1St Quarter 2016
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First Quarter 2016 The Scope of Family Medicine A Publication of the Alabama Academy of Family Physicians • www.alabamafamilyphysicians.org Medical Students, Family Medicine Residents Start Zika Virus Update New Culinary PG 12 Medicine Course PG 20 The Scope of Family Medicine Spring 2016 Officers *Julia Boothe, MD, Board Chair *Drake Lavender, MD, President Jarod Speer, MD, President-elect Vikas Gupta, MD, VP Southeast (’19) Laura Satcher, MD, VP Northeast (’16) Tracey Jacobs, MD, VP Northwest (’18) Boyd Bailey, MD, VP Southwest (’17) *Mike McBrearty, MD, Treasurer Jeffrey E. Arrington, Executive Vice President (*indicates member of the Executive Committee) Board of Directors Allen Perkins, MD, Gulf Coast Branch Michael Goodlett, MD, At Large (’17) Beverly Jordan, At Large (’16) Steven Donald, MD (’18) Nelson Cook, MD, Calhoun County Branch Lisa Columbia, MD, Jefferson County Branch Contents Jamie Bishop, DO, Resident Chapter President Victoria Underwood, Student Representative 20th Rural Medical Scholars Class Attends Orientation ....6 Congressional District Representatives Family Medicine Residency Graduate Retention James Henderson, MD Data for the State of Alabama, 1976-2014 ........................10 Deanah Maxwell, MD Kim Owens, MD Zika Virus Update ...............................................................12 Mark Tafazoli, MD David Bramm, MD Terminating the Physician-Patient Relationship ...............14 Logan Casey, MD Cathie Scarborough, MD Reporting All Positive Laboratory Results of HBsAg ........15 AAFP Delegates The Missed Opportunity of the Medicare *Tonya Bradley, MD (’17) Annual Wellness Visit ........................................................16 Steve Furr, MD (’16) Medical Students Paired with Community Physicians ......18 AAFP Alternate Delegates Julia Boothe, MD (’16) VCOM-Auburn Inaugural Class Attends Campus Jerry Harrison, MD (’17) Orientation, Kicks Off School Year ....................................19 Scope Managing Editor Jeffrey E. Arrington Medical Students, Family Medicine Residents Start Alabama Academy of Family Physicians New Culinary Medicine Course .........................................20 19 South Jackson Street Montgomery, Alabama 36104 Annual Meeting and Scientific Symposium 334-954-2570 Toll-free: 877-343-2237 Registration Form ...............................................................22 Fax: 334-954-2573 [email protected] Consultants Directory .........................................................23 www.alabamafamilyphysicians.org Mission: The Scope of Family Medicine is intended to provide timely and useful information of interest to our chapter members, as well as provide informa- tion about the policies and activities of the chapter. Like us on Facebook! Advertising Policy: Advertising is accepted that is deemed to be in harmony with the mission of Scope Follow us on Twitter! and the interests of the members of the Alabama Chapter. Advertising of tobacco and alcohol prod- ucts is expressly prohibited. Additionally, material that is found to be unethical, misleading or morally The Scope of Family Medicine is published by Innovative Publishing. objectionable is also not permitted. 10629 Henning Way, Suite 8 • Louisville, Kentucky 40241 • Phone 844.423.7272 • Fax 888.780.2241 Innovative Publishing specializes in creating custom magazines for associations and businesses. The views and opinions expressed in Scope do not Please direct all inquiries to Aran Jackson, [email protected]. necessarily reflect the policy of the Alabama Acad- emy of Family Physicians. Published March 2016 • 2016/1 www.innovativepublishing.com 20th Rural Medical Scholars Class Attends Orientation Program Celebrates Milestone Anniversary of Producing Family Medicine Physicians for Rural Areas of the State The 20th class of the Rural Medical Scholars Program was admitted by The University of Alabama (UA) College of Community Health Sciences, and a day of orientation was held for the class and this year’s class of Rural Community Health Scholars on August 18, 2015, at Camp Tuscoba Retreat Center in Northport, Alabama. The orientation was more than introductions and program expecta- The Rural Community Health Scholars Program is for graduate tions — it was the starting point of a year of preparation to pur- students not enrolled in the Rural Medical Scholars Program who sue scholars’ goals, said Susan Guin, associate director of the Rural are interested in health care careers. The program prepares students Medical Scholars Program. to assume leadership roles in community health in rural areas. The graduates of the program have entered the fields of public health, “This coming year will be a time of developing lasting relationships health administration, nursing and physical therapy, and they have with their peers and mentors who will be a source of friendship and continued their professional training to become nurse practitioners, support as they continue their education and into their careers,” Guin physician assistants, public health practitioners, physicians, teachers said. “Through the years, this support has come in many forms and and researchers. from many sources, so we invite partners from around the state to join us in welcoming the newest class of scholars.” Rural Community Health Scholars this year are: Januar Page Brown of Enterprise, Amellia Cannon of Duncanville, Dylan The Rural Medical Scholars Program is for rural Alabama students Drinkard of Thomasville, Caleb Mason of Guntersville, Johnny who want to become physicians and practice in rural communities. Pate of Moundville, Kristin Pressley of Harvest, and Jeremy Wat- The program includes a year of study, after students receive their son of Tuscaloosa County. undergraduate degree, which leads to a master’s degree in rural com- munity health and early admission to The University of Alabama The orientation included an overview of the health needs of rural School of Medicine. Rural Medical Scholars spend the first two communities and the mission of the Rural Health Leaders Pipe- years of medical school at the School of Medicine’s main campus in line, a series of programs that recruit and support rural Alabama Birmingham and then return to the college for their final two years students who want to be health care professionals in rural and of clinical education. underserved communities. Members of the Rural Medical Scholars 20th class are: Anooshah Program directors and professors discussed academic expectations Ata of Scottsboro, Helen Cunningham of Barnwell, Tanner Hall- and community involvement, which include recruiting and outreach man of Arab, Storm McWhorter of Prattville, Carson Perrella of to rural youth. Salem, Johnson Pounders of Leighton, Jayla Robinson of Addi- son, and Harriet Washington of Carrollton. Students spent time getting to know one another and were introduced to college faculty and other UA faculty associated with the program. 6 The Scope of Family Medicine Physicians 1717-11 8 The Scope of Family Medicine Medical Billing, Practice Management, and EHR software Innovation comes in small packages Check out our NEW website & store www.MedLookUSA.com Citizen Brave Office Starter Billing Starter $ $ MADE IN One user/month ALABAMA One user/month 401 year license 301 year license 835-ERA • EHR • Scheduling 835-ERA • EHR CMS 1500 • UB04 • ICD-10 CMS 1500 • UB04 • ICD-10 Freedom MedLook Office Plus Online – 24/7 VictoryBilling Plus Anytime & Anywhere $ $ $ Two users/month Two users/month 2 year license One user/month 2 year license 80Additional Users $30/user/month 60Additional Users $20/user/month No Contract, Cancel Anytime 50Additional Users $50/user/month 835-ERA • EHR • Scheduling 835-ERA • EHR 835-ERA • EHR • Scheduling CMS 1500 • UB04 • ICD-10 CMS 1500 • UB04 • ICD-10 CMS 1500 • UB04 • ICD-10 www.MedLookUSA.com Family Medicine Residency Graduate Retention Data for the State of Alabama, 1976-2014 by William H. Coleman, MD, Director, Office for Family Health Education and Research, The University of Alabama at Birmingham School of Medicine labama’s family medicine residency programs have produced more Table 2: Average Retention of Family Medicine Residency A than 800 doctors for the state since 1976, which is approximately 75 Graduates by Decade percent of all family doctors practicing in Alabama today. The programs are also the only major supplier of rural primary care physicians. Decade Retention Rate 1976-1985 49 percent A detailed analysis of the demographics of Alabama’s family medicine 1986-1995 53 percent residency graduates supports advocating for increased resources for these programs and for the development of educational models that produce 1996-2005 54 percent more family physicians for Alabama. To provide this analysis, medical 2006-2014 62 percent students at The University of Alabama at Birmingham (UAB) School of Medicine tracked the practice locations of every graduate of an Alabama family medicine residency from 1976 to 2014 and found 827 are cur- Table 3: Alabama’s Family Medicine Residency Graduates rently in practice in Alabama. Historically, a little over half (52.3 percent) by Location of these graduates set up practice in rural Alabama. In-State Out-of-State Total The state’s first family medicine residencies were at The University of Practice Practice Alabama School of Medicine campuses in Huntsville and Tuscaloosa. Urban 343 256 599 Both programs graduated their first classes in 1976. Since then, the state (47.7 percent) (36.7 percent) (39.3 percent) has seen a total