Minnesota July/August 2015 Family Physician

Update from the AAFP Commission on Governmental Advocacy By Julie Anderson, M.D., MN AAFP Delegate and MAFP Past President

I have the honor of representing 0.5 percent each year the MAFP on the AAFP Commission through 2019. The updated on Governmental Advocacy. The payment will not change Commission’s role is to guide the from 2020 through 2025. Academy's advocacy efforts before the However, physicians in federal government and assist the state alternative payment chapters in their advocacy efforts. models, such as patient- centered medical homes, The Commission met in May during will earn a 5 percent update the Family Medicine Congressional in payment rates each year. Conference (FMCC) in Washington, More to come and D.C. This year, we highlighted the value rest assured that our of family medicine and encouraged Commission will be transparency in GME funding, however, monitoring any issue Julie Anderson, M.D., and M. Tariq Fareed, M.D., MAFP president, with U.S. Senator for Minnesota, Al Franken, it would have been a major oversight pertinent to family during a recent breakfast meeting in Washington, D.C. not to celebrate the repeal of the SGR. physicians. The AAFP notes that the Medicare payment reform bill includes more As your representative to the issues important to Family Medicine, I than reform of the Medicare physician Commission, I am always happy to would highly encourage you to attend fee schedule, it also provides funding provide a voice to any concerns that a future Family Medicine Congressional for CHIP, community health centers you may have, whether they be at a Conference. You will learn about issues and the National Health Service Corps state or federal level. Please feel free important to your practice, hear from for two more years and includes $60 to get in touch with me by sending an legislators who are involved in health million a year for two years for the email to jkanderson@stcloudmedical. policy, learn how to lobby, and head Teaching Health Center Graduate com. out to meet with your Senators and Medical Education program. The Congress person. It is a very rewarding Side note - if you ever have the interest current payment rate in the Medicare experience! physician fee schedule will rise 0.5 and want the opportunity to meet with percent on July 1, 2015, and another your Congressional legislators about

3 The Minnesota Academy of Family Physicians (MAFP) promotes PRESIDENT’S MESSAGE the specialty of family medicine in Minnesota and supports PAPER OF GREATEST INTEREST 6 family physicians as they provide high quality, comprehensive BULLETIN BOARD 7 and continuous medical care for patients of all ages. PRACTICE OPPORTUNITIES 9 membership Report New Active & Supporting New student members Members University of MN mafp membership Duluth Campus Central Chapter Michael Boerner (as of 5/31/15) Jasmine Folger Latterell, M.D., Clearwater Eric Curto Arvin Silva, M.D., North Branch Hailey Roberts Active = 2,092 Rebecca Zimmerman Range Chapter Teresa St. George, M.D., Mountain Iron Resident = 212 University of MN West Metro Chapter Twin Cities Campus Rekha Kalidindi, MBBS, Rogers Arie DeGrio Student = 345 Seth Taylor, D.O., Loretto Melissa Eelkema Josh Farley Life = 321 Danielle Francen New student members Robyn Hegland Patrick Hoversten Inactive = 31 Mayo Michael Jaeger Shermonti Hasan Katherine Weir Sharon Kim Supporting = 3 Quincy Nang Sherrill Rose Total = 3,004 Lydia Wheeler

This issue of Minnesota Family Physician is brought to you by the U.S. ARMY.

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 Sept/Oct 2015 issue are due by 8/24/15. 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 Kelly Bellomy - Membership Coordinator Deborah Dittberner, MD - Park Region Roli Dwivedi, MD - Officer-At-Large Lisa Regehr - Program Director Linda Bergum, MD - Range Deborah Dittberner, MD - Director-At-Large Kristie Thorson - Communications Specialist Scott Pauley, MD - Southeast Maria Huntley, CAE - Executive Vice President Missy Machkhashvili - MAPA Executive Director To be determined - Southern Samuel Hanson-Willis, MD - West Metro

2 July/August 2015 www.mafp.org A Message from the MAFP President membership Dear Fellow Family Physicians... M. Tariq Fareed, MD I attended the AAFP-sponsored Family Medicine Congressional Our annual House of Delegates Conference (FMCC) on May 12th & 13th in Washington, and Spring Refresher education D.C. This was not an official responsibility, rather I went as a event is scheduled for April general member due to my personal curiosity and interest in 13-15, 2016. At a recent CME advocacy. committee meeting, we reviewed feedback provided to us by Spring FMCC aims to promote grass roots advocacy to stay aware, Refresher attendees which will engaged and involved. It helps to track legislation by help us make positive changes for monitoring how our legislators stack up on the issues pertinent future. to family medicine. It provides an opportunity to be part of an important group of AAFP members who can speak out We are also conducting through the AAFP website, email, or telephone to legislators/ preparatory meetings ahead of lawmakers or decision makers on significant issues that affect our committee kick-off meetings family medicine. to help plan for the year and provide metrics for accountability. We continue to encourage The first day was spent educating members about pertinent electronic communications with MAFP board and committee legislative issues through speeches and breakout sessions. members to help promote the lean process and stay “green”. With the recent repeal of SGR by Congress, there was a sense We are currently using the “MyCommittee” online committee of relief and jubilation amongst the attendees. Currently, management tool to conduct business. the areas of focus involve value of primary care, graduate medical education transparency, family caregivers and family Our budget for the 2015-2016 fiscal year was approved by the medicine’s fiscal year 2016 appropriations request. Attendees Board of Directors. It focuses on our fiduciary responsibility also spent a day on Capitol Hill meeting with their legislators or for fiscal health and also on re-investing by promoting their staff. Appointments are arranged by AAFP’s Government leadership and staff training, upgrading technology, etc. We Relations office. These meetings helped initiate relationships are committed to exploring new ideas of improving our that are crucial for us to promote advocacy. income with non-dues revenue generation, grant funding opportunities and sponsorships. Julie Anderson, M.D., also attended the conference as she is on AAFP’s Commission on Governmental Advocacy. We both had We continue to promote member engagement and will explore an opportunity to join Senator Al Franken from Minnesota for newer ideas of connectivity and feedback. We are on social breakfast. We also met with staff of Senator Amy Klobuchar, media, including Facebook, Twitter, and YouTube. We will as well as representatives Tom Emmer, Keith Ellison and Erik continue to encourage our members to like our Facebook page Paulsen. These were very important meetings for the MAFP as and follow us on Twitter. We may even conduct a meeting we work to create and build relationships with legislators and using Twitter this fall! promote advocacy. We are committed to leadership development and One important side note, AAFP has a ‘Key Contacts’ program engagement. We are successfully working on the new concept to connect with legislators at the national level. ‘Key of committee leadership with the appointment of vice chairs. Contacts’ works in conjunction with the AAFP’s Government This provides opportunity for mentor/mentee relationship and Relations staff to ensure family medicine issues are heard in enhances the pool of candidates for future leadership roles. Washington, D.C. We hope to adopt a similar ‘Key Contacts’ program for Minnesota legislators and may get help from the Finally, we plan to conduct a “Primary Care Summit” this fall AAFP’s Government Relations office to set it up. or winter to engage our primary care colleagues and promote Erica Gathje, MD - Resident Director collaboration on matters of mutual interest. This helps foster Elizabeth Hillebrand - Medical Student Director In other news, for the first time we will be conducting a Board a united stand at the state level from all groups representing Javid Saleem, MD - Special Constituencies Director orientation and training session to help members of the Board primary care. of Directors understand their duties and responsibilities. Our newly-approved strategic plan will serve as a road map and We do have the passion and energy to bring about positive provide focus to the Board on the MAFP’s mission and goals change! We are looking for volunteers to join us in this for the next 3 to 5 years. The trend is for shorter strategic endeavor. Please contact me at [email protected] with plans that are compelling to members and stakeholders. We ideas, suggestions and feedback. are also in the process of updating our MAFP bylaws. Once the proposed changes are approved at the next House of Delegates, they will become official.

Minnesota Family Physician 3 Executive Vice President Insight As I am approaching my first month WHAT’S anniversary with the Academy, I am already finding myself feeling HAPPENING accomplished and inspired about the future of the organization. I hit the ground running when I took over, and I haven’t paused or looked back since.

It has been incredibly valuable for MAFP Member News me to have had the opportunity to engage in the strategic planning A project by Patricia Fontaine, process as we identify what our M.D., Senior Clinical Investigator, priorities will be for the next HealthPartners Institute for Education three years. The strategic planning Maria Huntley, EVP, MAM & Research, was published in the July committee was comprised of 2015 issue of the Journal of General both seasoned and new members, Physicians (AAFP). The AAFP Internal Medicine. This research including those from rural and State Legislative Conference will be publication, Early Experience with metro areas, the MAFP Foundation coming to Minneapolis on November Medical Home Implementation: and members from other diverse 6 & 7, 2015. This will be a great Viewpoints from the Front Lines, backgrounds. Through meetings opportunity for local members analyzed in-depth interviews with and surveying members in several physicians and staff at the first clinics to attend this valuable program. in Minnesota to become healthcare In addition, we are homes. The research included both collaborating with small and large clinics, as well as the AAFP legislative urban and outstate clinics. The article staff to develop an can be found in Volume 30, Issue 7. additional grass roots training program that Macaran Baird, M.D., is the recipient we can offer to our of the 2015 Thomas W. Johnson leaders and legislative Award for Career Contributions to committee members. Family Medicine Education. This We are also working to award recognizes persons who, in bring an AAFP CME the opinion of the AAFP Board of program and some Directors, have made outstanding additional SAMs to contributions to education for family Minnesota in 2017. medicine in undergraduate, graduate This is in the early and continuing education spheres. Members on the Strategic Planning Task Force work to planning stages, but Elizabeth Lownik, M.D., is a recipient create a road map for the Academy’s future. we will keep members of the 2015 AAFP Award for Excellence updated as details become available. in Graduate Medical Education. This capacities the group used current and award, supported by a grant from historical data to draft a plan that was I continue to be very excited about Novo Nordisk, recognizes outstanding presented and approved by the board the opportunity to work with the family medicine residents for their at the June 20th meeting. We are Academy and to help represent and leadership, civic involvement, excited to share the plan with you in enhance the profession of family exemplary patient care, and aptitude the months to come! We will keep medicine. I look forward to meeting for and interest in family medicine. you updated on the progress of our many of you in person in the coming William Davis, M.D., Winona, was plan throughout the year, so please months. honored with a Lifetime Achievement keep your eyes and ears open. Award from the Cerner Corporation, If you have ideas/suggestions that I am also excited to share with you a you want to share with me about a global healthcare technology couple of collaborative opportunities company, for his work in developing how the Academy can be supporting that we are working on with the you, I can be reached at mhuntley@ an advanced electronic medical American Academy of Family records system. mafp.org.

4 July/August 2015 www.mafp.org “The Ask About Aspirin Initative” Working with Your Patients to Reduce Their Risk of a First Heart Attack or Stroke

Because cardiovascular disease Community Measurement, and remains a key health challenge the Institute for Clinical Systems in our state, the Minnesota Improvement. Philanthropic funding Heart Health Program (MHHP) and a National Institutes of Health has launched an innovative, grant support the program’s activities. statewide initiative, “Ask About Aspirin”, to help lower the “MHHP has established a strong number of first heart attacks tradition over the past 35 years of and strokes. As members of creating partnerships that improve the largest medical specialty cardiovascular health across the state group in the state, you have and the nation. “Ask About Aspirin” the opportunity to reach large is its latest initiative,” said John R. numbers of patients to help Finnegan Jr., PhD and Professor and them avoid these events. Dean, Assistant Vice President for Public Health, University of Minnesota “Ask About Aspirin” School of Public Health. encourages Minnesotans to start a conversation with The program has two components: their physician about whether a statewide public awareness they should take daily low- campaign and a health system quality dose aspirin to help prevent improvement initiative. The public cardiovascular disease. While awareness campaign began in May, and many consumers have heard will continue for four years. The health of this life-saving measure, system quality improvement initiative each individual needs to will be rolled out in two phases over assess, with their physician, the next four years. Partnerships are if it is appropriate for them,” said Alan T. Hirsch, MD and being created with health systems across Minnesota. Director of MHHP and of the Vascular Medicine Program at the University of Minnesota Medical School. Through these partnerships, clinics and health systems realize key benefits from program participation: Using low dose aspirin on a daily basis has been proven to lower rates of a first heart attack or stroke. However, fewer • Access to a CME-accredited health professional than one in three people at risk in Minnesota do so. training webinar on primary prevention aspirin use

“The success of this initiative is dependent upon the expertise • Patient educational materials of physicians, and the rapport they’ve developed with • Quality improvement electronic health record tools their patients. We are committed to providing healthcare professionals with the informational tools needed,” • Help with project implementation via practice commented Russell V. Luepker, MD, MS, Mayo Professor in facilitators the Division of Epidemiology in the School of Public Health, University of Minnesota. • Public relations and communications support

The “Ask About Aspirin” initiative was designed by the Lillehei • Improved health outreach to existing and Heart Institute at the University of Minnesota Medical prospective patients School in partnership with the school of Public Health, • Reinforcement of a health system’s public the Department of Family Medicine, other University of commitment to improve the health of Minnesotans Minnesota partners, the Minnesota Department of Health, and a broad-based Community Advisory Board. This board Visit www.askaboutaspirin.org to learn more about the includes the Minnesota Academy of Family Physicians, initiative. Contact Karen Miller at 612.624.5961 orkhmiller@ the American Heart Association, the Minnesota Medical umn.edu regarding partnership opportunities. Association, the American College of Cardiology, Minnesota Minnesota Family Physician 5 TITLE OF RESEARCH METHODS vaccines and talking about vaccines to parents amongst clinical staff. ARM THEM- An Intervention to The intervention comprised several Additionally, while overall staff felt Improve Somali MMR Immunization individual components which that vaccines were safe, effective Rates at a Minneapolis Family were implemented stepwise and and necessary, over a quarter had Medicine Clinic clinic-wide: 1) “Talking points requested a modified schedule or PRESENTER posters” with examples of common refused a vaccine for their child. vaccine questions and answers for Documentation of parental refusal Emily Smith 4th year medical student patient care staff and providers; 2) to vaccinate is currently underway, at the University of Minnesota Documentation each time a vaccine and chart review of MMR coverage is Medical School (Emily is now a is refused at a well child visit using pending. first Year resident at University of the Immunization Action Coalition’s Minnesota Medical Center - Smiley’s) “Decision to Not Vaccinate MENTOR(S) My Child” form; and 3) A new Diane Madlon-Kay, MD, MS OTHER AUTHORS/INVESTIGATORS vaccination support group for Somali Diane Madlon-Kay, M.D., M.S. mothers. The effectiveness of the RESEARCH & INNOVATION intervention is being assessed through FUNDING SOURCES chart review of MMR coverage in the Paper of Greatest UCare Minnesota and the MAFP target population before and after the Foundation interventions, and provider/patient care staff surveys of intervention

OBJECTIVE OR HYPOTHESIS effectiveness and feasibility. Additional Papers of Greatest Interest will be published in future issues the newsletter.

The purpose of this project MAIN RESULTS was to develop and test a clinic based intervention to increase Surveys were completed by clinic MMR (measles, mumps, rubella) providers and patient care staff vaccination compliance by Somali (n=37, 100% response rate). Over parents at Smiley’s Family Medicine 75% of participants felt that vaccine Clinic in Minneapolis, MN. Measles refusal is a big problem in the clinic cases in the United States continue to community. While not statistically rise, with the highest rates reported significant, resident physicians in decades. Minnesota’s Somali tended to have the least positive children are especially vulnerable views regarding vaccines. 32% of to future measles outbreaks given patient care staff and 25% of resident low MMR vaccine coverage amongst physicians had refused a vaccine that community. Previous research for their own child, compared to suggests that Somali parents are a 10% of faculty physicians. Over a unique subset of the anti-vaccination quarter of all individuals surveyed movement who trust their physicians felt that children get too many but have specific concerns regarding vaccines. Knowledge regarding MMR and autism. While some vaccine indications and safety was research has been done on parental lowest amongst the patient care staff. vaccination refusal, little evidence Greater than 80% of participants supports any particular intervention felt that vaccines were safe, effective strategy, and no recommendations and necessary, with no significant currently exist for intervening with differences by staff type. Chart Somali parents. review of MMR coverage among the target patient population is POPULATION underway, results pending.

The intervention is targeted at in- CONCLUSIONS creasing MMR compliance among parents of children 1) aged 2 months While vaccine refusal is generally – 5 years, 2) of Somali descent and acknowledged as a problem amongst 3) receiving medical care at Smiley’s those surveyed, there is a mix of Family Medicine Clinic. perceptions and beliefs regarding 6 July/August 2015 www.mafp.org INTEREST Bulletin Board Health is Primary Campaign MAFP Winter Conference - Selects Minneapolis as a City January 29 - 30, 2016 Tour Stop in 2017 Mark your calendar for the 2016 Winter The Health is Primary campaign Conference taking place announced its future city tour January 29-30 at Arrowwood markets. Minneapolis was Resort in Alexandria, MN. selected for a stop in 2017. Education sessions will draw The goal of the city tour events is from the breadth of the Family to convene local thought leaders Medicine Specialty offering to discuss the future of health something for everyone. There will also be a SAM Session care, with a focus on showcasing on Friday afternoon. This conference is a chance to combine innovation in primary care CME with a winter getaway. delivery and the role of primary care in delivering on the Triple Aim of better care, better health and lower costs. The ICD-10 Compliance conversation will highlight national data and local stories that October 1, 2015, is the new ICD-10 compliance underscore how primary care can improve the health of our date. To help your practice with this transition, nation. The campaign has stopped in Seattle, Raleigh and the Centers for Medicare & Medicaid Services' Chicago, and will visit Denver and Detroit in the fall of 2015. (CMS) is introducing its new Road to 10 Program at http:// Stops in 2016 include Atlanta, Louisville and Newark. www.roadto10.org. Developed in collaboration with small practice physicians from a variety of specialties, Road to 10 Residency Opportunities provides free and actionable tools, information, and training to support your ICD-10 journey. As part of the Road to 10 Pro- and Procedure Workshops gram, CMS has also launched webcasts and training designed to support your ICD-10 transition. On the left-hand navigation The MAFP will host Residency Opportunities & menu of the Road to 10 homepage, click the "Webcasts" tab to Procedure Workshops on September 19, 2015, view the latest on-demand sessions, or click the "Events" tab at the Ramada Plaza Minneapolis. Medical students are for more information about in-person training opportunities. invited to explore family medicine residency opportunities & take part in hands-on procedure workshops. Brunch will be 2015 AAFP State Legislative provided and you are welcome to bring a guest. There will be a drawing at 11:00 a.m. (you must be present to win) for great Conference in Minneapolis prizes! This event is an open house from 9:00 a.m. - 1:00 p.m. Save the date! The 2015 AAFP State Legislative so you can arrive when you want and stay as long as you want Conference will take place November 6 - 7, (depending on how many workshops you want to pack in). To 2015, at the W Hotel - Foshay in Minneapolis. The conference sign-up now, send an email with your contact information to provides members and state chapters an opportunity to Lisa Regehr at [email protected]. discuss important health policy issues trending across the nation. The meeting will feature speakers on a variety of topics including prescription drug abuse, Medicaid, state and national perspectives, workforce, and other matters affecting AAFP members across the nation. Family Physician Volunteers Needed for Diabetes Expo Family physicians are needed to volunteer in the “Ask the Expert” area at the American Diabetes Association Expo at the Minneapolis Convention Center on Saturday, October 10. Please visit http://diabetesmn.wufoo. com/forms/diabetes-expo-hcp-volunteers/ to complete a Volunteer Interest Form. Minnesota Family Physician 7 Foundation Scholars: Caring for Special & Diverse Patients Partnering with medical student scholars, resident researchers, and innovative family physicians, the MAFP Foundation has established a unique portfolio of health improvement, research, and education programs focused on enhancing the health of Minnesota’s diverse communities and special patient populations. Barriers to Primary Care Among Somali Immigrants In an effort to identify emergency department usage patterns and barriers to accessing primary care among Somali families, five trained research personnel administered questionnaires to 125 newly-immigrated Somali patients and 125 non- immigrant patients (comparison group) within St. Cloud’s CentraCare system. The results will assist in defining barriers that prevent Somali immigrants from accessing primary care clinics for non- emergency health concerns and enable physicians to improve family medicine care access. Researcher: Srikanth Dakoji, MBChB, PhD St. Cloud Residency Providing Better Care for Transgender Patients Transgender and gender nonconforming (TGNC) patients face a continuum of perceived and actual barriers when accessing quality health care. Trans-identified patients reported poor quality health care at a higher rate than non-transgender identified people (44% compared to 25%). With mentorship from Carrie Link, M.D., and Smiley’s physicians, Dr. Amanda Hinrichs will interview and analyze findings regarding how care for TGNC patients can be improved throughout Minnesota and the United States. Representatives and leaders from the transgender and gender non-conforming patient community will participate in the development and design of this study. Researcher: Amanda Hinrichs, D.O. University of Minnesota Medical Center Residency

Improving Healthcare for Persons with Autism Approximately 1 in 88 children have been diagnosed with autism spectrum disorder. Preparing providers to care for persons with autism requires improved communication, greater access to community resources, as well as new clinical and educational tools. Srikanth Dakoji, MBChB, PhD, Foundation Research Scholar Dr. Dakoji’s work aims to better understand St. Cloud’s Educational sessions to assist care providers and community Somali community health care needs and care use patterns. first responders will focus on creating Persona First Language skills, developing social stories for clinical visits, and using sensory tools to care for and comfort patients with autism. Innovator: Melissa Zant, M.D. United Family - Allina Residency

8 July/August 2015 www.mafp.org October 9 - 11, 2015 . Rosemont, IL Celebrating Diversity: Our Patients, Our Communities and Ourselves!

The Family Medicine Midwest Conference will be held October 9 -11 at the Loews O’Hare Hotel in Rosemont, Get more information, register online, and apply for Illinois. The conference is packed with topical peer- scholarships at: reviewed education and presentation sessions for faculty, residents and students along with social www.iafp.com/family-medicine- events! Network with your family medicine friends midwest-conference from across the Midwest, plus there will be employer exhibits and learning opportunities for everyone. Medical Student Scholarships available. Scholarships Headline Speakers for FMM 2015 will be Wanda Filer, are $200 or $400 depending on where you live and MD, MBA, currently the president-elect of AAFP, and how far you’ll need to travel, and include conference Fred Richardson, Jr., MD, FAAFP. Dr. Richardson’s registration. You must apply by August 16th, BUT apply Neighborhood Family Practice was recently featured in early as scholarships will be assigned in the order they the Chicago Tribune and on NBC’s Today Show. are submitted.

Practice Opportunities

Urgent Care Moonlighting Opportunity in Minneapolis: Independent physician- Family Medicine-OB – Faculty Academic Practice - Minneapolis HCMC owned urgent care clinic located conveniently near Uptown in Calhoun Village Family Medicine Residency Program is seeking a FT faculty physician. We Shopping Center on W. Lake Street, seeking moonlighting physicians! Flexible provide full spectrum training including obstetrics and inpatient medicine hours, great location, friendly staff, competitive pay! Call Niki at 612-229- with an emphasis on practice in underserved communities. Responsibilities 1072 or email [email protected]. Please visit our website at www. include teaching residents/students in clinic and hospital settings, developing twincitiesmedicalclinic.com. an outpatient practice and sharing OB and inpatient call supervision of residents. Applicants must be BC, provide full spectrum care, adept in EBM and Riverwood Healthcare Center – A state of the art facility equipped with the share a passion for serving all patients. Each faculty member is encouraged latest technology for patient care, designed to enhance health and healing. to develop an area of expertise to contribute to the residency curriculum. We are a fully integrated multi-specialty clinic with three primary care clinics. The program has successfully recruited top quality residents for four decades Featuring all private hospital rooms, a deluxe birthing center and state-of-the- and enjoys excellent morale among residents and faculty. Residents can be art ICU. We have an opportunity available (with or without OB) to practice the involved in Integrative Health and Adolescent Medicine as special areas of full spectrum of Family Medicine within a 4-day work week, and a minimal call concentration. Faculty members are expected to complete the Faculty Devel- schedule (full call 1:30 and back up call for NP Nocturnist 1:10). It is our goal opment Fellowship at the University of Minnesota within the first two years to help you achieve a positive work/life balance while pursing your profes- of employment. If interested, contact: Julie Juba at [email protected] or sional aspirations. Join our growing practice of over 35 physicians, specialists 612-873-5651. Hennepin County Medical Center is committed to providing and surgeons, which includes the 2013 Minnesota Family Physician of the Year. Equal Employment Opportunity & Diversity. To learn more, visit our website at www.riverwoodhealthcare.org or call Tanya Pietz at 218-927-5587 or email [email protected]. Practice Opportunites - Continued on Page 10-11 Minnesota Family Physician 9 Practice Opportunities

Glacial Ridge Health System/Family Medicine or Internal Medicine We are actively recruiting exceptional full-time BE/BC Family Medicine Physician: An ideal balance between your professional and personal life. physicians to join our primary care team at the HealthPartners Central Provide comprehensive care in a clinical and hospital practice. ER coverage Minnesota Clinics - Sartell. This is an out-patient clinical position. Previous available, but not required. GRHS is a progressive 19 bed Critical Access electronic medical record experience is helpful, but not required. We use Hospital with two clinics. Glenwood is a family oriented community with an the Epic medical record system in all of our clinics and admitting hospitals. excellent school system. Recreational opportunities include boating, hiking, Our current primary care team includes family medicine, adult medicine, excellent fishing and hunting. We are halfway between Fargo and the Twin ob/gyn and pediatrics. Several of our specialty services are also available Cities. For more information, call Kirk Stensrud, CEO, at 320-634-4521. Mail onsite. Our Sartell clinic is located just one hour north of the Twin Cities CV to Kirk Stensrud, CEO, 10 Fourth Ave SE, Glenwood, MN 56334 or submit and offers a dynamic lifestyle in a growing community with traditional online at [email protected]. appeal. HealthPartners Medical Group continues to receive nationally recognized clinical performance and quality awards. We offer a competitive Western Wisconsin (Amery and New Richmond): HealthPartners is compensation and benefit package, paid malpractice and a commitment seeking exceptional BC/BE family medicine physicians (with or without OB) to providing exceptional patient-centered care. Apply online at www. for growing rural communities in western Wisconsin. These positions offer healthpartners.com/careers or contact [email protected]. a traditional family medicine practice in small-town rural settings, with the Call Diane at 952-883-5453; toll-free: 800-472-4695 x3. EOE security and stability of a large medical group. Both locations are within an hours’ drive of the Twin Cities. HealthPartners continues to receive nationally recognized clinical performance and quality awards. We offer Outpatient Family Medicine Opportunity at Winona Health in Winona, MN a competitive salary, an excellent benefit package and a commitment to - Winona Health is seeking a Family Medicine physician to join our outpatient providing exceptional patient-centered care. For more information, contact team. Full-time, employed position providing newborn to geriatric services [email protected] or call Diane @ (952) 883-5453. Toll- (no OB). Work in a team model with Associate Providers. Enjoy primarily free: (800) 472-4695 x3. Apply online at www.healthpartners.com/careers. back up home call, modern facility with state-of-the-art equipment and EOE technology, including fully integrated EMR, Dragon, Dynamic Documentation and competitive salary and benefits package. To learn more contact Physician owned Gateway Family Health Clinic, Ltd seeks a Family Medicine Cathy Fangman – 507.301.2296, [email protected] or www. physician to join our new Hinckley clinic. 3-4 day week practice with shared winonahealth.org. hospital call. Full-scope primary care and clinic OB practice (option for colleagues to cover OB call). Generous salary with sign-on and retention Cuyuna Regional Medical Center’s Baxter Clinic is seeking a Family bonus, outstanding benefits, 15% retirement contribution. Shareholder Medicine physician to add to its growing practice. Located in the Brainerd opportunities available. Clinics located in Moose Lake, Sandstone and Lakes Area, CRMC’s Baxter Clinic opened in December 2013. This is a full- Hinckley are centrally located between Mpls/St. Paul and Duluth. The area time outpatient position equaling 36 patient contact hours per week, 1 in 11 provides an excellent family focused, quality of life opportunity in a rural Peds Call schedule, and is a clinic that is experiencing increasing volumes. setting with good public schools, abundant lakes, rivers, state parks, and ideal This position is supported by 40 + subspecialty providers. Very competitive hunting. Contact Eric Nielsen at 218-485-2000 / enielsen@gatewayclinic. comp package, generous sign-on bonus, relocation and full benefits. This is a com www.gatewayclinic.com spectacular career opportunity, so please contact Todd Bymark at tbymark@ cuyunamed.org or 218-546-4322. Fairview Health Services is seeking full-time as well as per-diem moonlighters to work in urgent care, providing care in the communities of Andover, Bloomington, Brooklyn Park, Eagan, and St. Paul. Hours: Monday- Essentia Health is seeking full time Family Medicine physicians (with or Friday, 8am – 10pm; Saturday, 8am – 10pm; Sunday, 10am – 8pm. The acuity without OB-depending on location) to join our growing multi-specialty at these facilities is moderate with physicians providing a broad spectrum of clinics. Locations include; MN- Ada, Aurora, Detroit Lakes, Duluth (float pool), non-emergent care for minor illness and injury. All hospital admissions are Fosston, Graceville, Grand Rapids, Hibbing, Park Rapids, Virginia; ND-Fargo, referred to the physician on-call for these practices. Moonlighters are needed Jamestown, Valley City, Wahpeton; WI-Ashland, Spooner, Superior. These for a variety of shifts at these urgent cares and at other Fairview clinics in the positions offer a base salary with incentives and a competitive benefit metro area. Hours vary by site. Volume fluctuates seasonally. Candidates must package. Essentia Health offers stipends to residents. Certain locations be BE/BC in Family Medicine or Internal Medicine/Pediatrics. Please contact offer NHSC loan repayment. To find out more contact Jodi Lorenson, [email protected] for additional information or call 800-842-6469. EEO/ Physician Recruiter, 701-364-8022, [email protected]. Or AA Employer visit us at www.careers.essentiahealth.org. 10 July/August 2015 www.mafp.org HealthEast Care System is committed to placing "top notch" physicians Fairview Health Services seeks Family Medicine physicians to join us. who support our goal to be a national leader in clinical quality, patient Whether your focus is work-life balance or participating in clinical quality experience and cost effectiveness - best value. We are currently recruiting initiatives, we have an opportunity that is right for you. Our physicians are Family Medicine Physicians to join our practice. HealthEast Clinics provide champions, pioneers and practitioners of new models of care in todays high-quality, compassionate health care. We offer a lifestyle-friendly ever-changing health care environment. Choose inpatient/outpatient schedule; competitive compensation and excellent benefits; exposure to the practice or outpatient-only practices; optional OB. Experience exceptional best and latest clinical skills and new technology; and a team environment practice support including accessible specialist consultations and onsite dynamic. View current openings and apply online at www.healtheast.org. lab and radiology. We offer urban and suburban practices in and around For more information, email Melissa Coulson at [email protected] or the Minneapolis/St. Paul area as well as rural practice opportunities. Work 651-326-2403. 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 care loan repayment and sign-on bonus benefits. OB is desired but not required. specialty with emergency department experience to join our progressive team. Health system outreach resources available. Physicians back up advanced Full-time, 12-hour shifts; 16,000 emergency department visits annually; Level practice providers in clinic and ER. The opportunity to participate in medical III trauma designation; new/remodeled facility in 2010; committed to quality, student and residency training. Critical access hospital, nursing home, evidence-based care and exceptional patient satisfaction; Class of 2001 and dementia unit, independent living apartments and clinic under one roof. 2008 top 100 Hospitals in Nation; competitive compensation and benefits Excellent educational opportunities abound in family-friendly lakes area. package, paid malpractice, CME, relocation, retirement plan and more. Contact Contact: Cassie Tinius, Physician Recruiter, 1-800-835-6652, ext. 57085; Eddie Reif, [email protected], 320-762-6194. [email protected]; www.centracare.com Olmsted Medical Center, a 220 – clinician multi-specialty clinic with North Memorial is presently recruiting BC/BE family medicine physicians. 10 outlying branch clinics and a 61 bed hospital, continues to experience We strongly promote primary care physician practice opportunities with our significant growth. Olmsted Medical Center, rated in 2012, 2013, and 2014 owned and associated clinics; including those that are physician owned, joint as one of Minnesota's top workplaces, is seeking BC/BE Family Medicine ventures and hospital owned. Which means you can choose from large or physician to join our multi-specialty team for our clinic in Spring Valley, MN small and multi or single specialty practice options in metro, suburban or (27 miles south of Rochester). This is a beautiful new clinic building ,with rural locations. These are excellent practice opportunities with comprehensive established patients, and is adjacent to a Nursing Home. Olmsted Medical compensation and benefits packages. Contact: Mark Peterson, Physician Center provides an excellent opportunity to practice quality medicine in Recruiter, North Memorial Medical Center, 3300 Oakdale Ave. N., Robbinsdale, a family oriented atmosphere. Olmsted Medical Center is best known for MN 55422. Telephone (763) 581-2986. E-mail: mark.peterson@northmemorial. its convenient, quality personal primary care. The Spring Valley community com Website: www.northmemorial.com offers small town charm with a historic downtown and community theatre. Golf, camp, fish, hunt, and bike within the beautiful surrounding prairies, Leading the way in innovation. Fairview Health Services is seeking a bluffs and state parks. Contact Deb Cardille (507) 529-6748, dcardille@ Family Medicine physician to provide outpatient primary care services at olmmed.org to hear more about this great opportunity and visit our story at Fairview Clinics – Milaca. Milaca is a beautiful community with easy access www.olmstedmedicalcenter.org to the Twin Cities, located on the Rum River. Our Family Medicine opportunities qualify for either a Resident Stipend or Medical School loan forgiveness. Lakewood Health System is seeking to expand the care team for its Visit www.fairview.org/physicians to explore this and other opportunities. progressive and patient-focused clinics and hospital. Located in Staples, Contact us at 800-842-6469 or [email protected]. EEO/AA Employer Minnesota, Lakewood is an independent, growing healthcare system with five primary care clinics, a critical access hospital and senior living facilities. Lakeview Clinic is seeking BE/BC family physicians to join our indepen- Practice consists of 14 family medicine physicians and 10 advanced practice dent, multispecialty, physician-owned group in the southwest metro. This is clinicians, as well as a variety of on-staff specialists. Competitive salary and a traditional practice opportunity with a 4 day work week in the office and benefits. Relocation and sign-on bonus available. Positions available: Family inpatient care provided at Ridgeview Medical Center, a growing community Medicine – Full-scope practice available (ER, OB, C-Section, Hospitalist, Clinic); hospital in Waconia. Enjoy the best of all worlds, from rural to suburban in Internal Medicine – Hospitalist opportunity available; no call; Emergency one of our 4 sites, and the camaraderie and support found in our group of Medicine. Contact Brad Anderson at 218-894-8587 or bradanderson@ family physicians, internists, pediatricians, OB/GYNs, and surgeons. Family lakewoodhealthsystem.com, or visit www.lakewoodhealthsystem.com. physicians with an interest in obstetrics preferred. Contact Sandra Beulke, MD at 952-442-4461 or at [email protected]. www.lakev- For information about placing an ad in the ‘Practice Opportunities’ section, please iewclinic.com visit http://www.mafp.org/practice-opportunity-ad-information. Minnesota Family Physician 11 Minnesota Academy of Family Physicians Prsrt Std 600 South Highway 169, Suite 1680 U.S. Postage St. Louis Park, MN 55426 PAID Twin Cities, MN Permit No. 3198 Our Specialty is Family Medicine.

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Learn the latest treatments and play an important role in the care of Soldiers and their families. As a physician on the U.S. Army Reserve health care team, you’ll continue to practice in your community and serve when needed. You’ll work with the most advanced technology and distinguish yourself while working with dedicated professionals. You’ll make a difference. To learn more about the U.S. Army Reserve health care team, visit healthcare.goarmy.com/mafp or call 800-235-8159.