November/December 2015 Minnesota Family Physician
A Report from the 2015 Congress of Delegates By David Hutchinson, M.D., MAFP Delegate to the AAFP Minnesota members, I and utilization of patient satisfaction measures greet you from Denver, • mechanisms to stimulate member entry into rural having recently finished practices with the 2015 annual • organizational positions on emerging public health and Congress of Delegates social justice issues such as human trafficking, police meeting! Our delegation violence, and nuclear disarmament (myself, Kurt Angstman, • protecting family physician practice in hospice and other Julie Anderson, Daron specialized care settings Gersch) chapter officers • enhancing education/training for members about (Tariq Fareed, Dania MN Delegates David Hutchinson, M.D., addiction medicine and suboxone prescription, long Kamp) and EVP Maria and Kurt Angstman, M.D. acting reversible contraceptive placement, complete Huntley, thank you miscarriage management, and assessment of elderly for allowing us to represent your interests at the national driver safety level, amongst fellow idealists from around the country. It • tracking costs to practices of PCMH and ICD-10 was uplifting and renewing to be here, and we honor your implementation sponsorship with focus and effort. • how to stimulate EHR interoperability at the national level While here, we helped to select next year’s AAFP officers • reimbursing for telemedicine encounters as part of a and board members. We also participated in testimony and continuity clinical relationship debate - and then directed organizational action - regarding • enhancement of information transfer upon transitions in many issues relevant to your patients and practices, within care the AAFP areas of focus of Education, Advocacy, Health of the • advocating for federal adult vaccine programs Public, Practice Enhancement, and Organization and Finance. • payment provisions to help ensure that Medicare wellness exams are done within primary care offices and Among MANY pressing issues, our reference committee medical homes, and not by random retail test providers hearings processed discussions about: While here, we also introduced a resolution from your MN • advocating for better patient access to less expensive House of Delegates advocating that the AAFP engage the FDA pharmaceuticals including generic drugs • specific recommendations to guide meaningful collection Congress of Delegates - Continued on Page 6
The Minnesota Academy of Family Physicians PRESIDENT’S MESSAGE 3 promotes the specialty of family medicine in Minnesota and supports family physicians as they MILESTONE MEMBERSHIPS 5 provide high quality, comprehensive and continuous FAMILY MEDICINE MIDWEST 7 medical care for patients of all ages. PRACTICE OPPORTUNITIES 9 membership New Active & Supporting Members Report East Metro Chapter Southeastern Chapter Ingrid Hernberg M.D., Northfield Robert Wilfahrt M.D; Rochester In Memoriam Nana Wilmot-Desouza M.D., Apple Valley Herman Miller, M.D., Austin, MN New student members New student members Member enrolled since 1965 John Watkins, M.D., Wells, MN Mayo University of MN Member enrolled since 1960 Tyler Klobucher Twin Cities Campus Kenneth Peterson, M.D., Sun City, AZ University of MN Ben Harris Member enrolled since 1950 Katie Bressler Duluth Campus Charles Bean, M.D., Waconia, MN Brianna Engelson Member enrolled since 1960 Elaina Hintsala Michael Farrell Paige Borst Katherine Hazen Jo Eagle Anderson, M.D., LeSueur, MN Lindsey Colyer Laura Lhotka Member enrolled since 1961 Ilexa Flagstad Katie Flinchbaugh Ashley Forstrom Jo Eagle Graci Gorman mafp membership Anderson, M.D. Daniel Harren (as of 9/30/15) MAFP President Seth Heikkila 1975 - 1976 Christopher Hughes Active = 2,146 Resident = 230 Maja Johnson Student = 347 Life = 329 Jordan Kaczor Inactive = 19 Supporting = 3 Derek Kohlhase Tyler Koonst Jill LaBine Total = 3,074
This issue of Minnesota Family Physician is brought to you by Rick Simmons, M.D., a long time MAFP member.
Minnesota Family Physician (ISSN 0279-6120) is a publication of the Minnesota Academy of Family Physicians (MAFP), 600 S. Highway 169, Suite 1680, St. Louis Park, MN 55426. Phone: (952)542-0130; (800) 999-8198 Fax: (952) 542-0135. Web: www.mafp.org Email: [email protected]. Six issues of the Minnesota Family Physician are published annually. Except for official reports and announcements, no material in the Minnesota Family Physician is to be construed as representing the policies or views of the MAFP. The editors reserve the right to accept or reject any submission. The medical editor is M. Tariq Fareed, M.D. The Managing Editor/Designer is Kristie Thorson. Editorial copy and practice opportunity ads to be considered for the Jan/Feb issue are due by 12/28/15. MAFP Chapter Directors MAFP Officers Other MAFP Directors Ann Lee, DO - Central M. Tariq Fareed, MD - President Erica Gathje, MD - Resident Director David Bucher, MD - East Metro Dania Kamp, MD - President-Elect Elizabeth Hillebrand - Medical Student Director Robert Koshnick, MD - Heart of the Lakes David Bucher, MD - Board Chair Javid Saleem, MD - Special Constituencies Director Kristan Wegerson, MD - Lake Superior Glenn Nemec, MD - Speaker of House Chandra Gottipati, MD - Lake of the Woods Kimberly Wernsing, MD - Vice Speaker of House MAFP Staff To be determined - Minnesota Valley Raymond Christensen, MD - Treasurer Lynn Balfour - Director of Development Deborah Dittberner, MD - Park Region Roli Dwivedi, MD - Officer-At-Large Latisha Gums - Membership Specialist Linda Bergum, MD - Range Deborah Dittberner, MD - Director-At-Large Lisa Regehr - Program Director Scott Pauley, MD - Southeast Maria Huntley, CAE - Executive Vice President Kristie Thorson - Communications Specialist To be determined - Southern Missy Machkhashvili - MAPA Executive Director Samuel Hanson-Willis, MD - West Metro
2 November/December 2015 www.mafp.org A Message from the MAFP President Dear Fellow Family Physicians... M. Tariq Fareed, MD
The past couple of months have been busy for MAFP internal medicine, pediatrics, leadership with many official activities to attend on behalf of nurse practitioners and physician the Academy. assistants attended. This meeting is aimed at forming a close The annual meeting of Minnesota Medical Association (MMA) working relationship with the was held in St. Louis Park, MN, in September. Issues pertaining different primary care specialties to healthcare in general, as well as specific to Minnesota, were in Minnesota. We discuss issues deliberated. At the meeting, the MAFP submitted our House that are common to us and of Delegates resolution on marijuana. It was supported by merit a uniform voice from all of many of those attending. In addition, it was nice to see that us especially to legislators and MMA is well-represented by family physicians. David Thorson, policy makers. We also agree M.D., was installed as MMA president at the meeting, and to be prepared to disagree on Dave Agerter, M.D., was selected as President-elect. Both are many issues given our different members of the MAFP. specialty interests. I represented the Later in the month, I was honored to participate in the MAFP at a meeting ‘Introduction to Rural Family Medicine Course’ for first year with state leaders medical students at the University of Minnesota Medical regarding health School, Duluth campus. I introduced them to our specialty of risks associated Family Medicine in general and rural practice in particular. I with sulfide am grateful to Dr. Ruth Westra, Chair, Department of Family mining in northern Medicine and Community Health- Duluth for this opportunity. Minnesota. Commissioners Other recent events included the University of Minnesota with the Family Medicine Celebration. I was invited by Mac Baird, M.D., Department of Chair. Department of Family and Community Medicine - Twin Health, Dr. Ed Cities, to attend this event honoring the history of family Ehlinger, the medicine and looking toward its future. It was a great program Department of featuring a special performance by Hippocrates Café which Natural Resources, State leaders met with the MAFP to discuss uses professional actors and musicians to family medicine Tom Landwehr, health risks associated with sulfide mining. through story and song. and the Minnesota Finally, the Academy was pleased to give MAFP board Pollution Control Agency, John Stine were in attendance, along members an opportunity to interact socially outside of work. with Governor Mark Dayton’s representative, Joanna Dornfeld. We held our first lunch cruise on the beautiful and serene Lake This meeting was scheduled following a letter I sent to the Minnetonka, following the September 19th Board of Directors Governor and department commissioners in response to a meeting. resolution submitted by the Lake Superior chapter regarding sulfide mining. As we move forward, we will be trying some innovative ways to communicate with our members. Twitter and Google Hangout The 2015 American Academy of Family Physicians (AAFP) are ideas we may incorporate into future meetings. As part of Congress of Delegates was held in Denver, CO in late this strategy, the first #MAFPchat was held on November 5th. September. Delegates and officers from all across the country The topic discussed was “Healthcare Workforce Shortage in Erica Gathje, MD - Resident Director attended. Common resolution themes at the Congress were MN”. We are also planning to offer some type of audio/visual Elizabeth Hillebrand - Medical Student Director cannabis for medicinal or recreational use, immunizations, - Special Constituencies Director attendance at our next face-to-face Board of Directors meeting Javid Saleem, MD health issues pertaining to social determinants of health, scope which will be held during the 2016 MAFP Winter Conference in of practice and workforce issues. Dr. Wanda Filer was installed Alexandria. I strongly urge you at attend this conference which as the new President of the AAFP. Speaker Dr. John Meigs was allows for great education in a family-friendly environment. elected as the President-elect. I look forward to communicating with each of you in future. In October, the MAFP hosted our semi-annual Primary Care Happy Holidays! Summit at the MAFP office building. It was represented by all the primary care specialties in Minnesota. Leaders from
Minnesota Family Physician 3 Executive Vice President Insight When I joined the Academy earlier WHAT’S this year it quickly became clear to me that I am joining not only MAFP, HAPPENING but a larger health care community of people doing great things. Initially I was overwhelmed with all of the work, and advisory groups, and the acronyms - oh the acronyms. The overwhelming feeling has mostly passed and now I am finding myself MAFP Member News feeling grateful to be in the middle MAFP President, M. Tariq Fareed, of it all. Maria Huntley, EVP, MAM M.D., wrote an article called “Setting Health Care Policy’ for the October This past month, the MAFP hosted American Academy of Pediatrics, the 2015 issue of Minnesota Physician. a meeting with the leadership of Minnesota Chapter of the American The article can be found on Page 24. several other local primary care College of Physicians, the Minnesota organizations to discuss legislative Chapter of the National Association Tar Wars Program Guide priorities for the upcoming session, of Pediatric Nurse Practitioners and explore common interest and the Minnesota Osteopathic Medical The AAFP identify areas for collaboration. I Society for their partnership. Tar Wars want to take this opportunity to Program I am looking forward to continued say thank you to the Minnesota Guide for 2015-2016 has been work with this group, as well as Academy of Physician Assistants, revised and the presenter resources future MAFP endeavors. Have a the Minnesota APRN Coalition, are available at www.aafp.org. Use great fall everyone! the Minnesota Chapter of the the search box to look up Tar Wars. MAFP members are encouraged to schedule & make Tar Wars presentations at their local schools. If you make a presentation(s), please email [email protected] to let us how many kids you reached.
New Health Care Homes The Minnesota Department of Health annouced the following new certified health care homes: Open Cities Health Center – North End Clinic and Sleepy Eye Medical Center. There are now 385 certified health care homes The MAFP hosted a meeting with the leadership of local primary care organizations in October. in the state.
2016 House of Delegates to Convene in Minneapolis The MAFP House of Delegates hear about the MAFP’s strategic planning efforts. will be held on April 13, 2016, at the Depot Renaissance If you are interested in serving as a chapter delegate, Hotel in downtown please e-mail the MAFP office at [email protected]. Minneapolis. Resolutions are due to the Speaker of the House by March 13, 2016. All members are invited to attend the annual business Proposed amendments to MAFP Bylaws must be submitted session to deliberate on to the Executive Vice President by February 13, 2016, for resolutions, elect officers and consideration at the 2016 House of Delegates.
4 November/December 2015 www.mafp.org MAFP Milestone Memberships
The MAFP is pleased to recognize these members celebrating milestone membership anniversaries in 2015! 60 years 25 years 15 years
J. A. Malerich Jr., M.D. Kurt Devine, M.D. Bobbi Jo Adams, M.D. Arthur Sethre, M.D. Rodney Dynes, M.D. Mary Pat Anderson, M.D. Scott Fairbairn, M.D. Kimberly Beecher 55 years Robin Fischer, M.D. Engelhardt, M.D. Lloyd Backus, M.D. Peter Germscheid, M.D. Everett Beguin, M.D. Byron Backus, M.D. Lisa Germscheid, M.D. Susan Benzie, M.D. Alvin Berglund, M.D. Michael Giorgi, M.D. Mark Bogel, M.D. Kelsi Nelson, M.D. James Brown, Jr., M.D. Richard Griffin, M.D. Robert Bonacci, M.D. David Nelson, M.D. Gary Good, M.D. Gayl Gustafson, M.D. Sarah Carlson Kevin Nepsund, M.D. Carl Griesy, M.D. Mark Gustafson, M.D. Buckley, M.D. Heather Neuman, M.D. Dean Guenther, M.D. Susan Haddow, M.D. Stephan Chesley, M.D. Sirri Nomo-Ongolo, M.D. Gordon Hovde, M.D. Marshall Hansen, M.D. Judy Chesley, M.D. Eleonore Okosdinossian, Edward Kiolbasa, M.D. Paul Hendrickson, M.D. Mariola Czapiewska, M.D. M.D. Erick Reeber, M.D. Steven Johnson, M.D. Angela Dhruvan, M.D. Robyn Oliver, M.D. Richard Simmons, M.D. Howard Josephs, M.D. Christine Duncan, M.D. Daniel Peterson, M.D. James Sutherland, M.D. Mark Leenay, M.D. Samuel Emmons, M.D. Eric Poulin, M.D. Ralph Swanson, M.D. David Lehman, M.D. Gloria Garcia, M.D. Scott Rahm, M.D. Hildegard Virnig, M.D. Erik Linck, M.D. Gretchen Grandgenett, M.D. Roger Lindholm, M.D. David Gray, M.D. Elizabeth Riesgraf, M.D. 50 years Thomas Lynn, M.D. Jeffrey Green, M.D. Kevin Ronneberg, M.D. Karen Mackenzie, M.D. Andrew Hanson, M.D. Allan Ross, M.D. Robert Bundt, M.D. Lynn MacLean, M.D. Jennifer Hartman, M.D. Neil Saley, M.D. John Gaertner, M.D. Walid Mikhail, M.D. Sue Inoue, M.D. John Schaffhausen, M.D. Terrance Henderson, M.D. Jay Myers, M.D. Sinon Janay III, M.D. Mary Scheid, M.D. Edward McEllistrem, M.D. Michael Nicklawsky, M.D. Kent Jeffery, M.D. Thomas Scheider, M.D. David McQuoid, M.D. Luther Philaya, M.D. Karla Kammueller, M.D. Jack Schwinghamer, M.D. Leon Nesvacil, M.D. Victoria Puumala Keith Kleis, D.O. Anand Shah, M.D. Duane Orn, M.D. Heren, M.D. Ryan Kray, M.D. Steven Shu, M.D. Ricard Puumala, M.D. Deborah Rasmussen, M.D. Stephanie Kray, M.D. Jennifer Smith-Kristensen, John Salchert, M.D. William Scheig, M.D. Mitchell La Combe, M.D. M.D. C. Dwight Townes Jr., M.D. Nicholas Schneeman, M.D. Michael Lano, M.D. Daniel Stahl, M.D. Benjamin Tuma, M.D. Thomas Seaworth, M.D. Elise Larson M.D., MPH Laurie Sund, M.D. Arthur Van Vranken, M.D. Sondra Severson, M.D. Francis LeBlanc, M.D. William Sypura, M.D. Alvin Wiens, M.D. Jeremy Springer, M.D. Mina Lee, M.D. Timothy Toso, M.D. Donald Wright, M.D. Carol Stark, M.D. Travis Lockwood, M.D. Dang Tran, M.D. Sandra Stover, M.D. Nicole Lowe M.D. Garrett Trobec, M.D. 25 years Jeffrey Taber, M.D. Sawuya Lubega M.D. Arthur Troedson, M.D. Rosanne Taylor, D.O. Anita MacDonald, M.D. Michael Ulrich, M.D. Daniel Anderson, M.D. Thomas Thul, M.D. Sarah Maier, M.D. Gabrielle Vencel Olson, Joan Benner, M.D. Lorraine Turner, M.D. Raymond Marier, M.D. M.D. Joseph Braun, M.D. Susan Van Pelt, M.D. Melissa Mark, M.D. Mark Westholder, M.D. Shelley Breyen, M.D. Karen Vrchota, M.D. Casey Martin, M.D. W. Curtis Whisler, M.D. Jack Carlisle, M.D. Anthony Walsh, M.D. Charles McDowell, M.D. John Cochran, M.D. Louise Wright, M.D. Michael Mercer, M.D. Helen Davis, D.O. Thank You for your years of membership with the MAFP! Minnesota Family Physician 5 Congress of Delegates - Continued from Page 1 regarding reclassification of marijuana from a Schedule I to a Schedule II drug, specifically to facilitate research. This was reaffirmed as consistent with the AAFP’s current position that marijuana should be reclassified in general. After much related testimony, the congress also decided to promote decriminalization of marijuana, toward reducing the significant negative pubic health impact of ʻcriminalizationʼ. their passion for our issues through advocacy, internal Aside from advocacy and issues engagement, I found myself mentoring, and political and public messaging. appreciating other things especially about my time here this week. First, it remains abundantly clear that our national Finally, I have renewed admiration for your Minnesota leadership (including Minnesota AAFP board member Lynne delegation, officers and staff, as they continue to work Lillie) is passionately attached to serving our needs for better together vigorously on your behalf. They have become and reimbursement (payment reform), better work lives (practice remain my good friends, and their dedication, generosity, transformation), more partners (the family medicine and skill should be much appreciated. Spending time with ʻpipelineʼ), and more influence on health policy (advocacy these Minnesota colleagues - your state delegation and and health system readjustment). officers, MAFP board member and national delegate for special constituencies Renee Crichlow, and new MAFP Our leadership remains dedicated also to our traditional executive vice president Maria Huntley, was a highlight of comprehensiveness and relational values while also being the month for me. attached to innovation in practice, and to evolution in payment models in ways which showcase and reward our I reflect yet again and appreciate how very important it is value to individual and public health. The AAFP remains for us - all of us - to confer, share insights, commiserate, firmly attached to the PCMH, and wide-scale member and ultimately empower ourselves to advocate nationally certification in it, as a change-delivery mechanism toward and also locally for our patientsʼ needs, and for all of the some of these goals. There is also enhanced interest in elements we require and deserve in order to care for them ensuring that family physicians remain energized and in the ways that we know are kind, just, socially valuable, renewed within their lives and their work, as physician DESIRED by them, and NECESSARY, as we continue to experience becomes increasingly recognized as the 4th pillar model for our health systems and subspecialty colleagues of ʻthe quadruple aim of change in healthcareʼ. We continue exactly the kind of first access and comprehensive care that to be represented by energetic, visionary people, who apply Americans need. 2016 MAFP Research & Innovation Forum Abstracts & Posters - Due January 29, 2016 The Minnesota Academy of Family generate original conclusions. Abstracts Physicians is now accepting abstracts can be submitted by medical students, for the 2016 Research & Innovation residents, researchers, physicians, Forum taking place Saturday, March psychologists, and other healthcare 12, 2016, at HealthPartners in professionals. Bloomington. Visit www.mafp.org for information on Projects are welcome that feature submitting an abstract or poster and to original research, innovation download the abstract submission form. in family medicine, or quality If your poster is complete you can email improvement. Highly desirable a PDF of the poster to [email protected] projects include those focused on instead of completing an abstract form. practice-based research, community- Abstracts & Posters are due Monday, oriented and participatory projects, January 29, 2016. and descriptive studies. Projects detailing quality improvement initiatives, clinical case studies, For questions, please contact Lisa Regehr at the MAFP office and literature reviews will be accepted if the author(s) at [email protected] OR call (800) 999-8198, (952) 224-3875.
6 November/December 2015 www.mafp.org See You at the Winter Conference in Alexandria! The 2016 Winter Conference is Update; and more topics to be confirmed. scheduled for January 29 & 30, Application for CME credit will be filed 2016, at the Arrowwood Resort in with the AAFP. Alexandria, MN. Education sessions On Friday, January 29, you can take part will take place in the morning in a SAM Module: Care of the Vulnerable leaving the afternoon open to spend Elderly from 1:00 - 5:00 p.m. This session with family or to get away on your will be facilitated by John Wilkinson, own. There are tons of things to M.D., Mayo Clinic, with content expert do at Arrowwood including snow Himanshu Sharma, M.D., Faculty at adventures, a water park and spa! United Family Medicine Residency. Education sessions include Cardiac Arrests; Dizziness and For more information on the SAM module, to register for the Vertigo – Beyond Meniere's and BPPV; Geriatric Syndromes; Winter Conference or to get hotel information, please visit Beyond Picky Eating; Erectile Dysfunction; Diabetes; our website at www.mafp.org. Transgender Medicine; Provider Burnout; Birth Control Members Attend 2015 Family Medicine Midwest Conference More than 400 physicians, said Lucas Labine, residents, and medical students MS2, University of gathered at Loews O’Hare Hotel in Minnesota Medical Rosemont, Illinois, for the Family School. “We also Medicine Midwest Conference greatly enjoyed the on October 9-11. The event combined scholarly work break-out sessions and research presentations, community-based practice and workshops, as and best practice sharing, and promoted cooperative they allowed us to and collaborative health care innovation. There was a hear new topics in residency and fellowship fair, speed date our specialty medicine and develop Poster presentation by North Memorial lunch, poster presentations and pre-conference sessions our skills as physicians second-year resident William Paulson, including a vibrant session on ‘Community and in training. I plan to M.D., and fellow third-year resident Population Health’ that was co-lead by Jacob Prunuske, use this experience as Alexander Hubbell, M.D., MPH. M.D., MDH, faculty at the University of Minnesota - I continue to consider Photo Credit: Laura Pham Duluth. my specialty (in favor The Academy and its local chapters, universities, health of family medicine, of course) and hopefully plan to systems, foundations, and individuals contributed to attend future conferences similar to this.” provide scholarships for medical students. Because of In addition to the medical students, other Minnesota these efforts, 34 medical students from Minnesota were attendees included 14 resident physicians, 15 able to attend the conference. family physicians, and 5 other medical professionals “We had the opportunity to meet both future and including behavioral health providers and Pharm.Ds. current family physicians, and as a second-year medical Minnesota physicians and students presented a total student, this was incredibly helpful in learning more of 14 educational sessions during the conference. This about what it means to go into family medicine,” conference is an excellent venue to demonstrate the amazing works of family physicians in Minnesota. The Family Medicine Midwest Foundation launched in 2012 with a core mission of identifying and supporting students interested in family medicine. It is committed to communicating the value of family medicine to practicing colleagues, future colleagues and the public. Andrew Slattengren, D.O., faculty at North Memorial Family Medicine Residency will assume the role of Chair of the FMM Foundation in late 2015. Next year’s conference will be in Indianapolis on October 7-9. Lauru Pham, U of M DFMCH Residency Recruitment and Admissions Coordinator with MN medical students. Photo Credit: Laura Pham Minnesota Family Physician 7 8 November/December 2015 RESEARCH & INNOVATION POSTER OF GREATEST INTEREST
Social Support for Quitting Smoking, Exercise, and Relaxation as Predictors of Smoking Abstinence 1 1 1 1 1 2 www.mafp.org Anne Doering MS2 , Katherine Harrison MPH , Scott Lunos MS , Alicia Allen PhD , Sharon Allen MD, PhD , Cheryl Oncken MD, MPH Tobacco Research Programs, University of Minnesota, Minneapolis MN1 University of Connecticut, Medical School, Farmington, CT2 Abstract Methods Results BACKGROUND Little is known about a possible association between social support for smoking cessation INCLUSION CRITERIA . A significant correlation was found between perceived positive social support for smoking and social support for other healthy behaviors, including exercise and relaxation. Exploring this relationship . Female age ≥ 40 years . In stable physical and mental cessation and higher abstinence rates 4 weeks after quit date, when adjusted for randomized can inform efforts to help would-be quitters develop adaptive coping strategies. This study examines 1) . Smoking ≥10 cigarettes/day health group, age, years of smoking, and marital status (OR = 1.09; 95% CI = 1.03, 1.16; p < 0.01). whether perception of social support for smoking cessation, exercise, and relaxation in older women who . Motivated to quit smoking . Participate in exercise and . No other significant correlations were found between perceived social support and abstinence. want to quit smoking is associated with smoking abstinence outcomes and 2) whether older women who relaxation activities < 90 . Willing to take Chantix Table 2. Pearson Correlation Coefficients (r) Table 3. Average Perceived Social Support want to quit smoking who perceive social support for smoking cessation also perceive social support for minutes/week exercise and relaxation activities. for Perceived Social Support for Exercise and Scores PROTOCOL METHODS Women over age 40 were randomized to a weekly exercise or relaxation intervention as part of a Relaxation vs Perceived Social Support for Mean SD Scale Scale . Baseline visit included: smoking cessation study. Baseline data on perceived social support for smoking cessation (both positive and Smoking Cessation Min Max . Randomization to exercise or relaxation intervention negative), exercise, and relaxation activities was collected (week 0); participants quit smoking (week 2) and For Smoking For Smoking For Exercise were given group smoking cessation counselling and Chantix (weeks 1 through 12); after this, participants . Fitness assessment and questionnaires about health; Cessation: Cessation: Total 46.2 19.2 24 120 began an exercise or relaxation intervention (weeks 5 through 20). Analysis was done using Pearson motivation; self-efficacy; and perceived social support Negative Positive From Family 23.5 10.9 12 60 correlations and logistic regression, with stepwise selection to adjust for randomization group, age, number . Participants were asked to: For Exercise From Friends 22.2 10.8 12 60 of years of smoking, and marital status. . Quit smoking (week 2) Total r = 0.14 r = 0.32** For Relaxation RESULTS On average, subjects (n=129) were 56.5 (SD=5.8) years old, had smoked 36.6 (SD=9.2) years, and . Attend smoking cessation counseling (week 1 to 12) From Family r = 0.23* r = 0.38*** Total 38.4 17.6 24 120 smoked 19.2 (SD=7.6) cigarettes per day. A significant correlation was found between perceived positive From Friends r = 0.03 r = 0.21* . Take Chantix (week 1 to 12) From Family 20.3 10.9 12 60 social support for smoking cessation and higher rates of point prevalence of abstinence at 4 weeks after For Relaxation From Friends 17.8 7.3 12 60 quitting (OR=1.09; 95% CI=1.03,1.16). Moderate correlations were found between perceived positive social . Attend exercise or relaxation intervention (week 5 to 20) Total r = 0.30** r = 0.32** For Smoking support from a partner for smoking cessation and perceived social support from family members for . 7 day point prevalence of abstinence was measured by From Family r = 0.33** r = 0.31** Cessation exercise (r=0.38, p<0.0001) and for relaxation (r=0.31, p<0.01). Reported levels of perceived social support . Time line follow back of cigarettes per day From Friends r = 0.22* r = 0.17 Negative 16 10.3 0 40 for all behaviors studied were low on the measurement scales used (e.g. for perceived social support from . Biological measures (exhaled CO) for confirmation *p<0.05, **p<0.01, **p<0.0001 Positive 16.5 9.7 0 40 family members for exercise, average score was 23.5 (SD=10.9) on a scale ranging 12.0 to 60.0). . Statistical analysis included descriptive demographic statistics, DISCUSSION Results are consistent with prior research which shows that perceived positive social support Pearson correlation coefficients, and logistic regression for smoking cessation is predictive of short term abstinence outcomes. This suggests that the association models. holds for older women. Additionally, results suggest that women who perceive social support from family for one healthy behavior may also perceive support for other healthy behaviors. Limitations include difficulty Table 1. Sample Demographics Total (N=129) Conclusions . The following significant correlations were observed: interpreting reported levels of perceived social support because the instruments used were not designed for Age 46.2 (SD = 5.8) . Women who perceived greater positive social support for smoking cessation had higher baseline measurements in older women. Further research could use more specific measures. An upcoming % White 94.5 rates of short term abstinence. paper will explore the effect of exercise and relaxation interventions on abstinence outcomes and on social % Black 2.3 . Women who perceived social support from family for exercise also perceived positive support for exercise and relaxation. % Multi-racial 2.3 social support for smoking cessation from a partner or close friend. % Married 52.3 . Women who perceived social support from family for relaxation perceived nearly equal % Divorced 33.5 amounts of positive and negative social support for smoking cessation from a partner % Single 14.0 or close friend. Introduction Years of Education 14.8 (SD = 2.4) . Perception of positive social support for smoking cessation is predictive of higher short-term abstinence . Limitations on this study include: rates (Gulliver et al, 1995). An association is also seen between perception of general social support and % Employed Full-Time 39.8 . Difficulty interpreting reported levels of perceived social support. More specific higher abstinence rates (Wagner et al, 2004; Holahan et al, 2012), perhaps due to more effective % Employed Part-time 20.3 measures could be designed to assess baseline measurements in older women. promotion of adaptive coping strategies (Cohen, 2004). Social support for exercise and relaxation may % Not Employed 25.7 . Availability of only baseline social support data. contribute to general social support. % Retired 14.0 . Measurement of only perceived social support for specific behaviors. Received and general social support could also be examined. . Question 1 Is perception of social support for smoking cessation, exercise, and/or relaxation in older % Live Alone 34.8 . Future research will explore the effect of an intervention on support for exercise and relaxation women who want to quit smoking associated with smoking abstinence outcomes? % 2 people in Household 38.7 % > 3 people in Household 26.3 and on abstinence outcomes. . Hypothesis 1 Perception of social support for smoking cessation, exercise, and relaxation are each associated with higher rates of smoking abstinence. % Contact with Smokers At Home 31.0 % Frequent Contact with Smokers Elsewhere 57.3 . Question 2 Do older women who want to quit smoking who perceive social support for smoking cessation Cigarettes per Day 19.2 (SD = 7.6) also perceive social support for exercise and relaxation activities? Funding Years of Smoking 36.6 (SD = 9.2) . Hypothesis 2 Women who perceive social support for smoking cessation also perceive social support for Funding for this project was provided by NIDA 1R01 DA024872 and both exercise and relaxation activities. Fagerstrom Test for Nicotine Dependence 5.2 (SD = 1.7) by the Minnesota Academy of Family Physicians Foundation. Nominate a Peer, Mentor or Colleague for an MAFP Award The MAFP is now accepting Nomination Process nominations for the All nominations must be made in writing to the MAFP office following awards: (mail, fax or e-mail). Include the award name, your name and Family Physician of the Year phone number, and explain why the nominee is deserving. Teacher of the Year Also, if applicable, include the name of the nominee’s clinic, Researcher of the Year residency program or medical school. Additional information Resident of the Year may be requested from the nominator or nominee. Medical Student Award Candidates must be MAFP members, except Merit Award Researcher of the Year Award candidates.
For more information and a detailed description of Deadlines for Submission each award, please visit the MAFP website Family Physician of the Year: January 11, 2016 at http://www.mafp.org. All Other Awards: February 15, 2016
Practice Opportunities
For information about placing an ad in the ‘Practice Opportunities’ Urgent Care Moonlighting Opportunity in Minneapolis: Independent section, please visit http://www.mafp.org/practice-opportunity-ad- physician-owned urgent care clinic located conveniently near Uptown in information. Questions? Email Kristie Thorson at [email protected]. Calhoun Village Shopping Center on W. Lake Street, seeking moonlighting physicians! Flexible hours, great location, friendly staff, competitive pay! Call Niki at 612-229-1072 or email [email protected]. Please visit our is presently recruiting BC/BE family medicine physicians. North Memorial website at www.twincitiesmedicalclinic.com. We strongly promote primary care physician practice opportunities with our owned and associated clinics; including those that are physician owned, joint Outpatient Family Medicine Opportunity at Winona Health in Winona, ventures and hospital owned. Which means you can choose from large or MN - Winona Health is seeking a Family Medicine physician to join our small and multi or single specialty practice options in metro, suburban or outpatient team located in a Midwest college community along the banks rural locations. These are excellent practice opportunities with comprehensive of the Mississippi River. Full-time, employed position joining a collaborative compensation and benefits packages. Contact: Mark Peterson, Physician multidisciplinary team. Outpatient Family Medicine services – newborn Recruiter, North Memorial Medical Center, 3300 Oakdale Ave. N., Robbinsdale, to geriatric, No OB. Competitive annual salary and benefits package MN 55422. Telephone (763) 581-2986. E-mail: mark.peterson@northmemorial. including education loan assistance/sign-on incentive, paid malpractice com Website: www.northmemorial.com with tail coverage, 35 days of time off, $7,500 annual CME & dues/license, $5,000 moving expenses, health/life/dental insurance, retirement programs Physician-owned Mankato Clinic, in business since 1916, is seeking Family and more. Participate in process improvement activities & impact care Physicians for outpatient-only practices. Full-time is 32 patient contact delivery. Work in a team model with NPs and PAs. Back up call from home. hours and 4 hours of administrative time. Clinic hours are Monday-Friday, 8 Opportunities to join Medical Staff Committees or engage in community a.m. - 5 p.m. OB is optional. Mankato Call is telephone triage, 1:17, supported wellness outreach. Modern facility with state-of-the-art equipment and by a 24/7 Nurse Health Line. St. Peter, MN Call is 1:8 for local hospital technology, including fully integrated EMR, Dragon, Dynamic Documentation. coverage. We offer market-competitive guaranteed starting salary, followed Winona Health – independent healthcare system with decision making at by RVU production pay plan. Benefits include 35 vacation / CME Days + six the local level. Progressive in our thinking & our actions. To learn more about holidays, $6,600 annual CME business allowance and a generous profit- this opportunity, contact Cathy Fangman, cell: 507.301.2296, cfangman@ sharing 401(k) plan. We’re just over an hour south of the Mall of America winonahealth.org or www.winonahealth.org. and MSP International Airport. For more information, contact Dennis Davito 507-389-8654, [email protected] or apply online at www. Practice Opportunites - Continued on Page 10-11 mankatoclinic.com. Minnesota Family Physician 9 Practice Opportunities
Glacial Ridge Health System/Family Medicine or Internal Medicine Olmsted Medical Center, a 220 – clinician multi-specialty clinic with Physician: An ideal balance between your professional and personal life. 10 outlying branch clinics and a 61 bed hospital, continues to experience Provide comprehensive care in a clinical and hospital practice. ER coverage significant growth. Olmsted Medical Center, rated in 2012, 2013, and 2014 available, but not required. GRHS is a progressive 19 bed Critical Access as one of Minnesota's top workplaces, is seeking BC/BE Family Medicine Hospital with two clinics. Glenwood is a family oriented community with an physician to join our multi-specialty team for our clinic in Rochester, MN. excellent school system. Recreational opportunities include boating, hiking, Olmsted Medical Center provides an excellent opportunity to practice excellent fishing and hunting. We are halfway between Fargo and the Twin quality medicine in a family oriented atmosphere. Olmsted Medical Center Cities. For more information, call Kirk Stensrud, CEO, at 320-634-4521. Mail is best known for its convenient, quality personal primary care. Rochester , CV to Kirk Stensrud, CEO, 10 Fourth Ave SE, Glenwood, MN 56334 or submit MN offers wonderful education with great school systems within a diverse online at [email protected]. cultural community. Enjoy the outdoors with biking, golf, camping, fishing and other activities surrounding the community. Contact Deb Cardille (507) Western Wisconsin (Amery, New Richmond & Osceola): HealthPartners 529-6748, [email protected] to hear more about this great opportunity is actively recruiting exceptional full-time BC/BE family medicine physicians and visit our story at www.olmstedmedicalcenter.org. (with or without OB) to join our primary care teams in growing communities in western Wisconsin. These positions offer a traditional family medicine Cuyuna Regional Medical Center’s Baxter Clinic is seeking a Family practice in small-town rural settings, with the security and stability of a Medicine physician to add to its growing practice. Located in the Brainerd large medical group. All three locations are within an hours’ drive of the Twin Lakes Area, CRMC’s Baxter Clinic opened in December 2013. This is a full- Cities. HealthPartners continues to receive nationally recognized clinical time outpatient position equaling 36 patient contact hours per week, 1 in 11 performance and quality awards. We offer a competitive compensation Peds Call schedule, and is a clinic that is experiencing increasing volumes. and benefit package, paid malpractice and a commitment to providing This position is supported by 40 + subspecialty providers. Very competitive exceptional patient-centered care. Apply online at www.healthpartners. comp package, generous sign-on bonus, relocation and full benefits. This is a com/careers or contact [email protected]. Call Diane at spectacular career opportunity, so please contact Todd Bymark at tbymark@ 952-883-5453 or 800-472-4695 x3. EOE cuyunamed.org or 218-546-4322. Lakeview Clinic is seeking BE/BC family physicians to join our independent, Physician owned Gateway Family Health Clinic, Ltd seeks a Family Medicine multispecialty, physician-owned group in the southwest metro. This is a physician to join our new Hinckley clinic. 3-4 day week practice with shared traditional practice opportunity with a 4 day work week in the office and hospital call. Full-scope primary care and clinic OB practice (option for inpatient care provided at Ridgeview Medical Center, a growing community colleagues to cover OB call). Generous salary with sign-on and retention hospital in Waconia. Enjoy the best of all worlds, from rural to suburban in bonus, outstanding benefits, 15% retirement contribution. Shareholder one of our 4 sites, and the camaraderie and support found in our group opportunities available. Clinics located in Moose Lake, Sandstone and of family physicians, internists, pediatricians, OB/GYNs, and surgeons. Hinckley are centrally located between Mpls/St. Paul and Duluth. The area Family physicians with an interest in obstetrics preferred. Contact Sandra provides an excellent family focused, quality of life opportunity in a rural Beulke, MD at 952-442-4461 or at [email protected]. www. setting with good public schools, abundant lakes, rivers, state parks, and ideal lakeviewclinic.com hunting. Contact Eric Nielsen at 218-485-2000 / enielsen@gatewayclinic. com www.gatewayclinic.com Fairview Health Services is seeking full-time as well as per-diem moonlighters to work in urgent care, providing care in the communities of Family Medicine - Hennepin County Medical Center - Minneapolis & Andover, Bloomington, Brooklyn Park, Eagan, and St. Paul. Hours: Monday- Surrounding Suburbs. HCMC has several new family medicine opportunities Friday, 8am – 10pm; Saturday, 8am – 10pm; Sunday, 10am – 8pm. The acuity available due to patient growth. These are outpatient based positions with at these facilities is moderate with physicians providing a broad spectrum of full or part time schedules available. The locations include Minneapolis, non-emergent care for minor illness and injury. All hospital admissions are Richfield, Golden Valley and Brooklyn Park. Some evenings and Saturday referred to the physician on-call for these practices. Moonlighters are needed morning clinics may be required. Candidates must be BE/BC in Family for a variety of shifts at these urgent cares and at other Fairview clinics in the Medicine. Please contact: Julie Juba, Recruiter, [email protected] or call metro area. Hours vary by site. Volume fluctuates seasonally. Candidates must 612-873-5651 for further information. Hennepin County Medical Center is be BE/BC in Family Medicine or Internal Medicine/Pediatrics. Please contact committed to providing Equal Employment Opportunity & Diversity. [email protected] for additional information or call 800-842-6469. EEO/ www.hcmc.org AA Employer
10 November/December 2015 www.mafp.org HealthEast Care System is currently hiring Family Medicine and Family Fairview Health Services seeks Family Medicine physicians to join us. Medicine Obstetrics Physicians to join our Twin Cities metro area clinics. Whether your focus is work-life balance or participating in clinical quality We are committed to hiring providers that have a passion to treat the mind, initiatives, we have an opportunity that is right for you. Our physicians are body and spirit with compassionate care. HealthEast offers a lifestyle- champions, pioneers and practitioners of new models of care in todays friendly schedule, competitive compensation, excellent benefits including a ever-changing health care environment. Choose inpatient/outpatient generous sign on bonus, loan repayment program, relocation incentive and practice or outpatient-only practices; optional OB. Experience exceptional exposure to the best and latest clinical skills in a team-centric environment. practice support including accessible specialist consultations and onsite For more information, contact Felicia Mead at [email protected] or (651) lab and radiology. We offer urban and suburban practices in and around 232-2227. To view current openings or apply online, visit: http://www. the Minneapolis/St. Paul area as well as rural practice opportunities. Work healtheast.org/careers/providers/about.html. and live in vibrant communities such as Andover, Apple Valley, Blaine, Elk River, Hibbing, Lakeville, Minneapolis, New Brighton, North Branch, Pine City, Affiliated Community Medical Centers, Willmar, MN: Physician-owned Rogers, St Paul and Wyoming. Our Family Medicine opportunities qualify for multi specialty clinic is seeking a full-time physician to join the Family either a Resident Stipend or Medical School loan forgiveness. Joins us in Practice Department in their Willmar, Redwood Falls, Granite Falls, Marshall delivering exceptional care every day. Visit www.fairview.org/physicians to and Benson affiliates. These positions offer a guaranteed salary plus explore our available opportunities. Contact us at 800-842-6469 or recruit1@ production incentive and an outstanding benefit package. For further fairview.org. EEO/AA Employer information, please contact Kari Lenz, Physician Recruitment, 320-231-6366 or e-mail [email protected]. Website: www.acmc.com. CentraCare Health seeks Family Medicine physicians to provide full- spectrum care in the Central Minnesota community of Long Prairie. Enjoy Douglas County Hospital is seeking an emergency medicine or primary loan repayment and sign-on bonus benefits. OB is desired but not required. care specialty with emergency department experience to join our progres- Health system outreach resources available. Physicians back up advanced sive team. Full-time, 12-hour shifts; 16,000 emergency department visits an- practice providers in clinic and ER. The opportunity to participate in medical nually; Level III trauma designation; newly remodeled facility in 2015; com- student and residency training. Critical access hospital, nursing home, mitted to quality, evidence-based care and exceptional patient satisfaction; dementia unit, independent living apartments and clinic under one roof. Class of 2001 and 2008 top 100 Hospitals in Nation; competitive compensa- Excellent educational opportunities abound in family-friendly lakes area. tion and benefits package, paid malpractice, CME, relocation, retirement plan Contact: Cassie Tinius, Physician Recruiter, 1-800-835-6652, ext. 57085; and more. Contact Eddie Reif, [email protected], 320-762-6194. [email protected]; www.centracare.com Lakewood Health System is seeking to expand the care team for its progressive and patient-focused clinics and hospital. Located in Staples, We are actively recruiting exceptional full-time BE/BC Family Medicine Minnesota, Lakewood is an independent, growing healthcare system with physicians to join our primary care team at the HealthPartners Central five primary care clinics, a critical access hospital and senior living facilities. Minnesota Clinics - Sartell. This is an out-patient clinical position. Previous Practice consists of 14 family medicine physicians and 10 advanced practice electronic medical record experience is helpful, but not required. We use clinicians, as well as a variety of on-staff specialists. Competitive salary and the Epic medical record system in all of our clinics and admitting hospitals. benefits. Relocation and sign-on bonus available. Positions available: Family Our current primary care team includes family medicine, adult medicine, Medicine – Full-scope practice available (ER, OB, C-Section, Hospitalist, Clinic); ob/gyn and pediatrics. Several of our specialty services are also available Internal Medicine – Hospitalist opportunity available; no call; Emergency onsite. Our Sartell clinic is located just one hour north of the Twin Cities Medicine. Contact Brad Anderson at 218-894-8587 or bradanderson@ and offers a dynamic lifestyle in a growing community with traditional lakewoodhealthsystem.com, or visit www.lakewoodhealthsystem.com. appeal. HealthPartners Medical Group continues to receive nationally recognized clinical performance and quality awards. We offer a competitive Leading the way in innovation. Fairview Health Services is seeking a compensation and benefit package, paid malpractice and a commitment Family Medicine physician to provide outpatient primary care services at to providing exceptional patient-centered care. Apply online at www. Fairview Clinics – Farmington. Farmington is a community just southeast of healthpartners.com/careers or contact [email protected]. Minneapolis/St Paul that combines both suburban and rural living. Our Family Call Diane at 952-883-5453; toll-free: 800-472-4695 x3. EOE Medicine opportunities qualify for either a Resident Stipend or Medical School loan forgiveness. Visit www.fairview.org/physicians to explore this Riverwood Healthcare Center – A state of the art facility equipped with and other opportunities. Contact us at 800-842-6469 or recruit1@fairview. the latest technology for patient care, designed to enhance health and heal- org. EEO/AA Employer ing. We are a fully integrated multi-specialty clinic with three primary care clinics. Featuring all private hospital rooms, a deluxe birthing center and Independent, Physician owned Raiter clinic seeks a Family Medicine state-of-the-art ICU. We have an opportunity available (with or without OB) physician to join our established Cloquet practice. 4 day week practice with to practice the full spectrum of Family Medicine within a 4-day work week, shared hospital call. Full-scope primary care with OB to include C-section and a minimal call schedule (full call 1:30 and back up call for NP Nocturnist if desired. Competitive salary with sign-on bonus. outstanding benefits, 1:10). It is our goal to help you achieve a positive work/life balance while partnership opportunities available. Clinic located in Cloquet, MN about 20 pursing your professional aspirations. Join our growing practice of over 35 minutes south of Duluth. The area provides an excellent family focused, physicians, specialists and surgeons, which includes the 2013 Minnesota quality of life opportunity in a rural setting with good public schools, Family Physician of the Year. To learn more, visit our website at www.riv- abundant lakes, rivers, state parks, and ideal hunting. Contact Craig Ward erwoodhealthcare.org or call Tanya Pietz at 218-927-5587 or email tpietz@ at 218-879-1271 Extension 108. [email protected] /www.raiterclinic.com riverwoodhealthcare.org.
Minnesota Family Physician 11 Prsrt Std U.S. Postage PAID 600 South Highway 169, Suite 1680 Twin Cities, MN St. Louis Park, MN 55426 Permit No. 3198 Our Specialty is Family Medicine.
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The November/December 2015 Minnesota Family Physician is Thank you! brought to you through the generous support of: Rick Simmons, M.D., a longtime MAFP member
Okay Family Docs! 2016 Spring Refresher Here’s your challenge: - An Annual CME Update for Specialists in Family Medicine - Send us a selfie wearing April 14th & 15th sunglasses! The Depot Minneapolis If EVP Maria Huntley can do it - so can you! Take your picture in a fun location or at the office. Be creative! We’ll pick the best photos to use in our upcoming spring refresher brochures & social media promotions. Plus, we’ll award prizes for Most Creative, Funniest Photo, Best Picture, Online Registration Most Colorful, etc. Opens in January Email your photo to Save the Date! www.mafp.org [email protected]. Please include your name and city.