Physician Coalition (GPCPC) Internal Policy Review: Strategic Planning Internal Policy Review: Establishment of the Dr. Keith Ellis Award

3 Georgia Academy of Family Physicians Specializing in You!

Internal Policy Review: Poster Publications External Policy Review: Adult Immunization Requirements External Policy Review: Increase Funding for Family Medicine and Payment External Policy Review: GAFP’s Opposition Non-Physician Prescribing Medications External Policy Review: Medicaid Reimbursement External Policy Review: Scoliosis Screening External Policy Review: Support increasing the legal age to purchase tobacco to 21

2019 Minutes of the 51st GAFP Annual Congress of Delegates ...... 130

4 Georgia Academy of Family Physicians Specializing in You!

Georgia Academy of Family Physicians 52nd Annual Congress of Delegates – 1st Session Thursday, October 29, 2020 Webinar/Teleconference 5:00pm – COD Orientation Call 6:00pm – COD 1st Session 8:00pm – Reference Committee Conference Call (Executive Session)

COD Orientation Call Agenda

Thursday, October 29 – 5:00 – 6:00 pm I. Orientation and Welcome Carl McCurdy, MD - Speaker

II. Housekeeping and Participation Instructions Angela Flanigan, Chief Operating Officer

III. Review of the Congress of Delegates Agenda, COD Handbook, Reference Committee and Voting Harry Strothers, MD - Parliamentarian

IV. Reference Committee Review Carl McCurdy, MD - Speaker

IV. Parliamentary Procedure Review Harry Strothers, MD - Parliamentarian

V. Resolutions Carl McCurdy, MD - Speaker

VI. Questions

COD 1st Session Call Agenda Thursday, October 29 – 6:00 – 8:00 pm

I. Welcome and Introduction of Call Leaders Carl McCurdy, MD - Speaker

II. Housekeeping and Participation Instructions Angela Flanigan, Chief Operating Officer

III. Review of Resolutions A-J Anne Todd, MD Reference Committee Co-Chair

IV. Review of Resolutions K-S Michael Satchell, MD Reference Committee Co-Chair

V. Wrap Up and Next Steps Carl McCurdy, MD 2nd Session Reminder (November 15th – 2:30pm)

5 Georgia Academy of Family Physicians Specializing in You!

Georgia Academy of Family Physicians 52nd Annual Congress of Delegates Sunday, November 15, 2020 2:30 pm – 5:30pm Via Zoom

2:00 pm – 2:30 pm Delegates & Alternate Delegates Sign-in and Registration/Review Reference Committee Report

2:30 pm – 5:30 pm Call to Order and Welcome Carl McCurdy, MD – Speaker

Pledge of Allegiance ...... Monica Newton, DO – Vice Speaker

All Member Assembly:

Board Chair Remarks ...... Donald Fordham, MD – Board Chair

President’s Remarks ...... Jeff Stone, MD - President Introduction and Remarks of Honored Guests ...... Carl McCurdy, MD – Speaker ...... Steve Furr, MD - AAFP Board Designee Installation of Officers ...... Steve Furr, MD - AAFP Board Designee GAFP President – Inaugural Address ...... Tom Fausett, MD

BREAK

Parliamentary Procedure Review and Orientation for Delegates…………Harry Strothers, MD - Parliamentarian

Omega Report ...... Monica Newton, DO – Vice Speaker

Congress of Delegates Introductions ...... Carl McCurdy, MD – Speaker

Quorum Call ...... Carl McCurdy, MD – Speaker

52nd GAFP Congress of Delegates Action Calendar/Reference Committee Report

Vote of Consent Calendar

6 Congress of Delegates Schedule

Thursday, October 29, 2020

First Session of the Congress of Delegates 6:00 pm Via Webinar and Teleconference Register here: COD First Session 2020

Reference Committee Executive Session (Committee Members Only) To Follow Immediately Afterward

Sunday, November 15, 2020 Second Session of the Congress of Delegates 2:30 pm – 5:30 pm

Via Zoom (COD Delegates – voting members only) COD Registration - Voting Delegates and Alternates & GAFP Leaders

and YouTube (GAFP Members and Invited Guests) Watch COD Live - GAFP Members & Guests

Georgia Academy of Family Physicians Membership Districts

District - 1

District - 2

District - 3

District - 4

District - 5

District - 6

District - 7

District - 8

District - 9

District - 10

District - 11

8 2020 District Delegates as of 10/15/2020

Speaker: Carl McCurdy, MD, FAAFP Vice Speaker: Monica Newton, DO, FAAFP

District 1 Delegates Angela Gerguis, MD District 7 Delegates Russell Lake, MD John Desmond, MD Jamal Lawrence, MD Pamela Obi, MD Mary Mier, DO Leonard Reeves, MD Peter Rives, MD Stephanie Stutz, DO Katherine Taylor, MD

District 2 Delegates Mike Busman, MD District 7 Alternate Delegates Zita Magloire, MD Emma Atherton-Staples, MD Michael Satchell, MD Brian Cheever, MD Christina Douglass, MD

District 3 Delegates Joy Adegbile, MD District 8 Delegates Mah-Fri Fomukong, MD Jason Cox, MD Shawnte Hall-Kraft, MD Jay Goberdhan, MD Tamara Lewis, MD Eugene Jackson, MD Evelyn Lewis&Clark, MD Curtis Sorensen, MD District 8 Alternate: Donny Nash, MD

District 3 Alternates: Avril Campbell, MD District 9 Delegates Curtis Clark, DO Jody Bahnmiller-Brasil, MD James Hagler, MD Amy Bailey, MD Beulette Hooks, MD Samuel "Le" Church, MD Alice House, MD Morris Pulliam, MD Daniel Singleton, MD Anne Todd, MD Jake Varghese, MD District 4 Delegates William Bostock, MD District 9 Alternate Delegate Kris Manlove-Simmons, MD Kathryn Neely, MD John Shih, MD District 10 Delegates Temitope Afon, MD District 5 Delegates Edward Agabin, MD Omoniyi Adebisi, MD Mitch Cook, DO Shameka Hunt-McElhaney, MD Julie Dahl-Smith, DO Allison Key, MD Bruce LeClair, MD Susan Schayes, MD Kele Sewell, MD District 11 Delegates Jeff Stone, MD Derrell Anglyn, MD Jiyo Shin, MD Thomas Bat, MD Michelle Cooke, MD District 6 Delegates Daniel Feckoury, MD Tameka Byrd, MD Kennard Hood, MD Hubert Pare, MD Marissa Lapedis, MD Cyrenah Stokley, DO Zazi Nylander, MD Harry Strothers, MD Michael Obiekewe, MD Brandan Wormsbacher, MD Sylveria Olatidoye, MD Priya Shah, MD Angeline Ti, MD

Resident Delegates: Ajibola Babatunde, MD Houston Healthcare Anthony Daniels, MD Augusta University Osara Malalasekara, MD Wellstar Atlanta Medical

Alternate Resident Delegates: Macy McNair, MD Morehouse Family Medicine Residency Program Philomise Moncion, MD Medical Center of Central Georgia

Student Delegates: Caitlin Balno - Mercer Savannah Naomi Coles – Morehouse School of Medicine Sydney Koenig - Mercer School of Medicine

Pledge of Allegiance

I pledge allegiance to the Flag of the United States of America, and to the Republic for which it stands: one Nation under God, indivisible,

with Liberty and Justice for all.

11 Georgia Academy of Family Physicians Past Presidents

1948-49 Steven Kenyon, MD* 1987-88 Howard Vigrass, MD 1949-50 James B. Kay, MD* 1988-89 Richard A. Wherry, MD 1950-51 Walter W. Daniel, MD* 1989-90 Paul D. Forney, MD 1951-52 Albert R. Bush, MD* 1990-91 S. Catherine Huggins, MD 1952-53 Peter Hydrick, MD* 1991-92 D. Robert Howard, MD* 1953-54 H.L. Cheves, MD* 1992-93 Darrell L. Dean, DO 1954-55 George H. Alexander, MD* 1993-94 Keith E. Ellis, MD 1955-56 Walter G. Elliot, MD* 1994-95 John S. Antalis, MD 1956-57 Maurice F. Arnold, MD* 1995-96 George W. Shannon, MD 1957-58 Fred H. Simonton, MD* 1996-97 Dee Brown Russell, MD 1958-59 Sage Harper, MD* 1997-98 Tanya Y. Jones, MD 1959-60 Ben K. Looper, MD* 1998-99 William F. Bina, MD 1960-61 Joseph Mercer, MD* 1999-00 Ralph Peeler, MD 1961-62 Charles McArthur, MD* 2000-01 M.J. Collier, MD 1962-63 W. Frank McKemie, MD* 2001-02 Fred S. Girton, MD 1963-64 Albert L. Moms, MD* 2002-03 Eugene H. Jackson, MD 1964-65 James H. Milford, MD* 2003-04 D. Ann Travis Honeycutt, MD 1965-66 Donald W. Schmidt, MD* 2004-05 Robert B. Hash, MD 1966-67 Robert Mainor, MD* 2005-06 Susan C. Margletta, MD 1967-68 Robert E. Huie, MD* 2006-07 Alice R. House, MD 1968-69 Irving D. Hellenga, MD* 2007-08 Bruce M. LeClair, MD 1969-70 Thomas A. Sappington, MD* 2008-09 Howard C. McMahan, MD 1970-71 Robert D. Walter, MD* 2009-10 Leonard D. Reeves, MD 1971-72 George E. Mixon, MD* 2010-11 Harry S. Strothers, MD 1972-73 Ollie O. McGahee, Jr., MD* 2011-12 Beulette Y. Hooks, MD 1973-74 Edwin E. Flournoy, Jr., MD 2012-13 Jonathan “Mitch” Cook, DO 1974-75 James C. Dismuke, Jr., MD* 2013-14 Brian K. Nadolne, MD 1975-76 Wells Riley, MD* 2014-15 Wayne K. Hoffman, MD 1976-77 H. Gordon Davis, MD 2015-16 Mitzi B. Rubin, MD 1977-78 Stephen C. May, Jr., MD* 2016-17 Eddie Richardson, Jr., MD 1978-79 Milton I. Johnson, Jr., MD* 2017-18 Loy D. “Chip” Cowart, MD 1979-80 Robert A. Pumpelly, Jr., MD* 2018-19 Donald L. Fordham, MD 1980-81 Tommy K. Stapleton, MD* 1981-82 Guerrant H. Perrow, MD* 2019-20 Jeff Stone, MD, MBA 1982-83 David S. Sowell, MD 1983-84 John Ed Fowler, MD* 1984-85 Andrew P. Morley, Jr., MD 1985-86 Lanny R. Copeland, MD 1986-87 Ernest J. Jones, MD

* Indicates Past Presidents who are deceased

Thank you for your dedication and support of the GAFP

Georgia Academy of Family Physicians Northlake Commons 3760 LaVista Road, Suite 100 Tucker, GA 30084 404-321-7445 phone | 404-321-7450 fax

2020 In Memoriam

In memory of our colleagues

Lan Ta Mahon, DO ~ Snellville Nirag Nagada, MD ~ Atlanta Robert Shiver, MD ~ Meigs Louis Wilhelmi, MD ~ Augusta

“We don’t forget those… Who give us much to remember.”

13 Members Celebrating Anniversaries in 2020

70 Years Virginia Hyland, MD Andrew Mecca, MD Henry Davis, Jr., MD, FAAFP Kevin Keown, MD, FAAFP Anthony Miller, MD, FAAFP 61 Years Rene Latoni, MD James Morrow, MD Edsel Harrell, MD Bruce LeClair, MD, MPH, FAAFP Paul Mossman, MD, FAAFP 55 Years Charles Lodge, MD, FAAFP Murray Odrezin, MD Donald Thomas, MD, FAAFP Yvonne McAllister, MD, FAAFP Douglas Oster, MD, FAAFP David Sowell, MD, FAAFP Harry McDonald, MD, FAAFP Monica Parker, MD 50 Years Jeffrey Millard, MD Morris Pulliam, MD, FAAFP B. Craig Ray, MD, FAAFP Kalpana Nayak, MD, FAAFP J. Eric Ragan, MD 45 Years Onelio Perdomo, MD, FAAFP Robin Rodgers, MD Curtis Batchelor, MD, FAAFP Carolyn Petrey, DO John Schuler, MD David Carter, MD, FAAFP Steven Reissman, DO, FAAFP Peter Stager, MD Robert Hines, MD, FAAFP Thaddeus Riley, MD, FAAFP Rodney Tyson, MD George King, MD, FAAFP Peter Rives, MD, FAAFP Elizabeth Vevera, MD Paul Laughlin, MD William Roundtree, MD, FAAFP George Wheeler, MD, FAAFP Andy Morley, MD, FAAFP Garth Russo, MD, MSPH, FAAFP Christopher Wizner, MD, FAAFP

James Pugh, MD, FAAFP Charles Sanders, Jr., MD, FAAFP 25 Years Henry Richbourg, MD, FAAFP Michael Schrager, MD, FAAFP Christine Bao, MD David Satcher, MD, FAAFP Richard Smith, MD Shannon Barton, MD Laurin Smith, III, MD, FAAFP Harry Strothers, MD, FAAFP Cecil Beehler, MD Robert Sullivan, MD, FAAFP Georgia Theriot, MD Kenny Blake, MD 40 Years Ben Thomas, MD, FAAFP William Boyett, MD William Anderson, MD Beverley Townsend, MD, FAAFP Kelvin Burton, MD William Bina, MD, MPH, FAAFP Betty Walker Richardson, MD, Kelli Carter, MD James Hagler, MD, FAAFP FAAFP Horace Cline, III, MD Tong Huynh, MD Wallace Weeks, MD, MPH, FAAFP Satish Cuddapah, MD, FAAFP Farris Johnson, MD, FAAFP Jerry Wigley, MD, FAAFP Elvan Daniels, MD, MPH Veeni Kumar, MD, FAAFP C. Dirk Williams, MD, FAAFP Glen Dasher, MD Astor Lim, MD, FAAFP Andy Williamson, MD, FAAFP Cedrice Davis, MD, FAAFP James Ray, MD, FAAFP Walter Wilson, MD, FAAFP Lynn Denny, MD, FAAFP Dee Russell, MD Keith Zimmerman, MD, FAAFP David Gaines, MD Larry Wells, DO, FAAFP 30 Years JoDon Garringer, MD James Wheeler, MD, FAAFP Elizbeth Appelquest-Coe, DO, Amy Geer, MD 35 Years FAAFP Johnathan Gore, MD Derrell Anglyn, MD, FAAFP George Arimah, MD Valerie Grant, MD, MPH, FAAFP George Brown, MD Kirk Austin, MD Jason Griffin, MD John Bucholtz, DO, FAAFP Stanley Brown, MD Terry Hansen, MD James Collins, MD, FAAFP Stanley Coe, DO, FAAFP Bennett Hogan, MD Robert Cook, MD, FAAFP Mercedes Delgado, MD David Hogue, MD Cheryl Copas, MD, FAAFP Catherine Dickens, MD Alfredo Jaume, MD Allen Craig, MD, FAAFP Elizabeth Dixon, MD Andrea Juliao, MD, FAAFP Michael Dant, MD, FAAFP Jeffrey Donohue, MD Riba Kelsey, MD, FAAFP Bradley De Lay, MD, FAAFP Donald Griffin, MD Denise Kennedy, MD Frank Don Diego, MD, FAAFP George Groff, MD Phillip Kennedy, MD Robert Gambrell, MD, FAAFP Ann Hoos Young, MD, FAAFP Jeffrey Lamp, MD Mary Gearhard, MD, FAAFP Warren Hutchings, MD Shehnaz Makhani, MD Thomas Gearhard, MD, FAAFP Joseph Jackson III, MD Jennifer Miller, MD Mark Gershman, MD Michael Jones, MD Titania Miranda, MD Mark Goldberg, MD, FAAFP Shiu Kao, MD Hogai Nassery, MD James Harmon, MD Philip Kimsey, MD Kathryn Neely, MD Rudolf Hehn, MD William Lambert, MD A.J. Orquia, MD, FAAFP Scott Henderson, MD, FAAFP Robert Little, MD Emmanuel Ozimba, MD Audrey Henderson, MD, FAAFP Lawrence Lutz, MD, FAAFP William Parrish, MD

14 Veronica Patterson, MD Bola Sogade, MD, FAAFP Evelyn Campbell-Bayaan, MD Alan Perry, MD Kathrine May Tan, MD Yen I Chen, MD Jatin Pithadia, MD, FAAFP Tina-Ann Thompson, MD, FAAFP Parin Chheda, MD Phillip Plotz, MD Theron Thompson, MD Caitlin Collier, MD Carol Pryby, MD, FAAFP Chinwe Ukaonu, MD, FAAFP James Craig, MD Allan Purdie, MD James Williams, MD Bobby Crocker, MD Kate Raymond, DO Sara young, MD, FAAFP Dante de Jesus, MD Jun Ro, MD Crystal Young, DO Sreevalli Dega, MD Dean Seehusen, MD, MPH, FAAFP 15 Years Ingrid Desir-Joseph, MD Michael Sein, DO, FAAFP Ruth Adene-Peter, MD James Douglas, MD Vandana Setia, MD Zahid Afridi, MD John Douglas, MD Richard Shack, MD John Alsobrook, MD Thomas Edwards, MD Wendell Smith, MD, FAAFP Chandra Armstrong, MD Iheuwa Ezeh, MD Jay Thomas, MD Westly Bailey, MD Frantz Felix, MD, FAAFP Rachel Velez, DO McArthur Cadet, MD Ruth George, MD Bert Wall, MD Laurie Cochran, MD Alida Gertz, MD, MPH Carlos Wise, MD Kelly Culbertson, MD Jaime Gober, MD Mark Wittmer, MD Regina Dandy, DO Kavita Gone, MD

20 Years Michael Early, Sr., MD Harrison Goodno, MD Houria Allia, MD Carmen Echols, MD Kristin Gore, MD Greg Asbury, MD, FAAFP Michelle Evans, MD Stalina Gowdie, MD Contresia Bailey, MD Madeleine Fortin, MD Bryson Greenwood, MD Theresa Berry, MD, FAAFP Cynthia Giles, DO Debbie Hagins, MD Srinivas Bramhadevi, MD, MBA, Anu Gulati, MD Casey Henritz, DO FAAFP Jacqueline Harris, MD, MPH Benjamin Hess, MD Thomas Buice, MD Wesley Hoke, MD Nikki Hughes, MD Sandra Castle-Oh, MD Chang Soo Kim, MD Diana Johnson, MD Marcella Cox, DO Hira Kohli, MD Kristina Johnson, MD Julaine Cross, MD Vaidarbhi Kolavennu, MD Stratton Kearns, MD, FAAFP Julie Dahl-Smith, DO, FAAFP David Kriegel, MD, FAAFP Sheila Kennedy, MD Fatima Dalwai, MD Feroz Lalani, MD Susan Lee, MD Anne Dunlop, MD, MPH, FAAFP Travis Lloyd, MD Gorby Leon, MD Alberto Garcia, MD Carl McCurdy, MD Zanie Leroy, MD Vera Garcia, MD Mark Moers, MD Patrick Lynn, MD, FAAFP Lee Grose, MD Kelvin Moss, MD Daryl McCartney, MD, FAAFP Joan Harden, MD Ifeoma Nnaji, MD, MBA, FAAFP John Moultrie, MD Derek Heard, MD Viktoria Nurpeisov, MD Ian Munger, DO Johnathan Henderson, MD Megbewe Okoroba, MD Sheba Naqvi, MD Joseph Hooper, MD Shakoora Omonuwa, MD, FAAFP Saira Niaz, MD James Hornsby, MD James Parker, MD Pamela Obi, MD, FAAFP Paula Jacob-Fox, MD Heather Peltier, MD Titilayo Oluwabusi, MBBS Julia Johnson, MD Aziz Pirani, MD Trinidad Osselyn, MD Barry Jordan, MD, FAAFP Arunasree Pothuraju, MD Harsimrat Parmar, MBBS Agnes Kovacs, MD Shravantika Reddy, MD Meredith Pickett, DO Henry Lewis, MD, JD Nandana Reddy, MD Anila Qidwai, MD Jennifer Mathew, MD Mark Samson, MD Praharsha Ravindranatha Menon, Kyle Mitchell, DO Virna Simmons, MD MD Monica Newton, DO, MPH, FAAFP Altaf Tadkod, MD Nora Romero Miranda, MD Lenka Novotna, MD, MPH Nkiruka Udejiofor, MD John Rumbaugh, MD Changchun Wu, MD Anuvesha Samala, MD O. Michael Obiekwe, MD, FAAFP Gabriel Onofre, MD 10 Years Ellen Sanders, MD Ray Paris, MD Dereje Aboye, MD, MPH, FAAFP Megha Shah, MD Christopher Richards, MD, FAAFP Omoniyi Adebisi, MD, MBChB Jagdish Shukla, MD Michael Schmidt, MD Sherri Barton, MD Michele Shumpert, DO Elizabeth Sergile, MD Mary Boyce, MD Sridevi Siruvella, MD Jason Smith, MD, FAAFP Vernon Bryant, MD Anthony Smith, MD

15 Rajiv Tejura, MD Chetan Patel, MD Clifton Thomas, MD Rani Patil, MD Susan Thomas, MD, FAAFP Tik Pau, MD Angeline Ti, MD, MPH Sumera Pervaiz, MBBS Vincent Glenn Valencia, MD Daniel Ralston, MD Renee Wheeler, DO Rebecca Redding, DO Justin Whitley, MD Chasity Reese, DO Eugene Williams, DO Sahebi Saiyed, MD Robyn Wirsing Black, MD Amira Shafey, MD Maria Wusu, MD, MEd Nabila Shehu, MD Kanyan Xiao, MD Ryan Shingler, DO Jennifer Yam, MD Anna Sikod, MD Xiaofeng Zhong, MD Ryan Smith, MD

5 Years Jontu Solomon, MD Hayden Aaron, MD Shad Stormant, MD Kyle Adams, MD Stephanie Stutz, DO Farhan Ahmed, MD Floragrace Surell, MD Cierra Allen, MD Solomon Teckle, MD Rachel Anderson, DO Juan Velazquez, DO Amana Andrews, MD Bryan Vo, MD Danielle Andrews, MD, MPH Samuel Waling, DO Joseph Beavers, MD, MS Jarrod Wiegman, MD Jannice Beckford, MD Shamita Williams, MD Hafsa Bhatti, MD Brandan Wormsbacher, MD Tia Bingham, MD Justin Yoon, DO Natalie Britt, MD Heather Castleberry, MD Dwaipayan Choudhury, MD Laura De Simone, MD Julie Degele, MD, MPH Rina Eisenstein, MD Rachel Gallen, DO Dayle Hawthorne, MD Renee Haynes, MD Lauren Hearn, DO Kehinde Idowu, MD Elvira Jasarevic, DO Donovan Johnson, MD John Joyave, DO Alka Kalathil, MD Jordan Knoefler, MD Swachitha Kothapally, MD Lauren Little, DO Brett Magner, MD Joseph Mariano, MD Richard May, DO Danielle McMechan, MD Kristin McPhillips, MD Geeta Mehan, MD Knar Mesrobian, DO Andre Miller, MD Serena Miller, MD MyTien Nguyen, DO Nhi-Kieu Nguyen, DO John Owensby, DO Chinmay Patel, MD

16 Congress of Delegates Officers Speaker Carl McCurdy, MD

Vice Speaker Monica Newton, DO

Parliamentarian Harry Strothers, MD

Credentials Committee Chair – Shameka Hunt-McElhaney, MD

Tellers Committee Chair – Julie Dahl-Smith, DO Member – Priya Shah, MD

Reference Committee Co-Chair – Anne Todd, MD Co-Chair – Michael Satchell, MD Secretary – Alice House, MD Member – Jody Bahnmiller-Brasil, MD Member – Jiyo Shin, MD Staff - Fay Fulton Staff – Angela Flanigan

17 Delegate & Alternate Delegate Instructions

You have been elected by your colleagues to represent them at the GAFP Congress of Delegates. As a delegate or alternate delegate you are responsible for setting the policies of the Academy for the coming year. It is also your responsibility to:

a) Read the 2020 Delegates Handbook, paying special attention to reports with recommendations; and, b) Talk with your colleagues about the recommendations presented.

Credentialed Delegates will vote on the recommendations presented by the Reference Committees. If approved, these recommendations will then become policy for the Academy.

Instructions The Credentials Committee will officially register every delegate and alternate before the opening session.

A delegate may represent his constituents on the floor of the Congress by accepting the floor in debate of issues, discussion at Reference Committees, and, of course, in voting on all actions. "Sturgis Standard Code of Parliamentary Procedure" shall govern the proceedings of the Congress of Delegates.

Congress of Delegates leadership are appointed by the Speaker of the Congress from among the members of the Congress of Delegates.

The Congress will hold a session for deliberations, receipt of officer and committee reports and action on Reference Committee recommendations as well as election of officers.

Each delegate appointed to the Congress is asked to report punctually to all meetings of that Committee.

A Reference Committee receives all matters referred to it. To receive a report or other matters simply indicates that the Reference Committee gives attention to a matter or considers it. It does not mandate that the Committee has taken action on that matter, except in the case of resolutions.

The Reference Committee may make a recommendation to the Congress of Delegates on each agenda item referred to it.

A. The Reference Committee may recommend that an item be: 1. Filed - To file is a common method of disposing of a report. A report that is filed is not binding on the Academy but is available for information and may be considered again at any time. An expression of thanks or other commendation may be combined with a motion to file a report.

If within a report to be filed there are items on which the Reference Committee wishes to recommend definitive action, separate consideration should be given to those items. (Since a resolution proposes specific action, it would be inappropriate to file a resolution.)

Among the agenda items appropriate to file are those reports from a body over which the GAFP Congress of Delegates has no jurisdiction.

18 Delegate & Alternate Delegate Instructions (continued)

2. Adopted - An adopted report or resolution commits the Academy to all the findings, opinions, and recommendations contained therein. A report may be adopted as written, in part, or with exceptions or reservations as expressed by the Reference Committee.

Adopted as Amended indicates that the agenda item exists in a form other than that originally referred to the Reference Committee. It may have been amended by the Author during open hearings or by the Reference Committee during executive session. The Reference Committee may amend an agenda item during executive session either by adopting an amendment proposed during open hearings or at its own prerogative. The Reference Committee Chairperson will indicate amendments when he presents his report to the Congress of Delegates.

Adopted as Corrected indicates that an inadvertent error existed in the form originally referred to the Reference Committee and that the Reference Committee has corrected that error. The Chairperson will indicate the corrections when he/she presents his/her report to the Congress of Delegates.

Adopt a Substitute proposal indicates that the Reference Committee has extensively revised the agenda item referred to it or has drafted a completely new proposal which it recommends in lieu of the original(s). A substitute proposal may be particularly appropriate when several resolutions have been submitted on the same issue. The Chairperson will read the substitute proposal when he presents his report to the Congress of Delegates.

Postponed - (a) To Postpone Definitely indicates that the Reference Committee feels it appropriate to defer further consideration of an agenda item. When a matter is postponed definitely, a specific time must be designated for further consideration. A matter may be postponed definitely to another specific meeting of the Congress of Delegates, or until specific information becomes available, or possibly pending certain developments.

(b) To Postpone Indefinitely has the effect of permanently tabling further consideration of an agenda matter. Once consideration of an item has been postponed indefinitely, it cannot receive further consideration unless it is reintroduced at a later meeting of the Congress of Delegates.

3. Referred - To refer is a suggestion by the Reference Committee that further consideration should be given to the agenda item. The Reference Committee will usually designate to whom the matter may be appropriately referred and for what purpose the matter is being referred.

A matter may be referred without any other action being recommended by the Reference Committee. If a follow-up report is desired, the Reference Committee may designate to whom that report should be given and when. A matter may be referred after other action has been recommended as in a recommendation to adopt and refer for implementation.

4. Not Adopted - To not adopt indicates that the Reference Committee does not endorse the recommendations contained in the report or other agenda item, or the report in its entirety, and implies that none of the recommendations contained in it will be implemented.

19 Delegate & Alternate Delegate Instructions (continued)

B. A recommendation may contain more than one of the above elements, as in a report that is recommended to be adopted as corrected and amended, and referred to the Committee on Committees and Evaluation.

C. In stating the recommendation, special consideration should be paid to the verb(s) used to be sure the Reference Committee's intent is clear.

1. A recommendation that a specific person(s) shall do a certain action mandates that action by the designee(s).

2. A recommendation that a specific person(s) may do a certain action at his discretion but does not require him to do that action.

An outline of the suggested verbatim format of the report is as follows: "Madam Speaker, the Committee (or Reference Committee) on ...... has met and duly considered all items of business referred to it. The Committee wishes to make the following report:

Upon consideration of the general issue of ...... , the Committee recommends that paragraph ...... on page ..... addressing this issue and assigned to us be filed as they are informational." or

"In addressing the recommendation on page .... which states ...... , the Committee recommends it be (adopted, referred, etc.) ...... "

"The Committee considered resolution No...... on page ..... regarding and recommends that it be ...... "

"Madam Speaker, I move the adoption of the entire report of the Committee on ...... "

The Speaker, Vice Speaker and Parliamentarian will be available during the Committee meetings for assistance in clarifying problems with the preparation of the Committee reports.

20 Parliamentary Procedure

I. The Object of Parliamentary Procedure The object of Parliamentary Procedure is to provide a formula or guide for conducting business meetings. It provides a set of rules and principles for an orderly method of conducting these meetings and for the oral debate of controversial matters. It is the means by which the will of the majority can be determined in an orderly manner.

Parliamentary Procedure is not the technical or difficult body of principles, which some persons believe to be. Neither is it a means by which the "tricky" individual can advance his own ends. Even if it is occasionally abused, it is basically a defense against such persons. It provides for free and open debates, which should assure a fair hearing for all persons. Its basic principles are flexible enough to serve the needs of every type of meeting, and it can be used with varying degrees of formality.

II. The Basic Principles of Parliamentary Procedure A. The Principle of Equality: Every member is the equal of every other member in the right to introduce, debate, and vote upon business.

B. The Right of Free and Full Debate: This is a basic right, which should be curtailed only when the group's welfare is furthered.

C. The Principle of Rule by the Majority without Tyranny to the Minority: In return for the privilege of participation, the member agrees to abide by the decision of the majority.

D. One Question or Proposal at a Time: Although there may be several proposals pending, only one should be "immediately pending" or in the immediate focus of attention and subject to vote.

III. Some Duties and Rights of Members of an Assembly A. The Primary Duties 1. He/She should properly obtain the floor before speaking. 2. He/She should avoid speaking upon any matter until it has been properly brought before the assembly. 3. He/She should never interrupt another member unless the motion, which he/she is about to make, permits it. 4. He/She should abide by the spirit, as well as by the letter of Parliamentary Procedure.

B. The Primary Rights 1. He/She has the right to offer in the proper manner any motion, which he/she may consider to be wise. 2. He/She has the right to explain or debate a motion unless the Parliamentary rules prohibit. 3. He/She has the right to call for a "point of order." 4. He/She has the right to hold the floor, when legally obtained, until he/she has finished speaking (unless time limits prevail). 5. He/She has the right to appeal from the decision of the Chair to that of the assembly.

21 Parliamentary Procedure Proper Sequences

Voting

I. Forms of Voting A. Yes and No's (comparison of volumes of sound) B. Raising of hands C. Rising D. Yeas and No’s (roll call) E. Balloting

II. Place of the Chairperson in Voting A. As a member of the assembly, he/she may vote whenever his/her vote will affect the result. B. In case of roll call voting, his/her name is called last. C. In case of ballot voting, he/she must vote before the polls are closed.

Proper Sequences

I. The Usual Order of Business A. Call to Order B. Roll Call (if necessary) C. Reading, Correction (if necessary), and Approval of the Minutes or the Journal D. Reading and Acceptance of the Treasurer's Report E. Reports of the other Officers (if necessary) F. Reports of Standing Committees G. Reports of Special Committees H. Unfinished (Old) Business I. New Business J. "For the Good of Order" (if desired) K. Adjournment

II. The Steps in a Motion A. The Motion is Made B. The Motion is Seconded C. The Motion is Stated D. The Motion is Debated E. Debate is Stopped F. The Motion is Put G. The Vote is Taken H. The Vote is Announced

Note: Between D and E, several other steps may be introduced--for instance, "to amend," “to refer to a committee," etc.

22 Motions The Chief Purposes of Motions

Main motion Present an idea for consideration and action Resolution Consider subject informally Amend Improve a pending motion Division of Question Limit or extend debate Regulate or cut-off debate Vote immediately Refer to committee Delay a decision Postpone definitely Postpone temporarily Recess Object to consideration Suppress a proposal Postpone indefinitely Withdraw a motion Question of privilege Meet an emergency Suspend rules Parliamentary inquiry Gain information on a pending motion Request for information Request to ask member a question Question of privilege Point of order Question the decision of the presiding officer Appeal from decision of Chair Division of assembly Enforce rights and privileges Division of question Parliamentary inquiry Point of order Appeal from decision of chair Resume consideration Consider a question again Reconsider Rescind Renew a motion Reconsider Change an action already taken Rescind Amend by new motion Adjourn Terminate a meeting Recess

23 Parliamentary Procedure Motions Chart

Based on the American Institute of Parliamentarians Standard Code of Parliamentary Procedure

Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

I. HIV Epidemic in Primary Resolve #1 Recommendation: Resolve #1 Action: Care Speaker to send a memorandum to the Speaker to compose a memo Education and Research Committee, noting (with previously reported Resolve that, the existing that this resolution was not approved, and background) to Education Standard Operating Procedures asking for their review where they can: Committee for review and on PrEP education to GAFP • Take information under advisement feedback to the Congress of residents be taken and vetted by – but no further action Delegates the education committee so that it • Advance the resolution if within the Memo submitted to Education can be considered and possibly needs of our members Committee – May 2020 provided as an educational Speaker to add previously reported offering during an upcoming background to the memo Resolve #2 Action: CME meeting and that it may be Speaker to outreach to shared among physicians or that Speaker will request a response memo from resolution writer for GAFP create a toolkit for the Education and Research Committee so clarification and informed her physicians about PrEP. there is feedback to the Congress of that there would be outreach to Delegates. the Education and Legislative Be it further resolved, that Committees on the subject GAFP lobby with the state Resolve #2 Recommendation: March 2020- complete legislators to expand coverage of Speaker to outreach to resolution writer PrEP. seeking clarification on which group to lobby Staff also outreached to the for expanded PrEP coverage. resolution writer and received additional information on PrEP coverage. Speaker to send a memo to the Legislative Committee for their response and action plan. Staff outreached to the state lobbyist for Gilead Sciences (the maker of PrEP) to give additional information about insurance coverage for interim testing and coverage for the uninsured in Georgia (which should be forthcoming).

A memo was sent to the Legislative Committee and asks them to remain vigilant and look for state advocacy efforts to continue to expand PrEP coverage and access. May 2020

The Board of Directors approved and agreed to submit a resolution to the AAFP

Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

Congress of Delegates to support PrEP expansion and coverage. The GAFP submitted the resolution to the AAFP COD for the upcoming COD meeting. However, due to the pandemic, GAFP leadership requested that AAFP review and discuss the resolution at the 2021 AAFP Congress of Delegates. July 2020

The Legislative Committee discussed this issue and agreed to remain vigilant on ways to advocate for expanded PrEP coverage, education, and access. Thank you for sending this issue to our Committee and we will review any legislation that could bring this type of coverage to more Georgians. September 2020 II. Hospital Operative and Non- Resolve #1 Recommendation: Resolve #1 Action: Operative Obstetric Privileges Speaker to direct staff to file this policy as Action Completed – April 2020 for Family Physicians part of our Policy Manual Resolve #2 Recommendation: Resolve that, the GAFP will Resolve #2 Recommendation: Staff to composed a letter to support the American Academy • Speaker to work with staff to send a letter to Earl Rogers, President and CEO of Family Physician’s policies the Georgia Hospital Association asking of the Georgia Hospital and procedures as it relates to them to assist with sending communication Association requesting a Family Physician’s obstetrics to their member hospitals on the FP/OB meeting with senior staff and credentialing and will continue to education model and training and board members in an effort to support individual member’s encouraging hospitals to work with the connect GAFP members with credentialing efforts, and GAFP to connect GAFP members wanting hospitals who are interested in to have full scope practice including hiring family physicians to Be it further resolved that the obstetrics. Ask GHA to respond in writing deliver babies. GAFP will develop a member to outreach. Action Completed – May 2020 group to report back to the 2020 COD including but not limited to: • Speaker/Executive Committee to receive Speaker to communicate GHA response and react as needed and to write up response to 2020 COD for their - Educating stakeholders at a response for the 2020 COD for their information Georgia Hospital Association on review and information. August 2020

Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

the FP/OB model and training and;

- Encourage their members to recruit Family Medicine residents to provide comprehensive maternity care and offer to post jobs on the GAFP website.

III. Remove barriers to Resolve #1 Recommendation: Resolve #1 Action: physician credentialing in rural File as current policy – add to policy manual. Action completed – January and physician-shortage areas 2020

Resolve that the GAFP support Resolve #2 Recommendation: Resolve #2 Action: action that requires insurers and Speaker to ask volunteers from the Congress Speaker to solicit volunteers health care networks to not delay of Delegates to draft a formal statement and draft formal statement physician credentialing regarding physician credentialing as outlined November 2020 applications once all requirements in Resolve #2 – and bring to the Board and/or are met, and Congress of Delegates 2020 to approve policy. Be it further resolved that the GAFP draft a formal statement regarding the issue of physician credentialing and its effect on patient access to care as well as how it creates a significant financial hardship for both private practices and rural hospitals that depend on this reimbursement to continue to provide health care services in their community.

IV. Support fair reimbursement Resolve #1 Recommendation: Resolve #1 Action: for maternity care services in Speaker to direct staff to file this policy as Action completed – January rural areas part of our Policy Manual 2020

Resolved that the GAFP will Resolve #2 Recommendation: Resolve #2 Action: continue to support equality of Speaker to draft a memo to be sent to the Memo to Legislative reimbursement for like services Legislative Committee noting that senior staff Committee to ask that they regardless of specialty and is unaware of any insurer that pays a remain vigilant and advocate at differential to any physician performing all levels of the state Be it further resolved, that the obstetrics. government to help family GAFP support legislation that physicians who are practicing requires insurers and health care under their full scope –

Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

networks to reimburse obstetrical Resolve #3 Recommendation: especially those that chose to physicians regardless of specialty Staff to add a link on GAFP website for deliver babies. for their maternity related members to submit insurance reimbursement Action Completed - May 2020 services, and complaints to the Georgia Department of Insurance. Resolve #3 Action: Be it further resolved that the Staff added a link on the GAFP GAFP develop a link on their website under the Advocacy tab website where physicians and to Georgia Department of practices can submit information Insurance complaint department regarding issues with Action Completed – May 2020 reimbursement of obstetrical services.

V. GAFP to consider support of Resolve #1-3 Recommendations: Resolve #1-3 Action the Communication and Speaker to write a memo the Legislative Legislative Committee Optimal Resolution (CANDOR Committee asking that they identify and seek addressed the issue by hosting a legislation) such as the ones in ways to a provide legislation/policy champion teleconference on Omnibus Iowa and Colorado for the review and possible adoption of Tort Reform Bill – Senate Bill CANDOR and seek ways to provide 390 with Derek Norton, Resolved that, the GAFP education to members to understand pre- Medical Association of advocates the adoption of pre- litigation processes and how to mitigate a Georgia’s Director of litigation processes, and malpractice lawsuit. Government Relations on February 24, 2020 Be it resolved that the leadership Speaker to draft a memo to the Education Action Completed – February of the GAFP will identify a Committee asking them to consider education 2020 legislative/policy champion for on pre-litigation processes to our membership the review and possible adoption Original resolution writers of CANDOR, and Staff to seek a malpractice lawyer to draft an participated on the article on pre-litigation processes and how to teleconference on February 24, Be it further resolved that the mitigate a malpractice lawsuit. 2020 GAFP will provide educational Action Completed – February opportunity of members to 2020 understand pre-litigation processes and how to mitigate a Speaker to compose a memo to malpractice lawsuit. Education Committee for review and feedback to the Congress of Delegates Action Completed May 2020

Staff secured a malpractice attorney to write an article on Georgia law that outlines pre- litigation processes and how to mitigate a malpractice lawsuit.

Georgia Academy of Family Physicians 2019 Congress of Delegates Action Grid – October 2020

2019 Resolutions Speaker/Vice Speaker Recommendations Action Taken

Article will be written and in a June edition of Simply Stated Action Completed - May 2020

After discussion and review, the Legislative Committee agreed that it is important to be vigilant and will continue to support parity in payment for family physicians, including maternity care. The Committee also agreed to continue to support family physicians practicing their full scope. September 2020

29 Congress of Delegates

President’s Report October 2020

This has been an unprecedented year for us all. Serving as your president allowed me to work with your other leaders to give you support and ongoing information and education to ensure Georgia’s family physicians continue to have the tools for resiliency. We were first out of the gate with free CME virtual meetings to have experts guide us through telemedicine and legal ramifications of COVID as well as working with the Department of Public Health to get PPE ordered from local companies. I served on the Governor’s Clinician Task Force on COVID and received ongoing information from key state leaders – especially in the beginning of the State’s shut down – to help guide all of us through these uncertain times.

Awards and Recognition I have been proud that the Georgia Academy and our Foundation (Georgia Healthy Family Alliance) received state and national recognition. A few that I would like to highlight include:

• 100 Percent Family Medicine Residents Membership • AAFP Foundation’s National Chapter Programs of the Year (Urgent COVID Grants) • Medical Association of Georgia’s Physician’s Award for Community Service – Beverley Ann Townsend, MD • Medical Association of Georgia’s Jack A. Raines, MD Humanitarian Award – Loy D. “Chip” Cowart, MD • GAFP nominated for one of the Top Associations for State Lobbying by James Magazine

Your Giving is Great Medicine Partnering with our foundation, the Georgia Healthy Family Alliance, we have seen progress in raising money to endow our community health grants and expanding the AAFP’s Tar Wars education to include vaping. My family and I are proud to support the Alliance with a multi-year gift. I ask that you consider supporting our efforts as the Your Giving is Great Medicine capital campaign continues to seek up to $4 million to advance our mission.

It has been inspiring to see the Foundation make a radical pivot and give out close to 40 immediate needs grants, sponsored by our members, to fill critical needs of our neighbors and patients.

President’s Awards Like everything else this year, moving from in-person to a virtual format has stymied me in giving the in-person touch of my selected President’s Awards. However, I do want to honor them and acknowledge how pivotal they have been in my life and career.

30 Mrs. Holly Stone –No one can do this job without the support and advice of someone like a partner that knows you better than anyone else. She is that person. She has birthed and raised 5 outstanding individuals; worked numerous jobs to adapt to our schedules and contributed more than a salary could ever reflect. Her mission has always been about the ‘other’ and ensuring their satisfaction and success. Our achievements are therefore hers. But it would not have happened without her sacrifice and altruism. I would wish everyone a partner as extraordinary as her, but she is the rare person that found me, and I am forever grateful for that.

Kathleen Toomey, MD – GAFP member and current Department of Public Health Commissioner. Dr. Toomey has served tirelessly through this pandemic and continued to be a calm clinical voice throughout this storm. She is serving her second “tour” as Commissioner of Public Health and has also had a prestigious career at the CDC. She has received both the GAFP and the AAFP Public Health Award. It is my pleasure to thank her as an amazing leader to keep all Georgia’s citizens safe.

Joanne Thurston – Cobb Medical Society Executive Director. I am hoping to give this award to Joanne at a Cobb Medical Society event as a surprise before the end of the year – so mum’s the word. However, I need to acknowledge that Joanne was pivotal in getting me involved in organized medicine when I first moved from upstate New York to Georgia. She welcomed and encouraged me to engage and volunteer once again on the advocacy level. I am proud to have served as both the Cobb Medical Society President, as well as the Georgia Academy President.

Posthumous award – Dr. Howard Westney – Howard was a mentor, role model and my Family Doctor in New York and promoted participation in the New York Chapter of the AAFP. Howard helped to invent the modern-day paramedic and created the model for New York State's Regional Emergency Medical Organization. While he never sought confrontation, he did everything necessary to overcome obstacles to progress. For example, in order for paramedics to function, the Emergency Room doctors had to provide orders by radio. When Emergency Rooms were unwilling to do so, Howard said, “Fine. I will provide the orders in a radio communications system he built (as a volunteer), and address on site needs until addressed on arrival in the Emergency Room." He supervised thousands of emergency calls from his office, from his car, and from his home. He taught many EMT's and paramedics and he roped his younger medical partners in to doing the same. He did this for several years, until all emergency rooms were on board with a New York State system modelled after Howard's.

Howard, like so many family physicians that I have admired throughout my career, figured out how to “get it done” and I often think of him when dealing with seemingly onerous obstacles to care for my patients.

Appreciation I look forward to connecting with you all virtually at both the upcoming Board and Congress of Delegates. And as I assume the position of Board Chair, I hope you will consider coming to our June 2021 – Family Medicine Beach – at the Beach – CME meeting. I

31 would also like to add a personal note of thanks to all members and GAFP staff who helped make the year beneficial to our membership and our patients.

Recommendations: None

Jeff Stone, MD, MBA, MHA, FAAFP President

32 Congress of Delegates - September 2020

Chairman of the Board of Directors’ Report 2020 I would like to extend my thanks to approximately 200 GAFP members who have served in a leadership role during 2020. My colleagues on the Executive Committee have met at least monthly and continually strive to advance our specialty and protect our patients.

Board of Directors The GAFP Board of Directors meets quarterly throughout the year, and this year met three times prior to the annual meeting, on February 28, June 7, and August 2. The Board will meet during the GAFP annual meeting on Sunday, November 8.

The GAFP has a dedicated group of members serving all of you and includes the following leaders: Chair – Donald Fordham, MD Alternate Director, District 4 – Carmen Echols, MD President – Jeff Stone, MD Alternate Director, District 5 - Shameka Hunt Vice President - Susana Alfonso, MD McElhaney, MD President-Elect – Tom Fausett, MD Alternate Director, District 6 - W. Steven Wilson, MD Secretary – Samuel Le Church, MD Alternate Director, District 7 - Pamela Obi, MD Treasurer - Sharon Rabinovitz, MD Alternate Director, District 8 – Jonathan Wade, MD Speaker - Carl McCurdy, MD Alternate Director, District 9 – Nkiruka Udejiofor, MD Vice Speaker – Monica Newton, DO Alternate Director, District 10 - C. Judson Pickett, MD Director, District 1 - Thomas J. Miller, Jr., MD Alternate Director, District 11 – Wanda Gumbs, MD Director, District 2 – Gurinder Doad, MD Resident Director – Hikma Jemal, MD Director, District 3 – Daniel Singleton, MD Resident Director – Macy McNair, MD Director, District 4 – Kevin Johnson, MD Resident Alt. Director – Zazi Nylander, MD Director, District 5 – Cedrice Davis, MD Resident Alt. Director - Kamal Mohiuddin, MD Director, District 6 - John Vu, MD Student Director - Leticia Cardoso do Nascimento Director, District 7 - Tom Bevill, MD Student Director - Grace Moxley Saxon Director, District 8 – William “Donny” Nash, MD Student Director – Sydney Koenig Director, District 9 - Islam Eltarawy, MD Student Alt. Director - Yutong Dong Director, District 10 – Daniel Grizzle, MD Student Alt. Director - Michael “Caleb” Swindell Director, District 11 – Elvan Daniels, MD Student Alt. Director - Lindsey Wells Alternate Director, District 1 – Sherma Peter, MD AAFP Delegate - Harry Strothers, III, MD, MMM Alternate Director, District 2 – Zita Magloire, MD AAFP Delegate - Beulette Hooks, MD Alternate Director, District 3 – Beverley Ann Townsend, AAFP Alternate Delegate – Eddie Richardson, Jr., MD MD AAFP Alternate Delegate – Mitch Cook, DO

Committee chairs and vice-chairs also serve on the Board in a non-voting capacity: Bylaws PAC Board Alice House, MD – Chair Donny Fordham, MD – Chair Jody Bahnmiller, MD – Vice Chair Monica Newton, DO – Vice Chair

Education and Research Committee Practice Management Committee Theresa Jacobs, MD – Chair Michael Satchell, MD – Chair Ken Howard, MD – Vice Chair Collyn Steele, MD – Vice Chair

Finance Committee Public Health Committee Sharon Rabinovitz, MD – Chair Dan Singleton, MD - Chair John Vu, MD – Vice Chair Angeline Ti, MD – Vice Chair

Legislative Committee Student and Resident Committee Bruce LeClair, MD – Co-Chair Julie Dahl-Smith, DO – Chair Loy “Chip” Cowart, MD – Co-Chair Kevin Johnson, MD – Vice Chair

Membership Committee Georgia Healthy Family Alliance Ellie Daniels, MD – Chair P. J. Lynn, MD – President Folashade Omole, MD – Vice Chair Eddie Richardson, Jr., MD – Vice President

Policies of the GAFP In addition to the GAFP Bylaws, the GAFP has a Policy Manual that is reviewed and updated every year. The policy review process is that one-third of all policies are reviewed each year on a three-year rotating basis by the Board Chair and the Congress of Delegates Speaker and Vice Speaker. The policies that originated with the Board are taken back to the Board for approval. Those originated with the Congress of Delegates will be presented in this report for review and approval.

The following policies were recommended by the Policy Review Team and approved by the Board of Directors. They were updated in the following manner:

1. Finance-Cash Reserve Policy At the close of the fiscal year, all monies over 30 percent of the approved operating budget for the following year will be invested in the AAFP Risk Pooled Investments. The rest will be left in the operating and money market accounts with our financial institution. The Policy Review Team recommends to re-adopt the policy as written.

2. GAFP Nominations of AAFP Board Candidates The process will require a potential candidate to fill out an application to be reviewed by the nominating committee and put before the Board, at preferably, the Summer Board meeting a year prior to the candidate running for office. The Policy Review Team recommends to re-adopt the policy as written.

3. EVP Succession Planning Process In the event that the executive vice president position is open, the GAFP board will be guided by the following process to recruit a new executive vice president. It is to be noted that the Chief Operating Officer is to be fully oriented and cross trained in the event of an immediate need for a Chief Staff Officer that the COO will be equipped to step into that role.

1. The president will form a search committee consisting of three members of the board of directors. The search committee will be charged with reviewing applications, rank ordering candidates, interviewing the top three candidates, and recommending two candidates to be considered by the board of directors (or Executive Committee in lieu of the full board)

2. The executive committee will choose an interim EVP to assume the functions of chief staff person. The interim executive director may be a candidate for the permanent position of EVP, but that is not required. The interim EVP will be the fiscal agent for all GAFP fiscal instruments, along with the GAFP treasurer.

3. The search committee may retain the services of a search firm or search consultant to assist in promoting the opening, reviewing candidates' applications, arrange and participate in interviews. If the interim EVP is not a candidate for the permanent EVP position, then the search firm or search consultant will work with and through the interim EVP. If the interim EVP is a candidate, then the president will select another staff person to assist the search firm or search consultant.

Resources to use: • American Academy of Family Physicians, chapter services area • American Society of Association Executives, based in DC (has annual compensation and benefits survey) • American Association of Medical Society Executives, based in CO

4. The search process can be accomplished within 3 months from hiring a search firm or search consultant to the board interviewing the top two candidates. It may take up to three months more for the new EVP to begin.

General Search Approach - The Search Committee’s direct involvement is highlighted in bold italics.

Phase 1 (SC) to begin identification of key skills and behaviors needed, and to approve timeline, process, and role of SC • Search Committee meets via conference call to approve/amend EVP’s job description

34 • Current EVP (if applicable or Interim) posts announcements in appropriate publications and/or online sources • Search Committee develops initial candidate interview questionnaire position profile • Staff acknowledges letters and resumes/CVs as received [continuous] • Staff contacts/follows-up with potential candidates and have them fill out questionnaire position [continuous]

Phase 2 • SC reviews candidate resumes and questionnaire and decides on face-to-face interviews. • Staff confirms interview appointments.

Phase 3 • SC holds first round of candidate interviews (Saturday) and final interviews (Sunday) • SC discusses transition issues and procedures, plans format and process for second interviews, and selects finalists for interviews • Finalists visits GAFP HQ and staff • Staff conducts references and submits report to SC • SC meets to make final recommendation • SC presents recommendations to the Board of Directors The Policy Review Team recommends to re-adopt the policy as written.

4. GAFP Position on Grady Hospital and Grady Hospital Neighborhood Clinics Grady Position Paper Background There has been a great deal of awareness of the role the Grady Health System (GHS) plays in providing a primary care safety net for the underserved of Fulton and Dekalb counties. GHS has six neighborhood health clinics that provide much needed primary care to the community. The clinics saw more than 120,000 patient visits in 2013.

The Georgia Academy of Family Physicians is a 3,200 member organization of family physicians, family physician residents in training and medical students. The GAFP is the largest single specialty devoted to primary care. The Mission of the Georgia Academy of Family Physicians is to promote the health of the citizens of Georgia by advancing the specialty of Family Medicine through education, advocacy, and service to family physicians in the State of Georgia.

Support of Grady Training Programs Grady, through its neighborhood clinics, provides needed primary care training for medical students and residents that could not be found elsewhere if the clinics were shut down. The Georgia Academy asks policy makers to maintain these vital training programs through the Grady neighborhood clinics that are currently a vital support system provided by Grady.

Importance of Neighborhood Clinics and Primary Care Dr. George Rust of the National Center for Primary Care in a 2003 state-wide evaluation of Georgia's health care safety net insisted, "To be counted as part of the primary health care safety net, a health center or health care professional must provide the full range of services typically provided in a family physician's office, i.e. providing the health care for 85 - 90 percent of the health care needs of patients from all age groups. Not only must the services be available, but they must also be affordable, accessible, and culturally and personally acceptable. They must also be comprehensive (as opposed to categorical public health services, such as immunization clinics or prenatal care.)"

The Georgia Department of Public Health Clinics are not structured to support patient-centered care like the Grady Clinics. The structure of Fulton County Public Health is somewhat different than that of all of the other county health departments (Fulton County has established a "Department of Health and Wellness" with a slightly different arrangement, as allowed by Georgia Code). Their primary thrust is toward "population health" rather than direct patient services in a medical home model.

Most health departments in Georgia focus on specific programs (weighted heavily toward women and children) of a preventive nature and are not staffed or funded to provide continuity of care for acute or chronic illnesses. Therefore, it is not reasonable to expect that Public Health could "pick up the slack" if the clinics close, without a philosophical shift and an infusion of funding and resources.

Conclusion Limiting access to the services provided by the Grady Neighborhood Health Centers would increase the state's health cost as more patients would be forced to seek care in hospital emergency rooms, only shifting and increasing the cost of care.

We urge those seeking solutions to Grady's financial situation to tread lightly when it comes to disconnecting Georgians from their health care safety net. The Policy Review Team recommends to re-adopt the policy as written.

Recommendations: The Policy Review Team recommends the following updates to the Congress of Delegates for review and approval:

Internal Policy Review: A. COD Progress Report to the Board of Directors The Speaker of the Congress of Delegates must present to the Board of Directors, at each regularly scheduled meeting, a progress report on the directives given to the Academy as set forth by the approved resolutions. Re-adopt as written

B. GAFP Supports the Georgia Patient Centered Physician Coalition (GPCPC) The Georgia Academy of Family Physicians proclaims its support for the Georgia Patient Centered Physician Care Coalition (GPCPCC). The Executive Director/Executive Vice President of GAFP is charged with facilitating and attending meetings of the GPCPCC. Additionally, two (2) members of the GAFP active membership will be appointed by the President to attend each meeting of the GPCPCC.

Edited Version - The Georgia Academy of Family Physicians proclaims its support for the Patient Centered Physician Coalition of Georgia Patient Centered Physician Care Coalition (PCPCC). The Executive Director/Executive Vice President of GAFP is charged with facilitating and attending meetings of the PCPC. Additionally, two (2) members of the GAFP active membership will be appointed by the President to attend each meeting – typically the President and President Elect. Re-adopt as edited

C. Strategic Planning The GAFP complete a Strategic Plan at a minimum of every 3 years and; the implementation and accomplishments of that plan be presented to the Board of Directors at each of their regularly scheduled meetings.

Edited Version -The GAFP complete a Strategic Plan at a minimum of every 3 years and; the implementation and the goal accomplishments of that plan be presented to the Board of Directors at each of their regularly scheduled meetings. Re-adopt as edited

D. Establishment of the Dr. Keith Ellis Award On the eve of Dr. Keith Ellis’ retirement as Residency Faculty and Program Director of Memorial Health Family Medicine Residency in Savannah, a scholarship fund be developed that would be awarded to send one (1) deserving resident per year to the GAFP Annual Meeting. Criteria for choosing this resident would be developed and maintained by the Membership Committee.

The current policy is that the Membership Committee reviews all named GAFP awards every ten years Re-adopt as written

E. Poster Publications The GAFP has a research poster presentation and contest at the Annual Meeting each year. As policy, the GAFP is to publicize the winning posters in their publications. Re-adopt as written

36 External Policy Review: F. Adult Immunization Requirements Resolve that, under certain settings, the GAFP approves of Pharmacist administered vaccines to adults, under a physician protocol, as long as: 1) that information is sent to the patient’s primary care physician if the patient consents, 2) the specific vaccine is provided either under authority of prescription or specific collaborative agreement with a Georgia licensed physician, physician located within the county of the pharmacist’s place of registration with the vaccination registry or a county contiguous thereto, and 3) the administering pharmacist has a valid certificate from the State Pharmacy Board, and 4) the pharmacist inputs the information into GRITS (Georgia Registry for Immunization Services) which will allow the primary care physician/medical home to have access to the information. Re-adopt as edited to conform to current Georgia law

G. Increase Funding for Family Medicine and Payment Continue to advocate strongly for increased funding for family medicine GME and increased payment for family physicians at the state and national levels in collaboration with AAFP. Re-adopt as written

H. GAFP’s Opposition Non-Physician Prescribing Medications The GAFP is committed to opposing any expansion of a scope of practice by any non-physician when we believe that it is not in the best interest of our patients. Re-adopt as written

I. Medicaid Reimbursement That the GAFP support increased Medicaid reimbursements to be equal to 100% of Medicare reimbursements. Re-adopt as written

J. Scoliosis Screening The GAFP will work with the Medical Association of Georgia’s House of Delegates to eliminate routine screening for scoliosis in schools. Re-adopt as edited

K. Support increasing the legal age to purchase tobacco to 21 The GAFP supports raising the legal age to purchase tobacco to 21. Archive this policy – state and federal laws have been passed on this subject

37 Report of the Treasurer and the Finance Committee September 2020 Congress of Delegates Georgia Academy of Family Physicians Annual Financial Report

GAFP’s Annual Financial Report Under Internal Revenue Code (IRC) section 6104, tax exempt entities must make their tax returns to the public at the organization’s principal office. The public is free to review the 2017, 2018, and 2019 tax filings for both the Georgia Academy and the Georgia Healthy Family Alliance during regular business hours – Monday through Friday from 8 a.m. to 5:00 p.m. Copied versions can be mailed for $10 per filing. For more information contact the GAFP office at (404) 321-7445 or by e-mail at [email protected]. This report is a comparison of 2019 year-end financial activity versus 2018 year-end activities. Statement of Activities for the Years Ended December 31, 2019 and 2018 Temporarily Temporarily Total for 2018 Total for 2019 Unrestricted Restricted Unrestricted Restricted REVENUE & SUPPORT Membership dues $ 593,700 $ 593,700 $ 601,866 $ 601,866 Contributions 16,595 16,595 16,823 16,823 Grants 308,373 308,373 212,249 212,249 PCMH fees -- -- 7,589 7,589 Conferences & 309,527 309,527 356,599 356,599 meetings Advertising 29,643 29,643 26,615 26,615 Investment income (loss) (259,207) (259,207) 541,295 541,295 Interest & dividends 77,895 77,895 84,576 84,576 Other revenue 19,805 26,711 46,516 24,429 33,063 57,492 Total revenue & support 1,079,736 43,306 1,123,042 1,855,218 49,886 1,905,104

Net assets released from restrictions 50,220 (50,220) -- 56,488 (56,488)

EXPENSES Program services: *Education 678,079 678,079 726,108 726,108 Advocacy 174,204 174,204 172,369 172,369 Membership development 146,627 146,627 168,080 168,080 Supporting Services Management and General 289,918 289,918 284,134 284,134 Total expenses 1,288,828 1,288,828 1,350,691 1,350,691

CHANGE IN NET ASSETS FROM OPERATIONS (158,872) (6,914) (165,786) 561,015 (6,602) 554,413 Donation to Alliance 200,000 200,000 ------Change in Net Assets (358,872) (6,914) (365,786) 561,015 (6,602) 554,413 Net assets – beginning of year 4,165,937 31,422 4,197,359 3,807,065 24,508 3,831,573 Net assets – end of year $ 3,807,065 $ 24,508 $ 3,831,573 $ 4,368,080 $ 17,906 $ 4,385,986 38 The final year end net income for 2019 was $6,039.77 versus the final net income for 2018 was $5,518.38.

Committee Activities: The Finance Committee met three times this year in February, June, and August and these were some of the important issues that were tackled: • The Finance Committee continued to review the strategic plan and will assist the other committees in budgeting for their concepts and suggestions.

• The Committee discussed the Practice Start-up Pilot which was approved by the Board and launched during the Annual Meeting in 2019. The project was designed for graduating residents who would like to start a practice in Georgia, however there had been no applications since the start of the program. The Committee discussed extending the program to practicing physicians who may be employed by a hospital or physician group, but were interested in starting their own practice. The request was submitted to the Executive Committee and was approved in the Spring. Since offering the project to practicing physicians, we have received more interest in it.

• Throughout the year, the Committee worked with the Executive Committee and our 401k plan administrators at Peachtree Wealth Strategies to form a Task Force on Multiple Employer Group 401k Plans. The Academy found that there was a need for a 401k program for our members and set out to create a group 401k plan with the help of Robert Nix, our 401k advisor. The Task Force went through the arduous task of researching, and ultimately interviewing potential recordkeepers for the plan. The plan would allow the Academy to offer 401k benefits for our members and their employees. It can be noted that the GAFP is the only AAFP chapter offering this member benefit. Unfortunately, the onset of COVID-19 placed the project on hold until 2021.

• With the onset of the COVID-19 pandemic, there was an opportunity to receive payroll protection through the CARES Act for the Georgia Healthy Family Alliance (GHFA). GHFA received a payroll protection loan through Affinity Bank. The low interest loan covered the salaries for the three full-time GHFA employees through June 2020, and includes an option to receive loan forgiveness. Staff worked with the bank and the Academy’s auditor to ensure we were following proper protocols for recording and allocating the funds. It has been noted that there may also be another wave of payroll protection loans that will include 501c(3) organizations. The Committee will continue to work with staff to monitor the repayment rules and submit necessary documents as needed.

• The Finance Committee reviewed the Resident Contract Review program with the Southern Health Lawyers law firm, noting that more than eighty residents have utilized the contract review service since its inception in 2014. The Committee noted that the project continues to be a beneficial member benefit for those new to practice physicians.

• The Committee continues to review and track the progress of AAFP’s Pooled Investments and the GAFP long term reserves. The Committee will continue to review these reports and make informed decisions about the Academy’s finances.

• GAFP Finance Committee reviewed and discussed the GAFP’s financial policies. No updates were made to the current policies.

• The Finance Committee and the GAFP staff reviewed the 2019 audit. The Finance Committee met virtually with Brian Muia, auditor from Jones and Kolb accounting firm, and discussed the GAFP and Georgia Healthy Family Alliance’s (GHFA) 990 and 2019 audit. The Committee was able to review trend data from our programs and note areas of growth for the Academy and GHFA. Mr. Muia noted that overall, operationally, the GAFP and GHFA had a positive year.

The Finance Committee will continue to support and review evaluations of the initiatives listed above to ensure the monies allocated are supporting the intended activities successfully. The Committee is also in full support of the upcoming strategic plan and will evaluate the need for program funding over the next three years.

Overall, we had a financially healthy year due to several factors including investments, membership dues, and diversified funding even with the pandemic. The Executive Committee approved an amended Summer and Annual CME meeting budgets to accommodate virtual meetings.

I would like to thank my committee members which include: John Vu, MD (Vice Chair); Brian Pratt, MD; Jeff Stone, MD; Beverley Ann Townsend, MD; and students Justin Juan and Yasir Anzar.

Recommendations: None

Respectfully Submitted,

Sharon Rabinovitz, MD Treasurer, Georgia Academy of Family Physicians Chair, Finance Committee

*Footnotes:

Education: 2019’s education program expenses of $726,108 were higher than 2018’s education program expenses of $678,079. This was primarily due to additional expenses related to the Summer Meeting, where we partnered with the Georgia Primary Care Association (GPCA) and increased our Summer Meeting attendees numbers, and two cohorts of the 2019 Thrive Project.

40 August 2020

Congress of Delegates Georgia Academy of Family Physicians

Secretary of the Executive Committee and Board of Directors

The Board of Directors met four times over the course of the year. The minutes of the meetings were approved and duly filed at the GAFP headquarters and are available for review upon request. The Board minutes are expedited so the general membership can review them within 3-4 weeks after the meeting has occurred. The minutes from the upcoming November Board meeting will be approved before the end of December. Since the last Congress of Delegates, the Executive Committee has met at least monthly either in person or by phone.

2020 Executive Committee Members Chair Donald L. Fordham, MD President Jeff Stone, MD President-Elect Tom Fausett, MD Vice President Susanna Alfonso, MD Secretary Samuel Le Church, MD Treasurer Sharon Rabinovitz, MD Speaker Carl McCurdy, MD Executive Vice President Fay Fulton (staff)

GAFP continues to have unprecedented leadership at the national level including the following members:

Samuel Le Church, MD – AAFP Advisor to AMA CPT Editorial Panel Mitch Cook, DO - Member, AAFP Commission on Finance and Insurance Fay Fulton, MHS - Member, Robert Graham Policy Center Advisory Board Beulette Hooks, MD – Member, Council on Graduate Medical Education (COGME) Kevin E. Johnson, MD - Member-at-Large, Association Family Medicine Residency Directors Board Evelyn Lewis&Clark, - MD - AAFP Delegate to the AMA House of Delegates Folashade Omole, MD Member - AAFP Commission on Membership Monica Newton, DO – Member, AAFP Commission on Education Altelisha Taylor MD - Resident Member, AAFP Commission Continuing Professional Development Rick Wherry, MD - Member, AAFP FAM MED PAC Board

Georgia Family Physicians continue to be leaders around Georgia such as: John Antalis, MD Georgia Composite Medical Board, Past Chair Scott Bohlke, MD Georgia Board for Healthcare Workforce William Bostock, DO Georgia Composite Medical Board Tom Fausett, MD Georgia Physician Leadership Academy

41 Zita Magloire, MD Member, Georgia Perinatal Quality Collaborative Adrienne Mims, MD Member, Georgia Council on Aging Leonard Reeves, MD Georgia Postpartum Support Network Advisory Board Andrew Reisman, MD President, Medical Association of Georgia Georgia Composite Medical Board Governor’s CVID-19 Task Force, Primary Care Provider Eddie Richardson, Jr, MD Member, Georgia Medicaid RAC Provider Relations Committee Michael Satchell, MD President Elect, Georgia Medical Directors Association Board Dan Singleton, MD Member, Medicaid Medical Care Advisory Committee Jeff Stone, MD Governor’s CVID-19 Clinicians Task Force Angeline Ti, MD Member, Maternal Mortality Review Action Committee

Respectfully submitted,

Samuel Le Church, MD Board Secretary, Georgia Academy of Family Physicians

RECOMMENDATIONS: None

42 Report of the Executive Vice President October 2020 Congress of Delegates

Georgia Academy’s EVP’s 19th year: Highs, Lows and Still on the To-Do List

It is rewarding work that I do on behalf of the Georgia Academy of Family Physicians and the Georgia Healthy Family Alliance. Please know that I appreciate the hard work that family physicians are doing everyday to keep our friends, family members and neighbors healthy.

The GAFP office went remote in March and continued the ongoing work to support our members for over four months, before coming back to the office on a rotation that allows for ongoing social distancing.

In this extraordinary year, I have reflected on my 19 years serving as your Executive Vice President, and I realize there are many goals that are still on the to-do list.

Highs 1. Working with family physician leaders as they give away countless volunteer hours and provide excellent care for their patients.

2. Representing a group that always makes knowledge-based decisions related to what is best for the patient.

3. Expanding (like no other state chapter) our Foundation (Georgia Healthy Family Alliance) to provide more support for Georgia’s most fragile citizens.

4. Proudly representing family medicine with state leaders on issues that are passionately important to improving the health of us all.

5. Being recognized, year after year, as one of the elite state chapters of the AAFP, and a key leader in health policy in Georgia.

6. Amazing GAFP staff who work tirelessly to help advance family medicine and strive to be your one-stop shop to resources and practice resiliency. A special shout out to Angela Flanigan (Chief Operating Officer) and Kara Sinkule (Alliance Deputy Director) who have over 23 years of continuous service to family physicians, your patients, and your practice.

Lows 1. Never enough time to keep family medicine priorities pushing forward.

2. Other groups that understand the thrill or the truth of the statement that “it’s never wrong to do the right thing.”

3. Uncertain times about members leaning in to the AAFP/GAFP as a necessity.

4. Balancing the resiliency of chapter’s finances and infrastructure versus the new demands of supporting family medicine in a pandemic.

Still To-Do 1. Listen more.

2. Continue to support ongoing leaders while recruiting new members to be a part of the next 19 years of GAFP leaders.

3. Find techniques to advance communication with our members, so staff can concentrate on moving strategic plan forward.

4. Ongoing need to thank, recognize, and honor our members.

It is my pleasure to serve the Board and the membership. Please think of the Georgia Academy as your professional home in the same way you give Georgians a medical home.

Sincerely,

Fay A. Fulton, MHS Executive Vice President [email protected]

Recommendations: None

44 September 2020 Education & Research Committee 2020 Report to the GAFP Congress of Delegates

Committee Meetings The Education and Research Committee convened on the following dates: January 11, 2020 – Tucker, GA (GAFP office) May 26, 2020 – Virtual February 29, 2020 – Atlanta, GA (LeMeridien Atlanta August 1, 2020 – Pine Mountain, GA (Callaway Gardens Perimeter) Resort)

Activity Planning The Education and Research Committee met during the past year and was fundamental in the planning of the following activities: a. 2020 Thrive Transformation Project Workshops (3) b. COVID-19 Pandemic Webinars (2) c. 2020 Summer Virtual CME Meeting d. 2020 Hybrid Annual Scientific Assembly e. Implementation of Virtual ABFM Knowledge Self-Assessment (3) f. Exhibitor Advisory Committee g. Implementation of 2020 Virtual Research Poster Competition h. Implementation of 2020 Virtual Journal Club i. Department of Public Health Education j. Maintaining CME Provider Certification Conducted by Medical Association of Georgia

Major Initiatives:

Strategic Partnerships By aligning with external organizations such as the Georgia Primary Care Association and the Georgia Department of Public Health, the overall scope of educational opportunities exceeded annual meeting offerings. This year, the continued partnership with the Georgia Primary Care Association (GPCA) resulted in the deliverance of the first ever virtual Summer conference. Partnering with GPCA, continues to provide GAFP access to additional primary care clinicians who do not participate in our educational offerings.

The partnership with the Georgia Department Public of Health continues to allow us to bring public health related topics to our members throughout the state. Using the support of the state contract, GAFP offered two public health related lectures during the virtual Summer CME meeting (Women’s Health and Transitions of Care) and will offer an additional two lectures during the Fall conference (Health Disparities and Women’s Health).

Thrive The 2020 cohorts for the Thrive Practice Transformation project were conducted virtually in July and August. The July cohort consisted of four independent practices and the August cohort included four independent practices as well as one employed physician. During the virtual sessions, attendees received both group and individualized assistance in transforming their practices into a thriving facility. In addition, GAFP Director of Education, Felicia D Kenan, MPA, CMP was on-hand to provide updated information on utilizing this project for a self-directed study for ABFM Part IV maintenance of certification.

Aside from unmasking medical codes and documentation procedures that will lead to improved billing practices, participants are eligible to receive up to 8.00 Prescribed credit(s) by the American Academy of Family Physicians. Upon completion of the full improvement plan activity, Diplomates may submit the activity to ABFM to qualify for 20 activity points submitted as Part IV- Self-Directed Performance Improvement Activities

2020 Virtual CME Activities COVID-19 Virtual CME Webinar With what seemed to be an overnight occurrence, the practice of family medicine shifted as physicians attempted to treat patients amid the COVID-19 pandemic. To assist in providing quality care and high-level patient safety, GAFP offered free CME webinars on essential information in practicing amid the COVID-19 pandemic. Virtual webinars included 45 Telemedicine and Covid-19: What you need to Know Moving Forward and Reopening Georgia: Advice from a Healthcare Attorney.

2020 Summer Virtual Conference Due to travel restrictions and the onset of the COVID-19 pandemic, the 2020 Summer conference in Destin, FL was cancelled. To provide GAFP members with a high-quality Summer educational offering, GAFP hosted a one-day virtual meeting on June 6, 2020. By partnering with a virtual platform company, EZ Audio Visual, Inc. of North Carolina, attendees and faculty were able to participate in a full-day of scientific and industry-related sessions from the safety and comfort of their homes. We offered up to 32.25 CME credits for the program and hosted 160 family physicians and other health care professionals.

The Summer Virtual CME Meeting topics included Migraines, Diabetes, Heart Failure, and HIV Prevention. In addition, we offered several public health related lectures including Women’s Health and Transitioning of Care. The partnership with GPCA rendered lectures on COVID19, MAT, and Incentives. With support of an educational grant from the American Board of Family Medicine, the Summer meeting offered virtual ABFM Knowledge Self Assessments (KSAs) on Palliative Care, Hypertension, and a newly released Mental Health assessment.

2020 Hybrid Annual Scientific Assembly The 2020 Annual Scientific Assembly will be hosted at the Hotel at Avalon in Alpharetta, November 13-14 (Friday – Saturday). The 2020 Scientific Assembly will be a hybrid meeting where up to 180 GAFP members will attended the conference in-person, while up to an additional 500 may participate virtually.

This year’s educational programs will not include a separate business solution track but will include a virtual 2020 Coding workshop and practice management lecture on financial management and staff retention. Added educational programming will include a variety of CME lectures such as a Behavioral Health, Lupus, Diabetes, High Cholesterol, and Obesity and a myriad of additional evidence-based educational lectures. In addition, we will once again offer virtual ABFM Knowledge Self Assessments (KSAs) on Pain Management, Diabetes, and a newly released Care of Children assessment. Regarding public health lectures, the Fall conference will offer sessions to address Social Determinants and Women’s Health.

2020 Virtual Poster Session To limit virus exposure of family medicine student and residents, the 2020 research poster competition will be hosted virtually. Participants will be allowed the opportunity to submit abstracts for acceptance and scoring based on their research. Once accepted, the online system will allow presenters to include video presentation which will be used for scoring of oral presentations. Submissions will be pre-judged prior to the meeting. During the virtual poster session, the presenters may be contacted using the online portal to answer questions or receive feedback on their posters.

2020 Virtual Journal Club The GAFP virtual journal club is an opportunity for residents and faculty researchers to convene and discuss recent publications from peer-reviewed journals. Each one-hour forum will help participants stay abreast of current findings, exercise their critical thinking skills, and engage in scholarly discussions. The Education and Research committee vetted each article which will be critically evaluated, exposing the study’s strengths and weaknesses during each session. This critical analysis gives way to supplying key take-aways which may be implemented in daily practice. Presenters and participants may receive up to 1.0 AMA PRA Category 1 Credits™ and *1.0 AAFP Prescribed Credits for their participation. GAFP’s Virtual Journal Club to be held at 7:00 pm on Monday evening from September – December 2020.

The intent of the Virtual Journal Club is to provide a virtual, interactive learning opportunity for residents and faculty to present their detailed analysis of clinically relevant journal articles. The forum format will be a live facilitated webinar with pre-approved topics and articles for discussion. Each one-hour session will be delivered virtually using the Zoom online meeting platform. Pre-registration is required but is free of charge to GAFP members. Each session is designed to be interactive and participatory. Members are invited to provide input and perspective, suggest related research or best practices, or simply listen to fellow family medicine physician’s share their perspectives.

Exhibitor Advisory Committee 46 An ongoing partner in the success of our Summer and Annual Meetings is the Exhibitor Advisory Committee (EAC). The EAC is comprised of industry partners that exhibit during either (or both) the Summer or Annual Meetings and serve as staff advisors for the Social and Information Hub (exhibit hall). Members of the EAC meet twice a year with GAFP staff to discuss trends in the industry; offer suggestions to make the Hub more interactive and beneficial for both the attendee and the exhibitor; and to give GAFP staff feedback from their exhibiting colleagues that help us in our program planning.

Without input from this group, we would not be able to offer fun, creative, and interactive activities for our attendees in the Information Hub.

Summary Thank you to our Education and Research Committee for their participation and support of the GAFP educational initiatives.

Theresa Jacobs, MD - Chair Ambar Kulshreshtha, MD Sharon Rabinovitz, MD – Ken Howard, MD – Vice Chair Marissa Lapedis, MD Executive Committee Liaison Michael Busman, MD Oguchi Nwosu, MD Zazi Nylander, MD – Resident Michelle Cooke, MD Monica Parker, MD Member Catherine James-Peters, MD Megha Shah, MD Hana Kusumoto – Student Riba Kelsey, MD Harry Strothers, MD Member

The continued goal of the Education and Research Committee is to make the GAFP the “Premier Provider” of CME for our members.

Respectfully submitted,

Theresa Jacobs, MD Ken Howard, MD Education and Research Committee Chair Education and Research Committee Vice Chair

Recommendations: None

47 September 2020

Georgia Academy of Family Physicians Congress of Delegates

Annual Report of the Legislative Committee The Second Session of the 155th Georgia General Assembly adjourned sine die Friday, June 26, 2020, and Governor Kemp’s 40-day bill review period ended August 5, 2020. Gov. Kemp vetoed three bills and issued one signing statement related to Hurricane Michael tax exemptions (HB 105). Kemp vetoed HB 935 creating the Recorder's Court of Gwinnett County; HB 991 creating the Healthcare Transparency and Accountability Oversight Committee; and SB 306 enacting the Audiology and Speech-Language Pathology Interstate Compact. Kemp also stated he intends to issue a proclamation calling a special session to address drafting flaws in HB 105. Budgetary and oversight issues may also be considered during the special session.

Tobacco 21 & Vaping Regulation SB 375 by Sen. Jeff Mullis (R-Chickamauga) was amended in the House to include HB 864 by Rep. Bonnie Rich (R-Suwanee). The bill raises the minimum legal age for tobacco and nicotine sales in Georgia to 21. The measure also requires vaping products to be subject to the same regulatory scheme of tobacco including taxation, retail licensing and regulation. Effective Date: Jul/22/2020; Act 483. This was one of the Georgia Academy’s key priorities and worked closely with the bill sponsors for passage of this legislation.

Maternal Healthcare HB 1114 by Rep. Sharon Cooper (R-Marietta) received final passage. The bill would provide Medicaid coverage for lactation services and postpartum care for mothers for six months post-delivery. The bill would only become effective upon the appropriation of funds for purposes of this Act. $19.7 million was added in the Conference Committee Report to the State Budget to provide six months of Medicaid coverage for new mothers; this coverage extension must still receive federal approval. Effective Date: Jul/22/2020; Act 473. The Georgia Academy supported this expansion of Medicaid for post-partum women in a coalition with Healthy Mothers, Healthy Babies.

State Budget Budget conferees reduced some cuts and restored about $400 million in funding from the Senate version of HB 793, the FY 2021 state budget. They added $19.7 million to provide six months of Medicaid coverage for new Georgia mothers. Leaders also stated that no state agency will need or be required to furlough employees, although decisions on whether to implement furloughs will be made by individual agencies. Effective Date: Jun/30/2020; Act 404.

Behavioral Health and Developmental Disabilities million cut to services for adults with developmental disabilities • $91 million cut to the Departmentd and adolescent of Behavioral mental heaHealthlth se andrvices, Developmental including prevention Disabilities programs budget • and $29 supported education and employment services • $22.7 million cut to chil reductions in peer workforce training and services and cuts to housing vouchers for people with mental illnesses• $7.2 million cut to adult mental health services, including cuts to core behavioral health services, expand residential treatment services • $5.7 million cut to adult substance abuse services, mostly for funds that would Community Health 8 million, mostly to account for higher projected growth for

• Total state funding increased by $17

48 Medicaid $19.7 million added to provide six months of Medicaid coverage for new mothers; this coverage extension must still receive federal approval • otal funds) to provide a 1 percent increase for 108 primary care codes Partnering with the Patient Centered Physicians Coalition of Georgia, this increase was a huge win for family• $2,371,494 physicians in state in a fundsyear where ($7,192,884 so many in other t cuts were made to state agencies. increase funding available for Rural Hospital Stabilization grants l school •operating $12 million grants added to • Restored many cuts to the Georgia Board of Health Care Workforce, including no cuts to medica Public Health c Health budget

• $8.2 million in cuts to the Department of Publi • Funding million restored cut to forhealth grants promotion to local healthfunds, includingdepartments reductions in grants for organizations doing •research $2.3 million and educationreduction aboutin funding sickle for cell trauma disease center and cancer readiness and and reduced uncompensated funds for feminine care hygiene •products $1.9 ew board

COVID• No reduction-19 Liability in funding Protection for maternal mortality revi SB 359 by Sen. Chuck Hufstetler (R-Rome) codifies several Executive Orders issued by Gov. Brian Kemp during the Public Health Emergency granting liability protections to hospitals, renal dialysis facilitates, physicians and other healthcare workers. The law will allow health care providers to continue to navigate COVID-19 response without the fear of frivolous lawsuits. The bill would limit protection to cases where COVID-19 interfered with care, but it would not impact employee claims for workers’ compensation during this pandemic. Additionally, this bill encourages businesses and other entities to notify the public about risks associated with COVID-19 so that consumers can make cautious and educated decisions as they begin to relax their social distancing practices. Effective Date: Aug/05/2020; Act 588. The Academy worked in concert with the Governor’s senior staff to confirm that liability will include primary care physicians.

Balance Billing HB 888 by Rep. Lee Hawkins (R-Gainesville) received final passage with a unanimous vote by the Senate. This legislation is aimed at addressing surprise medical bills in both emergent and non-emergent settings. In both situations they would require the out-of network provider to bill the insurer directly and for the insurer to directly pay the nonparticipating provider, therefore, removing the patient from the billing process. Effective Date: Jan/01/2021; Act 470.

-Augusta), which would create transparency in health care plan networks, received final passage. The bill would require insurers to denote checkmarks and x-marks based on whetherHB 789 by qualified Rep. Mark hospital Newton-based (R specialty groups are in or out of network. Those groups would include anesthesiologists, pathologists, radiologists, or emergency medicine physicians. It would require each insurer that advertises a hospital as in-network to disclose that hospital’s surprise billing rating. Effective

ScopeDate: Nov/01/2020; of Practice Act 475. SB 321 by Sen. Chuck Hufstetler (R-Rome) received final passage. This bill would increase the number of physician assistants (PAs) a physician can supervise at any one time to four. The bill also would allow -life-threatening situations. Effective Date: Jan/01/2021; Act 563. Advanced2020 Legislative Practice Day Registered at the Capitol Nurses (APRNs) to order radiographic imaging tests in non

49 On Thursday, March 5th over 200 family physicians, internists, pediatricians, and OB/Gyn physicians joined to take our legislative initiatives to the State Capitol. Governor Brian Kemp and Public Health Commissioner Kathleen Toomey, MD attended the event and made remarks to the physicians in attendance. Mark your calendar for our 2021 Day at the Capitol, scheduled for Thursday, February 25, 2021.

Family Medicine Legislative Champions of the Year Georgia State Senator Jeff Mullis and State Representative Bonnie Rich received the Academy’s 2020 Legislative Champions of the Year Award, for their commitment to protect children from the health risks caused by vaping.

During the 2020 Georgia General Assembly session, Senator Mullis introduced, and Representative Rich sponsored in their respective chambers a bill to raise the legal age to purchase tobacco and vaping products to 21, matching pre-existing federal law. The legal age in Georgia was previously 18. The bill bans vaping products on school grounds and increases penalties for possession of these products by minors. The bill was signed into law by Governor Brian Kemp on July 22 and went into effect the same day.

According the Centers for Disease Control and Prevention, about half a million Americans die each year from tobacco-caused diseases.

Since 2001 Senator Mullis has represented the 53rd Senate district which includes Catoosa, Chattooga, Dade, and counties, in northwest Georgia. He is currently the chairman of the Senate Rules Committee, and a member of the Administrative Affairs, Appropriations, Economic Development & Tourism, andWalker Regulated Industries & Utilities committees.

Outside his duties under the gold dome in Atlanta, Senator Mullis is co-chair of the Georgia Music Hall of Fame and a member of the Fort Oglethorpe Kiwanis Club, the Chickamauga Lions Club, the Georgia Historical Society and First Baptist Church of Chickamauga. He and his wife, Teresa have three children and one grandchild. Nichols, Representative Rich has represented the 97th House district which includes part of Suwannee in Gwinnett County, in the Atlanta metro area, since 2019. She is currently the chairwoman of the House Legislative & Congressional Reapportionment Committee, and a member of the Judiciary, Retirement, and the & Means committees. Prior to her service in the House, Representative Rich taught litigation and ethics to law students. She received her bachelor’s degree from the University of Georgia and her Juris DoctorateWays degree from Georgia State University. She and her husband, Gwinnett County Superior Court Judge Randy Rich, have two children.

Follow Up and Heart Felt Thanks

It has been our pleasure to serve as your leaders for the Legislative Committee. Group and the Committee worked tirelessly and met weekly by phone during the session to discuss urgent issues. This proved very effective in having an ongoing voice in the ever-shiftingThe political Legislative landscape Working at the state capitol.

The Georgia Academy continues to work with Chuck McMullen of Parker Poe as our outside Legislative Consultant and our Executive Vice President Fay Fulton continues to also serve as our other registered lobbyist at the Capitol. gratitude for the work that both Chuck and Fay provide in supporting our ongoing advocacy efforts. We extend our ongoing

50 Thank you to the following GAFP leaders:

Legislative Sessi

Bernadette Baker,on MD Working Group: Altelisha Taylor, MD – Resident Emily Herndon, MD – Resident Catherine James-Peters, MD Elise Abken - Student Marissa Lapedis, MD YasirMargaret Anzar Williamson, – Student MD Rahim Fazal - Student Monica Parker, MD Alexis Halyard – Student MeghaMonica Shah, Newton, MD DO Justin Juan - Student Harry Strothers, MD Hana Kusumoto – Student Angeline Ti, MD Dominique Munroe Student – Resident

ZaziLegislative Nylander, Committee MD Members: Samuel Le Church, MD Mitch Cook, DO Loy D. “Chip” Cowart, MD – Vice Chair Donald Fordham, MD Tom Fausett, MD Casey Henritz, DO Daniel Feckoury, MD Bruce LeClair, MD - Chair Zita Magloire, MD Mitzi Rubin, MD Praharsha Ravindranatha Menon, MD Jeff Stone, MD “Donny - Student Khaja Mohiuddin, MD - Resident William ’ Nash, MD Brittany Whitlock Respectfully Submitted,

Bruce M. LeClair, MD, FAAFP Loy D. “Chip” Cowart, MD, FAAFP Chair Vice Chair

Recommendations: None

51 Report of the Membership Committee

September 2020 Congress of Delegates

The Membership Committee met three times this year and focused on many issues including ways to improve and increase award submissions, maintaining professional and personal career satisfaction, efforts to combat burnout, and increasing effective communication to our members.

The following are highlights that the Committee worked on this past year noting the challenges faced because of the COVID-19 pandemic. The AAFP extended the 2020 dues payment deadline to July 14th, and prior to the drop date, both AAFP and GAFP renewal numbers were trending downwards whether because of the pandemic or the extended renewal deadline which gave members additional time to pay their dues.

Membership Programs: GAFP Membership as of July 2020

Membership GAFP membership as of July 2020 was at a total of 3,074, a gain of 1% from the previous year. Our member demographics included 1,734 active members, 10 inactive members, 193 life members, 314 residents, 802 students, 10 supporting, and 11 transitional members. Our total membership is approximately 85 percent market penetration in our state of all family physicians that are eligible to be members.

The GAFP, for the fifth year in a row, won an award for 100 percent resident membership.

Inactive members continue to be reviewed annually and placed back into Active status unless they have a hardship or are retired and have not yet reached Life status by virtue of AAFP membership affiliation years. Possible Life members are sent a notice in advance of the AAFP annual membership dues outreach and given the option to convert their active membership to Life.

Membership in the AAFP overall is 121,725 as of July 2020, 1% decrease over the same period last year. The decrease can be attributed to the COVID-19 pandemic and the current state of the world as well as the extended drop date. The Academy continues to be the second largest subspecialty physician membership organization in the United States, trailing only the American College of Physicians.

Recruitment and Retention At the conclusion of the AAFP’s final membership drive in July, the GAFP had lost 178 members due to lack of CME or for non-payment. Prior to the July 14th deadline, we conducted several outreach efforts via mail, email and phone calls to encourage members to pay their dues. We noted that COVID-19 posed a significant threat to the way our member’s practiced medicine but encouraged them to remain members to take advantage of the resources available from the GAFP and AAFP. Additional outreach after the deadline brought more than twenty members back to active member status.

As a part of our strategic plan, the new-to-practice group is still a targeted group, and in an effort to ensure they are involved in Academy activities, we offered complimentary registration for recent residency graduates (2018, 2019, and 2020) for one of our CME meetings (Summer or Annual). This pilot concludes in 2020 and will be reviewed for 2021.

Member Benefits and Resources At the onset of the COVID-19 pandemic, the GAFP made strides in offering resources to our members who were forced to practice medicine differently in wake of the pandemic. Below is a listing of some virtual benefits offered by the GAFP since March 2020.

GAFP Online COVID-19 Resource Page

Webinars: • March 2020: Telemedicine and COVID-19: What You Need Know Moving Forward • March 2020 – August 2020: GA Department of Public Health & Educational Partner Webinars • April 2020: Reopening Georgia – Advice from a Health Care Attorney • April 2020: Managing Personal Finances in Turbulent Times

CME Activities: • June 2020: Virtual Summer CME Meeting • June 2020: ABFM Knowledge Self Assessments • June 2020 – October 2020: THRIVE Workshops • September 2020 – December 2020: Virtual Journal Club • October 2020: ABFM Knowledge Self Assessments • November 2020: Virtual Annual CME Meeting

Community Grants Georgia Healthy Family Alliance – Immediate Needs Grants

Awards The Membership Committee works diligently to attract competitive and highly deserving nominees for both state and national recognition.

This year’s winners for the GAFP awards include:

Family Physician of the Year...... Beulette Hooks, MD, FAAFP ~ Midland Family Medicine Educator of the Year...... Julie Dahl-Smith, DO, FAAFP ~ Augusts Community & Volunteer Services Award...... Michael Busman, MD, FAAFP ~ Americus Community & Volunteer Services Award...... Eddie Richardson, MD, FAAFP ~ Eatonton Department of Public Health Award...... Kristen Kettlehut, MD ~ Phenix City, AL Family Medicine Resident of the Year...... Chivon Stubbs, MD~ Morehouse School of Medicine Family Medicine Residency Program Keith Ellis Resident Scholarship Award...... Ryan Smith, MD ~ Emory Family Medicine Residency Program

T. A. Sappington Awards In 2020, there were four T. A. Sappington Award winners:

• Connor O’Sullivan from the Medical College of Georgia at Augusta University has been accepted and enrolled in Wellstar Kennestone Family Medicine Residency Program in Marietta.

• Catherine Waldron, a student from Mercer University School of Medicine – Savannah has been accepted into the Memorial Health Medical Center Residency Program in Savannah.

• Alexis Brown from Philadelphia College of Osteopathic Medicine-Georgia has been accepted into the Memorial Health Medical Center Residency Program in Savannah.

• David Daniels from Morehouse School of Medicine has been accepted into Morehouse School of Medicine Residency Program in Atlanta.

Congratulations to all of our 2020 award winners!

Acknowledgment: 53

The Membership Committee has worked tirelessly on your behalf and I would like to acknowledge and thank the members who served: Vice Chair Folashade Omole, MD; Beulette Hooks, MD; and Margaret Williamson, MD.

Respectfully Submitted, Elvan “Ellie” Daniels, MD Chair, Membership Committee

RECOMMENDATIONS: None

54 October 2020

Congress of Delegates Georgia Academy of Family Physicians Report of the Nominating Committee

The installation of officers will take place during the 2020 Congress of Delegates in November. The nominations proposed by the members of the Nominating Committee are as follows:

President-Elect* ...... Susana Alfonso, MD ~ Atlanta, 2021 Vice President ...... Sharon Rabinovitz, MD ~ Atlanta, 2021 Treasurer ...... John Vu, MD ~ Griffin, 2020-2023 Speaker** ...... Carl McCurdy, MD ~ Jasper, 2021 Vice Speaker** ...... Monica Newton, DO ~ Gainesville, 2021 Director, District 1 ...... Sherma Peter, MD ~ Sylvania, 2020-2023 Director, District 6 ...... Steve Wilson, MD ~ Warner Robins, 2020-2023 Director, District 7 ...... Pamela Obi, MD ~ Rome, 2020-2023 Alternate, District 1*** ...... Natalie Britt, MD ~ Savannah, 2020-2022 Alternate, District 6 ...... Monique Davis-Smith, MD ~ Macon, 2020-2023 Alternate, District 7*** ...... Christina Douglass, MD ~ Armuchee, 2020-2021 AAFP Delegate ...... Eddie Richardson, MD, Jr. ~ Eatonton, 2020-2022 AAFP Alternate Delegate ...... Angeline Ti, MD ~ Atlanta, 2020-2022

PAC Board Nominations: The Nominating Committee recommends the nomination of Dr. Beulette Hooks to serve as the 2020-2021 PAC Board designee to the Board of Directors. If approved by the Board in November, this will serve as her fourth term as a PAC Board member.

Past GAFP President, Dr. Beulette Hooks of Midland, is a longtime supporter of the PAC and served on the GAFP PAC Board in 2020 as the GAFP Board Designee. Dr. Hooks is an active advocate and supporter of both the AAFP Fam MEDPAC and the GAFP PAC.

Additionally, current PAC Board Chair and Past President, Donald Fordham, MD of Demorest, is willing to serve as the 2020 GAFP PAC “At Large” member. He would be replacing Dr. Dan Singleton who has served two years and would like to rotate off to concentrate more on his leadership role with the Public Health Committee. Dr. Fordham is an active supporter of the GAFP PAC.

The Nominating Committee approved both nominees and their nominations will be voted on at the Board of Directors meeting in November.

Georgia Healthy Family Alliance Nomination The Nominating Committee recommends to the GAFP Board nominating Dr. Harry Strothers (of Macon) to serve as Trustee to the Georgia Healthy Family Alliance for a 2020-2024 term.

Background: Past GAFP President, Harry Strothers, MD, FAAFP, (of Macon) has agreed to serve on the Georgia Healthy Family Alliance as a Trustee for 2020-2024, if nominated and confirmed by the GAFP Board. He currently serves on the GHFA Capital Campaign and is a Caduceus supporter of the Foundation.

Summary I would like to thank the efforts of the members of the Nominating Committee. The members include Drs. Tom Fausett; Donald Fordham; Beulette Hooks; Teresa Jacobs; Mitzi Rubin; and Harry Strothers. I would also like to thank all of those who have agreed to serve as leaders next year.

Recommendations: None

Respectfully Submitted, Jeff Stone, MD, MBA, FAAFP Chair, Nominating Committee

* President Elect automatically becomes President in 2022 and Board Chair in 2023. **Speaker and Vice Speaker nominations are for the 2021 Congress of Delegates. ***These officers are completing a term left vacant by those who moved into other leadership positions 55 September 2020

Practice Management Committee 2020 Report to the GAFP Congress of Delegates

The Practice Management Committee met three times this year and dealt with several issues at our meetings and during the interim. This year, the Practice Management Committee redesigned its work to support members focusing on business education and payor issues/easing administrative burdens.

Meeting dates: February 29 – Atlanta, GA May 19 – Virtual August 1 – Pine Mountain, GA

The following are some of the highlights that the Committee worked on this past year:

Business of Family Medicine Education A. Newsletters Through September, the following articles were published in the GAFP newsletter that is sent to all members and archived on our website:

• Peach State Health Plan PCP Claims with Behavior Health Diagnosis • Seeking Family Medicine Practice to Buy – Metro Atlanta • Georgia Academy Adds its Voice to AAFP Concerning the 2020 Revisions to • Medicare’s Physician Fee Schedule • WAC is WHACK – Are You Getting Paid for Work After Clinic? • GAFP’s Independent Practice Legal Service Start Up Kit Now Available to • Recent and Future Family Medicine Resident Graduates • The 2020 Medicare Documentation, Coding, and Payment Update • Improving the Waiting Room Experience • Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level • Physician Well-Being: Prioritizing Your Own Health Through a Personal Health Improvement Plan • The 2020 Medicare Documentation Coding and Payment Updates

B. AAFP Member Interest Group – Employed Physicians In 2019 the AAFP Board of Directors approved the addition of the Employed Physicians Member Interest Group as requested from the 2018 Congress of Delegates. Member interest group leaders, AAFP and GAFP staff are currently working together to develop marketing strategies to increase participation of the Employed Physician MIG.

C. CME Lectures The Committee asked the Education and Research Committee to host practice management related lectures during their traditional Business Solutions Track offered at the GAFP’s annual meeting. Due to a change in programming in response to the COVID-19 pandemic, a separate Business Solutions track will not be offered

56 during the 2020 annual meeting. However, the 2021 Coding Workshop will be offered virtually on November 13, 2020 at 5:00pm. The conference will also offer a financial management lecture on November 14, 2020 at 1:15pm.

Thrive – Increasing Financial Well Being of GAFP Member Practices

In 2020, two cohorts of the Thrive practice improvement project were offered for the Statesboro and Atlanta Metro areas. Thrive, a GAFP transformation project focus on helping family medicine practices increase reimbursements by identifying under-used codes and procedures. Family physicians, along with their core billing team, had the opportunity to receive individualized rapid cycle improvement guidance from industry experts. The Atlanta Metro cohort was open to both private and employed physicians by which one employed practice participated. Due to the onset of the COVID-19 pandemic each workshop was virtually hosted. Participants earned up to 8 CMEs for participating.

The Thrive team consisted of GAFP partner and coding expert, Steve Adams of InHealth Professional services, who led discussions on hidden codes and documentation. Bob Addleton, EdD and Adele Cohen, MS of Leadership in Practice mentored individual practices on developing rapid cycle improvement plans, which when implemented will transform the practice into a thriving facility. In addition, GAFP Director of Education, Felicia Kenan, MPA, CMP was on-hand to provide direction related to utilizing this project for a self-directed study for ABFM Part IV maintenance of certification.

Medicaid Administrative Simplification Workgroup For an additional year, Dr. Le’ Church was the GAFP’s representative on the Medicaid Administrative Simplification Taskforce attended meetings each month to discuss issues seeking ways to reduce administrative burdens that physicians have with Medicaid. Dr. Church presented to the Committee on how all four Medicaid insurers utilize prior authorization for ADHD and Diabetes medications.

Summary Thank you to our Practice Management Committee for their participation and support of the GAFP practice improvement initiatives. Chivon Stubbs, MD Nikiruka Udejiofor, MD Jairaj Goberdham, MD Jordi Gaton (medical student) Harley Hendrix, MD Michael Satchell, MD – Chair Claire Visitacion, MD Collyn Steele, MD - Vice Chair Shameka McElhaney, MD

RECOMMENDATIONS: None

Respectively Submitted, Michael Satchell, MD – Chair Collyn Steele, MD - Vice Chair

57 Report of the Public Health Committee September 2020 Congress of Delegates Georgia Academy of Family Physicians

The Public Health Committee met three times this year and dealt with multiple issues at our meetings and during the interim.

Meeting dates: February 29, 2020 May 21, 2020 August 1, 2020

The following are some of the highlights that the Committee worked on this past year:

Strategic Plan 2017-2020 The committee reviewed the strategic plan and discussed what components relate to the public health committee and what ways we can meet our strategic plan goals over the current year.

2020 Guest Presentations to the Public Health Committee One of the goals put forward in previous years was to invite public health professionals to speak at our committee meetings. In 2020, we had guest speakers at all 3 committee meetings:

• Jeannine Galloway, MPH, Maternal Child Health Director – Presentation Topic: MCH Public Health Updates • Kevin A. Kovach, Population Health Manager – Presentation Topic – Social Determinants of Health: Family Physicians' Role • Danielle Jones, M.P.H. – Presentation Topic – Social Determinants of Health: Family Physicians' Role • Laura Layne, MSN, MPH, RN, Women’s Health Deputy Director – Presentation Topic: Women’s Health Updates • Sharifa Peart, Program Director – Children and Youth with Special Health Care Needs – GAFP Contract Updates

Outreach to Education and Research Committee: The committee submitted the following recommendation:

Recommendation for the education and Research Committee to include a health equity track at GAFP meetings and require that health equity be addressed in each CME offering of GAFP. Public Health Committee is prepared to provide speaker support and moderate these activities. ______

Background: Georgia experiences high rates of health disparities, especially relevant in maternal mortality, COVID- related morbidity, and mortality:

- Black women are 2.7 times more likely to die from pregnancy-related causes compared to non-Hispanic white women in Georgia Reference: (https://dph.georgia.gov/document/document/mm-factsheet/download) - In a recent analysis conducted by CDC, Black people account for over 80% of hospitalizations from COVID in Georgia

58 Reference: (https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6918e1- H.pdf?deliveryName=USCDC_921-DM26922) - Health equity is a priority of AAFP to reduce health disparities and inequities, and AAFP has extensive educational resources that can support a health equity track at conferences References: https://www.aafp.org/patient-care/social-determinants-of-health/discrimination- policies.html, https://www.aafp.org/patient-care/social-determinants-of-health/everyone- project.html.

The Public Health Committee discussed having a distinct health equity track at GAFP meetings to offer our membership education, training, and support on this topic. The GAFP was 1 out of 5 state chapters to partner with and receive the AAFP Health Equity grant in 2019-2020 and maintains an active partnership and contract with the Georgia Department of Health – Maternal and Child Health department which can provide additional assistance.

GAFP Representative for DPH Committees - MMRC Action Committee / Perinatal Quality Collaborative GAFP members Drs. Ti and Magloire continued to serve on the MMRC Action Committee and Perinatal Quality Collaborative.

MMRC Action Committee:

Angeline Ti, MD serves as the GAFP representative on the Maternal Mortality Review Action Committee (MMRC). This group works on the pregnancy-related/pregnancy associated case recommendations. Additionally, they explore in more depth the contributing factors and social determinants from the cases to develop further action and initiatives (mental health, substance use, access to care). Dr. Ti provided updates and new findings to the GAFP membership and the Public Health Committee.

Liaison for the Georgia Perinatal Quality Collaborative (GaPQC):

Zita Magloire, MD of Cairo, GA, serves as the Georgia Academy of Family Physicians (GAFP) liaison to the Georgia Perinatal Quality Collaborative (GaPQC) committee. GAFP Staff – Tenesha Wallace served as a representative for GAFP on the (GaPQC) committee as well. The purpose of the GaPQC liaison is to ensure that GaPQC and GAFP has an open pathway of communication established to synchronize organizational efforts in perinatal quality improvement, as it impacts the GAFP membership. Dr. Magloire provided quarterly updates to the GAFP and the Public Health Committee. The GAFP also promoted the GaPQC Health Equity and Implicit Bias Learning Series to our membership.

AAFP Health Equity Grant The GAFP completed the following AAFP health equity grant activities:

• Coordinated a Health Equity discussion during the public health committee meeting in conjunction with the GAFP March Conclave by Danielle Jones, MPH, Director, AAFP Center for Diversity and Health Equity • Disseminated Health Equity Champions Survey to GAFP Membership – 57 members responded • GAFP staff participated in quarterly calls and discussion forums which help to development the Georgia Community Health Improvement Plan (CHIP) • Added links to The EveryONE Project Toolkit and Neighborhood Navigator to the Public Health section of the GAFP website • Offered an implicit bias lecture during the GAFP annual meeting (November 2019) • Discussed Georgia chapter strengths to advance health equity

59 GAFP/Department of Public Health (DPH) Contract The Committee provided valuable feedback for the GAFP contract with the Department of Public Health. The following are highlights of the contract activities for the 2020 calendar year:

2020 Georgia Department of Public Health Award for Family Physicians: The Georgia Academy of Family Physicians (GAFP) in partnership with the Department of Public Health (DPH) bestows this award annually. The award is given to a chapter member who has supported Georgia’s children above and beyond the routine scope of family medicine. The Georgia Academy will present this award to Kristen Kettlehut, MD of Columbus, GA this fall.

2020 Early Hearing Detection and Intervention (EHDI) Physician Champion: The EHDI Program created an initiative to strengthen the EHDI system through participation in the Area Learning Community. The Learning Community is an innovative project designed to engage stakeholders to share, test and implement strategies to improve the EHDI System. Nandini Govil, MD, MPH, of Atlanta, GA served as the (EHDI) Physician Champion for 2020. The (EHDI) program Champion duties:

• Present at Grand Rounds or in-service for at least one health district – Govil to do a Webinar to our membership • Provide feedback on the training/tutorial for hearing data reporters (In development by State EHDI Team) • Draft short article for publication this or next fiscal year • Attend an EHDI Stakeholder meeting (Hosted by State EHDI Team) – GAFP staff and a GAFP leader to participate in stakeholder meeting

Health Care Transition As part of our public health contract, the GAFP worked with Public Health to coordinate two webinars on Health Care Transitions for membership in January and June 2020. The webinars covered the topic of Transitioning Youth from Pediatric to Adult Health Care. Both webinars are available to view on the GAFP website https://www.gafp.org/education/webinars/.

Sexual Transmitted Diseases One STD webinar titled: “Sexually Transmitted Infections in Southern Adolescents” was provided to GAFP Chapter members in June 2020. At our annual meeting GAFP provided an STD Update titled “The State of Sexually Transmitted Infections: Climbing Rates, Concerning Trends, and Opportunities for Impact” to our membership. In addition, one newsletter on CDC recommendations for prevention, screening, and treatment of sexually transmitted diseases in the primary care was published in the GAFP newsletter in May 2020.

Oral Health An Oral Health Newsletter titled: Oral-Medical Systemic Connection: Benefits of a Coordinated Provider Team Approach was provided to GAFP members in June 2020. Additionally, 2 grand round lectures were given to two residency programs – Emory and Morehouse in February and April 2020.

2020 DPH and GAFP Collaboration Meeting The GAFP staff and the DPH leadership team met quarterly in 2020 to discuss the priorities and vision for the future of DPH, COVID updates and new potential collaboration efforts with Georgia Academy of Family Physicians. 2020 Meeting dates: • Thursday, April 23rd at 10:00 am • Thursday, August 6th at 10:30 am • Thursday, November 5th at 10:30 am

Educational Lectures The following Public Health related lectures were presented at a GAFP meeting or to GAFP members during the 2019-2020 contract year:

• Update of Gynecologic Cancers • Addressing Maternal Mortality in Georgia • Transforming your Health Practice into an Adolescent-Centered Medical Home • The State of Sexually Transmitted Infections: Climbing Rates, Concerning Trends, and Opportunities for Impact • State of Health by DPH Commissioner, Kathleen Toomey, MD, MPH • Health Care Transition and The Family Physician - You’ve Got This

Educational Lectures for Family Medicine Residency programs:

Topic Area: Newborn Screening The Physician Role in Early Intervention for Pediatric Hearing Loss Presenters: Nandini Govil, MD, MPH Assistant Professor, Pediatric Otolaryngology Children’s Healthcare of Atlanta Programs: Houston Healthcare Family Medicine Residency Program – June 11th Northside – Gwinnett Family Medicine Residency Program – June 10th

Topic Area: Oral Health Prenatal and Infant Oral Health: Roles and Impact of Medical Providers Presenter: Adam Barefoot DMD, MPH Programs: Emory University Family Medicine Residency Program – February 20th Morehouse School of Medicine Residency Program – April 1st

Topic Area: Developmental Screening “Optimal Child Development” Early Identification of Developmental Concerns Through Surveillance and Screening Presenter: Jennifer M. Zubler (CDC/ONDIEH/NCBDDD) (CTR) Programs: Memorial Health Medical Center Residency Program – January 31st Navicent Health Family Medicine Residency Program – May 8th

Topic Area: Maternal Mortality Maternal Mortality in Georgia and the Role of Family Medicine Presenter: Angeline Ti, MD MPH, Assistant Professor Programs: WellStar Kennestone Regional Medical Center Family Medicine – January 22nd Navicent Health Family Medicine Residency Program – April 17th Morehouse School of Medicine Residency Program – May 6th

Public Health Education 2020 Newsletter Articles:

• Oral-Medical Systemic Connection: Benefits of a Coordinated Provider Team Approach • Seeking Family Physician Who is Exemplary in Supporting Georgia’s Maternal and Health Population • Webinar Opportunity: Providing Adolescent-Centered Virtual Care

61 • Role of the Primary Care Physician and Medical Home in the Early Hearing Detection and Intervention Program • Early Hearing Detection and Intervention - COVID-19 Update • Updated Six Core Elements of Health Care Transition™ and Revamped Got Transition Website • Adolescent Health Matters • COVID – 19 and Pregnancy • CDC recommendations for prevention, screening, and treatment of STDs in the primary care setting for Georgia physicians

GAFP Website – Public Health: The GAFP website contains an entire section dedicated to Public Health, which the Public Health Committee directs. Staff updated the following public health website tabs: • Transitioning Youth from Pediatric to Adult Health Care • Public Health for Women, Infants and Children (WIC) • Babies Can’t Wait Referral Form • DPH COVID-19 Resource Page

Thank you to the Public Health Committee members for their participation and continued support of GAFP initiatives: Susana Alfonso, MD (Executive Liaison); Alida Gertz, MD; Jose Villalon- Gomez, MD; Lisa Griggs, MD; Keroles Isac (student); Leticia Cardoso do Nascimento (student); Kirat Sandhu (student); Avril Campbell-Sims, MD; Jeff Stone, MD (Executive Liaison); Altelisha Taylor, MD (resident); Angeline Ti, MD (Vice-Chair); Avantika Varma, MD.

Respectfully Submitted for the Committee, Dan Singleton, MD, MAS, FAAFP

RECOMMENDATIONS: None

62 Report of the Student and Resident Recruitment Committee September 2020 Congress of Delegates Georgia Academy of Family Physicians

Meeting dates: February 10, 2020 May 20, 2020 August 1, 2020

The Student and Resident Recruitment Committee met three times this year and focused on multiple activities in which to engage the students and residents at our meetings and in other venues, including leadership activities. The following are some of the projects that the Committee worked on this past year: Strategic Plan: Medical Students and Residents The student and resident committee continue to work diligently to achieve the goal of increasing the number of family physicians in Georgia by engaging current Georgia students, residents and practicing physicians through various GAFP activities. In 2020, we opened the residency fair section to allow all Georgia MS3 and MS4 to participate in the Residency Fair. This expansion of the residency fair allowed for and increase number of students to attend the residency fair and hear from residents and Residency Program Directors and faculty about the process of choosing a residency program, and what the residency programs look for in future residents. The GAFP has been awarded a grant from the AAFP FMPC Foundation to support the 2021 medical student meeting. Employment Contract Review Assistance for Resident Members The Georgia Academy of Family Physicians continued a program providing funding for GAFP PGY3 family physician residents who are planning to remain in Georgia upon graduation to have their employment contracts reviewed by the Sanders Law Firm. Residents not planning to stay in Georgia would not receive full funding, but GAFP negotiated a reduced rate that the resident can pay directly to the Sanders Law Firm. Residents eligible for full funding must be current members of the AAFP/GAFP, must be enrolled as a PGY3 in training at a Georgia family medicine residency program, and must be remaining in Georgia upon graduation. The committee reviewed updates and were asked to promote the information to interested residents. In the year 2020, 10 residents used the contract review benefit. GAFP Student Track

Family Medicine Day for Medical Students – Saturday, February 29, 2020

The fourth Annual Family Medicine Day for Medical Students was held Saturday, February 29th during the concurrent GAFP Leadership meetings in Atlanta. There were over 85 medical students, program faculty, residents, and student member volunteers present at GAFP Family Medicine Day. We had a record number of 11 Georgia based residency programs in attendance. Agenda:

63 Saturday, February 29, 2020 – Le Meridian Atlanta Perimeter 7:30 a.m. – 8:30 a.m.: Registration and Continental Breakfast | Room: Grand Salon Foyer 8:30 a.m. – 8:50 a.m.: Welcome – GAFP President, Jeff Stone, MD 8:50 a.m. – 10:00 a.m.: Student Themed “Ted Talks”

• Just Breathe • Tele Global Health • How to Choose a Specialty • Making it Stick – How to Maximize your Learning in Residency 10:00 a.m. – 11:30 a.m.: Speed Dating Topics:

• Faculty Role & International Medicine • Family Medicine Residents Journey • Burnout and Wellness in Residency • Academic Medicine/Corporate Medicine • Functional/Holistic Medicine • Finances/Loan Repayment/Managing Medical Debt • Research • Primary Care Sports Medicine 11: 30 a.m. – 11: 35 a.m. Break 11:35 a.m. – 12:35 p.m.: Lunch– Panel Discussion Speakers: LaSharn Hughes, MBA, Executive Director Georgia Composite Medical Board| Georgia Board of Health Care Workforce John J. Desmond, IV, MD – Faculty Family Medicine |Floyd Family Medicine Residency 12:40 p.m. – 3:10 p.m.: Hands on Workshops

• Acupuncture | Quick office OMT • Knee Examinations and Injections • Basic Suturing • GYN Procedures • FAST Exam • Ultrasound • Nexplanon Insertion • Intubation 3:10 p.m. – 3: 15 p.m. Break

64 3:15 p.m. – 6:15 p.m.: Georgia Residency Fair

• Augusta University – Medical College of GA Family Medicine Residency Program • Emory Family Medicine Residency Program • Northside Gwinnett Family Medicine Residency Program • WellStar Kennestone Family Medicine Residency • Medical Center of Central Georgia/Navicent • Floyd Family Medicine Residency Program • NGMC Family Medicine Residency Program • Phoebe Family Medicine Residency • Memorial Satilla Health Family Medicine Residency Program • WellStar Atlanta Medical Center Family Medicine Residency Program • HCA Memorial Health Family Medicine Residency 6:30 pm – 8:30 pm.: Networking/Dinner Reception with Medical Students and Family Physicians: Magic Moments in Family Medicine The committee suggests that GAFP staff and leaders speak to FMIG advisors and officers at the start of the medical school year to encourage M1’s and M2’s involvement in the 2021 Family Medicine Day and residency fair. The committee also recommend we increase the speed dating time to allow for more interface with GAFP members and add a MythBusters section to talk openly about the stigmas associated with family medicine. The 2021 meeting will be held in Metro Atlanta – March 2021 exact location TBD

Outreach to Resident and Student Programs GAFP Staff Tenesha Wallace Hood, visited two residency programs in Georgia and five programs virtually to discuss the benefits of being an AAFP/GAFP member. Staff provided background on the resident contract review benefit and the potential leadership opportunities at the AAFP level and the GAFP level, both in terms of family medicine overall, and on activities that the students/residents can get involved in now to help further their careers. Also, the GAFP Executive Vice President, Fay Fulton visited Savannah Memorial Health FMRP and Northeast Georgia Health System FMRP to share information on our foundation Georgia Healthy Family Alliance (GHFA) Tar Wars, vaping, and community grant projects. T. A. Sappington Student Award Winners

Congratulations to the 2020 recipients of the T. A. Sappington Award. This prestigious award is given to student members who have demonstrated their commitment to family medicine by choosing to attend a Georgia Family Medicine Residency Program. We had a strong year with many of our graduates electing to remain in Georgia for residency. This year we recognize:

65 Mr. Connor O’Sullivan, a student from the Medical College of Georgia at Augusta University, was nominated by Dr. David Kriegel. He has been accepted and enrolled in Wellstar Kennestone Family Medicine Residency Program in Marietta. Connor has been an uplifting voice for Family Medicine. He has worked with the student-run free clinics in the community, served as a race volunteer for the MedWars Medical Wilderness Race, and volunteered at the Equality Clinic and Women’s Clinic in Augusta. Additionally, Connor worked as a behavioral data analyst for the Marcus Autism Center’s Feeding Disorders Clinic where he spent time with autistic patients with behavioral issues related to food. Ms. Catherine Waldron, a student from Mercer University School of Medicine – Savannah, was nominated by Dr. Robert Pallay. She has been accepted into the Memorial Health Medical Center Residency Program in Savannah. Catherine is committed to improving herself, those around her and her community. She has volunteered during COVID-19 pandemic and facilitated health screenings at Forsyth Farmer's Market. Catherine also served as a GAFP Student Alternate Board Member and Treasurer of the Family Medicine Interest Group (FMIG) at Mercer University SOM – Savannah campus. Ms. Alexis Brown, a student from Philadelphia College of Osteopathic Medicine-Georgia, was nominated by Dr. Michael Sampson. She has been accepted into the Memorial Health Medical Center Residency Program in Savannah. Ms. Brown is passionate about promoting healthcare to underserved and under-represented groups. In addition to working with special needs population, she has worked with the Triaged Navajo women in an outpatient clinic. Ms. Brown has also served as the President of PCOM Georgia Chapter ACOFP. Mr. David Daniels, a student from Morehouse School of Medicine, was nominated by Dr. Dolapo Babalola. He has been accepted into Morehouse School of Medicine Residency Program in Atlanta. Mr. Daniels is a hard-working student with a commitment to serving his community. He has served as a student leader for the 2019 National Youth Leadership Forum on Medicine at Morehouse School of Medicine. In addition to serving as co-director of the HEAL Student- run Free Clinic. Mr. Daniels was the 2019 1st Place Medical Student Winner of the GAFP Research Poster Competition and a member of the Family Medicine Interest Group (FMIG) at Morehouse SOM. Pathway to Medical School Program The GAFP Board of Directors voted to support the Pathway to Medical School program with a donation of $2,000 to the Southwest Georgia Area Health Education Center (SOWEGA-AHEC) and $2,000 to the Foothills Area Health Education Center (Foothills AHEC). The Pathway to Med School program was developed to target Georgia pre-med college students who plan to pursue a medical career in primary care and to encourage participants to return to rural and underserved areas as physicians. Students accepted into the program shadow primary care physicians, develop research projects, and attend seminars over a four-week period.

66 The Southwest Georgia Area Health Education Center (SOWEGA-AHEC) PTMS 2020 program was cancelled due to the COVID-19 pandemic wreaking havoc in Albany, Georgia. The Steering Committee determined that for the first time in 17 years, we would not host the Pathway to Med School Program. Due to the COVID-19 pandemic restrictions, the 2020 Foothills Pathway to Medical School (PTMS) program cancelled the traditional format and instead conducted a modified version of the program in a three-day Pathway to Medical School Workshop, August 4th - 5th, 2020, including instructional sessions normally offered during the traditional program in addition to new opportunities. Nine of the top ranked applicants participated in the 3-day workshop. Below is a summary of the program offerings:

• Northeast Georgia Medical Center (NGMC) Faculties Tours: Students toured the Simulation Learning Lab at the Lanier Park campus, as well as the new Internal Medicine GME clinic and office space at Medical Park 2. • Physician Roundtable Dinner: This year, the Physician Roundtable Dinner was held again at Luna's Restaurant in Gainesville. • Virtual Mock Interviews: Virtual Mock interviews were organized via Zoom conferencing with PCOM Georgia campus faculty. • Essay Prep Session: A virtual essay writing session with the PCOM Georgia faculty followed the mock interviews. • Campus Visit to Mercer University School of Medicine: On the last day of the workshop, Associate Dean of Admissions, helped organize an in-person tour led by current medical student ambassadors. • Princeton Review MCAT Self-Paced Online Course: Through a partnership with the Princeton Review, Foothills AHEC was able to offer this course which normally retails for $1600 at a reduced rate of $250 to the students for this year's cohort. Foothills Pathway to Medical School Program Update: As of August 2020, 49 students have completed the Foothills AHEC Pathway to Med School program. We have our first 2 residents associated with the program - Justin Kimsey and Amanda Seibert of the 2015 cohort, graduate medical school, and match with primary care residencies: FM & Peds. Four students are rising 4th year medical students. Seven are rising 3rd year students; five are rising 2nd year students; and four will begin medical school this fall. Fourteen students are currently applying to medical school in the 2020-21 cycle. One student is applying in the 2021-22 cycle after obtaining a master's degree in Biology; and five are not eligible to apply until a later cycle. One student was accepted into PA school with Brenau University's inaugural class this year. Four students are pursuing or finished master's degrees in other areas (neuroscience, law school, dental school, and vet school). Two students did not apply to medical school or pursue post graduate studies to our knowledge. As far as those who have applied to medical school, we currently have a 95% acceptance rate. 36/49 (73%) have applied or are currently applying to medical school thus far out of the total participants in the program. Foothills AHEC will continue to track students through annual surveys and communication from application to med school, entrance into residency training and practice as a physician. In 2021, the student and resident recruitment committee looks forward to supporting both PTMS programs, in the recruitment of GAFP member leaders for shadowing hours and seek increase donation amount for both AHEC programs.

67 AAFP National Conference for Medical Students/Residents Georgia family medicine residency programs set up virtually branded booths during the 2020 Virtual National Conference of Family Medicine Residents and Students, July 30th – August 1st to attract medical student candidates to Georgia to attend residency in our state. A total of 70 active medical students and residents from around the state of Georgia participated in the virtual conference along with the following Georgia state residency programs: Wellstar Atlanta Medical Center FMRP, Columbus FMRP, Medical Center of Central Georgia, Floyd FMRP, Northeast Georgia FMRP, Northside Gwinnett Medical Center FMRP, Houston FMRP, and Wellstar Kennestone FMRP. In addition, GAFP had representation in both the resident and student delegate categories. Dr. Kamal Mohiddiun from the Memorial Health Family Medicine Residency Program in Savannah served as our resident delegate and Dr. Macy McNair from Morehouse School of Medicine FMRP in Atlanta served as our alternate. Grace Saxon and Lindsey Wells, both from the Emory School of Medicine in Atlanta served as our student delegate and alternate student, respectively. Another event that occurred during the virtual AAFP National Conference was the National Congress of Family Medicine Residents (NCFMR) and the National Congress of Student Members (NCSM) which traditionally meet at the National Conference, but congress sessions were moved to virtual due to Covid- 19 and our delegates were unable to attend the conference in-person. The GAFP instead offered delegates and opportunity to attend the GAFP August Conclave at Callaway Gardens, where they participated in a networking dinner and other online virtual leadership sessions as a state. DPH Lectures for Georgia Residency Programs GAFP offered seven Georgia residency programs and opportunity to participate in the Department of Public Health (DPH) grand round lectures. The following family medicine programs participated: Wellstar Kennestone Regional Medical Center Residency Program, Savannah Memorial Family Medicine Residency Program, Emory University Family Medicine Residency Program, Northside Gwinnett Family Medicine, Navicent Health Residency Program, Houston Healthcare Family Medicine Residency Program, and Morehouse School of Medicine. A total of 202 residents attended the lectures in-person and virtually via GoToWebinar. Resident Pilot Legal Startup Kit The GAFP offered newly graduated residents who would like to remain in Georgia upon graduation support in opening their own practice. We partnered with Southern Health Lawyers to offer the start-up legal services needed to start a new practice. GAFP members who take advantage of this benefit are asked to contribute $500 to participate in this pilot program and agree to remain a member of the GAFP/AAFP for a minimum of three years. As of August 2020, the GAFP had received one application to participate in the program. The committee proposed that expanding the pilot project to include practicing physicians who may not otherwise have the resources to start their own practice. GAFP Virtual Journal Club – Residents The GAFP created an opportunity for residents and faculty researchers to participate in the GAFP’s Virtual Journal Club. Presenters and participants may earn up to 1.0 AMA PRA Category 1 Credits™ and 1.0 AAFP Prescribed Credits for their participation. The virtual journal club will take place at 7:00 pm on Monday evening from September – December 2020.

68 Recognition of Volunteers on Behalf of the Committee The committee would like to acknowledge all who have advocated for family medicine to groups throughout the state, as part of a family medicine interest group meeting. I would like to thank my Vice Chair, Kevin Johnson, MD and the following members who have served on this committee: Elise Abken (student); Bernadette Baker, MD (resident); Jody Bahnmiller-Brasil, MD; Natalie Britt, MD; Rahim Fazal (student); Olunafunmilola "Lola" Harike, MD (resident); Emily Herndon, MD; Rebecca Kim, MD (resident); Dominique Munroe (student); Pamela Obi, MD; Ashley Peterson, DO (resident); Jonathan Wade, MD and Lindsey Wells (student) Respectfully Submitted for the Committee by, Julie Dahl-Smith, DO Chair RECOMMENDATIONS: None

69 AAFP Congress of Delegates Report October 2020

The GAFP was represented at the 1st AAFP Virtual Congress of Delegates by AAFP delegates Beulette Hooks, MD of Midland and Harry Strothers, MD of Macon.

Also, in attendance were alternate delegates Mitch Cook, MD of Athens and Eddie Richardson, MD of Eatonton, GAFP staff Fay Fulton, Executive Vice President and GAFP President Jeff Stone. The GAFP Team met in Macon, Georgia for the Virtual AAFP Congress of Delegates.

The delegation attended all the virtual reference committees on Oct 3rd and 4th monitoring all proposed resolutions. The GAFP submitted one resolution to the 2020 AAFP COD:

1. Family Physicians Demand Less Barriers to Care – Prior Authorization Resolved, That the American Academy of Family Physicians support policies and mandates regarding prior authorization denials, the insurance company and/or pharmacy benefit plan are required to give three (3) formulary substitutes of different medications classes, and be it further

Resolved, That the American Academy of Family Physicians support policies and mandates toward specialized procedures,, diagnostic tests or hospitalizations ordered by the physician shall not have prior authorizations that require a peer to peer phone encounter for approval after the patient’s medical records have been received and reviewed by the insurance entity.

This resolution was placed on the Reaffirmation Calendar and at this Virtual COD it was not available for extraction.

Dr. Harry Strothers was to be the Chair of the AAFP 2020 Virtual Reference Committee on Education but because of a lack of resolutions during this Virtual COD this Reference Committee was not held.

Dr. Beulette Hooks was asked to be a Sergeant at Arms for the 2020 AAFP COD but since it was Virtual this duty was not needed.

Dr. Mitch Cook was on the Tellers Committee for the AAFP 2020 Virtual COD.

The 2021 AAFP Congress of Delegates will be held in Anaheim, California in late September.

NO RECOMMENDATIONS

The AAFP Congress of Delegates elected several candidates to the AAFP Board of Directors. Congratulations to the President Elect: Sterling Ransone, MD, FAAFP, Virginia AFP; Speaker of the Congress: Alan I. Schwartzstein, MD, FAAFP, Wisconsin AFP; Vice Speaker: Russell W. Kohl, MD, FAAFP, Oklahoma AFP; Directors: Jennifer Brull, MD, FAAFP, Kansas AFP; Mary Campagnolo, MD, FAAFP, New Jersey AFP and Todd Shaffer. MD, FAAFP, Missouri AFP.

Decisions about all the resolutions put forth at the Congress with their actions can be found on the AAFP website.

Beulette Y. Hooks, MD, FAAFP Mitch Cook MD, FAAFP Midland Athens

Harry Strothers, MD, FAAFP Eddie Richardson, MD, FAAFP Macon Eatonton 70

2020 Georgia Healthy Family Alliance Report to the Congress of Delegates September 2020

By Patrick “PJ” Lynn, MD, FAAFP – President

On behalf of the Georgia Healthy Family Alliance (GHFA) Board of Trustees, I am pleased to present the following report of the Alliance’s activities over the past year for your review.

I must first express thanks to the GHFA Board of Trustees for their continued support of the Alliance over the past year as we faced so much uncertainty as a result of the COVID-19 pandemic yet continued to move forward toward fulfillment of our mission to enhance the well- being of Georgians through educational and outreach programs that promote healthy practices.

In 2020, the Alliance Board will hold a total of three Board meetings and we currently have two staff members devoted to coordinating programming, communications, corporate funding and donor outreach. Staff spent more time on the road the second half of this year coordinating two Tar Wars Strike Force projects in Rome and Gainesville while launching the new Southeast Georgia Strike Force in Statesboro and Savannah to address the student vaping epidemic statewide.

The two major goals of the Alliance are improving the health of Georgians and increasing the financial wellness of the Alliance

The 2020 Community Health Grant Awards In January 2020, the Georgia Healthy Family Alliance (GHFA) began its ninth year of the Community Health Grant Awards Program. Since its inception, the Community Health Grant Program has awarded nearly $400,000 in support of 80 GAFP member sponsored healthcare projects throughout Georgia to enhance the well-being of our communities.

With the help of a matching gift from Jackson Healthcare, GHFA once again doubled the number of community health grants awarded in 2020. Grants awarded in 2020 included:

Grace Gate Clinic “Flu Prevention For Habersham” Donald Fordham, MD -$5,000 Emory University “Eagle Food Co-Op Project”, Ava Voss, Medical Student $5,000 Wellstar Kennestone Family Medicine Clinic “Let’s Get Moving Project” Rebecca Kim, MD- $5000

71 Al-Farooq Clinic “Electronic Health Record Project” Omar Hayek, Medical Student $5000 Physicians Clinic “Chronic Disease Management Program” Martha Crenshaw, MD- $5,000

Mercer School of Medicine “Student Run Clinic” Nicole Mette, Medical Student $5,000 Clarkston Health Center “Breast Health Initiative” Patrice Shongo, MD -$5,000 Rome Free Clinic “Telemedicine- Rural Communities” Leonard Reeves, MD- $5,000 DEO Clinic “Telemedicine and Coaching Calls to overcome COVID Concerns While Monitoring Chronic Health Conditions” Raymond Bedgood, MD -$5,000

Adult Disability “Get Fit & Be Healthy Project ” Andrea Videlefsky,MD -$5,000 “Warrior Centric Health Foundation & Veteran Medical Neighborhood Joining Forces to Mitigate Impact of Social Determinants of Health” Loretta Hicks, MD- $5,000 Mercy Health “Flu Prevention & Treatment Project” Mitch Cook, DO - $5,000

Philadelphia College of Medicine-GA “ Drive Through Flu Clinic” Andrew Morrissey Medical Student-$5,000 Current GAFP members including medical students, residents and active/ life members are eligible to sponsor applications for the next cycle grant funding with a deadline of February 1, 2021. First cycle grant awards will be announced in March 2021. Application information will be available online at www.georgiahealthyfamilyalliance.org beginning in October.

Immediate Needs Grants

The COVID-19 pandemic presented many challenges to the healthcare community and the patients they serve in Georgia. In response, the Alliance paused the second cycle of our Community Health Grant program to launch the Immediate Needs Grants program in March to help address some of the unique challenges Georgia’s communities faced due to the Coronavirus outbreak. With the knowledge that family physicians are on the front lines of public health issues affecting our communities, these grants were designed to provide GAFP members and their affiliated community organizations up to $1,000 to support critical health needs for our most fragile citizens and patients. Since late March, we have awarded $35,000 to projects including prescription assistance for homebound senior citizens, lunch delivery for vulnerable children

72 who no longer have access to school meals, PPE for charitable care clinics, childcare services for first responders and sanitizer distribution for Atlanta’s large homeless community to name a few.

In late May, we received word from the AAFP Foundation that our Immediate Needs Grant Program was selected as the AAFP Foundation Outstanding Program of the Year! We are humbled to be recognized for our collective effort to help our patients and communities maintain health and hope during these uncertain times.

Susan Land, MD Thomson, Lunch Delivery for Food Insecure Children and Seniors Brandi Warren, MD Thomasville, Prescription Assistance/ Diabetic Supplies for Seniors Cedrice Davis, MD Marietta, Food and Prescription Assistance for Patients in Need Monica Newton, DO Gainesville, Diaper and Food Drive For Disabled Children Sean Lynch, MD Augusta, Food, Transportation and Prescription Assistance for Patients Navdeep Mangat, MD Atl, Sanitizer distribution and COVID-19 Testing For the Homeless Leonard Reeves, MD Rome, Liquid Nutrition Delivered to Homebound Cancer Patients Isabel Lowell, MD Decatur, Prescription Assistance for At Risk LGBTQ Youth Raymond Bedgood, MD Dalton, Prescription Assistance For Low Income Patients Daniel Grizzle, MD Athens, PPE Mask Production to Protect Patients and Staff David Westfall, MD Gainesville, Prescription Assistance For Low Income Patients Daniel Gordon, MD Colbert, Prescription Refills and Delivery for Chronically Ill Patients Leslie David, MD Gainesville, Foodbank Distribution to Needy Families in Five Counties Ken Howard, MD Calhoun, Food and Assistance for Homeless High School Students Stalina Gowdie, MD Athens, Baby Care, Prescription Assistance & Food For Patients Howard McMahan, MD Ocilla, Supplies & Support for First Responders in Rural Ga David Davis, MD Athens, Food and Prescription Assistance for Unemployed Residents Harry McDonald, MD Toccoa, Food for Homeless Families and Senior Citizens in North Ga. Laura West, MD Tallulah Falls, Prescriptions for Patients Battling Drugs and Alcohol Justin Rushing, MD Rome, Medications/Supplies for Insulin Dependent Diabetics & PPE Mitch Cook, DO Athens, Grocery Gift Cards & Housing Assistance for Patients in Need Jody Bahnmiller, MD Gainesville, Assist Rape Response Clients With Diapers, Food & Rent Angeline Ti, MD Atlanta, Provide Blood Pressure Cuffs to Quarantined Pregnant Patients Andrea Videlefsky, MD Marietta, Caring for Adults With Disabilities Via Telemedicine Pedro Ramirez, MD Lawrenceville, Identifying and Triaging High Risk COVID-19 Patients Beverly Townsend, MD Columbus, Provide Food and Transportation to HIV Patients

73 Suzanne Lester, MD Athens, Food Assistance For Homeless Families and Senior Citizens Allison Turk, MD Dahlonega, Prescription Assistance and Food Delivery for Patients in Need Charles White, DO Cleveland, PPE, Prescriptions and Diabetic Supplies for Patients in Need Anthony Nazione, MD Rome, Food, Housing and Transportation for Cancer Patients Alida Gertz, MD Decatur, COVID-19 Education, PPE and Hygiene Kits for the Homeless Brian DeLoach, MD Statesboro, Prescription Assistance and Diabetic Supplies for Patients Caroline Bekele, MD Atlanta, Assistance For Families Facing COVID-19 Income Loss Robert Pyle, MD Rome, PPE For YMCA Staff Providing Childcare for First Responders Grace Saxon, Atlanta, Medical Student Women’s Health Services for Underserved Women Beulette Hooks, MD Columbus, Food Assistance For Veterans in Need Due to COVID-19 Immediate Needs Grant applications are still available on our website at www.georgiahealthyfamilyalliance.org. Please reach out to Kara Sinkule at [email protected] or by calling (404) 321-7445 for more information.

Tar Wars Kicks off 2020-21 School Year

Prior to the COVID-19 outbreak in March, Tar Wars was off to another record-breaking start to the year. Our part-time Tar Wars Consultant, Deanna Kauten, RN, had already traveled to Clarke, Henry, Dawson and Gwinnett counties to present Tar Wars to elementary and middle school youth before schools closed in response to the COVID-19 crisis. Medical students and Residents at Augusta University presented the program to schools in their community and presentations were also held throughout Northeast Georgia. However, in mid-March across the board school closures resulted in the cancellation of dozens of previously scheduled Tar Wars classroom presentations. In an effort to continue our progress spreading the Tar Wars tobacco and vape free message and to recruit additional presenters for the upcoming school year, Tar Wars staff conducted Tar Wars webinar trainings for school nurses and other interested parties online over the summer. The presentation detailed how vaping has been shown to increase the risk of serious complications with COVID-19 and how the Tar Wars program can be tailored for specific age groups. GHFA staff will continue to conduct webinars for school nurses and other interested parties on a monthly basis beginning in early September until schools reopen. Staff will also conduct online Tar Wars presentations for students wherever possible while schools continue virtual learning. The Jackson Healthcare matching grant also included production of a powerful new video highlighting the importance of the Tar Wars program are by detailing one Georgia teen's journey to health after suffering a life threatening lung injury caused by vaping. The video is just three minutes long and can be viewed on the GHFA website.

74 The Georgia Healthy Family Alliance 2020 statewide Tar Wars poster competition was delayed until September due to the abrupt school closures in March.

If you are interested in presenting Tar Wars to a local elementary or middle school in your community contact Kara Sinkule at [email protected] for more information or visit www.georgiahealthyfamilyalliance.org.

GHFA Capital Campaign- Your Giving is Great Medicine

The Alliance is now in the third year of the Your Giving is Great Medicine capital campaign and I am pleased to share that we are just over $50,000 away from the $2 million mark! We could not have done this without each of you.

The Capital Campaign has expanded our focus for specific “Tar Wars Strike Force” communities to raise $250,000 to implement our Tar Wars program for a minimum of three years in schools (or virtual schools) in an ongoing effort to curb the extraordinary increase in vaping among school aged children.

We launched in Rome and then followed in Gainesville last year and plan to wrap up our fundraising initiative in both of those areas in the coming months as we launch our Southeast Strike Force which will cover from Statesboro to Savannah in mid-September 2020.

As Alliance President and a resident of Rome, I chair the Rome Strike Force composed of family physicians, nurses, and community leaders. The Rome Strike Force is also being co-chaired by GAFP member, Dr. Leonard Reeves and we have received $100,000 pledges from Floyd Medical Center and the Floyd Medical Center Foundation to support our efforts.

GAFP member and Gainesville resident, Dr. Monica Newton, serves as Chair of the Gainesville Strike Force. Northeast Georgia Health System has signed on as a presenting sponsor with a $50,000 pledge. Dr. Fordham is serving as our Vice Chair of the Northeast Georgia Strike Force.

GHFA Board member and Statesboro resident, Dr. Chip Cowart has agreed to serve as Chair of the Southeast Georgia Strike Force and Dr. Bonzo Reddick will serve as Vice Chair. Southeast Georgia Strike Force members are currently being recruited and a socially-distanced kickoff event will be held September 23, 2020 in Savannah. If you are interested in participating in a Strike Force effort in your community please reach out to staff.

Our goals for 2021 include raising another million dollars for our Capital Campaign. In addition, we expect to award $100,000 in community health grants and complete fundraising for the Gainesville, Rome and Savannah Strike Force initiatives which will allow us to launch Strike Forces in additional communities

2020 “Your Giving is Great Medicine” Donor Recognition Event A dinner honoring Your Giving is Great Medicine top campaign donors and Strike Force members and supporters is expected to be held prior to the end of the year.

75 2020 Capital Campaign Leadership Cabinet Members:

2020 Chair: Loy “Chip” Cowart, MD Dr. Mike Busman, Americus Dr. Evelyn Lewis & Clark, Newnan Dr. Donald Fordham, Demorest Dr. Patrick “P.J.” Lynn, Rome Dr. Eddie Richardson, Eatonton Dr. Mitzi Rubin, Atlanta Dr. George Shannon, Columbus Dr. Collyn Steele, McDonough Dr. Harry Strothers, Macon Dr. Rick Wherry, Dahlonega

GHFA Capital Campaign Donors As of August 30, 2020 the “Your Giving is Great Medicine” Capital Campaign 5-year pledges include:

$1,000,000 Georgia Academy of Family Physicians

$50,000- $100,000 Floyd Medical Center Floyd Healthcare Foundation Jackson Healthcare Northeast Georgia Health System

$25,000-$49,999 Dr. Chip and Elizabeth Cowart Dr. Patrick “PJ” and Lindsey Lynn

$10,000-$24,999 Dr. Carl and Melanie McCurdy Dr. John Bucholtz Dr. Howard and Janet McMahan Dr. Mike and Dianne Busman Dr. Rolf Meinhold and Caryn Bains Dr. Samuel “Le” Church Dr. T.J. Miller Dr. Evelyn Lewis & Clark Dr. Adrienne Mims Dr. Lanny and Mica Copeland Drs. Monica and Wylie Newton Dr. Donald Fordham Dr. Mitzi and Jeremy Rubin Fay Fulton Dr. Eddie Richardson and Dr. Jameelah Dr. Gene and Ivy Jackson Gater Dr. Susan Margletta & Jack Harmon Dr. Michael and Deborah Satchell Dr. Dayle Hawthorne Dr. George Shannon Dr. Thaddeus Lynn Dr. Daniel Singleton Jim and Patti Lyons Dr. Collyn and Nick Steele

76 Dr. Harry and Karen Strothers $1000 -$4,999 Dr. John Vu Dr. Rami Arfoosh Dr. David Westfall Dr. Thomas Bevill Dr. Rick and Alice Wherry Dr. J. Larry Boss

Dr. Michelle Cooke $5,000-$9,999 Dr. David Fieseler Dr. Susana A. Alfonso Dr. Loretta Hicks Dr. Karla Booker Dr. Andre Kallab Dr. Mitch Cook Dr. Christina Kelly Dr. Elvan Daniels Dr. Ambar Kulshreshtha Dr. Daniel Grizzle Dr. Anthony Nazione Dr. Thomas Fausett Dr. Sharon Rabinovitz Dr. Jay and Adelene Goberdhan Dr. Thad and Susan Riley Dr. Emily J. Herndon Shawn Smith Dr. Audrey and William Hodge Dr. Charles Sow Dr. Wayne Hoffman and Thomas Torrey Dr. Katherine Taylor Dr. Beulette Hooks Dr. Beverly Townsend Dr. Theresa Jacobs Dr. W. Steven Wilson Dr. Kevin and Connie Johnson Dr. Bruce LeClair Dr. Sherma Peter $500- $999 Dr. James and Harriet Ray Dr. Rodneysha Brown (Resident) Dr. Leonard Reeves and Terri Brown Dr. Kristen Kettelhut (Resident) Dr. Priya Shah Dr. Shameka Hunt McElhaney Dr. Susan Schayes Dr. Juilett Kostanjevec Dr. Jeff and Holly Stone Dr. Frank Lake Dr. Shikha Shah

Rome Strike Force Donors (as of August 30, 2020)

Floyd Medical Center Emma Atherton-Staples, MD Floyd Healthcare Foundation Kelly Vlass Culbertson, MD Patrick J. Lynn, MD Kirby Watson Peden, MD River City Bank Jennifer Barbieri MD Leonard Reeves, MD International Paper Andrew Williams Katherine Taylor, MD

Gainesville Strike Force Donors (as of August 30, 2020) Northeast Georgia Medical Center Rami Arfoosh, MD Jody Marie Bahnmiller-Brasil, MD

77 Allen Butts Jr. Kerri Prince Carroll Daniel Construction Stacey and Sara Reece William L Coates Jr. Marian Reed Committee to Elect Butch Miller Franklin Rinker Committee to Elect Lee Hawkins Karl Schultz Leslie A David, MD Margaret L Schutte, MD Fay Fulton William H. Slack III Georgia Skin Center Wendell Starke Joy Griffin Starlet Rhodes Jones Fund at the North Hasty Pope LLP Georgia Community Foundation John L Hemmer Jr., MD James K Syfan III Jon Horn Thomas C. and Alice Ann Mundy Fund Tate O’Rourke /Jackson EMC Daniel Thompson Andre Kallab James A Walters Philip Olsen Kimsey, MD David Noel Westfall, MD Frank G. Lake III Richard Andre Wherry, MD Douglas McDuff Anslee Wilson Monica Newton, DO Nhi-Kieu Nguyen

2020 GHFA Board of Trustees Patrick “PJ” Lynn, MD, President Ambar Kulshreshtha, MD Eddie Richardson Jr., MD, Vice President Priya Shah, MD Mitzi Rubin, MD, Treasurer Resident Trustees Michael Busman, MD Rodneysha Brown, MD Evelyn Lewis & Clark, MD Juilett Kostanjevec, DO Loy “Chip” Cowart, MD

2020 GHFA Staff Fay Fulton – Executive Director Kara Sinkule -Deputy Director Daniel Thompson- Regional Director of Philanthropy

In closing, I want to convey how proud I am to be a member of the GAFP and serve as President of the Alliance after seeing so many colleagues on the front lines of this pandemic going above and beyond to lift others in the face of this crisis through the Immediate Needs Grant program. Our collective efforts helped our patients and communities maintain health and hope during this difficult year. Thank you all for what you do for Family Medicine and the Alliance!

Recommendation: Encourage all GAFP members to contribute to the Alliance.

78 October 2020

Georgia Academy of Family Physicians Congress of Delegates

Report of the GAFP PAC Board

The PAC Board voting members for 2020 were:

GAFP Board Chair – Donald Fordham, MD GAFP PAC Board Vice Chair – Monica Newton, DO GAFP President – Jeff Stone, MD COD Speaker – Carl McCurdy, MD GAFP Board Member Representative – Beulette Hooks, MD At Large GAFP Member – Dan Singleton, MD

The PAC Board ex officio members for 2020 were:

GAFP Legislative Chair – Bruce LeClair, MD GAFP Legislative Vice Chair – Loy D. “Chip” Cowart, MD GAFP President Elect – Tom Fausett, MD GAFP Executive Vice President – Fay Fulton

Donations Given in 2020 (Through October 10)

State Representative Casey Carpenter - $500 State Representative Sharon Cooper - $750 State Representative Chuck Efstration - $1,000 State Representative Houston Gaines - $500 State Representative Gerald Greene - $500 State Representative Brett Harrell - $500 State Representative Lee Hawkins - $500 State Representative Michelle Henson - $500 State Representative Jan Jones - $500 State Representative Chuck Martin - $500 State Representative Don Parsons - $500 State Representative Alan Powell - $$250 State Representative Bonnie Rich - $1,000 State Representative Deborah Silcox - $2,000 State Representative Ron Stephens - $1,000

State Senator Jeff Mullis - $2,000

Dr. Michelle Au for State Senate - $500 Dr. Scott Bohlke for State Senate - $4,300 Max Burns for State Senate - $500

PAC Donation by GAFP Members In 2019, we raised $23, 578, which was much more than what we raised in 2018 ($16,595). As of August, the PAC has raised $8,871 and we encourage all members to contribute to support our PAC advocacy efforts.

We thank our GAFP members who continue to strengthen our advocacy by donating to the PAC. Through August 2020, the following members have contributed to the PAC:

Susana Alfonso, MD Jun Ro, MD Houria Allia, MD Michael Satchell, MD Folake Aminu, MD Grace Moxley-Saxon Jody Bahnmiller-Brasil, MD William Nash, MD John Bucholtz, DO Monica Newton, DO Samuel Le Church, MD Charlton Pickett, MD Mitch Cook, DO Sharon Rabinovitz, MD Loy D. Cowart, MD Eddie Richardson, Jr, MD Ellie Daniels, MD Michael Satchell, MD Tom Fausett, MD Daniel Singleton, MD Donald Fordham, MD Collyn Steele, MD Glen Dasher, MD Jeff Stone, MD Richard Glass, MD Harry Strothers, MD Daniel Grizzle, MD Ben Thomas, MD James Hagler, MD Beverley Ann Townsend, MD Beulette Hooks, MD Andrea Videlefsky, MD Wayne Hoffman, MD Jonathan Wade, DO Kevin Johnson, MD Rick Wherry, MD Alison Lauber, MD Janise Whitesell, MD Bruce LeClair, MD W. Steven Wilson, MD Carl McCurdy, MD Jonathan Reimer, MD

I encourage all members and especially those of you designated leaders of the Congress of Delegates to take less than five minutes and open your wallet to donate to the GAFP State PAC. You can contribute online securely: https://www.gafp.org/pac/

Recommendations: None

Respectfully Submitted,

Donald Fordham, MD, FAAFP PAC Board Chair

80 Resident Directors Report September 2020 Congress of Delegates Georgia Academy of Family Physicians

2020 Resident Directors and Alternates to the Board Resident Director Macy McNair, MD Resident Director Hikma Jemal, MD Resident Alternate Director Zazi Nylander, MD Resident Alternate Director Kamal Mohiuddin, MD

Resident Award Winners: Georgia Academy Resident of the Year Awarded to Dr. Chivon Stubbs, MD from Morehouse School of Medicine Family Medicine Residency Program in Atlanta, GA. Georgia Academy Keith Ellis Award Awarded to Dr. Ryan Smith, MD from Emory University School of Medicine Family Medicine Residency Program in Atlanta, GA.

AAFP Resident and Student National Conference: Dr. Kamal Mohiuddin and Dr. Macy McNair attended the first virtual AAFP National Conference as chapter delegate and alternate delegate respectively. They were both able to receive registration scholarships for the virtual conference. There were also residents present from several Georgia programs. They were able to participate in leadership discussions centered around education, the health of the public and science, and practice enhancement as well as watch lectures ranging from CV prep to maternity care. As chapter delegates, they voted on the next group of resident leaders on the national level. It was a new and good experience to be apart of the virtual AAFP National Conference.

Medical Student Meeting Workshop: GAFP Medical Student Meeting Feb 2020 In Feb 2020 a couple of dozen medical students from several schools met for a full day of lectures, panels, and workshops relating to family medicine. The goal of the event was to showcase family medicine and help inspire and inform the students towards choosing this specialty as their career. The event was moderated by family medicine residents, including representatives from our own board of directors such as Zazi Nylander, MD, and program faculty across the state. Later in the afternoon, there was a residency fair that had representatives from nearly every residency in Georgia, and representatives from our board of directors.

Resident Directors also voted to help pass the following initiatives pertaining to residents: - Residents submitted and supported a resolution to the GAFP and AAFP regarding the expansion of Pre-exposure Prophylaxis (PREP) expansion and coverage

The Resident Board Directors are truly appreciative that the GAFP represents residency programs across the state and that the Georgia Academy consistently considers how policies enacted both on state and national levels affect residency training programs and resident family physicians here in the Great State of Georgia. Serving through a current pandemic and different environment for most if not all members, enhances the necessity of the policies, recommendations, and resolutions voiced through the Georgia Academy. The impact of the messages being sent spread near and far now will last a lifetime for most. We are glad to have served as resident board directors during such a crucial time to address important matters and look forward to continuing to serve in our respective programs. Thank you for this opportunity.

Respectfully submitted, Resident Directors, Drs. Macy McNair, Hikma Jemal, Zazi Nylander, and Kamal Mohiuddin

Recommendation: The Resident Directors recommend against Georgia State Legislature proposed budget cuts from the Department of Community Health to several health services in order to adjust for COVID-19 related losses. These include ~15% cuts to state funding for residencies, graduate medical education, and undergraduate medical education. If the cuts have already happened, then we recommend no further budget cuts due to the need for increased funding in light of the shortage of medical physicians in the state.

82 September 2020 Congress of Delegates Student Directors Report

2019 Student Directors and Alternates to the Board Student Director, Board of Directors, Grace Moxley Saxon, Emory University School of Medicine - Atlanta Student Director, Board of Directors, Leticia Cardoso do Nascimento, Medical College of Georgia - Augusta Student Director, Board of Directors, Sydney Koenig, Mercer University School of Medicine - Savannah Student Alternate Director, Board of Directors, Caleb Swindell, Mercer University SOM - Macon Student Alternate Director, Board of Directors, Lindsey Wells, Emory University School of Medicine - Atlanta Student Alternate Director, Board of Directors, Yutong Dong, Medical College of Georgia - Augusta

Congress of Delegates Representatives to the AAFP National Student and Resident Conference Student Director, Board of Directors, Grace Moxley Saxon, Emory University School of Medicine - Atlanta Student Alternate Director, Board of Directors, Lindsey Wells, Emory University School of Medicine - Atlanta

Attendance to AAFP National Conference for Medical Students/Residents Grace Moxley Saxon and Lindsey Wells participated in the first ever virtual AAFP National Conference as the student chapter delegate and the student alternate chapter delegate respectively. Through the Student Congress, they elected student representatives to national AAFP positions. Along with residents and family medicine physicians, the newly elected student representatives of the AAFP will continue to promote Family Medicine.

Outside the Congress duties, delegates attended the residency fair and explored different family medicine residency programs throughout the country. They also had an opportunity to attend workshops covering various topics such as full-spectrum pregnancy care and interviewing in the virtual age.

Student Directors on Committees - Student Director, Leticia Cardoso do Nascimento, served on the Public Health Committee - Student Alternate Director, Lindsey Wells, served on the Student and Resident Recruitment Committee

83 Select Georgia FMIG Activity Updates - Medical College of Georgia: - A variety of events were offered to students in order to provide insight into Family Medicine and in efforts to recruit more students into the interest group and specialty: - 1/19: “What is Family Medicine” panel - 42 students in attendance - 9/19 “Business in Medicine” session - 11/19: “Brunch with Family Medicine” - Geared focus towards being more present in the community: - 12/19: Distributed handmade Christmas cards at the Georgia War Veteran Nursing Home (GWVNH) and sang carols to veterans in residence. - 1/20: Tar Wars at the local Boys and Girls Club, FMIG students in collaboration with FM residents. - New executive board was chosen for 2020-2021. - Senior members of MCG FMIG attended the first virtual AAFP conference. - Adapting to new ways of communicating and reaching out to the student body. - Hosted a Virtual Interview Session for the MCG seniors who have declared Family Medicine as their specialty choice via MS Teams. - Virtual “Georgia FMR Buffet”: Georgia Programs invited to attend and provide a brief summary of their program followed by Q&A session. - Mercer University School of Medicine - Savannah Campus - Events focused on increasing medical student exposure to the specialty of Family Medicine - 08/19: “Day in the Life of a Family Medicine Physician” FM introduction panel - 09/19: “Primary Care Accelerated Tracks” session - Primary Care Week 2019: small FM-promoting events every day of the week - Procedure clinics focusing on full-scope family medicine - 10/19: Contraceptives procedures - 12/19: MSK/Sports medicine procedures - Volunteering Opportunities - PCLC Active Minds 2019-2020: mental health club at a local high school run by FMIG students involved in the AAFP PCLC program - Emmaus House Homeless Clinic 10/19: part of the Primary Care Week FMIG initiative - Blessing Bag Workshop 12/19: FMIG students and FM residents partnered together with local volunteers to create bags for homeless individuals during the holidays

84 - Beach High School 01/20: medical students taught neurology exams to high schoolers - Officer election and transitions held virtually 04/20 - On the whole, this 2019-2020 school year was characterized by learning to adapt and overcome the challenges to communication and service poised by the COVID-19 pandemic - Emory University Grace Moxley Saxon and Lindsey Wells served in a task force of students to develop the first peer mentor program through the Adult Primary Care clerkship. This peer mentor program serves to promote primary care specialties, especially family medicine, to M3 students during their Adult Primary Care clerkship.

Respectfully Submitted, Grace Moxley Saxon, Leticia Cardoso do Nascimento, Sydney Koenig, Caleb Swindell, Lindsey Wells, Yutong Dong

Recommendations: - We ask that the GAFP continue seating Medical Student Board members amongst Physician Board members at annual meetings. - Regarding the COVID-19 budget cuts from the state legislature, we would like the GAFP to continue advocating for state funding for residencies, graduate medical education, and undergraduate medical education. - We believe the Medical Student Meeting held this February was a very valuable experience. We recommend the GAFP continue hosting this event for medical students annually with the goal of extending this opportunity to a greater number of students each year.

2020 Annual Report for the WellStar Atlanta Medical Center Family Medicine Residency Program

We have now graduated 24 classes, with 58% of our graduates remaining in Georgia to practice.

We had a successful match this year, filling all of our 6 positions with excellent medical school graduates. We had over 2600 applicants for those 6 positions. Our interns have started out very well and have gotten excellent evaluations on their first rotations.

Our Family Medicine Center in Morrow, Georgia, continues to do well. We have just remodeled the clinic in order to create pods that will allow us to deliver team-based care. We also continue to see continuity OB patients at the Your Town Health Clinic (an FQHC) in Palmetto. We deliver these patients at our hospital. We have started a 3-year course in point of care ultrasound for our residents due to the generous offer from the Medical College of Georgia to provide this.

WellStar is strongly supporting GME with both WAMC and with their Kennestone hospital. They have initial plans for starting a residency program at WellStar Spalding Hospital in Griffin.

We have full accreditation from the ACGME with no citations. Only about a third of Family Medicine residencies can claim this. Finally, all of our residents have passed their boards on their first attempt in the last 7 years.

Our program continues to work within the community and over the past academic year our faculty, residents, and staff have continued several initiatives. For example, we work at a free clinic we started for Clayton county citizens, we do sports physicals for the special Olympics, and we give health lectures at a local senior center.

We hope that interest in Family Medicine amongst American medical students will continue. We must all continue to promote Family Medicine to all medical students we encounter, and show them the benefit of continuity of care, comprehensive care, and how this will improve the health care provided to the citizens of Georgia.

Respectfully submitted with no recommendations to the Reference Committee:

George Brown, MD

86 AUGUSTA UNIVERSITY/MEDICAL COLLEGE OF GEORGIA FAMILY MEDICINE RESIDENCY TRAINING PROGRAM ANNUAL REPORT 2019-2020

Since graduating its first class of residents in 1975, a total of 314 residents have completed their training in the Family Medicine Residency Program. Eighty-one percent of these graduates chose to remain in the Southeast. Sixty-nine percent of the graduates remained in Georgia.

Our program is accredited through the Accreditation Council for Graduate Medical Education (ACGME). Due to the merger between ACGME and AOA we will be submitting our application for ACGME osteopathic recognition. We continue to successfully recruit allopathic and osteopathic residents into our program.

Resident recruitment activities continue on both the local and national levels to include the American Academy of Family Physicians, American and Student National Medical Association in Kansas City. Efforts continue to result in successful filled positions through the National Resident Matching Program.

The Family Medicine Center (FMC) maintains recognition through the National Committee for Quality Assurance (NCQA) as a Level III Patient Centered Medical Home (PCMH). The FMC Quality Department Committee is now involved in helping develop outcome projects for our department. This activity will help expand resident and faculty scholarship opportunities.

Our chief residents attended the AAFP Chief Resident Leadership Development Program Conference. All of our PGY- 3s presented virtually their senior scholarly project(s) at our annual Departmental Research Day. Transitioning PGY- 2s attended the annual Resident Retreat held in Atlanta, Georgia. Resident presence continues at GAFP in Atlanta, GA, the North American Primary Care Research Conferences, AAFP National Conference in Kansas City, MO and AAFP FMX Conference in Philadelphia, PA.

Residents continue to be active in community duties such as; our homeless clinic, our women’s clinic and the equality clinic.

Highlights for 2019-2020:

• The second of an additional three-year expansion project began with an increase in complement to 12/12/12. Exploring rural and underserved training initiatives settings for educational opportunities.

• The “Wellness” curriculum continues to address issues related to stress and fatigue, and through scheduled group events and personal wellness, promotes more time for personal health maintenance.

• Dr. Joseph Hobbs retired as Chair of the Department of Family Medicine. Dr. Dean Seehusen was named Chair on 08/26/2020.

• We added a part-time faculty member, Dr Ebony Whisenant, who will be leading our efforts to expand our rural and underserved training initiatives.

• Dr. Signe O’Neale was named the Medical Director of the Family Medicine Center.

• Dr. Cassandra Perard was named the Family Medicine Inpatient Service Medical Director, and was also added to the Clinical Competency Committee to assist with evaluation of residents’ inpatient performance.

• The COVID-19 pandemic impacted several of our community rotations for upper level residents. Some of the rotations were temporarily closed or reduced to essential workers only. Residents who were impacted were redeployed to FMC telehealth, COVID-19 telehealth screening and other rotations within our main hospital system. One resident assisted in the COVID ICU after he recovered from the virus. Another resident assisted with inpatient pediatrics, after several pediatric residents had to be quarantined early in March. Two other residents assisted the infectious disease service with contact tracing and research, also during the early days of the outbreak. We remain flexible and ready to assist as our institution’s needs change. Our total resident telehealth effort was 2741 patient encounters.

87 • A community and rural cardiology rotation was added this year. Residents work with two board-certified cardiologists in outpatient clinics located in Augusta and Thomson, GA.

• The community outpatient primary care rotations were moved to University Hospital’s Aiken, SC and North Augusta, SC locations. We are in the process of securing South Carolina residency training permits for residents rotating at these sites.

• Dr. Megan Cahill was added as a second APD as of 12/19.

• The Morning Report was reinstated. Clinic schedules were adjusted for all residents and faculty to attend Morning Report and Noon Conference.

• Monthly Faculty Development was integrated into the AM Report. Assignments have been made through June 2021.

• FMC teams were reorganized. All provider panels were reviewed and some patients were re-impaneled to better balance each individual panel. All providers were assigned to one of four teams. Each team consists of residents, faculty, nurses and Advance Practice providers. The new team system affords opportunities to integrate population health and quality improvement projects.

Respectfully submitted, Julie Dahl-Smith, DO Julie Dahl-Smith, DO Professor Director, ACGME and AOA Resident Educational Programs

88 October 1, 2020 Congress of Delegates Georgia Academy of Family Physicians

The Family Medicine Residency at Piedmont Columbus Regional Midtown in Columbus, Georgia respectfully submits its 2019-2020 Annual Report to the GAFP Congress of Delegates.

The Family Medicine Residency at Piedmont Columbus Regional Midtown has a long and distinguished history of providing physician Graduate Medical Education and patient care to the Columbus area. The three-year Family Medicine residency program was established in 1972. Over the past sixty years Piedmont Columbus Regional Midtown has been instrumental in supplying general practitioners and family physicians who served the needs of Georgia and particularly the Columbus area. In our immediate area, there are approximately ninety physicians who practice within a thirty-mile radius of Columbus who can claim all or part of their training at Piedmont Columbus Regional Midtown.

An important part of our Medical Education mission is providing quality medical care to the underserved. Under the guidance of full-time attending physicians, our Family Medicine residents provide care in Family Medicine, Internal Medicine, General Surgery, Pediatrics and Obstetrics and Gynecology. The teaching services enable Piedmont Columbus Regional Midtown to serve as a patient resource and referral center for citizens of Georgia and east Alabama. Residents provide care at the Columbus Health Department clinics and routinely assist on Columbus Regional’s outreach medical van. During the last year, our teaching program saw over 35,000 outpatient visits in the Family Medicine Center, delivered hundreds of infants and cared for thousands of hospital admissions. With training in Advanced Cardiac and Trauma Life Support, residents help provide 24/7 care to patients referred to Piedmont Columbus Regional Midtown Intensive Care Units and Level II Trauma program.

The Family Medicine residency continues with full accreditation from the ACGME. The Institution has also had two CLER visits from the ACGME. Piedmont Columbus Regional has also partnered with the Virginia College of Osteopathic Medicine in Auburn to serve as the sponsoring institution for their primary care Sports Medicine fellowship.

The residency program has transitioned to EPIC as its third electronic health record. The residency continues to be the largest outpatient EHR implementation in the Columbus area. Piedmont Columbus Regional Midtown and its faculty are committed to keep our residency program at the cutting edge of providing quality and cost-effective medicine.

Years ago, our residency participated in the GAFP sponsored PCMH University to obtain Level 3 designation as an NCQA patient centered medical home. Our residency is grateful for GAFP’s support and engineers our curriculum to maintain NCQA certification. Our center was the first in our network to achieve PCMH Level 3 designation. We have actually recertified twice and maintain our level 3 status.

In 2012 we became an official satellite campus for Mercer University School of Medicine as a branch campus. We are currently in our ninth year of this successful project. Piedmont Columbus Regional Midtown and St. Francis Hospital continue a successful collaboration to provide clinical experiences for 20 MS3 and 20 MS4 students. In addition to Mercer, our clinical faculty hold medical school appointments at the Medical College of Georgia at Augusta University, Nova Southeastern University, Georgia-PCOM and VCOM in Auburn. Last month Mercer held its groundbreaking for the four-year medical school building in downtown Columbus.

An important mission of our training program is to supply physicians to meet the needs of Georgia citizens. The following physicians graduated in June, 2020 and are listed with their practice location:

2020 graduates and practice locations:

Resident Practice or Training Location Daniel Asher, MD Columbus, GA Hospitalist Jason Berman DO Columbus, GA Family Medicine Bailee Blackburn MD Columbus, GA Family Medicine Shivam Desai MD Columbus, GA Hospitalist Richard Ellis DO Auburn, AL Sports Medicine Fellowship Andrew Jones MD Auburn, AL Urgent Care Bader Kashlan DO Jackson, TN ER Fellowship Kristen Kettelhut MD Columbus, GA Family Medicine Arooj Mohsin MD Columbia, MO Hospitalist Thomas Molitor MD Augusta, GA Emergency Medicine William Tauxe MD Atlanta, GA TBD Pratik Thaker MD Atlanta, GA Hospitalist

There are no formal recommendations for the Reference Committee. The Medical Education Department at Piedmont Columbus Regional Midtown appreciates the ongoing support of the Congress along with that of the membership of the Georgia Academy of Family Physicians.

Sincerely,

John R. Bucholtz D.O. Director of Medical Education Piedmont Columbus Regional Midtown Columbus, Georgia

Emory Family Medicine Residency Program Annual Report July 1, 2019 - June 30, 2020

General

The Emory Family Medicine Residency Program (EFMRP) completed its 25th year of training residents. During the 2019-2020 academic year, 28 residents were in training. Eight of our residents completed the program, of whom five went into practice in the state of Georgia.

The program continues to staff its Family Medicine Service (FMS) at Emory University Hospital Midtown, which is the sponsoring hospital for the Emory Family Medicine Residency Program. It is an excellent teaching service with the full academic training and clinical support services of Emory Healthcare. It is also ranked nationally in the top 10% for outstanding quality for academic medical centers.

Our faculty and residents continue to be recognized for their leadership and outstanding work in medical education, residency training, and clinical research. Dr. Ryan Smith was awarded the Keith Ellis Resident Award in 2020. Dr. Antonio Graham was named Vice-Chair of Diversity, Equity, and Inclusion. Dr. Lynn O’Neill was named Vice-Chair of Faculty Development.

All faculty and residents are actively engaged in teaching and lecturing within the Department as well as the School of Medicine and Physician Assistant Program. Our residents remain engaged in Global Health electives, with residents and faculty traveling to Ethiopia during the academic year to continue developing the first Family Medicine residency program in the country.

Our residency program continues to attract large numbers of applicants, both nationally and internationally. This year we had over 2,000 applicants. The program successfully matched all ten positions in March 2020.

Our involvement with the Emory Family Medicine Interest Group attracts medical students and undergraduates to Family Medicine. The residency program faculty and residents regularly engage in workshops with medical students. The program’s website is http://www.fpm.emory.edu/.

Faculty/ Staff Changes

Dr. Mirtha Aguilar Alvarado became Associate Program Director for the residency program in October 2019. Dr. Julie Degele joined the residency core faculty in September 2019.

91 2020 Graduates

Graduate Practice Location

Daniel Englert Private Practice, Huntsville, AL Mali Khamissi Private Practice, Austell, GA Sobi Leila Myrick Seminole Hospital District, Seminole, TX

Kevin Pharris Private Practice, Atlanta, GA

Cassandre Tanner Pen Bay Medical Center, Rockport, ME

Gabrielle Grady Kirkwood Health Center, Atlanta, GA Williams

Jeremy Neuman WellStar Primary Care, Smyrna, GA

Ryan Smith Emory Clinic at Old Fourth Ward, Atlanta, GA

Family Medicine Center

All Family Medicine residents practice in the Emory Family Medicine Clinic at Dunwoody. They provide inpatient care at Emory University Hospital Midtown. The Dunwoody site offers full-service primary care, as well as a wide variety of office procedures. We offer behavioral counseling on site. The Dunwoody clinic provides teaching and training to Family Medicine residents, medical students, and PA students in Ambulatory Care at the Emory University School of Medicine. We continue to incorporate e-visits and telephone visits to improve access and quality of care for our patients.

The clinic offers a Lifestyle Clinic to help patients with chronic disease overcome barriers to making healthier lifestyle choices. Individual consultation with Preventive Medicine specialists and group visits are provided for patients who seek additional assistance in successful long-term weight loss.

The clinic web site is https://www.emoryhealthcare.org/locations/primary-care/emory-at-dunwoody-family-medicine/

COVID-19

Our institution went into ACGME Pandemic Stage 3 status from mid-March through the end of May. The residency clinic was closed to in-person appointments through this time frame. We transition to telehealth visits at that time. The residency clinic suffered significant volume losses during the pandemic. Thanks to an ABFM waiver, our PGY3 residents finished on time despite not reaching the 1650 continuity encounters required by ABFM. Throughout the Summer, we started to increase in-person visits. Our current volume is close to 90% pre-COVID volumes. We continue to monitor the number of visits at the residency clinic.

92 Graduates

We currently have 200 graduates in practice. Approximately 60% are practicing in the state of Georgia.

Future Directions

1. The Division of Podiatry Medicine will be incorporated into our Department as of September 1, 2020. 2. We continue to expand our quality improvement projects in chronic diseases such as diabetes, hypertension, obesity, and wellness. 3. We continue to recruit faculty members to our residency program. 4. Our Point of Care Ultrasound Curriculum continues to grow. We provide a longitudinal experience during the PGY2 and PGY3 years. 5. We are starting to develop a research track for residents interested in developing research skills.

Jose M. Villalon-Gomez, MD, MPH Assistant Professor Program Director, Emory Family Medicine Residency Program Department of Family & Preventive Medicine Emory University School of Medicine [email protected]

93 94 95 Houston Healthcare Family Medicine Residency 2019-20 Annual Program Evaluation

The 2019-20 year at Houston Healthcare began by welcoming our eighth class of interns from five medical schools after another successful residency match season on June 25, 2019.

Over the past year new faculty members joined our program to include one of our community Family medicine physicians, Dr. Titus Taube and three new Family medicine faculty, Drs. Danielle Andrews, Christopher Watson, and Iris Yang. Our new Family medicine faculty members filled a much-needed role to enhance our resident’s education in the areas of behavioral health, Obstetrics, research/scholarship and procedures. Our community faculty continue to work with our residents in various specialties enhancing resident education which has continued to propel our residents upon graduation as evidence by maintaining our 100% Board pass rate for both ABFM and AOBFP exams. Our OB continuity clinic grew over the past year guided by Dr. Watson’s leadership. This growth also helped to increase our Pediatric patient population in our Family medicine clinic, and we anticipate continued growth in the years to come. Our OB continuity clinic has also provided much needed prenatal care for many pregnant women in our region who otherwise lacked access to prenatal care. This year was challenging for our program and the medical community as we battled COVID-19. While there were disruptions in some of our outpatient rotation experiences, our residents were able to gain valuable educational experiences through the addition of telemedicine and provide support to our Hospitalist program when our hospital saw an increase in patient numbers over the spring and summer. Telemedicine, which previously did not exist in our Family Medicine clinic or organization did allow greater access to care for our patients. This also encouraged Houston Healthcare to implement telemedicine to other areas of patient care due to Family medicine’s successful implementation.

Our residents continue to participate in scholarly activity, with our recent graduates successfully submitting and virtually presenting their research projects at the American College of Family Physicians (ACOFP) conference and at a regional conference via Ft. Benning this spring.

We continue to teach and support Osteopathic Education through Didactic conferences, resident and student education, and patient care. Our implementation of the Osteopathic Manipulative Therapy (OMT) clinic has been a benefit to our residents and patients and we expect this education to expand to our allopathic residents as well.

We continue to support our community through our work at the Houston Volunteer and Vine clinics. We also continue to provide care for the members of our community regardless of their ability to pay through our Family Medicine clinic. Our goal is to provide the best care to our patients throughout the various stages of life and support the health of our community through education and access to care.

As the year ended, we had an abbreviated resident retreat (due to COVID), which took place in June and on June 23, 2020 we participated in our first socially distanced graduation with a small group consisting of faculty and our medical executive team to celebrate Drs. Holly Lynch, Wien Manguerra-Casiano, Cyrenah Stokley, Floragrace Surell, and Jacinta Tran as graduates of our program. This was our first integrated class of Osteopathic and Allopathic graduates under the ACGME single accreditation system and marked the end of an era as we ended our accreditation under the American Osteopathic Association

96 (AOA). During the ceremony Dr. Cyrenah Stokley was awarded the Resident of the year award and one or our former graduates, Dr. Stephanie Stutz (2015) gave a virtual graduation message to encourage us all as we continue care for patients, ourselves, and foster physicians in the field of Family Medicine.

Our goals for the 2020-2021 academic year are to increase our resident’s overall education and enhance education in other areas such as procedures, continue to provide patient care through telemedicine and enhance our patient services through our continuity clinics. As we work to navigate through our next interview season virtually, we plan to continue to promote safety for our residents, faculty and staff during COVID -19 as well as self-care for all during our current climate.

We anticipate a great academic year, successful match season, and look to promote the field of Family Medicine and physicians to serve the state of Georgia, the U.S., and abroad.

Respectfully submitted,

La Toya D. Jackson, MS, DO, FAAFP Program Director Director of Medical Education/Direct Institutional Officer

October 5, 2020 2019-2020 Annual Report to the GAFP

The Medical Center of Central Georgia/Mercer University School of Medicine Family Medicine Residency Program had an academic year of adjusting and adapting to anticipated and unanticipated challenges.

We are continuing to collaborate with Mercer School of medicine to increase Family Medicine doctors in underserved Georgia by accelerating select students (ACT) through medical school in three years in a compact and robust curriculum that includes being integrated in our residency program during the second and third year of medical school and transitioning into our residency program as an intern after completing the third year of medical school. We currently have one PGY 2 and two PGY1s, 2 ACT -2 students and three ACT-1 students. Upon completion of residency training these doctors will practice in an underserved area of Georgia.

The program quickly pivoted to the virtual realm of patient care and education in response to COVID-19. The residents had training in providing virtual care and for eight weeks our practice was closed to face to face visits. During this time the residents and faculty provided limited face to face visits at the consolidated practices where face to face visits were scheduled. Additionally, the didactic education sessions for the residents transitioned to Microsoft Teams. We continued to do small group simulation sessions and point of care ultrasound training in person. We developed and continue to sustain a virtual care center for patients that are discharged from the hospital with COVID. The purpose of this center is to facilitate reducing length of stay in the hospital, reduce readmissions, and create a transition of care plan from hospital back to outpatient primary care.

The program continues to have a 100% American Board of Family Medicine exam take and pass rate. The program also has a 100% take and pass rate for the USMLE Step 3 exam by the end of the PGY 2 year. We matched 6 of 6 positions in the Match and filled the other two positions with the ACT students from Mercer that I described earlier. Of our nine 2020 residency graduates, five are practicing outpatient medicine in Georgia, one is in the geriatric fellowship we sponsor, one in in a Sports Medicine fellowship in the state and one is practicing in California and another in Florida. Over the last five years 70% of our graduates remained in Georgia.

Community engagement continues to be an area where we maintain a strong presence. The two signature organizations we are working with are the Mentors Project of Bibb County. The program sponsors a family that we serve as a mentor for the children and work with the family as that navigate various social challenges. We also volunteer with the Community Food Bank to mitigate the problem of food insecurity by sponsoring food give-a-ways at our facility. Our Wall- with a doc program has been placed on hold with COVID and we are looking forward to amending this activity to occur in the current environment.

We had two long term faculty members to retire, creating a significant void in our faculty. We are working with our sponsoring institution and leadership to have those positions listed for replacement.

We continue to sponsor fellowships in Geriatrics and Hospice and Palliative Medicine. All the programs are preparing for a virtual interview season this year.

98 The official name of the program was legally changed to Medical Center Navicent Health/Mercer University School of Medicine Family Medicine Residency.

Issues facing our training program include but are not limited to the following: • Increasing the patient population of children under the age of 10 years • The need for more talented, committed, and passionate Residency faculty • Negotiating salaries for faculty and staff that is competitive for the market • Support for regional faculty members interested in practicing surgical Obstetrics • Assistance with placing and sustaining graduates in Rural/Underserved GA

Respectfully submitted,

Y. Monique Davis-Smith, MD, FAAFP Program Director MCCG/MUSM Family Medicine Residency Macon, GA

99 Annual Report of the Morehouse School of Medicine Residency Program to the GAFP Congress of Delegates

The Morehouse School of Medicine (MSM) Family Medicine Residency Program was established in 1981 as MSM’s first graduate medical education program. Our residents benefit from inpatient training at both Atlanta Medical Center-South, a moderately sized community hospital in East Point, Georgia, and Grady Memorial Hospital that serves a largely underserved population and is the largest hospital in the state of Georgia. Our primary ambulatory training site is the Morehouse Healthcare Comprehensive Family Healthcare Center where the full scope of Family Medicine is practiced, and a range of procedures are performed. Since its inception, the program has graduated 183 residents, 65% of whom are practicing in the state of Georgia. Our program has Continued Accreditation by the ACGME.

The impact of the COVID-19 pandemic on the program included the conversion of the residency continuity site (CFHC) to a telemedicine-only site and an associated decrease in patient volume; increased in-person visits by residents at the Morehouse Healthcare site on Howell Mill Road; replacement of the VA ambulatory Ophthalmology/Radiology, Dermatology, and ENT/Urology rotations with VA Occupational Health and Gynecology rotations; and cancellation of several electives including a Hospitalist elective, a Procedures elective, and a Family Planning elective. Additionally, the American Board of Family Medicine April examination was postponed until July due to closure of the testing centers during the pandemic.

New Interns July 1, 2020 David Daniels, MD Morehouse School of Medicine Chinonso Ezike, DO Philadelphia College of Osteopathic Medicine Chelsea Cohen, MD Keck School of Medicine of the University of Southern- California Nwamaka Dike, MD Meharry Medical College Chinwendu Korie, DO Philadelphia College of Osteopathic Medicine Olajumoke Ladapo, MD University of Ibadan

Graduate Placement-2020 Graduates Kuna Okong, MD Conway Regional Health System, Hospital (Arkansas) Hikma Jemal, MD Tampa Florida Rodrick Stewart, MD Absolute CARE Medical Center & Pharmacy Atlanta, GA Khalil Sharif, MD Houston Medical Center Warner Robins, GA Rodneysha Brown, MD Oakhurst Medical Center Atlanta, GA Aaron Pettyjohn, MD Kaiser Permanente Atlanta GA

Board Pass Rate: Our 5-year ABFM Certification Examination first-time pass rate is 96.7 %. Aggregate data also demonstrate compliance with the required percentage of graduates taking the exam, as all graduates have taken the Board examination for each of the last 5 years.

100 Resident Scholarly Activity 2019-2020: Our residents were actively engaged in scholarly activity during the 2019 – 2020 academic year. The following lists a few highlights of their activities:

Presentations

Merritt-Atkins M. “Home Is Where the Heart Is: Optimizing Transition of Care from Inpatient to Primary Care” National Medical Association Resident Session, July 2019

Kuna Okong, MD, Rodneysha Brown, MD “Did Group Based Diabetes Self-Management Education improve diabetic care among African Americans seen at a resident clinic” NAPCRG: Toronto, Canada. Nov 2019

Ervin C., Stubbs C. HEAL on Wheels: Implementing a Student-Run Mobile Clinic National Rural Health Association's 2020 Health Equity Conference. (2020)

Sairenji T., Kelley D., Stumbar S., Stubbs C., de la Cruz M., Emerson J., Babalola D. What Do You Envision from a Family Medicine Subinternship? Seeking Input to Create a National Curriculum STFM Conference on Medical Student Education (2020)

Stubbs C., Evert J. Inclusion of Minority Students and Residents in International Healthcare Programs in Mexico. Faculty Development Webinar Series: Diversity & Inclusion in Experiential Education (2019)

Poster Presentations

Jones A., Omole F., Stubbs C. Knowledge, Attitudes, and Behaviors Related to Sex and STI Prevention in the Elderly Population GAFP Annual Scientific Assembly (2019)

Stubbs C., Okonkwo A., Chase A., Turner J., Clark C. Colonic Angiolipoma: An Enigma to Surgery American Society of Colon and Rectal Surgeons Annual Scientific Meeting (2019)

Abe T., Stubbs C., Cochran T., Chen E., An important cause of Non-Convulsive Status Epilepticus William E. Booth and Dr. James Zaidan Resident Research Day at Grady (2019)

3rd Annual Resident Teaching Competition Oluwole Akintayo, MD took 2nd place- “Health Literacy”

DOFM Resident Research Day Kuna Okong, MD, Rodneysha Brown, MD “Group Based Diabetes Self-Management Education at Morehouse Comprehensive Family Healthcare Center: Did it make a difference?” Rodrick Stewart, MD, Facia Beysolow, DO, Oluwole Akintayo, MD

101 “Knowledge of, and attitudes toward medical cannabis among residents and faculty of the Morehouse School of Medicine Family Medicine residency” Aaron Pettyjohn, MD, David Moise, MD “Increase in Advance Directives in Patients 65 Years and Greater at Morehouse Healthcare”

Publications- 2019-2020 Sairenji T., Stumbar S., Garba N., Bhoite P., de la Cruz M, Stubbs C., Emerson J., Babalola D, Kelley D., Everard K. "Moving Toward a Standardized National Family Medicine Sub- Internship Curriculum: Results from a CERA Clerkship Directors Survey". Family Medicine Accepted March 29, 2020

Stubbs C., Duvernay D., Omole F. A Roadmap to Clinic Expansion: Meeting the Needs of an Underserved Community. Journal of Student-Run Clinics Published: November 16, 2019 https://studentrunfreeclinics.org/journalsrc.org/index.php/jsrc/article/view/124/86

Resident Leadership 2019-2020 Drs. Hikma Jemal, Kuna Okong, and Miranda McNear- Department of Family Medicine Clinical Process Improvement Committee. Drs. Kuna Okong, Macy McNair, Facia Beysolow, Oluwole Akintayo, Khalil Sharif- Family Medicine Residency Program Evaluation Committee. Dr. Kuna Okong- GAFP Education and Research Committee Dr. Kuna Okong and Dr. Chivon Stubbs- GAFP Resident Delegates Dr. Macy McNair and Dr. Hikma Jemal- GAFP Resident Director -Board Members Dr. Rodrick Stewart served as the President for the Morehouse School of Medicine Resident Association. Dr. Chivon Brown Stubbs- Resident Delegate to AAFP National Conference 2019

Awards and Recognitions 2020: Our residents and faculty strive for excellence in all their endeavors. As such, they received numerous awards and recognitions during the 2019– 2020 academic year.

Residents Hikma Jemal, MD - MSM Family Medicine Residency Program Faculty Award for meritorious achievement during residency training - Chief Resident Aaron Pettyjohn, MD - MSM Family Medicine Residency Program Resident of the Year Award, June 2019 Kuna Okong, MD - MSM Family Medicine Residency Program Director’s Award for scholastic excellence and education in teaching fellow residents the art of Family Medicine, June 2019 - Chief Resident 2019-2020 - Inducted into Alpha Omega Alpha Honor Medical Society Chivon Brown-Stubbs, MD - Faculty for Tomorrow Scholar, Society of Teachers of Family Medicine, 2020

102 Ashley Peterson, MD - Atlanta Black 40 Under 40 Awardee- Feb 2020 - Morehouse School of Medicine Inaugural Top 10 Under 40 Awardee-December 2019

Faculty Donna Sinclair, MD (community preceptor) - MSM Family Medicine Residency Program William H. Cleveland Faculty of the Year Award, June 2020 Walkitria Smith, MD - MSM Family Medicine Residency Program Chairman’s Award, June 2020 - Morehouse School of Medicine Top 10 Under 40 Awardee- December 2019 Riba C. Kelsey, MD - MSM Family Medicine Residency Program Nelson McGee Award, June 2020

Community Service 2019-2020: Morehouse School of Medicine Family Medicine faculty and residents show their commitment to the MSM mission to “improve the health and well-being of individuals and communities” and vision to lead in the “creation and advancement of health equity” through involvement in numerous community service activities. Activities with the highest participation include volunteering at the Morehouse School of Medicine student run HEAL Clinic and numerous health fairs. Residency faculty additionally serve as mentors to students at the elementary, high school, collegiate, and medical school levels both individually and as a part of collective pipeline efforts. This year, our residents have also participated in health screening and education activities and COVID screening and education activities during community grocery distributions throughout the Summer in the Pittsburgh community of Atlanta. Our community service committee hosted many events throughout the year including a back to school drive that provided supplies for students in an elementary and middle school in the metropolitan Atlanta area, a Thanksgiving food drive that fed two CFHC families, and a Christmas raffle and Giving Tree that served 12 children and 3 families. One of our Chief Residents served as a National Youth Leadership Forum Medicine Speaker.

The program continues to demonstrate excellence in education, scholarly activity, patient care, leadership, and community engagement.

This report is presented for information only. We have no formal recommendations for the reference committee.

Riba Kelsey-Harris, MD, FAAFP Assistant Professor of Clinical Family Medicine Residency Program Director Assistant Dean of Graduate Medical Education Morehouse School of Medicine

103 Northeast Georgia Medical Center Family Medicine Residency Annual Report

Welcome to our brand-new program. We have started out with a bang. We are a 12/12/12 residency about one hour and 15 minutes north of Atlanta in Gainesville, GA. Our GME department currently includes General Surgery and Internal Medicine, but OB, ED, TY, and Psychiatry are in planning stages. After achieving initial accreditation in February of 2018, we have continued to build the structure needed to have a successful program. We had a successful match with 12 residents, 9 of which were from GA or had trained here somewhere in their academic career. I will give you a few highlights and cover our amazing faculty, many of which you know. We currently have 120 preceptors participating in our PGY1 year or in planning for our PGY 2 experiences.

Core Faculty Program Faculty Dr. Leslie David—APD Dr. David Westfall Dr. Omari Hodge- APD Dr. George Faile Dr. Jody Bahnmiller- Brasil Dr. Donny Fordham Dr. Amy Bailey Dr. Aaron Purser Michele Clark, CNM Dr. Le Church Dr. John Delzell Dr. Margaret Erwood Dr. Philip Kimsey Dr. Linu Joseph Dr. Nhi-Kieu Nguyen

Highlights New medical office building: We moved into our new space in May of this year. Our new GME facility is 75,000 sq. feet of which Family Medicine occupies the first floor of 25,000. It is complete with OB and pediatric suite with NST, Colposcopy, bariatrics suites, and 4 large procedure rooms. We also have a large classroom, community education space, and the residents have 4 workspaces with floor to ceiling windows. It wasn’t like that when we went to residency!

104 FM/OB: This is a developing program. With the addition of Dr. Margaret Erwood (FM/OB) and Michele Clark (CNM) our residents have delivered their first Family Medicine baby! This is a culture shift for our organization as well as community and we are working to raise awareness to the role of the family physician across the life span. This is often a hurdle that new programs struggle with and our year has not been without challenges, but we are off to the races.

Pediatrics: We were fortunate to partner with a retiring pediatrician to transition patients to our family medicine clinic. We were lucky to have a Certified Pediatric Nurse Practitioner from that retiring practice join us for continuity of care. It is our hope that we will continue to grow this program through our family centered maternity care model. Community Medicine: Community involvement is hardwired into us here at NGMC. Our community medicine rotation championed by Dr. Philip Kimsey and Dr. Dave Westfall is amazing. Residents work at Good News Clinic (one of the largest free clinics in the state), our own low-income clinic at the Hall Co. Health Department, the Hub at Gainesville City Schools, and even have their own column to share their experiences in the Gainesville Times. This footing is incredible for the future leaders we are training. For just being 3 months into having resident boots on the ground, we are doing very well. As with any journey, it begins by making those initial steps. With a focus our vision, which is the mission of the health system “to improve the health of the community in all that we do”, we are advancing health care in the state and in the nation.

Respectfully submitted by Monica Newton, DO – Program Director No recommendations to the Congress of Delegates

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2019-2020 Annual report to the Georgia Academy of Family Physicians Northside Hospital- Gwinnett Family Medicine Residency Program

Accomplishments and activities: We are pleased to announce several major accomplishments and milestones for the program for the 2019- 2020 academic year.

1. We have graduated our 4th class of residents, and retained 14/19 (74%) graduates since inception within the state of Georgia. 2. We continue to have a 100% board passage rate. 3. We have successfully graduated our first class from our Primary Care Sports Medicine Fellowship.

Faculty Staffing The Family Medicine Program is fully staffed with 6.3 FTE faculty, adequate for the current level of residents, and meet ACGME requirements for core faculty ratio. We have successfully recruited and await arrival of our FP maternity care provider who will be doing deliveries with our residents, filling a critical need in our faculty pool. We have added 0.2 FTE Primary Care Sports Medicine Faculty at our Duluth clinic to increase resident exposure to musculoskeletal medicine and procedures.

2020 Match Results

Overall: 5 first year residents total

• 40% GA Medical School Graduates

• 20% Osteopathic Graduates

• 80% Allopathic Graduates

We entertained over 938 applications, performed 96 interviews,

Accreditation: Family Medicine: Continuing accreditation status Osteopathic Recognition program- initial accreditation Sports Medicine Fellowship in initial accreditation

Service:

FMP clinics Faced with challenges of COVID -19, the clinic was transformed from 100% in-person visits to 100% telemedicine in 2 weeks in March, and have slowly resumed in-person visits and maintained a telemedicine presence. We continue to see visit numbers for both locations struggle to return to pre- pandemic levels. Resident numbers for face to face visits have been impacted, however the long term effects on total patients seen over 3 years remains to be seen.

Associate Health and Wellness Center. Our role within the organization shifted dramatically with the onset of COVID as we established a drive thru testing facility for our hospital employees. This eventually

106 became the location for all pre-procedural COVID testing for our two campuses. We continue to provide staffing support and logistics for operations for the tent site, and are currently averaging over 100 patients per day being swabbed. This has been a collaborative interdisciplinary effort between our Internal Medicine residency colleagues, who have also provided manpower for swabbing.

Research and Scholarly activity:

For the academic year, the program had 4 journal article publications, 2 regional/state poster presentations, and 1 national conference presentation.

Ongoing Issues: The program has identified the following challenges for the 2019-2020 Academic Year:

Merging operations with Northside: Sponsoring Institution merger with Northside Hospital Inc. was completed 8/28/2019. Program name changed officially in ACGME and AAMC/ERAS. We continue to have strong administrative support, and continue to complete process harmonization between the two systems, after some delay due to pandemic issues. Our EHR go-live is set for September.

Faculty: We are currently at a full complement and do not anticipate any faculty needed in the next year.

Recruiting Residents: Challenges with virtual recruiting season, both for virtual fairs and interviews, along with lack of in person rotations for students, presents some unique challenges for all programs. The possibility of a decreased international applicant pool due to difficulty with ECFMG certification is a real possibility, and many residents may remain without step 2 completion before rank lists are submitted.

Policy Considerations No resolution for GAFP Congress of Delegates per Dr. Johnson 9/22/2020

Given the unique challenges posed by delayed step 2, especially on international students and ECFMG certification, consideration of lobbying the state board and legislature for a 1 year temporary waiver of ECFMG certification for residency training permit qualification may need to be considered. This will disproportionately affect primary care residencies and has the potential to weaken our applicant pool for current year graduates, which has potential long lasting effects on the health of programs.

Respectfully Submitted,

Kevin E. Johnson, MD, FAAFP Program Director, Northside Hospital-Gwinnett Family Medicine Residency

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TO: GAFP, Congress of Delegates FROM: Satilla MCG Rural Residency Program Memorial Satilla Health, 1900 Tebeau St., Waycross, GA 31501 DATE: September 22, 2020 RE: Annual Report Accomplishments: The goals of the Rural Family Medicine Residency Program sponsored by Augusta University/Medical College of Georgia in 1998 continue to be very successful. This year marks the 20th anniversary of the Rural Residency Program’s first class of Family Medicine graduates. There were three graduates in the first class of 2000, and all three of them have remained in Waycross and continue to practice in our area. There are a total of 37 graduates of the program, and 3 are currently partners with the private outpatient clinic, Blackshear Family Practice. Their private practice has provided the leadership and administration for the program since the 1998 accreditation. And for the second straight year, both graduates have secured positions in Georgia, bringing the percentage for the past 5 years up to 80 percent.

Below is a report of where graduates from the past 5 years are currently practicing. Resident Practice Type Location Kalpesh Mistry Urgent care Toccoa, GA Robert E. Quick, III Outpatient care Toccoa, GA Ashley Norman, MD Urgent care Warner Robins, GA David Carstens, MD Outpatient, private practice Nahunta, GA Charlotte Coggins, MD Hospitalist Douglas, GA John Riggs, MD Dept. of Corrections Ventura, CA Joseph Beavers, MD Hospitalist Moultrie, GA Chinmay Patel, MD Outpatient Valdosta, GA James Kisselburg, MD Emergency Medicine Eastman, GA David Nege, MBBS Dept. of Corrections California In the Georgia Recorder issue of March 17, 2020, Dr. Brent Waters was interviewed by Ross Williams for an article about struggling rural health care systems and the COVID-19 outbreak. The local newspaper in Blackshear also reached out to him on several occasions for comments and updates on the pandemic. The four residents and one faculty member submitted a Poster Presentation last fall to the Georgia Academy of Family Practice, and it was accepted for the Annual Scientific Assembly in Atlanta. Two of the residents and the faculty member attended and made the presentation. Our Chief Resident was accepted last year to attend a three-day Summit on Intensifying Diabetes Management in Florida. This year two Senior Residents have been accepted and are scheduled to participate virtually in October 2020. They will share their findings and expertise in the spring by making a Community Presentation to interested citizens in our surrounding area on the topic. The evening can hopefully be scheduled in the spring as a “live event”, however it will be determined by the COVID 19 situation as to whether it has to be scheduled as a virtual on-line event. Residents also have the opportunity to mentor medical students from MCG and enhance their teaching skills and share their residency experiences. Rotations are typically for a period of six

109 weeks, and once COVID and medical school restrictions were lifted, we were able to continue the practice of hosting medical students for the residents to mentor. Issues: COVID 19 has had a major impact on private practices and hospitals throughout the country, and this program is no different. With the reduction in the number of wellness checks and cancellations of patient visits over a period of several months, the private practice of Blackshear Family Practice made the tough decision to close its Waycross clinic. The program anticipates no negative impact on the residents’ ability to meet all program requirements due to this change. The two remaining clinics are in Blackshear and Nahunta. Activities/Community involvement –The residents enjoy interactions with middle school and high school students in the spring when they visit campuses to conduct sports physicals. The number of physicals the residents were able to complete this spring were limited due to COVID, however there were some opportunities available in the smaller school systems. Last fall two residents volunteered to participate with a faculty member as sideline physicians for the local high-school football games. Residents have annually enjoyed teaching high school students during a special instructional program called Teen Maze. Topics discussed with the teenagers include the importance of avoiding negative behaviors and influences that could impact their future health and career opportunities. The last event was conducted in September 2019, and two residents participated. Due to COVID 19, the event for 2020 has been postponed, and not yet rescheduled.

No recommendations to the COD. Submitted by: Brent Waters, MD - Program Site Director, Satilla MCG Rural Residency Program

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Savannah Family Medicine Residency Report GAFP 2020 Congress of delegates

The 2019-2020 academic year, as it has been for every program across the country, has been one of the most unusual academic years in our history. Although the first 6 months had the many interesting times and incidents that seem to be a part of running a residency program, who could have foreseen Covid and the effect it would have on residency training as well as everything else in our country. In general, the year has continued to reflect change in the residency program and medical school here in Savannah under Dr. Pallay’s direction. We have continued to be one of HCA’s many Family Medicine residencies and we continue to work with these other programs in the HCA network to improve our overall abilities to train our residents. Although these changes are sometimes difficult, we are confident that in the longer run, the work with our national people will lead to a better training ground for our residents and also offer them potential jobs once they graduate.

Five residents graduated this year with two of them remaining in Georgia and the other three finding positions in other states. Three of them took jobs in hospital medicine and two will do outpatient medicine. We continue to look for new faculty to add to our residency and continue with a few openings still available. We continue to interview applicants for our faculty positions and hope to soon hire an Associate Program Director.

We continue with our FM-ACT program with one new student accepted into the residency program this year. We will have three new ones join us next year and two the year after. We have continued with a 100% fill rate on our residency positions and a continued 100% Board pass rate from our graduates, now seven years with all passing the FM Boards! Our work with J.C. Lewis FQHC as well as our work with Street Medicine and Healthcare for the Homeless in partnership with JC Lewis continues to be a strong and regular part of our program and one the residents all enjoy and appreciate. Our partnership with the new Gateway Psychiatric residency has continued to grow and is working quite well and soon these psychiatric residents will help us as we grow our Street Medicine presence.

We continue to offer prenatal obstetrical care for our patients at both our office and at JC Lewis with delivery by our residents and faculty. Drs. Mary Mier, Ryann Cowart, and Ame Wilder oversee the obstetrical services with excellent backup by our OB department friends. We are continuing to search for new faculty with an interest and desire to continue to do OB which we feel is part of our mission to the people of Georgia. Our faculty along with Dr. Murbach have done ALSO courses at our program as well as at Orange Park and will continue to be actively involved in training and teaching the ALSO curriculum.

111 Our Sports Medicine fellowship, under the direction of Marvin Sineath, M.D, has continued with a second fellow starting this past July.

But with all of these changes and occurrences, nothing has caused the chaos in our lives that the Covid-19 pandemic did. Starting in March our entire hospital and our entire residency program has gone through changes not too dissimilar from our other Family Medicine programs across the country. Although we worked harder than usual and experienced the fear and concern that goes along with working with patients with known or suspected Covid both in the hospital and in our office, each and every one of the faculty, residents, and staff has stepped up and done their best to care for all of the people in the Savannah community who put their faith in our being able to do just that. I am humbled and proud to work with all of these people, young and older, and know we will continue to do all we can to try to keep our patients safe and care for them when they, for whatever reason, are stricken with the Covid-19 virus. Our years for the immediate future will continue to be defined as much by what we do with Covid as with everything else. I just hope for all of us here in Savannah, as well as for the other FM programs across Georgia and this country, we remain healthy and able to teach and learn what we need to as we continue to care for the population of Savannah.

Respectfully submitted, Robert “Butch” Pallay, MD

112 Kennestone Family Medicine Achievements 2019-2020 September 2020

I. Recruitment: 8 out 8 interns are from the State of Georgia!

II. Medical Students: Most medical students declared/switched to Family Medicine after their rotation in our clinic.

III. Concord GME Family Medicine Clinic: The new record for daily patient encounters was 105 encounters.

IV. Graduation: We will have our first graduating class this year! V. Grants: • Collaboration between the MAYO Clinic and WellStar. Mayo IRB#: 17-011305 Study Title: A Prospective Study to Establish a New Onset Hyperglycemia and Diabetes (NOD) Cohort • Dr. Kim “Let’s Get Moving in the Right Direction: Primary Care Intervention for Healthy Habits in the Community” 5,000 dollars from GAFP

VI. 2019-2020 Resident scholarly activities:

• Nov 15, 2019 - GAFP Poster Presentation “Hiding Behind the Hospital Curtain” - Safia Siddiqui, MD • Nov 15, 2019 - GAFP Poster Presentation “A Case of Rhabdomyolysis as A Consequence of Alcohol and Opioid Abuse” - Ibraheem Innab, MD and Aileen Polanco-Ramos MD • July 30 to Aug 1, 2020 - AAFP National Conference, Poster Presentation “Hiding Behind the Hospital Curtain” - Safia Siddiqui, MD • July 30 to August 1, 2020 - AAFP National Conference, Poster Presentation “Triglycerides, Pancreatitis and Diabetes; Cause or Effect?” - William Nichols, MD • July 30 to August 1, 2020 - “A Clinical Population Health Analysis by Zip Code: A Comparison of Obesity to Social Determinants of Health (SDoH)” - Vaidehi Ambai, DO, Puja Mehta, MD, Lucy Triana, MD, Christine Sipple, MD, Aileen Polanco Ramos, MD, Ibraheem Innab, MD, Sandeep Dhaliwal, MD, Alan Dever, MD, PhD, Viktoria Nurpeisov, MD • October 2020 - AAFP FMX Conference, Poster Presentation “A Call to Action: An Assessment of Family Medicine Residents' Comfort and Preparedness for End of Life (EOL) Care Discussions” - Vaidehi Ambai, DO • October 2020 - AAFP FMX Conference, Poster Presentation “A Closer Look at the Scale: Analysis of a Family Medicine Clinic Diagnosis Codes of Obesity and Overweight in Comparison to BMI Measurements” - Vaidehi Ambai, DO and Puja Mehta, MD • October 2020 - AAFP FMX Conference, Poster Presentation “Rigid and Scared: Patient with Intense Muscle Spasms!” - Rebecca Kim, MD

Respectfully submitted by Viktoria Nurpeisov, MD – Program Director

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2020 GAFP Congress of Delegates Resolutions & GAFP Bylaws

All members are encouraged to participate in the first session of the Congress of Delegates’ webinar on Thursday, October 29th to discuss these proposed policy changes. Click here to register Congress of Delegates Webinar

A. GAFP Bylaws Update 2020 Review and changes to the current Bylaws The Bylaws Committee reviewed the GAFP Bylaws and suggested the addition of a member category to more closely align with AAFP member categories. In particular, the AAFP approved a new membership category for Transitional members in 2018 and the GAFP Bylaws do not currently address the membership category.

According to the AAFP Bylaws, Transitional membership is available to graduates of allopathic or osteopathic medical schools who have not yet entered a residency program approved by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA).

The new category was created to ensure that U.S. and international medical school graduates are treated equally with respect to membership options. International graduates who did not enter a residency have been able to remain international members for several years; however, U.S graduates had no membership option if they didn't immediately match into a program.

Background: The Bylaws Committee noted that the GAFP’s Bylaws outline the following membership categories and suggests the following addition to the GAFP Bylaws and member categories:

TRANSITIONAL MEMBERS A Transitional Member shall not be entitled to hold an office in the Academy. They may address the membership, attend GAFP’s Congress of Delegates, may speak to issues during reference committees, and may serve on committees but may not serve as a chair.

Current GAFP Member Categories:

CHAPTER 4 Membership Section 1: Classes of Membership and Election The qualifications, classes and conditions of membership shall be the same as provided in the Bylaws of the AAFP. All active members of this organization shall be members of the AAFP and the GAFP. In the event of a conflict regarding classes of membership and election, the Bylaws of the AAFP shall prevail.

ACTIVE MEMBERS Any active member in good standing shall be eligible to vote and hold office.

LIFE MEMBERS Life members may vote, serve on committees and commissions, and address the membership but shall not hold office.

INACTIVE MEMBERS An Inactive member shall not vote or hold office in the Academy, but may address the membership and serve on committees and commissions.

HONORARY MEMBERS An Honorary Member may not vote. He/She shall pay no dues or admission fees and shall have no right, title, or interest in any Academy property.

SUPPORTING MEMBERS A Supporting Member shall not vote or hold office in the Academy, but may address the membership and serve on committees and commissions.

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RESIDENT MEMBERS A Resident member may vote and hold office in the Academy, may address the membership, may have a voice in reference committees, and may serve on committees but may not serve as a chair.

STUDENT MEMBERS A Student Member may vote and hold office in the Academy, may address the membership, may have a voice on reference committees, and may serve on committees but may not serve as a chair.

The AAFP’s Bylaws language for Transitional members reads as follows:

Transitional Members. 1. Eligibility. a. A transitional member shall be a graduate of an allopathic or osteopathic medical school as defined in Article III, Section 2.F.1., who has not yet entered an ACGME- or AOA-approved residency.

b. Eligibility for transitional membership will terminate on December 31st of the second full calendar year following the year in which such member graduated from such allopathic or osteopathic medical school or upon the member’s earlier enrollment in a residency program as described in subsection a. above. Page 6

2. Application and Approval. Applications for transitional membership shall be in a form prescribed by the Board or its designee. Election to transitional membership shall be made by the Board or its designee.

3. Privileges. Transitional members shall not be entitled to hold office in the AAFP but shall have voice in reference committees.

CURRENT GAFP Bylaws with update highlighted

CHAPTER 1 Name This corporation, an association of family physicians, shall be known as the "Georgia Academy of Family Physicians, Inc."

CHAPTER 2 Affiliation This organization is a constituent chapter of the American Academy of Family Physicians, a corporation that is possessed only of those rights and powers conferred by said corporation on this organization. No rules, regulations or policies adopted by this organization shall be in conflict with the rules of the American Academy of Family Physicians or the Charter issued by said Academy to this organization.

CHAPTER 3 Purposes SECTION 1: The purposes of this Academy are as follows: • The promotion of the art and science of Family Medicine as a specialty; • The preservation of the right of Family Physicians in the State of Georgia to engage in the practice of the medical and surgical procedures for which they are qualified; • The promotion of research in the discipline of Family Medicine; • The promotion of the Family Physician as an ideal medical home for patients of all ages; • The promotion of the practice of high quality, safe, and cost effective medicine; • The promotion of Family Medicine as a career choice to pre-medical and medical students;

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• The promotion of public health by: patient education, health promotion, patient advocacy, and community leadership in health related affairs; • The development and provision of leadership for the specialty of Family Medicine in the State of Georgia; • The representation of Family Physicians in issues of importance to the public health and the practice of medicine to the people and leaders of the State of Georgia; • The provision of appropriate continuing education for the Family Physician; including the provision of support and education for the Family Physician in relation to the constantly changing medical environment; • The fostering and support of Family Medicine education in the State of Georgia; including the Education of other physicians and health care professionals in the concept of Family Medicine.

SECTION 2: To accomplish its mission and purposes this Academy may: • Have the power to acquire, own, and convey real and personal property; • Carry on research; • Make awards and give recognition for achievements in leadership and in the science and practice of medicine; • Establish and issue publications; • Establish, conduct, and maintain educational courses • Use any and all ethical and prudent means for the attainment of its objectives, which from time to time it may deem desirable. SECTION 3: This organization shall have no capital stock. It is not conducted for pecuniary profit and does not contemplate pecuniary gain or profit to the members thereof.

ACTIVE MEMBERS Any active member in good standing shall be eligible to vote and hold office.

LIFE MEMBERS Life members may vote, serve on committees and commissions, and address the membership but shall not hold office.

INACTIVE MEMBERS An Inactive member shall not vote or hold office in the Academy, but may address the membership and serve on committees and commissions.

HONORARY MEMBERS An Honorary Member may not vote. He/She shall pay no dues or admission fees and shall have no right, title, or interest in any Academy property.

SUPPORTING MEMBERS A Supporting Member shall not vote or hold office in the Academy, but may address the membership and serve on committees and commissions.

SECTION 2: Agreement. The Board of Directors of this chapter shall be the judge of each member’s right to be or remain a member, subject to the right of appeal to the AAFP as provided in Chapter 6 (Ethics) of these bylaws. All rights, title, and interest, both legal and equitable, of a member in and to the property of this organization, shall cease and determine in the event of any or either of the following: (a) the expulsion of such member;

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(b) the striking of his/her name from the roll of members; (c) his/her death or resignation.

SECTION 3: Good Standing. A member in good standing shall be one whose current dues and assessments, if any, have been paid in accordance with the provision of these Bylaws, as well as those of AAFP, who is not under disciplinary action, and who has met the applicable CME requirements during the period of the preceding three (3) years as set forth in the AAFP Bylaws.

CHAPTER 5 Dues and Assessments SECTION 1: The dues for active members, special dues, and the maximum amount of annual dues may be changed by a two-thirds (2/3) affirmative vote of the Board of Directors. Dues for active members shall be fixed annually. Said dues shall be levied per capita upon all the active members of the Academy.

SECTION 2: Membership dues shall be payable in conjunction with the AAFP dues schedule.

SECTION 3: Any member whose dues or assessments are unpaid at the time of the AAFP dues deadline shall be ineligible to vote or hold office.

SECTION 4: The record of payment of dues and assessments on file of the American Academy of Family Physicians shall be final as to the fact of payment by a member and to their right to participate in the business and proceedings of the Academy.

CHAPTER 6 Ethics SECTION 1: The Principles of Medical Ethics of the American Medical Association, as they now or hereafter may provide, as modified by the AAFP, shall be the principles of this organization and are hereby made a part of these Bylaws.

SECTION 2: If any member is believed to have violated the Principles of Medical Ethics or the Bylaws of this organization or the bylaws of the American Academy of Family Physicians, or to be otherwise guilty of conduct justifying censure, suspension, or expulsion from this organization, any member may then profer charges against them in the form and manner herein after specified. Such charges must be in writing and signed by the accuser(s) and must state the facts of the case with reasonable particularity.

Such charges must be filed with the Secretary and at the first meeting of the Board held after the filing of said charges, the Secretary must present said charges to the Board of Directors. The Board shall then or at any adjournment of said meeting, but not more than thirty (30) days thereafter, consider the charges and shall either dismiss them or shall proceed as hereinafter set forth.

If the Board fails to dismiss said charges, it shall within fifteen (15) days thereafter cause a copy of the charges to be served upon the accused by depositing in the United States mail a copy thereof, registered and addressed to the last known address of the accused. The Board shall at the same meeting fix a time and place for hearing said charges, and the accused shall be notified of the time and place at the same time and in the same manner as provided for the serving of the charges. The time set for said hearing shall be not less than fifteen (15) days nor more than six (6) months after services of charges.

Unless otherwise noted, the Board of Directors is the GAFP Board of Directors.

The accused may answer in writing but need not do so. Failure to answer shall not be an admission of truth of the charges or a waiver of the accused's right to hearing.

The Board shall, after having given the accuser and the accused every opportunity to be heard, including oral arguments and the filing and consideration of any written briefs, conclude the hearing and within thirty (30) days thereafter render a decision. The affirmative vote of two-thirds (2/3) of the members of the Board present and voting shall constitute the verdict of the said Board which such vote may exonerate, censure, suspend, or expel the accused member(s). In matters of exoneration, suspension, or expulsion, the decision of the Board shall be expressed in a resolution which shall contain no explanation of the verdict and shall be signed only by the chairperson of the Board of Directors and forwarded to the accused in a certified mail, or equivalent, return receipt requested. Censure shall mean a reprimand by the chair of the Board of Directors administered to the accused in the presence of the said Board. No member shall be suspended for more than one year, except in instances when suspension is due to lack of or loss of licensure, in which case the suspension shall not exceed the duration of licensure suspension. At that time, the member may be reinstated to membership upon their application and the payment of dues accrued, before or after the period of suspension. The decision of the Board of Directors regarding censure, suspension, expulsion, exoneration, or reinstatement shall be final except as provided hereinafter.

Any member who has been censured, suspended, or expelled may appeal such action to the American Academy of Family Physicians pursuant to the Bylaws of said corporation.

CHAPTER 7 Congress of Delegates

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SECTION 1: Congress of Delegates, Definition. The control and administration of the GAFP shall be vested in the Congress of Delegates, subject to the statutory authority of the Board and to those additional duties and powers specifically reserved to the Board in these Bylaws.

SECTION 2: Each district, as determined by the Board of Directors, shall be entitled to elect delegates and alternate delegates to the Congress of Delegates, who shall be elected for terms of two (2) years, provided that at the first election, each district elects one delegate and one alternate delegate for two (2) years. Each district shall be entitled to no less than two delegates and two alternates. The total number of delegates in the Congress of Delegates shall be up to 70. Each district shall be allotted delegates and alternate delegates above their two delegates and two alternates as determined by the secretary on the basis of that district’s proportion of the total paid Academy membership. Only active members may be elected as delegates; however, in determining the number of delegates per district all classes of members except student and resident members are counted. Such determination shall be made by May 31st each year. The names of all delegates entitled to be seated in the Congress of Delegates shall be furnished to the Credentials Committee of the Congress of Delegates by the Secretary.

SECTION 3: Membership in a district will be determined by the primary mailing address of said member, whether home or professional.

SECTION 4: It shall be the duty of the COD Secretary (role filled by the Vice-Speaker, see Chapter 11, Section 4) of the Congress to poll each district as to their choice for delegates and alternate delegates from a list submitted to them of the entire active membership in that district. The names of those so elected shall be published prior to the annual meeting.

SECTION 5: The Congress of Delegates shall meet during and at the place of the annual meeting of the Academy and at such other times and places as it may determine. Special meetings of the Congress of Delegates may be called by a two-thirds (2/3) affirmative vote of the Board of Directors, and shall be held at such time and place as may be set forth in said call, subject to the following notice: Notice of such meetings shall be given by the Executive Director/Executive Vice President in writing at least sixty (60) days prior to the date set for such a meeting.

SECTION 6: The Family Medicine Residency Programs shall consider a full delegation to be up to (3) resident members and (3) alternate resident members, each from different Georgia family medicine residency programs, with elections by resident members if needed;

SECTION 7: The Family Medicine Interest Group from each allopathic and osteopathic accredited medical school physically located in the state shall have a total representation of (2) student delegates and (3) alternate delegates, each being from different Georgia medical school campuses, with elections by student members if needed; to the Congress of Delegates.

SECTION 8: The Congress of Delegates having at least one member from each geographic district shall constitute a quorum at any meetings of the Congress. The Congress may adopt such rules of procedure of the transaction of its business as it deems desirable, and shall be the judge of the election and qualifications of its members.

SECTION 9: Resolutions offered to the Congress of Delegates must be submitted to the Executive Director/Executive Vice President at least 45 days before the next meeting of the Congress of Delegates. Resolutions will be assigned by the Speaker to the reference committees. Prior to the published deadline, any member may submit resolutions in writing that are pertinent to the objectives of the Academy or in reference to any report by any office or committee of the Academy.

At the Reference Committee hearing the proponents and opponents of resolutions shall be given reasonable opportunity to be heard. Any member of the Academy may attend and testify at the Reference Committees.

At a later session(s) of the Congress of Delegates during the annual meeting, the Reference Committees shall report their recommendation on such resolutions, with any amendments or comments, to the Congress of Delegates.

The Congress of Delegates shall thereupon approve, disapprove or modify such resolution at the annual meeting, and their actions shall be entered in the minutes.

Each delegate of the Congress shall have one (1) vote. Alternate delegates will not vote unless their associated delegate is absent. In the event of a dispute, the Speaker will determine which alternate(s) may vote. The officers and directors, past presidents, and the chairperson of each committee of the Academy shall have the privilege of the floor in the Congress of Delegates, but shall not have the right to vote as such except as provided in this Chapter.

CHAPTER 8 Board of Directors Unless otherwise, noted, the Board of Directors is the GAFP Board of Directors.

Duties and Powers. The business and affairs of the GAFP shall be managed by or under the direction of the Board acting in a manner consistent with its fiduciary duties and responsibilities. In addition to the powers and authority expressly confirmed upon it by these Bylaws, the Board may exercise all powers and do all acts as allowed by law, subject to the powers of the Congress of Delegates as set forth in these Bylaws.

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SECTION 1: Composition of the Board. Subject to the action of the Congress of Delegates, and during the interim between the meetings of the Congress, the control and administration of the Academy shall be vested in a Board of Directors. There will be an Executive Committee of the Board comprised of the Chairperson of the Board of Directors, the Secretary, the Treasurer, the President, the Vice President, the President-Elect, and the Speaker of the Congress of Delegates. The Remaining Board members shall be composed of the Vice Speaker of the Congress of Delegates, two (2) delegates to the AAFP Congress of Delegates, one (1) elected member from each of the eleven (11) districts, two (2) resident directors, and three (3) student directors, each with the right to vote. Additionally, there shall be elected two alternate delegates to the AAFP Congress of Delegates, an alternate director for each of the eleven directors, alternate resident directors and alternate student directors referred to above. An alternate director shall assume the official duties of the director for whom they are alternate only when the director cannot function in these duties.

SECTION 2: The Board of Directors or the Executive Committee shall meet within thirty (30) days following the annual meeting of the Academy and such other times and places, but not less than two (2) times annually or as may be determined by the written request of five (5) voting members of the Board of the Board of Directors. A majority of the Board shall constitute a quorum.

SECTION 3: The Chairperson of the Board, with the approval of two-thirds (2/3) vote of the Board of Directors, may remove any director or alternate director who misses two or more consecutive Board meetings or fails to show interest in the performance of the duties assigned them. Any director removed from the Board for lack of attendance can file a written appeal outlining any extenuating circumstances within thirty (30) days of notification to the chairperson of the Board for review. The decision of the chairperson regarding such a written appeal is final.

SECTION 4: The Executive Committee, by majority vote of those present, shall have full authority to act for and on behalf of the Board of Directors whenever the business of the Academy demands prompt action in the interim between meetings of the Board or when it is impractical or impossible to convene the entire membership of the Board of Directors. Action of this committee shall be voted on by the Board of Directors at its next meeting following.

SECTION 5: Directors and Alternate Directors. The term of office of directors/alternate directors shall be for three (3) years and shall begin at the conclusion of the annual meeting of the Congress of Delegates at which their elections occur and expire at the conclusion of the third succeeding annual meeting, or when their successors are elected. No director shall be eligible for re-nomination to the Board of Directors unless at least one year has elapsed since the expiration of their previous term. Should a vacancy occur on the Board of Directors, it shall be filled by a majority vote of the remaining members. Directors who have been appointed to the Board by the Board of Directors to fill an unexpired term shall be eligible for re-nomination to the Board notwithstanding the provisions to the contrary in this section.

SECTION 6: Resident Director. There shall be two (2) resident representatives elected by the Board of Representatives of the resident members for the GAFP and shall have full voting privileges on the GAFP Board of Directors. One resident will serve two years and one will serve one year, with a corresponding number of alternate representatives elected annually. The resident alternate director shall be elected by the GAFP resident members. If the director’s position becomes vacant, a resident alternate is eligible to serve the remainder of the unexpired term.

SECTION 7: Student Director. Three (3) students shall be elected by the GAFP student members to hold the positions of student directors to the GAFP Board of Directors, with full voting privileges. There will be a corresponding number of alternate representatives elected annually. If the director’s position becomes vacant, a student alternate is eligible to serve the remainder of the unexpired term.

SECTION 8: Delegate and Alternate Delegate to AAFP. One delegate and one alternate delegate to the Congress of Delegates of the American Academy of Family Physicians shall be elected annually for a two (2) year term that shall be limited to two consecutive terms with the option of serving in the same position at a later time. The delegates and alternate delegates shall be members of the Board of Directors and the delegates have a right to vote. The alternate delegates may vote only in the absence of the delegates.

SECTION 9: Advisory Committee. All past presidents shall become an Advisory Committee to the Board of Directors and shall be considered ex-officio members of the Board with the privilege of the floor, but without the right to vote.

CHAPTER 9: Election of Officers SECTION 1: Definition. The officers of the Academy shall be a President, President-Elect, Vice-President, Secretary, Treasurer, Chairperson of the Board of Directors, Speaker of the Congress of Delegates, GAFP Delegates and Alternate delegates to the AAFP. All officers shall serve until their successors are elected and installed. The powers, duties, terms of office, and method of election of the officers shall be set forth in the Bylaws.

SECTION 2: Election of Officers. At least ninety (90) days before the annual meeting each year, the President shall appoint a nominating committee of three or more members whose duties shall be to present nominations for the office of President-Elect,

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Vice-President, one Delegate and one Alternate Delegate to the Congress of Delegates of the American Academy of Family Physicians, and such directors whose terms of office are expiring. At each third annual meeting, the nominating committee shall also present a nomination for the offices of Secretary and of Treasurer, both of whom shall be elected for a term of three (3) years and shall serve until their successor has been elected.

Nothing in these Bylaws shall prevent nominations from the floor of the Congress of Delegates. No officer or Board member who has served a full term shall be eligible to succeed them, except the Secretary, Treasurer, and Vice President. The election of all offices shall be by a majority vote of the members of the Congress of Delegates. When there are three or more candidates for a single office and no one receives a majority vote on the first ballot, a second ballot shall be taken between the two candidates receiving the highest number of votes on the first ballot. Vacancies on the Board of Directors may be filled by Board vote.

SECTION 3: The Congress of Delegates shall annually elect a Speaker and a Vice-Speaker who shall take office at the conclusion of the annual meeting at which their elections occur, and whose terms shall expire at the conclusion of the next annual meeting or when their respective successors are elected.

SECTION 4: Election of the above officers shall be by ballot prepared by the Executive Director/Executive Vice President. The nominee receiving the majority of votes shall be declared elected, provided that when the nominations have been closed with only a single candidate having been nominated, the presiding officer shall declare that candidate elected to office.

CHAPTER 10 Duties and Terms of Officers SECTION 1: The President shall be a member of the Board of Directors and all standing committees. The President shall preside at all meetings of the Academy. The President shall be the spokesperson of the Academy. They shall have general supervision of the business of the Academy and shall see that all orders and resolutions of the Board of Directors are carried into effect; they shall execute bonds, mortgage, and other contracts requiring the seal of the Academy, except where required by law to be otherwise signed and executed and except where the signing and execution thereof shall be expressly delegated by the Board of Directors to some other officer or agent of the Academy. Their term of office shall begin at the installation ceremony following the one at which their predecessor was installed. In the event of the death or resignation of the president during the term of their office or if they shall for any reason be unable or unqualified to serve, the Vice-President shall succeed to the office of the President for the unexpired portion of the President's term. In the event of the death, resignation, or incapacity of both the President and the Vice- President, the Board of Directors shall elect a President for the unexpired portion of the term. The President-Elect shall succeed to the office of President at the conclusion of the annual meeting following the meeting at which their election occurred.

SECTION 2: The Vice-President shall be a member of the Board of Directors and shall preside at meetings of the Academy in the absence of the President. Their term of office shall begin at the installation ceremony during the annual meeting at which their election occurs and expires at the installation ceremony during the next annual meeting. The Vice-President shall also serve as a member with voting privileges on the bylaws committee and shall serve as the parliamentarian of the Board of Directors. In the event of the death, resignation, or incapacity of the Vice-President, the Board of Directors shall elect a Vice-President for the unexpired portion of their term.

SECTION 3: The President-Elect shall be a member of the Board of Directors and shall preside at meetings of the Academy in the absence of the President and Vice-President. They shall succeed to the office of President at the expiration of the President's term as provided in Section 1. In the event of the death, resignation, or removal from office of the President-Elect, the Board of Directors shall nominate candidate(s) for that office and election of the successor to the President-Elect shall take place by vote on these candidate(s) by the Congress of Delegates at the next ensuing meeting, as the first order of business following approval of the minutes, provided however, that nothing herein shall be construed as preventing additional nominations for this from the floor. Such elected President-Elect shall succeed to the office of President at the next installation ceremony.

SECTION 4: The Speaker of the Congress of Delegates shall be a member of the Board of Directors and the Executive Committee with the privilege to vote. The Speaker shall preside over meetings of the Congress, and shall appoint all reference and special committees of the Congress.

The Vice Speaker shall serve as the Secretary to the Congress of Delegates, shall cause to be kept an accurate record of the minutes, and shall be a member of the Board of Directors with the privilege to vote. He/She shall preside over all meetings of the Congress in the absence of or when designated by the Speaker.

The Speaker and Vice Speaker shall be elected for one (1) year term of office for a maximum of three (3) years. The term shall begin at the conclusion of the annual meeting of the Congress of Delegates at which their elections occur and expire at the conclusion of the next succeeding annual meeting, or when their successors are elected. No speaker shall be eligible for re- nomination to the Board of Directors unless at least one year has elapsed since the expiration of their previous term. Should a vacancy occur on the Board of Directors, it shall be filled by a majority vote of the remaining members. The Speaker or Vice Speaker who has been appointed to the Board by the Board of Directors to fill an un-expired term and who has served for a period of less than one (1) year shall be eligible for re-nomination to the Board notwithstanding the provisions to the contrary in this section.

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SECTION 5: The Chair of the Board of Directors shall be the immediate past president and shall assume the office of Chairperson at the conclusion of the annual meeting following the conclusion of their presidency. The Chairperson of the Board of Directors shall preside over all meetings of the Board and the Executive Committee. In the absence of the Speaker and Vice- Speaker, they shall preside over meetings of the Congress of Delegates.

In the event of the death or resignation of the Chair during their term of office or if they shall for any reason be unable or unqualified to serve, the Board of Directors shall elect a new Chair to serve the unexpired portion of the term. If the Chair is unable to attend a meeting of the Board or the Executive Committee, the President shall preside at that meeting. In their absence a temporary Chair shall be elected by the members present for that meeting.

The Chair of the Board of Directors shall be an ex-officio member of all standing committees.

SECTION 6: The Secretary shall be a member of the Board of Directors and shall be elected for a term of three (3) years. The Secretary shall cause to be kept an accurate record of the minutes of the Board of Directors, and shall serve as Secretary to this body. The duties of Secretary, by action of the Board of Directors, may be assigned to the Executive Director/Executive Vice President. The Secretary, assisted by the Executive Director/Executive Vice President, shall provide a summary of the activities of the Academy including elected officers, significant actions, activities, and events at the annual meeting for purposes of the GAFP archives.

SECTION 7: The Treasurer shall be a member of the Board of Directors and shall be elected for a term of three (3) years. They shall be the Chair of the Committee on Finances. They shall cause to be kept adequate and proper accounts of the properties and funds of the Academy. The Treasurer shall cause to be deposited all monies and other valuables in the name and to the credit of the Academy with such depositories as may be designated by the Board of Directors. They shall disburse the funds of the Academy as may be ordered by the Board of Directors, shall render to the Board of Directors, whenever it may request it, an account of their transactions as Treasurer and of the financial condition of the Academy, and shall have such other powers and perform such other duties as may be prescribed by the Board of Directors or these Bylaws. The Treasurer may be required by the Board of Directors to give a surety bond in an amount to be determined by the Board of Directors, the premium thereon to be paid by the Academy. Any of the duties of the Treasurer, by action of the Board of Directors, may be assigned to the Executive Director/Executive Vice President.

SECTION 8: The Executive Director/Executive Vice President shall be appointed for a term and stipend to be fixed by the Board of Directors. The Executive Director/Executive Vice President, under the direction of the Board of Directors, performs such duties as the title of the office ordinarily connotes and such duties of the Secretary and/or Treasurer as may be assigned to the Executive Director/Executive Vice President by the Board of Directors. The Executive Director/Executive Vice President shall supervise all other employees and agents of the Academy and have such other powers and duties as may be prescribed by the Board of Directors. The Executive Director/Executive Vice President shall not be entitled to vote. The Executive Director/Executive Vice President shall be bonded in an amount fixed by the Board of Directors, the premium thereon to be paid by the Academy.

SECTION 9: The title of Executive Director shall be changed to Executive Vice President when, in the judgment of the Board of Directors, tenure, expertise and credibility have been established, and the title will be conferred by the Board of Directors.

SECTION 10: The President, Vice-President, President-Elect, Speaker of the Congress of Delegates, Vice-Speaker of the Congress of Delegates, Chairperson of the Board of Directors, Delegate to the AAFP, Alternate Delegate to the AAFP, Secretary, Treasurer, or any member of the Board of Directors may be removed from office for cause by two-thirds (2/3) vote of the total voting members of the Board of Directors. Any vacancy which should occur as a result of removal from office shall be filled in the same manner as is otherwise provided in this Chapter.

No action may be taken to remove any person listed in the preceding paragraph from office except upon the written petition of five (5) voting members of the Board of Directors. The petition shall be delivered to the Secretary of the Board of Directors and shall state that cause(s) for which removal is sought. Within five (5) days of receipt of such petition, the Secretary shall cause a copy thereof to be sent by registered mail, with return receipt requested, to each officer and member of the Board of Directors. The person whose removal is being sought may answer the petition in writing at any time prior to the meeting of the Board of Directors, but need not do so, and failure to answer shall not be an admission of truth of the charges or waiver of the right to a hearing. The petition shall be considered and a decision rendered at the first meeting of the Board of Directors which is held no less than fifteen (15) days after the date on which a copy of the petition was mailed to the officers and directors. The person whose removal is being sought shall be afforded every opportunity to be heard at the board meeting at which the petition is considered and may be represented by counsel.

CHAPTER 11 Committees SECTION 1: Standing Committees. Standing committees of the Academy shall be as follows. Committee on Membership and Member Services, Committee on Education and Research, Committee on Bylaws, Committee on Practice Management, Committee on Legislation, Committee on Public Health, Committee on Student and Resident Recruitment, and the Committee on Finances.

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The duties of each of these committees shall be defined by the Board of Directors. Unless otherwise provided in these Bylaws, each of these committees shall be appointed and may be replaced by the President and President-Elect with the advice and consent of the Board. The President, with the approval of the Board of Directors, may replace any member of any committee who fails to show interest in the performance of the duties assigned them. All committee chairpersons shall make an annual report to the Congress of Delegates in advance of the annual meeting.

SECTION 2: Special (Ad Hoc Task Force) Committees. To facilitate the work of this organization, Special Committees may be appointed by the President. Special Committees shall serve until the end of that President’s term unless re-appointed by the new President. The new President can only extend the committee’s life through the end of their term. All such committees shall be designated as standing or special at the time of appointment and the purposes, duties, duration shall then be stated.

SECTION 3: Official Publication. The Board of Directors shall appoint the Board Secretary to serve as the medical content editor for GAFP publications.

CHAPTER 12 Annual Meeting Unless otherwise ordered by the Board of Directors, there shall be an annual meeting of the Congress of Delegates, together with such meetings of the Board of Directors, Executive Committee, and other commissions and committees as may be fixed by the Board of Directors. The time and place of the annual meeting shall be designated by the Board of Directors and announced at least sixty (60) days before the date so fixed.

CHAPTER 13 Miscellaneous SECTION 1: Inspection of records. The minutes of the proceedings of the Board of Directors and of the Congress of Delegates, as well as the membership books and books of account, shall be open to inspection upon the written demand of any member at any reasonable time for any purpose reasonably related to the member's interest as a member. They may be produced at any time when requested by the demand of one-third (1/3) of the members of the Congress of Delegates present. Such inspection may be made by agent or attorney, and shall include the right to make extracts thereof. Demand of inspection, other than at a meeting of the members shall be in writing to the President or Secretary of the Academy.

SECTION 2: Annual Financial Report. The directors shall cause to be sent to the members, not later than six (6) months after the close of the fiscal year, a balance sheet as of the closing date of that fiscal year, together with statement of the income and profits and losses for such fiscal year. Such financial statement shall be certified by a public accountant.

SECTION 3: Seal. The Georgia Academy shall have a seal, the form and device of which shall be adopted by the Board of Directors.

SECTION 4: Rules of Order. Sturgis Standard Code of Parliamentary Procedure, current edition, except when the same is in conflict with the Constitution and Bylaws of this Academy, shall control all parliamentary proceedings of the meetings of the Congress of Delegates and the Board of Directors.

SECTION 5: Fiscal year. The fiscal year of this organization shall begin on the first day of January and end on the last day of December.

CHAPTER 14 Amendments to Bylaws. Any five (5) or more members, the Bylaws Committee, or the Board of Directors may propose amendments to the Bylaws. Such proposals shall be submitted to the Executive Director/Executive Vice President at least one hundred (100) days prior to any regular or special meeting of the Congress of Delegates, and notice shall be given by the Executive Director/Executive Vice President to all Academy members at least thirty (30) days prior to said meeting. Publication of proposed amendments in the official publication of the Academy shall be sufficient to constitute notice thereof to the members. An affirmative vote of at least two-thirds (2/3) of the delegates present and voting shall constitute adoption. Amendments shall take effect immediately upon adoption unless otherwise specified.

CHAPTER 15: AAFP Resolutions. Before submission to the American Academy of Family Physicians, members in good standing seeking an endorsement or support from the Georgia Academy of Family Physicians related to resolutions must submit a written resolution to the Chair of the Board of Directors a minimum of forty-five (45) days prior to a Board meeting. The resolutions require a two-thirds (2/3) affirmative vote of the Board to receive an endorsement of the state chapter.

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B. Hospital Operative and Non-Operative Obstetric Privileges for Family Physicians Submitted by: Omoniyi Yakubu Adebisi, MBChB, MD, CCFP – Douglasville, GA

WHEREAS, Obstetrics is a core aspect of training and practice of family physicians; and

WHEREAS, ability of family physicians to provide operative Obstetrics, including Cesarean Sections, to their patients in and around their community of practice will not only improve the continuity of care but will also improve patients' satisfaction; and

WHEREAS, despite the fact that a lot of data are available that favorably compare the outcome of operative and non-operative deliveries performed by trained family physicians with those performed by obstetricians and gynecologists, family physicians with adequate training in operative and non- operative Obstetrics are still being denied hospital privileges in the State of Georgia and around the country, especially in the major metropolitan cities like Atlanta and others, thereby discouraging many family physicians from practicing what they are competent and trained to perform; and

WHEREAS, lack of hospital privileges in especially operative Obstetrics for Family Physicians with adequate training in Obstetrics has resulted in many Family Physicians abandoning the practice of Obstetrics as part of their practice while same has discouraged many from pursuing extra training in Obstetrics and or seeking residency training in Family Medicine; and

WHEREAS, during the “Day At The Capitol” session on March 5th, 2020, the Georgia Chapter of the ACOG also reported that acute shortage of qualified Obstetrics providers, especially in the rural areas, might be contributing to higher than average maternal morbidity and mortality rates in the State of Georgia; and

WHEREAS, privileging qualified Family Physicians in Obstetrics will significantly reduce this shortage of qualified providers and the associated higher than national average maternal mortality rate in Georgia; and

WHEREAS, the AAFP supports unequivocally the concept that all physicians should obtain privileges in accordance with their individual, documented training and/or experience, demonstrated abilities, and current competence; and

WHEREAS, this Assembly of the GAFP passed Resolutions in 2019 and years before supporting a number of activities gearing towards equal hospital Obstetric privilege opportunities for all qualified physicians; and

WHEREAS, GAFP and AAFP continue to make efforts to improve Family Physicians’ rights, there are still valid unresolved obstacles regarding hospital privileges for obstetric trained Family Physicians who seek operative and non-operative obstetric privileges in hospitals across the nation, including State of Georgia; be it

RESOLVED that, The GAFP should assess the previous activities on this important topic to appraise the achievements and shortcomings and find out the required actions yet to be taken to ensure that this matter is favorably resolved; and be it

RESOLVED that, the GAFP should find out if the hospitals have put in place clear criteria for granting privileges to physicians who perform operative and non-operative Obstetrics regardless of their specialty training as resolved in 2019; and be it further

RESOLVED, that GAFP should report to members the impacts, if any, of the 2019 Resolution that the GAFP should lobby with the State legislators to ensure that necessary legislations were put in place to ensure that qualified trained Family Physicians are privileged by hospitals to

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Background: As a follow up to last year’s resolution the following activities took place, overseen by the Speaker and Vice Speaker:

May 2020 – Letter to Georgia Hospital Association asking for assistance to identify hospitals that hire family physicians for FP-OB and asking GHFA to encourage hospitals to consider family physicians for their full scope of practice.

June 2020 – Follow up discussion with GHA Senior Staff – CEO, Vice President and Director of Government Relations. It was agreed that our letter would be sent to the GHA Physician Recruitment Committee for review and discussion.

July 2020 – Conversation with Waycross HCA Hospital CEO and Director of Nursing, Vice President Susana Alfonso, MD, and Butch Pallay, MD, Program Director, Family Medicine Residency Memorial University Medical Center Chair to discuss Waycross developing credentials for FP-OB and is actively working with Memorial HCA Savannah to create a pathway to hire FP-OBs.

GAFP Policy: The GAFP has a longstanding tradition of supporting the AAFP policy on FP-OB and works closely with hospitals who are engaged in discussions with credentialing. https://www.aafp.org/about/policies/all/aafp-acog-joint-statement.html

GAFP leaders and AAFP Senior Staff have often engaged in discussions with Georgia hospitals, when asked, to encourage hospital leadership to work with family physicians wanting to be credentialed in obstetrical care.

Proposed Legislation: Legislative consultants are unaware of any state that has passed legislation to require hospitals to hire family physician to do obstetrical procedures and does not believe that the Georgia General Assembly would be interested in mandating either a public or private hospital on their credentialing.

Georgia Academy continues to support AAFP policy including: The assignment of hospital privileges is a local responsibility and privileges should be granted based on training, experience and demonstrated current competence. All physicians should be held to the same standards for granting of privileges, regardless of specialty, to assure the provision of high-quality patient care. Prearranged, collaborative relationships should be established to ensure ongoing consultations, as well as consultations needed for emergencies.

C. Endorsing “Daylight Saving Time: an American Academy of Sleep Medicine position statement” Submitted by: John Desmond, MD – Rome, GA

WHEREAS, the GAFP position on Daylight Saving Time is not clearly revealed by a Google search on “GAFP position on Daylight Saving Time”

WHEREAS, the American Academy of Sleep Medicine (AASM) has recently drafted a position paper regarding daylight saving time calling for the elimination of daylight saving time due to possible significant public health and safety risks

WHEREAS, many other medical organizations have already endorsed this position paper

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RESOLVE that, the GAFP shall endorse the AASM paper calling for the elimination of daylight saving time

RESOLVE that, the GAFP shall announce their endorsement in the GAFP newsletter.

Background: GAFP Background: There is currently no AAFP, GAFP, nor AMA policy on eliminating daylight saving time.

Senate bill would keep daylight saving time during pandemic and prevent us from going back to standard time this fall.

Nelson Oliveira, New York Daily News

NY Daily News•September 16, 2020

Two Republican senators have introduced a bill that would keep the U.S. on daylight saving time through at least November 2021, an effort to provide more sunshine and stability for families already dealing with numerous disruptions during the pandemic.

“Our government has asked a lot of the American people over the past seven months, and keeping the nation on Daylight Saving Time is just one small step we can take to help ease the burden,” U.S. Sen. Marco Rubio said Wednesday. “More daylight in the after-school hours is critical to helping families and children endure this challenging school year.”

Rubio and fellow Floridian Rick Scott, who co-sponsored the bill, have long been pushing to make daylight saving time permanent across the country. They noted this week that multiple studies over the years have shown the benefits of locking the clock, including a reduction in energy use, criminal activity, and car crashes.

If their proposal fails, most U.S. states will turn their clocks back one hour and return to standard time in just six weeks.

“After months of staying inside amid the coronavirus pandemic, families across the nation could use a little more sunshine and time to enjoy all that Florida has to offer,” Scott said in a statement. Florida’s legislature passed a year-round daylight savings time bill in 2018, when Scott was governor and supported the measure. But the change cannot take effect without federal authorization, which Rubio has been pushing for since last year.

Delaware, Maine, South Carolina and eight other states have passed similar bills and several others, including New York, are looking to join the group.

The twice-a-year tradition began in 1918 when President Woodrow Wilson signed the Standard Time Act into law. The unpopular clock change has gone through a bumpy ride ever since but continues to survive attempts to repeal it.

Studies cited by Rubio and Scott say that locking the clock could cut the number of robberies by 27%, increase physical fitness and reduce the number of crashes involving pedestrians by improving visibility for drivers heading home after work. One study found a 25% increase in heart attacks the Monday after clocks are changed.

D. Implicit Bias Training for GAFP Leadership

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Submitted by: Daniel H Singleton, MD, MAS, FAAFP – Buena Vista, GA WHEREAS, the Georgia Academy of Family Physicians represents the healthcare leaders that work in the geographically, racially and socioeconomically diverse communities throughout or state.

WHEREAS, the novel coronavirus pandemic has brought attention to the disproportionate mortality and morbidity in minority communities in all regions of the state of Georgia from COVID -19 and, it is obvious that these negative outcomes mirror patterns of almost all measurable health outcomes including many chronic disease conditions that drive increased morbidity and mortality in all life stages including childbearing.

WHEREAS, there is significant evidence in the health services literature that implicit bias toward factors such as ethnicity, gender, race, age, body habitus, perceived socioeconomic status, etc. can negatively impact healthcare outcomes.

RESOLVE that, in an effort to improve understanding of the ways implicit bias effects how patients are perceived by physicians and vice versa, how physicians are perceived by patients, let it be required that the leadership of the GAFP receive implicit bias training.

RESOLVE that, this training be accomplished through the implicit bias training developed by the AAFP as part of the Everyone Project.

RESOLVE that, this training opportunity be offered at the annual Fall CME meeting and allow for the participation of all members of the Academy to allow for improved participation and context.

Background: The EveryONE Project Unveils Implicit Bias Training Guide

January 15, 2020 02:16 pm Chris Crawford – Implicit bias has proven to be widespread among health care professionals, leading to negative patient outcomes.

Exacerbating this problem is the fact that formal medical education and training often lacks curriculum on identifying and reducing implicit bias in clinical practices. Faculty looking to incorporate this training into their programs can face barriers that include limited subject matter experts, few mitigation strategies in practice for participants to observe and demonstrate, and little availability of patients who can share experiences of encountering implicit bias in clinical settings. This led The EveryONE Project from the AAFP to introduce its comprehensive Implicit Bias Training Guide to promote awareness of implicit bias among primary care physicians and their practice teams, and provide resources for instructing health care professionals on how to reduce its negative effects on patients.

Training Guide Components

The Implicit Bias Training Guide includes a facilitator's guide that provides an overview of what implicit bias is and how it operates in the health care setting.

The resource also offers a participant's guide that allows learners to follow along with activities that include self-assessments, case study examples, small-group discussions and the development of a post- training implementation plan. In a series of videos that can be shared during training, people who are minorities, LGBTQ or amputees communicate the harms of implicit bias from their perspectives as patients who regularly experience bias.

The EveryONE Project from the AAFP has introduced its Implicit Bias Training Guide to promote awareness among primary care physicians and their practice teams, and provide resources for instructing health care professionals on how to reduce the effects of implicit bias on patients.

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The Implicit Bias Training Guide includes a facilitator's guide that provides an overview of what implicit bias is and how it operates, specifically in the health care setting. The resource also offers a participant's guide with activities that include self-assessments, case study examples, small-group discussions and planning for post-training implementation.

The Implicit Bias Training Guide also includes customizable PowerPoint presentations to help family physicians adapt implicit bias training by audience and setting, covering an overview of implicit bias, science and health effects of implicit bias, mitigation of implicit bias in clinical practice and creation of a safe and inclusive learning environment.

And in the near future, Implicit Bias Training Guide users will be eligible for CME through the AAFP Credit System. When participants complete the guide's training, they should have a better understanding of the science of implicit bias and its effect on patient health, be more self-aware of implicit biases, and demonstrate a commitment to incorporate mitigation strategies into practice.

E. Continue seating Med Student Board members amongst Physician Board members Submitted by GAFP Student Board Members

Background: This is a current practice for Board seating at the Georgia Academy of Family Physicians’ Board meetings. Recommend to file for information.

F. Continue hosting the GAFP Medical Students Day annually with the goal of extending the opportunity to a greater number of students each year Submitted by GAFP Student Board Members

Background: While the numbers have increased for student attendance at the residency fair, the workshop numbers have been capped at 35 participants annually to allow for maximum interaction with residency faculty, residents and GAFP leaders. It should also be noted that there will not be an in-person Medical Student Workshop in 2021, but GAFP leadership is working in partnership with the Student and Resident Recruitment Committee and Residency Directors to plan several evening zoom activities to help promote Georgia’s family medicine residency programs with Georgia’s medical students that will launch this fall and continue through early February 2021. Recommend to file for information.

G. Advocate for state funding for residencies, graduate medical education, and undergraduate medical education and against additional cuts to state funding. Submitted by GAFP Resident and Student Board Members

The Resident and Student Board Members recommend against Georgia State Legislature proposed budget cuts from the Department of Community Health to several health services in order to adjust for COVID-19 related losses. These include ~15% cuts to state funding for residencies, graduate medical education, and undergraduate medical education. If the cuts have already happened, then we recommend no further budget cuts due to the need for increased funding in light of the shortage of medical physicians in the state.

Background: The GAFP has a current policy in which the Academy advocates for increased funding for family medicine and payment. Policy: Continue to advocate strongly for increased funding for family medicine GME and increased payment for family physicians at the state and national levels in collaboration with AAFP. Recommend to file for information.

H. Encourage Medical Schools in Georgia to graduate more students from Georgia into

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Primary Care Submitted by Floyd Family Medicine Residency Program Encourage the GAFP to exert pressure on the medical schools in Georgia to embrace and matriculate more students from Georgia to enter primary care, especially Family Medicine.

Background: The GAFP has an ongoing and consistent policy to support Georgia medical students and encourage their interest in Family Medicine as a career. The Academy supports Pathway to Medical School, a program for pre-med students; the annual Medical Student Workshop and a Residency Recruitment Fair; and Family Medicine Interest Groups at each medical school campus.

I. Internal Policy Review: GAFP PAC Board COD Progress Report to the Board of Directors The Speaker of the Congress of Delegates must present to the Board of Directors, at each regularly scheduled meeting, a progress report on the directives given to the Academy as set forth by the approved resolutions. Re-adopt as written

J. Internal Policy Review: GAFP Supports the Georgia Patient Centered Physician Coalition (GPCPC) The Georgia Academy of Family Physicians proclaims its support for the Georgia Patient Centered Physician Care Coalition (GPCPCC). The Executive Director/Executive Vice President of GAFP is charged with facilitating and attending meetings of the GPCPCC. Additionally, two (2) members of the GAFP active membership will be appointed by the President to attend each meeting of the GPCPCC.

K. Internal Policy Review: Strategic Planning The GAFP complete a Strategic Plan at a minimum of every 3 years and; the implementation and accomplishments of that plan be presented to the Board of Directors at each of their regularly scheduled meetings.

L. Internal Policy Review: Establishment of the Dr. Keith Ellis Award On the eve of Dr. Keith Ellis’ retirement as Residency Faculty and Program Director of Memorial Health Family Medicine Residency in Savannah, a scholarship fund be developed that would be awarded to send one (1) deserving resident per year to the GAFP Annual Meeting. Criteria for choosing this resident would be developed and maintained by the Membership Committee.

The current policy is that the Membership Committee reviews all named GAFP awards every ten years Re-adopt as written

M. Internal Policy Review: Poster Publications

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The GAFP has a research poster presentation and contest at the Annual Meeting each year. As policy, the GAFP is to publicize the winning posters in their publications. Re-adopt as written

N. External Policy Review: Adult Immunization Requirements Resolve that, under certain settings, the GAFP approves of Pharmacist administered vaccines to adults, under a physician protocol, as long as: 1) that information is sent to the patient’s primary care physician if the patient consents, 2) the specific vaccine is provided either under authority of prescription or specific collaborative agreement with a Georgia licensed physician, physician located within the county of the pharmacist’s place of registration with the vaccination registry or a county contiguous thereto, and 3) the administering pharmacist has a valid certificate from the State Pharmacy Board, and 4) the pharmacist inputs the information into GRITS (Georgia Registry for Immunization Services) which will allow the primary care physician/medical home to have access to the information. Re-adopt as edited

O. External Policy Review: Increase Funding for Family Medicine and Payment Continue to advocate strongly for increased funding for family medicine GME and increased payment for family physicians at the state and national levels in collaboration with AAFP. Re-adopt as written

P. External Policy Review: GAFP’s Opposition Non-Physician Prescribing Medications The GAFP is committed to opposing any expansion of a scope of practice by any non-physician when we believe that it is not in the best interest of our patients. Re-adopt as written

Q. External Policy Review: Medicaid Reimbursement That the GAFP support increased Medicaid reimbursements to be equal to 100% of Medicare reimbursements. Re-adopt as written

R. External Policy Review: Scoliosis Screening The GAFP will work with the Medical Association of Georgia’s House of Delegates to eliminate routine Screening for scoliosis in schools. in accordance with USPSTF guidelines. Re-adopt as edited

S. External Policy Review: Support increasing the legal age to purchase tobacco to 21 The GAFP supports raising the legal age to purchase tobacco to 21. Archive this policy – state and federal laws have been passed on this subject

129 Georgia Academy of Family Physicians 51st Annual Congress of Delegates – 2nd Session Saturday, November 16, 2019 Evergreen Marriott Conference Resort 8:00 am DRAFT MINUTES

8:00 am – 8:30 am Delegates & Alternate Delegates Registration

8:30 am – 8:45 am • Call to Order and Welcome Carl McCurdy, MD – Speaker • Pledge of Allegiance Samuel “Le” Church, MD – Vice Speaker

8:45 am – 9:05 am • Introduction of AAFP Board Representative Carl McCurdy, MD – Speaker • Town Hall Q&A Russell Kohl, MD, AAFP Board Member Dr. Kohl gave a update from the AAFP (see his board presentation…and board meeting notes to help with these

Dr. Russell Kohl, AAFP Board of Directors Vice Speaker gave the Congress of Delegates an update on AAFP initiatives for 2019 -2020. He noted that the AAFP was involved in multiple projects designed to support members. He highlighted the Everyone Project which will look at implicit biases and social determinants of health and the Primary Care 1st initiative for Medicare in an effort to simplify the E&M codes so members are getting paid the same amount. Dr. Kohl noted that the big win for family medicine was the adoption of the higher RUC value for the E&M codes

Dr. Kohl also discussed graduate medical education noting that in 2019, programs graduated more graduates than there are residency spots in the United States. He also talked about the AAFP’s establishment of rural task force and maternal and infant mortality work groups.

Dr. Kohl’s emphasis was also on members who say that administrative burden and paperwork overload is what is a challenge for them. The Academy is looking at how to engage members in particular through the AAFP Foundation, which has two signature programs – FamMed Cares, a disaster relief program and FamMed Leads, which offers scholarships to student leaders. He also mentioned FamMed Learns, an upcoming program which will look at practice and clinic-based programs.

Additionally, he also encouraged the delegates to stay up-to-date through AAFP News and the AAFP website. He also mentioned member interest groups and getting members more involved with the Academy.

Last, he mentioned that the AAFP is looking at ways to deliver personalized learning plans as it relates to CME, with a focus on customizing learning for each individual physician. He encouraged the delegates to join the AAFP at national meetings like their Congress of Delegates and FMX.

9:05 am – 9:30 am • Officers’ Induction Russell Kohl, MD, AAFP Board Member • President’s Induction Bruce Bagley, MD, AAFP Past President Dr. Jeff Stone was sworn in by his mentor and former AAFP President, Dr. Bruce Bagley. Dr. Bagley gave a brief speech and history of his relationship with Dr. Stone, which began in Albany, NY.

• President’s Inaugural Comments Jeff Stone, MD, MBA, MHA – President, 2020 Dr. Stone gave brief remarks to the delegates.

130 9:30 am – 9:45 am Fellows’ Convocation Ceremony Russell Kohl, MD, AAFP Board Member

9:45 am – 10:00 am • Presentation of Family Physician of the Year Award Donald L. Fordham, MD – 2020 Board Chair • Acknowledgement of Past Presidents Donald L. Fordham, MD – 2020 Board Chair • Membership Thank You Donald L. Fordham, MD – 2020 Board Chair

10:00 am – 10:10 am • Parliamentary Procedure Review Beulette Hooks, MD – Parliamentarian Dr. Hooks gave a detailed overview of parliamentary procedures.

• Omega Report Samuel “Le” Church, MD - Vice Speaker

10:10 am – 10:15 am • Congress of Delegates Introductions & Quorum Call Carl McCurdy, MD - Speaker Samuel “Le” Church, MD - Vice Speaker The COD was called into session at 10:00am. Dr. McCurdy gave detailed instructions to the COD to go through the processes for the day. He gave examples to help the group understand how the business of the COD is conducted. He reviewed the rules of order. He discussed the way a resolution goes to the reference committee (discussion and debate happens here) and how the consent calendar works.

10:15 am – 10:20 am • Nominating Committee Business Georgia Healthy Family Alliance Board Trustees Carl McCurdy, MD – Speaker The delegates voted on and approved Dr. Priya Shah as a new GHFA board member.

10:20 am – 10:30 am Adoption of the 2018 Minutes of the Carl McCurdy, MD - Speaker 50th GAFP Annual Congress of Delegates 2018 Action Grid The group reviewed the draft minutes from the 2018 Congress of Delegates and the 2018 action grid. Both items were voted on and approved by the group.

10:30 am – 12:30 pm • Discussion and Extraction of Action Items (if necessary) Carl McCurdy, MD – Speaker The Speaker offered a review of the reference committee report and noted that the committee was charged with hearing debate from the resolution writers, deliberating, and making final recommendations on the outcome of each resolution.

The Speaker then asked if there were any items to be extracted. The following items were pulled out for discussion.

Abstractions:

Item 1 – HIV/Prep – Substitute resolution The Reference Committee voted to file the original HIV Epidemic in Primary Care resolution for information, but the resolution writer offered a substitute resolution. Dr. Zazi Nylander gave additional testimony related to the topic and after much discussion, the Congress decided to refer the item to the Education and Research Committee.

Item 2 – Hospital Operative/Non-Operative Privileges - The Reference Committee offered a substitute resolution to the original. After much debate, the Congress reviewed and voted on the amended substitute resolution.

131 Item 3 – Support fair reimbursement for maternity care services in rural areas The Reference Committee offered a substitute resolution to the original. Dr. Zita Magloire brought forth a substitute resolution to the Reference Committee’s recommendation. Testimony was heard and lively discussion ensued. The resolution was ultimately referred to the Legislative committee.

Item 4 – Advocate for Life The Reference Committee voted to not recommend this item for action by the Congress. Discussion was heard from the delegates and a hand vote was taken on the resolution. After the count, it was noted that the item did not pass.

• Voting and Approval of Consent Calendar The COD voted and the Consent Calendar was approved.

Adjournment – the Congress of Delegates adjourned at 12:17pm.

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