Spring 2017 by California Academy of Family Physicians

California

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Photo: Natalie Green of NYFotography

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in this issue ENGAGEMENT: ACADEMY, ADVOCACY, COMMUNITY AND FAMILY HOW ONE FAMILY PHYSICIAN IS DEALING WITH THE ELECTION RESULTS AND HOW CAFP HELPED WHY I ENGAGE IN MY LOCAL, STATE AND NATIONAL MEDICAL ORGANIZATIONS AND WHY YOU SHOULD, TOO PUTTING YOUR MONEY WHERE OUR MISSION IS!

Meet Your New President! Michelle S. Quiogue, MD, FAAFP

Request Request a a no-obligation no-obligation quote quote for for med-mal med-mal coverage coverage and and membership. membership.

You give your all to helping others live full, healthy lives. You go the extra mile to seek out answers and cures, knowing that sometimes even your best efforts aren’t enough. You’re a physician, and that’s how you do your job. At CAP, we salute your dedication and support you in every way we can — with protection to reduce the worry of professional liability lawsuits, but also with a host of value-added services to help manage your practice so you can focus on the highest quality professional care. Ask for a no-obligation quote and more information on CAP membership.

For Your Protection. For Your Success.

800.356.5672 CAPphysicians.com/quote

Leading the future of health care. ADULT & FAMILY MEDICINE PHYSICIAN OPPORTUNITIES Northern & Central California

The Permanente Medical Group, Inc. (TPMG) is one of the largest medical groups in the nation with over 9,000 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and an over 65-year tradition of providing quality medical care. WE OFFER • Physician-led organization–career growth and leadership • Professional freedom • State-of-the-art facilities • Multi-specialty collaboration and integration • Technology driven • Mission driven, patient care-centered and one of the largest progressive medical groups in the nation! EXTRAORDINARY BENEFITS • Shareholder track • Unparalleled stability–70 years strong • Shared call • Moving allowance • No cost medical and dental • Home loan assistance (approval required) • Malpractice and tail insurance • Three retirement plans, including pension • Paid holidays, sick leave, education leave (with generous stipend)

FORGIVABLE LOAN PROGRAM $150,000-$200,000 (based on experience)

Nos apasiona nuestro trabajo.

En Kaiser Permanente, a nosostros los médicos nos encanta nuestro trabajo. Nuestra misión es servir a nuestros pacientes. Innovar, avanzar, ser inclusivos. Intégrate a nuestro equipo de atención de la salud, en apoyo a la comunidad.

LA SALUD PERMANENTE

At The Permanente Medical Group, Inc., we practice a multi-lingual, culturally inclusive approach to care that celebrates the diversity of our patients and physicians. By developing medical programs that are in tune with every aspect of our patients’ lives—from the language they speak to the heritage they embrace—we are actively investing in initiatives and services that reflect the diversity of our member community. Here, our bilingual physicians can act as true advocates for their patients, delivering care that’s as medically advanced as it is culturally sensitive.

FAMILY MEDICINE OPPORTUNITIES: Contact Aileen Ludlow at: Aileen.M.Ludlow@kp.org | (800) 777-4912 INTERNAL MEDICINE OPPORTUNITIES: Contact Bianca Davis at: Bianca.X.Davis@kp.org | (800) 777-4912 http://physiciancareers-ncal.kp.org

We are an EOE/AA/M/F/D/V Employer. VEVRAA Federal Contractor.

ϭϱϮϬ WĂĐŝĮĐ ǀĞŶƵĞ • San Francisco, California 94109 • www.familydocs.org Phone (415) 345-8667 • Fax (415) 345-8668 • E-mail: cafp@familydocs.org California

Officers and Board

Staff

President Lee Ralph, MD

^ƵƐĂŶ ,ŽŐĞůĂŶĚ͕

FAMILY PHYSICIAN s tron g

President-Elect Michelle Quiogue, MD Immediate Past President Jay W. Lee, MD, MPH Speaker Lisa Ward, MD, MPH Vice-Speaker Walter Mills, MD Secretary/Treasurer ĂǀŝĚ ĂǌǌŽ͕ D Executive Vice President ^ƵƐĂŶ ,ŽŐĞůĂŶĚ͕ Foundation President ŶƚŚŽŶǇ ŚŽŶŐ͕ D AAFP Delegates Jeff Luther, MD Carla Kakutani, MD AAFP Alternates ĂƌŽů ,ĂǀĞŶƐ͕ D Jay W. Lee, MD, MPH CMA Delegation ƐŚďǇ tŽůĨĞ͕ D ͕ DW ͕ DW, ; ŚĂŝƌͿ Mark Dressner, MD Sumana Reddy, MD <ĞǀŝŶ ZŽƐƐŝ͕ D Lauren Simon, MD, MPH &Ğůŝǆ EƵŶĞǌ͕ D ͕ DW,

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Quarterly pƵďůŝĐĂƚŝŽŶ ŽĨ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵǇ of Family Physicians

Executive Vice President shogeland@familydocs.org

EĂƚŚĂŶ ,ŝƚǌĞŵĂŶ͕ D ͕ Editor ^ŚĞůůǇ ZŽĚƌŝŐƵĞƐ͕ ͕ Managing Editor

ŽŶƌĂĚ ŵĞŶƚĂ

Director, Health Policy camenta@familydocs.org

Communications Committee: EĂƚŚĂŶ ,ŝƚǌĞŵĂŶ͕ D ͕ Chair

DŽƌŐĂŶ ůĞǀĞůĂŶĚ

Manager, FP-PAC and Membership mcleveland@familydocs.org

:Ğƌƌŝ ĂǀŝƐ͕ , W

Director, CME/CPD jdavis@familydocs.org

• :ƵůŝĂ ůĂŶŬ͕ D • EĂƚŚĂŶ ,ŝƚǌĞŵĂŶ͕ D • :ĞĨĨƌĞǇ >ƵƚŚĞƌ͕ D • :ĂǇ DŽŶŐŝĂƌĚŽ͕ D • DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D • ůďĞƌƚ ZĂǇ͕ D

ƌŝĂŶ ĞǀŝŶĞ

Manager, Finance bdevine@familydocs.org

The California Family Physician is published quarterly by the California Academy of Family Physicians. Opinions are those of the authors and not necessarily those of the members ĂŶĚ ƐƚĂī ŽĨ ƚŚĞ &W͘ EŽŶͲŵĞŵďĞƌ ƐƵďƐĐƌŝƉƟŽŶƐ ĂƌĞ Ψϯϱ ƉĞƌ ǇĞĂƌ͘ Ăůů ϰϭϱͲϯϰϱͲϴϲϲϳ ƚŽ ƐƵďƐĐƌŝďĞ͘

ĚĂŵ &ƌĂŶĐŝƐ

Director, Government Affairs afrancis@familydocs.org

Shannon Goecke

Director, Membership and Marketing sgoecke@familydocs.org

Pamela Mann, MPH

Program Manager pmann@familydocs.org

Sonia Kantak, MPH

Manager, Medical Practice Affairs skantak@familydocs.org

ůŝǌĂďĞƚŚ >ƵŬƌŝĐŚ

Manager, Communications and Social Media elukrich@familydocs.org

pcipublishing.com Created by Publishing Concepts, Inc. David Brown, President • dbrown@pcipublishing.com For Advertising info contact Michelle Gilbert • 800.561.4686 ext 120 mgilbert@pcipublishing.com EDITION 22

^ŚĞůůǇ ZŽĚƌŝŐƵĞƐ͕ ͕ & ,W Deputy Executive Vice President srodrigues@familydocs.org

Looking for a job? 'Ž ƚŽ ǁǁǁ͘ĨƉũŽďƐŽŶůŝŶĞ͘ĐŽŵ YƵĞƐƟŽŶƐ͍ Ăůů ϴϴϴͲϴϴϰͲϴϮϰϮ ĂŶĚ Ă , >d,Ğ Z Z^ ƌĞƉƌĞƐĞŶƚĂƟǀĞ ǁŝůů ŚĞůƉ ǇŽƵ͘ 4

California Family Physician Spring 2017

California

Spring 2017

FAMILY PHYSICIAN s tron g

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Cal i for nia

features 16 Meet Your New President: Michelle Quiogue, MD, FAAFP 20 On Engagement … from Academy and Advocacy to Community and Family

CAFP Members Respond

22 How One Family Physician is Dealing with the Election Results and How CAFP Helped

Shannon Connolly, MD

23 Why I Engage in My Local, State and National Medical Organizations and Why You Should, Too

Alex Mroszczky-McDonald, MD

24 Generational Voices: What Engagement Means to Me

Jerry Abraham, MD, MPH; Bo Greaves, MD; and Merritt Matthews, MD

departments 6

Editorial

What Does Engagement Mean to You?

President’s Message

From Where I Sit: One Last Time!

Nathan Hitzeman, MD Lee Ralph, MD

10 Political Pulse

Threats and Opportunities Abound for CAFP

Carla Kakutani, MD

12 Legislative News

Family Physicians Strom the State Capitol for 2017 All Member Advocacy Meeting and Lobby Day

26 CAFP Foundation

Putting Your Money Where Our Mission Is!

28 Membership News

Engage with Your Local Colleagues

Shannon Goecke

30 EVP Forum

Are You Climbing the Engagement Ladder?

Susan Hogeland

Adam Francis

Anthony “Fatch” Chong, MD and Devesh Vashishtha

&Žƌ ƵƉĐŽŵŝŶŐ D ĂĐƟǀŝƟĞƐ ǀŝƐŝƚ ĨĂŵŝůǇĚŽĐƐ͘ŽƌŐͬĐŵĞ California Family Family Physician Physician Spring Spring 2017 ϮϬϭϳ California

editorial

Nathan Hitzeman, MD

Member Engagement What Does Engagement Mean to You?

/ ĨŝƌƐƚ ǁĞŶƚ ƚŽ Ă &W ĐŽŶĨĞƌĞŶĐĞ ĂďŽƵƚ Ă ĚĞĐĂĚĞ ĂŐŽ͘ / ůŽǀĞĚ ƚŚĞ ĐĂŵĂƌĂĚĞƌŝĞ ŽĨ ƚŚĞ ŵĞŵďĞƌƐ͘ / ůŽǀĞĚ ŚĞĂƌŝŶŐ ƵƉĚĂƚĞƐ ĨƌŽŵ ƚŚĞ &W ƐƚĂĨĨ ĂďŽƵƚ ǁŚĂƚ ǁĂƐ ŐŽŝŶŐ ŽŶ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐǇ ĂŶĚ ƉƌĂĐƚŝĐĞ ŵĂŶĂŐĞŵĞŶƚ͘ KǀĞƌ ƚŝŵĞ / ŐŽƚ ŝŶǀŽůǀĞĚ ŝŶ ƚŚĞ ŽŵŵƵŶŝĐĂƚŝŽŶƐ ŽŵŵŝƚƚĞĞ͘ /͛ǀĞ ďĞĞŶ ĂŵĂǌĞĚ ďǇ ƚŚĞ ĞŶŐĂŐŝŶŐ ůĞĂĚĞƌƐŚŝƉ ŝŶ ŽƵƌ ŽƌŐĂŶŝǌĂƚŝŽŶ͕ ƚŚĞ ƉŽůŝƐŚĞĚ ĂŶĚ ƉĂƐƐŝŽŶĂƚĞ ƐƉĞĂŬĞƌƐ͕ ĂŶĚ ƚŚĞ ĨĂĐƚ ƚŚĂƚ ͞ƚŚĞǇ ŐĞƚ ŵĞ͟ ʹ ƚŚĞǇ ƌĞĂůůǇ ǁĂůŬ ŝŶ ŵǇ ƐŚŽĞƐ͘ tĞ ĂƌĞ ĂůƐŽ ƚŚĞ ďŝŐŐĞƐƚ ƐŝŶŐůĞ ƐƉĞĐŝĂůƚǇ ŽƌŐĂŶŝǌĂƚŝŽŶ ŝŶ ƚŚĞ ƐƚĂƚĞ ǁŝƚŚ ŵŽƌĞ ƚŚĂŶ ϵ͕ϮϬϬ ŵĞŵďĞƌƐ͘ Recent years have seen drastic changes in health care ʹ ƐŽŵĞ ŐŽŽĚ͕ ƐŽŵĞ ďĂĚ͘ / ƚŚŽƵŐŚƚ ŝƚ ĐŽƵůĚŶ͛ƚ ŐĞƚ ŵƵĐŚ ǁŽƌƐĞ ĂĨƚĞƌ ƐĞĞŝŶŐ DĞĚŝͲ Ăů ƌĂƚĞƐ ĐƵƚ Žƌ ƚŚĞ D/ Z ůĂǁ ŝŶ ũĞŽƉĂƌĚǇ Žƌ ŝŶƐƵƌĞƌ ƉŚĂŶƚŽŵ ƉƌŽǀŝĚĞƌ ŶĞƚǁŽƌŬƐ Žƌ ƉŚĂƌŵĂĐĞƵƚŝĐĂů ĐŽŵƉĂŶǇ ƉƌŝĐĞͲŐŽƵŐŝŶŐ͖ ďƵƚ ƚŚŝƐ ǇĞĂƌ͕ ǁŝƚŚ ŽƵƌ ĞƌƌĂƚŝĐ ĨĞĚĞƌĂů ŐŽǀĞƌŶŵĞŶƚ͕ /͛ŵ ůŽŽŬŝŶŐ ŽƵƚ ƚŚĞ ǁŝŶĚŽǁ ĞǀĞƌǇ ŵŽƌŶŝŶŐ ĨŽƌ Ă ŵƵƐŚƌŽŽŵ ĐůŽƵĚ͘ tŝůů ǁĞ ƐƵƌǀŝǀĞ ƚŚŝƐ͍ ƐŚĂŬĞͲƵƉ ŝƐ ŶŽƚ ĂůǁĂǇƐ Ă ďĂĚ ƚŚŝŶŐ ʹ ĂŶĚ /͛ŵ ŶŽƚ ƐĂǇŝŶŐ all of this is gloom and doom – but there has never been a better time to flex our membership muscles. Out of ĐƌŝƐĞƐ ĐŽŵĞ ŽƉƉŽƌƚƵŶŝƚŝĞƐ͕ ĂŶĚ ƚŚĞ ƐƚĂƚĞ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŝŶ ĂůŝĨŽƌŶŝĂ ŵĂǇ ƐŚŝĨƚ͕ ŶŽƚ ĚƌŝĨƚ͕ ŽǀĞƌ ƚŚĞ ŶĞǆƚ ĐŽƵƉůĞ ǇĞĂƌƐ͘ >ƵŵƉ ĨĞĚĞƌĂů ƉĂǇŵĞŶƚƐ ƚŽ ƐƚĂƚĞƐ͕ ƐŝŶŐůĞ ƉĂǇĞƌ ŚĞĂůƚŚ ĐĂƌĞ ďĞŝŶŐ ƚĂůŬĞĚ ĂďŽƵƚ ĂŐĂŝŶ ;ŝƚ ŶĞĂƌůǇ ƉĂƐƐĞĚ ďĞĨŽƌĞ ŝŶ Ă ϮϬϬϰ ƌĞĨĞƌĞŶĚƵŵ ĂŶĚ ƚŚĞŶ ƵŶĚĞƌ 'ŽǀĞƌŶŽƌ ^ĐŚǁĂƌǌĞŶĞŐŐĞƌ͕ ǁŚŽ ǀĞƚŽĞĚ ŝƚͿ͕ ĂŶĚ ĂǀĂƌŝĐŝŽƵƐ ĚŝŶŽƐĂƵƌƐ ĨƌŽŵ ,ĞĂůƚŚ ĂƌĞ WĂƐƚ

California Family Physician Spring 2017

“

CAFP is your sanctuary medical society. We will not demean or deport you. Our membership is diverse, accomplished, and proud.

“

ZĞŵĞŵďĞƌ ŵĞŵďĞƌ͍ /ƚ͛Ɛ ŵŽƌĞ ƚŚĂŶ ũƵƐƚ ĂŶ ƵƐƚŝŶ WŽǁĞƌƐ͛ ƌĞĨĞƌĞŶĐĞ Žƌ Ă ƚŚƌŽǁͲďĂĐŬ ƚŽ ƚŚŽƐĞ ĐŽŽů ƐƚƌĂƉƉǇ ũĂĐŬĞƚƐ ŝŶ ƚŚĞ ϴϬƐ͘ /ƐŶ͛ƚ ŝƚ ƚŝŵĞ ǇŽƵ ĐŽŶŶĞĐƚĞĚ ǁŝƚŚ ǇŽƵƌ ŝŶŶĞƌ ŵĞŵďĞƌͲĂŐĂŝŶ͍ dŚĂƚ ůŝƚƚůĞ ǀŽŝĐĞ ƚŚĂƚ ƚĞůůƐ ǇŽƵ ƚŚĂƚ ǇŽƵ ĂƌĞ ŵŽƌĞ ƚŚĂŶ ũƵƐƚ ŽŶĞ ĚŽĐƚŽƌ ƐƚĂŵƉŝŶŐ ŽƵƚ ĚŝƐĞĂƐĞ͕ ďƵƚ ƌĂƚŚĞƌ ƉĂƌƚ ŽĨ Ă ŐƌĞĂƚĞƌ ďĂĐŬďŽŶĞ ǀŝƚĂů ƚŽ ŽƵƌ ƐƚĂƚĞ͛Ɛ ŚĞĂůƚŚ͘ &ĂŵŝůǇ ŵĞĚŝĐŝŶĞ ŶĞĞĚƐ ƚŽ ĞǆĞƌĐŝƐĞ ŽƵƌ ŚĞĂůƚŚ ĐĂƌĞ ƐǇƐƚĞŵ͛Ɛ ĐŽƌĞ ĂŐĂŝŶ͕ ĂŶĚ ŶŽƚ ďĞĐŽŵĞ Ă ƐƵƉĞƌĨůƵŽƵƐ ĂƉƉĞŶĚĂŐĞ͘ zĞƐ͕ ǇŽƵ ĂƌĞ Ă ĚŝĨĨĞƌĞŶƚ ŬŝŶĚ ŽĨ ŵĞŵďĞƌ͕ ĂŶ ŝŵƉŽƌƚĂŶƚ ŵĞŵďĞƌ͘ A CAFP member.

ƌŝƐŝŶŐ ĨƌŽŵ ƚŚĞ ƚĂƌ ƉŝƚƐ͕ ďĞŶƚ ŽŶ ƌĞƚƵƌŶŝŶŐ ƚŽ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ĂŶĚ ŝŶĨůĂƚĞĚ ƐƵďͲƐƉĞĐŝĂůƚǇ ƌĞŝŵďƵƌƐĞŵĞŶƚ͘ tŚŽ ǁŝůů ƌƵůĞ tĞƐƚĞƌŽƐ͍

&W ŝƐ ǇŽƵƌ ƐĂŶĐƚƵĂƌǇ ŵĞĚŝĐĂů ƐŽĐŝĞƚǇ͘ tĞ ǁŝůů ŶŽƚ ĚĞŵĞĂŶ Žƌ ĚĞƉŽƌƚ ǇŽƵ͘ KƵƌ ŵĞŵďĞƌƐŚŝƉ ŝƐ ĚŝǀĞƌƐĞ͕ ĂĐĐŽŵƉůŝƐŚĞĚ͕ ĂŶĚ ƉƌŽƵĚ͘ tĞ ŶĞĞĚ ƚŽ ĐŽŵĞ ƚŽŐĞƚŚĞƌ ŶŽǁ ŵŽƌĞ ƚŚĂŶ ĞǀĞƌ͘ KƵƌ ƉĂƚŝĞŶƚƐ ĂŶĚ ŽƵƌ ƐƚĂƚĞ͛Ɛ ŚĞĂůƚŚ ŝƐ ĐŽƵŶƚŝŶŐ ŽŶ ƵƐ͘ dĂůŬ ƚŽ ǇŽƵƌ ĐŽůůĞĂŐƵĞƐ͕ ŐŽ ƚŽ &W ĐŚĂƉƚĞƌ͕ ĂĚǀŽĐĂĐǇ ĂŶĚ ĞĚƵĐĂƚŝŽŶĂů ĞǀĞŶƚƐ͘ ƌŽǁƐĞ ƚŚĞ &W ĞŵĂŝůƐ ĂŶĚ ƚǁĞĞƚƐ͘ ŽŶĂƚĞ ƚŽ ƚŚĞ ƉŽůŝƚŝĐĂů ĂĐƚŝŽŶ ĐŽŵŵŝƚƚĞĞ ;&WͲW Ϳ Žƌ ƚŽ ƚŚĞ ƚĂǆͲĚĞĚƵĐƚŝďůĞ &ŽƵŶĚĂƚŝŽŶ͕ ǁŚŽƐĞ ĨƵŶĚƐ ŐŽ ƚŽ ŵĞĚŝĐĂů student scholarships and other noble causes. Buy a CAFP dͲƐŚŝƌƚ Žƌ ŚŽŽĚŝĞ͊ /ŶĐůƵĚĞ ͞ &W͟ ŝŶ ǇŽƵƌ ŵŽƌŶŝŶŐ ƐĞůĨͲ affirmation thoughts. ƐƚŝĨĨ ǁŝŶĚ ŝƐ ĐŽŵŝŶŐ ŽĨĨ ƚŚĞ ĚĞůƚĂ ƚŽŶŝŐŚƚ͘ /͛ŵ ƚƵƌŶŝŶŐ ƵƉ ŵǇ DĞŵďĞƌƐ KŶůǇ ũĂĐŬĞƚ ĐŽůůĂƌ͘ /͛ŵ Ă ŵĞŵďĞƌ͕ /͛ŵ ŝŵƉŽƌƚĂŶƚ͕ ĂŶĚ /͛ŵ ƉŝƐƐĞĚ͘

Family & Internal Medicine | Guaranteed Salary + Bonus | Relocation Allowance Sutter Pacific Medical Foundation (SPMF) has opportunities for BC/BE Family and Internal Medicine Physicians to join Sutter Medical Group of the Redwoods (SMGR), a growing multi-specialty group in beautiful Sonoma County. Please respond with your updated CV as well as the best time to contact you with details so we may discuss these options further.

Position Details: x Flexibility for work and life balance x Completely ambulatory. No inpatient work x Patient panel can be established within three to six months. Spanish speaking a plus! Benefits: x 1-2 years guaranteed income x Relocation allowance / Sign on bonus x Generous compensation and benefits, including paid CME, up to six weeks vacation, pension plan and 401(k) x Full-time position, .8 FTE to 1.0 FTE SMGR is a physician-owned, multi-specialty medical group that has served the City of Santa Rosa and surrounding areas for over 20 years. SMGR has been nationally recognized as a medical group that provides the highest quality and most complete health care possible. Accolades include: Top Performing Physician Group by the Integrated Healthcare Association CAPG Elite Status—the highest possible honor awarded by the California Association of Physician Groups (CAPG) professional organization Consumer Reports—Best in the Bay Area among 17 medical groups for “Overall Healthcare” and listed in the top 10 in the state out of over 170 medical groups Located 55 miles north of San Francisco and 30 miles east of the Pacific Ocean, Santa Rosa is a warm and friendly city of 170,000 within Sonoma County, population 500,000. You will enjoy a unique blend of culture with exceptional art, wine, food, and recreation. Amenities include 400 wineries in Sonoma County, 27 golf courses, hot air ballooning, hiking, spas, river sports, and world-class cuisine. Sonoma County also has a professional symphony, excellent public and private schools, fantastic weather, and some of the most affordable housing in the Bay Area. You would live and work where others only dream of visiting. Contact Isabelle von Tobel, Physician Recruiter, Sutter Medical Group of the Redwoods, Call (707) 521-8841 or email vontobi@sutterhealth.org

p r e s i d e n t ’s m e s s a g e

Lee Ralph, MD

From Where I Sit

One Last Time! KŶĞ ǇĞĂƌ ĂŐŽ͕ / ďĞŐĂŶ Ă ĐĂŵƉĂŝŐŶ ƚŽ ƚƌǇ ĂŶĚ ŐĞƚ ŵǇ ĨĞůůŽǁ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƚŽ ďĞĐŽŵĞ ŵŽƌĞ ͞ĞŶŐĂŐĞĚ͟ ŝŶ ŚĞĂůƚŚ ĐĂƌĞ ĂĚǀŽĐĂĐǇ Ăƚ Ăůů ůĞǀĞůƐ͘ tŚĂƚ Ă ĚŝīĞƌĞŶĐĞ Ă ǇĞĂƌ ŵĂŬĞƐ͊ ,ĂǀŝŶŐ ũƵƐƚ ƌĞƚƵƌŶĞĚ ĨƌŽŵ ĂŶ ŝŶƐƉŝƌĂƟŽŶĂů ǁĞĞŬĞŶĚ Ăƚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͕ / ǁĂƐ ŝŶ ĂǁĞ Ăƚ ƚŚĞ ƚƵƌŶŽƵƚ ĂŶĚ ĞŶƚŚƵƐŝĂƐŵ͘ tĞ ŚĂĚ Ă ƌĞĐŽƌĚ ŶƵŵďĞƌ ŽĨ ĂƩĞŶĚĞĞƐ ĂŶĚ >ŽďďǇ ĂǇ ƉĂƌƟĐŝƉĂŶƚƐ͘ tĞ ĨĞůƚ Ă ƌĞŶĞǁĞĚ ƐĞŶƐĞ ŽĨ ŝŵƉŽƌƚĂŶĐĞ ŝŶ ŽƵƌ ŵĞƐƐĂŐĞ ĂŶĚ Ăƚ ůĞŐŝƐůĂƟǀĞ ŵĞĞƟŶŐƐ͘ DĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƉŽƵƌĞĚ ƚŚĞŝƌ ƐŽƵůƐ ŽƵƚ ǁŝƚŚ ĐŽŵƉĞůůŝŶŐ ƐƚŽƌŝĞƐ ŽĨ ǁŚǇ health care is so important ƚŽ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͘ / ĐŽƵůĚ not have been prouder ƚŽ ďĞ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ƚŚŝƐ ŐƌŽƵƉ͊

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Ɛ ŵǇ ƉƌĞƐŝĚĞŶƟĂů ǇĞĂƌ ƌĂƉŝĚůǇ ĐŽŵĞƐ ƚŽ ĂŶ ĞŶĚ͕ / ĐĂŶ͛ƚ ŚĞůƉ ďƵƚ ƐŵŝůĞ ŝŶǁĂƌĚůǇ ĂŶĚ ďĞ ƉůĞĂƐĞĚ ǁŝƚŚ Ăůů ƚŚĂƚ ŚĂƐ ďĞĞŶ ĂĐĐŽŵƉůŝƐŚĞĚ͗ Ă ƐƵĐĐĞƐƐĨƵů D D͕ ůŝŶŝĐĂů &ŽƌƵŵ͕ ŶŶƵĂů ŚĂƉƚĞƌ >ĞĂĚĞƌƐŚŝƉ &ŽƌƵŵ ŝŶ <ĂŶƐĂƐ ŝƚǇ͕ D Z ĂŶĚ KƉŝŽŝĚ Z D^ ĞĚƵĐĂƟŽŶĂů ƉƌŽŐƌĂŵƐ͕ &W ŽŶŐƌĞƐƐ ŽĨ ĞůĞŐĂƚĞƐ ĂŶĚ ƚŚĞ ĐĂŶĚŝĚĂĐǇ ŽĨ ŽƵƌ ŽǁŶ͕ :ĂĐŬ ŚŽƵ ĂƐ &W WƌĞƐŝĚĞŶƚͲ ůĞĐƚ͘ / ŚĂǀĞ ĞŶũŽǇĞĚ ƚŚĞ ĐĂŵĂƌĂĚĞƌŝĞ ŽĨ ƚŚĞ ĐĂĚĞŵǇ Ăƚ ďŽƚŚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ůĞǀĞůƐ ĂŶĚ Ăŵ ĞǆĐŝƚĞĚ ƚŽ ŵĂŝŶƚĂŝŶ ƚŚĞ ǁŽŶĚĞƌĨƵů ĨƌŝĞŶĚƐŚŝƉƐ / ŚĂǀĞ ŵĂĚĞ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ǇĞĂƌ͘ &ƌŽŵ ǁŚĞƌĞ / Ɛŝƚ ͙ ŽƵƌ Academy is stronger than ĞǀĞƌ͘ tĞ ĂƌĞ ĮŶĂŶĐŝĂůůǇ ƐĞĐƵƌĞ͕ ĐŽŶƟŶƵŝŶŐ ƚŽ ŐƌŽǁ ŝŶ ƐŝǌĞ ĂŶĚ ŝŶŇƵĞŶĐĞ ĂŶĚ ĂƩƌĂĐƟŶŐ ƐƚƵĚĞŶƚƐ and residents in record ŶƵŵďĞƌƐ͘ KďǀŝŽƵƐůǇ͕ ŽƵƌ ͞ŵĞƐƐĂŐĞ͟ ƌĞƐŽŶĂƚĞƐ ǁŝƚŚ ƚŚĞ ĨŽƵƌ ŐĞŶĞƌĂƟŽŶƐ ŽĨ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͘ tĞ ĂƌĞ ďůĞƐƐĞĚ ǁŝƚŚ ĂŶ ĂŵĂǌŝŶŐ leadership team including ^ƵƐĂŶ ,ŽŐĞůĂŶĚ͕ ^ŚĞůůǇ ZŽĚƌŝŐƵĞƐ͕ :Ğƌƌŝ ĂǀŝƐ͕ ĚĂŵ &ƌĂŶĐŝƐ͕ ŽŶƌĂĚ ŵĞŶƚĂ ĂŶĚ ĂŶ ĞƋƵĂůůǇ ŽƵƚƐƚĂŶĚŝŶŐ ƐƚĂī͘ dŚĞǇ ĂƌĞ ĂŶ ƵŶǁĂǀĞƌŝŶŐ ƐŚŝƉ ƐƚĞĞƌŝŶŐ ƵƐ ƚŚƌŽƵŐŚ ƵŶĐŚĂƌƚĞĚ ǁĂƚĞƌƐ͘ dŚĞ ŶĞǁůǇͲĞůĞĐƚĞĚ &W ŽĸĐĞƌƐ ůĞĚ ďǇ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ǁŝůů ĐŽŶƟŶƵĞ ƚŽ ĐĂƌƌǇ ƚŚĞ ďĂŶŶĞƌ / ŝŶŚĞƌŝƚĞĚ ĨƌŽŵ :ĂǇ >ĞĞ ŽŶĞ ƐŚŽƌƚ ǇĞĂƌ ĂŐŽ͘ / Ăŵ ĐŽŶĮĚĞŶƚ ǇŽƵ ĂƌĞ ŝŶ ŐƌĞĂƚ ŚĂŶĚƐ ĂƐ ǁĞ ŐŽ ĨŽƌǁĂƌĚ ŝŶ ƚŚĞƐĞ ƚƵƌďƵůĞŶƚ ƟŵĞƐ͘ ŶĚ ƌĞŵĞŵďĞƌ͕ ŵǇ ŽƉƟŵŝƐƟĐ ĞŶƚŚƵƐŝĂƐŵ ǁĂƐ ŚŝŐŚůŝŐŚƚĞĚ ƌĞĐĞŶƚůǇ ǁŝƚŚ ƐĞǀĞƌĂů ƉŝĐƚƵƌĞƐ ŽĨ ƌĂŝŶďŽǁƐ͘ dŚĞ ĨƵƚƵƌĞ ŝƐ ďƌŝŐŚƚ ͙ ďƵƚ ŽŶůǇ ŝĨ ǁĞ ĂůůŽǁ ŝƚ ƚŽ ďĞ͊

As my presidential year rapidly comes to an end, I can’t help but smile inwardly and be pleased with all that has been accomplished.

EŽǁ ĐŽŵĞƐ ƚŚĞ ƚƌŝĐŬǇ ƉĂƌƚ͘ ,Žǁ ĚŽ ǁĞ ĐŽŶƟŶƵĞ ƚŽ ŚĂƌŶĞƐƐ ƚŚŝƐ ĞŶĞƌŐǇ ĂŶĚ ĞŶƚŚƵƐŝĂƐŵ ƚŽ ĐŽŶƟŶƵĞ ƚŚĞ ďĂƩůĞ ĨŽƌ ƚŚĞ ůŽŶŐ ƌƵŶ͍ EĞǁ ŝƐƐƵĞƐ ŽďǀŝŽƵƐůǇ ǁŝůů ĂƌŝƐĞ ĂƐ ƚŚĞ &ĞĚĞƌĂů ĂŶĚ ^ƚĂƚĞ ŚĞĂůƚŚ ĐĂƌĞ ĚĞďĂƚĞƐ ĐŽŶƟŶƵĞ͘ ^ƚĂǇŝŶŐ ƚƵŶĞĚͲŝŶ ƚŽ ǇŽƵƌ ůŽĐĂů ĐŽŵŵƵŶŝƟĞƐ ĐĂŶ ŚĞůƉ ĂŶĐŚŽƌ ǇŽƵ ĨŽƌ ƚŚĞ ďĂƩůĞƐ ƚŽ ĐŽŵĞ͘ ŽŶƟŶƵĞ ƚŽ ďĞ ĂĐƟǀĞ ŝŶ ǇŽƵƌ ŵĞĚŝĐĂů ŐƌŽƵƉƐ͕ ůŽĐĂů ĐŚĂƉƚĞƌƐ͕ ƐĐŚŽŽůƐ ĂŶĚ ĞǀĞŶ ŵĞĚŝĐĂů ŵŝƐƐŝŽŶƐ͘ zŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ĂŶĚ ǀŽůƵŶƚĞĞƌŝƐŵ ĚŽ ŵĂƩĞƌ ĂŶĚ ǁŝůů ŵĂŬĞ ǇŽƵƌ ůŝǀĞƐ ŵŽƌĞ ƉƵƌƉŽƐĞĨƵů ǁŚŝůĞ ŚĞůƉŝŶŐ ƚŽ ĐŽŵďĂƚ ďƵƌŶŽƵƚ͘

California Family Physician Spring 2017

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&ƌŽŵ ǁŚĞƌĞ / ƐĂƚ ƵƉ on the podium looking ĚŽǁŶ Ăƚ ƚŚĞ ĐŽŶĨĞƌĞŶĐĞ ĂƩĞŶĚĞĞƐ͕ ŝŶ ƚŚĞ ^ĐĂŶĚĂů ZŽŽŵ ǁŝƚŚ /ŶƐƵƌĂŶĐĞ ŽŵŵŝƐƐŝŽŶĞƌ ĂǀŝĚ Jones and Senator Richard WĂŶ͕ ƐƚĂŶĚŝŶŐ ŶĞǆƚ ƚŽ ŽƵƌ ͞,ĞƌŽ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ͟ ƌĞĐŝƉŝĞŶƚ͕ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĞſŶ͕ ĂŶĚ ŝŶ ƚŚĞ ŽĸĐĞƐ ŽĨ ƐƐĞŵďůǇǁŽŵĂŶ ^ŚŝƌůĞǇ tĞďĞƌ ĂŶĚ ƐƐĞŵďůǇŵĂŶ dŽĚĚ 'ůŽƌŝĂ͕ / ŚĂǀĞ ƚŽ ƐĂǇ ĞŶƚŚƵƐŝĂƐƟĐĂůůǇ͗ ͞ŵŝƐƐŝŽŶ ĂĐĐŽŵƉůŝƐŚĞĚ͕ ďƵƚ ŶŽƚ ĞŶƟƌĞůǇ ĮŶŝƐŚĞĚ͊͟

dŚĂŶŬ ǇŽƵ Ăůů ĨŽƌ ĂůůŽǁŝŶŐ ŵĞ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƐĞƌǀĞ ĂƐ ǇŽƵƌ ƉƌĞƐŝĚĞŶƚ ƚŚŝƐ ƉĂƐƚ ǇĞĂƌ͘ /ƚ ŚĂƐ ďĞĞŶ ĂŶ ŚŽŶŽƌ ĂŶĚ Ă ƉůĞĂƐƵƌĞ͘ >Ğƚ͛Ɛ Ăůů ďĞĐŽŵĞ ƉĂƌƚ ŽĨ ƚŚĞ η&DZĞǀŽůƵƟŽŶ͊ Lee Ralph, MD, “President-eject”

What kind of Doctor Works in Corrections? The Kind Who Wants Off the HMO Treadmill.

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Urgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. All shifts 9am to 9pm. Full time is 13 shifts per month. We offer our full time physicians the following: full malpractice coverage, medical & dental coverage at no cost for the physician & any dependents, disability policy & we have a simple IRA you can contribute to with 3% matching. Part time is 6 to 8 shifts per month. For more information about MED7 and our clinics please visit our website: www.med7.com We offer an attractive compensation package.

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Contact Merl O’Brien,MD, at: (916) 791-1300, ext.11111; or email CV to: sherry@med7atwork.com. EOE

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California Family Physician Spring 2017

political pulse

Carla Kakutani, MD

Threats and Opportunities Abound for CAFP dŚĞ ĞůĞĐƟŽŶ ŽĨ EŽǀĞŵďĞƌ ϮϬϭϲ ĂŶĚ ŶĞǁ >ĞŐŝƐůĂƟǀĞ ^ĞƐƐŝŽŶ ŽĨ ϮϬϭϳͲϭϴ ŵĞĂŶ ƐŝŐŶŝĮĐĂŶƚ ĐŚĂŶŐĞ͕ ƚŚƌĞĂƚƐ ĂŶĚ ŽƉƉŽƌƚƵŶŝƟĞƐ ǁŚĞŶ ŝƚ ĐŽŵĞƐ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ ůĂǁ ĂŶĚ ƉŽůŝĐǇ͘ tŚŝůĞ &W ĂŶĚ &W ĚŽ ƚŚĞŝƌ ďĞƐƚ ƚŽ ƌĞƉƌĞƐĞŶƚ ǇŽƵ͕ ŵĞ ĂŶĚ ŽƵƌ ĐŽůůĞĂŐƵĞƐ ŝŶ ďŽƚŚ ŽƵƌ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ĐĂƉŝƚĂůƐ͕ ƚŚĞƌĞ ŝƐ ŶŽ ďĞƩĞƌƐƵďƐƟƚƵƚĞ ƚŚĂŶ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ŵĂŬŝŶŐ ŽƵƌ ǀŽŝĐĞƐ ŚĞĂƌĚ ĚŝƌĞĐƚůǇ ďǇ ĐŽŶƚĂĐƟŶŐ ŽƵƌ ůĞŐŝƐůĂƚŽƌƐ͘ /ƚ ŝƐ ǁŝƚŚ ƚŚĂƚ ŝŶ ŵŝŶĚ ƚŚĂƚ &W ďĞŐĂŶ ƉůĂŶŶŝŶŐ Ă &ĂŵŝůǇ DĞĚŝĐŝŶĞ tĞĞŬ ŽĨ ĐƟŽŶ ĞĂƌůŝĞƌ ƚŚŝƐ ǇĞĂƌ͘ /ƚ ďĞŐĂŶ ǁŝƚŚ ƚŚĞ ƵŶĐĞƌƚĂŝŶƚǇ ĂƌŽƵŶĚ ǁŚĂƚ ŵŝŐŚƚ ƚƌĂŶƐƉŝƌĞ ĂƐ ŽŶŐƌĞƐƐ ůŽŽŬĞĚ ƋƵŝĐŬůǇ ƚŽ ƌĞƉĞĂů ĂŶĚ ƌĞƉůĂĐĞ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ; Ϳ͘ tŚŝůĞ ƚŚĞ ǁĂƐ ďǇ ŶŽ ŵĞĂŶƐ ƉĞƌĨĞĐƚ͕ ŵĂŶǇ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶ ƉƌŽǀŝƐŝŽŶƐ ĂŶĚ ƉƌŝŵĂƌǇ ĐĂƌĞͲƐƵƉƉŽƌƟǀĞ ƉƌŽŐƌĂŵƐ ǁĞƌĞ ĐƌĞĂƚĞĚ ďǇ ŝƚƐ ƉĂƐƐĂŐĞ͘ &W ůŽŽŬĞĚ ƚŽ ĞŶƐƵƌĞ that any replacement plan maintained vital policies such as the ďĂŶ ŽŶ ƉƌĞͲĞǆŝƐƟŶŐ ĐŽŶĚŝƟŽŶ ĞǆĐůƵƐŝŽŶƐ͕ ĞǆƉĂŶĚĞĚ ĐŽǀĞƌĂŐĞ ƚŽ ǀƵůŶĞƌĂďůĞ ƉŽƉƵůĂƟŽŶƐ͕ ƐƵƉƉŽƌƚ ĨŽƌ ƉƌŝŵĂƌǇ ĐĂƌĞ ƌĞƐŝĚĞŶĐǇ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌƐ͕ ŝŶĐƌĞĂƐĞĚ ƉĂǇŵĞŶƚ ĨŽƌ ƉƌŝŵĂƌǇ ĐĂƌĞ physicians and many others. dŚĞ ƉƌŽƐƉĞĐƚ ŽĨ ƌĂƉŝĚ ŶĂƟŽŶĂů ŚĞĂůƚŚ ĐĂƌĞ ĐŚĂŶŐĞ ǁĂƐ ƚŚĞŶ ĨŽůůŽǁĞĚ ďǇ Ă ƉƌŽƉŽƐĞĚ ϮϬϭϳͲϭϴ ďƵĚŐĞƚ ďǇ ĂůŝĨŽƌŶŝĂ 'ŽǀĞƌŶŽƌ :ĞƌƌǇ ƌŽǁŶ ƚŚĂƚ ƐĞĞŬƐ ƚŽ ĞůŝŵŝŶĂƚĞ ŶĞĂƌůǇ Ψϭ ďŝůůŝŽŶ ŝŶ ŽŶĞ ƟŵĞ ƐƉĞŶĚŝŶŐ ƉĂƐƐĞĚ ĂƐ ƉĂƌƚ ŽĨ ƚŚĞ ϮϬϭϲ ϭϳ ƵĚŐĞƚ ƚŚĂƚ ŚĂƐ ǇĞƚ ƚŽ ďĞ ƐƉĞŶƚ͘ dŚŝƐ ŝŶĐůƵĚĞĚ ƌĞƐĐŝŶĚŝŶŐ ƚŚĞ ƚŚƌĞĞͲǇĞĂƌ ΨϭϬϬ ŵŝůůŝŽŶ ƚŚĂƚ ǁĂƐ ŝŶƚĞŶĚĞĚ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WŚǇƐŝĐŝĂŶ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͕ ǁŚŝĐŚ ĨƵŶĚƐ ƉƌŝŵĂƌǇ ĐĂƌĞ ƌĞƐŝĚĞŶĐǇ programs in underserved areas. The Governor also proposed ĚŝǀĞƌƟŶŐ ĨƵŶĚƐ ŐĞŶĞƌĂƚĞĚ ďǇ ƚŚĞ &WͲƐƵƉƉŽƌƚĞĚ ƚŽďĂĐĐŽ ƚĂǆ ;WƌŽƉŽƐŝƟŽŶ ϱϲͿ ĂǁĂǇ ĨƌŽŵ DĞĚŝͲ Ăů ƉƌŽǀŝĚĞƌ ƉĂǇŵĞŶƚ ĂŶĚ ŝŶƚŽ ͞ŶĞǁ ŐƌŽǁƚŚ ŝŶ DĞĚŝ Ăů ĞǆƉĞŶĚŝƚƵƌĞƐ͘͟ dŽ ĞŶƐƵƌĞ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ǁĞƌĞ ǁĞůůͲƉƌĞƉĂƌĞĚ ƚŽ ĂĚǀŽĐĂƚĞ ŽŶ Ăůů ƚŚĞƐĞ ŝƐƐƵĞƐ͕ ƚŚĞ &W tĞĞŬ ŽĨ ĐƟŽŶ ;DĂƌĐŚ ϰͲϴͿ ďĞŐĂŶ ǁŝƚŚ ƚŚĞ ƚǁŽͲĚĂǇ &W ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ʹ ĨŽůůŽǁĞĚ ďǇ &ĂŵŝůǇ DĞĚŝĐŝŶĞ >ŽďďǇ ĂǇ͕ Ăƚ ǁŚŝĐŚ ŵŽƌĞ ƚŚĂŶ ϴϬ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŵĞƚ ŝŶ ŵŽƌĞ ƚŚĂŶ ϲϬ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ ƚŽ ƵƌŐĞ ƚŚĞŝƌ ƌĞũĞĐƟŽŶ ŽĨ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ĐƵƚ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ͘

California Family Physician Spring 2017

ĂǇ &ŽƵƌ ŽĨ &W͛Ɛ tĞĞŬ ŽĨ ĐƟŽŶ ǁĂƐ ĚĞƐŝŐŶĞĚ ƚŽ ŵĂŬĞ ĂĚǀŽĐĂĐǇ ĞĂƐǇ ĂŶĚ ĐŽŶǀĞŶŝĞŶƚ͕ ĂůůŽǁŝŶŐ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ŝŶŇƵĞŶĐĞ ŶĂƟŽŶĂů ƉŽůŝĐǇ ĨƌŽŵ ƚŚĞŝƌ ŚŽŵĞƐ Žƌ ŽĸĐĞƐ͘ tĞ ĂƐŬĞĚ ĨŽƌ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ĐĂůů ƚŚĞŝƌ ŽŶŐƌĞƐƐŝŽŶĂů ZĞƉƌĞƐĞŶƚĂƟǀĞƐ ĂŶĚ ůĞƚ ƚŚĞŵ ŬŶŽǁ ŶŽƚ ƚŽ ƐƵƉƉŽƌƚ Ă ƌĞƉůĂĐĞŵĞŶƚ ŽĨ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ; Ϳ ƵŶůĞƐƐ ŝƚ ŝŶĐůƵĚĞĚ ƚŚĞ ƐĂŵĞ Žƌ ŝŶĐƌĞĂƐĞĚ ůĞǀĞůƐ ŽĨ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ĐŽǀĞƌĂŐĞ͖ ŝŶƐƵƌĂŶĐĞ ƌĞĨŽƌŵƐ ĂŶĚ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶƐ ;ƐƵĐŚ ĂƐ ƚŚĞ ƉƌŽŚŝďŝƟŽŶ ŽŶ ĂŶŶƵĂů ĂŶĚ ůŝĨĞƟŵĞ ĐĂƉƐ ŽŶ ďĞŶĞĮƚƐ͕ ĐŽǀĞƌĂŐĞ ĨŽƌ ĞǀŝĚĞŶĐĞͲ ďĂƐĞĚ ĞƐƐĞŶƟĂů ƉƌŝŵĂƌǇ ĂŶĚ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞƐ ƐĞƌǀŝĐĞƐ ǁŝƚŚ ŶŽ ŽƵƚͲŽĨͲƉŽĐŬĞƚ ĐŽƐƚƐ͕ ĂŶĚ ƉƌŽƚĞĐƟŽŶ ĂŐĂŝŶƐƚ ĚŝƐĐƌŝŵŝŶĂƟŽŶ ŝŶ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ŵĂƌŬĞƚƉůĂĐĞƐ ƌĞŐĂƌĚůĞƐƐ ŽĨ ĂŐĞ͕ ƌĂĐĞ͕ ŐĞŶĚĞƌ or medical history) and investments in primary care (such as requiring health insurers to increase their overall investment in primary care services and prohibit the exclusion of primary ĐĂƌĞ ƉŚǇƐŝĐŝĂŶƐ ĨƌŽŵ ĂŶǇ ŶĞƚǁŽƌŬͿ͘ &W ĂůƐŽ ƵƌŐĞĚ ĐĂůůĞƌƐ ƚŽ ƌĂŝƐĞ ĐŽŶĐĞƌŶƐ ƌĞŐĂƌĚŝŶŐ ŝŶĂĚĞƋƵĂƚĞůǇ ĨƵŶĚĞĚ ŚŝŐŚ ƌŝƐŬ ƉŽŽůƐ͕ ƉŽŽƌůǇ ƐƵƉƉŽƌƚĞĚ ŚĞĂůƚŚ ƐĂǀŝŶŐƐ ĨŽƌ ůŽǁͲŝŶĐŽŵĞ ĂůŝĨŽƌŶŝĂŶƐ͕ ĂŶĚ DĞĚŝĐĂŝĚ ďůŽĐŬ ŐƌĂŶƚƐ ƚŚĂƚ ǁŽƵůĚ ĚŝƐƉƌŽƉŽƌƟŽŶĂƚĞůǇ ĚŝƐĂĚǀĂŶƚĂŐĞ ĂůŝĨŽƌŶŝĂ ĂŶĚ ŝƚƐ ŵŽƐƚ ǀƵůŶĞƌĂďůĞ ƉŽƉƵůĂƟŽŶƐ͘ dŚĞ ĮŶĂů ĚĂǇ ŽĨ &W͛Ɛ tĞĞŬ ŽĨ ĐƟŽŶ ƵƌŐĞĚ &W ŵĞŵďĞƌƐ ƚŽ ƚĂŬĞ ƚŽ dǁŝƩĞƌ ĂŶĚ &ĂĐĞďŽŽŬ ƵƐŝŶŐ ƚŚĞ ŚĂƐŚƚĂŐ ʹ η&ĂŵDĞĚϰWĂƟĞŶƚƐ ʹ ƚŽ ƐŚŽǁ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚ ŽƚŚĞƌƐ ǁŚǇ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ĂƌĞ ƚŚĞ ƚƌƵĞ ƉĂƟĞŶƚ ĐŚĂŵƉŝŽŶƐ ĂŶĚ ǁŚǇ ƚŚĞǇ ĮŐŚƚ ĨŽƌ ŚĞĂůƚŚ ĐĂƌĞ ƌĞĨŽƌŵ ƉƌŽƚĞĐƟŽŶƐ ǁŝƚŚ ŵĞƐƐĂŐĞƐ ƐƵĐŚ ĂƐ͗ ͞ZĞũĞĐƚ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉůĂŶ ƚŽ ĐƵƚ ǀŝƚĂů ƉƌŝŵĂƌǇ ĐĂƌĞ ƉŚǇƐŝĐŝĂŶ ƚƌĂŝŶŝŶŐ ĨƵŶĚŝŶŐ ηEŽ^ŽŶŐ ƌŽǁŶ Ƶƚ η&ĂŵDĞĚϰWĂƟĞŶƚƐ͟ ĂŶĚ ͞ ŽŶ͛ƚ ƌĞƉůĂĐĞ ƚŚĞ ǁŝƚŚŽƵƚ ĞŶƐƵƌŝŶŐ ƉĂƟĞŶƚƐ ĐĂŶ ŬĞĞƉ ƚŚĞŝƌ ĐŽǀĞƌĂŐĞ ĂŶĚ ƉƌŝŵĂƌǇ ĐĂƌĞ η&ĂŵDĞĚϰWĂƟĞŶƚƐ͘͟ tŚŝůĞ ŽŶůǇ ƟŵĞ ǁŝůů ƚĞůů ŚŽǁ ĞīĞĐƟǀĞ ŽƵƌ ĞīŽƌƚƐ ǁĞƌĞ͕ ƚŚĞ ĞŶƚŚƵƐŝĂƐŵ ĂŶĚ ƉĂƌƟĐŝƉĂƟŽŶ ďǇ ŽƵƌ ŵĞŵďĞƌƐ ŝŶ ŵĂŬŝŶŐ ƚŚĞŝƌ ǀŽŝĐĞƐ ŚĞĂƌĚ ŚĂƐ ďĞĞŶ ŝŶƐƉŝƌŝŶŐ͘ /Ĩ ǇŽƵ ǁŽƵůĚ ůŝŬĞ ƚŽ ŐĞƚ ŵŽƌĞ ŝŶǀŽůǀĞĚ ŝŶ &W͛Ɛ ĂĚǀŽĐĂĐǇ ǁŽƌŬ͕ / ŐƌĞĂƚůǇ ĞŶĐŽƵƌĂŐĞ ǇŽƵ ƚŽ ďĞĐŽŵĞ Ă <ĞǇ ŽŶƚĂĐƚ ĂŶĚ ũŽŝŶ ŽƵƌ 'ƌĂƐƐƌŽŽƚƐ ĚǀŽĐĂĐǇ dĞĂŵ ;ŚƩƉƐ͗ͬͬǁǁǁ͘ĨĂŵŝůǇĚŽĐƐ͘ŽƌŐͬĂĚǀŽĐĂĐǇͬŬĞǇͲĐŽŶƚĂĐƚͿ͘ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ŝƐ ƚŚĞ ŚĂŝƌ ĨŽƌ ƚŚĞ &W >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ͘

Serve the patients who need you most. AltaMed has become the nation’s largest community health network by providing quality care to the patients who need it most. We currently operate more than 40 locations in Los Angeles and Orange counties. .P]PUN 7O`ZPJPHUZ ]VPJL PU KLJPZPVUZ [OH[ HɈLJ[ JHYL KLSP]LY` PZ one of the ways AltaMed has achieved our quality and satisfaction NVHSZ ( YLHSPZ[PJ WH[PLU[ ]VS\TL HUK L_JLSSLU[ Z\WWVY[ Z[HɈ YH[PV and are also important quality factors.

We also support Physicians with: ࠮ 3VHU 9LWH`TLU[ 7YVNYHT ࠮ 7LYMVYTHUJL )VU\Z 7YVNYHT ࠮ 9LHZVUHISL VU JHSS [PTL

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See how you can do more with yourr m medical career at www.AltaMed.org/Careers Send your CV to Careers@AltaMed.org

Equal Opportunity Employer

Department of Family

and Community Medicine Academic Recruitment The University of California, Davis, Department of Family and Community Medicine seeks a Health Sciences Assistant Clinical Professor. The position will be expected to contribute with distinction in the areas of clinical care, teaching, mentoring of trainees, and University and public service. Positioned in the heart of Northern California, Sacramento is a diverse farm-to-fork foodie and coffee town with a vibrant art scene, and is an easy drive from San Francisco, the Napa Valley, Tahoe, and Yosemite. We have everything—but you! Candidates wishing to learn more about this academic opportunity should review the full recruitment description at https:// recruit.ucdavis.edu/apply/JPF01151 If interested, candidates should submit their application, including a current CV and a cover letter with full contact information, and they should apply online using the above URL. Inquiries regarding this position may be directed to Search Committee Chair, Dr. Sarah Marshall at smarshall@ucdavis.edu or by calling (916) 734-6226. The positon will remain open until filled through June 30, 2017.

The University of California is an Affirmative Action/Equal Opportunity Employer with a strong institutional commitment to the achievement of diversity among its faculty, staff, and students.

California Family Physician Spring 2017

legislative news

Adam Francis

Family Physicians Storm the State Capitol for 2017 All Member Advocacy Meeting and Lobby Day /Ŷ ĞĂƌůǇ DĂƌĐŚ͕ ŵŽƌĞ ƚŚĂŶ ϭϰϬ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů students from across the state converged on the Capitol for the CAFP ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ; D DͿ͘ dŚĞŝƌ ŐŽĂů͗ ĚŝƐĐƵƐƐ ŝŵƉŽƌƚĂŶƚ ƚŽƉŝĐƐ ŝŶ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ĂĚǀŽĐĂƚĞ ĨŽƌ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉĂƟĞŶƚƐ͘ dŚŝƐ ǇĞĂƌ͛Ɛ D D ĨŽĐƵƐĞĚ ŽŶ ƉŚǇƐŝĐŝĂŶ ĂĚǀŽĐĂĐǇ ŝŶǀŽůǀĞŵĞŶƚ Ăƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ĨĞĚĞƌĂů ůĞǀĞů͘ &Ğǁ ŽƚŚĞƌ ƐƉĞĐŝĂůŝƐƚƐ ĮŐŚƚ ĞǆĐůƵƐŝǀĞůǇ ĨŽƌ ƉƌŝŵĂƌǇ ĐĂƌĞ ĂŶĚ ƉĂƟĞŶƚƐ ƚŚĞ ǁĂǇ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ĚŽ͘ /Ĩ ŶŽƚ ǇŽƵ͕ ƚŚĞŶ ǁŚŽ͍ /Ĩ ŶŽƚ ŶŽǁ͕ ƚŚĞŶ ǁŚĞŶ͍ tŝƚŚ ƌĞĐŽƌĚ ďƌĞĂŬŝŶŐ ĂƩĞŶĚĂŶĐĞ Ăƚ ďŽƚŚ ƚŚĞ D D ĂƐ ǁĞůů ĂƐ &ĂŵŝůǇ DĞĚŝĐŝŶĞ >ŽďďǇ ĂǇ͕ ĂƩĞŶĚĞĞƐ ĂŶƐǁĞƌĞĚ ƚŚĞƐĞ ƋƵĞƐƟŽŶƐ ǁŝƚŚ Ă ƌĞƐŽƵŶĚŝŶŐ ͞tĞ Ăůů ǁŝůů ƚĂŬĞ ƵƉ ƚŚĞ ĐŚĂůůĞŶŐĞ ĂŶĚ ŽƵƌ ĂĚǀŽĐĂĐǇ ďĞŐŝŶƐ dK z͊͟ dŚĞ ϮϬϭϳ D D ǁĂƐ ĚĞƐŝŐŶĞĚ ƚŽ ŐŝǀĞ ĂƩĞŶĚĞĞƐ ƚŚĞ ƚŽŽůƐ ƚŚĞǇ ŶĞĞĚ ƚŽ ďĞĐŽŵĞ ƚŚĞ ůĞĂĚĞƌƐ ŽĨ ƚŚĞ ĨƵƚƵƌĞ ĂŶĚ ĞīĞĐƟǀĞ ĂĚǀŽĐĂƚĞƐ ĨŽƌ ƚŚĞŝƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŵƐĞůǀĞƐ͘ z KE ͗ dŚĞ ĐŽŶĨĞƌĞŶĐĞ ƐƚĂƌƚĞĚ ǁŝƚŚ &W͛Ɛ ŽƵƚŐŽŝŶŐ WƌĞƐŝĚĞŶƚ͕ >ĞĞ ZĂůƉŚ͕ D ĚĞŵŽŶƐƚƌĂƟŶŐ ƚŚĞ ďƌĞĂĚƚŚ ĂŶĚ ůĞŶŐƚŚ ŽĨ ŚŝƐ ĂĐƟǀŝƟĞƐ ŽŶ ďĞŚĂůĨ ŽĨ ƚŚĞ ĐĂĚĞŵǇ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ǇĞĂƌ ǁŝƚŚ ĂŶ ŝŶƐƉŝƌŝŶŐ WŽǁĞƌWŽŝŶƚ ĚŽĐƵŵĞŶƟŶŐ ŚŝƐ ŵĂŶǇ ƚƌĂǀĞůƐ͘ /ŶĐŽŵŝŶŐ WƌĞƐŝĚĞŶƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ĚĞƐĐƌŝďĞĚ ŚŽǁ &W ĂŶĚ ŚĞƌ ĐŽůůĞĂŐƵĞƐ ĂƌĞ ŚĞƌ ƐĞĐŽŶĚ ĨĂŵŝůǇ͕ ĨƌŽŵ ǁŚŝĐŚ ƐŚĞ ƚĂŬĞƐ ƌĞŶĞǁĂů ĂŶĚ ŝŶƐƉŝƌĂƟŽŶ͘ ƌƐ͘ ZĂůƉŚ ĂŶĚ YƵŝŽŐƵĞ ǁĞƌĞ ĨŽůůŽǁĞĚ ďǇ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ͕ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ŚĂŝƌ͕ >ĞŐŝƐůĂƟǀĞ ĚǀŽĐĂƚĞ :ŽĚŝ ,ŝĐŬƐ ĂŶĚ &W ŝƌĞĐƚŽƌ ŽĨ 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ ĚĂŵ &ƌĂŶĐŝƐ ǁŚŽ ƉƌŽǀŝĚĞĚ Ă ůĞŐŝƐůĂƟǀĞ ďƌŝĞĮŶŐ ŽŶ &W͛Ɛ ƐƵĐĐĞƐƐĨƵů ĞīŽƌƚ ůĂƐƚ ǇĞĂƌ ƚŽ ƐĞĐƵƌĞ ΨϭϬϬ ŵŝůůŝŽŶ ƚŽ ƐƵƉƉŽƌƚ ƉƌŝŵĂƌǇ ĐĂƌĞ ƌĞƐŝĚĞŶĐǇ ƚƌĂŝŶŝŶŐ ĂŶĚ ŽƵƌ ŶĞĞĚ ƚŚŝƐ ǇĞĂƌ ƚŽ ƉƌŽƚĞĐƚ ƚŚĂƚ ŵŽŶĞǇ ĨƌŽŵ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ďƵĚŐĞƚ ĐƵƚƐ͘ dŚĞǇ ĂůƐŽ ĚĞƚĂŝůĞĚ &W͛Ɛ ƐƵĐĐĞƐƐ ŝŶ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ƚŚĞ ƉĂƐƐĂŐĞ ŽĨ WƌŽƉŽƐŝƟŽŶ ϱϲ͕ Ă ƚŽďĂĐĐŽ ƚĂǆ ŵĞĂƐƵƌĞ ƚŚĂƚ ŐĞŶĞƌĂƚĞƐ ŵŽƌĞ ƚŚĂŶ Ψϭ ďŝůůŝŽŶ ƚŽ ƐƵƉƉŽƌƚ DĞĚŝͲ Ăů ĂŶĚ ƉƌŝŵĂƌǇ ĐĂƌĞ ĂŶĚ ĞŵĞƌŐĞŶĐǇ ŵĞĚŝĐŝŶĞ residency programs.

California Family Physician Spring 2017

EĞǁ WŚǇƐŝĐŝĂŶ ŽĂƌĚ ŵĞŵďĞƌ ^ŚĂŶŶŽŶ ŽŶŶŽůůǇ͕ D ŽīĞƌĞĚ ĂŶ ŝŵƉĂƐƐŝŽŶĞĚ ĂĐĐŽƵŶƚ ŽĨ ŚŽǁ &W ŚĞůƉĞĚ ŚĞƌ ĐŚĂŶŶĞů ŚĞƌ ĐŽŶĐĞƌŶƐ ĂďŽƵƚ ĞīŽƌƚƐ ƚŽ ƌĞƉĞĂů ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ĚĞĨƵŶĚ WůĂŶŶĞĚ WĂƌĞŶƚŚŽŽĚ ŝŶƚŽ ĂĐƟŽŶ ʹ ƌĞƐƵůƟŶŐ ŝŶ Ă ŶĞǁ͕ ŽǀĞƌĂƌĐŚŝŶŐ ĐĂĚĞŵǇ ƉŽůŝĐǇ ƐƚĂƚĞŵĞŶƚ ŽŶ ŚĞĂůƚŚ ĐĂƌĞ ;^ĞĞ WĂŐĞ ϮϮͿ͘ dŚĞ D D dŽǁŶ ,Ăůů ƐĞƐƐŝŽŶ ĨĞĂƚƵƌĞĚ ƚǁŽ ƚŽƉŝĐĂů ŝƐƐƵĞƐ ʹ sĂůƵĞͲ ĂƐĞĚ WĂǇŵĞŶƚ ĂŶĚ ƚŚĞ DĞĚŝĐĂƌĞ ĐĐĞƐƐ ĂŶĚ ,/W ZĞĂƵƚŚŽƌŝǌĂƟŽŶ Đƚ ŽĨ ϮϬϭϱ ;D Z Ϳ ǁŝƚŚ ĞŶƚĞƌƐ ĨŽƌ DĞĚŝĐĂƌĞ ĂŶĚ DĞĚŝĐĂŝĚ ^ĞƌǀŝĐĞƐ ŝƐƚƌŝĐƚ /y DĞĚŝĐĂů ŝƌĞĐƚŽƌ ƐŚďǇ tŽůĨĞ͕ D ͕ DW,͕ DW ĂŶĚ >ĞĂŚ EĞǁŬŝƌŬ͕ : ͕ WƌŝŶĐŝƉĂů͕ >^E ŽŶƐƵůƟŶŐ ĂŶĚ ĨŽƌŵĞƌ &W ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐǇ ĂŶĚ ĂŶ ŽǀĞƌǀŝĞǁ ŽĨ ǁŽƌŬĨŽƌĐĞ ĚĞǀĞůŽƉŵĞŶƚ ƉƌŽŐƌĞƐƐ ŝŶ ƚŚĞ ƐƚĂƚĞ ǁŝƚŚ ŽŶƌĂĚ ŵĞŶƚĂ͕ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐǇ͘ dŽ ŬĞĞƉ ŝƚ ƌĞĂů͕ ƚŚĞ D D ĂůƐŽ ĨĞĂƚƵƌĞĚ Ă ƉĂŶĞů ŽĨ ĨŽƵƌ ůĞŐŝƐůĂƟǀĞ ƐƚĂīĞƌƐ ĨƌŽŵ ƚŚĞ ŽĸĐĞƐ ŽĨ ƐƐĞŵďůǇ ^ƉĞĂŬĞƌ ŶƚŚŽŶǇ ZĞŶĚŽŶ͕ ƐƐĞŵďůǇŵĞŵďĞƌ &ƌĂŶŬ ŝŐĞůŽǁ͕ ƐƐĞŵďůǇŵĞŵďĞƌ ZŽď ŽŶƚĂ ĂŶĚ ^ĞŶĂƚŽƌ ZŝĐŚĂƌĚ WĂŶ ǁŚŽ ĚĞƐĐƌŝďĞĚ ǁŚĂƚ ĐŽŶƐƟƚƵƚĞĚ ŵĞĂŶŝŶŐĨƵů ĐŽŶƐƟƚƵĞŶƚ ǀŝƐŝƚƐ ĨƌŽŵ ƚŚĞŝƌ ƉĞƌƐƉĞĐƟǀĞ͘ ƩĞŶĚĞĞƐ ŚĞĂƌĚ ǁŚĂƚ ŝƚ͛Ɛ ůŝŬĞ ƚŽ ďĞ ŽŶ ƚŚĞ ƌĞĐĞŝǀŝŶŐ ĞŶĚ ŽĨ ǀŝƐŝƚƐ͕ ĐĂůůƐ ĂŶĚ ĞŵĂŝůƐ ŝŶ Ă ůĞŐŝƐůĂƟǀĞ ŽĸĐĞ ĂŶĚ ƚŚĞŶ ŚĂĚ Ă ĐŚĂŶĐĞ ƚŽ ĂƉƉůǇ ƚŚĂƚ ŬŶŽǁůĞĚŐĞ ŝŶ ƉůĂŶŶŝŶŐ ƚŚĞŝƌ ŽǁŶ ǀŝƐŝƚƐ ŽŶ DŽŶĚĂǇ͘ z dtK͗ dŚĞ ƐĞĐŽŶĚ ĚĂǇ ŽĨ ƚŚĞ ĐŽŶĨĞƌĞŶĐĞ ĨĞĂƚƵƌĞĚ ƚǁŽ ĂǁĂƌĚ ƉƌĞƐĞŶƚĂƟŽŶƐ ĂŶĚ Ă ƐƵƌƉƌŝƐĞ ƌŽĂƐƚͬƚŽĂƐƚ ŽĨ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ͕ ĚĂŵ ;͞&ĞĂƌ ƚŚĞ ZĞĚ ĞĂƌĚ͟Ϳ &ƌĂŶĐŝƐ͕ ŝŶ ŚŽŶŽƌ ŽĨ ŚŝƐ ϭϬƚŚ ĂŶŶŝǀĞƌƐĂƌǇ ǁŝƚŚ ƚŚĞ ĐĂĚĞŵǇ͘ dŚĞ ϮϬϭϳ ,ĞƌŽ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ĂǁĂƌĚ ǁĞŶƚ ƚŽ dŝŵ DƵŶǌŝŶŐ͕ D ͕ ĨŽƌ ŚŝƐ ŐƌĞĂƚ ŝŶͲĚŝƐƚƌŝĐƚ ĂĚǀŽĐĂĐǇ ǁŝƚŚ ůĞŐŝƐůĂƚŽƌƐ ŽŶ ďĞŚĂůĨ ŽĨ ƉĂƟĞŶƚƐ ĂŶĚ ŚŝƐ ǁŽƌŬ ƚŽ ƐƵƉƉŽƌƚ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐǇ ƉƌŽŐƌĂŵƐ ĂĐƌŽƐƐ ƚŚĞ ƐƚĂƚĞ͘ dŚĞ ƐĞĐŽŶĚ ĂǁĂƌĚ ƌĞĐŝƉŝĞŶƚ ǁĂƐ ^ĞŶĂƚĞ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĞſŶ͕ ǁŚŽ ƌĞĐĞŝǀĞĚ ƚŚĞ ϮϬϭϳ ŚĂŵƉŝŽŶ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ǁĂƌĚ ŝŶ ƌĞĐŽŐŶŝƟŽŶ ŽĨ ŚŝƐ ĐŽƵƌĂŐĞ

ĂŶĚ ĞŵƉĂƚŚǇ ĨŽƌ ƉĂƟĞŶƚƐ ĂŶĚ ŚŝƐ ĚĞĚŝĐĂƟŽŶ ƚŽ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͕ ƉƌŝŵĂƌǇ ĐĂƌĞ ĂŶĚ ƉƵďůŝĐ ŚĞĂůƚŚ͘ ^ĞŶĂƚŽƌ ĚĞ >ĞſŶ ƉƌŽŵŝƐĞĚ ƚŽ ͞ĚŽƵďůĞ ĚŽǁŶ ŽŶ ůŝŌŝŶŐ ƉĞŽƉůĞ ƵƉ͟ ŝŶ ĂůŝĨŽƌŶŝĂ͕ ĚĞƐƉŝƚĞ ǁŚĂƚ ŵŝŐŚƚ ĐŽŵĞ ŽƵƚ ŽĨ tĂƐŚŝŶŐƚŽŶ͕ ĂŶĚ ĂƐƐƵƌĞĚ ƚŚŽƐĞ present that our state celebrates diversity ĂŶĚ ǁŽŶ͛ƚ ůĞƚ ƉĞŽƉůĞ ďĞ ďƵůůŝĞĚ͕ ĚĞŵĞĂŶĞĚ Žƌ ƚŽůĚ ƚŚĞǇ ĂƌĞ ŽƵƚƌŝŐŚƚ ĚŝƐƉĞŶƐĂďůĞ͘ ,Ğ ǁĂƐ ŐŝǀĞŶ ƐĞǀĞƌĂů ƐƚĂŶĚŝŶŐ ŽǀĂƟŽŶƐ͘ dŚĞ ĨƵŶ ĚŝĚŶ͛ƚ ƐƚŽƉ ƚŚĞƌĞ͕ ĞŝƚŚĞƌ͘ dĞƐƟŵŽŶǇ ǁĂƐ ŚĞĂƌĚ ďǇ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ŽŶ ĞŝŐŚƚ ƌĞƐŽůƵƟŽŶƐ ŽŶ ǁŚŝĐŚ ƚŚĞ ŽĂƌĚ ǁŝůů ĐŽŶƐŝĚĞƌ ĂĐƟŽŶ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ǇĞĂƌ ĂŶĚ ƌĞƉŽƌƚ ďĂĐŬ ƚŽ ƚŚĞ ϮϬϭϴ D D͘ ƩĞŶĚĞĞƐ ĂůƐŽ ƌĞĐĞŝǀĞĚ Ă ĨĞĚĞƌĂů ůĞŐŝƐůĂƟǀĞ ƵƉĚĂƚĞ ĨƌŽŵ &W /ŵŵĞĚŝĂƚĞ WĂƐƚ WƌĞƐŝĚĞŶƚ tĂŶĚĂ &ŝůĞƌ͕ D ǁŚŽ ĂůƐŽ ǁĂƐ ŐƌĂĐŝŽƵƐ ĞŶŽƵŐŚ ƚŽ ƉĂƌƟĐŝƉĂƚĞ ŝŶ &W͛Ɛ ƚƌĂŝŶŝŶŐ ŽŶ ͞,Žǁ ƚŽ DĞĞƚ ǁŝƚŚ zŽƵƌ >ĞŐŝƐůĂƚŽƌ͟ ƐĞƐƐŝŽŶ͕ ůĞĚ ďǇ &W ƐƚĂī͘ ƐĞĐŽŶĚ ƚƌĂŝŶŝŶŐ ƐĞƐƐŝŽŶ ǁĂƐ ůĞĚ ďǇ tĞŶĚǇ dĂǇůŽƌͲ dĂŶŝĞůŝĂŶ͕ ǁŚŽ ƉƌĞƐĞŶƚĞĚ ͞^ƵĐĐĞƐƐĨƵů ĚǀŽĐĂĐǇ ƚŚƌŽƵŐŚ dĞůůŝŶŐ zŽƵƌ ^ƚŽƌǇ͘͟ DĞŵďĞƌƐ ŚĂĚ ŵĂŶǇ ʹ ďŽƚŚ ŵĞĂŶŝŶŐĨƵů ĂŶĚ ĞŵŽƟŽŶĂů͘ &WͲW s Ed͗ D D ĂƩĞŶĚĞĞƐ ďƌŽŬĞ Ăůů ƉƌĞǀŝŽƵƐ ĨƵŶĚƌĂŝƐŝŶŐ ƌĞĐŽƌĚƐ͕ ĐŽŶƚƌŝďƵƟŶŐ ŵŽƌĞ ƚŽ ƚŚĞ &ĂŵŝůǇ WŚǇƐŝĐŝĂŶƐ WŽůŝƟĐĂů ĐƟŽŶ ŽŵŵŝƩĞĞ ;&WͲW Ϳ ƚŚĂŶ Ăƚ ĂŶǇ ŽƚŚĞƌ &W ŵĞĞƟŶŐ ĞǀĞƌ͊ DŽƌĞ ƚŚĂŶ ϵϬ ĐŽŶƚƌŝďƵƚŽƌƐ ƌĂŝƐĞĚ ŵŽƌĞ ƚŚĂŶ ΨϮϮ͕ϬϬϬ ĨŽƌ &WͲW ͕ ƚŚĞ ŽŶůǇ ƉŽůŝƟĐĂů ĂĐƟŽŶ ĐŽŵŵŝƩĞĞ ŝŶ ĂůŝĨŽƌŶŝĂ ƚŚĂƚ ŵĂŬĞƐ ĚŝƌĞĐƚ ĐŽŶƚƌŝďƵƟŽŶƐ ƚŽ ƉƌŽͲĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͕ ƉƌŽͲƉĂƟĞŶƚ ƐƚĂƚĞ ůĞŐŝƐůĂƟǀĞ ĐĂŶĚŝĚĂƚĞƐ ĂŶĚ ƐĞůĞĐƚ ƐƚĂƚĞǁŝĚĞ ŽĸĐĞƐ͘ ǀĞŶ ƚŚŽƵŐŚ ƚŚĞǇ ĂƌĞ ƚŚĞ ŵŽƐƚ ĮƐĐĂůůǇ ĐŚĂůůĞŶŐĞĚ͕ ƚŚĞ ŵŽƌĞ ƚŚĂŶ ϯϬ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŝŶ ĂƩĞŶĚĂŶĐĞ ƐŚŽǁĞĚ ǁŚĂƚ ƚƌƵĞ ĂĚǀŽĐĂĐǇ ŝƐ ǁŚĞŶ ĞĂĐŚ ĂŶĚ ĞǀĞƌǇ ŽŶĞ ŽĨ ƚŚĞŵ ĐŽŶƚƌŝďƵƚĞĚ ƚŽ &WͲW ͕ ƉĂƌƚ ŽĨ Ă ĚŽŶĂƟŽŶ ŵĂƚĐŚ ŽīĞƌ ƐƉĞĂƌŚĞĂĚĞĚ ďǇ &WͲW ŽĂƌĚ DĞŵďĞƌ :ĞƌĞŵǇ &ŝƐŚ͕ D ͘ &WͲW ƚŚĂŶŬĞĚ ŝƚƐ ĚŽŶŽƌƐ ^ƵŶĚĂǇ ĞǀĞŶŝŶŐ ĚƵƌŝŶŐ ƚŚĞ ĮŌŚ ŶŶƵĂů &WͲW ŽŶŽƌ ZĞĐĞƉƟŽŶ͕ ǁŚŝĐŚ ĨĞĂƚƵƌĞĚ ƐƉĞĐŝĂů ůĞŐŝƐůĂƟǀĞ ŐƵĞƐƚƐ /ŶƐƵƌĂŶĐĞ ŽŵŵŝƐƐŝŽŶĞƌ ĂǀĞ :ŽŶĞƐ͕ ^ĞŶĂƚŽƌ ĂŶĚ ƉĞĚŝĂƚƌŝĐŝĂŶ ZŝĐŚĂƌĚ WĂŶ͕ D ͕ ƐƐĞŵďůǇŵĞŵďĞƌ :ŽƐĞ DĞĚŝŶĂ͕ ƐƐĞŵďůǇ DŝŶŽƌŝƚǇ >ĞĂĚĞƌ ŚĂĚ DĂǇĞƐ ĂŶĚ ƐƐĞŵďůǇŵĞŵďĞƌ <ĞǀŝŶ DĐ ĂƌƚǇ ;ďĞůŽǁͿ͘ /Ĩ ǇŽƵ ŚĂǀĞ ŶŽƚ ǇĞƚ ĐŽŶƚƌŝďƵƚĞĚ ƚŽ &WͲW ŝŶ ϮϬϭϳ͕ ƉůĞĂƐĞ ŐŽ ƚŽ ŽƵƌ ĚŽŶĂƟŽŶ ƉĂŐĞ ;ŚƩƉƐ͗ͬͬĨĂŵŝůǇĚŽĐƐ͘ƐĞĐƵƌĞ͘ĨŽƌĐĞ͘ĐŽŵͬƉĂĐͬͿ ƚŽ ĞŶƐƵƌĞ ƚŚĂƚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ĐĂŶ ĐŽŶƟŶƵĞ ŽƵƌ ŝŵƉŽƌƚĂŶƚ ĞůĞĐƚŽƌĂů ĂĚǀŽĐĂĐǇ͘

& D/>z D / /E >K z z͗ &ĂŵŝůǇ DĞĚŝĐŝŶĞ >ŽďďǇ ĂǇ ƚŽŽŬ ƉůĂĐĞ ŽŶ DŽŶĚĂǇ͕ DĂƌĐŚ ϲ ĂŶĚ Ă ƌĞĐŽƌĚ ƚƵƌŶŽƵƚ ŽĨ ŵŽƌĞ ƚŚĂŶ ϴϬ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŵĞƚ ŝŶ ŵŽƌĞ ƚŚĂŶ ϲϬ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ ƚŽ ƵƌŐĞ ƚŚĞŝƌ ƌĞũĞĐƟŽŶ ŽĨ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ĐƵƚ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WŚǇƐŝĐŝĂŶ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͘ dŚĞǇ ďĂƌĞůǇ Įƚ ŝŶ ƚŚĞ ƉŚŽƚŽ͊ /ƚ ǁĂƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ĂŶĚ ĞǆĐŝƟŶŐ ǁĞĞŬĞŶĚ͊ tĞ ŝŶǀŝƚĞ ĂŶǇ ĂŶĚ Ăůů &W ŵĞŵďĞƌƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ĂĚǀĂŶĐŝŶŐ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶƐ ƚŽ ũŽŝŶ ƵƐ Ăƚ ŶĞǆƚ ǇĞĂƌ͛Ɛ ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ĂŶĚ &ĂŵŝůǇ DĞĚŝĐŝŶĞ >ŽďďǇ ĂǇ͕ ƚĂŬŝŶŐ ƉůĂĐĞ DĂƌĐŚ ϭϬͲϭϮ͕ ϮϬϭϴ Ăƚ dŚĞ ŝƟǌĞŶ ,ŽƚĞů ŝŶ ^ĂĐƌĂŵĞŶƚŽ͘

WŚŽƚŽ ŝĚĞŶƟĮĐĂƟŽŶ͗

WĂŐĞ ϭϮ͗ &ƌŽŵ >ĞŌ ƚŽ ƌŝŐŚƚ͕ &WͲW ĐŽŶƚƌŝďƵƚŽƌƐ ĂƩĞŶĚĞĚ Ă ƐƉĞĐŝĂů ƌĞĐĞƉƟŽŶ ǁŝƚŚ ůĞŐŝƐůĂƚŽƌƐ ŽŶ ^ƵŶĚĂǇ ĞǀĞŶŝŶŐ͖ &W͛Ɛ ŚĂŵƉŝŽŶ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ͕ ^ĞŶĂƚĞ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĠŽŶ͕ ŝƐ ŇĂŶŬĞĚ ďǇ :ĂǇ >ĞĞ͕ D ͕ DW,͖ >ĞĞ ZĂůƉŚ͕ D ͖ DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D ĂŶĚ >ŝƐĂ tĂƌĚ͕ D ͘ WĂŐĞ ϭϯ͗ DŽƌĞ ƚŚĂŶ ϴϬ &W ŵĞŵďĞƌƐ ƐƚŽƌŵĞĚ ƚŚĞ ĂƉŝƚŽů ŽŶ >ŽďďǇ ĂǇ͖ ĚĞůĞŐĂƟŽŶ ůĞĚ ďǇ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ƐƚŽƉƐ ƚŽ pay homage to the California Golden Bear before heading to ĂƉŝƚŽů ĂƉƉŽŝŶƚŵĞŶƚƐ͖ dŝŵ DƵŶǌŝŶŐ ǁĂƐ ƉƌĞƐĞŶƚĞĚ ƚŚĞ ,ĞƌŽ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ǁĂƌĚ ďǇ &W WƌĞƐŝĚĞŶƚ >ĞĞ ZĂůƉŚ͘ California Family Physician Spring 2017

All Member Advocacy Meeting Elects New CAFP Leaders ŽŶŐƌĂƚƵůĂƟŽŶƐ ƚŽ &W͛Ɛ ŶĞǁůǇ ĞůĞĐƚĞĚ ůĞĂĚĞƌƐ ĨŽƌ ϮϬϭϳͲϭϴ͗ WƌĞƐŝĚĞŶƚ͕ DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D ͕ ĂŬĞƌƐĮĞůĚ͖ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ͕ >ŝƐĂ tĂƌĚ͕ D ͕ D^ĐW,͕ D^͕ ^ĂŶƚĂ ZŽƐĂ͖ ^ƉĞĂŬĞƌ͕ tĂůƚĞƌ DŝůůƐ͕ D ͕ DŽŶƚĞƌĞǇ͖ sŝĐĞ ^ƉĞĂŬĞƌ ĂǀŝĚ ĂǌǌŽ͕ D ͕ ^ĂŶ ŝĞŐŽ͖ ĂŶĚ ^ĞĐƌĞƚĂƌǇͲ dƌĞĂƐƵƌĞƌ ^ŚĂŶŶŽŶ ŽŶŶŽůůǇ͕ D ͕ >ŽƐ ŶŐĞůĞƐ͘ ĚĚŝƟŽŶĂůůǇ͕ :ĞīƌĞǇ >ƵƚŚĞƌ͕ D ǁĂƐ ĞůĞĐƚĞĚ &W ĞůĞŐĂƚĞ ϮϬϭϳͲϭϴ͖ ĂƌŽů ,ĂǀĞŶƐ ǁĂƐ ĞůĞĐƚĞĚ &W ĞůĞŐĂƚĞ ϮϬϭϳ͖ :ĂǇ t͘ >ĞĞ͕ D ͕ DW, ǁĂƐ ĞůĞĐƚĞĚ &W ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ϮϬϭϳͲϭϴ͖ ĂŶĚ >ĞĞ ZĂůƉŚ͕ D ǁĂƐ ĞůĞĐƚĞĚ &W ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ϮϬϭϳ͘ ^ƚĞǀĞŶ ,ĂƌƌŝƐ͕ D ǁĂƐ ĞůĞĐƚĞĚ ZƵƌĂů ŝƌĞĐƚŽƌ ŽŶ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ĂŶĚ dŽŶĂŶƚǌŝŶ ZŽĚƌŝŐƵĞǌ͕ D ǁĂƐ ĞůĞĐƚĞĚ ƚŽ ƚŚĞ EŽŵŝŶĂƟŶŐ ŽŵŵŝƩĞĞ ϮϬϭϳͲϭϴ͘ ůů ƚĂŬĞ ŽĸĐĞ ŽŶ Ɖƌŝů ϴ͘

FAMILY MEDICINE/PEDIATRIC MEDICINE

Vista Community Clinic With locations in Vista/No San Diego County, Lake Elsinore/So Riverside County and La Habra/Orange County Seeking: Full-time, part-time and per diem Family Medicine Physicians and Pediatricians. Requirements: California license, DEA license, CPR certiﬁcation and board certiﬁed in family medicine. Bilingual English/Spanish preferred.

Contact Us: Visit our website at www.vistacommunityclinic.org Forward resume to hr@vistacommunityclinic.org or fax resume to 760-414-3702

NAPA VALLEY WINE COUNTRY OUTPATIENT FP POSITIONS

WŚŽƚŽ ŝĚĞŶƟĮĐĂƟŽŶ͗

&W ŽĂƌĚ ŚĂŝƌ tĂŶĚĂ &ŝůĞƌ͕ D ͕ ƐƉŽŬĞ Ăƚ ƚŚĞ D D ĂŶĚ ĂŶƐǁĞƌĞĚ ƋƵĞƐƟŽŶƐ ĚƵƌŝŶŐ ƚŚĞ dŽǁŶ ,Ăůů͖ ^ĂƚƵƌĚĂǇ ŶŝŐŚƚ ĚŝŶĞͲĂƌŽƵŶĚ ĚŝŶŶĞƌƐ ǁĞƌĞ ƉŽƉƵůĂƌ ĂŐĂŝŶ ƚŚŝƐ ǇĞĂƌ͖ ^ƚƵĚĞŶƚ ŵĞŵďĞƌ ĂŶŝĞůůĞ 'ůĂĞƐĞƌ ƌĞƉŽƌƚĞĚ ŽŶ ƚŚĞ ^ƚƵĚĞŶƚ ŽƵŶĐŝů͛Ɛ ƌŽůĞ ĂŶĚ ƌĞƐƉŽŶƐŝďŝůŝƟĞƐ͖ ĂŶĚ ƚŚĞ D D ƉĂƌƟĐŝƉĂŶƚƐ ĚŽŶŶĞĚ ŽƌĂŶŐĞ ďĞĂƌĚƐ ƚŽ ŚŽŶŽƌ ŽƵƌ ŽǁŶ ĚĂŵ ͞&ĞĂƌ ƚŚĞ ZĞĚ ĞĂƌĚ͟ &ƌĂŶĐŝƐ ŽŶ ŚŝƐ ϭϬƚŚ ĂŶŶŝǀĞƌƐĂƌǇ ǁŝƚŚ &W͘

California Family Physician Spring 2017

Hospital supported outpatient FP positions in desirable growing community of 135,000 nestled in the Napa Wine Country 45 minutes to San Francisco associated with award winning 200 bed health system. Refer inpatients to Hospitalist program. New and modern clinic facilities. Excellent 5 year salary guarantee, signing bonus, production bonus, benefits and relocation. High income projection.

314-984-0624 donohueandassoc@aol.com

FOR SOME OF OUR MOST ELITE SOLDIERS, THE EXAMINATION ROOM IS THE FRONT LINE. Becoming a family medicine physician and ofﬁcer on the U.S. Army health care team is an opportunity like no other. You will provide the highest quality health care to Soldiers, family members, retirees and others, as well as conduct medical research of military importance. With this elite team, you will be a leader – not just of Soldiers, but in family health care. See the beneﬁts of being an Army medical professional at healthcare.goarmy.com/hb76 To learn more about the U.S. Army health care team, call 310-216-4433.

Meet Your

New President … Michelle S. Quiogue, MD, FAAFP CAFP President, 2017-2018

ĂĂĐŚ ĐŚ ǇĞĂĂƌ͕ƌ͕ ǁĞ ŝŶƚĞ ƚĞƌǀ ƌ ŝĞǁ ƚŚ ƚ Ğ &W͛Ɛ ŝŶĐŽŵŝŶŐ Ő Ɖƌ Ɖ ĞƐŝĚ ŝĚĞŶ ĞŶƚ͕ ƚ͕ Őŝǀ ŝǀŝŶ ŝ Ő ŝŶ Ő ŚĞ Ś ƌ Žƌƌ Śŝŵ Ă ĐŚĂ Ś ŶĐĞ ƚŽ Ž ƚĂůŬ Ăď ďŽƵƚ ǀŝƐŝŽŶ͕ ŚŽƉĞƐ͕ ĚƌĞĂŵƐ͕ ƌŽůůĞƐ ĂŶĚ Ě ƌĞĞƐƉŽŶ ƐƉŽŶƐŝ Ɛ ďŝ ďŝůŝůŝƟĞƐ͕ ĂŶĚ Ě ŐŝǀŝŶŐ ǇŽ ǇŽƵ Ă ƉĞĞŬ Ăƚ ƚŚĞ ĨĂ Ĩ ŵŝůǇ ƉŚǇƐŝĐŝĂŶ ǁŚŽ ŚŽ ǁŝůů ǁŝ ŝůů ŚĞů ĞůƉ Ɖ ŐƵ ŐƵŝĚĞ ǇŽƵƌ ĐĂĚĞŵǇ ĨŽƌ Ž ƚŚĞ ĐŽŵŝŶŐ ǇĞ ǇĞĂƌ ĞĂ ͘ tĞ ĂƌĞ ƉůĞĂĂƐĞĞĚ Ě ƚŽ ƚŽ ŝŶƚƌ ŝŶ ƚƌŽĚ ŽĚƵĐ ƵĐĞĞ ƌ ͘ DŝĐŚĞůůĞĞ YƵŝŽŐƵĞ͘ Why family medicine for you? / ǁĞ ǁĞŶƚ Ŷƚ ƚŽ ĂŶ ĞŝŐŚƚͲǇ ͲǇĞĞĂƌ ĐŽŶƟŶƵƵŵ ŵ ƉƌŽ ƌŽŐƌ ŐƌƌĂŵ Ăŵ Ăƚ ƌ ŽǁŶ hŶ hŶŝǀ ŝǀǀĞƌƐŝ ŝǀĞƌ ĞƌƐ ƚǇ ĚĞĞƐŝ ƐŝŐŶ ŝŐŶĞĚ ƚŽ ĚĞǀĞ ǀĞůŽ ůŽƉ ŚƵŵĂŶŝƐƟĐ ĚŽ ŽĐƚ ĐƚŽƌ ŽƌƐ Ɛ ƚŚ ŚƌŽ ƌŽƵŐ ƵŐŚ Ś Ă Ă ůŝůďĞƌĂĂů ĞĚ ĞĚƵĐ ƵĐĂƟ ĂƟ ƟŽŶ Ž ͖ / ĂƉ ĂƉƉůŝĞĚ ƚŽ ŵĞĚ ĞĚŝĐĂů ƐĐŚŽŽů Ăƚ Ăƚ ƚŚĞ ƐĂŵĞ ƟŵĞ ƚŚ ŚĂƚ Ă / ĂƉƉůŝĞĚ ĞĚ ƚŽ Ž ĐŽ ĐŽůůĞŐ ĞŐĞ͘ Ğ Ɛ Ă ϮϰͲ ϰͲǇĞĂƌƌͲŽ ͲŽůůĚ ŵĞĚ ƐƚƵ ƵĚĞ ĚĞŶƚ Ŷ ĚĞĐŝĚŝŶŐ ŽŶ Ă ĐĂƌ ĂƌĞĞƌ ƉĂƚŚ ĂŶĚ ŶĚ ĂƉ ƉƉ ƉůǇ ůǇŝŶ ŝŶŐŐ ĨŽƌ ĨŽ ƌ ĂĂ EĂĂƟŽ ƟŽŶĂů ,ĞĂůƚŚ ^Ğƌ Ğƌǀŝ ǀ ĐĞ ŽƌƉƐ ;E,^ Ϳ ƐĐŚŽůĂƌƐŚŝƉ ƚŽ ĚŽ Ž Ɖƌ ƉƌŝŵĂƌǇ Ǉ ĐĂƌĞĞ ĨŽƌ ƚŚĞĞ ƵŶĚĞƌƌƐĞ ĐĂ ƐĞƌǀ ƌǀĞĚ͕ / ůĞĂƌŶĞĚ ƚŚ ŚĂƚ ƚŚŽƐĞ ĂƌĐŚĞ Ś ƚǇƉĂů ŝĚĞĂƐ Ɛ / /ŚĂ ŚĂĚ Ě ĂƐ Ă ϭϳͲͲǇĞĂƌ ŽůĚ ĂƉƉ ƉƉůǇŝŶŐ ĨŽƌ ĐŽůůĞŐĞ ĂďŽƵƚ ǁŚĂƚƚ ŝƚ ŵĞĂŶƐ ƚŽ ďĞ Ă doctor – to help do p peopl p e as individuals and as memb mbers of families ĂŶĚ ĐŽ ĂŶĚ ĐŽŵŵƵŶŝƟ ƟĞƐ ĞƐ͕ ƚŽ Ž ĐĂƌ ĂƌĞ ĨŽƌ ƚŚĞŵ͕ ƚŽ ƚ ƐĞƌǀĞ ʹ ǁĞƌĞ ƌĞĞŇĞ Ň ĐƚĞĚ ďĞƐ Ğ ƚ ƚ ďǇ fam fa mily medicin ne. Who were the role models who inspired you to go into family medicine? /Ŷ Ŷ ĐŽů ŽůůĞ ůĞŐĞ ůĞ ŐĞ ĂŶĚ ŝŶ ŵĞ ŐĞ ŵĞĚŝ ĚŝĐĂ Ěŝ ĐĂůů ů ƐĐ ĐĂ ƐĐŚŽ ĐŚŽ ŚŽŽů Žů͕ / ǁĂƐ ƐƵ ƐƵƌƌŽƵŶĚĞĚ Ě ďǇ Ǉ ĨĂ ĨĂŵŝ ŵŝůǇǇ ĚŽ ŽĐƚ ĐƚŽƌ ŽƌƐ͘ Ɛ dŚĞ ŚĞǇ Ǉ ǁĞ ǁĞƌĞ ƌĞ ĞǀĞ ǀĞƌǇ ƌǇǇǁŚ ǁŚĞƌ Ğ Ğ Ͷ ŝŶ ĐůĂƐƐƌŽŽŵƐ͕ ŝŶ ƚŚ ƚŚĞ Ğ ĚĞ ĚĞĂŶ ĂŶ͛ƐƐ Žĸ ĸĐĞ Đ ͕ ŝŝŶ ĐŽŵ Ž ŵƵ ƵŶŝƚǇ ƚǇ ŚĞĂ ĞĂůƚ ůƚŚ ƚŚ ĐĐĞĞŶƚ ŶƚĞƌ ĞƌƐƐ͘ dŚĞǇ ǁĞƌĞ ůĞĂĂĚĞ Ě ƌƐ͕ ŵĞŶƚ Ŷ ŽƌƐ͕ ĂĚ ĚŵŝŶŝƐƚƌĂĂƚŽƌƐ͕ ĂĚǀŝ ǀ ƐŽ Ɛ ƌƐ͕ ƚĞĞĂĐĐŚĞ Ś ƌƐ ƌƐ͕ ͕ ƐĐĐŚŽ ŚŽůĂ ůĂƌƐ ƌƐ͕͕ ĂŶ ĂŶĚ Ě ĨƌƌŝĞ ŝĞŶĚƐ͘ / ĨĞůƚƚ Ă ƐĞŶƐĞĞ ŽĨ ŚŽŵĞĐŽŵŝŶŐ ĂŶĚ Ě ďĞ ďĞůŽ ůŽŶŐ ŶŐŝŶ ŝŶŐ Ő Ăŵ ŵŽŶ Ž Ő ĨĂŵŝ ŵŝůǇ ůǇ ĚŽĐƚŽƌƐ ƚŚĂƚ / ŶĞ ŶĞǀĞ ǀĞƌ ƌ Ƌ ŝƚƚĞ ĞǆƉĞƌŝĞŶĐĞĞĚ ƋƵ Ě ĞůƐĞ ƐĞǁŚ ǁŚĞƌ ĞƌĞ͘ Ğ ŶĐŽƵ ŽƵƌĂŐĞĚ ďǇ ĨĂĐƵůƚǇ ŵĞŶ ĞŶƚŽ ƚŽƌƐ ƌƐ ĂŶĚ ĐůĂƐ Đů Ă ƐŵĂƚƚĞƐ ĂůƐŽ ŝŶ ŶƚĞƌĞ ƌĞƐƚ ƐƚĞĚ ĞĚ ŝŶ Ŷ ĨĂ Ĩ ŵŝůǇ ŵĞĚ Ğ ŝĐŝŶĞ͕ / ũŽŝŶĞĚ ŽƵ ŽƵƌ ƌ &Ă &ĂŵŝůǇǇ DĞĚŝ DĞ Ě Đŝ ĐŝŶĞ /ŶƚĞƌĞƐ ĞƐƚ ƚ 'ƌ 'ƌŽƵ ŽƵƉ Ɖ ĂŶĚ ƚŚĞ ZŚŽĚĞ Ğ /Ɛ /ƐůĂ ůĂŶĚ ŶĚ &W &W͘͘ tŚ t ĞŶ Ŷ ŵǇ Ǉ ĨƌŝĞŶĚ Ŷ Ɛ ĂŶĚ ĂŶ Ě / ĮŶĂůůǇ ĂƩĞĞŶĚ ŶĚĞĚ ĞĚ ƚŚĞ ŚĞ EĂƟŽŶĂů ŽŶĨĞ ĨĞƌĞ ƌ ŶĐ ŶĐĞ Ğ ŝŶ <ĂŶ ĂŶƐĂ Ɛ Ɛ Ɛ ŝ ŝƚǇ ƚǇ͕ / ĨĞ Ĩ ůƚ ǁĞůĐĐŽŵĞĚ ŝŶƚŽ Ă ĐŽ Đ ŵŵƵŶ ƵŶŝƚƚǇ͕ Ǉ Ă ĨĂŵ ŵŝůŝůǇ͕ Ǉ͕ Ă ĐĂů ĂůůŝůŝŶŐ ŶŐ͘ tŚĂƚ ƉŝƋƵĞĚ ǇŽƵƌ ŝŶƚĞƌĞƐƚ ŝŶŝƟĂůůǇ ŝŶ ďĞĐŽŵŝŶŐ ĂĐƟǀĞ ǁŝƚŚ ǇŽƵƌ county and state AFP chapters? tŝƚŚ ƐƵĐŚ Ă Ɛŵ Ɛŵ ŵĂů Ăůů ů ĐŽ Đ ŵŵƵŶŝƚǇ Ǉ ĂŶ ĂŶĚ ŽŶ ŽŶ ŶůǇ ŽŶĞ ŶĞ ŵĞĚ ĞĚŝĐ ŝĐĂů Ăů ƐĐŚ ĐŚŽŽ Ž ů ŝŶ ZŚŽ Ś ĚĞ /ƐůĂ ůĂŶĚ ŶĚ͕ ͕ ŵǇ ŵǇ ƉĂƌ Ă ƟĐ ƟĐŝƉ ŝƉĂƟ ŝƉ ĂƟŽŶ ĂƟ ŽŶ ŝŶ Ŷ ŽƵ ŽƵƌ ƌ &Ăŵŝ ŵŝůǇ ůǇ DĞĚ ĞĚŝŝĐŝŶ ŝŶĞ Ğ /Ŷ / ƚĞƌĞ ƌĞƐƚ Ɛƚ 'ƌŽ ƌŽƵƉ ƵƉ ƋƵŝĐŬůǇ trran anslat ated into o se serv rvin rv ingg as the in h stu tude den nt boa oard rd member of the Rho hode /ƐůĂ /Ɛ ůĂŶĚ Ŷ &W͘ Ƶƌŝ ƌ ŶŐ ƌĞƐ ĞƐŝĚ ĞƐŝĚ ŝĚĞŶĐǇ Đ Ăƚ <Ă <ĂŝƐ ŝƐƐĞƌ Ğ ^ƵŶ ƵŶƐĞƚ͕ ŽƵƌ ƉƌŽ ƌŽŐƌ ŐƌĂŵ Ăŵ Ěŝƌ ŝƌĞĐƚŽƌ͕ ƚŚĞ ŝŶŝŵ ŵŝƚĂďůĞ ƌ͘ƌ͘ :ŝŵ ŝŵŵǇ ŵǇ ,Ăƌ ĂƌĂ͕ Ă ŝŶƚ ŶƚƌŽĚƵ ĚƵĐĐĞĚ ŵĞ ƚŽ ƚŚĞ &W͕ ďƵ ďƵƚ ƚ Ăƚ ƚŚĂƚ ƟŵĞ͕ ŵǇ ƉĂƌƟĐ ƟĐŝƉ ŝƉĂƟ ŝƉ ĂƟŽŶ ǁĂƐ ĂƟ Ă ůŝŵŝƚƚĞĚ ƚŽ Ž ĂƩĞŶĚŝŶŐŐ ĂŶŶ ŶŶƵĂ Ƶ ů ƐĐ ƐĐŝĞ ŝĞŶƟ ŶƟĮĐ ĂƐƐĞŵďůŝĞƐ ; ^ Ɛ ƐͿ͘͘ ŌĞ ŌĞƌ / ŵŽ ŵ ǀĞĚ ƚŽ Ž ĂŬ ĂŬĞĞƌƐĮĞůĚ ƚŽ Ž ĨƵů ƵůĮů Įůůů ŵǇǇ E,^ ,^ ƐĞƌǀŝĐĞ ĐŽŵŵŝƚƚŵĞ ŵĞŶƚ Ŷ ͕ ͕ // ŬĞ Ŷƚ ŬĞƉƚ Ɖ ŐŽŝŶŐ ƚŽ ^ ^ Ɛ Ɛ͘ /͛Ě ĐŽŵĞ Ğ ŚŽ ŚŽŵĞ ŵ ĞŶĞ ŶĞƌŐ ƌŐŝǌ ŝǌĞĚ ĞĚ ďǇ ďĞŝŶŐ ƐƵƌƌŽƵŶĚĞ ďǇ ĚĞĚ Ě ďǇ ďǇ ŵǇ ƉĞŽƉůĞ͕ ŽŶ Ž ůǇ ƚŽ Ž ĮŶĚ ŶŽ Ž ĂĐƟ ƟǀĞ ĐŚĂƉƚƚĞƌ ŝŶ <ĞƌŶ ŽƵŶƚǇ͘ tŚĞŶ Ŷ // ůĞ ů Ō ŵǇ ŵ ŶŽŶͲƉƌŽĮƚ ĐŽŵ ŽŵŵƵ ŵ ŶŝƚǇ ŚĞĂ ĞĂůƚŚ Ś ĐĞŶƚ ŶƚĞƌ Ğƌ ĂŶĚ ƌĞũŽŝŶĞĚ <ĂŝƐĞĞƌ ƌ WĞ WĞƌŵ ƌŵĂŶ ĂŶĞŶ ĞŶƚĞ͕ / ŵŝƐƐĞĚ ƚŚĂƚ ƐĞĞŶƐ ŶƐĞĞ ŽĨ ĐŽŵ ŽŵŵƵ ŵƵŶŝ ŶŝƚǇ ƚǇ ĂŶĚ ƉƵƌƉŽƐĞ ĞŶŽƵŐŚ ŐŚ ƚŽ Ž ĚŽ ĚŽ ƐŽŵ ŽŵĞƚŚŝŶŐ ĂďŽƵƚ ŝƚ͘ ůů ŝƚ ƚŽŽŬ ǁĂƐ ĂƐŬ ƐŬŝŶ ŝŶŐ Ő ^ŚĞůůůǇ ĂŶĚ ^ƵƐĂŶ ŝĨ ƚŚĞƌĞ ƌĞ ǁĂƐ ĂŶǇ ŶǇƚŚ ƚŚŝŶ ŝŶŐ / ĐŽƵůĚ ĚŽ ƚŽ ƌĞƐƚĂƌƚ ƚŚĞ ůŽĐĂů ĐŚ Đ ĂƉ ƉƚĞ ƚ ƌ ƌ ĂŶĚ ƚŽ ŚĞůƉ ŽƵƚ Ăƚ Ăƚ ƚŚĞ ƐƚĂ ƚĂƚĞ ƚĞ ůĞǀ ĞǀĞů Ğů͘͘ dŚ dŚĞ Ğ ŶĞǆƚ ƚŚŝŶŐ / ŬŶĞǁ͕ / ǁĂƐ ĐŽƵŶƚǇ 16

California Family Physician Spring 2017

DŝĐŚĞůůĞ YƵŝŽŐƵĞ ĂŶĚ ŚĞƌ ŚƵƐďĂŶĚ :ĂƐŽŶ ^ƉĞƌďĞƌ ŵĞƚ ĂƐ ƵŶĚĞƌŐƌĂĚƐ Ăƚ ƌŽǁŶ hŶŝǀĞƌƐŝƚǇ͘

ĐŚ ƉƚĞ ĐŚĂƉ ƚ ƌ ƉƌĞƐŝĚĞŶƚ ĂŶĚ ƐĞƌǀŝŶŐ ŽŶ &W ĐŽŵŵŝƩĞĞƐ͘ ŶĚ ƚŚĞ ŵŽƌĞ / ĚŝĚ͕ Ěŝ Ě ƚŚĞ Ś ŵŽƌĞ ĞŶĞƌŐǇ ĂŶĚ ƉƵƌƉŽƐĞ / ŐŽƚ ďĂĐŬ ŝŶ ƌĞƚƵƌŶ͕ ĂŶĚ ƚŚĞ ŵŽƌĞ / ǁĂŶƚ ǁĂ Ŷ ĞĚ ƚŽ ĚŽ͘ /Ɛ ŶŽǁ ƚŚĞ ďĞƐƚ ƟŵĞ ĞǀĞƌ ƚŽ ďĞ Ă ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ͕ ŝŶ ǇŽƵƌ ĞƐƟŵĂƟŽŶ͍ / ŚŽƉĞ ƚŚĂƚ ĞǀĞƌǇ Ǉ ŐĞ ŐĞŶĞ ŶĞƌĂ ƌĂƟŽ ƟŽŶ ƚŚŝŶŬƐ ƚŚĂƚ ƚŚĞŝƌ ƟŵĞ ŝƐ ƚŚĞ ďĞƐƚ ƟŵĞ ƚŽ ďĞ Ă ĨĂŵŝůǇ ƉŚǇƐŝŝĐŝ ĐŝĂŶ ĂŶ͘ ͘/ ŚŽ ŚŽƉĞ Ɖ ƚŚŽƐĞ ǁŚŽ ĨŽƵŶĚĞĚ ŽƵƌ ƐƉĞĐŝĂůƚǇ ĚŝĚ͘ ŶĚ / ŚŽƉĞ ƚŚĞ ŵĞĚŝĐĂůů Ɛƚ ƐƚƵĚ ƵĚĞŶƚƐ ĂǁĂŝƟŶŐ ƚŚĞŝƌ DĂƚĐŚ ƌĞƐƵůƚƐ ƚŚŝŶŬ ƐŽ ŶŽǁ͘ ĂĐŚ ŽŶĞ ŽĨ ƵƐ ƉůĂ ůĂǇƐ Ǉ Ă ƌŽůĞ ŝŶ ĚĞĨĞŶĚŝŶŐ ĂŶĚ ƐƵƐƚĂŝŶŝŶŐ ŽƵƌ ƐƉĞĐŝĂůƚǇ ĚƵƌŝŶŐ ŽƵƌ ƟŵĞ͘ tĞ tĞ ĂƌĞ ůŝǀŝŶŐ ĂŶĚ ƉƌĂĐƟĐŝŶŐ Ăƚ Ă ƟŵĞ ǁŚĞŶ ƚŚĞ ĐĞŶƚƌĂů ƌŽůĞ ŽĨ ĨƌŽŶƚͲůŝŶ ŝŶĞ Ğ ƉƌŝŵĂƌǇ ĐĂƌĞ ƉŚǇƐŝĐŝĂŶƐ ůŝŬĞ ĨĂŵŝůǇ Ě ĐƚŽƌƐ ŝŶ ƚŚĞŝƌ ůŽĐĂů ĐŽŵŵƵŶŝƟĞ ĚŽ ƟĞƐ Ɛ ĂŶĚ ƚŚĞ ŚĞĂůƚŚĐĂƌĞ ƐǇƐƚĞŵ ŝƐ ŵŽƌĞ Ğ ŝĚ Ğǀ ŝĚĞŶ ĞŶƚ ƚŚ ƚŚĂŶ ĞǀĞƌ͘ tĞ ŚĂǀĞ ƚŽ ƚĂ ƚĂŬĞ ŬĞ ƚŚĞ ŵŽŵĞŶƚƵŵ ĂŶĚ ƉƵƌƉŽƐĞ ŽĨ ƚŚĞ ƚŚ Ğ η& η&DZ DZĞǀ ĞǀŽů Ž ƵƟ ƵƟŽŶ Ž ĂŶĚ ĐŽŶƟŶƵĞ ƚŽ͕ Ž͕ ĂƐ ƚŚĞ ŵŽƩŽ ŽĨ ƚŚĞ EĂƟŽŶĂů ŽŶĨĞƌ Ž Ğ ĞŶ ĞŶĐĞ Đ ŽĨ Ĩ Ž ŽŶƐ Ŷ ƟƚƚƵĞŶĐǇ >ĞĂĚĞƌƐ Ɛ ;E ;E >Ϳ ƐĂǇƐ͕ ŝŶƐƉŝƌĞ͕ ĐƌĞĂƚĞ͕ ĂŶĚ ůĞĂĚ ŝŶ ŽƵƌ ƉƌĂĐƟĐ ůĞ ƟĐĞƐ ĞƐ ĂŶĚ ŝŶ ŽƵƌ ĐŽŵŵ ŵƵŶ ƵŶŝƟĞƐ͘

tŚĂƚ ŝƐ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ĐŚĂůůĞŶŐĞƐ ĐŽŶĨƌŽŶƟŶŐ &W͍ CAFP is the largest chapter of the AAFP and the largest single ƐƉĞĐŝĂůƚǇ ŽƌŐĂŶŝǌĂƟŽŶ ŝŶ ĂůŝĨŽƌŶŝĂ͘ ĞĐĂƵƐĞ ǁĞ ƌĞƉƌĞƐĞŶƚ ƐŽ ŵĂŶǇ ŵĞŵďĞƌƐ ĂĐƌŽƐƐ ƐƵĐŚ Ă ǀĂƐƚ ŐĞŽŐƌĂƉŚŝĐ ĂƌĞĂ͕ ĨƌŽŵ ƚŚĞ ĨƵůů ƌĂŶŐĞ ŽĨ ƉƌĂĐƟĐĞ ƚǇƉĞƐ ĂŶĚ ůŽĐĂƟŽŶƐ͕ ŝƚ ŝƐ ƚŚĂƚ ŵƵĐŚ ŵŽƌĞ ŝŵƉŽƌƚĂŶƚ ƚŽ ďƵŝůĚ ĂŶĚ ŵĂŝŶƚĂŝŶ ĐŽŶŶĞĐƟŽŶƐ ǁŝƚŚ ŽŶĞ ĂŶŽƚŚĞƌ͘ tĞ ŵƵƐƚ ƌĞŝŶĨŽƌĐĞ ŽƵƌ ĐŽŶŶĞĐƟŽŶƐ ĂŶĚ ƌĞůĂƟŽŶƐŚŝƉƐ ďǇ ĐŽŶƟŶƵŝŶŐ ƚŽ ůŝƐƚĞŶ ĂŶĚ ƚĂŬĞ ĂĐƟŽŶƐ ƚŚĂƚ ĂƌĞ ďŽƚŚ ƌĞůĞǀĂŶƚ ƚŽ ŽƵƌ ŵĞŵďĞƌƐ͛ ĚĂŝůǇ ůŝǀĞƐ ĂŶĚ ƚƌƵĞ ƚŽ ƚŚĞ ǀĂůƵĞƐ ŽĨ ŽƵƌ ŵŝƐƐŝŽŶ ƐƚĂƚĞŵĞŶƚ͘ dŚŝƐ ŝƐ ŚŽǁ ǁĞ ƐƵƐƚĂŝŶ ŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĂŶĚ ŝŶƐƉŝƌĞ ƚŚĞ ŶĞǆƚ ŐĞŶĞƌĂƟŽŶ͘ tŚĂƚ ŚĂƐ ďĞĞŶ ƚŚĞ ďĞƐƚ ƉĂƌƚ ŽĨ ďĞŝŶŐ ĂŶ ŽĸĐĞƌ ŝŶ &W ƐŽ ĨĂƌ͍ ĞŝŶŐ ŝŶǀŽůǀĞĚ ĂƐ ĂŶ ŽĸĐĞƌ ŽĨ &W ŚĂƐ ďĞĐŽŵĞ ŽŶĞ ŽĨ ŵǇ ƐŽƵƌĐĞƐ ŽĨ ƌĞŶĞǁĂďůĞ ĞŶĞƌŐǇ͘ ^ĞƌǀŝŶŐ ǁŝƚŚ ŵǇ &W ĐŽůůĞĂŐƵĞƐ ĂůǁĂǇƐ ƌĞĞŶĞƌŐŝǌĞƐ ŵĞ ĂŶĚ ƌĞŵŝŶĚƐ ŵĞ ǁŚǇ / ĚŽ ǁŚĂƚ / ĚŽ͘ Ɛ :ĂǇ >ĞĞ ůŝŬĞƐ ƚŽ ƐĂǇ͕ ŝĨ ǇŽƵ͛ƌĞ ŶŽƚ Ăƚ ƚŚĞ ƚĂďůĞ͕ ǇŽƵ͛ƌĞ ŽŶ ƚŚĞ ŵĞŶƵ͕ ĂŶĚ / ůŝŬĞ ƚŽ ďĞ Ăƚ ƚŚĞ ƚĂďůĞ͘ ĞŝŶŐ ĂŶ ŽĸĐĞƌ ŐŝǀĞƐ ŵĞ Ă ĐŚĂŶĐĞ ƚŽ ůĞĂƌŶ͕ ƐĞƌǀĞ ĂŶĚ make change for my profession and my professional community unlike any other. ,Žǁ ĚŽ ǇŽƵ ďĂůĂŶĐĞ ǇŽƵƌ ĨĂŵŝůǇ ŽĨ ƚǁŽ ŬŝĚƐ͕ Ă ŚƵƐďĂŶĚ͕ Ă ĨƵůůͲ ƟŵĞ ƉƌĂĐƟĐĞ͕ ĂŶĚ ǇŽƵƌ ǀŽůƵŶƚĞĞƌ ǁŽƌŬ ǁŝƚŚ &W ĂŶĚ ǇŽƵƌ ĐŽƵŶƚǇ chapter? / ŐŝǀĞ Ă ƚĂůŬ ŽŶ ǁŽƌŬͲůŝĨĞ ďĂůĂŶĐĞ ƚŚĂƚ ƵƐĞƐ ƚŚĞ ŵĞƚĂƉŚŽƌ ŽĨ Ă ŐůĂƐƐ ũĂƌ ŽĨ ƐƚŽŶĞƐ͘ zŽƵƌ ůĂƌŐĞ ƐƚŽŶĞƐ ĂƌĞ ƚŚĞ ĐŽƌĞ ǀĂůƵĞƐ ŽĨ ǇŽƵƌ ŝĚĞŶƟƚǇ͘ zŽƵƌ ƉĞďďůĞƐ ĂƌĞ ƚŚĞ ĚƵƟĞƐ ĂŶĚ ĂĐƟǀŝƟĞƐ ƚŚĂƚ ĂƌĞ ŝŵƉŽƌƚĂŶƚ ƚŽ ǇŽƵƌ ůŝĨĞ ďƵƚ ƚŚĂƚ ĐĂŶ ĐŚĂŶŐĞ ŽǀĞƌ ƟŵĞ͘ dŚĞ ƐĂŶĚ ŝƐ ƚŚĞ ĚĂŝůǇ Őƌŝƚ ŽĨ ůŝĨĞ ƚŚĂƚ ĐĂŶ ĞĂƐŝůǇ Įůů ƚŚĞ ũĂƌ ĂŶĚ ŽǀĞƌǁŚĞůŵ ǇŽƵƌ ŽƚŚĞƌ ƐƚŽŶĞƐ ŝĨ ǇŽƵ ĚŽŶ͛ƚ ĮƌƐƚ ĞǀĂůƵĂƚĞ ĂŶĚ ƉƌŝŽƌŝƟǌĞ͕ ĂŶĚ ĚŽ ƐŽ ĂŐĂŝŶ ĂŶĚ ĂŐĂŝŶ ĂƐ ǇŽƵƌ ůŝĨĞ ĐŚĂŶŐĞƐ͘ zŽƵ ĐĂŶ ŽŶůǇ Įƚ ĞǀĞƌǇƚŚŝŶŐ ŝŶ ƚŚĞ ũĂƌ ŽĨ ǇŽƵƌ ůŝĨĞ ŝĨ ǇŽƵ ƉůĂĐĞ ǇŽƵƌ ůĂƌŐĞ

ƐƚŽŶĞƐ ŝŶ ĮƌƐƚ͕ ƚŚĞŶ ǇŽƵƌ ĐƵƌĂƚĞĚ ĂŶĚ ĐŚĂŶŐŝŶŐ ĐŽůůĞĐƟŽŶ ŽĨ ƉĞďďůĞƐ͖ ƚŚĞ ƐĂŶĚ ǁŝůů ŶĂƚƵƌĂůůǇ Įůů ŝŶ ĂŶǇ ĞŵƉƚǇ ƐƉĂĐĞ ƌĞŵĂŝŶŝŶŐ͘ /ƚ͛Ɛ ŽŶĞ ƚŚŝŶŐ ƚŽ ŐŝǀĞ ƚŚĂƚ ƚĂůŬ ƚŽ ĐŽůůĞĂŐƵĞƐ͖ ŝƚ͛Ɛ ĂŶŽƚŚĞƌ ƚŽ ƌĞĂůůǇ ƚĂŬĞ ŝƚƐ ůĞƐƐŽŶƐ ƚŽ ŚĞĂƌƚ͘ DǇ ƉĞƌƐŽŶĂů ǀĂůƵĞƐ ĂŶĚ Ă ƐĞůĨͲĂǁĂƌĞŶĞƐƐ ŽĨ ŵǇ ůŝŵŝƚĂƟŽŶƐ ĐŽŵďŝŶĞ ƚŽ ŝŶĨŽƌŵ ŚŽǁ / ĂůůŽĐĂƚĞ ŵǇ ůŝŵŝƚĞĚ ƟŵĞ ĂŶĚ ĞŶĞƌŐǇ͕ ĂƐ ǁĞůů ĂƐ ŚŽǁ / ůĞƚ ŐŽ ĂŶĚ ĚĞůĞŐĂƚĞ͘ /ƚ ŝƐ Ă ƐƚƌƵŐŐůĞ ƚŽ ůŝǀĞ Ă ůŝĨĞ ǁŝƚŚ ƉƵƌƉŽƐĞ ĂŶĚ ĨĂŝƚŚ͕ ďƵƚ / ŬŶŽǁ ƚŚĂƚ ŝƚ ĐĂŶŶŽƚ ďĞ ĚŽŶĞ ĂůŽŶĞ͘ / ĐŽŶƐĐŝŽƵƐůǇ ƐƵƌƌŽƵŶĚ ŵǇƐĞůĨ ǁŝƚŚ ƉĞŽƉůĞ ǁŚŽ ďĞůŝĞǀĞ ŝŶ ŵĞ ĞǀĞŶ ǁŚĞŶ / ĨĞĞů ƵŶĐĞƌƚĂŝŶ͕ ĂŶĚ / ƉƌĂĐƟĐĞ ŐƌĂƟƚƵĚĞ ĨŽƌ ƚŚŽƐĞ ǁŚŽƐĞ ƐƵƉƉŽƌƚ ĂŶĚ ƉƌĞƐĞŶĐĞ ĂůůŽǁ ŵĞ ƚŽ ĚŽ ǁŚĂƚ / ĚŽ͘ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵǇ ƐƉŽƵƐĞ͕ ǁŚŽ ĐĂƌĞƐ ĨŽƌ ŽƵƌ ĨĂŵŝůǇ ĂŶĚ ƐƵƉƉŽƌƚƐ ŵǇ ĂĐƟǀŝƐŵ͘ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵǇ ƉĂƌĞŶƚƐ͕ ǁŚŽ ŵŽǀĞĚ ƚŽ ŽƵƌ ƚŽǁŶ ƚŽ ďĞ ƚŚĞƌĞ ĨŽƌ ŵǇ ĐŚŝůĚƌĞŶ͘ / Ăŵ ŐƌĂƚĞĨƵů ƚŽ ŵǇ ƉĂƌƚŶĞƌƐ ĂŶĚ ĐŽůůĞĂŐƵĞƐ Ăƚ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ <ĞƌŶ ŽƵŶƚǇ ĨŽƌ ƐƵƉƉŽƌƟŶŐ ŵĞ ĂŶĚ ŵǇ ǁŽƌŬ ǁŝƚŚ ƚŚĞ ĐĂĚĞŵǇ ĂŶĚ ĐĂƌŝŶŐ ĨŽƌ ŵǇ ƉĂƟĞŶƚƐ ǁŚŝůĞ / Ăŵ ĂǁĂǇ ƐĞƌǀŝŶŐ ƚŚĞ ĐĂĚĞŵǇ͘ ŶĚ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵǇ ŐŝƌůƐ͕ ǁŚŽ ƌĞŵŝŶĚ ŵĞ ĞǀĞƌǇ ĚĂǇ ǁŚǇ / ĚŽ Ăůů ŽĨ ƚŚŝƐ͘ zŽƵ ĂůǁĂǇƐ ƐŝŐŶ ǇŽƵƌ ĞŵĂŝůƐ ͞DĂǇ ǇŽƵ ƚŚƌŝǀĞ ŝŶ ĐŽŵƉĂƐƐŝŽŶ ĂŶĚ joy”—how do you maintain what former President Jay Lee calls “the joy” of family medicine? / ƌĞŵŝŶĚ ŵǇƐĞůĨ ƚŽ ƉƌĂĐƟĐĞ ŐƌĂƟƚƵĚĞ ƚŽ ŵĂŶĂŐĞ ƐƚƌĞƐƐ͘ tŚĞŶ ƚŚĞ ĞŵŽƟŽŶĂů ƚŽůů ŽĨ ĨĂŵŝůǇ Žƌ ǁŽƌŬ ůŝĨĞ ďĞĐŽŵĞƐ ŽǀĞƌǁŚĞůŵŝŶŐ͕ / ĐĂŶ ŵĂŶĂŐĞ ĂŶĚ ŵŝƟŐĂƚĞ ƚŚĂƚ ďǇ ĐŽŶƐĐŝŽƵƐůǇ ĨŽĐƵƐŝŶŐ ŽŶ ǁŚŽ ĂŶĚ ǁŚĂƚ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ĂŶĚ ǁŚǇ͘ /ƚ ƐƚĂƌƚƐ ǁŝƚŚ ŐƌĂƟƚƵĚĞ ĨŽƌ ƚŚĞ ƉĞŽƉůĞ ŝŶ ŵǇ ƉƌĂĐƟĐĞ͕ ŵǇ ǁŽƌŬ ĨĂŵŝůǇ͘ /ƚ ŝŶĐůƵĚĞƐ Ă ŚĞĂůƚŚǇ ƐĞůĨͲĂǁĂƌĞŶĞƐƐ ŽĨ ŵǇ ŽǁŶ ůŝŵŝƚĂƟŽŶƐ ĂŶĚ ŵĂŬŝŶŐ ĐĂƌĞĨƵů ĐŚŽŝĐĞƐ ďĂƐĞĚ ŽŶ ƚŚĞŵ͘ 'ƌĂƟƚƵĚĞ ĂŶĚ ũŽǇ ƚŚƌŝǀĞ ŝŶ ƐŚĂƌŝŶŐ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͕ ǁŚŝůĞ ƐƚƌĞƐƐ ĂŶĚ ĨƌƵƐƚƌĂƟŽŶ ŐƌŽǁ ŝŶ ŝƐŽůĂƟŽŶ͘ / ĨŽƌĐĞ ŵǇƐĞůĨ ƚŽ ƌĞĂĐŚ ŽƵƚ ĂŶĚ ĐŽŶŶĞĐƚ ǁŝƚŚ ŵǇ ŽŶƟŶƵĞĚ ŽŶ ŶĞǆƚ ƉĂŐĞ х

ƌ͘ YƵŝŽŐƵĞ͛Ɛ ĚĂƵŐŚƚĞƌƐ >ƵĐŝ ĂŶĚ ŵŝ ŚĞůƉ ŬĞĞƉ ŚĞƌ ŐƌŽƵŶĚĞĚ ǁŚŝůĞ ƉƵƐŚŝŶŐ ŚĞƌ ƚŽ ďĞ ƚŚĞ ďĞƐƚ ƉŚǇƐŝĐŝĂŶ ĂŶĚ ĐŽŵŵƵŶŝƚǇ ůĞĂĚĞƌ ƐŚĞ ĐĂŶ ďĞ͊ WŚŽƚŽƐ ďǇ Natalie Green of NYFotography California Family Physician Spring 2017

ƉĂƌƚŶĞƌƐ ĂŶĚ ƐŚĂƌĞ ŶŽƚ ŽŶůǇ ŝŶ ƚŚĞŝƌ ũŽǇƐ͕ ďƵƚ ƚŚĞŝƌ ƐƚƌƵŐŐůĞƐ ĂƐ ǁĞůů͘ /ƚ ŝƐ Ăůů ĂďŽƵƚ ŝŶƚĞŶƟŽŶĂůŝƚǇ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͘ zŽƵ͛ǀĞ ŵĂĚĞ ŶŽ ƐĞĐƌĞƚ ŽĨ Ă ƌĞĐĞŶƚ ǀĞƌǇ ƐĞƌŝŽƵƐ ƚŚƌĞĂƚ ƚŽ ǇŽƵƌ ŚĞĂůƚŚͶŝŶ ĨĂĐƚ͕ ǇŽƵ ŚĂǀĞ ŐŝǀĞŶ ĂŶĚ ǁŝůů ŐŝǀĞ Ăƚ ŽƵƌ ůŝŶŝĐĂů &ŽƌƵŵ Ă ƉƌĞƐĞŶƚĂƟŽŶ ŽŶ ŝƚ͘ tŚĂƚ͛Ɛ ƚŚĞ ŵĞƐƐĂŐĞ ǇŽƵ ǁŝƐŚ ƚŽ ĐŽŶǀĞǇ ĂŶĚ ǁŚǇ͍ tŚĞŶ ĚŽĐƚŽƌƐ ďĞĐŽŵĞ ƉĂƟĞŶƚƐ͕ ŝƚ͛Ɛ Ă ƐĐĂƌǇ͕ ƉŽƚĞŶƟĂůůǇ ŝƐŽůĂƟŶŐ ƌŽůĞ ƌĞǀĞƌƐĂů͘ ^Ž ŽŌĞŶ͕ ǁĞ ĂƐ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƐĞĞŬ ƚŽ ƐƉĂƌĞ ŽƚŚĞƌƐ ĨƌŽŵ ƚŚĞ ďƵƌĚĞŶ ŽĨ ŽƵƌ ƉĂŝŶ͕ ďƵƚ ŝŶ ĚŽŝŶŐ͕ ƐŽ ǁĞ ĂůƐŽ ĚĞƉƌŝǀĞ ƚŚĞŵ ŽĨ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŐƌŽǁ ŝŶ ĐŽŵƉĂƐƐŝŽŶ͘ ^ĞĞŬ ŚĞůƉ ǁŚĞŶ ǇŽƵ ŶĞĞĚ ŝƚ ĨƌŽŵ ƚŚŽƐĞ ǇŽƵ ƚƌƵƐƚ͘ ƌĞĂƚĞ Ă ǁŝĚĞ ŶĞƚǁŽƌŬ ŽĨ ƐƵƉƉŽƌƚ ƚŽ ŵĞĞƚ ƚŚĞ ŝŶƚĞƌƐĞĐƟŽŶ ŽĨ ǇŽƵƌ ƵŶŝƋƵĞ ŚĞĂůƚŚ ŶĞĞĚƐ ĂƐ Ă ƉŚǇƐŝĐŝĂŶͲƉĂƟĞŶƚ͘ &ĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ǁŝƚŶĞƐƐ ƚŚĞ ƵƉƐ ĂŶĚ ĚŽǁŶƐ ŽĨ ůŝĨĞ ŝŶ ĐŽƵŶƚůĞƐƐ ǀĂƌŝĂƟŽŶ͕ ǁŚŝĐŚ ŵĂŬĞ ƵƐ ǀĂůƵĂďůĞ ƐƵƉƉŽƌƚ ĨŽƌ ŽŶĞ ĂŶŽƚŚĞƌ͘ <ŶŽǁ ƚŚĂƚ ũƵƐƚ ĂƐ ǁĞ ǁŽƵůĚ ŶĞǀĞƌ ƐŚƵƚ ƚŚĞ ĚŽŽƌ ŽŶ Ă ƉĂƟĞŶƚ ŝŶ ŶĞĞĚ͕ ŽƵƌ ĐŽůůĞĂŐƵĞƐ ǁŽŶ͛ƚ ƐŚƵƚ ƚŚĞ ĚŽŽƌ ŽŶ ƵƐ͘ 'Ž ďĞǇŽŶĚ ǇŽƵƌ ǁŽƌŬ ĨĂŵŝůǇ ĂŶĚ ĚĞǀĞůŽƉ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ ĐĂĚĞŵǇ ŵĞŵďĞƌƐ͘ / ƌĞĂůůǇ ĚŝƐĐŽǀĞƌĞĚ ƚŚĞ ǀĂůƵĞ ŽĨ ŵĞŵďĞƌƐŚŝƉ ǁŚĞŶ͕ ĂŌĞƌ ŵǇ ĚŝĂŐŶŽƐŝƐ͕ / ĐŽŶŶĞĐƚĞĚ ǁŝƚŚ &W ŵĞŶƚŽƌƐ ĂŶĚ ĨƌŝĞŶĚƐ ǁŚŽ ŚĂĚ ŐŽŶĞ ĚŽǁŶ ƚŚŝƐ ƉĂƚŚ ďĞĨŽƌĞ ŵĞ͘ / ǁŝůů ŶĞǀĞƌ ĨŽƌŐĞƚ͕ ǁŚĞŶ ƚƌĞĂƚŵĞŶƚ ŵĂĚĞ ŵĞ ŵŝƐƐ ƚŚĞ D D / ǁŽƵůĚ ŚĂǀĞ ĐŽͲƉƌĞƐŝĚĞĚ ŽǀĞƌ ĂƐ sŝĐĞͲ^ƉĞĂŬĞƌ͕ ƚŚĞ ĞŶƟƌĞ ůĞĂĚĞƌƐŚŝƉ ŽĨ ƚŚĞ ĐĂĚĞŵǇ ĚǇĞĚ ƚŚĞŝƌ ŚĂŝƌ ƉŝŶŬ ĨŽƌ ŵĞ͘ /ŶƚĞŐƌĂƟŶŐ ŝůůŶĞƐƐ ĂŶĚ ƐƵƌǀŝǀŽƌƐŚŝƉ ŝŶƚŽ ŽŶĞ͛Ɛ ŝĚĞŶƟƚǇ ĂƐ Ă ƉŚǇƐŝĐŝĂŶ ŝƐ ŶŽƚ ĂŶ ĞĂƐǇ ƚĂƐŬ͕ ďƵƚ ŝƚ ĐĂŶ ƌĞǁĂƌĚ ǁŝƚŚ ŶĞǁ ĐŽŶŶĞĐƟŽŶƐ ĂŶĚ ŶĞǁ ƉĞƌƐƉĞĐƟǀĞƐ͕ ĂŶĚ ǁŝƚŚ Ă ŶĞǁ ĨĂĐĞƚ ƚŽ ǇŽƵƌ ŝĚĞŶƟƚǇ ʹĂƐ ďŽƚŚ ŚĞĂůĞƌ ĂŶĚ ŚĞĂůĞĚ͘ tŚĂƚ ĚŽ ǇŽƵ ƐĞĞ ĂƐ ƚŚĞ ďĞƐƚ ǁĂǇƐ &W ĐĂŶ ŚĞůƉ ŝƚƐ ŵĞŵďĞƌƐ maintain the joy? ŐĂŝŶ͕ ŝƚ͛Ɛ ĂďŽƵƚ ŝŶƚĞŶƟŽŶĂůŝƚǇ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͘ /ƚ ŝƐ ƐŽ ĞĂƐǇ ĨŽƌ ƉĞŽƉůĞ ŝŶ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ƚŽ ǁĂůů ŽƵƌƐĞůǀĞƐ ŝŶ ďĞŚŝŶĚ ŬĞǇďŽĂƌĚƐ͕ ƐĐƌĞĞŶƐ ĂŶĚ ŽĸĐĞ ĚŽŽƌƐ͘ tĞ ŶĞĞĚ ƚŚĂƚ ŚƵŵĂŶ ĐŽŶŶĞĐƟŽŶ ǁŝƚŚ ŽƚŚĞƌƐ ǁŚŽ ŵĂǇ ďĞ ŐŽŝŶŐ ƚŚƌŽƵŐŚ ƐŝŵŝůĂƌ ĞǆƉĞƌŝĞŶĐĞƐ͘ tĞ ŶĞĞĚ ƚŽ ƌĞŵŝŶĚ ŽƵƌƐĞůǀĞƐ ŽĨ ŽƵƌ ƉůĂĐĞ ŝŶ ƚŚĞ ĨĂŵŝůǇ ŽĨ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ ƚŚĞ ƉŽǁĞƌ ŽĨ ŽƵƌ ƐƚŽƌŝĞƐ ĂŶĚ ƚŚĞ ƐƚƌĞŶŐƚŚ ŽĨ ŽƵƌ ǀŽŝĐĞƐ ƚŽ ĐĂƌƌǇ ƵƐ ĨŽƌǁĂƌĚ͘ ŶǇ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ďŽƚŚ ĨŽƌŵĂů ĂŶĚ ŝŶĨŽƌŵĂů͕ ŝŶ ƐĞƫŶŐƐ ůĂƌŐĞ ĂŶĚ ƐŵĂůů͕ ƚŚĂƚ &W ŚĂƐ ƚŽ ŐƌŽƵŶĚ ƵƐ ŝŶ ƚŚĂƚ͕ ƚŽ ƌĞŵŝŶĚ ƵƐ ŽĨ ƚŚĂƚ͕ ǁŝůů ŽŶůǇ ŚĞůƉ ƚŽ ŐƌŽǁ ƚŚĞ ũŽǇ ŽĨ family medicine. tŚĂƚ ŝƐ ƚŚĞ ďĞƐƚ ƉĂƌƚ ŽĨ ďĞŝŶŐ ĨĂĐƵůƚǇ ŽŶ &W ĞĚƵĐĂƟŽŶĂů ŝŶŝƟĂƟǀĞƐ͍ ĞƐŝĚĞƐ ĨĂĐŝůŝƚĂƟŶŐ ^ D^ ǁŽƌŬƐŚŽƉƐ͕ / ŚĂǀĞ ďĞĞŶ ƉƌŝǀŝůĞŐĞĚ ƚŽ ƉƌĞƐĞŶƚ ŽŶ ƚŚĞ ůĞƐƐ ĂĐĂĚĞŵŝĐ ďƵƚ ŶŽ ůĞƐƐ ŝŵƉŽƌƚĂŶƚ ƐŝĚĞ͕ ƚĂůŬŝŶŐ ĂďŽƵƚ ƉŚǇƐŝĐŝĂŶ ǁĞůůŶĞƐƐ ĂŶĚ ƉŚǇƐŝĐŝĂŶƐ ĂƐ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞ ƉŽǁĞƌ ŽĨ ƐƚŽƌǇƚĞůůŝŶŐ͘ /ƚ ŝƐ ĂůǁĂǇƐ Ă ůŝƩůĞ ĚĂƵŶƟŶŐ ƚŽ ĚŽ ƚŚĞƐĞ ŬŝŶĚƐ ŽĨ ƉƌĞƐĞŶƚĂƟŽŶƐ ĂŵŽŶŐ Ăůů ƚŚĞ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ĐůŝŶŝĐĂů ƵƉĚĂƚĞƐ͕ ďƵƚ ŝƚ ŚĂƐ ďĞĞŶ ƐŽ ŐƌĂƟĨǇŝŶŐ ƚŽ ĐŽŶŶĞĐƚ ǁŝƚŚ ĐŽůůĞĂŐƵĞƐ /͛ǀĞ ŶĞǀĞƌ ŵĞƚ ďĞĨŽƌĞ͕ ƵƉŽŶ ǁŚŽŵ ƐŽŵĞƚŚŝŶŐ / ƐŚĂƌĞĚ ŵĂĚĞ ĂŶ ŝŵƉĂĐƚ ƚŚĂƚ ƚŚĞǇ ǁŝůů ƚĂŬĞ ďĂĐŬ ƚŽ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ ǁŝƚŚ ƚŚĞŵ͘ tŚŽ ǁŽƵůĚ ǇŽƵ ƐĂǇ ŚĂǀĞ ďĞĞŶ ǇŽƵƌ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ŵĞŶƚŽƌƐ ǁŝƚŚŝŶ organized family medicine and why? / ŚĂǀĞ ďĞĞŶ ďůĞƐƐĞĚ ƚŽ ůĞĂƌŶ ĨƌŽŵ ƐŽ ŵĂŶǇ ĂŵĂǌŝŶŐ ĨĂŵŝůǇ ĚŽĐƚŽƌƐ ĂŶĚ ŽƌŐĂŶŝǌĂƟŽŶĂů ƐƚĂī͕ ĨƌŽŵ ƚŚŽƐĞ ǁŚŽ ůĂŝĚ ƚŚĞ ŐƌŽƵŶĚǁŽƌŬ ĨŽƌ ŽƵƌ ǁŽƌŬ ƚŽ ŵǇ ŐĞŶĞƌĂƟŽŶĂů ƉĞĞƌƐ ƚŽ ŝŶƐƉŝƌŝŶŐ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ĐŽŵŝŶŐ ŝŶƚŽ ƚŚŝƐ ǁŽƌŬ ǁŝƚŚ ĨƌĞƐŚ ĞǇĞƐ͘ Ɛ Ă ǁŽŵĂŶ͕ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƐƚƌŽŶŐ ĨĞŵĂůĞ ƌŽůĞ ŵŽĚĞůƐ ĂŶĚ ŵĞŶƚŽƌƐ ƚŚĂƚ / ŚĂǀĞ ŵĞƚ ĂŶĚ ǁŽƌŬĞĚ ǁŝƚŚ ŚĂƐ ďĞĞŶ ŵŽƌĞ ŝŵƉŽƌƚĂŶƚ ƚŚĂŶ / ĐĂŶ ĞǆƉƌĞƐƐ͕ ĨƌŽŵ ĂŵĂǌŝŶŐ &W

California Family Physician Spring 2017

ƉƌŽĨĞƐƐŝŽŶĂů ƐƚĂī ůŝŬĞ ^ƵƐĂŶ ,ŽŐĞůĂŶĚ ĂŶĚ ^ŚĞůůǇ ZŽĚƌŝŐƵĞƐ ƚŽ ƉĂƐƚ ƉƌĞƐŝĚĞŶƚƐ ůŝŬĞ ĂƌŽů ,ĂǀĞŶƐ ĂŶĚ ĂƌůĂ <ĂŬƵƚĂŶŝ͘ / ĐĂŵĞ ƵƉ ŝŶ &W ǁŝƚŚ :ĂǇ >ĞĞ͕ ǁŚŽ͕ ĨƵŶŶŝůǇ ĞŶŽƵŐŚ͕ ǁĂƐ ŵǇ ƐƵďͲŝŶƚĞƌŶ ǁŚĞŶ / ǁĂƐ ĂŶ ŝŶƚĞƌŶ͕ ĂŶĚ / ĐĂŶŶŽƚ ŝŵĂŐŝŶĞ ƚŚŝƐ ũŽƵƌŶĞǇ ǁŝƚŚŽƵƚ Śŝŵ ĂƐ Ă ƐŽƵŶĚŝŶŐ ďŽĂƌĚ͘ ŶĚ / ŬŶŽǁ ƚŚĂƚ / ĐĂŶ ĐĂůů ŽŶ ŵǇ E > ĨĂŵŝůǇ ŽĨ ƉĂƐƐŝŽŶĂƚĞ ĚŽĐƚŽƌƐ ĂŶĚ ĨƌŝĞŶĚƐ ĂĐƌŽƐƐ ƚŚĞ ĐŽƵŶƚƌǇ ĚĞĚŝĐĂƚĞĚ ƚŽ ĞƋƵŝƚǇ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ ǁŚĞŶĞǀĞƌ / ŶĞĞĚ ƚŚĞŵ͘ tŚĂƚ͛Ɛ ǇŽƵƌ ŵĞƐƐĂŐĞ ƚŽ ƚŚĞ ŶĞǆƚ ŐĞŶĞƌĂƟŽŶ ŽĨ &WƐ ʹǁŚĂƚ ǁŝůů sustain them? dŚĞ ĐĂĚĞŵǇ ŝƐ Ă ǁĞĂůƚŚ ŽĨ ƐƚŽƌŝĞƐ ƚŚĂƚ ǇŽƵ ƐŚŽƵůĚ ĞǆƉůŽƌĞ͘ /Ĩ ǇŽƵ ĂƌĞ ƉĂƐƐŝŽŶĂƚĞ ĂďŽƵƚ ŚĞĂůƚŚ ĞƋƵŝƚǇ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ͕ ƚŚĞ ŚŝƐƚŽƌǇ ŽĨ ŽƵƌ ƐƉĞĐŝĂůƚǇ ŚĂƐ ŝŵƉŽƌƚĂŶƚ ůĞƐƐŽŶƐ͘ Ƶƚ ƚŚĂƚ ŶĂƌƌĂƟǀĞ ŝƐ ŝŶĐŽŵƉůĞƚĞ ǁŝƚŚŽƵƚ ǇŽƵƌ ƐƚŽƌǇ͘ ƌŝŶŐ ǁŚĂƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ǇŽƵ͕ ƚŽ ǇŽƵƌ ƉƌĂĐƟĐĞ͕ ƚŽ ǇŽƵƌ ĐŽŵŵƵŶŝƚǇ͕ ĂŶĚ ŬŶŽǁ ƚŚĂƚ ǇŽƵ ĐĂŶ ŚĂǀĞ Ă ƌŽůĞ ĂŶĚ ĂŶ ŝŵƉĂĐƚ ĨĂƌ ďĞǇŽŶĚ ǇŽƵƌ ĞǆĂŵ ƌŽŽŵ ĂŶĚ ǇŽƵƌ ŽĸĐĞ͘ KƵƌ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ĐĂĚĞŵŝĞƐ ŚĂǀĞ ĐŽŵĞ ƵƉ ǁŝƚŚ ƐůŽŐĂŶƐ ƚŚĂƚ ŐŽ ďĞǇŽŶĚ ŵĞƌĞ ŵĂƌŬĞƟŶŐ ŵĞƐƐĂŐĞƐ ĂŶĚ ƌĂƚŚĞƌ ĞŶĐĂƉƐƵůĂƚĞ ǁŚŽ ǁĞ ĂƌĞ͕ ǁŚĂƚ ǁĞ ĚŽ͕ ĂŶĚ ǁŚĂƚ ǁĞ ďĞůŝĞǀĞ͘ /ŶĚĞĞĚ͕ η&DZĞǀŽůƵƟŽŶ ŚĂƐ ŝƚƐ ƌŽŽƚƐ ŝŶ Ă ŵĞĞƟŶŐ ŽĨ ĂůŝĨŽƌŶŝĂ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ĂǁĂŬĞŶŝŶŐ ƚŽ ƚŚĞ ƉŽǁĞƌ ŽĨ ƚŚĞŝƌ ǀŽŝĐĞƐ ŝŶ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ĂŶĚ ŽƵƌ ŵŽǀĞŵĞŶƚ͘ tĞ ĂƌĞ ͞ƚŚĞ &ĂŵŝůǇ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ͘͟ dŽŐĞƚŚĞƌ͕ ǁĞ ͞/ŶƐƉŝƌĞ͘ ƌĞĂƚĞ͘ >ĞĂĚ͘͟ ĚĚ ǇŽƵƌ ǀŽŝĐĞ͕ ƚĞůů ǇŽƵƌ ƐƚŽƌǇ͕ ĂŶĚ ũŽŝŶ ƵƐ͘ tŚĞƌĞ ǁŝůů ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ďĞ ŝŶ ϭϬ ǇĞĂƌƐ ĂŶĚ ǁŚĂƚ ƌŽůĞ ǁŝůů &W ŚĂǀĞ ƉůĂǇĞĚ ŝŶ ŝƚ͍ &ĂŵŝůǇ ŵĞĚŝĐŝŶĞ ĂƐ ƉƌĂĐƟĐĞĚ ŝŶ ĂůŝĨŽƌŶŝĂ ŝƐ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͘ tĞ ĂƌĞ ĚŝǀĞƌƐĞ͕ ĂůŽŶŐ ůŝŶĞƐ ŽĨ ƌĂĐĞ ĂŶĚ ĞƚŚŶŝĐŝƚǇ͕ ŐĞŶĚĞƌ͕ ƐĞǆƵĂů ŽƌŝĞŶƚĂƟŽŶ͕ ŐĞŶĞƌĂƟŽŶ͕ ƐŽĐŝŽĞĐŽŶŽŵŝĐ ĐůĂƐƐ ďĂĐŬŐƌŽƵŶĚ͕ ŝŵŵŝŐƌĂƟŽŶ ŚŝƐƚŽƌǇ͕ ƉƌĂĐƟĐĞ ƚǇƉĞ͕ ĂŶĚ ŐĞŽŐƌĂƉŚŝĐͬĚĞŵŽŐƌĂƉŚŝĐ ůŽĐĂƟŽŶ͕ ďŽƚŚ ŝŶ ƚĞƌŵƐ ŽĨ ŽƵƌ ĐŽŵŵƵŶŝƚǇ ŽĨ ƉƌĂĐƟƟŽŶĞƌƐ ĂŶĚ ƚŚŽƐĞ ǁŚŽ ǁĞ ƐĞƌǀĞ͘ tĞ ĂƌĞ ǁŚĂƚ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ǁŝůů ůŽŽŬ ůŝŬĞ͕ ĂŶĚ ǁŚĞƌĞ ŝƚ ŝƐ ŐŽŝŶŐ͕ ĂŶĚ &W͛Ɛ ĂĐƟǀŝƐŵ͕ ůŽďďǇŝŶŐ͕ ĂŶĚ ĞǆĂŵƉůĞ ŽŶ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ůĞǀĞů ǁŝůů ŚĂǀĞ ŶŽ ƐŵĂůů ƉĂƌƚ ŝŶ ƐŚĂƉŝŶŐ ƚŚĂƚ ĨƵƚƵƌĞ͘ zŽƵ ŚĂǀĞ ŵĂĚĞ ĚŝǀĞƌƐŝƚǇ ĂŶĚ ŝŶĐůƵƐŝŽŶ ĐĞŶƚƌĂů ƚŽ ǇŽƵƌ ĂĐƟǀŝƐŵ ŝŶ ŵĞĚŝĐŝŶĞ ʹ ǁŚǇ ĂƌĞ ƚŚĞƐĞ ŝƐƐƵĞƐ ƐŽ ŝŵƉŽƌƚĂŶƚ ƚŽ ǇŽƵ͍ Ɛ Ă ǁŽŵĂŶ ŽĨ ĐŽůŽƌ͕ ĂŶ ŝŵŵŝŐƌĂŶƚ ĂŶĚ ƚŚĞ ŵŽƚŚĞƌ ŽĨ ĚĂƵŐŚƚĞƌƐ ŽĨ ĐŽůŽƌ͕ / ĐĂŶŶŽƚ ƐĞƉĂƌĂƚĞ ŝƐƐƵĞƐ ŽĨ ĚŝǀĞƌƐŝƚǇ͕ ĞƋƵŝƚǇ͕ ũƵƐƟĐĞ ĂŶĚ ĂĐĐĞƐƐ ĨƌŽŵ ŵǇ ƉƌĂĐƟĐĞ ŽĨ ŵĞĚŝĐŝŶĞ͘ KƵƌ ƉƌŽĨĞƐƐŝŽŶ ŵƵƐƚ ƌĞŇĞĐƚ ĂŶĚ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͕ ĂŶĚ ǁĞ ŵƵƐƚ ƐĞƌǀĞ Ăůů ĐŽŵŵƵŶŝƟĞƐ ďĞƩĞƌ͘ dŚŝƐ ŝŶĐůƵĚĞƐ ĞǀĞƌǇƚŚŝŶŐ ĨƌŽŵ ƚĞĂĐŚŝŶŐ ĂďŽƵƚ ƚŚĞ ƐŽĐŝĂů ĚĞƚĞƌŵŝŶĂŶƚƐ ŽĨ ŚĞĂůƚŚ ŝŶ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ƌĞƐŝĚĞŶĐǇ ĂŶĚ D ƚŽ ƌĞͲĞŶǀŝƐŝŽŶŝŶŐ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶĂů ƉŝƉĞůŝŶĞ ƚŽ ŝŶĐƌĞĂƐĞ ƚŚĞ ŶƵŵďĞƌ ŽĨ ĚŽĐƚŽƌƐ ŽĨ ĐŽůŽƌ ƐĞƌǀŝŶŐ ĚŝǀĞƌƐĞ ĐŽŵŵƵŶŝƟĞƐ ƚŽ ĐĞŶƚĞƌŝŶŐ ƐŽĐŝĂů ũƵƐƟĐĞ ŝƐƐƵĞƐ ĂƐ ŝƐƐƵĞƐ ƚŽ ďĞ ĂĚĚƌĞƐƐĞĚ ďǇ ŽƌŐĂŶŝǌĞĚ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ ŵŽƌĞ͘ dŚĞ ƉƌĂĐƟĐĞ ŽĨ ŵĞĚŝĐŝŶĞ ŝƐ ĐŚĂŶŐŝŶŐ ĂŶĚ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ ĂƌĞ ĐŚĂŶŐŝŶŐ ʹ ǁĞ ƐŝŵƉůǇ ĐĂŶŶŽƚ ĂīŽƌĚ ƚŽ ƐƚĂǇ ƐƟůů͘ /Ŷ ƚŚĞƐĞ ƵŶĐĞƌƚĂŝŶ ƉŽůŝƟĐĂů ƟŵĞƐ͕ ŚŽǁ ĚŽ ǇŽƵ ƐƚĂǇ ĐĞŶƚĞƌĞĚ͍ ŐĂŝŶ͕ / ĐŽŵĞ ďĂĐŬ ƚŽ ŵǇ ũĂƌ ŽĨ ƐƚŽŶĞƐ͘ / ƌĞĂĸƌŵ ŵǇ ĐŽƌĞ ǀĂůƵĞƐ͕ ƐƵƌƌŽƵŶĚ ŵǇƐĞůĨ ǁŝƚŚ ƚŚŽƐĞ ǁŚŽ ƐŚĂƌĞ ƚŚĞŵ͕ ǁŚŽ ůŽǀĞ ŵĞ ĂŶĚ ǁŚŽŵ / ůŽǀĞ ŝŶ ƌĞƚƵƌŶ͘ / ĐƵƌĂƚĞ ŵǇ ĐŽůůĞĐƟŽŶ ŽĨ ƐŵĂůů ƐƚŽŶĞƐ͕ ĚŝƐĐĂƌĚŝŶŐ ƚŚŽƐĞ ǁŚŝĐŚ ŶŽ ůŽŶŐĞƌ Įƚ ĂŶĚ ƌĞƉůĂĐŝŶŐ ƚŚĞŵ ǁŝƚŚ ƚŚŽƐĞ ƚŚĂƚ ĚŽ͘ ŶĚ ǁŚĞŶ ƚŚĞ ƐĂŶĚ ƚŚƌĞĂƚĞŶƐ ƚŽ ŽǀĞƌǁŚĞůŵ͕ / ƌĞĂĐŚ ŽƵƚ͕ ĐŽŶŶĞĐƚ͕ ƚĞůů ŵǇ ƐƚŽƌǇ and listen to yours.

Physician Opportunityâ&#x20AC;&#x2122;s Santa Barbara, CA Seeking Family Medicine Physician (Bilingual-Spanish) at our Novato, California clinic location 32-40 hours per week doing Primary Care, generous benefits, including CME and Sabbatical Program.

Based in Santa Barbara, Sansum Clinic is the oldest and largest non-profit, multi-specialty group between San Francisco and Los Angeles with over 200 physicians and surgeons and a staff of healthcare professionals in over 30 specialized areas of medicine. Sansum Clinic has garnered recognition, accreditation and awards from national and state agencies.

Our current openings are Primary Care Urgent Care Pediatrician Geriatrician/Palliative Care

For More Information Contact: Shawneen Flanders-Clark Physician Recruiter sflander@sansumclinic.org 805-689-8256 www.sansumclinic.org

Benefits Marin Community Clinics is a Federally Qualified Health Center (FQHC), the largest in Marin County. We serve 35,000 patients annually. We offer a multi-clinic network with a wide array of primary care and specialty services. Our mission is to improve the health of our patients and community by providing high quality, cost-effective, culturally sensitive, patient-centered health care.

For more information visit:

www.marinclinics.org

Free Medical/Dental/Vision CME Stipend 1 MA Per Provider

Malpractice Insurance Disability Retirement: 401K & Profit Sharing

work here

Annual Leave Licensure/DEA Fees Board Exam Fee

play here California Family Physician Spring 2017

On Engagement … from Academy and Advocacy to Community and Family

EŶŐĂŐĞŵĞŶƚ ŝƐ Ă ŵŽƌĞ ƚŚĂŶ ĐĂƐƵĂů Žƌ ƚŽŬĞŶ ŝŶǀŽůǀĞŵĞŶƚ͘ /ƚ ŝƐ ĨƵĞůĞĚ ďǇ ĐĂƌŝŶŐ͕ ĂďŽƵƚ ŵǇ ĨĂŵŝůǇ͕ ŵǇ ƉĂƚŝĞŶƚƐ͕ ŵǇ ĐŽŵŵƵŶŝƚǇ͕ ĚĞĂůŝŶŐ ǁŝƚŚ ƚŚĞ ŝƐƐƵĞƐ ƚŚĂƚ ĂĨĨĞĐƚ ƚŚĞŵ͘ /ƚ ƉƌŽŵƉƚƐ ŵĞ ƚŽ ůŽŽŬ ƵƉ ĨƌŽŵ ŵǇ ďƵƐǇ ƐĐŚĞĚƵůĞ͕ ƚŽ ĐŽŶŶĞĐƚ ƐŽ ƚŚĂƚ / ĨĞĞů ůĞƐƐ ŚĞůƉůĞƐƐ͕ ŝƐŽůĂƚĞĚ ĂŶĚ ĨĂƚŝŐƵĞĚ͘ ŶŐĂŐĞŵĞŶƚ ĐĂŶ ŵĞĂŶ ĚŽŶĂƚŝŶŐ ŝĨ /͛ŵ ƚŽŽ ďƵƐǇ ƚŽ ĂƚƚĞŶĚ ŵĞĞƚŝŶŐƐ͕ ďƵƚ ŝƚ ŶĞĞĚƐ ƚŽ ďĞ ŵŽƌĞ ƚŚĂŶ Ă ƚŽŬĞŶ͕ ĂŶ ĂŵŽƵŶƚ / ǁŽƵůĚ ŶĞĞĚ ƚŽ ĚŝƐĐƵƐƐ ǁŝƚŚ ŵǇ ĨĂŵŝůǇ͘ 'ŝǀĞŶ ŵǇ ƐĐŚĞĚƵůĞ͕ ƐŚŽǁŝŶŐ ƵƉ Ăƚ Ă ŵĞĞƚŝŶŐ ĚŽĞƐ ĐŽƵŶƚ͘ tŚŝůĞ ƚŚĞƌĞ͕ / ĐĂŶ ƵƐĞ ǁŚĂƚ ƐŬŝůůƐ / ŚĂǀĞ͕ ǁŚĞƚŚĞƌ ůŝƐƚĞŶŝŶŐ ƚŽ ůĞĂƌŶ ŵŽƌĞ͕ ƐŚĂƌŝŶŐ ĞǆƉĞƌŝĞŶĐĞƐ͕ ĞǆƉƌĞƐƐŝŶŐ ǁŝƚŚ ĂƌƚŝĐƵůĂƚĞ ǀŽŝĐĞ͕ ĐŽŶŶĞĐƚŝŶŐ ǁŝƚŚ ĂŶĚ ƐƵƉƉŽƌƚŝŶŐ ƚŚŽƐĞ ǁŚŽ ŚĂǀĞ ŐŽŽĚ ŝĚĞĂƐ ĂŶĚ ĂŶƐǁĞƌƐ͘ / ĨĞĞů ĞŶŐĂŐĞĚ Ăƚ ĐŚƵƌĐŚ ǁŚĞŶ / ǁŽƌŬ ǁŝƚŚ ŽƚŚĞƌƐ ŽŶ ƐŽŵĞƚŚŝŶŐ ƚĂŶŐŝďůĞ / ĐĂƌĞ ĂďŽƵƚ͖ ŝƚ ĚŽĞƐ ŶŽƚ ŚĂǀĞ ƚŽ ŵĞĂŶ ũƵƐƚ ƐĞƌǀŝŶŐ ŽŶ ƐŽŵĞ ĐŽŵŵŝƚƚĞĞ͘ / ĨĞĞů ĞŶŐĂŐĞĚ ǁŝƚŚ ƉĂƚŝĞŶƚƐ ǁŚĞŶ / ŚĂǀĞ ďĞĞŶ ĂďůĞ ƚŽ ŐŝǀĞ ŵǇ ĨƵůů ĂƚƚĞŶƚŝŽŶ͕ ƌĞĨůĞĐƚ ǁŚĂƚ / ŚĂǀĞ ŚĞĂƌĚ͕ ĂŶĚ ĐĂƌƌǇ ƚŚĞŝƌ ƐƚŽƌŝĞƐ ŝŶ ŵǇ ŚĞĂƌƚ͘ WŽůŝƚŝĐĂůůǇ / ĚŽ ƐŽŵĞƚŚŝŶŐ ŝŶƚĞŶƚŝŽŶĂů ǁŚĞŶ / ƐŝŐŶ ĂŶ ŽŶůŝŶĞ ƉĞƚŝƚŝŽŶ͕ ǀĂůƵĞ ƵŶĐůĞĂƌ ƚŽ ŵĞ͕ ďƵƚ / ĚŽŶ͛ƚ ĨĞĞů ĞŶŐĂŐĞĚ ďĞĐĂƵƐĞ ƚŚĞƌĞ ŝƐ ŶŽ ƌĞĂů ĐŽŶŶĞĐƚŝŽŶ͘ tŽƌŬŝŶŐ ŽŶ ƐŽŵĞƚŚŝŶŐ ŽǀĞƌ ƚŝŵĞ ǁŝƚŚ ŽƚŚĞƌ ƉĞŽƉůĞ ůĞƚƐ ŵĞ ŐĞƚ ƚŽ ŬŶŽǁ ĂŶĚ ƚƌƵƐƚ ƚŚĞŵ ĂŶĚ ǀŝĐĞ ǀĞƌƐĂ͘ ŶŐĂŐĞŵĞŶƚ ƐƚĂƌƚƐ ǁŝƚŚ ĐĂƌŝŶŐ͕ ĨƵĞůŝŶŐ ŵĞ ƚŽ ĚŽ ƐŽŵĞƚŚŝŶŐ ƚŚĂƚ ƚĂŬĞƐ Ă ďŝƚ ŽĨ ĞĨĨŽƌƚ͕ ǁŽƌŬŝŶŐ ǁŝƚŚ ŽƚŚĞƌƐ ŽŶ ƐŽŵĞƚŚŝŶŐ ĞĨĨĞĐƚŝǀĞ Žƌ Ăƚ ůĞĂƐƚ ǁŽƌƚŚ ĚŽŝŶŐ͕ ƚŚĂƚ ƚŚĞŶ ŐĞŶĞƌĂƚĞƐ Ă ƐĞŶƐĞ ŽĨ ĐŽŶŶĞĐƚŝŽŶ͕ ůŽǇĂůƚǇ ĂŶĚ ŵĞĂŶŝŶŐ͘ tŽƌŬŝŶŐ ŽŶ ƚŚĞ &W ŽĂƌĚ ŚĂƐ ďĞĞŶ ůŝŬĞ ƚŚĂƚ͘

Patricia Moore-Pickett, MD, Sacramento

ŶŐĂŐĞŵĞŶƚ͕ ĨŽƌ ŵĞ͕ ŵĞĂŶƐ ďĞŝŶŐ ŝŶǀŽůǀĞĚ ĂŶĚ ĐŽŵŵŝƩĞĚ ƚŽ ƐŽŵĞŽŶĞ Žƌ ƐŽŵĞƚŚŝŶŐ͘ zĞƐ͕ / Ăŵ ĐŽŵŵŝƩĞĚ ƚŽ ŵǇ ĐŽŵŵƵŶŝƚǇ͘ / Ăŵ ĞŶŐĂŐĞĚ ďǇ ƐĞƌǀŝŶŐ ŽŶ ƚŚƌĞĞ ďŽĂƌĚƐ ŽĨ ůŽĐĂů ŽƌŐĂŶŝǌĂƟŽŶƐ͕ ŝŶĐůƵĚŝŶŐ ŽŶĞ ƚŚĂƚ provides services to poor kids and another that serves ǀŝĐƟŵƐ ŽĨ ĚŽŵĞƐƟĐ ǀŝŽůĞŶĐĞ͘ / ƌĞĐĞŶƚůǇ ũŽŝŶĞĚ Ă ŐƌŽƵƉ ŽĨ ŵǇ ŶĞŝŐŚďŽƌƐ ƚŽ ďĞĐŽŵĞ ŵŽƌĞ ĞŶŐĂŐĞĚ ƉŽůŝƟĐĂůůǇ ŽŶ ŶĂƟŽŶĂů ŝƐƐƵĞƐ͘ / Ăŵ ĞŶŐĂŐĞĚ ǁŝƚŚ ƚŚŝƐ ĐĂĚĞŵǇ͘ / ŚĂǀĞ ďĞĞŶ Ă ŵĞŵďĞƌ ƐŝŶĐĞ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ĂŶĚ Ăŵ Ă ƉĂƐƚ ƉƌĞƐŝĚĞŶƚ ŽĨ ƚŚĞ >ŽƐ ŶŐĞůĞƐ ĐŚĂƉƚĞƌ͘ / ŚĂǀĞ ƐĞƌǀĞĚ ŽŶ &W͛Ɛ EŽŵŝŶĂƟŶŐ ŽŵŵŝƩĞĞ ĂŶĚ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ŽŶ ƚŚĞ WƵďůŝĐ ,ĞĂůƚŚ ŽŵŵŝƩĞĞ Ăƚ ƚŚĞ &W͘ dŚĞ ĐĂĚĞŵǇ ŝƐ my home. / ďĞůŝĞǀĞ ŝƚ ŝƐ ƚŚĞ ĚƵƚǇ ŽĨ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ĂĚǀŽĐĂƚĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ / ƐƉĞĂŬ ƚŽ ĞůĞĐƚĞĚ ŽĸĐŝĂůƐ ĂŶĚ ŵĞĚŝĂ ŽŶ ďĞŚĂůĨ ŽĨ ŵǇ ƉĂƟĞŶƚƐ ĂŶĚ / ĂůǁĂǇƐ ĞŶĐŽƵƌĂŐĞ ŵǇ ĨĂŵŝůǇ ƚŽ ďĞĐŽŵĞ ĞŶŐĂŐĞĚ ƉƵďůŝĐůǇ ďǇ ǀŽƟŶŐ ĂŶĚ ůĞĂƌŶŝŶŐ ĂďŽƵƚ current issues.

Felix Aguilar, MD, Los Angeles

California Family Physician Spring 2017

ŶŐĂŐĞŵĞŶƚ ŝƐ Ă ĚǇŶĂŵŝĐ ƌĞĐŝƉƌŽĐĂů ƌĞůĂƟŽŶƐŚŝƉ ʹ ǁŚĞƚŚĞƌ ŝƚ ŝƐ ďĞƚǁĞĞŶ ŵĞ ĂŶĚ ŵǇ ƉĂƟĞŶƚ͕ ŵǇ ĐŽůůĞĂŐƵĞƐ͕ ŵǇ ĨĂŵŝůǇ͕ ŵǇ ŶĞŝŐŚďŽƌƐ͕ ƚŚĞ ĐŝƚǇ͕ ƐƚĂƚĞ Žƌ ŶĂƟŽŶ Žƌ ďĞǇŽŶĚ͘ ŶŐĂŐĞŵĞŶƚ ƌĞƋƵŝƌĞƐ ŽƉĞŶ ůŝŶĞƐ ŽĨ ĐŽŵŵƵŶŝĐĂƟŽŶ͕ ĨĂĐŝůŝƚĂƚĞĚ ďǇ ĞŵƉĂƚŚĞƟĐ ůŝƐƚĞŶŝŶŐ͕ ǁĞůůͲĐƌĂŌĞĚ ƋƵĞƐƟŽŶƐ͕ ƉĞƌƐƉĞĐƟǀĞƐ ďŽůƐƚĞƌĞĚ ďǇ ŝŶƐŝŐŚƚ ĂŶĚ ĞǀŝĚĞŶĐĞ͕ ĂŶĚ ƚŚĞ ŝŶĐƌĞĂƐŝŶŐůǇ ƌĂƌĞ ŚƵŵŝůŝƚǇ ƚŽ ĐŽŶĐĞĚĞ ǁŚĞŶ ĂƉƉƌŽƉƌŝĂƚĞ͘ ŶŐĂŐĞŵĞŶƚ ŝƐ ƚŚĞ ĐŽƌŶĞƌƐƚŽŶĞ ŽĨ ƉƌŽŐƌĞƐƐ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ƉůĂƞŽƌŵ ʹ ŝƚ ŝƐ ƚŚĞ ǀĞƌďĂů͕ ǁƌŝƩĞŶ ĂŶĚ ĚŝŐŝƚĂů ǀĞŚŝĐůĞ ƚŽ ĂĚǀĂŶĐĞ ĂŶĚ ďĞƩĞƌ ƚŚĞ ǁŽƌůĚ͘ ƚ ƚŚĞ ĞŶĚ ŽĨ ϮϬϭϲ͕ / ǁŽŬĞ ƵƉ͊ DǇ ĞǇĞƐ ĂƌĞ ƐƚĂƌƟŶŐ ƚŽ ƐĞĞ͖ ŵǇ ĞĂƌƐ ĂƌĞ ƐƚĂƌƟŶŐ ƚŽ ŚĞĂƌ ƚŚĞ ĐŽŶǀĞƌƐĂƟŽŶ Žƌ ƵŶĐĞƌƚĂŝŶƚǇ ĂŶĚ ĚŝƐĐŽƌĚ͕ ĂƌŽƵŶĚ ŵĞ ĂŶĚ ƚŚĞ ǁŚŝƐƉĞƌƐ ĂƌĞ ŶŽǁ Ă ĨƵůů ƌŽĂƌ͘ EŽǁ͕ / ĂƐƐĞƐƐ ŵǇ ƐŬŝůů ƐĞƚ ĂŶĚ ƚŚĞ ƌŽůĞ ŝŶ ǁŚŝĐŚ / ĐĂŶ ŽƉƟŵŝǌĞ ŵǇ ĞīŽƌƚƐ ƚŽ ďĞƩĞƌ ůŝǀĞƐ ƚŽĚĂǇ͕ ĂŶĚ ƐĂǀĞ ůŝǀĞƐ ƚŽŵŽƌƌŽǁ͘

<ƌŝƐƟŶ DĂƐƵŬĂǁĂ͕ D ͕ ZĞƐŝĚĞŶƚ͕ h > &DZW

͞dŚĞ ƉƵƌƉŽƐĞ ŽĨ ůŝĨĞ ŝƐ ŶŽƚ ƚŽ ďĞ ŚĂƉƉǇͶďƵƚ ƚŽ ŵĂƚƚĞƌ͕ ƚŽ ďĞ ƉƌŽĚƵĐƚŝǀĞ͕ ƚŽ ďĞ ƵƐĞĨƵů͕ ƚŽ ŚĂǀĞ ŝƚ ŵĂŬĞ ƐŽŵĞ ĚŝĨĨĞƌĞŶĐĞ ƚŚĂƚ ǇŽƵ ůŝǀĞĚ Ăƚ Ăůů͘͟ / ƵƐĞĚ ƚŚŝƐ ƋƵŽƚĞ ďǇ :ĞǁŝƐŚ ǁƌŝƚĞƌ >ĞŽ ZŽƐƚĞŶ ŝŶ ŵǇ ŵĞĚŝĐĂů ƐĐŚŽŽů ĂĚŵŝƐƐŝŽŶ ĞƐƐĂǇ͘ /ƚ ŚĂƐ ƚƌƵůǇ ďĞĞŶ Ă ŐƵŝĚŝŶŐ ĨŽƌĐĞ ĨŽƌ ĞŶŐĂŐĞŵĞŶƚ ŝŶ ŵǇ ůŝĨĞ͘ tŚĞƌĞǀĞƌ / Ăŵ͕ / Ăŵ ƌĂƌĞůǇ Ă ƉĂƐƐŝǀĞ ďǇƐƚĂŶĚĞƌ ďƵƚ ƌĂƚŚĞƌ ĂŶ ĂĐƚŝǀĞ ƉĂƌƚŝĐŝƉĂŶƚ ŝŶ ŚĞůƉŝŶŐ ƚŽ ŵĂŬĞ ƚŚĞ ǁŽƌůĚ Ă ďĞƚƚĞƌ ƉůĂĐĞ ǁŚĞƚŚĞƌ ƉƌŽĨĞƐƐŝŽŶĂů ƚŚƌŽƵŐŚ &W ĂĚǀŽĐĂĐǇ͕ ďĞŝŶŐ ŽŶ ŵǇ dĞŵƉůĞ ďŽĂƌĚ ĂƐ ǁĞůů ĂƐ ĂŶŽƚŚĞƌ ƐŽĐŝĂů ĂŐĞŶĐǇ ďŽĂƌĚ͕ ǀŽůƵŶƚĞĞƌŝŶŐ ŝŶ Ă ǀĂƌŝĞƚǇ ŽĨ ǁĂǇƐ ƚŽ ƐĞƌǀĞ ŵǇ ĐŽŵŵƵŶŝƚǇ͕ ďĞŝŶŐ d, ĚĂĚ ŚĞůƉŝŶŐ ŝŶ ŵĂŶǇ Wd ĞǀĞŶƚƐ͕ Žƌ ďĞŝŶŐ ŝŶ ƐƚƵĚĞŶƚ ŐŽǀĞƌŶŵĞŶƚ ŝŶ ĐŽůůĞŐĞ͘ >ŝĨĞ ŝƐ ŵŽƌĞ ĨƵŶ͕ ƌŝĐŚĞƌ͕ ĂŶĚ ĨƵůĨŝůůŝŶŐ ǁŚĞŶ ĞŶŐĂŐĞĚ͘ / ǁŝůů ĐŽŶƚŝŶƵĞ ƚŽ ŵĂŬĞ ƐƵƌĞ ͞ƚŽ ŵĂƚƚĞƌ͘͟

Mark Dressner, MD

tŚĂƚ ĚŽĞƐ ĞŶŐĂŐĞŵĞŶƚ ŵĞĂŶ ƚŽ ŵĞ͍ /ƚ ŵĞĂŶƐ ĨƵůů͕ ƵŶĚŝǀŝĚĞĚ ĂƩĞŶƟŽŶ ƚŽ ƚŚĞ ƚĂƐŬ Ăƚ ŚĂŶĚ͘ zŽƵ ĂƌĞ ĨƵůůǇ ƉƌĞƐĞŶƚ ĂŶĚ ƵƐŝŶŐ Ăůů ǇŽƵƌ ƐĞŶƐĞƐ ƚŽ ĂĐƚ Žƌ ĚŽ ƐŽŵĞƚŚŝŶŐ͘ dŽ ŵĞ͕ ƉŚǇƐŝĐŝĂŶ ĞŶŐĂŐĞŵĞŶƚ ƌĞƋƵŝƌĞƐ ƚǁŽ ĞƐƐĞŶƟĂů ŝŶŐƌĞĚŝĞŶƚƐ͘ KŶĞ ŝƐ ƉĂƐƐŝŽŶ ĂŶĚ ƚŚĞ ŽƚŚĞƌ ŝƐ ďĞŝŶŐ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ͘ ĞŝŶŐ ĂŶ ĞŶŐĂŐĞĚ physician is being the very best you can be and thinking beyond just being a ƉŚǇƐŝĐŝĂŶ͘ WĂƐƐŝŽŶ ŝƐ ĞƐƐĞŶƟĂů ƐŝŶĐĞ ǁĞ ŵƵƐƚ ƚŚŝŶŬ ŽĨ ŽƵƌ ǁŽƌŬ ĂƐ ƐŽŵĞƚŚŝŶŐ ǁĞ ůŽǀĞ ƚŽ ĚŽ͘ / Ăŵ ƉĂƐƐŝŽŶĂƚĞ ĂďŽƵƚ ǁŚĂƚ / ĚŽ ĂŶĚ ĚŽ ĞǀĞƌǇƚŚŝŶŐ ǁŝƚŚ ůŽǀĞ͕ ĂƐ ŝĨ / Ăŵ ƚĂŬŝŶŐ ĐĂƌĞ ŽĨ ŵǇ ŽǁŶ ĨĂŵŝůǇ ŵĞŵďĞƌƐ͘ ĞŝŶŐ ƉĂƐƐŝŽŶĂƚĞ ĂůƐŽ ŵĞĂŶƐ ǁĞ ĚŽŶ͛ƚ ŵĞŶƚĂůůǇ ĐůŽĐŬ ŝŶ ĂŶĚ ĐůŽĐŬ ŽƵƚ͘ tĞ ĂƌĞ ƉŚǇƐŝĐŝĂŶƐ Ϯϰͬϳ ͙ ŶŽƚ ŝŶ ƚŚĞ ƐĞŶƐĞ ƚŚĂƚ ǁĞ ŝŐŶŽƌĞ ƚŚĞ ŽƚŚĞƌ ŝŵƉŽƌƚĂŶƚ ĂƌĞĂƐ ŽĨ ŽƵƌ ůŝǀĞƐ ƐƵĐŚ ĂƐ ŽƵƌ ƐŝŐŶŝĮĐĂŶƚ ŽƚŚĞƌƐ͕ ŽƵƌ ĐŚŝůĚƌĞŶ͕ ŽƵƌ ĨĂŝƚŚ͕ ĂŶĚ ŽƵƌ ŚŽďďŝĞƐ͕ ďƵƚ ŝŶ ƚŚĞ ƐĞŶƐĞ ƚŚĂƚ ǁŚĞŶ ǁĞ ĂƌĞ ŶĞĞĚĞĚ͕ ǁĞ ƐƚĞƉ ƵƉ ƚŽ ďĞ ƚŚĞ ďĞƐƚ ǁĞ ĐĂŶ͘ DŝƐƐŝŽŶͲŽƌŝĞŶƚĂƟŽŶ ŝƐ ĂůƐŽ ĞƐƐĞŶƟĂů ƚŽ ĞŶŐĂŐĞŵĞŶƚ͘ tĞ ŵƵƐƚ ƚŚŝŶŬ ĂďŽƵƚ ƚŚĞ bigger mission of medicine and provide healing as members of our community. DĞĚŝĐŝŶĞ ŝƐ ĂďŽƵƚ ƚŚĞ ĐŽŵŵŽŶ ŐŽŽĚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚǇ͕ ĂŶĚ ǁŚĞŶ ǁĞ ĂƌĞ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ͕ ǁĞ ĚŽ ƚŚŝŶŐƐ ďĞǇŽŶĚ ĐĂƌŝŶŐ ĨŽƌ ƉĂƟĞŶƚƐ ŽŶ Ă ŽŶĞͲƚŽͲŽŶĞ ďĂƐŝƐ͘ tĞ ĂƌĞ ŝŶǀŽůǀĞĚ ŝŶ ĚĞĐŝƐŝŽŶ ŵĂŬŝŶŐ ĂŶĚ ƉƌŽĐĞƐƐ ŝŵƉƌŽǀĞŵĞŶƚ Ăƚ ƚŚĞ ĐůŝŶŝĐ ůĞǀĞů͕ ĐŽŵŵƵŶŝƚǇ ůĞǀĞů ĂŶĚ Ăƚ ƚŚĞ ƐŽĐŝĞƚĂů ůĞǀĞů͘ ŶĚ ƚŚĂƚ ŝƐ ǁŚǇ ŵĂŶǇ ŽĨ ƵƐ ƐƉĞŶĚ ƟŵĞ ďĞŝŶŐ ĐůŝŶŝĐ ůĞĂĚĞƌƐ͕ ĐŽŵŵƵŶŝƚǇ ůĞĂĚĞƌƐ ĂŶĚ ƉĂƐƐŝŽŶĂƚĞ ĂĚǀŽĐĂƚĞƐ ŽĨ ŚĞĂůƚŚ ŝŶ ŽƵƌ ƐŽĐŝĞƚǇ͘ tŚĞŶ ǁĞ ĚŽ ƚŚŝƐ͕ ǁĞ ĂƌĞ ĨƵůůǇ ĞŶŐĂŐĞĚ͘ / ƐƚƌŝǀĞ ƚŽ ŵĂŬĞ ƐƵƌĞ ƚŚŝƐ ĚĞƐĐƌŝďĞƐ ŵĞ ŝŶ ŵǇ ĐĂƌĞĞƌ͗ ƉĂƐƐŝŽŶĂƚĞ͕ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ ĂŶĚ ĨƵůůǇ ĞŶŐĂŐĞĚ͘

Jorge Galdamez, MD, Santa Ana

tŚĞŶ / ƚŚŝŶŬ ĂďŽƵƚ ĞŶŐĂŐĞŵĞŶƚ͕ my mind runs to the concept of ĐŽŵŵŝƚŵĞŶƚ͕ ƚŚĞ ƐĂŵĞ ƚǇƉĞ ŽĨ ĐŽŵŵŝƚŵĞŶƚ ǇŽƵ ĨŝŶĚ ǁŚĞŶ Ă couple contemplates marriage. ŽŵŵŝƚƚŝŶŐ ƚŽ Ă ƉƌĂĐƚŝĐĞ͕ Ă ĨĂŵŝůǇ͕ a community or a cause has many of the same underpinnings. ŽŵŵŝƚŵĞŶƚ ƚĂŬĞƐ Ă ǁŝůůŝŶŐŶĞƐƐ to go above and beyond ĂŶĚ ƐƵďůŝŵĂƚĞ ǇŽƵƌ ŽǁŶ ŶĞĞĚƐ ĨŽƌ the sake of others. /Ŷ ƉƌĂĐƚŝĐĞ͕ ŝƚ ĐĂŶ ŵĂŶŝĨĞƐƚ ĂƐ ǁŝůůŝŶŐŶĞƐƐ ƚŽ ďĞ ŽŶ ĐĂůů Žƌ ƉĞƌĨŽƌŵ ĂĚŵŝŶŝƐƚƌĂƚŝǀĞ ĚƵƚŝĞƐ͘ /Ŷ Ă ĐŽŵŵƵŶŝƚǇ͕ ĞŶŐĂŐĞŵĞŶƚ ĐĂŶ mean doing sports physicals at the local high school or joining ƚŚĞ ZŽƚĂƌǇ ůƵď͘ ŶĚ ǁĞ Ăůů ŬŶŽǁ the type of commitment it takes to sustain a marriage. A lack of engagement translates into a more fragile and tenuous relationship for all concerned.

^ƚĞǀĞŶ ,ĂƌƌŝƐŽŶ͕ D ͕ ^ĂůŝŶĂƐ

Ɛ Ă ƐƚƵĚĞŶƚ͕ ĂƩĞŶĚŝŶŐ ŽŶĞ ŽĨ ŵǇ ĮƌƐƚ ŽƌŐĂŶŝǌĞĚ ŵĞĚŝĐŝŶĞ ŵĞĞƟŶŐƐ͕ / ǁĂƐ ƐƚƌƵĐŬ ďǇ Ă ƉŚǇƐŝĐŝĂŶ ĨƌŽŵ ƌƵƌĂů ĂƐƚ dĞǆĂƐ͕ ǁŚŽ ƐƚŽŽĚ ƵƉ ĂŶĚ ĂĚŵŽŶŝƐŚĞĚ ƵƐ Ăůů ĨŽƌ ŶŽƚ ďĞŝŶŐ ŵŽƌĞ ĞŶŐĂŐĞĚ͘ ,Ğ ƐĂŝĚ ͞ƉŚǇƐŝĐŝĂŶƐ ƵƐĞĚ ƚŽ ďĞ ƚŚĞ ŵŽƐƚ ĂĐƟǀĞ ŵĞŵďĞƌƐ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚǇ͕ ƚŚĞǇ ǁĞƌĞ ŽŶ Ăůů ŽĨ ƚŚĞ ƐĐŚŽŽů ďŽĂƌĚƐ͕ ĂŶĚ ŶŽ ŽŶĞ ŝƐ ĚŽŝŶŐ ƚŚŝƐ ĂŶǇŵŽƌĞ͘͟ / ǁĞŶƚ to medical school largely because of the ĂďŝůŝƚǇ ƉŚǇƐŝĐŝĂŶƐ ŚĂǀĞ ƚŽ ĞīĞĐƚ ƐŽĐŝĂů ĐŚĂŶŐĞ͘ / ĐŚŽƐĞ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ůĂƌŐĞůǇ for the moral authority our profession ǇŝĞůĚƐ ƐŚŽƵůĚ ǁĞ ƵƐĞ ŝƚ͘ ŶĚ ĞǀĞƌ ƐŝŶĐĞ͕ / ŚĂǀĞ ďĞĞŶ ŵŽƟǀĂƚĞĚ ƚŽ ĮŐƵƌĞ ŽƵƚ ŚŽǁ / ĐĂŶ ŐĞƚ ŵǇƐĞůĨ ŽŶ Ă ƐĐŚŽŽů ďŽĂƌĚ ĂŌĞƌ ƌĞƐŝĚĞŶĐǇ͊

Blair Cushing, DO, Resident, EĂƟǀŝĚĂĚ &DZW

California Family Physician Spring 2017

engagement

Shannon Connolly, MD

How One Family Physician is Dealing with the Election Results and How CAFP Helped Ɛ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ǁĞ ƐŚĂƌĞ Ă ƵŶŝƋƵĞ ƉĞƌƐƉĞĐƟǀĞ ŽŶ ƚŚĞ ŚĞĂůƚŚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͘ dŚƌŽƵŐŚ ŽƵƌ ǁŽƌŬ ŝŶ ŽƵƌ ĐůŝŶŝĐƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ͕ ǁĞ ǁŝƚŶĞƐƐ ƚŚĞ ůŝǀĞƐ ŽĨ ŽƵƌ ďĞĂƵƟĨƵůůǇ ĚŝǀĞƌƐĞ ƉĂƟĞŶƚƐ ƚŚƌŽƵŐŚ ƚŚĞ ůĞŶƐ ŽĨ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ ǇĞƚ ǁĞ ŬŶŽǁ ƚŚĂƚ ŚĞĂůƚŚ ŝƐ ŝŶĨŽƌŵĞĚ ďǇ ƐŽ ŵƵĐŚ ŵŽƌĞ ƚŚĂŶ ŽƵƌ ďƌŝĞĨ ĐůŝŶŝĐĂů ŝŶƚĞƌĂĐƟŽŶƐ͘

ϯͿ

dŚĞ ƌĞĐĞŶƚ ƉƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ĐŚĂŶŐĞĚ Ă ůŽƚ ŽĨ ƚŚŝŶŐƐ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ hŶĐĞƌƚĂŝŶƚǇ ĂďŽƵŶĚƐ͗ ƵŶĐĞƌƚĂŝŶƚǇ ĂďŽƵƚ ƚŚĞ ĨƵƚƵƌĞ ŽĨ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ƚŚĞ ƉƌŽƚĞĐƟŽŶƐ ƚŚĂƚ ŝƚ ŽīĞƌƐ ĂŶĚ ƵŶĐĞƌƚĂŝŶƚǇ ĂďŽƵƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ĨĞĚĞƌĂů ƉƌŽŐƌĂŵƐ ƚŚĂƚ ĂůůŽǁ ƵƐ ƚŽ ďĞ Ă ůĂƐƚ ƌĞƐŽƌƚ ĨŽƌ ƉĂƟĞŶƚƐ ǁŚŽ ŚĂǀĞ ŶŽ ŽƚŚĞƌ ƐŽƵƌĐĞ ŽĨ ĐĂƌĞ͘ &Žƌ ƐŽŵĞ ŽĨ ƵƐ͕ ŝƚ ĞǀĞŶ ĐƌĞĂƚĞƐ ƵŶĐĞƌƚĂŝŶƚǇ ĂďŽƵƚ our jobs.

Ɛ ĚŽĐƚŽƌƐ͕ ǁĞ ŽŌĞŶ ƌĞƐŝƐƚ ƚŚĞ ƚĞŵƉƚĂƟŽŶ ƚŽ ĐŚĂƌŐĞ ŚĞĂĚĮƌƐƚ ŝŶƚŽ ƉŽůŝƟĐĂů ĚŝƐĐŽƵƌƐĞ͕ ďƵƚ ǁĞ ŵƵƐƚ ĂĐŬŶŽǁůĞĚŐĞ ƚŚĂƚ ŵĞƌŝĐĂ ŝƐ ƵŶĚĞƌŐŽŝŶŐ Ă ĐƵůƚƵƌĂů ƐŚŝŌ ĂŶĚ ŝƚ ĞǆƚĞŶĚƐ ĨĂƌ ďĞǇŽŶĚ ŚĞĂůƚŚ ĐĂƌĞ͘ tĞ ĂƌĞ ŝŶ Ă ŶĞǁ ĞƌĂ ŝŶ ǁŚŝĐŚ ƚŚĞ ƉƌŽŐƌĞƐƐ ǁĞ ŵĂĚĞ ŝŶ ŵĂŬŝŶŐ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ ƐĂĨĞƌ ĨŽƌ ƉĞŽƉůĞ ŽĨ Ăůů ŝĚĞŶƟƟĞƐ ŝƐ ƵŶƌĂǀĞůŝŶŐ͘ ŶĚ ǁĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĂƚ ƚŚŝƐ ĂīĞĐƚƐ ƚŚĞ ŚĞĂůƚŚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͘ ƵƌŝŶŐ ƟŵĞƐ ŽĨ ĐŚĂŶŐĞ͕ ŝƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ƌĞƚƵƌŶ ƚŽ ƚŚĞ ĐŽƌĞ ŽĨ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ĞƚŚŽƐ͘ / Ăŵ ƉƌŽƵĚ ƚŚĂƚ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵǇ ŽĨ &ĂŵŝůǇ WŚǇƐŝĐŝĂŶƐ ĂĸƌŵƐ ƚŚĞ ǀĂůƵĞ ŽĨ ĐƌĞĂƟŶŐ ƐƉĂĐĞƐ ǁŚĞƌĞ ǁĞ ĐĂŶ ŐŝǀĞ ŽŶĞ ĂŶŽƚŚĞƌ ƚŚĞ ŐŝŌ ŽĨ ŝĚĞĂƐ ĂŶĚ ĐƌĞĂƟǀĞ ĚŝƐĐŽƵƌƐĞ ŽŶ ƚŚĞ ŝŶƚĞƌƐĞĐƟŽŶĂůŝƚǇ ŽĨ ŚĞĂůƚŚ ǁŝƚŚ ŵĂŶǇ ŽƚŚĞƌ ƐŽĐŝĂů ũƵƐƟĐĞ ŝƐƐƵĞƐ͘ dŚĞ &W ĂĐŬŶŽǁůĞĚŐĞƐ ƚŚĂƚ ǁĞ ĂƌĞ ŝŶ Ă ƉĞƌŝŽĚ ŽĨ ŇƵǆ͕ ĂŶĚ ǁĞ ǁŝůů ďĞ ĂƐŬĞĚ ƚŽ ĐŽŶƐŝĚĞƌ ŶĞǁ ŝĚĞĂƐ ĂďŽƵƚ ŚĞĂůƚŚ ƉŽůŝĐǇ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ ŝŶ ƚŚĞ ĐŽŵŝŶŐ ǇĞĂƌƐ͘ /Ŷ ůŝŐŚƚ ŽĨ ƚŚŝƐ͕ ƚŚĞ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ƌĞĐĞŶƚůǇ ĂƉƉƌŽǀĞĚ Ă 'ĞŶĞƌĂů ^ƚĂƚĞŵĞŶƚ ŽŶ ,ĞĂůƚŚ WŽůŝĐǇ͕ ǁŚŝĐŚ ĚĞƐĐƌŝďĞƐ ŽƵƌ ƐĞǀĞŶ ĐŽƌĞ ƉƌŽĨĞƐƐŝŽŶĂů ǀĂůƵĞƐ͘ tŚŝůĞ ƚŚĞƐĞ ǀĂůƵĞƐ ĂƌĞ ďƌŽĂĚůǇ ĂƉƉůŝĐĂďůĞ ƚŽ Ăůů ŽĨ ƚŚĞ ǁŽƌŬ ƚŚĂƚ ǁĞ ĚŽ͕ ƚŚĞǇ ĂůƐŽ ƐĞƌǀĞ ƚŽ ŚŝŐŚůŝŐŚƚ ŚŽǁ ǁĞ ƐŚŽƵůĚ ƌĞƐƉŽŶĚ ƚŽ ƚŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ ŵŽƐƚ ǀƵůŶĞƌĂďůĞ ŵĞŵďĞƌƐ ŽĨ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ͘ ;dŚĞ ƐƚĂƚĞŵĞŶƚ ŝƐ ďĂƐĞĚ ŽŶ Ă ĚŽĐƵŵĞŶƚ ƚŚĂƚ ǁĂƐ ĐƌĞĂƚĞĚ ďǇ ƚŚĞ ĂŵďƌŝĚŐĞ ůůŝĂŶĐĞ ĨŽƌ ^ŽĐŝĂů :ƵƐƟĐĞ͕ ĂŶĚ ĂĚĂƉƚĞĚ ƚŽ ƚŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ &W͘Ϳ The seven core values are: 1) Health care is a human right. ůů ƉĞŽƉůĞ ƐŚŽƵůĚ ŚĂǀĞ ĂĐĐĞƐƐ ƚŽ ĞƐƐĞŶƟĂů͕ ĞīĞĐƟǀĞ ŚĞĂůƚŚ ĐĂƌĞ regardless of their ability to pay. The CAFP supports measures that ŝŵƉƌŽǀĞ ĂĐĐĞƐƐ ĂŶĚ ƋƵĂůŝƚǇ ŽĨ ĐĂƌĞ ĂŶĚ ǁŝůů ĂĚǀŽĐĂƚĞ ĨŽƌ ƌĞĨŽƌŵƐ ƚŚĂƚ ĂƉƉƌŽƉƌŝĂƚĞůǇ ǀĂůƵĞ ƉƌŝŵĂƌǇ ĂŶĚ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞ͘ ϮͿ tĞ ďĞůŝĞǀĞ ŝŶ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉƵďůŝĐ ŚĞĂůƚŚ ƉŽůŝĐǇ͘ &W ƌĞĂĸƌŵƐ ŝƚƐ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ƚŚĞ ƉƌŝŶĐŝƉůĞƐ ŽĨ ƐĐŝĞŶĐĞ͘ DĞĚŝĐĂů ƌĞƐĞĂƌĐŚ ŵƵƐƚ ďĞ ŶŽŶͲƉĂƌƟƐĂŶ͕ ƵŶďŝĂƐĞĚ͕ ĂŶĚ ďĂƐĞĚ ŽŶ ƚŚĞ ƐĐŝĞŶƟĮĐ ŵĞƚŚŽĚ͘ WƵďůŝĐ ŚĞĂůƚŚ ƉŽůŝĐǇ ŵƵƐƚ ďĞ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ĂŶĚ ĨƌĞĞ ĨƌŽŵ ƉŽůŝƟĐĂů ŵŽƟǀĂƟŽŶ͘ 22

California Family Physician Spring 2017

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DĞŶƚĂů ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ ĂƌĞ Ă ĨƵŶĚĂŵĞŶƚĂů ƉĂƌƚ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ͘ CAFP supports parity for mental health care and treatment for ƐƵďƐƚĂŶĐĞ ƵƐĞ ĚŝƐŽƌĚĞƌƐ͘ īŽƌƚƐ ƐŚŽƵůĚ ďĞ ŵĂĚĞ ƚŽ ƌĞĚƵĐĞ ƐƟŐŵĂ ĂŶĚ ƌĞŵŽǀĞ ďĂƌƌŝĞƌƐ ƚŽ ŵĞŶƚĂů ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ͘ ĚĚŝĐƟŽŶ ŝƐ Ă ĐŚƌŽŶŝĐ ĂŶĚ ĚĞďŝůŝƚĂƟŶŐ ĚŝƐĞĂƐĞ ƚŚĂƚ ƌĞƋƵŝƌĞƐ ĐŽŵƉĂƐƐŝŽŶ ĂŶĚ ƚƌĞĂƚŵĞŶƚ͕ ŶŽƚ ũƵĚŐŵĞŶƚ ĂŶĚ ƉƵŶŝƐŚŵĞŶƚ͘ tŽŵĞŶ͛Ɛ ŚĞĂůƚŚ ŵƵƐƚ ďĞ ƉƌŽƚĞĐƚĞĚ͘ &W ƌĞũĞĐƚƐ ǀŝŽůĞŶĐĞ ĂŐĂŝŶƐƚ ǁŽŵĞŶ ŝŶ Ăůů ĨŽƌŵƐ͘ &W ƐƵƉƉŽƌƚƐ ǁŽŵĞŶ͛Ɛ ĂĐĐĞƐƐ ƚŽ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ ǁŝƚŚŽƵƚ ĨĞĂƌ ŽĨ ŝŶƟŵŝĚĂƟŽŶ Žƌ ǀŝŽůĞŶĐĞ͘ dŚŝƐ ĐĂƌĞ ŵƵƐƚ ŝŶĐůƵĚĞ ƐĂĨĞ ĂŶĚ ĞīĞĐƟǀĞ ĐŽŶƚƌĂĐĞƉƟŽŶ ĂŶĚ ƌĞƉƌŽĚƵĐƟǀĞ ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ͘ &W ƐƵƉƉŽƌƚƐ ĞǀĞƌǇ ǁŽŵĂŶ͛Ɛ ƌŝŐŚƚ ƚŽ ƐĞůĨͲĚĞƚĞƌŵŝŶĂƟŽŶ͕ ǁŝƚŚŽƵƚ government interference in decisions that should be based solely ŽŶ ĂŶ ŝŶĚŝǀŝĚƵĂů ǁŽŵĂŶ͛Ɛ ǀĂůƵĞƐ ĂŶĚ ƐĂĨĞƚǇ ŝŶ ĐŽŶƐƵůƚĂƟŽŶ ǁŝƚŚ her physician. CAFP opposes policies designed to restrict access ƚŽ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƌĞƉƌŽĚƵĐƟǀĞ ŚĞĂůƚŚ ĐĂƌĞ ďǇ ƉůĂĐŝŶŐ ŵĞĚŝĐĂůůǇ unnecessary regulatory burdens on physicians. WĞŽƉůĞ ĚĞƐĞƌǀĞ ŚĞĂůƚŚ ĐĂƌĞ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͘ &ĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚƌĞĂƚ ŝŵŵŝŐƌĂŶƚƐ ĂŶĚ ƌĞĨƵŐĞĞƐ ĞǀĞƌǇ ĚĂǇ͘ DĂŶǇ ŝŶ ƚŚĞƐĞ ĐŽŵŵƵŶŝƟĞƐ ƐƚƌƵŐŐůĞ ƚŽ ŬĞĞƉ ƚŚĞŵƐĞůǀĞƐ ĂŶĚ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ŚĞĂůƚŚǇ ǁŝƚŚ ůŝŵŝƚĞĚ Žƌ ŶŽ ŝŶƐƵƌĂŶĐĞ ĐŽǀĞƌĂŐĞ͘ &W ďĞůŝĞǀĞƐ ĐŽŵŵƵŶŝƟĞƐ ĂƌĞ ƐĂĨĞƌ ĂŶĚ ŚĞĂůƚŚŝĞƌ ǁŚĞŶ Ăůů ŝŶĚŝǀŝĚƵĂůƐ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͕ ŚĂǀĞ ĂĐĐĞƐƐ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ƌĞũĞĐƚƐ ƉŽůŝĐǇ ƚŚĂƚ ƌĞƋƵŝƌĞƐ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ƌĞƉŽƌƚ ƵŶĚŽĐƵŵĞŶƚĞĚ ŝŶĚŝǀŝĚƵĂůƐ͕ ĂƐ ŝƚ ŝƐ ŶŽƚ ĐŽŶƐŝƐƚĞŶƚ ǁŝƚŚ ŽƵƌ ŵŝƐƐŝŽŶ ĂƐ ŚĞĂůƚŚ ĐĂƌĞ ƉƌŽǀŝĚĞƌƐ͘ dŚĞ ŶĞŐůĞĐƚ ĂŶĚ ŵŝƐƚƌĞĂƚŵĞŶƚ ŽĨ ŵĂƌŐŝŶĂůŝǌĞĚ ĐŽŵŵƵŶŝƟĞƐ ĂīĞĐƚƐ ŚĞĂůƚŚ ĂŶĚ ŵƵƐƚ ďĞ ŽƉƉŽƐĞĚ͘ &W ďĞůŝĞǀĞƐ ƚŚĂƚ ƚŚĞ ĞǆƉĞƌŝĞŶĐĞ ŽĨ ĚŝƐĐƌŝŵŝŶĂƟŽŶ ŶĞŐĂƟǀĞůǇ ĂīĞĐƚƐ ŚĞĂůƚŚ͘ ,ĂƚĞ ĐƌŝŵĞƐ ĂŶĚ ǀŝŽůĞŶĐĞ ĂŐĂŝŶƐƚ ƌĞůŝŐŝŽƵƐ͕ ƐĞǆƵĂů͕ ĂŶĚ ƌĂĐŝĂů ŵŝŶŽƌŝƟĞƐ ƉŽƐĞ ĚŝƌĞĐƚ ŚĂƌŵ ƚŽ ƉĂƟĞŶƚƐ͘ dŚĞƐĞ ƉƌŽďůĞŵƐ ĂƌĞ ĐŽŵƉŽƵŶĚĞĚ ďǇ ĚŝƐƉĂƌŝƟĞƐ ŝŶ ĂĐĐĞƐƐ ƚŽ ƋƵĂůŝƚǇ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ŽƉƉŽƐĞƐ ƉƌĞũƵĚŝĐĞ ŝŶ Ăůů ŚĞĂůƚŚ ĐĂƌĞ ƐĞƫŶŐƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ͘ ůů ƉĞŽƉůĞ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ƚŚĞŝƌ ŐĞŶĚĞƌ ŝĚĞŶƟƚǇ Žƌ ƐĞǆƵĂů ŽƌŝĞŶƚĂƟŽŶ͕ ŵƵƐƚ ďĞ ƚƌĞĂƚĞĚ ǁŝƚŚ ĚŝŐŶŝƚǇ ĂŶĚ ƌĞƐƉĞĐƚ. >' dY ƉĂƟĞŶƚƐ ĨĂĐĞ ĐŚĂůůĞŶŐĞƐ ŝŶ ĂĐĐĞƐƐŝŶŐ ĐƵůƚƵƌĂůůǇ ĐŽŵƉĞƚĞŶƚ͕ ƐĂĨĞ͕ ĂŶĚ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ƐƵƉƉŽƌƚƐ ƚŚĞ ĞƋƵŝƚĂďůĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ƚŚĞ >' dY ƉŽƉƵůĂƟŽŶ ĂŶĚ ƐƚĂŶĚƐ ĂŐĂŝŶƐƚ ǀŝŽůĞŶĐĞ ƚŽǁĂƌĚ ĂŶĚ ǀŝĐƟŵŝǌĂƟŽŶ ŽĨ ƚŚĞƐĞ ŐƌŽƵƉƐ͘

/ Ăŵ ƉƌŽƵĚ ƚŽ ĐĂůů ƚŚĞƐĞ ǀĂůƵĞƐ ŵǇ ŽǁŶ͕ ĂŶĚ ƉƌŽƵĚ ƚŚĂƚ ŵǇ ƉƌŽĨĞƐƐŝŽŶĂů ŽƌŐĂŶŝǌĂƟŽŶ ƐƚĂŶĚƐ ƵŶĞƋƵŝǀŽĐĂůůǇ ďĞŚŝŶĚ ƚŚĞƐĞ ǁŽƌĚƐ͘ Ɛ ŽƵƌ ƉĂƟĞŶƚƐ ĐĂůů ƵƉŽŶ ƵƐ ƚŽ ďĞ ƚŚĞŝƌ ĂĚǀŽĐĂƚĞƐ ŝŶ ƚŚŝƐ ŶĞǁ ƉŽůŝƟĐĂů ĞƌĂ͕ ůĞƚ͛Ɛ ƵƐĞ ƚŚĞƐĞ ǀĂůƵĞƐ ƚŽ ŐƵŝĚĞ ƵƐ͘ dŚĞ ǁĂůůƐ ŽĨ ŽƵƌ ĐůŝŶŝĐƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ ĂƌĞ ŶŽ ůŽŶŐĞƌ ƚŚĞ ďŽƵŶĚĂƌŝĞƐ ŽĨ ƚŚĞ ƐĐŽƉĞ ŽĨ ŽƵƌ ǁŽƌŬ͘ tĞ ŵƵƐƚ ŶŽǁ ĞǆƚĞŶĚ ŽƵƌ ƌĞĂĐŚ ĞǀĞŶ ĨƵƌƚŚĞƌ͘ tĞ ŵƵƐƚ ƵƐĞ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ǀŽŝĐĞ ŝŶ ƚŚĞ ƐĞƌǀŝĐĞ ŽĨ ŽƵƌ ƉĂƟĞŶƚƐ͘ tĞ ĂƌĞ͕ ĂŌĞƌ Ăůů͕ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͘

engagement

Alex Mroszczyk-McDonald, MD

Why I Engage in My Local, State and National Medical Organizations and Why You Should, Too Ɛ ĂŶ ƵŶĚĞƌŐƌĂĚ͕ / ƌĞĐĞŝǀĞĚ Ă ĐĞƌƟĮĐĂƚĞ ĚĞŐƌĞĞ ŝŶ ƉƵďůŝĐ ƉŽůŝĐǇ͕ ĂŶ ĂƌĞĂ ŽĨ ĐŽŶĐĞŶƚƌĂƟŽŶ ŝŶ ŵǇ ŚƵŵĂŶ ĚĞǀĞůŽƉŵĞŶƚ ŵĂũŽƌ͘ ĂƐĞĚ ŽŶ ŵǇ ĚĞƐŝƌĞ ƚŽ ŐŽ ƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ / ĨŽĐƵƐĞĚ ŽŶ ŚĞĂůƚŚ ƉŽůŝĐǇ͘ / ŐŽƚ ŝŶƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů ĂŶĚ ƚŚĞ ƌĂƉŝĚ ƉĂĐĞ ŽĨ ƚĞƐƚƐ͕ ŐƌŽƐƐ ĂŶĂƚŽŵǇ͕ ƉŚǇƐŝŽůŽŐǇ͕ h^D> ĂŶĚ ĐůŝŶŝĐĂů ƌŽƚĂƟŽŶƐ ƐŽŽŶ ƚŽŽŬ ŽǀĞƌ ŵǇ ůŝĨĞ͘ / ůŽƐƚ ƚƌĂĐŬ ŽĨ ƚŚĞ ƌĞĂƐŽŶ / ǁĂŶƚĞĚ ƚŽ ŐŽ ŝŶƚŽ ŵĞĚŝĐŝŶĞ ͙ ƚŽ ŚĞůƉ ƉĞŽƉůĞ͘

Ăůů ƚŚĞ ƌĞƐƵůƚ ŽĨ ƉŽůŝĐǇ ĂŶĚ ƌƵůĞƐ ǁƌŝƩĞŶ ĂŶĚ ĞŶĂĐƚĞĚ ǁŝƚŚŽƵƚ ƐƵĸĐŝĞŶƚ ŝŶƉƵƚ Žƌ ĐŽŶƐŝĚĞƌĂƟŽŶ ĨƌŽŵ ĨƌŽŶƚůŝŶĞ ƉŚǇƐŝĐŝĂŶƐ ǁŚŽ ƚƌĞĂƚ ƉĂƟĞŶƚƐ ĞǀĞƌǇ day and see the direct result of that care.

,ĞĂůƚŚ͕ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ŚĞĂůƚŚ ƉŽůŝĐǇ ĐĂŶŶŽƚ ďĞ Ă ǀĂĐĐŝŶĞ ďĞĐĂƵƐĞ ǀŝƌƚƵĂůůǇ ĂŶǇ ůĂǁ͕ ƌĞŐƵůĂƟŽŶ Žƌ ƉŽůŝĐǇ ĐĂŶ ĂīĞĐƚ ŚƵŵĂŶ ŚĞĂůƚŚ͘ ,ĞĂůƚŚ ƐŚŽƵůĚ ďĞ ĐŽŶƐŝĚĞƌĞĚ ŝŶ ĞǀĞƌǇ ƉŽůŝĐǇ ĂŶĚ ŶĞĞĚƐ ƚŽ ďĞ Ă ŐƵŝĚŝŶŐ ƚĞŶĞƚ ŽĨ ůĞŐŝƐůĂƟǀĞ ƵƌŝŶŐ ŵǇ ƐĞĐŽŶĚ ǇĞĂƌ ŽĨ ƌĞƐŝĚĞŶĐǇ / ŚĂĚ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ĂŐĞŶĚĂƐ͕ ŵĞĚŝĐĂů ĞĚƵĐĂƟŽŶ ĂŶĚ ĐůŝŶŝĐĂů ƉƌĂĐƟĐĞ͘ ůů ƉŽůŝĐǇ ƐŚŽƵůĚ ďĞ Ă ƚǁŽͲǁĞĞŬ ĞůĞĐƟǀĞ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐǇ ũŽŝŶƚůǇ ƐƉŽŶƐŽƌĞĚ ďǇ 'ĞŽƌŐĞ ǀŝĞǁĞĚ ĨƌŽŵ ƚŚĞ ůĞŶƐ ŽĨ ŚĞĂůƚŚ ƚŽ ĚĞƚĞƌŵŝŶĞ ǁŚĂƚ ĐŽŶƐĞƋƵĞŶĐĞƐ Žƌ ƵŶŝŶƚĞŶĚĞĚ ĐŽŶƐĞƋƵĞŶĐĞƐ ŵĂǇ ƌĞƐƵůƚ͘ EŽ ŵĂƩĞƌ ŚŽǁ ǁĞůů ĞĚƵĐĂƚĞĚ tĂƐŚŝŶŐƚŽŶ DĞĚŝĐĂů ^ĐŚŽŽů ĂŶĚ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ͘ /ƚ ǁĂƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ĂŶĚ ĞǇĞͲŽƉĞŶŝŶŐ ĞǆƉĞƌŝĞŶĐĞ͘ DǇ ƉĂƐƐŝŽŶĂƚĞ ŝŶƚĞƌĞƐƚ ŝŶ ƉŽůŝĐǇ͕ ĂŶĚ͕ ŵŽƌĞ ĂŶĚ ƚƌĂŝŶĞĚ ƉŚǇƐŝĐŝĂŶƐ ĂƌĞ͕ ƚŚĞǇ ĐĂŶŶŽƚ ŝŶ ŝƐŽůĂƟŽŶ ĞůŝŵŝŶĂƚĞ ŵĂŶǇ ŽĨ ƚŚĞ ƐƉĞĐŝĮĐĂůůǇ͕ ŚĞĂůƚŚ ƉŽůŝĐǇ͕ ĐĂŵĞ ŇŽŽĚŝŶŐ ďĂĐŬ͘ dŚĞ ĐůŝŶŝĐĂů ĞǆƉĞƌŝĞŶĐĞ ĂƐ Ă ƌŽŽƚ ĐĂƵƐĞƐ ŽĨ ƉŽŽƌ ŚĞĂůƚŚ ǁŝƚŚŝŶ ŽƵƌ ŶĂƟŽŶ͘ dŽ ŝŵƉƌŽǀĞ ƉĂƟĞŶƚ ŚĞĂůƚŚ medical student and resident made it clearer than ever that many of the ƉŚǇƐŝĐŝĂŶ ǁĞůůͲďĞŝŶŐ ĂŶĚ ƐĞĞ ƉƌŽŐƌĞƐƐ ǁŝƚŚŝŶ ƚŚĞ ŚĞĂůƚŚ ƐǇƐƚĞŵ͕ ƉŚǇƐŝĐŝĂŶƐ ĨƌŽŶƚůŝŶĞ ƐƚƌƵŐŐůĞƐ ǁĞ ĚĞĂů ǁŝƚŚ ĂƐ ĚŽĐƚŽƌƐ ǁŝůů ŶĞǀĞƌ ĐŚĂŶŐĞ ŝĨ ǁĞ ĚŽ ŶŽƚ ŵƵƐƚ ǁŽƌŬ ƚŽŐĞƚŚĞƌ ĂŶĚ ƚĂŬĞ ĂŶ ĂĐƟǀĞ͕ ƵƉƐƚƌĞĂŵ ƌŽůĞ͘ >ŽĐĂů͕ ƐƚĂƚĞ ĂŶĚ ƐƚĂŶĚ ƵƉ ĨŽƌ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ͕ ŽƵƌƐĞůǀĞƐ ĂŶĚ ŽƵƌ ƉĂƟĞŶƚƐ͘ ŶĂƟŽŶĂů ƌƵůĞƐ͕ ƌĞŐƵůĂƟŽŶƐ ĂŶĚ ƉŽůŝĐǇ ŵƵƐƚ ďĞ ƐŚĂƉĞĚ ǁŝƚŚ ĚŝƌĞĐƚ ŝŶƉƵƚ ĨƌŽŵ ƉŚǇƐŝĐŝĂŶƐ ĂŶĚ ƉĂƟĞŶƚƐ͕ ŶŽƚ ũƵƐƚ ƐƉĞĐŝĂů ŝŶƚĞƌĞƐƚƐ Žƌ ĂŶĞĐĚŽƚĞƐ͘ dŚŝƐ ĚĞƐŝƌĞ ƚŽ ͞ƐƚĂŶĚ ƵƉ͟ ĨƵĞůĞĚ ŵǇ ĂƉƉůŝĐĂƟŽŶ ƚŽ ƚŚĞ &W ƌĞƐŝĚĞŶƚ ĂŶĚ dŚĞƌĞ ŝƐ ŶŽ ƋƵŝĐŬ Įǆ Žƌ ĞĂƐǇ ƐŽůƵƟŽŶ͕ ŚŽǁĞǀĞƌ͖ ŽŶůǇ ďǇ ǁŽƌŬŝŶŐ ƐƚƵĚĞŶƚ ĐŽƵŶĐŝůƐ ĂŶĚ ŵǇ ƐƵďƐĞƋƵĞŶƚ ĂƩĞŶĚĂŶĐĞ Ăƚ ƚŚĞ &W EĂƟŽŶĂů ƚŽŐĞƚŚĞƌ ĂŶĚ ŚĂǀŝŶŐ Ă ƐĞĂƚ Ăƚ ƚŚĞ ƚĂďůĞ ǁŝůů ǁĞ ƚƌƵůǇ ŝŵƉƌŽǀĞ ƚŚĞ ŚĞĂůƚŚ ŽŶĨĞƌĞŶĐĞ ĨŽƌ ZĞƐŝĚĞŶƚƐ ĂŶĚ DĞĚŝĐĂů ^ƚƵĚĞŶƚƐ͕ ĂƐ ǁĞůů ĂƐ ŵǇ ƉĂƌƟĐŝƉĂƟŽŶ ŽĨ ŽƵƌ ŶĂƟŽŶ͘ ŝŶ ƚŚĞ &D ZĞƐŝĚĞŶƚ ŽŶŐƌĞƐƐ͘ / ͞ĨŽƵŶĚ ŵǇ ƉĞŽƉůĞ͟ ĂŶĚ ƌĞĂůŝǌĞĚ ƚŚĂƚ ĂƐ ƉŚǇƐŝĐŝĂŶƐ ǁĞ ʹ ĂƐ ǁĞůů ĂƐ ŽƵƌ ƉĂƟĞŶƚƐ ʹ ĂƌĞ͕ Ăƚ ƟŵĞƐ͕ ƐŝŵƉůǇ ƉĂǁŶƐ ŝŶ ƚŚĞ ĐŽŵƉůĞǆ ũƵŐŐĞƌŶĂƵƚ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŝŶ ƚŚĞ hŶŝƚĞĚ ^ƚĂƚĞƐ ƚŽĚĂǇ͘

INSPIRE greatness

&Žƌ ƚŚĞ ƉĂƐƚ ƚǁŽ Žƌ ŵŽƌĞ ĚĞĐĂĚĞƐ͕ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ŚĂǀĞ ďĞĞŶ ͞ƚŽŽ ŶŝĐĞ͟ ĂŶĚ ŵƵĐŚ ŽĨ ƚŚĞ ͞ĂĚŵŝŶŝƐƚƌŝǀŝĂ͟ ĂŶĚ ĨĂĐƚŽƌƐ ĐĂƵƐŝŶŐ ƉŽŽƌ ƋƵĂůŝƚǇ ŽĨ ůŝĨĞ͕ ƉŽŽƌ ũŽď ƐĂƟƐĨĂĐƟŽŶ͕ ƉŽŽƌ ƉĂƟĞŶƚ ĐĂƌĞ ĂŶĚ ƐƵďƐĞƋƵĞŶƚ ďƵƌŶŽƵƚ ŝƐ ĚƵĞ ƚŽ ƚŚĞ ŚĂŶĚƐͲŽī ĂƉƉƌŽĂĐŚ ƚŽ ƉŽůŝĐǇ ŵĂŶǇ ĚŽĐƚŽƌƐ ŚĂǀĞ ƚĂŬĞŶ͘ ,ĞĂůƚŚ ĐĂƌĞ ŝŶ ƚŚĞ h^ ŚĂƐ ďĞĞŶ ŚŝũĂĐŬĞĚ ďǇ ďƵƌĞĂƵĐƌĂƚƐ͕ ůŽďďŝĞƐ ĂŶĚ ƉŽůŝƟĐŝĂŶƐ ǁŚŽ ƵŶĚĞƌƐƚĂŶĚ ǀŝƌƚƵĂůůǇ ŶŽƚŚŝŶŐ ĂďŽƵƚ ǁŚĂƚ ƉŚǇƐŝĐŝĂŶƐ ĚŽ ĂŶĚ ŚŽǁ ƚŚĞ ŚĞĂůƚŚ ŽĨ ŽƵƌ ŶĂƟŽŶ ĂŶĚ ŽƵƌ ƉŚǇƐŝĐŝĂŶ ǁŽƌŬĨŽƌĐĞ ŶĞĞĚƐ ƚŽ ďĞ ŝŵƉƌŽǀĞĚ͘ / Ăŵ ŽŶ ƚŚĞ ďŽĂƌĚ ŽĨ ŵǇ ĐŽƵŶƚǇ ŵĞĚŝĐĂů ƐŽĐŝĞƚǇ͕ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ &W͛Ɛ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ĂĐƟǀĞ ĂƐ Ă ƌĞƐŝĚĞŶƚ ĂŶĚ ŶĞǁ ƉŚǇƐŝĐŝĂŶ Ăƚ ƚŚĞ American Academy of Family Physicians because / ďĞůŝĞǀĞ ǁĞ ŽǁĞ ŝƚ ƚŽ ŽƵƌƐĞůǀĞƐ͕ ŽƵƌ ĐŽůůĞĂŐƵĞƐ͕ ŽƵƌ ƉĂƟĞŶƚƐ ĂƐ ǁĞůů ĂƐ ƚŚĞ ŶĞǆƚ ŐĞŶĞƌĂƟŽŶ ƚŽ ďĞ ĂĐƟǀĞůǇ ĞŶŐĂŐĞĚ͘ WŚǇƐŝĐŝĂŶƐ͛ ǀŽŝĐĞƐ ŶĞĞĚ ƚŽ ĞĚƵĐĂƚĞ ƉŽůŝƟĐŝĂŶƐ͕ ŐƵŝĚĞ ƉŽůŝĐǇ ĂŶĚ ƐŚĂƉĞ ĚŝƐĐŽƵƌƐĞ ĂƐ ŝƚ ƉĞƌƚĂŝŶƐ ƚŽ ŚĞĂůƚŚ͘ dŚĞ h^ ŚĂƐ ƚŚĞ ŚŝŐŚĞƐƚ ŚĞĂůƚŚ ƐƉĞŶĚŝŶŐ ŽĨ ĂŶǇ ŝŶĚƵƐƚƌŝĂůŝǌĞĚ ŶĂƟŽŶ͕ ǁŝƚŚ ƚŚĞ ƉŽŽƌĞƐƚ ŚĞĂůƚŚ ŽƵƚĐŽŵĞƐ͘ DƵĐŚ ŽĨ ƚŚŝƐ ŝƐ ĚƵĞ ƚŽ ƵŶŝŶƚĞŶĚĞĚ ĐŽŶƐĞƋƵĞŶĐĞƐ͕ ĨƌĂŐŵĞŶƚĞĚ ĐĂƌĞ ĂŶĚ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ďƵƌĚĞŶ ŽŶ ƉŚǇƐŝĐŝĂŶƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ͕

At Dignity Health, we lead by example. By always striving to give our personal best-and encouraging our patients and colleagues to do the same-we're able to achieve and do more than we ever imagined. If you're ready to inspire greatness in yourself and others, join us today.

OUTPATIENT FAMILY MEDICINE PHYSICIANS Northern and Southern California (Folsom, Grass Valley, Merced, Redding, Sacramento, Santa Cruz, Stockton & Ventura)

Practice Highlights: • Autonomy with administrative and clinical support

• Salary guarantee period and excellent earning potential based on productivity model

• An established, growing medical group OR an independent single specialty group practice

• Attractive bonus structure

• Full-time and part-time practice options • A Medical Foundation aligned with one of the largest health systems in the nation and the largest hospital system in California

• Sunny California locations with easy access to San Francisco, Napa, Lake Tahoe, Los Angeles and San Diego

Please contact/send your CV to: Physician Recruitment providers@dignityhealth.org | 888-599-7787 www.dignityhealth.org/physician-careers

Hello humankindness California Family Physician Spring 2017

generational voices

tŝƚŚ ƚŚŝƐ ŝƐƐƵĞ͕ &W ŽīĞƌƐ ƚŚĞ ƐĞĐŽŶĚ ŝŶƐƚĂůůŵĞŶƚ ŽĨ ŝƚƐ ŶĞǁ ĨĞĂƚƵƌĞ͗ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ͘ &ŽƵƌ ŐĞŶĞƌĂƟŽŶƐ ĂƌĞ ĐƵƌƌĞŶƚůǇ ƌĞƉƌĞƐĞŶƚĞĚ ŝŶ &W͛Ɛ ŵĞŵďĞƌƐŚŝƉ ĂŶĚ ƚŚĞƐĞ ŐĞŶĞƌĂƟŽŶƐ ŚĂǀĞ ďŽƚŚ ǀĂƐƚ ĚŝīĞƌĞŶĐĞƐ ĂŶĚ ĂŵĂǌŝŶŐ ƐŝŵŝůĂƌŝƟĞƐ͘ dŚŝƐ ĨĞĂƚƵƌĞ ŐŝǀĞƐ ŵĞŵďĞƌƐ ŽĨ dŚĞ ^ŝůĞŶƚ 'ĞŶĞƌĂƟŽŶ͕ ŽŽŵĞƌƐ͕ 'ĞŶĞƌĂƟŽŶ y ĂŶĚ DŝůůĞŶŶŝĂů Ă ƉůĂĐĞ ƚŽ ŽīĞƌ ƚŚĞŝƌ ƚŚŽƵŐŚƚƐ ŽŶ ƚŚĞ ƚŚĞŵĞ ŽĨ ƚŚĞ ŵĂŐĂǌŝŶĞ Žƌ ƚŽƉŝĐƐ ŽĨ ŝŶƚĞƌĞƐƚ ƚŽ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͘ &Žƌ ƚŚŝƐ ŝƐƐƵĞ͕ ǁĞ ĂƐŬĞĚ ĂďŽƵƚ ĞŶŐĂŐĞŵĞŶƚ͘ tĂŶƚ ƚŽ ďĞ ƉĂƌƚ ŽĨ ŽƵƌ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ WƌŽũĞĐƚ͍ ^ĞŶĚ ǇŽƵƌ ƌĞŇĞĐƟŽŶƐ ŽŶ ƚŚŝƐ ƚŽƉŝĐ Žƌ ŽŶ ŽƵƌ ^ƉƌŝŶŐ ƚŽƉŝĐ ŽĨ ůĞĂĚĞƌƐŚŝƉ͕ ƚŽ ĐĂĨƉΛĨĂŵŝůǇĚŽĐƐ͘ŽƌŐ͘ tĂƚĐŚ ǁǁǁ͘ ĨĂŵŝůǇĚŽĐƐ͘ŽƌŐ ĨŽƌ ŵŽƌĞ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ͘ :ĞƌƌǇ ďƌĂŚĂŵ͕ D ͕ DW,͕ DY (Millennial) dŚŝƐ ƉĂƐƚ ƉƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ǁĂƐ ƚŽƵŐŚ͘ dŚĞ ŝŶĂƵŐƵƌĂƟŽŶ ĞǀĞŶ ŵŽƌĞ ƐŽ͘ /͛ǀĞ ŶĞǀĞƌ ƐĞĞŶ ƚŚĞ ĐŽƵŶƚƌǇ ĚŝǀŝĚĞĚ and so many of my peers and loved ŽŶĞƐ ƐŽ ĚĞĞƉůǇ ǁŽƵŶĚĞĚ ĂŶĚ ďƌƵŝƐĞĚ ďǇ ŶĂƟŽŶĂů ƉŽůŝƟĐĂů ĞǀĞŶƚƐ͘ dŚĂŶŬĨƵůůǇ͕ / ŬŶŽǁ ƚŚĞ ƐƚŽƌǇ ĚŽĞƐŶ͛ƚ ŶĞĞĚ ƚŽ ĞŶĚ ŚĞƌĞ͘ ĞƐƉŝƚĞ ŽƵƌ ǁĞůůͲĨŽƵŶĚĞĚ ĨĞĂƌƐ ĂďŽƵƚ ƚŚĞ ŶĞǁ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ďĞĐŽŵŝŶŐ ƚƌƵĞ͕ ĨŽƌ ŵĞ ǁŚĂƚ ǁĂƐ ǁŽƌƐĞ ǁĂƐ ƚŚĞ ƐĞŶƐĞ ŽĨ ĚĞĨĞĂƚ / ƐĂǁ ĂŶĚ ĨĞůƚ ĂƌŽƵŶĚ ŵĞ͘ ůů ƚŚĞ ĨƌƵƐƚƌĂƟŽŶ ĞŶŐĞŶĚĞƌĞĚ Ă ŶĞǁ ƐĞŶƐĞ ŽĨ ĐŝǀŝĐ ĞŶŐĂŐĞŵĞŶƚ ĂŶĚ ƉŽůŝƟĐĂů ĂĐƟǀŝƐŵ͕ ŝŶĐůƵĚŝŶŐ ǁŽŵĞŶ͛Ɛ ŵĂƌĐŚĞƐ͕ ƌŽďƵƐƚ ĐĞůĞďƌĂƟŽŶƐ ŽĨ DĂƌƟŶ >ƵƚŚĞƌ <ŝŶŐ ĂǇ ĂŶĚ ůĂĐŬ ,ŝƐƚŽƌǇ DŽŶƚŚ͕ ĚĞŵŽŶƐƚƌĂƟŽŶƐ ŝŶ ƐƵƉƉŽƌƚ ŽĨ ŽƵƌ ŝŵŵŝŐƌĂŶƚ ďƌŽƚŚĞƌƐ ĂŶĚ ƐŝƐƚĞƌƐ͕ ƐĐŝĞŶƟƐƚƐ ƵƉ ŝŶ ĂƌŵƐ ƚŽ ƉƌŽƚĞĐƚ ŽƵƌ ƉůĂŶĞƚ ĂŶĚ ƐĐŝĞŶƟĮĐ ƉƌŽŐƌĞƐƐ͕ ĂŵŽŶŐ ŽƚŚĞƌƐ͘ :ŽŝŶŝŶŐ ƚŚĞ ďĂŶĚǁĂŐŽŶ͕ / Ăŵ ĞǆĐŝƚĞĚ ƚŽ ǁŽƌŬ ǁŝƚŚ ŵǇ ĨƌŝĞŶĚƐ ĂŶĚ ĐŽůůĞĂŐƵĞƐ ƚŽ ĨŽƌŵ Ă ŐƌĂƐƐƌŽŽƚƐ ŝŶŝƟĂƟǀĞ͕ ͞dŚĞ ^ŝŶŐůĞ WĂǇĞƌ ĐƟŽŶ EĞƚǁŽƌŬ ŽĨ ĂůŝĨŽƌŶŝĂ͟ Žƌ ^W E ĨŽƌ ƐŚŽƌƚ͘ tĞ ƚƵƌŶĞĚ ŽƵƌ ĂŶŐƵŝƐŚ ŝŶƚŽ ĂĐƟŽŶ ǁŝƚŚ ĐŽƩĂŐĞ ŵĞĞƟŶŐƐ ŝŶ ĂůŝĨŽƌŶŝĂ ƐƐĞŵďůǇ ŝƐƚƌŝĐƚƐ ŝŶ >ŽƐ ŶŐĞůĞƐ ĂŶĚ ĐƌĞĂƚĞĚ Ă ŐƌĂƐƐƌŽŽƚƐ ĂĐƟǀŝƐŵ ĐĂŵƉĂŝŐŶ ƚŽ ƐŚŽǁ ƐƵƉƉŽƌƚ ĨŽƌ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƌ Ăůů ǀŝĂ ƐŝŶŐůĞ ƉĂǇĞƌ͕ ƉƌŝŵĂƌŝůǇ ƚŚĞ ƉƵďůŝĐ ŚĞĂůƚŚ ĐĂƌĞ ƐǇƐƚĞŵ ŝŶ ĂůŝĨŽƌŶŝĂ͘ tĞ ŚĂĚ Ă ĐůĂƌŝŽŶ ĐĂůů͕ Ă ĐĂůů ƚŽ ĂĐƟŽŶ͘ KƵƌ ĐƌŝĞƐ ƚŽ ƌĂůůǇ ƚŽ protect and boldly expand access to and coverage of health care are ďĞŝŶŐ ŚĞĂƌĚ͘ DŽƌĞ ŝŵƉŽƌƚĂŶƚůǇ͕ ƚŚĞƐĞ ĞīŽƌƚƐ ĞŶĂďůĞĚ ĂŶĚ ĞŵƉŽǁĞƌĞĚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ͕ ƐƚƵĚĞŶƚƐ͕ ƉĂƟĞŶƚƐ ĂŶĚ ŽƚŚĞƌ ĂůůŝĞƐ ƚŽ ƐŚŝŌ ĨƌƵƐƚƌĂƟŽŶƐ ǁŝƚŚ ƚŚĞ ŶĞǁ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ĂŶĚ ƚŚĞ ƐĞŶƐĞ ŽĨ ĚĞĨĞĂƚ ŝŶƚŽ ƉƌŽĚƵĐƟǀĞ ĂĐƟǀŝƐŵ͘ tĞ ŶŽǁ ŚĂǀĞ ďŝůůƐ ŝŶ ƚŚĞ ĂůŝĨŽƌŶŝĂ ^ƚĂƚĞ ƐƐĞŵďůǇ ĂŶĚ ĂůŝĨŽƌŶŝĂ ^ƚĂƚĞ ^ĞŶĂƚĞ͖ ǁĞ ďĞůŝĞǀĞ ƚŚŝƐ ŵŽǀĞŵĞŶƚ ǁŝůů ŽŶůǇ ĐŽŶƟŶƵĞ ƚŽ ŐƌŽǁ͘ dŚĞ ϮϬϭϲ WƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ƚĂƵŐŚƚ ƵƐ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ďĞŝŶŐ ĞŶŐĂŐĞĚ ĂŶĚ ƚŚĞ ĚĂŶŐĞƌ ŽĨ ĨĂůůŝŶŐ ĂƐůĞĞƉ Ăƚ ƚŚĞ ǁŚĞĞů͘ ĞƐƉŝƚĞ ƚŚĞ ŽƵƚĐŽŵĞ͕ / Ăŵ ƚŚĂŶŬĨƵů ƚŚĂƚ ǁŝƚŚ ŵǇ ĐŽůůĞĂŐƵĞƐ͕ ŵǇ ƉĞĞƌƐ͕ ŵǇ ĨƌŝĞŶĚƐ 24

California Family Physician Spring 2017

Jerry Abraham, MD, MPH; Bo Greaves, MD; and Merritt Matthews, MD

ĂŶĚ ŵǇ ůŽǀĞĚ ŽŶĞƐ /͛ŵ ĞŵďŽůĚĞŶĞĚ ƚŽ ƌŝƐĞ ƵƉ ĂŶĚ ƚĂŬĞ ĂĐƟŽŶ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ ŶĚ /͛ŵ ũƵƐƚ ƚŚĂŶŬĨƵů ƚŽ ŚĂǀĞ ďĞĞŶ Ă ƉĂƌƚ ŽĨ ŝƚ͘ >ǇŵŽŶ ͞ Ž͟ 'ƌĞĂǀĞƐ͕ D ; ŽŽŵĞƌͿ / ĐĂŵĞ ŽĨ ĂŐĞ ŝŶ ƚŚĞ ϭϵϲϬƐ͘ dŚĂƚ decade transformed my vision of ŵĞƌŝĐĂ͘ /Ŷ ϭϵϲϭ͕ / ǁĂƐ Ă ǁŚŝƚĞ ϭϯͲǇĞĂƌͲŽůĚ ďŽǇ ŝŶ Ă ƐŵĂůů ĐĞŶƚƌĂů Pennsylvania city. Fed a cultural diet of Leave It to Beaver and Ozzie and Harriet͕ / ďĞůŝĞǀĞĚ ;Ăůů ŽĨ ƵƐ ŝŶ ŵǇ t ďƵďďůĞ ďĞůŝĞǀĞĚͿ ŽƵƌ ŶĂƟŽŶ ĐŽƵůĚ ĚŽ ŶŽ ǁƌŽŶŐ͘ :&< ǁĂƐ ŵǇ ŚĞƌŽ͘ dŚĞ ĨĂĐƚ ƚŚĂƚ ĨŽƌ ĨƌŝĐĂŶ ŵĞƌŝĐĂŶƐ͕ Žƌ >ĂƟŶŽƐ͕ Žƌ ŐĂǇƐ͕ Žƌ ǁŽŵĞŶ͕ Žƌ ĂŶǇŽŶĞ ĚŝīĞƌĞŶƚ͕ ƚŚĞ ŵĞƌŝĐĂŶ ĞǆƉĞƌŝĞŶĐĞ ǁĂƐ ŚĂƌƐŚ ĂŶĚ ƵŶĨĂŝƌ͕ ĞƐĐĂƉĞĚ ŵĞ͘ Ǉ ϭϵϲϴ͕ ƚŚĞƐĞ ŝŵĂŐĞƐ ďĞĐĂŵĞ ƐĞĂƌĞĚ ŝŶ ŵǇ ŵĞŵŽƌǇ ĂŶĚ ƐŚĂƉĞĚ ŵǇ ǀŝĞǁ ŽĨ ƚŚĞ ǁŽƌůĚ ƚŽĚĂǇ͗ ͻ DǇ ŚĞƌŽĞƐ ǁĞƌĞ ĂƐƐĂƐƐŝŶĂƚĞĚ͗ :&<͕ D><͕ DĂůĐŽŵ͕ ŽďďǇ͘ ͻ &ŝƌĞŚŽƐĞƐ͕ ƉŽůŝĐĞ ĚŽŐƐ ĂŶĚ ďŝůůǇ ĐůƵďƐ ƵƐĞĚ ǀŝĐŝŽƵƐůǇ ĂŐĂŝŶƐƚ ŵĞŶ͕ ǁŽŵĞŶ ĂŶĚ ĐŚŝůĚƌĞŶ ũƵƐƚ ƐĞĞŬŝŶŐ ƚŚĞ ƌŝŐŚƚ ƚŽ ǀŽƚĞ͕ Žƌ ƚŽ ĞĂƚ Ăƚ Ă lunch counter. ͻ zŽƵŶŐ ƉĞŽƉůĞ͕ ďůŽŽĚŝĞĚ Ăƚ ƚŚĞ ŚĂŶĚƐ ŽĨ ŚŝĐĂŐŽ ƉŽůŝĐĞ Ăƚ ƚŚĞ ĞŵŽĐƌĂƟĐ ĐŽŶǀĞŶƟŽŶ͕ ĮŐŚƟŶŐ ĂŐĂŝŶƐƚ Ă ƐĞŶƐĞůĞƐƐ͕ ďƌƵƚĂů ǁĂƌ͘ ͻ ƌŽĂĚ ƚƌŝƉ ƚŚƌŽƵŐŚ ƚŚĞ ^ŽƵƚŚ͕ ƐƟůů ǁŝƚŚ ďĂƚŚƌŽŽŵƐ ĨŽƌ tŚŝƚĞ ĂŶĚ ŽůŽƌĞĚ͕ ĂŶĚ ƉŽǀĞƌƚǇ ƵŶůŝŬĞ / ŚĂĚ ĞǀĞƌ ƐĞĞŶ͘ dŚŽƐĞ ĞǆƉĞƌŝĞŶĐĞƐ ŚĂǀĞ ĚƌŝǀĞŶ ŵĞ͕ ĞǀĞƌ ƐŝŶĐĞ͕ ƚŽ ĚŽ ǁŚĂƚ / ĐĂŶ ƚŽ ŚĞůƉ ŵŽǀĞ ƵƐ ƚŽǁĂƌĚ Ă ŵŽƌĞ ũƵƐƚ ĂŶĚ ĞƋƵŝƚĂďůĞ ƐŽĐŝĞƚǇ͘ ŝƐĐŽǀĞƌŝŶŐ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ĂĐƚƵĂůůǇ ĂůůŽǁĞĚ ŵĞ ƚŽ ďĞĐŽŵĞ Ă ƉŚǇƐŝĐŝĂŶ Ăƚ Ăůů͘ ŌĞƌ ĐŽůůĞŐĞ͕ ŝŶ ϭϵϳϬ͕ / ĞŶƚĞƌĞĚ ŵĞĚŝĐĂů ƐĐŚŽŽů͘ sŝĞƚŶĂŵ ƐƟůů ƌĂŐĞĚ ŽŶ͕ ĂŶĚ ŝŶũƵƐƟĐĞƐ ƉƌĞǀĂŝůĞĚ͘ Ƶƚ ŝƚ ƐĞĞŵĞĚ ůŝŬĞ ŵǇ ĨĞůůŽǁ ŵĞĚ ƐƚƵĚĞŶƚƐ ĚŝĚ ŶŽƚ ĐĂƌĞ͘ ^Ž͕ ĂŌĞƌ ŵǇ ĮƌƐƚ ǇĞĂƌ͕ / ĚĞĐŝĚĞĚ / ĐŽƵůĚ ŶŽƚ ďĞ ƚƌƵĞ ƚŽ ŵǇ ǀĂůƵĞƐ͕ ĂŶĚ ďĞĐŽŵĞ Ă ƉŚǇƐŝĐŝĂŶ͘ / ůĞŌ͕ ŵĂƌƌŝĞĚ ĂŝƐǇ ĂŶĚ ŵŽǀĞĚ ƚŽ ĂůŝĨŽƌŶŝĂ͘ tĞ ǁŽƌŬĞĚ ĨŽƌ ƚŚĞ ŶĞǆƚ ĚĞĐĂĚĞ ƚŽ ŵŽǀĞ ŽƵƌ ƐŽĐŝĞƚǇ ƚŽǁĂƌĚ ũƵƐƟĐĞ͘ dŚĞŶ / ŵĞƚ Ă ŐƌŽƵƉ ŽĨ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ ĐŽŵŵƵŶŝƚǇ ĐůŝŶŝĐƐ͘ dŚĞǇ ǁĞƌĞ ĐĂƌŝŶŐ ĨŽƌ ƉĂƟĞŶƚƐ͕ ĂŶĚ ǁŽƌŬŝŶŐ ƚŽ ĮŐŚƚ ƉŽǀĞƌƚǇ͕ ƉŽŽƌ ĞĚƵĐĂƟŽŶ͕ ĚŝƐĐƌŝŵŝŶĂƟŽŶ͘ dŚĞǇ ǁĞƌĞ ƉŚǇƐŝĐŝĂŶƐ ǁŚŽ ƐƚŽŽĚ ĨŽƌ Ă ũƵƐƚ ƐŽĐŝĞƚǇ͘ zŽƵ ĐŽƵůĚ ĚŽ ďŽƚŚ͊ ^ŽŵĞŚŽǁ͕ / ŐŽƚ ďĂĐŬ ŝŶƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů͘ &ƌŽŵ ŵǇ ĮƌƐƚ ĂƉƉůŝĐĂƟŽŶ͕ / ŶĞĞĚĞĚ ƚŽ ďĞĐŽŵĞ Ă ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ͘ Ɛ 'ĂǇůĞ ^ƚĞƉŚĞŶƐ ƐĂŝĚ͕ ͞&ĂŵŝůǇ DĞĚŝĐŝŶĞ ŝƐ ĐŽƵŶƚĞƌͲĐƵůƚƵƌĞ͘͟

tĞ ĂƌĞ ŐŝǀĞŶ Ă ƵŶŝƋƵĞ ƉŽƐŝƟŽŶ͘ WĞŽƉůĞ ŝŶǀŝƚĞ ƵƐ ŝŶƚŽ ƚŚĞŝƌ ůŝǀĞƐ͕ ƐŚĂƌĞ ƚŚĞŝƌ ƐƚŽƌŝĞƐ͕ ƚŚĞŝƌ ƚƌĂŐĞĚŝĞƐ͕ ũŽǇƐ ĂŶĚ ƐƚƌƵŐŐůĞƐ͘ dŚĞŝƌ ƌĞƐŝůŝĞŶĐĞ ĐĂŶ ŝŶƐƉŝƌĞ ƵƐ͕ ĂŶĚ ŝŶũƵƐƟĐĞƐ ƚŚĞǇ ĚĞĂů ǁŝƚŚ ĐĂŶ ĂĐƟǀĂƚĞ ƵƐ͘ tĞ ůĞĂƌŶ ĨƌŽŵ ŽƵƌ ƉĂƟĞŶƚƐ ƚŚĂƚ ǁĞůůŶĞƐƐ ŝƐ determined by so much more than medical care. / ǁĂƐ ŶŽƚ ƚŽƚĂůůǇ ƐƵƌƉƌŝƐĞĚ ƚŽ ůĞĂƌŶ Ă ĚĞĐĂĚĞ ĂŐŽ that the best predictor of life expectancy and ĐŚƌŽŶŝĐ ŝůůŶĞƐƐ ŝƐ ŶŽƚ ĨĂŵŝůǇ ŚŝƐƚŽƌǇ Žƌ ůĂď ƌĞƐƵůƚƐ͕ ďƵƚ ŝŶ ǁŚĂƚ ǌŝƉ ĐŽĚĞ ǇŽƵ ůŝǀĞ͊ WŽǀĞƌƚǇ ĂŶĚ ĞĚƵĐĂƟŽŶ ĐŽŶƚƌŝďƵƚĞ ŝŵŵĞŶƐĞůǇ ƚŽ ŽŶĞ͛Ɛ ŚĞĂůƚŚ͘ ^Ž͕ ŝƚ ŝƐ ŶĂƚƵƌĂů ĨŽƌ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ďĞ ĂĐƟǀŝƐƚƐ ŝŶ ŽƵƌ ĐŽŵŵƵŶŝƚǇ͕ ŽƵƌ ŶĂƟŽŶ ĂŶĚ ŽƵƌ ǁŽƌůĚ͘ tĞ ĐĂƌĞ ĨŽƌ ŝŶĚŝǀŝĚƵĂů ƉĂƟĞŶƚƐ ĂŶĚ ĨĂŵŝůŝĞƐ͕ ĂŶĚ ĂĚǀŽĐĂƚĞ ĨŽƌ ƚŚĞŵ ĞǀĞƌǇ ĚĂǇ͘ Ƶƚ ŬŶŽǁŝŶŐ ǁŚĂƚ ǁĞ ĚŽ ĂďŽƵƚ ƚŚĞ ĨŽƌĐĞƐ ƚŚĂƚ ƐŚĂƉĞ ƚŚĞŝƌ ŚĞĂůƚŚ ƐŚŽƵůĚ ůĞĂĚ ƵƐ ĂůƐŽ ƚŽ ũŽŝŶ ŝŶ ĞīŽƌƚƐ ƚŽ ĮŐŚƚ ƉŽǀĞƌƚǇ͕ ŝŵƉƌŽǀĞ ĞĚƵĐĂƟŽŶ ůĞǀĞůƐ ĂŶĚ ďƵŝůĚ Ă ǁŽƌůĚ ƚŚĂƚ ůĞĂĚƐ ƚŽ ďĞƩĞƌ ŚĞĂůƚŚ͘ dŚĞƐĞ ĞīŽƌƚƐ ĂƌĞ ŶŽƚ͕ ŝŶ ŵǇ ǀŝĞǁ͕ ĂŶ ͞ĞǆƚƌĂ͘͟ ƵŝůĚŝŶŐ Ă healthier community is a central part of being a ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ͘ ŶŐĂŐĞ ƚŽĚĂǇ͊

UCSF FRESNO FAMILY MEDICINE FACULTY OPPORTUNITY The UCSF Fresno Medical Education Program and Central California Faculty Medical Group (CCFMG) are recruiting for a physician to join the teaching faculty. The successful applicant must be board certified in Family Medicine, have a license to practice medicine in the United States, and be eligible to obtain a California medical license at the time of hire. This position provides an opportunity for teaching, clinical research, and community practice. Proficiency in OB optional. Administrative/leadership opportunities are available. A competitive salary is offered. The program is based in Fresno, California, which offers a high standard of living combined with a low cost of living. The result is a quality of life uniquely Californian, yet surprisingly affordable. Fresno is a vibrant, growing city located in Central California. There is much to see and do in Fresno and the city is ideally located for fast, convenient getaways to the scenic Central Coast as well as the majestic Sierra Nevada mountains. Fresno is the only major city in the country with close proximity to three national parks, including renowned Yosemite National Park.

PLEASE APPLY ONLINE AT: https://aprecruit.ucsf.edu/apply/JPF01168 Visit our websites: www.fresno.ucsf.edu | www.communitymedical.org

UC San Francisco seeks candidates whose experience, teaching, research, or community service that has prepared them to contribute to our commitment to diversity and excellence. The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

Primary Care Opportunities in Southern California Loma Linda University Faculty Medical Group (LLUFMG), Department of Family Medicine, is seeking multiple Providers to join our team at the Highland Springs Medical Plaza. We are looking for Physicians, Nurse Practitioners and/or Physician Assistance to continue providing Loma Linda’s standard of quality Whole Person Care. Job Highlights: • New office with well-trained support staff • Virginia Mason flow model for maximum efficiency and all staff trained to work at the top of their license • Out-patient only, with option of In-patient rotations if desired • On-site subspecialty support

DĞƌƌŝƩ ^͘ DĂƩŚĞǁƐ͕ D ;^ŝůĞŶƚ 'ĞŶĞƌĂƟŽŶͿ ŶŐĂŐĞŵĞŶƚ͕ ƚŽ ŵĞ͕ ŵĞĂŶƐ ĐŽŵŵŝƫŶŐ ĂŶĚ ƉůĞĚŐŝŶŐ ŽŶĞ͛Ɛ ƚĂůĞŶƚƐ ĂŶĚ ĞīŽƌƚƐ ƚŽ ĨĂŵŝůǇ͕ ƌĞůĂƟŽŶƐŚŝƉƐ͕ ŽƌŐĂŶŝǌĂƟŽŶƐ͕ ĐŽŵŵƵŶŝƚǇ͕ ĐŚƵƌĐŚ͕ ĞƚĐ͘ /ƚ ĞŶƚĂŝůƐ ƉĞƌƐŝƐƚĞŶƚ ǁŽƌŬ ƚŽǁĂƌĚ ĐŽŵŵŽŶ ŐŽĂůƐ͕ ƐŚĂƌŝŶŐ ŝĚĞĂƐ͕ ƉƌĞƉĂƌŝŶŐ ĨŽƌ ĂŶĚ ƚĂŬŝŶŐ ůĞĂĚĞƌƐŚŝƉ ƌŽůĞƐ͕ ƉŽƐƐĞƐƐŝŶŐ ĂŶĚ ƵƉĚĂƟŶŐ ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞ ĞůĞŵĞŶƚƐ ŽĨ ƚŚĞ ƐƵďũĞĐƚ ŵĂƩĞƌ Ăƚ ŚĂŶĚ͘ ŶŐĂŐĞŵĞŶƚ ŵĞĂŶƐ ƐĂĐƌŝĮĐĞ ĂŶĚ ƐĞƌǀŝĐĞ͘

Highland Springs Medical Plaza offers comprehensive medical services in a 90,000 square foot facility. Residents of Beaumont and the surrounding areas have access to high quality care right in their own neighborhood. Loma Linda University Faculty Medical Group is affiliated with Loma Linda University Medical Center, Children’s Hospital and School of Medicine, with the mission to deliver whole-person care at a world-class level of clinical excellence. The Medical Center serves as the largest tertiary referral source in both Riverside and San Bernardino counties with a surrounding population approaching 4 million. These opportunities are not eligible for a J1 Waiver.

Interested candidates, please send your CV to: Mike Unterseher Director of Physician Recruitment recruitmd@llu.edu 800-328-1163 California Family Physician Spring 2017

CAFP foundation

Putting Your

Anthony “Fatch” Chong, MD and Devesh Vashishtha

Money Where Our Mission Is!

/ ǁĂŶƚ ƚŽ ƚŚĂŶŬ &W ŵĞŵďĞƌƐ ĨŽƌ ǇŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ƚŽ ƚŚĞ &ŽƵŶĚĂƟŽŶ ůĂƐƚ ǇĞĂƌ͘ zŽƵƌ ƐƵƉƉŽƌƚ ŝƐ ƚƌƵůǇ ĂŶ ŝŶǀĞƐƚŵĞŶƚ ŝŶ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ŽƵƌ ƐƉĞĐŝĂůƚǇ͘ /Ŷ ĨĂĐƚ͕ ǇŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ŵĂŬĞ ƉŽƐƐŝďůĞ ƚŚĞ ŵŽƌĞ ƚŚĂŶ ΨϳϬ͕ϬϬϬ ƚŚĞ &ŽƵŶĚĂƟŽŶ ƐƉĞŶĚƐ ĞĂĐŚ ǇĞĂƌ ŽŶ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ ĂŶĚ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶƚ ĂĐƟǀŝƟĞƐ͘

ϮϬϭϳ D D ^ĐŚŽůĂƌƐŚŝƉ ǁŝŶŶĞƌƐ Ğǀ sĂƐŚŝƐŚƚŚĂ͕ ůĂŝƌ ƵƐŚŝŶŐ͕ K͕ sŝǀŝĂŶ zĂŶŐ͕ ĂŶŝ 'ůĂĞƐĞƌ͕ ZĞďĞĐĐĂ ŝƚƌŽŶ ĂŶĚ sŝŶŚ >Ăŵ͘

zŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ŵĞĂŶ ǁĞ ĐĂŶ ƐƵƉƉŽƌƚ͗ ͻ ^ĐŚŽůĂƌƐŚŝƉƐ ĨŽƌ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƚŽ ĂƩĞŶĚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ; D DͿ ƚŽ ůĞĂƌŶ ĂďŽƵƚ ĂĚǀŽĐĂĐǇ ĂŶĚ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ůĞŐŝƐůĂƟǀĞ ĚŝƐĐƵƐƐŝŽŶƐ ĂŶĚ ƚŚĞ ZĞƐŝĚĞŶƚ WŽƐƚĞƌ ŽŶƚĞƐƚ Ăƚ ƚŚĞ ůŝŶŝĐĂů &ŽƌƵŵ͕ Ă ĐŽŶƚĞƐƚ ƚŚĂƚ ŚĞůƉƐ ƌĞƐŝĚĞŶƚƐ ŵĞĞƚ ƚŚĞŝƌ ƐĐŚŽůĂƌůǇ ǁŽƌŬ ƌĞƋƵŝƌĞŵĞŶƚƐ͘ ͻ ^ĐŚŽůĂƌƐŚŝƉƐ ĨŽƌ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƚŽ ĂƩĞŶĚ ƚŚĞ EĂƟŽŶĂů ŽŶĨĞƌĞŶĐĞ ŽĨ ZĞƐŝĚĞŶƚƐ ĂŶĚ ^ƚƵĚĞŶƚƐ ;E Z^Ϳ ŝŶ <ĂŶƐĂƐ ŝƚǇ ĞĂĐŚ ƐƵŵŵĞƌ ;ƚŚŝƐ ǇĞĂƌ ŽƵƌ ŽǁŶ ůĞǆ DĐ ŽŶĂůĚ ŝƐ ƚŚĞ ƌĞƐŝĚĞŶƚ ĐŽͲĐŽŶǀĞŶĞƌ ŽĨ ƚŚĞ E Z^Ϳ ĂŶĚ ƚŚĞ EŽƌƚŚĞƌŶ ĂŶĚ ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ ƉƌŽĐĞĚƵƌĂů ǁŽƌŬƐŚŽƉƐ͕ ƉůĂŶŶĞĚ ĂŶĚ ŝŵƉůĞŵĞŶƚĞĚ ďǇ students – for students. ͻ KƵƌ &ƵƚƵƌĞ &ĂĐĞ ŽĨ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ƉƌŽŐƌĂŵƐ͕ ƉĂŝƌŝŶŐ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŚŝŐŚ ƐĐŚŽŽů ƐƚƵĚĞŶƚƐ ĨŽƌ Ă ƐŝǆͲǁĞĞŬ ŝŶƚƌŽĚƵĐƟŽŶ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ƚŚĞ ĚĂǇͲůŽŶŐ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ ĂŶĚ ƌĞƐŝĚĞŶĐǇ ĨĂŝƌ ĞĂĐŚ ĨĂůů͖ ŝŶ ϮϬϭϲ ǁĞ ŚĂĚ ŵŽƌĞ ƚŚĂŶ ϮϬϬ ĂƩĞŶĚĞĞƐ͘ ͻ ŶĚ͕ ĮŶĂůůǇ͕ ůĞĂĚĞƌƐŚŝƉ ĚĞǀĞůŽƉŵĞŶƚ ŽƉƉŽƌƚƵŶŝƟĞƐ ĨŽƌ ƐƚƵĚĞŶƚ and resident council members serving on the CAFP and CAFP &ŽƵŶĚĂƟŽŶ ŽĂƌĚƐ͘ dŽ ŝůůƵƐƚƌĂƚĞ ƚŚĞ ƐƵƉƉŽƌƚ ǇŽƵƌ ĚŽůůĂƌƐ ƉƌŽǀŝĚĞ͕ / ƚŚŽƵŐŚƚ /͛Ě ŐŝǀĞ ƚŚŝƐ ĐŽůƵŵŶ ŽǀĞƌ ƚŽ ĞǀĞƐŚ ; ĞǀͿ sĂƐŚŝƐŚƚŚĂ͕ Ă ĨŽƵƌƚŚͲǇĞĂƌ ƐƚƵĚĞŶƚ Ăƚ h ^ ĂŶĚ Ă ϮϬϭϳ D D ƐĐŚŽůĂƌƐŚŝƉ ǁŝŶŶĞƌ͕ ƚŽ ƐŚĂƌĞ ŚŝƐ ƐƚŽƌǇ ŽĨ ƚŚĞ D D ǁĞĞŬĞŶĚ ĂŶĚ >ŽďďǇ ĂǇ͘ ͞tĞ ĂƌĞ ƉĂŐŝŶŐ ĨŽƌ ŵĞĚŝĐĂů ƉĞƌƐŽŶŶĞů͘ ŶǇ ƉŚǇƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ĂƌĞĂ ʹ ƉůĞĂƐĞ ĐŽŵĞ ƚŽ 'ĂƚĞ ϯ ŝŵŵĞĚŝĂƚĞůǇ͘ dŚĞƌĞ ŝƐ Ă ŵĞĚŝĐĂů ĞŵĞƌŐĞŶĐǇ͘͟ KƵƌ ƚƌŝƉ ƚŽ ƚŚĞ &W ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ; D DͿ ĂƉƉƌŽƉƌŝĂƚĞůǇ ďĞŐĂŶ ǁŝƚŚ Ă ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ ƐĂǀŝŶŐ ƚŚĞ ĚĂǇ͗ ŝƚ ǁĂƐ ^ĂƚƵƌĚĂǇ ŵŽƌŶŝŶŐ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͖ ǁĞ ŚĂĚ ũƵƐƚ ƐƚĞƉƉĞĚ Žī ŽƵƌ ƉůĂŶĞ ĨƌŽŵ ^ĂŶ 26

California Family Physician Spring 2017

ŝĞŐŽ ǁŚĞŶ / ŚĞĂƌĚ ƚŚŝƐ ŵĞƐƐĂŐĞ ĐĂůůŝŶŐ ĨŽƌ ŚĞůƉ͘ dŚĞ ƌĞƐƚ ŽĨ ŵǇ ƚĞĂŵ ŚĂĚ ƉƌŽĐĞĞĚĞĚ ƚŽǁĂƌĚ ŐƌŽƵŶĚ ƚƌĂŶƐƉŽƌƚĂƟŽŶ ĂŶĚ ŵŝƐƐĞĚ ƚŚĞ ĂŶŶŽƵŶĐĞŵĞŶƚ͘ / ĐĂƵŐŚƚ ƵƉ ǁŝƚŚ ƌ͘ ĂǀĞ ĂǌǌŽ ĂŶĚ ŝŶĨŽƌŵĞĚ Śŝŵ ŽĨ ƚŚĞ ƐŝƚƵĂƟŽŶ ʹ ǁĞ ƌĂŶ ŽŶƚŽ ƚŚĞ ƉůĂŶĞ͕ ǁŚĞƌĞ ǁĞ ƐĂǁ ĂŶ ƵŶĐŽŶƐĐŝŽƵƐ ǇŽƵŶŐ ŵĂŶ ƐůƵŵƉĞĚ ŽǀĞƌ ŝŶ ŚŝƐ ƐĞĂƚ͘ ƌ͘ ĂǌǌŽ ĞǀĂůƵĂƚĞĚ ĂŶĚ ŚĞůƉĞĚ ƐƚĂďŝůŝǌĞ ƚŚĞ ŵĂŶ͕ ǁŚŽ ǁĂƐ ĂǁĂŬĞ ďǇ ƚŚĞ ƟŵĞ ƚŚĞ ƉĂƌĂŵĞĚŝĐƐ ĐĂŵĞ͘ dŚĞ ƌĞƐƚ ŽĨ ŵǇ ǁĞĞŬĞŶĚ ǁŽƵůĚ ĨŽůůŽǁ ƚŚŝƐ ƐĂŵĞ ƚŚĞŵĞ͗ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƐĂǀŝŶŐ ƚŚĞ ĚĂǇ͘ tŚŝůĞ / ŚĂǀĞ ďĞĞŶ ƚŽ ƚŚĞ ĂƉŝƚŽů ŽŶ ƉƌŝŽƌ ůĞŐŝƐůĂƟǀĞ ƚƌŝƉƐ͕ ƚŚŝƐ ǁĂƐ ŵǇ ĮƌƐƚ ĞǆƉĞƌŝĞŶĐĞ ƚƌĂǀĞůŝŶŐ ĞǆĐůƵƐŝǀĞůǇ ǁŝƚŚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͕ ĂŶĚ ŝƚ ǁĂƐ incredible. The CAFP is unique because our policies are driven by a ƵŶŝƚĞĚ ĨŽĐƵƐ ŽŶ ŝŶĐƌĞĂƐŝŶŐ ĂĐĐĞƐƐ ƚŽ ŚŝŐŚͲƋƵĂůŝƚǇ͕ ĞƋƵŝƚĂďůĞ ƉƌŝŵĂƌǇ ĐĂƌĞ ĨŽƌ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͕ ŝƌƌĞƐƉĞĐƟǀĞ ŽĨ ĂŐĞ͕ ŐĞŶĚĞƌ͕ ƌĞůŝŐŝŽƵƐ ďĂĐŬŐƌŽƵŶĚ͕ ƐĞǆƵĂů ŽƌŝĞŶƚĂƟŽŶ Žƌ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͘ / ĞŶũŽǇĞĚ ƚŚŝƐ ƚƌŝƉ ŝŶ ƉĂƌƟĐƵůĂƌ ďĞĐĂƵƐĞ / ĞǆƉĞƌŝĞŶĐĞĚ ƚŚŝƐ ƵŶŝƚĞĚ ǀŝƐŝŽŶ͕ ǁŚŝĐŚ ĂůůŽǁƐ ƚŚĞ &W ƚŽ ĨŽĐƵƐ ĞīĞĐƟǀĞůǇ ŽŶ ĐĞƌƚĂŝŶ ůĞŐŝƐůĂƟǀĞ ŐŽĂůƐ͕ ǁŝƚŚŽƵƚ ďĞŝŶŐ ďƵƌĚĞŶĞĚ ďǇ Ă ŵĞŵďĞƌƐŚŝƉ ǁŝƚŚ ĐŽŵƉĞƟŶŐ ŝŶƚĞƌĞƐƚƐ͘ KŶĞ ŽĨ ŵǇ ĨĂǀŽƌŝƚĞ ĞǆƉĞƌŝĞŶĐĞƐ ĨƌŽŵ ƚŚĞ ǁĞĞŬĞŶĚ ǁĂƐ ůŝƐƚĞŶŝŶŐ ƚŽ ƚĂůŬƐ ďǇ ƌ͘ tĂŶĚĂ &ŝůĞƌ͕ &W ŽĂƌĚ ŚĂŝƌ͕ ĂŶĚ ŽŶƌĂĚ ŵĞŶƚĂ͕ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐǇ͕ ĂŶĚ ƵŶĚĞƌƐƚĂŶĚŝŶŐ ƚŚĞ ĨƵůů ĐŽŵƉůĞǆŝƚǇ ŽĨ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ĞīŽƌƚƐ ƚŽ ƌĞƉĞĂů ŝƚ͘ / ǁĂƐ ŝŶƐƉŝƌĞĚ ďǇ ƌ͘ &ŝůĞƌ͛Ɛ ĞŵƉŚĂƐŝƐ ŽŶ ŝĚĞŶƟĨǇŝŶŐ ĂƐ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ͗ ǁĞ ĨŽƌŵ ƚŚĞ ďĞĚƌŽĐŬ ŽĨ ƉƌŝŵĂƌǇ ĐĂƌĞ ŝŶ ƚŚĞ hŶŝƚĞĚ ^ƚĂƚĞƐ͕ ĂŶĚ ǁĞ ĞƐƉĞĐŝĂůůǇ ŚĂǀĞ ƚŚĞ ƉŽǁĞƌ ƚŽ ĐŚĂŶŐĞ ŵĞƌŝĐĂŶ ŚĞĂůƚŚ ĐĂƌĞ ƚŽ ďĞ ŵŽƌĞ ƉƵďůŝĐ ŚĞĂůƚŚͲ ĂŶĚ ƉƌĞǀĞŶƟŽŶͲ ŽƌŝĞŶƚĞĚ͘ /ŶĚĞĞĚ͕ ŵĞƌŝĐĂ ŝƐ ĨĂĐŝŶŐ ĂŶ ĞƉŝĚĞŵŝĐ ŽĨ ĐŚƌŽŶŝĐ ĚŝƐĞĂƐĞ͕ ĂŶĚ ĂƐ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ǁĞ ĂƌĞ ďĞƐƚ ƉŽŝƐĞĚ ƚŽ ĂĚĚƌĞƐƐ ĐŚƌŽŶŝĐ ŚĞĂůƚŚ ŝƐƐƵĞƐ ĚƵƌŝŶŐ ĐůŝŶŝĐ ǀŝƐŝƚƐ͘ /Ŷ ƚŚĞ ŽŶŐŽŝŶŐ ŶĂƟŽŶĂů ĚŝƐĐƵƐƐŝŽŶ ĂďŽƵƚ ŚŽǁ ƚŽ ŝŵƉƌŽǀĞ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ͕ ŝƚ ŝƐ ĐƌŝƟĐĂů ƚŚĂƚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ĐŽŶƟŶƵĞ ƚŽ ůĞĂĚ ƚŚĞ ǁĂǇ ĨŽƌǁĂƌĚ ƚŽ Ă ŚĞĂůƚŚĐĂƌĞ ƐǇƐƚĞŵ ƚŚĂƚ ŚĂƐ ƉƌŝŵĂƌǇ ĐĂƌĞ ĂƐ ŝƚƐ ĨŽƵŶĚĂƟŽŶ͘

KƵƌ ĨŽĐƵƐ ĚƵƌŝŶŐ ƚŚĞ D D ǁĂƐ ƚŚĞ ĮŐŚƚ ƚŽ ƉƌĞƐĞƌǀĞ ΨϭϬϬ ŵŝůůŝŽŶ ŝŶ ^ŽŶŐͲ ƌŽǁŶ ĨƵŶĚŝŶŐ for family medicine and other primary care ƌĞƐŝĚĞŶĐǇ ƉƌŽŐƌĂŵƐ ŝŶ ĂůŝĨŽƌŶŝĂ͘ tĞ ŚĂĚ Ă ǁŽŶĚĞƌĨƵů ǁĞĞŬĞŶĚ ŽĨ ůĞŐŝƐůĂƟǀĞ ƚƌĂŝŶŝŶŐ ĂŶĚ ŶĞƚǁŽƌŬŝŶŐ͕ ĂŶĚ / ĨŽƵŶĚ ŵǇƐĞůĨ ƵƉůŝŌĞĚ ďǇ ƚŚĞ ƐƚƵĚĞŶƚƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĨĂĐƵůƚǇ / ŵĞƚ͘ KŶ ^ƵŶĚĂǇ͕ ǁĞ ŚĂĚ ƚŚĞ ƉƌŝǀŝůĞŐĞ ŽĨ ŚĞĂƌŝŶŐ ^ĞŶĂƚĞ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵƉŽƌĞ <ĞǀŝŶ Ğ >ĞſŶ͕ ǁŚŽ ŝƐ ĐůĞĂƌůǇ ĂŶ ĂĚǀŽĐĂƚĞ ĨŽƌ ĂĐĐĞƐƐ ƚŽ ĂīŽƌĚĂďůĞ ŚĞĂůƚŚĐĂƌĞ ĨŽƌ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͘ DĂŶǇ ŽĨ ƵƐ ŚĂǀĞ ďĞĞŶ ĚŝƐĂƉƉŽŝŶƚĞĚ ĂŶĚ ĂŶŐĞƌĞĚ ďǇ ƚŚĞ ĂŶƟͲ ŝŵŵŝŐƌĂŶƚ͕ ĂŶƟͲƐĐŝĞŶĐĞ ĂŶĚ ǆĞŶŽƉŚŽďŝĐ ĂĐƟŽŶƐ ŽĨ ƚŚĞ ĐƵƌƌĞŶƚ ZĞƉƵďůŝĐĂŶ ĚŵŝŶŝƐƚƌĂƟŽŶ͕ ĂŶĚ ŝƚ ǁĂƐ ƵƉůŝŌŝŶŐ ƚŽ ŚĞĂƌ ^ĞŶĂƚŽƌ Ğ >ĞſŶ͛Ɛ ƚŚĞŵĞ ŽĨ ƌĞƐŝƐƚĂŶĐĞ ƚŽ ƚŚĞ tŚŝƚĞ ,ŽƵƐĞ͘ KŶ ^ƵŶĚĂǇ ŶŝŐŚƚ͕ ǁĞ ŵĞƚ Ă ŶƵŵďĞƌ ŽĨ ůĞŐŝƐůĂƚŽƌƐ͕ ŝŶĐůƵĚŝŶŐ ^ĞŶĂƚŽƌ ZŝĐŚĂƌĚ WĂŶ͕ ǁŚŽ ŝƐ Ă ƉĞĚŝĂƚƌŝĐŝĂŶ ĂŶĚ ůĞŐŝƐůĂƟǀĞ ŚĞƌŽ ŝŶ ŚŝƐ ŽǁŶ ƌŝŐŚƚ͘ WĞƌŚĂƉƐ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ƉĂƌƚ ŽĨ ŽƵƌ ƚƌŝƉ ǁĂƐ ƚŚĞ ĂĚǀŽĐĂĐǇ ĚĂǇ ŽŶ DŽŶĚĂǇ͘ KƵƌ ^ĂŶ ŝĞŐŽ ůŽďďǇŝŶŐ ƚĞĂŵ ĐŽŶƐŝƐƚĞĚ ŽĨ Ă ŵŝǆ ŽĨ ƉŚǇƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ƐƚƵĚĞŶƚƐ͕ ĂŶĚ ǁĞ ŚĂĚ Ă ƋƵŝĐŬ ĐƌĂƐŚͲ ĐŽƵƌƐĞ ŝŶ dǁŝƩĞƌ ƵƐĂŐĞ ďĞĨŽƌĞ ǀŝƐŝƟŶŐ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ ŝŶƐƚƌƵĐƟŽŶ ŽĨ ŵǇ ĨƌŝĞŶĚƐ ĨƌŽŵ <ĂŝƐĞƌ ^ĂŶ ŝĞŐŽ͕ / ƐƵĐĐĞƐƐĨƵůůǇ ƚǁĞĞƚĞĚ ^ĞŶĂƚŽƌ dŽŶŝ ƚŬŝŶƐ ĂŶĚ ǁĂƐ ŐƌĂĐŝŽƵƐůǇ ƐƵƌƉƌŝƐĞĚ ďǇ Ă ƌĞƚǁĞĞƚ ĨƌŽŵ ŚĞƌ ũƵƐƚ ŚŽƵƌƐ ůĂƚĞƌ͘ Ɛ Ă ƚĞĂŵ͕ ǁĞ ĨĞůů ŝŶƚŽ Ă ƌŚǇƚŚŵ ĂŶĚ ƐƉŽŬĞ ǁŝƚŚ ^ĂŶ ŝĞŐŽ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚ ƐƚĂī ŵĞŵďĞƌƐ͕ ĞŵƉŚĂƐŝǌŝŶŐ ŚŽǁ ĐƌƵĐŝĂů ^ŽŶŐͲ ƌŽǁŶ ĨƵŶĚŝŶŐ ǁĂƐ ƚŽ ƉƌŽǀŝĚŝŶŐ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƌ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶƐ ĂĐƌŽƐƐ ĂůŝĨŽƌŶŝĂ͘ tĞ ǁĞƌĞ ƚŽƵĐŚĞĚ ďǇ ŚŽǁ ƐƵƉƉŽƌƟǀĞ ƚŚĞ ůĞŐŝƐůĂƚŽƌƐ ǁĞƌĞ͕ ĂŶĚ ǁĞ ǁĞƌĞ ƐƚƌƵĐŬ ǁŚĞŶ ƐƐĞŵďůǇŵĞŵďĞƌ ^ŚŝƌůĞǇ tĞďĞƌ ƉŽůŝƚĞůǇ ŵĞŶƟŽŶĞĚ ƚŚĂƚ ƐŚĞ ŚĂĚ ŚĞůƉĞĚ ĚƌĂŌ ƚŚĞ ŽƌŝŐŝŶĂů ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ ůĞŐŝƐůĂƟŽŶ͘ /ƚ ŝƐ ĐůĞĂƌ ƚŚĞ &W ƉůĂǇƐ Ă ǀŝƚĂů ƌŽůĞ ŝŶ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ ĂŶĚ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ / ĐĂŶŶŽƚ think of a more important moment for medical ƐƚƵĚĞŶƚƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƚŽ ďĞ ĞŶŐĂŐĞĚ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐǇ͕ ĂŶĚ ƚŽ ƐƚĂŶĚ ƵƉ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͕ ŵĂŶǇ ŽĨ ǁŚŽŵ ĚŽ ŶŽƚ ŚĂǀĞ ƚŚĞ ƐĂŵĞ ƉŽůŝƟĐĂů ĐůŽƵƚ ƚŚĂƚ ǁĞ ĞŶũŽǇ ĂƐ ƉŚǇƐŝĐŝĂŶƐ͘ dŚĞ ƟŵĞ ƚŽ ƉƌŽƚĞĐƚ ŽƵƌ ƉĂƟĞŶƚƐ ŝƐ ŶŽǁ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ &W &ŽƵŶĚĂƟŽŶ ĨŽƌ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ďĞ ƉĂƌƚ ŽĨ ƚŚŝƐ ĂŵĂǌŝŶŐ ǁĞĞŬĞŶĚ͘

The Family Medicine Residency at San Joaquin General Hospital, French Camp California is seeking 2 full time faculty positions. The program is community based affiliated with UC Davis. French Camp is located in the beautiful Central Valley. Board certification in Family Medicine and California medical license is required for the positions. Preference for the Geriatric position candidates to have a CAQ in Geriatrics. Salary and benefits are above norms for the community. Excellent and robust teaching environment in a rural community. Please contact Anna Hernandez, Program Coordinator at 209-468-6428, ahernandez@sjgh.org

http://www.sanjoaquinfm.com/

Voted one of the “Best Places to Work in LA & Orange County”

HealthCare Partners has immediate fulltime and part-time opportunities for Family Medicine Physicians throughout Los Angeles and North Orange County. Ideal candidates will have at least one year of Family Medicine experience. H1B candidates are encouraged to apply. We offer organizational stability, career growth, excellent compensation and benefits for a truly balanced professional/personal lifestyle.

To see a full list of available positions and to apply online visit us at: www.joindavitamedicalgroup.com or email your CV to: ClinicianApplicants@healthcarepartners.com

ĂŶŝ 'ůĂĞƐĞƌ͕ h^ ͖ sŝǀ zĂŶŐ͕ h /͖ ůĂŝƌ ƵƐŚŝŶŐ͕ K͕ EĂƟǀŝĚĂĚ &DZW͖ sŝŶŚ >Ăŵ͕ ŚĂƌůĞƐ Ğǁͬ h > ͖ ĂŶĚ ZĞďĞĐĐĂ ŝƚƌŽŶ͕ h > ͘ California Family Physician Spring 2017

Shannon Goecke

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Engage with Your Local Colleagues / ǁƌŝƚĞ ƚŚŝƐ ƚŚĞ ĚĂǇ ĂŌĞƌ ƌĞƚƵƌŶŝŶŐ ĨƌŽŵ &W͛Ɛ ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ; D DͿ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͘ D D ǁĂƐ ŵǇ ĮƌƐƚ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŵĞĞƚ ĨĂĐĞͲƚŽͲĨĂĐĞ ǁŝƚŚ ŵĂŶǇ ŽĨ ƚŚĞ ŵĞŵďĞƌƐ /͛ǀĞ ĐŽŵĞ ƚŽ ŬŶŽǁ ĂŶĚ ĂĚŵŝƌĞ ǀŝĂ ƉŚŽŶĞ ĐĂůůƐ ĂŶĚ ĞŵĂŝůƐ ƐŝŶĐĞ / ũŽŝŶĞĚ ƚŚĞ &W ƚĞĂŵ ŝŶ Ɖƌŝů ϮϬϭϲ͘ D D ǁĂƐ ĂůƐŽ ŵĞĂŶŝŶŐĨƵů ƚŽ ŵĞ ĂƐ ǇŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĚŝƌĞĐƚŽƌ͕ ǁŝƚŚ ƐŽ ŵĂŶǇ ŵĞŵďĞƌƐ͕ ĨƌŽŵ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƚŽ ƉŚǇƐŝĐŝĂŶƐ ǁŝƚŚ ŵŽƌĞ ƚŚĂŶ ϯϱ ǇĞĂƌƐ ŽĨ &W ŵĞŵďĞƌƐŚŝƉ͕ ĂĚǀŽĐĂƟŶŐ ƚŽŐĞƚŚĞƌ ĨŽƌ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͕ ƉŚǇƐŝĐŝĂŶƐ ĂŶĚ ƉĂƟĞŶƚƐ͘ KŶĞ ŽĨ ƚŚĞ ŵĂŶǇ ŚŝŐŚůŝŐŚƚƐ ŽĨ ŵǇ ǁĞĞŬĞŶĚ ǁĂƐ ƚŚĞ ĐŽƵŶƚǇ ĐŚĂƉƚĞƌ ĚŝŶŶĞƌ ǁĞ ŚĞůĚ ŽŶ ^ĂƚƵƌĚĂǇ ŶŝŐŚƚ͘ :ƵƐƚ Ă ĨĞǁ ǁĞĞŬƐ ƉƌŝŽƌ ƚŚĞ D D͕ ǁĞ ǁĞƌĞ ĂƐŬĞĚ ƚŽ ŚŽůĚ ĂŶ ŝŶĨŽƌŵĂů ŐĂƚŚĞƌŝŶŐ ĨŽƌ ĐŚĂƉƚĞƌƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ŵĞŵďĞƌ ĞŶŐĂŐĞŵĞŶƚ͘ Ɛ ƚŚĞ ϭϬ ƐĞĂƚƐ Ăƚ ƚŚĞ ƚĂďůĞ ĮůůĞĚ ƵƉ͕ ǁĞ ĂĚĚĞĚ ĮǀĞ ŵŽƌĞ͘ ƚ ĚŝŶŶĞƌ͕ ϭϵ ŽĨ ƵƐ ʹ ϭϳ ŵĞŵďĞƌƐ͕ &W 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ ŝƌĞĐƚŽƌ ĚĂŵ &ƌĂŶĐŝƐ͕ ĂŶĚ / ʹ ĚŝǀĞĚ ŝŶƚŽ ŽƵƌ ŵĞĂůƐ ĂŶĚ Ă ŐƌĞĂƚ ĚŝƐĐƵƐƐŝŽŶ about engagement. &W͛Ɛ ĂŶŶƵĂů ĞǀĞŶƚƐ ƐƵĐŚ ĂƐ D D ĂŶĚ ƚŚĞ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ĂƌĞ ǁŽŶĚĞƌĨƵů͕ but your county chapter is another great place ƚŽ ĞŶŐĂŐĞ ǁŝƚŚ ĐŽůůĞĂŐƵĞƐ ĐůŽƐĞƌ ƚŽ ŚŽŵĞ͕ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ǇĞĂƌ͘ &W ŚĂƐ ĚŽǌĞŶƐ ŽĨ ĐŚĂƉƚĞƌƐ͕ ƌĂŶŐŝŶŐ ŝŶ ƐŝǌĞ ĨƌŽŵ ĨĞǁĞƌ ƚŚĂŶ ϱϬ ŵĞŵďĞƌƐ ƚŽ ŵŽƌĞ ƚŚĂŶ ϭ͕ϬϬϬ͘ ŚĂƉƚĞƌƐ ĂŶĚ ƚŚĞŝƌ ĂĐƟǀŝƟĞƐ ĂƌĞ ĂƐ ĚŝǀĞƌƐĞ ĂƐ ƚŚĞŝƌ ŵĞŵďĞƌƐ ĂŶĚ ĂůŝĨŽƌŶŝĂ͛Ɛ ŐĞŽŐƌĂƉŚŝĐ ƌĞŐŝŽŶƐ͘ ĐƟǀŝƟĞƐ ŝŶĐůƵĚĞ ŽīĞƌŝŶŐ ƉƌŽĨĞƐƐŝŽŶĂů ĞĚƵĐĂƟŽŶ ĂŶĚ ĚĞǀĞůŽƉŵĞŶƚ ĞǀĞŶƚƐ͕ ĞŶŐĂŐŝŶŐ ŝŶ ůĞŐŝƐůĂƟǀĞ ĂĚǀŽĐĂĐǇ͕ ĂǁĂƌĚŝŶŐ ƐĐŚŽůĂƌƐŚŝƉƐ ƚŽ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͕ ŽƌŐĂŶŝǌŝŶŐ social events and volunteering in the community. Our largest chapters – including >ŽƐ ŶŐĞůĞƐ͕ ^ĂŶ Diego, and KƌĂŶŐĞ ʹ ĂƌĞ ǀĞƌǇ ĂĐƟǀĞ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ǇĞĂƌ͘ tĞ ŚĂǀĞ ƐŽŵĞ ƚŚƌŝǀŝŶŐ ĐŚĂƉƚĞƌƐ ƵƉ ŶŽƌƚŚ͕ ƚŽŽ͕ ĂŶĚ ŵŽƌĞ ĂƌĞ ǇĞƚ ƚŽ ĐŽŵĞ͘ dŚĞ North ĂǇ ŚĂƉƚĞƌ͕ ůĞĚ ďǇ ƉƌĞƐŝĚĞŶƚ WĂŶŶĂ >ŽƐƐǇ͕ D ͕ ŚĂƐ ĚŽŶĞ ƐŽŵĞ ǀĞƌǇ ŝŵƉƌĞƐƐŝǀĞ ǁŽƌŬ ŽŶ ƚŚĞ ƚŽƉŝĐ of physician happiness and burnout – a topic ǁŝƚŚ ǁŚŝĐŚ ŵĂŶǇ ƉŚǇƐŝĐŝĂŶƐ ĐĂŶ ŝĚĞŶƟĨǇ͘ /Ŷ ƚŚĞ ůĂƐƚ ǇĞĂƌ͕ ƚŚĞ ĐŚĂƉƚĞƌ ŚĞůĚ ǀĞƌǇ ǁĞůůͲĂƩĞŶĚĞĚ ĞǀĞŶƚƐ ʹ ƚŚĞ ͞,ĂƉƉŝŶĞƐƐ ǀĞŶƚ͟ ĂŶĚ ƚŚĞ ͞ ƌĞĂŵ Job” – and prepared to conduct a comprehensive ƐƵƌǀĞǇ ŽĨ ŵĞŵďĞƌƐ ĂďŽƵƚ ǁŚĂƚ ǁŽƌŬ ůŝĨĞ ŝƐ ůŝŬĞ ŝŶ ĚŝīĞƌĞŶƚ ŽƌŐĂŶŝǌĂƟŽŶƐ ŝŶ ŽƌĚĞƌ ƚŽ ƐŚĂƉĞ ĨƵƚƵƌĞ ĞīŽƌƚƐ͘ ŌĞƌ ƚŚĞ ĞůĞĐƟŽŶ͕ ŚŽǁĞǀĞƌ͕ ŵĂŶǇ ŵĞŵďĞƌƐ͛ ƚŚŽƵŐŚƚƐ ƚƵƌŶĞĚ ƚŽ ŵŽƌĞ ƉŽůŝƟĐĂů 28

California Family Physician Spring 2017

ƚŽƉŝĐƐ͘ ^ŝŶĐĞ ƚŚĞŶ͕ ƚŚĞ ĐŚĂƉƚĞƌ ŚĞůƉĞĚ ƚŽ ĨŽƵŶĚ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶĂůƐ ĨŽƌ ƋƵĂůŝƚǇ ĂŶĚ ŽŵŵƵŶŝƚǇ ŶŐĂŐĞŵĞŶƚ ;,W Ϳ͕ ǁŚŝĐŚ ŚĂƐ ŚĞůĚ ƚŚƌĞĞ ǁĞůůͲĂƩĞŶĚĞĚ ŵĞĞƟŶŐƐ͖ ƐƉŽŬĞŶ Ăƚ ƚǁŽ ŽĂƌĚ ŽĨ ^ƵƉĞƌǀŝƐŽƌƐ ŵĞĞƟŶŐƐ͖ ƚĞƐƟĮĞĚ Ăƚ ƚŚĞ ^ĂŶƚĂ ZŽƐĂ ŝƚǇ ŽƵŶĐŝů DĞĞƟŶŐ͖ ŵĞƚ ǁŝƚŚ ƐƐĞŵďůǇŵĂŶ :ŝŵ tŽŽĚ ; ͲdƵƌůŽĐŬͿ͕ ŚĂŝƌ ŽĨ ƚŚĞ ƐƐĞŵďůǇ ,ĞĂůƚŚ ŽŵŵŝƩĞĞ͖ ĂŶĚ ŵĞƚ ǁŝƚŚ ƐƚĂī ŽĨ ^ĞŶĂƚŽƌ ŝĂŶĞ &ĞŝŶƐƚĞŝŶ ĂŶĚ ZĞƉƌĞƐĞŶƚĂƟǀĞ DŝŬĞ dŚŽŵƉƐŽŶ͘ DĂŶǇ ĐŚĂƉƚĞƌ ŵĞŵďĞƌƐ ĂƩĞŶĚĞĚ Ă ŵĂƐƐŝǀĞ dŽǁŶ ,Ăůů ŵĞĞƟŶŐ ŽŶ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂƐ ǁĞůů͘ dŚĞ ĐŚĂƉƚĞƌ ƐƟůů ƉůĂŶƐ ŽŶ ƉƌŽŵŽƟŶŐ physician happiness and releasing its survey at a later date. ^ŽŵĞ ŽĨ ŽƵƌ ĐŚĂƉƚĞƌƐ ŝŶ ƚŚĞ ĞŶƚƌĂů sĂůůĞǇ ĂƌĞ ĂĐƟǀĞ ĂƐ ǁĞůů͘ dŚĞ Sacramento-El Dorado ĐŚĂƉƚĞƌ ŚŽůĚƐ Ă ĨĞǁ ĞĚƵĐĂƟŽŶĂů ĂŶĚ ƐŽĐŝĂů ĞǀĞŶƚƐ ĞǀĞƌǇ ǇĞĂƌ͕ ĂŶĚ ĂůƐŽ ĂǁĂƌĚƐ ƐĐŚŽůĂƌƐŚŝƉƐ ƚŽ ƐƚƵĚĞŶƚ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͘ dŚĞ Fresno-Kings-Madera ĐŚĂƉƚĞƌ ŚĞůĚ Ă ǀĞƌǇ ǁĞůůͲĂƩĞŶĚĞĚ ĞĚƵĐĂƟŽŶĂů ƉƌŽŐƌĂŵ ŽŶ ƐĂĨĞ ƉƌĞƐĐƌŝďŝŶŐ ƉƌĂĐƟĐĞƐ͕ ĨĞĂƚƵƌŝŶŐ ƉƌĞƐĞŶƚĞƌƐ ZĂƵů ǇĂůĂ͕ D ͕ ĐŚĂƉƚĞƌ ƉƌĞƐŝĚĞŶƚ͕ ĂŶĚ >ĞĞ ZĂůƉŚ͕ D ͕ &W WƌĞƐŝĚĞŶƚ͕ ŝŶ

Join the faculty of one of the nation’s premier Family Medicine Residency Programs

The Ventura FM Residency, affiliated with the UCLA School of Medicine, is seeking two full time faculty physicians to join a growing and robust program.

:ĂŶƵĂƌǇ ϮϬϭϳ͖ ƚŚĞ Kern ŚĂƉƚĞƌ ǁŝůů ŚŽůĚ ĂŶ ĞǀĞŶƚ ŝŶ DĂƌĐŚ ƚŽ ŚŽŶŽƌ /ŶƚĞƌŶĂƟŽŶĂů DĞĚŝĐĂů 'ƌĂĚƵĂƚĞƐ ;/D'ƐͿ ĂƐ ǁĞůů ĂƐ ƐŚŽǁ ƐƵƉƉŽƌƚ ĨŽƌ ƌ͘ ^ĂƌǁĂ ůĚŽŽƌŝ͕ ƚŚĞ ůŽŶŐͲƟŵĞ ĂŬĞƌƐĮĞůĚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ ǁŚŽ ǁĂƐ ĚĞƚĂŝŶĞĚ Ăƚ ƚŚĞ >ŽƐ ŶŐĞůĞƐ /ŶƚĞƌŶĂƟŽŶĂů ŝƌƉŽƌƚ ŽŶ ŚĞƌ ǁĂǇ ŚŽŵĞ ĨƌŽŵ ŚĞƌ ĂŶŶƵĂů ƌĞůŝŐŝŽƵƐ ƉŝůŐƌŝŵĂŐĞ͕ ĂƐ Ă ƌĞƐƵůƚ ŽĨ ƚŚĞ ĮƌƐƚ ǆĞĐƵƟǀĞ KƌĚĞƌ ƚƌĂǀĞů ďĂŶ ďǇ WƌĞƐŝĚĞŶƚ dƌƵŵƉ͘ ƚ ŽƵƌ ĚŝŶŶĞƌ ĚƵƌŝŶŐ D D͕ ƌ͘ >ŽƐƐǇ ĂŶĚ ŚĞƌ EŽƌƚŚ ĂǇ ĐŽůůĞĂŐƵĞƐ͕ ƌƐ͘ dĂƌĂ ^ĐŽƩ͕ DĞůĂŶŝĞ ^ŽƵƚŚĂƌĚ ĂŶĚ dŽŶŝ ZĂŵŝƌĞǌ͕ ƐŚĂƌĞĚ ƚŚĞŝƌ ŝŶƐŝŐŚƚƐ͘ tĞ ĂůƐŽ ŚĂĚ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĨƌŽŵ ƚŚĞ San Francisco Chapter, ǁŚŝĐŚ ŚĂƐ ďĞĞŶ ŝŶĂĐƟǀĞ ĂƐ ŽĨ ůĂƚĞ ďƵƚ ǁŝůů ďĞ ƚƌĂŶƐŝƟŽŶŝŶŐ ƚŽ ŶĞǁ ůĞĂĚĞƌƐŚŝƉ ĂŶĚ ƉůĂŶŶŝŶŐ Ă ŶĞǁ ƐůĂƚĞ ŽĨ ĂĐƟǀŝƟĞƐ ŝŶ ϮϬϭϳ͘ ;dŚĂŶŬ Ɛ ƚŽ ƌƐ͘ zĞǀĂ :ŽŚŶƐŽŶ ĂŶĚ DŝŬĞ WŽƩĞƌ͕ ǁŚŽ ŚĂǀĞ ůĞĚ ƚŚĞ ĐŚĂƉƚĞƌ ĨŽƌ ŵĂŶǇ ǇĞĂƌƐ ĂŶĚ ǁŝůů ďĞ Ă ŐƌĞĂƚ ĂƐƐĞƚ ŝŶ ƚŚĞ ƚƌĂŶƐŝƟŽŶ ŽĨ ůĞĂĚĞƌƐŚŝƉ͘Ϳ tĞ ĂůƐŽ ŚĂĚ ƐĞǀĞƌĂů ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĨƌŽŵ ƚŚĞ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐǇ WƌŽŐƌĂŵ Ăƚ <ĂŝƐĞƌ Permanente in Napa-Solano͕ ǁŚŽ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ŐĞŶĞƌĂƟŶŐ ŵŽƌĞ ĂĐƟǀŝƚǇ ŝŶ ƚŚĞŝƌ ĐŽƵŶƟĞƐ͕ƐŝŶĐĞ ŵƵĐŚ ŽĨ ƚŚĞ ĂĐƟǀŝƚǇ ŽĨ ƚŚĞ EŽƌƚŚ ĂǇ ĐŚĂƉƚĞƌ ŝƐ ĐŽŶĐĞŶƚƌĂƚĞĚ ŝŶ DĂƌŝŶ ĂŶĚ ^ŽŶŽŵĂ ĐŽƵŶƟĞƐ ʹ ƐƚĂǇ ƚƵŶĞĚ͊ /Ĩ ǇŽƵ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ĮŶĚŝŶŐ ŽƵƚ ǁŚĂƚ ǇŽƵƌ ĐŽƵŶƚǇ ĐŚĂƉƚĞƌ ŝƐ ƵƉ ƚŽ ůĂƚĞůǇ͕ ǇŽƵ ĐĂŶ ĮŶĚ ǇŽƵƌ ĐŚĂƉƚĞƌ ƉƌĞƐŝĚĞŶƚ͛Ɛ ŶĂŵĞ ĂŶĚ ĞŵĂŝů ĂĚĚƌĞƐƐ ŽŶ ƚŚĞ &W ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ĨĂŵŝůǇĚŽĐƐ͘ŽƌŐͬ ůĞĂĚĞƌƐŚŝƉͬůŽĐĂůͲĐŽƵŶƚǇͲĐŚĂƉƚĞƌƐ͕ Žƌ ĐŽŶƚĂĐƚ ŵĞ Ăƚ ;ϰϭϱͿ ϯϰϱͲϴϲϲϳ Žƌ ƐŐŽĞĐŬĞΛĨĂŵŝůǇĚŽĐƐ͘ŽƌŐ͘ /Ĩ ǇŽƵƌ ĐŽƵŶƚǇ ĐŚĂƉƚĞƌ ŝƐ ŶŽƚ ĂĐƟǀĞ ƌŝŐŚƚ ŶŽǁ͕ / ĞŶĐŽƵƌĂŐĞ ǇŽƵ ƚŽ ĐŚĂŶŐĞ ƚŚĂƚ ďǇ ŐĞƫŶŐ ŝŶǀŽůǀĞĚ ŝŶ Ă ĐŚĂƉƚĞƌ ůĞĂĚĞƌƐŚŝƉ ƉŽƐŝƟŽŶ͘ &W ƐƚĂī ĐĂŶ ŽīĞƌ ƐŽŵĞ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ĂŶĚ ŽƚŚĞƌ ƐƵƉƉŽƌƚ ƚŽ ƐƵƉƉŽƌƚ ǇŽƵƌ ĞīŽƌƚƐ͘ ŶŐĂŐŝŶŐ ǁŝƚŚ ǇŽƵƌ ĐŽƵŶƚǇ ĐŚĂƉƚĞƌ ŝƐ Ă ŐƌĞĂƚ ǁĂǇ ƚŽ ŶĞƚǁŽƌŬ͕ ĚĞǀĞůŽƉ ƐŬŝůůƐ ĂŶĚ ĐŚĂŵƉŝŽŶ ƚŚĞ ƐƉĞĐŝĂůƚǇ͕ ďƵƚ ŽŶůǇ ŝĨ ǇŽƵ͛ƌĞ Ă ĐƵƌƌĞŶƚ ŵĞŵďĞƌ͘ /Ĩ ǇŽƵ ŚĂǀĞŶ͛ƚ ǇĞƚ ƌĞŶĞǁĞĚ ǇŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĨŽƌ ϮϬϭϳ͕ ƉůĞĂƐĞ ƚĂŬĞ Ă ŵŽŵĞŶƚ ƚŽ ĚŽ ƚŚĂƚ ƚŽĚĂǇ͘ ZĞŶĞǁ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ĂĂĨƉ͘ŽƌŐͬĐŚĞĐŬŵǇĚƵĞƐ͕ or contact the CAFP for assistance. Thank you for your membership. Shannon Goecke is CAFP’s Director of DĞŵďĞƌƐŚŝƉ ĂŶĚ DĂƌŬĞƟŶŐ͘

For more information, visit venturafamilymed.org/jobs

GOLDEN OPPORTUNITIES GOLDEN VALLEY HEALTH CENTERS GVHC’s mission is to be the premium health care organization in the nation and for this we need caring and compassionate providers on our team.

PHYSICIAN OPPORTUNITIES: Family Medicine, Pediatrics, internal Medicine, Psychiatry and more.

HIGHLIGHTS OF GVHC AND WHAT WE HAVE TO OFFER: • • • • •

Guaranteed salary on a 3 tier scale based on experience. Sign on bonus and relocation assistance Quarterly bonuses based on productivity Cap Exempt and Offering Visa Sponsorship We participate in State and Federal Student Loan Repayment Programs and qualify to distribute the highest amount • 30 sites located in many communities throughout the central valley of California • In close proximity to San Francisco, many beaches and Yosemite National Park

PLEASE CONNECT WITH US: Joshua Skunca | jskunca@gvhc.org | 209-384-6489 Jacklyn Zimmerman | jzimmerman@gvhc.org | 209-384-6490

PLEASE VISIT US: www.gvhc.org

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California Family Physician Spring 2017

evp forum

Susan Hogeland, CAE

Are You Climbing the

Engagement Ladder? DĞƌƌŝĂŵͲtĞďƐƚĞƌ ĚĞĮŶĞƐ ĞŶŐĂŐĞŵĞŶƚ ĂƐ ͞ƚŚĞ ĂĐƚ ŽĨ ĞŶŐĂŐŝŶŐ͟ Žƌ ͞ƚŚĞ ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ĞŶŐĂŐĞĚ͕͟ ͞ĞŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ͟ Žƌ ͞ƚŚĞ ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ŝŶ ŐĞĂƌ͘͟ / ůŝŬĞ Ăůů ŽĨ ƚŚŽƐĞ ĚĞƐĐƌŝƉƟŽŶƐ͘ dŚĞ ͞ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ŝŶ ŐĞĂƌ͟ ĚĞĮŶŝƟŽŶ ƌĞĨĞƌƐ ŵŽƌĞ ƚŽ Ă ŵĞĐŚĂŶŝĐĂů ƉƌŽĐĞƐƐ͕ ďƵƚ ŝƚ͛Ɛ ƐƟůů ĂƉƉůŝĐĂďůĞ ʹ ǁŚĞŶ ǇŽƵ͛ƌĞ ŝŶ ƐǇŶĐ ǁŝƚŚ ǇŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ĂƐƐŽĐŝĂƟŽŶ͕ ƚŚŝŶŐƐ ĚĞĮŶŝƚĞůǇ ĐĂŶ ƌƵŶ ŵŽƌĞ ƐŵŽŽƚŚůǇ͊ dŚĞ ĚĞĮŶŝƟŽŶ ƚŚĂƚ ƌĞƐŽŶĂƚĞƐ ŵŽƐƚ ĨŽƌ ŵĞ͕ ŚŽǁĞǀĞƌ͕ ĂŶĚ ƚŚĂƚ ƐƚĂī ĂŶĚ ůĞĂĚĞƌƐŚŝƉ ŚĞƌĞ Ăƚ ƚŚĞ ĐĂĚĞŵǇ ƐĞĞŬ ƚŽ ĂĐŚŝĞǀĞ͕ ŝƐ ͞ĞŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ͘͟ ŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ ŝƐ ƚŚĞ ŐŽůĚ ƐƚĂŶĚĂƌĚ ĨŽƌ ǁŚǇ ĂŶǇ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ ǁŽƵůĚ ƉĂǇ ĚƵĞƐ ƚŽ ďĞůŽŶŐ ƚŽ &W ĂŶĚ &W͕ ŝ͘Ğ͕͘ ƚŚĞ ĐŽŶŶĞĐƟŽŶ ƌĞƐŽŶĂƚĞƐ ŶŽƚ ŽŶůǇ ǁŝƚŚ ǇŽƵƌ ŚĞĂĚ͕ ďƵƚ ĂůƐŽ ǁŝƚŚ ǇŽƵƌ ŚĞĂƌƚ͘ dŚĞ ŽƌŐĂŶŝǌĂƟŽŶƐ ƌĞŇĞĐƚ ǇŽƵƌ ǀĂůƵĞƐ͕ ƚŚĞ ƌĞĂƐŽŶƐ ǇŽƵ ďĞĐĂŵĞ Ă ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶ͕ ƉĂƌƟĐƵůĂƌůǇ ǇŽƵƌ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ ǇŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĐĂƌĞ ƚŚĂƚ ǇŽƵ ƐŚĂƌĞ ǁŝƚŚ ǇŽƵƌ ĨĞůůŽǁ &WƐ ͙ This is not to say that every single member of CAFP agrees on ĞǀĞƌǇ ŝƐƐƵĞ ǁŝƚŚ ĞǀĞƌǇ ŽƚŚĞƌ ŵĞŵďĞƌ ʹ ĚĞŵŽŐƌĂƉŚŝĐĂůůǇ͕ &W ƉƌŽďĂďůǇ ůŽŽŬƐ ůŝŬĞ ƚŚĞ ƉŽůŝƟĐĂů ƌĞƉƌĞƐĞŶƚĂƟŽŶ ŝŶ ŽƵƌ ƐƚĂƚĞ ĂƐ Ă ǁŚŽůĞ ʹ ŵŽƌĞ ůŝďĞƌĂů Ăƚ ƚŚĞ ĐŽĂƐƚ ĂŶĚ ŵŽƌĞ ĐŽŶƐĞƌǀĂƟǀĞ ŝŶ ƚŚĞ ŵŝĚĚůĞ͕ ĞĂƐƚ͕ ƚŽƉ ĂŶĚ ďŽƩŽŵ͘ Ƶƚ ǁŚĂƚĞǀĞƌ ŽƵƌ ŵĞŵďĞƌƐ͛ ƉĞƌƐŽŶĂů ƉŚŝůŽƐŽƉŚǇ Žƌ ďĞůŝĞĨƐ ĂďŽƵƚ ŚŽǁ ƚŚĞǇ ƐŚŽƵůĚ ďĞ ƉĂŝĚ ĂŶĚ ďǇ ǁŚŽŵ͕ ŝƚ ŝƐŶ͛ƚ ŽƵƚ ŽĨ ƚŚĞ ŽƌĚŝŶĂƌǇ ƚŽ ƐĞĞ &WƐ ƚĞĂƌ ƵƉ ĂƐ ƚŚĞǇ ƚĂůŬ ĂďŽƵƚ ƉĂƟĞŶƚƐ͕ Žƌ ĂŶ ĞƐƉĞĐŝĂůůǇ ŵĞĂŶŝŶŐĨƵů ĞŶĐŽƵŶƚĞƌ ƚŚĞǇ ŚĂĚ ďĂĐŬ ŝŶ ƚƌĂŝŶŝŶŐ͕ Žƌ ŚŽǁ ƚŚĞǇ ƌĂŶ ŝŶƚŽ ƐŽŵĞŽŶĞ ƚŚĞǇ ĚĞůŝǀĞƌĞĚ ǇĞĂƌƐ ďĞĨŽƌĞ͕ Žƌ ĞǀĞŶ ŚŽǁ ƚŚĞǇ ĨĞĞů ĂďŽƵƚ ƉĂƌƟĐŝƉĂƟŶŐ ʹ ĞŶŐĂŐŝŶŐ ʹ ŝŶ ƚŚĞ ĂĐƟǀŝƟĞƐ ŽĨ ƚŚĞŝƌ ĂĐĂĚĞŵǇ͘ tŚĂƚ /^ ĂŶ ĞŶŐĂŐĞĚ ŵĞŵďĞƌ ŽĨ &W ĂŶĚͬŽƌ &W͍ ĞŐƌĞĞƐ ŽĨ ĞŶŐĂŐĞŵĞŶƚ ǀĂƌǇ͕ ŽĨ ĐŽƵƌƐĞ͘ ƌĞ ǇŽƵ ĞŶŐĂŐĞĚ ǁŚĞŶ ǇŽƵ ƉĂǇ ǇŽƵƌ ĚƵĞƐ ǇĞĂƌ ĂŌĞƌ ǇĞĂƌ ďĞĐĂƵƐĞ ǇŽƵ ďĞůŝĞǀĞ ŝŶ ƚŚĞ ŵŝƐƐŝŽŶ ŽĨ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͍ ďƐŽůƵƚĞůǇ͘ ƌĞ ǇŽƵ ĞŶŐĂŐĞĚ ŝĨ ƉĞƌŝŽĚŝĐĂůůǇ you respond to our pleas that you contact your state legislator or ŽŶŐƌĞƐƐŝŽŶĂů ƌĞƉƌĞƐĞŶƚĂƟǀĞ ĂďŽƵƚ ĂŶ ŝƐƐƵĞ ŽĨ ŝŵƉŽƌƚĂŶĐĞ ƚŽ ƚŚĞ ƐƉĞĐŝĂůƚǇ͍ /ŶĚĞĞĚ͕ ǇŽƵ ĂƌĞ͘ ƌĞ ǇŽƵ ĞŶŐĂŐĞĚ ŝĨ ǇŽƵ ƌĞŐƵůĂƌůǇ ƌĞĂĚ ĐĂĚĞŵǇ ŝŶ ĐƟŽŶ ; ŝ Ϳ Žƌ California Family Physician͍ ůŝĐŬ Ă ůŝŶŬ ŝŶ ŝ ǁŚĞŶ ǇŽƵƌ ŝŶƚĞƌĞƐƚ ŝƐ ƉŝƋƵĞĚ͍ 'Ž ƚŽ ǁǁǁ͘ĨĂŵŝůǇĚŽĐƐ͘ ŽƌŐ͕ &W͛Ɛ ǁĞďƐŝƚĞ͕ ƚŽ ĐŚĞĐŬ ŽƵƚ ŽƵƌ D Z ƌĞƐŽƵƌĐĞƐ͕ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ůĂƚĞƐƚ ŝŶ ĞŶĚͲŽĨͲůŝĨĞ ĐĂƌĞ͕ ƉƵůů ŽƵƚ ƐŽŵĞ WĂƟĞŶƚ ĞŶƚĞƌĞĚ

California Family Physician Spring 2017

DĞĚŝĐĂů ,ŽŵĞ ŝŶĨŽƌŵĂƟŽŶ Žƌ ƐŝŐŶ ƵƉ ĨŽƌ ĂŶ ŽĐĐĂƐŝŽŶĂů ǁĞďŝŶĂƌ ŽŶ Ă ƚŽƉŝĐ ŝŵƉŽƌƚĂŶƚ ƚŽ ǇŽƵ͍ zĞƐ͕ ǇŽƵ ĂƌĞ͘ dĂŬŝŶŐ ŝƚ ƵƉ Ă ŶŽƚĐŚ͕ ĂƌĞ ǇŽƵ ĞŶŐĂŐĞĚ ǁŚĞŶ ǇŽƵ ǀŽůƵŶƚĞĞƌ ƚŽ ƐĞƌǀĞ ŽŶ Ă &W ĐŽŵŵŝƩĞĞ Žƌ ĂŶ &W ĐŽŵŵŝƐƐŝŽŶ͍ hŚ ŚƵŚ͘ tŚĞŶ ǇŽƵ ƐŝŐŶ ƵƉ ƚŽ ĂƩĞŶĚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐǇ DĞĞƟŶŐ ƚŽ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ĐĂĚĞŵǇ͛Ɛ ƚŽƉ ůĞŐŝƐůĂƟǀĞ ŝƐƐƵĞƐ E ƐƚĂǇ ŽǀĞƌ ƵŶƟů DŽŶĚĂǇ ĨŽƌ ŽƵƌ &ĂŵŝůǇ DĞĚŝĐŝŶĞ >ŽďďǇ ĂǇ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͍ KŚ͕ ǇĞƐ͘ tŚĂƚ ĂďŽƵƚ ǁŚĞŶ ǇŽƵ ĞŶŐĂŐĞ ŝŶ ĂŶŽƚŚĞƌ ŽĨ ƚŚĞ ĐĂĚĞŵǇ͛Ɛ ďĞƐƚ ůĞĂƌŶŝŶŐ ĂŶĚ ƵůƟŵĂƚĞ ŶĞƚǁŽƌŬŝŶŐ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ƚŚĞ &ĂŵŝůǇ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ͍ zŽƵ ĂƌĞ͘ tĞ ŵŽǀĞ ĨƌŽŵ ƚŚĞƌĞ ƚŽ ƐĞƌǀŝŶŐ ĂƐ ĐůŝŶŝĐĂů ĨĂĐƵůƚǇ ĨŽƌ ŽŶƟŶƵŝŶŐ WƌŽĨĞƐƐŝŽŶĂů ĞǀĞůŽƉŵĞŶƚ ƉƌŽŐƌĂŵƐ͕ ƌĞƉƌĞƐĞŶƟŶŐ &W Ăƚ ƚŚĞ &W͛Ɛ ŽŶŐƌĞƐƐ ŽĨ ĞůĞŐĂƚĞƐ Žƌ ƚŚĞ D ͛Ɛ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ͕ ƐĞƌǀŝŶŐ ŽŶ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ Žƌ ĂƐ Ă ĐŽƵŶƚǇ ĐŚĂƉƚĞƌ ŽĸĐĞƌ ĂŶĚ͕ ĨŽƌ ƚŚĞ ǀĞƌǇ ŵŽƐƚ ĚĞĚŝĐĂƚĞĚ͕ ĂƐ ĂŶ ŽĸĐĞƌ ŽĨ &W Žƌ &W͘ dŚĞƐĞ ĨŽůŬƐ ĚĞĮŶŝƚĞůǇ ĂƌĞ ĞŶŐĂŐĞĚ͊ WĞŽƉůĞ͛Ɛ ŽǀĞƌĂůů ƚƌƵƐƚ ŝŶ ŝŶƐƟƚƵƟŽŶƐ ŝƐ Ă ůŝƩůĞ ƌŽĐŬǇ ƚŚĞƐĞ ĚĂǇƐ͖ ƚŚĞ /ŶƚĞƌŶĞƚ ŽīĞƌƐ ŶĞǁ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂŶĚ ŝŶƐƚĂŶƚ ĂĐĐĞƐƐ ƚŽ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ;ŶŽƚ ŶĞĐĞƐƐĂƌŝůǇ ŬŶŽǁůĞĚŐĞ͕ ĂŶĚ ŝŶ ŵĂŶǇ ĐĂƐĞƐ͕ Ă ůŽƚ ŽĨ ĂůƚĞƌŶĂƟǀĞ ĨĂĐƚƐͿ ƚŚĂŶ ĞǀĞƌ ďĞĨŽƌĞ͘ /ƚ ƉŽƌƚĞŶĚƐ Ă ƉŽƚĞŶƟĂů ƚŚƌĞĂƚ ƚŽ ŽƌŐĂŶŝǌĂƟŽŶƐ ƚŚĂƚ ĚŽŶ͛ƚ ŝĚĞŶƟĨǇ ŝŶǀĞŶƟǀĞ ǁĂǇƐ ƚŽ ƌĞĂĐŚ out and touch their members. CAFP and AAFP are not immune ƚŽ ƚŚĞ ƚŚƌĞĂƚ͖ ƚŚĞ /ŶƚĞƌŶĞƚ ŵĂŬĞƐ ŝƚ ĨĞĂƐŝďůĞ ƚŽ ƌĞƐƉŽŶĚ ŝŶƐƚĂŶƚůǇ ĂŶĚ ƐŽŵĞƟŵĞƐ ŶŽƚ ƚŽŽ ŶŝĐĞůǇ ƚŽ ĂĐƟŽŶƐ ǁĞ ƚĂŬĞ͘ Ɛ ǁŝƚŚ ƉŽůŝƟĐƐ ŝŶ ƚŚĞ ƌĞƐƚ ŽĨ ƚŚĞ ĐŽƵŶƚƌǇ͕ ŵŽƟǀĞƐ ƐŽŵĞƟŵĞƐ ĂƌĞ ŝŵƉƵŐŶĞĚ ĂŶĚ ŐŽŽĚ ŝŶƚĞŶƟŽŶƐ ĚĞŶŝŐƌĂƚĞĚ͘ tŚŝůĞ ƉŽůŝƟĐƐ K ĚŝīĞƌ ĂŵŽŶŐ ŵĞŵďĞƌƐ͕ ŝƚ͛Ɛ ŚĂƌĚ ƚŽ ďĞůŝĞǀĞ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ƌĞĂůůǇ ƚŚŝŶŬ ŝůůͲ ŝŶƚĞŶƚ ŝƐ Ăƚ ƚŚĞ ŚĞĂƌƚ ŽĨ ĂŶǇ ǁĞůůͲĐŽŶƐŝĚĞƌĞĚ ƉŽůŝĐǇ ĂĚŽƉƚĞĚ ďǇ ǇŽƵƌ ĐĂĚĞŵŝĞƐ͘ dŚĂƚ ŚĂƐ ŶŽƚ ďĞĞŶ ŵǇ ĞǆƉĞƌŝĞŶĐĞ͕ Ăƚ ĂŶǇ ƌĂƚĞ͘ WĞƌƐŽŶĂůůǇ͕ / ůŽǀĞ ƚŽ ƐĞĞ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ŐĞƚ ĞŵŽƟŽŶĂů ǁŚĞŶ ƚŚĞǇ ƐƉĞĂŬ ŽĨ ƚŚĞŝƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĐŽůůĞĂŐƵĞƐ͘ ǀĞŶ ŚĞƌĞ ŽŶ ƚŚĞ ƐƚĂī͕ ǁĞ͛ƌĞ ŬŶŽǁŶ ƚŽ ƚĞĂƌ ƵƉ ŶŽǁ ĂŶĚ ĂŐĂŝŶ ǁŚĞŶ ǁĞ ƐƉĞĂŬ ŽĨ ƚŚĞ ŚŽŶŽƌ ŽĨ ǁŽƌŬŝŶŐ ĨŽƌ ĨĂŵŝůǇ ŵĞĚŝĐŝŶĞ͘ KǀĞƌ ƚŚĞ ǇĞĂƌƐ͕ ŝƚ͛Ɛ ĐůĞĂƌ ƚŚĂƚ ƚŚĞ ŵŽƌĞ ŝŶǀŽůǀĞŵĞŶƚ ŽƵƌ ŵĞŵďĞƌƐ ŚĂǀĞ ǁŝƚŚ ƵƐ͕ ƚŚĞ ďĞƩĞƌ ƚŚĞǇ ůŝŬĞ ƵƐ ʹ ŝƚ͛Ɛ ĨƵůĮůůŝŶŐ ĂŶĚ ƌĞǁĂƌĚŝŶŐ ƚŽ ƐƉĞŶĚ ƟŵĞ ǁŝƚŚ ĨĂŵŝůǇ ƉŚǇƐŝĐŝĂŶƐ ĨƌŽŵ Ăůů ŽǀĞƌ ĂůŝĨŽƌŶŝĂ͘ ^Ž͕ ĚŽŶ͛ƚ ƉůĂǇ ŚĂƌĚ ƚŽ ŐĞƚ͕ ƉůĞĂƐĞ͘ ŶŐĂŐĞ͕ ĞŶŐĂŐĞ͕ ĞŶŐĂŐĞ͘ zŽƵ ĂƌĞ ŵŽƐƚ ǁĞůĐŽŵĞ͘

Healthcare is changing. Sign-on Bonus Are you ready for a change? Consider Corizon Health - the nation’s leader in Correctional Healthcare. Join our team of professionals and experience the many rewards of working with an organization that truly values its healthcare providers.

We currently have a Part-time Opportunity for Site Medical Director. •

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Visit corizonjobs.com to see all opportunities.

CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION 1520 PACIFIC AVE SAN FRANCISCO, CA 94109 -2627

Presorted Standard U.S. POSTAGE PAID

Little Rock, AR Permit No. 2437

“ For more than 20 years, MIEC has been a CAFP vvalued alued ppartner artner ooff tthe he C AFP aand nd aan n iinvaluable nvaluable members.” rresource esource ffor orr ttheir heir m embers.”

Toni Brayer, MD Board of Governors

MIEC has just announced $11 Million in dividends* to be distributed to policyholders in 2017

MIEC continues to support policyholders and their communities! MIEC has a dividend policy that is vastly superior to our competitors and we’ve never lost site of the medical associations who back our policyholders. Our mission: provide our policyholders and local medical communities with the exemplary service and support they deserve.

Added value: No profit motive and low overhead Q Local Claims office in Northern and Southern California Q Supports organized medicine in California Q

For more information or to apply: Q www.miec.com Q Call 800.227.4527 Q Email questions to underwriting@miec.com * On premiums at $1/3 million limits. Future dividends cannot be guaranteed.

MIEC 6250 Claremont Avenue, Oakland, California 94618 s 800-227-4527 s www.miec.com CalFamPhy_ad_03.09.17

MIEC Owned by the policyholders we protect.