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September 2005 News

  September 7 Begins our New Program Year

Mark your calendar and be a regular attendee of Grand Rounds. For our new physicians, Grand Rounds are scheduled 8:00 a.m., Wednesday at St. Luke's RMC in the Anderson Center, 12:30 p.m. at Mercy Medical Center in the Winter Room, 8:00 a.m., Thursday at the VA Medical Center in the library conference room and 8:00 a.m., Friday at Saint Alphonsus in the Centennial Room. Grand Rounds are planned for the primary care provider but will be useful to virtually any specialist. All Grand Rounds provide one hour of Category I CME credit and your attending will automatically be added to your individual credit report. This year's first presenter will be Margaret Doucette, D.O. addressing "The Advances in Wound Healing and Hyperbaric Medicine". We hope you'll make ACMEC a part of your routine in the year ahead.

  2005 Needs Assessment Results

Response to this year's needs assessment survey have exceeded expectations. ACMEC has received several hundred requests for topics. A list of topics that is greatly expanding and indicative of the explosion of medical information.

Top requests continue to be obesity, diabetes, HTN, pain control, and psychopharmacology. There was a trend toward pediatrics in the request, from neonatology to the adolescent workup. Another trend seemed to focus on geriatric issues with numerous requests for talks on dementia, stroke management, and heart failure.

We asked you for feedback on how much an hour of CME is worth and how you view bias in our Grand Rounds presentations. We were pleased by 89% responding that the programming was balanced. We will need to continue to work towards relieving bias and recognize that it is an inherent issue in using industry support.

You also told us (61%) that $10-30/hr credit was about right for an hour of CME. As we struggle with financing CME into this new ERA, we will take your input into our decision making process.

Our thanks to all that took time to provide input.

  New Digs at Saint Alphonsus RMC

Beginning September 9, our weekly Grand Rounds at Saint Alphonsus RMC will move to a new structure next to the Liberty building. Parking is readily available. The Liberty building is directly behind the main Saint Alphonsus campus off of Liberty Street. The new structure will retain the designation of the Centennial Suite. Call us if you need directions.

  Congratulations Dr. Allen

The 2005 graduating class of the University of Washington School of Medicine named Dr. Suzanne Allen, Family Physician, Family Medicine Residency of Idaho faculty member, and ACMEC Board member, the WWAMI distinguished Teacher of the Year. CONGRATULATIONS!

 

  Anderson Center - Wednesday, 8:00 a.m.

28 Gary Richwald, MD, Past Director and Chief Physician, Los Angles County STD Program.

  Mercy Medical Center - Wednesday, 12:30 p.m. - Winter Room

28 Gary Richwald, MD, Past Director and Chief Physician, Los Angles County STD Program.

  Centennial Room - Friday, 8:00 a.m.

 9 Brad Wallum, MD, Clinical Assistant Professor of Medicine, Division of Metabolism, Endocrinology, and Nutrition, University of Washington School of Medicine, and VA Medical Center, Seattle.

30 E. Michael Gilbert, MD, Professor of Medicine, University of Utah School of Medicine; Director, Heart Failure Treatment Program, Associate Medical Director, Utah Cardiac Transplant Program, Salt Lake City.


  Tumor Boards

Mercy Medical Center - Tuesday, 12:00 noon
Saint Alphonsus Regional Medical Center - Thursday, 12:00 noon
Breast Care Panel-Saint Alphonsus RMC - Tuesday, 7:00 a.m.
St. Luke’s Regional Medical Center - Tuesday, 12:00 noon
Breast Tumor Board-St. Luke’s RMC - Thursday, 7:00 a.m.
MSTI Pediatric Tumor Board - 2nd & 4th Wednesday, 12:00 noon
Meridian Tumor Board - 1st & 3rd Thursday, 12:00 noon

  CHEERS (Children's Hospital Education Enrichment Review)

1st, 2nd, 4th, Thursday, 8 a.m., Anderson Center - Ada -2
 

  MEMBERSHIP: The following members were approved:

Residents: Jesse Papac, M.D.; Cortney Vandenburgh, D.O.; Timothy Olson, M.D.; Ryan Melvin, D.O.; Joshua Kern, M.D.; Joylynn Gonzales, M.D.; Penny Faires, M.D.; Sharon Carswell, M.D.; Molly Armijo, M.D.; Tracy Morgan, M..D.
Provisional Membership: Lydia Bartholomew, M.D.; Gerardo Perez, M.D.; Charlene Crichton, M.D.

  Upcoming Events:

October 21 ACMS Annual Meeting & New Physician Dinner, DoubleTree Riverside Hotel, Ballroom, 6:30-Social, 7:30-Dinner and Program, Childcare service will be available.
The event is set in an "Oktoberfest" theme. You will enjoy authentic Bavarian food, beverages, and entertainment.

February 17-21, 2006 Winter Clinics, Sun Valley Resort. MARK YOUR CALENDAR


 

Redneck 911 Call

A couple of redneck hunters are out in the woods when one of them falls to the ground. He doesn't seem to be breathing and his eyes are rolled back in his head. The other redneck starts to panic, then whips out his cell phone and calls 911. He frantically blurts out to the operator, "O my gawd! Help! My friend just died. He's dead! What can I do?" The operator, trying to calm him says, "Take it easy. I can help. Just listen to me and follow my instructions. First, let's make sure he's dead." There's a short pause, and the operator hears a loud gun shot!!! The redneck comes back on the line and says, "OK, now what?"


 

Upcoming Calendar

October 2005

 5 The Artificial Heart, James Long, MD
 7 Update on Thyroid CA, Mary Samuels, MD
12 Rehab for the Brain Injured Patient, Nancy Greenwald, MD
14 High Risk Perinatology, Robert Sigman, MD
19 Non-Glycemic Effects of Insulin, Irl Hirsch, MD
26 MRSA, Dennis Stevens, MD

November 2005

 2 Evidence Based Role of Calcium in Weight Management, Michael Zemel, MD
 9 Headache Management, Robert Kaniecki, MD
16 New ATS Guidelines for Pneumonia, Thomas Coffman, MD
23 Treatment for Prostate Cancer, Stephen Smith, MD


 

Just Say No

Years ago Nancy Reagan, President Reagan's wife, was criticized for her campaign against drug use in teens entitled "Just Say No". It was felt to be too simplistic but saying no is often an appropriate response. Any two year old has the word mastered. Our profession though has difficulty saying no.

We physicians need to say "no" more often.

No, to inappropriate prescribing and drug companies who shower our offices with gifts, favors, and samples to influence our prescribing habits.

No, to inappropriate tests or procedures which do not replace a thorough history and physical.

No, to insurance companies who make decisions which interfere with the doctor/patient relationship.

No, to health plans who would have you pay attention to their bottom line without regard to patient well-being.

No, to patients who ask for certain medications and tests which you deem inappropriate.

No, to patients who ask for extended disability or time off, because their insurance covers it.

No, to self-treatment for your self and your family.

No, to patients who are seeking habit forming medicine inappropriately.

It is often difficult to say no to patients because it may lead to conflict and each of us wants to be liked by our patients. Many times, though it may be the appropriate thing to do. Saying no in a kind manner with explanation may be the best medicine in certain circumstances. Medicine has a long tradition of doing the right thing for patients and many times saying no is the right thing.

John J. Mohr, M.D.


 

September 2005 Conferences

  St. Luke's Regional Medical Center - Wednesday 8am, Anderson Center

 7 The Advances in Wound Healing and Hyperbaric, Margaret Doucette, DO
14 TB Update, Charles Reed MD
21 New Ideas in Breast Disease, James Wolf, MD
28 Recent Advances in the Diagnosis, Treatment and Prevention of Genital Herpes, Gary Richwald, MD

  Mercy Medical Center - Wednesday 12:30pm

 7 The Advances in Wound Healing and Hyperbaric, Margaret Doucette, DO
14 TB Update, Charles Reed MD
21 New Ideas in Breast Disease, James Wolf, MD
28 Recent Advances in the Diagnosis, Treatment and Prevention of Genital Herpes, Gary Richwald, MD

  VA Medical Center - Thursday 8am, AW Horsley Learning Ctr.

 1 Ophthalmological Issues, Lester Sanders, MD
 8 TBA
15 TBA
22 TBA
29 Update on HIV, Robert Harrington, MD

  St. Alphonsus Regional Medical Center - Friday 8am, Centennial Room

 9 Diabetes: Fad Diets, Exercise and Medication, Brad Wallum, MD
16 Topic TBA, Jeremy Ostrander, MD
23 Barrett's Esophagus, Mark Mallory, MD
30 Update on CHF, E. Michael Gilbert, MD

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