Third Quarter 2014 The Scope of Family Medicine A Publication of the Alabama Academy of Family Physicians • www.alabamafamilyphysicians.org President Boothe Q&A PG 6 Colorectal Cancer Screening in Alabama PG 12 2 The Scope of Family Medicine 1305-12.indd 1 2/26/14 12:18 PM 1299-11.indd 1 10/31/13 2:15 PM The Scope of Family Medicine Fall 2014 Officers *Julia Boothe, MD, President *Drake Lavender, MD, President-elect Pamela Tuck, MD, VP Southeast (’15) Jarod Speer, MD, VP Northeast (’16) Boyd Bailey, MD, VP Southwest (’17) Tracey Jacobs, MD, VP Northwest (’18) *Mike McBrearty, MD, Treasurer Jeffrey E. Arrington, Executive Vice President (*indicates member of the Executive Committee) Board of Directors *Tom Kincer, MD, Chair Vikus Gupta, MD, At Large (’15) Beverly Jordan, MD, At Large (’16) Michael Goodlett, MD, At Large (’17) Nelson Cook, MD, Calhoun County Branch Allen Perkins, MD, Gulf Coast Branch Lisa Columbia, MD, Jefferson County Branch Contents Ashley Butts-Wilkerson, MD, Resident Chapter President President Boothe Q&A ...........................................................6 Nick Tinker, Student Representative Groups Prepare to File Applications for Congressional District Reps RCO Probationary Status ........................................................8 Steve Donald, MD – District 1 Deanah Maxwell, MD – District 2 Stabilizing Physician Workforce Is Basis for Kim Owens, MD – District 3 Mark Tafazoli, MD – District 4 “Bump” Extension ...................................................................9 Laura Satcher, MD–District 5 Logan Casey, MD – District 6 Presenting ... the AAFP Awards!............................................10 Ray Brignac, MD – District 7 2014 Alabama Academy of Family Physicians AAFP Delegates Fall Forum Agenda ................................................................ 11 Steve Furr, MD (’15) Melissa Behringer, MD (’16) Colorectal Cancer Screening in Alabama .............................12 AAFP Alternate Delegates Politics and Unlikely Bedfellows ............................................ 14 Jerry Harrison, MD (’15) Tonya Bradley, MD (’16) Classifieds .............................................................................. 17 Consultants Directory ...........................................................18 Scope Managing Editor Jeffrey E. Arrington Thank You, Advertisers .........................................................18 Alabama Academy of Family Physicians 19 South Jackson Street Montgomery, Alabama 36104 334-954-2570 Toll-free: 877-343-2237 Like us on Facebook! Fax: 334-954-2573 [email protected] Follow us on Twitter! 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. Advertising Policy: Advertising is accepted that is deemed to be in harmony with the mission of Scope and the interests of the members of the Alabama Chapter. Advertising of tobacco and alcohol prod- ucts is expressly prohibited. Additionally, material The Scope of Family Medicine is published by Innovative Publishing. that is found to be unethical, misleading or morally 10629 Henning Way, Suite 8 • Louisville, Kentucky 40241 • Phone 844.423.7272 • Fax 888.780.2241 objectionable is also not permitted. Innovative Publishing specializes in creating custom magazines for associations and businesses. Please direct all inquiries to Aran Jackson, [email protected]. The views and opinions expressed in Scope do not necessarily reflect the policy of the Alabama Acad- emy of Family Physicians. Published September 2014 • 2014/3 2014 Published September www.innovativepublishing.com President Boothe Q&A Dr. Julia Boothe received her undergraduate degree in biology from the Univer- sity of Alabama. She completed her medical school training at the University of Alabama School of Medicine in Birmingham, Alabama. Dr. Boothe was a Rural Medical Scholar at the College of Community Health Sciences in Tuscaloosa, Alabama, and she earned a master’s degree in public health from the University of Alabama at Birmingham School of Public Health. She completed her residency training at the Tuscaloosa Family Medicine Residency Program, Tuscaloosa, Alabama, in June 2005. Dr. Boothe became board-certified in family medicine in July 2005. She is the owner of and practices at the Pickens County Primary Care in Reform, Alabama. The Scope of Family Medicine recently had an opportunity to sit down with our new president and get to know her a little better. What was the reason you chose a career surgical physician’s assistant. I had some great in family medicine? conversations with a PA and an orthopedist As a fifth-grader, I did an extra-credit project who helped me decide surgery wasn’t for me while studying “the body” about the pulmo- and supported my confidence in choosing nary and circulatory systems. After learning to go to medical school. As an undergradu- how interesting those systems were, I was ate student at the University of Alabama, I hooked. The body and all its intricacies were worked in medical records at Capstone (now very interesting. As soon as I was able to start University Medical Center) and was able to volunteering (13 years old) at the local hospi- be around medical students, family medicine tal, I volunteered every summer. It was over residents and attendings. I then knew family 25 years ago, so I was able to offer my time in medicine was going to be for me. the operating room at West Alabama General Hospital (now Northport DCH). I was drawn What is your favorite part of to the interesting cases and had the opportu- family medicine? nity to talk quite often with multiple surgeons I love the continuity of care. The benefit (when dressed out in scrubs with masks, hair of practicing in a rural area is true “family caps, etc., they really didn’t know how young medicine.” I have multiple entire families that I was). It was a great time of exposure that I care for — it sure makes the family history helped me make a very educated choice to be much easier to document. I most enjoy my cialty clinic patient, but I was with her and her a primary care doc. Initially, I wanted to be a time in the exam room with my patients. If I family through an episode of septic arthritis in could just do that all day, it would be perfect. the hospital, so they switched and started fol- The reality is, there are many other things lowing with me in my private family medicine that must happen for that time to remain. My clinic. When I finished residency and moved patients represent all walks of life, and their to Carrollton, she and her entire family fol- problems run the gamut of The Washington lowed me — I was actually geographically Manual. It’s a very challenging practice, but even closer to her. I continue to care for her I wouldn’t change a thing. I never have a dull and her family and have been with her through day, and I know my patients need and appre- various complications that are encountered ciate me and that I am where God has called by sickle-cell patients. Over the years, I have me to serve. taken on her grandparents, great-grandparents and other extended family members. Seeing Is there a particular patient encounter her through the years is very rewarding, and from your early days that you still think as she grows up before me, it reminds me how about today? important it is for us to always advocate for There are so many. One that sticks out is prob- our patients and that we as physicians must ably the longest-running encounter that I’ve do our best every day for every patient. Years had. As an intern in Tuscaloosa, I encountered ago, she didn’t arrive with an advocate in a young sickle-cell patient with acute crisis the health care setting but has developed that who had some complications. She was a spe- through the years. 6 The Scope of Family Medicine Where do you see the practice of family medicine in 10 years? If only any of us really knew. My hope is that family medicine will lead the front of primary care as health care delivery continues to evolve. As primary care providers “from the womb to the tomb,” we are situated in a great position to advocate for all of the citizens of Alabama and America through the process of change that we are entering in health care. I see us working more with patients to help them make decisions specific to their needs. Right now, we more often refer to algorithms than use the art of medicine to make choices. Going forward, I see there being many more choices on the front end; patients are going to have more cost choices that they are not used to having to make. We, as family medicine providers, will have to educate ourselves more and more to help our patients as consumers rather than just as patients. Dr. Boothe lives in Coker, Alabama, with her husband, Aubrey, and their two children, Laura Adelynn (12) and Sarah Beth (7). Please join us in welcoming your 2014-2015 president, Julia Boothe, MD. Alabama Academy of Family Physicians 7 Medicaid Groups Prepare to File Applications for RCO Probationary Status Representatives of the organizations wishing to apply for status as a probationary regional care orga- nization in Alabama met with Agency officials and consultants in Montgomery on July 22 to review the application process and receive preliminary data. Twelve organizations have submitted a Notice of Intent to apply for probationary certification. Dr. Don Williamson, chair of the Alabama Medicaid Transition is unique compared to other states, with no other states operating Task Force, provided an update to the group on pending changes a risk-based program in the same financing environment. to the state’s administrative code and on decisions made thus far. Most recently filed rules include provisions on network adequacy, “I want people to understand that there is a unique balance that we provider standards committees and reimbursement rates.