Today's Christian Doctor - Winter 2004

Ministry in Medicine – a Whole Person Model • 2004 Annual Report

CONTENTS V OLUME X X X V , N O. 4

( O u r 5 4 t h Ye a r )

Winter 2004

The Christian Medical & Dental Associations ––changing hearts in healthcare—since 1931.

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Features

7 11 27 Departments 4 Progress

Lifetime Leadership

by Bert Jones—CMDA’s New Director of Leadership & Church Ministries

2004 Annual Report How God is Changing Hearts Through CMDA Text assembled by Jonathan Imbody, M.A.

Ministry in Medicine

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A Biopsychosociospiritual Model for the Real World

by James E. Dill, M.D., and Bobbie Dill, B.S.N.

Regional Ministries

Notes 31 Advertising

Western Region Michael J. McLaughlin, M.Div. 17720 NE Halsey Street • Portland, OR 97230 Office: (503) 661-6470• Fax: (503) 669-7478 Cell: (503) 522-1950 michaelm@cmdawest.com

Central Region Douglas S. Hornok, Th.M. 13402 S 123rd East Ave. Suite 100 Broken Arrow, OK 74011 Office/Cell: (918) 625-3827 • (918) 455-6036 CMDACentral@cs.com

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Northeast Region Scott Boyles, M.Div. 120 Cinnamon Road • Thorofare, NJ 08086 Office & fax: (856) 384-0433 Cell: (609) 502-2078 cmdanortheast@earthlink.net

Midwest Region Allan J. Harmer, Th.M. 9595 Whitley Dr., Ste. 200 Indianapolis, IN 46240 Office: (317) 566-9040 • Fax: (317) 566-9042 cmdamw@sbcglobal.net

Southeast Region Will Gunnels, M.Div. 106 Fern Drive • Covington, LA 70433 Office: (985) 898-0895 • Cell: (985) 789-2539 wdgunnels@charter.net

TODAY’S CHRISTIAN DOCTOR®, registered with the U.S. Patent and Trademark Office. ISSN 0009-546X, Winter 2004, Volume XXXV, No. 4. Printed in the United States of America. Published four times each year by the Christian Medical & Dental Associations at 2604 Highway 421, Bristol, TN 37620. Copyright © 2004, Christian Medical & Dental Associations . All Rights Reserved. Distributed free to CMDA members. Non-member doctors may receive a complimentary six-month membership upon request or by referral by a patient or other healthcare professional. Non-doctors (U.S.) are welcome to subscribe at a rate of $35 per year ($40 per year, international). Standard presort postage paid at Bristol, Tenn. Postmaster: Send address changes to Christian Medical & Dental Associations, P.O. Box 7500, Bristol, TN 37621-7500. Editor: David B. Biebel, D. Min. Editorial Committee: Gregg Albers, M.D., Ruth Bolton, M.D., Elizabeth Buchinski, M.D., John Crouch, M.D., William C. Forbes, D.D.S., Curtis E. Harris, M.D., J.D., Warren S. Heffron, M.D., Rebecca Klint, M.D., Samuel E. Molind, D.M.D., Robert D. Orr, M.D., Matthew L. Rice, Th.M., D.O., Richard A. Swenson, M.D. Director of Communications: Margie Shealy. Classified Ad Sales: Patti Kowalchuk (423) 844-1000. Display Ad Sales: Patti Kowalchuk (423) 844-1000. Design & Pre-press: B&B Printing. CMDA is a member of the Evangelical Council for Financial Accountability (ECFA).

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Articles and letters published represent the opinions of the authors and do not necessarily reflect the official policy of the Christian Medical & Dental Associations. Acceptance of paid advertising from any source does not necessarily imply the endorsement of a particular program, product or service by CMDA. Any technical information, advice or instruction provided in this publication is for the benefit of our readers, without any guarantee with respect to results they may experience with regard to the same. Implementation of the same is the decision of the reader and at his or her own risk. CMDA cannot be responsible for any untoward results experienced as a result of following or attempting to follow said information, advice or instruction.

Scripture references marked (NASB) are taken from the New American Standard Bible. Copyright © 1960, 1962, 1963, 1968, 1971, 1972, 1973, 1975, 1977 by the Lockman Foundation. Used by permission. Scripture references marked (KJV) are taken from King James Version. Undesignated biblical references are from the Holy Bible, New International Version ®. Copyright © 1973, 1978, 1984 by the International Bible Society. Used by permission. All rights reserved.

For membership information or to request your first year's membership for half price, contact the Christian Medical & Dental Associations at PO Box 7500, Bristol, TN 37621-7500; telephone: (423) 844-1000 or toll free, (888) 231-2637; fax: (423) 844-1005; e-mail: main@cmdahome.org; Web site: http://www.cmdahome.org.

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Media Training Workshop Held Ten CMDA members participated in the fall media training held in Bristol, Tennessee. After two intense days of presentations, hours in the radio and television studios, preparing statements, taking notes and asking questions, they are now ready and willing to be the Voice of Christian Doctors. If you are interested in attending a future training session, contact Margie Shealy, Director of Communications at 423-844-1047 or e-mail: margie@cmdahome.org.

Photo by Dave Bushong Workshop Participants: back row (l. to r.) Gene Rudd, M.D.; Jonathan Imbody; Mike Augustson, M.D.; Robert Rogan, D.O.; Donald May, M.D.; Paul Hoehner, M.D.; Sharon Quick, M.D.; Front row (l. to r.) David Stevens, M.D.; Lois Augustson, R.N.; Drew Howard (4th yr medical student); Karyn Herndon, M.D.; Jane May; John Raney, M.D.

Washington Bureau Update Christian Medical Association Senior Policy Analyst Jonathan Imbody joined representatives of other internationally active organizations at the White House on October 18 for a briefing on the progress and objectives of the Millennium Challenge Account (MCA). The MCA provides incentives for countries to adopt the governance, health, education and economic policies that enable growth and combat poverty. At another White House briefing including CMA earlier this year, Secretary of State Colin Powell urged support for the MCA, which provides funds for democracy-friendly countries, as a way to “insure that our money is going to the right place for the right purposes.” Powell noted that allocations will be made to countries based on measurable indicators—ruling justly, investing in their people and encouraging economic freedom.

Embryo Adoption Gets Boost CMDA will receive a grant of $304,000 from the U.S. Department of Health and Human Services (HHS) to promote embryo adoption awareness.

CMDA Executive Director Dr. David Stevens said, “Thousands of couples in the U.S. and abroad who have used reproductive technology in an effort to have children find themselves faced with decisions about their embryos who will not be implanted and brought to birth. The good news is that couples who value these precious lives now have the option of allowing couples who are unable to have their own children to adopt these embryos and bring them to birth.”

A Harris Interactive poll showed that 63 percent of Americans approve of donating embryos currently in storage to help infertile couples have a baby. Yet 75 percent of the general public diagnosed with infertility said they did not receive enough information about embryo donation to make an informed decision.

The genetic parents determine their own level of involvement in the

adoption process and whether or not to remain anonymous. After each couple completes the embryo adoption agreement, the embryos are implanted in the adoptive mother, allowing her the possibilty of experiencing pregnancy and the birth of their adopted child.

The Baptist Health System Foundation in Knoxville, Tennessee, which serves as the primary recipient of the HHS grant, will work with the National Embryo Donation Center, Bethany Christian Services, Baptist Hospital for Women and CMDA to educate the public about embryo adoption.

Jeffrey Keenan, M.D., medical director for the National Embryo Donation Center, noted, “The Center has been in operation less than a year and already over two hundred couples are waiting to adopt— including requests internationally— and nearly a hundred who have donated embryos. This grant will help reach and inform those families who are facing a dilemma regarding their embryos who are in frozen storage. Adoption provides a lifehonoring alternative.”

Participants Needed Vietnam, March 11-20: needs dentists and dental specialists Cameroon, April 1-15: needs physicians, dentists, nurses, PAs, FNPs, physical therapists, pharmacist Honduras, April 16-24: needs physicians, dentists, nurses, PAs, FNPs, physical therapists, pharmacist For more information e-mail: gho@cmdahome.org or call: 423-8441000. A more complete listing of trips and needs can be viewed via Web site: http://www.cmdahome.org/go/gho.

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Medical Education International Calendar PARTIAL LIST OF UPCOMING TEAM OPPORTUNITIES: February 5-13, 2005: A team will travel to Kenya to teach advanced life support and an advanced trauma life support course. Needed—physicians who can teach ACLS. February 11-20, 2005: A team will travel to Afghanistan to teach in a variety of medical/dental specialties. Needed—women to teach obstetrics; Family Physicians and specialists to teach in various medical and surgical specialties.

April 9-23, 2005: MEI will be participating in a joint venture with Medical Missions Response. A team will travel to China to teach in various medical/dental school/hospital settings. Needed— all medical and dental specialties, especially neurology, surgical specialties, radiology, infectious disease, and radiology.

April 16-30, 2005: A team will travel to Mongolia for two weeks to teach at various specialty hospitals in Ulaanbaatar.

Needed—instructors in almost all medical and surgical subspecialties as well as the basic sciences.

Note: While many of those who travel with MEI join us on a team trip, we also have individual opportunities for those who are more experienced in international travel. There are currently a couple of Family Medicine training programs that are looking for Family Physicians to come for two weeks at a time to help in the training of residents. These programs are also looking for specialists in a variety of primary care fields as well, so please contact us if you are interested.

For more information contact: Dr. Jeffrey Barrows, Director, MEI, Phone: 937-599-3050; E-mail: jeffreybarrows@yahoo.com.

the needs of those who lack access to quality health “ Addressing care is a passion of mine. As I looked into residency programs, I discovered that In also.

His Image Family Practice has that vision,

Residency encouraged my passion to serve as I helped In His Image and others establish Good Samaritan Health Services.

GSHS and local churches now use a mobile medical van to deliver Christ-centered health care to the under-served in our city.

I encourage medical students who have the boldness to follow their God-given passion of serving others to apply to In His Image.

”

Catrell Owens-Agbeibor, MD

The Good Samaritan Mobile Medical Unit

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T o d a y ’s C h r i s t i a n D o c t o r

by Bert Jones, CMDA’s Director of Leadership & Church Ministries

New Director of CMDA Leadership & Church Ministries outlines characteristics of lifetime leaders, offers self-evaluative tools and an invitation to partnership in this new effort.

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ne of my favorite aspects of leadership is the process of evaluation. I love to sit down with my team on a regular basis and ask creative and penetrating questions that force us to look at what we are doing, how we are doing it, and implement innovative ways to do it better.

To be honest, it’s not very hard to evaluate procedures, policies and programs in the area of leadership where we serve, but taking the time to sit down and evaluate our own personal leadership within that area of responsibility can be a little more challenging. In fact, what is even more difficult is gauging that evaluation over a longer period of time, let’s say—a lifetime.

It’s not inconceivable for someone to have devoted an entire

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career to their field of expertise. Lifetime achievement awards are frequently given to doctors and healthcare workers for their service and contribution to their community and the field of medicine over a long period of time. As a pastor for the last fifteen years, I’ve had the privilege of getting to know many professionals at the local hospitals in the communities that I have served. Making frequent visits to a patient can produce a lot of information, not only about their physical condition but their physician as well. Naturally everyone wants to have confidence in their doctor as a professional, but usually what patients talk about is the personal side of the physician, how they interact with patients and people around them. What is really impressive to me is when I hear the consistent character contributions of a local physician in their community over a long period of time.

Now that’s what I call a lifetime achievement award.

You see, some of the best awards and rewards of our career are not just the plaques that we place on our walls–but the leadership that we place and invest in the lives of the people all around us, people that we work with at the hospital, in the office and throughout the community.

What people really remember about great leaders is not that they led, but that they led well for the long haul.

I was reading in “The Message” version of 1 Samuel recently and came across the testimony that was accredited to Samuel for his leadership: “Samuel gave solid leadership to Israel his entire life” (1 Samuel 7:15).

The text tells us two things about his leadership: (1) It was SOLID leadership, leadership that the people could count on as firm and sure that would guide them through turbulent and troubled times; (2) It was also Lifetime leadership. When you add those two statements together, you have the model for a lifetime leader. You see, it’s one thing to display leadership qualities over a period of time—but solid leadership over a lifetime is an achievement.

The Bible does not limit its examples of lifetime leaders to Samuel. It gives many other examples to this concept. One of my other favorites is Joshua. Here is what they said about Joshua’s leadership at the end of his life: “Israel served the LORD throughout the lifetime of Joshua and of the leaders who outlived him and who had experienced all that the LORD had done for Israel” (Joshua 24:31).

Did you catch that? Not only did Joshua provide strong leadership throughout his lifetime, but his leadership impacted an entire generation who had seen and experienced his leadership firsthand.

“Samuel gave solid leadership to Israel his entire life.”

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T o d a y ’s C h r i s t i a n D o c t o r

I have noticed several common characteristics of lifetime leaders: a. Lifetime leaders never stop learning. Howard Hendricks said, “If you stop learning today, you stop leading tomorrow.” Lifetime leaders understand the importance of continual personal growth and development. Leaders are readers! b. Lifetime leaders believe that character counts. One of the great tragedies of our culture has been the compromise of character in our leaders today. Gen. H. Norman Schwarzkopf said, “Leadership is a combination of strategy and character. If you must be without one, be without the strategy.”

General Montgomery defining leadership said, “My own definition of leadership is this: The capacity and the will to rally men and women to a common purpose and the character which inspires confidence.” Lifetime leaders understand that their leadership will not count if their character does not count. As Stephen Covey said, “In the last analysis, what we are communicates far more eloquently than anything we say or do.” c. Lifetime leaders inspire and influence others to greatness. John Quincy Adams was quoted as saying, “If your actions inspire others to dream more, learn more, and become more, you are a leader.” Lifetime leaders understand that true greatness is not in the amount of followers we attract but in the number of leaders we develop. The greatest privilege and responsibility we have as leaders is to mentor potential leaders. d. Lifetime leaders never ever give up.

There’s a great story about Sir Winston Churchill who was asked to give a speech to a graduating class at Harvard one year. After a long-winded introduction, he got up, walked to the microphone, took a deep breath, looked around at the lecturers, the dignitaries, the students, their families and their friends and said: “Never, ever, ever, ever, give up.” He turned around, walked to his chair, and sat down. Lifetime leaders know the cost that comes with leadership, and they never, never, never give up. They keep their eyes on the vision.

“In the last analysis, what we are communicates far more eloquently than anything we say or do.”

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This list is in no way exhaustive. It only touches the surface of what it means to be a lifetime leader. My challenge for you is to take some time and ask yourself some questions that will help you evaluate your lifetime leadership. Ask yourself some questions like: • Am I a lifetime learner in leadership?

• How much time do I invest in character development?

• Who are the people I’m investing my time in that have the potential to be great leaders?

• How do I handle feelings of giving up and giving in?

Taking time to sit down and honestly answer questions like these and others can make a huge difference in being a lifetime leader.

The Christian Medical & Dental Associations recently launched a new area of ministry called Leadership & Church Ministries. One of my goals as the director of that ministry is to equip and resource the members of CMDA so they can provide solid lifetime leadership within their profession, churches, and communities to go the distance.

The department of Leadership & Church Ministries at the Christian Medical & Dental Associations desires to link up with leaders within CMDA and provide: • Ministry to meet the needs of CMDA members who are in positions of leadership.

• Inspirational messages on biblical leaders and current issues.

• Tools to help leaders evaluate their lifetime leadership abilities.

• Resources to challenge and equip lifetime learners.

• Seminars and training events on leadership principles that promote “solid biblical leadership.”

If you are interested in finding out more about CMDA’s Leadership & Church Ministries Department or if you are interested in setting up a leadership seminar in your area, I encourage you to contact us.

Our prayer is that you will become a lifetime leader. ✝

Bert Jones was recently appointed as Director of Leadership & Church Ministries of the Christian Medical & Dental Associations. Contact him at: P.O. Box 7500; Bristol, TN 37621; by phone: 423-844-1000 or by e-mail at: bert@cmdahome.org.

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Message from the President Dear CMDA colleague, As President of the Board of Trustees, my job and the Board’s job is to help insure that this movement of Christian doctors stays on a mission-critical course. That means we evaluate every aspect of our ministry according to how it helps achieve our stated mission, which is to motivate, educate and equip Christian physicians and dentists to glorify God by: 1. living out the character of Christ in their homes, practices, communities and around the world; 2. pursuing professional competence and Christlike compassion in their daily work; 3. influencing their families, colleagues, and patients toward a right relationship with Jesus Christ; 4. advancing biblical principles in bioethics and health to the Church and society.

As the following pages detail, CMDA members are truly living out these values and fulfilling this mission in their practices and institutions, families, churches and communities.

This is what CMDA is all about—helping doctors put their faith into action. As you read the testimonials and reports of what God is doing, know that your membership and support is helping to make these accomplishments possible.

Thank you for your partnership in ministry.

Sincerely,

Warren Heffron, M.D.

Message from the Executive Director The Great Physician is about the business of changing hearts. First, He changes ours, then He works through us to accomplish this same purpose in others. That’s why this annual report issue of Today’s Christian Doctor highlights “How God is Changing Hearts through CMDA.” You’ll see how God has changed the hearts of doctors just like you so they can make a difference at home, through mentoring others and through their everyday practice of medicine and dentistry. Hopefully, their experience will encourage you to make a similar difference for Christ in your own arenas of influence.

You’ll see how CMDA is providing you with insights into key biblical principles related to putting your faith into practice, and also with practical, down-to-earth resources to accomplish this.

You will also see how your membership in and financial and prayer support of CMDA is impacting lives and our culture. From student ministries to international and domestic missions to public policy initiatives, you are helping to change the face of healthcare while changing individual lives.

Thank you for this vital role you are playing. May God bless you as you imitate the Great Physician.

Sincerely,

David Stevens, M.D., M.A. (Ethics) Executive Director

Profile Living out the character of Christ in our homes, practices, communities and around the world

Dr. Janet Kim (center) with medical students Gloria Kim (left) and Nancy Albrecht. Photo by Keith Chu. “Then the righteous will answer him, ‘Lord, when did we see you hungry and feed you, or thirsty and give you something to drink?’”

(Matthew 25:37) “...your Father who sees in secret will repay you.”

(Matthew 6:18) While the world looks for inspiration from high-profile achievements and charismatic leaders, Christ focused on hidden acts of mercy, the poor in spirit and lifelong perseverance in faith. This story focuses on one individual who

represents many faithful believers whose unseen work bears faithful testimony to the God who sees in secret.

Upon graduation from Emory University, Janet Kim, an accomplished pianist and violinist, turned down her professor’s pleas to pursue a potentially high-profile career in music.

Instead, she chose a career in public health and pediatrics.

Shortly afterward, she joined her future husband, Dr. David Kim, in launching Beacon Christian Community Outreach, Inc., to reach out to underserved patients in New York City.

“We are a grass roots group with a very meager budget and no major hospital behind us,” Janet says. “It’s turning heads locally, but the battle with the bureaucracy and the state’s uniquely restrictive regulations has been incredible.”

The Christian Medical Association helped Beacon secure federal Compassion Capital Fund grants to help develop the ministry into an effective community health center. Janet’s eye for organization and detail and her bulldog determination to turn vision into reality has helped the ministry plow through the morass of bureaucracy that can make launching medical ministries a daunting task. continued, next page

Testimonials “CMDA has been the greatest asset of my spiritual life. (Community-based ministries staff) Roger (Matkin) and Kellie (Hooker) were the first people who ever taught me how to be a disciple of Christ. The noon luncheons introduced me to different ways of hearing God’s message. Discipleship 101 and our weekly morning Bible studies have taught me the importance of discipleship and fellowship; and in turn, have strengthened and deepened my faith. Going to Acuna, Mexico, helped me to see beyond my fears of the unknown and to see the importance in serving God’s mission. CMDA has been a pillar in my spiritual life and I hope that it continues to reach people in the way that it has reached me.”

— Marquel Graham “The main benefit of this Medical Education International trip personally was the significant opportunity for spiritual growth.

The magnitude of my Christian development on this trip was far more than I had ever anticipated.”

—Doug Lundy, M.D., Fort Collins, Colorado “Thank you so much for making our mission trip a great success.

We feel grateful for the opportunity to have interacted with each of you and for the privilege of being a part of your effort to serve the poor of Ensenada. I think that everyone felt the presence of God’s Spirit and that God’s name was glorified by our service to the people.”

—Bee and Harry Drummond, M.D. “My wife, an internist, and I, an otolaryngologist, are currently serving as full-time medical missionaries in Honduras. We were initiated into medical missions during our medical school days and received grants from CMDA to facilitate these short-term trips.

The CMDA travel grant program for students is a good thing.

God has used it to help bring us to our full-time assignment, and we pray that many others can benefit from this wonderful program.”

— Mark Newcomer, M.D.

Drs. Janet and David Kim.

Keys to surviving and thriving in residency

by Janet Kim, M.D., M.P.H., M.A. (bioethics) • Get yourself into community. Small groups through your church can help with this, especially in a group that can pray for you and support you through residency. Good relationships are hard to come by in residency (if you have Christian colleagues, you are truly blessed!).

Drs. Janet and David Kim Whatever your community is—church, family, spouse, etc.—it will give you support, especially at those times you need it most.

• Mentor students and other “younger” residents. Hook up through CMDA with local student chapters. It does not have to be a huge time commitment. The investment will be worth it. It will help you to keep life in perspective. And by teaching others your “wisdom,” you also help to raise the next generation of physicians.

• Sleep! Getting plenty of sleep and taking care of yourself is key to surviving and thriving and avoiding burn-out.

• Serve the poor through medical ministry. Serving the poor through medicine reminds me why I went into medicine in the first place. After a horrible call, a weary night, and grueling schedules, it is a good thing to spend some time in ministering to others. It gets us out of “ourselves” and shifts the focus back to God and to others in need.

Besides ministering to needy patients, wrestling with bureaucrats and pursuing her residency, Janet has also taken time to mentor students—a ministry strongly encouraged by CMDA community-based ministries.

“Mentoring medical students has helped shape me and keep me in balance,” she observes. “Spending time with students on the floors or in their medical fellowships has showed me just how much I have to give, even at my early level of training. My mentoring relationships are few, but very deep and invaluable.”

Meanwhile, her third-year residency of Combined Internal Medicine and Pediatrics at Staten Island University Hospital involves “long hours and feelings of isolation.” Janet says she sometimes has to “ask the Lord whether I am still in His will.

Then He reminds me of His presence, which initially provides comfort to a weary soul. Slowly, He reminds me that He is still in sovereign control over my life and the world. He reminds me of His calling on my life and that it is His direction I am following.”

Janet’s new marriage has also proved a source of strength to meet the challenges.

“Being married to a physician provides a tremendous amount of support for me since David has been in the exact places I am in now. He completed the same program three years ago that I am in now. Sometimes we talk about my medical cases. When the workload is heavy and the patients demand all my attention, David has been a strong partner to

me, encouraging me to keep persevering until each day is done.”

While some would find doing anything besides residency unthinkable, Janet finds ministering to others energizing.

“My work with local Christian ministries,” she explains, “reminds me that I am not an island and that there really is life outside of the hospital. It’s not easy to juggle between work, ministry and marriage, but my ministry involvements help to keep life in perspective.”

Did You Know?

• Over 45 members of the CMDA field staff serve in communities around the country to help educate, equip and motivate you in your personal life and professional practice. CMDA sponsors over 175 student groups on medical and dental campuses, representing hundreds of weekly Bible studies, monthly large group meetings, thousands of hours of service to peers and local clinics and roughly 80 mission trips annually. San Antonio community-based ministry leaders Roger Matkin and Kellie Hooker, and Southern California leader Dr. Mike Roberts direct a total of 15 mission trips to Mexico each year.

• Community-based ministries staff work with approximately 50 local councils—graduate leadership teams that oversee the ministries in their own communities. Fifty-six members attended CMDA’s first Local Council Leadership Conference in Dallas, Texas.

• Eighty-nine individuals traveled to 10 different countries to serve through Medical Education International (MEI), which builds relationships with physicians, dentists and students in other countries through medical education and training. An MEI team presented the Saline Solution, CMA’s dynamic evangelism training seminar for healthcare professionals, to the Christian Medical Fellowship of Kenya. Under the leadership of Jeff Barrows, D.O., F.A.C.O.O.G., MEI transitioned from a commission to a full-fledged department of CMDA. • The Pan-African Academy of Christian Surgeons (PAACS) is an international organization dedicated to developing quality training programs in general surgery at Christian hospitals in Africa and to assuring a high level of professional competence among its members. PAACS provides surgical and discipleship training for African doctors that will enable them to return to their own countries and serve in church and mission facilities. Training program sites include the Banso Baptist Hospital in Cameroon and the Bongolo Evangelical Hospital in Gabon, which helped lead 1,900 individuals to faith in Christ last year.

Profile Pursuing professional competence and Christlike compassion in daily work

Dr. Moore has a passion for protecting the unborn.

Rescuing Angel “When they had gone, an angel of the Lord appeared to Joseph in a dream. ‘Get up,’ he said, take the child and his mother and escape to Egypt. Stay there until I tell you, for Herod is going to search for the child to kill him” (Matthew 2:13).

All night, all day Angels watching over me, my Lord All night, all day Angels watching over me....

The angel figurines carefully displayed in Dr. Yvonne Moore’s office and home stand testimony to the divine rescues that have marked the obstetrician-gynecologist’s life and ministry. Patients visiting her private practice of eight female physicians know that Yvonne will be ready to provide excellent care, compassionate comfort, and counsel based on her life-affirming Christian convictions.

Yet two decades ago, Dr. Yvonne Moore was making extra money by aborting babies.

“Unfortunately, I had left Washington University in 1976 with a very feminist perspective on a woman’s right to choose abortion,” she explains. “I felt a social obligation to protect the reproductive freedom of women. That led to my moonlighting in a local abortion clinic during my residency at the University of Tennessee.”

God had other plans for Yvonne, however, and He delivered a message that impacted her like an angelic proclamation. “The moment I saw my own daughter Kyra as a tiny fetus on a sonogram,” Yvonne recalls, “ I knew that the only thing that made her any different from the babies I had aborted while moonlighting in an abortion clinic was that I wanted her. Watching my own child grow and develop in my womb forced me to recognize the humanity of all unborn babies.”

Yvonne’s glimpse of that ultrasound image immediately blew away the smoke of deception surrounding abortion and ignited a new passion for protecting the unborn. Today, Yvonne serves on the board of Life Choices Pregnancy Help Center, where she trains volunteers about the medical and psychological complications of abortion. She has also served as a Trustee of CMDA and as a CMDA spokeswoman to the national media on life issues.

CMA’s Washington office recently helped Dr. Moore obtain an appointment by Health and Human Services Secretary Tommy Thompson to the national Advisory Committee on Infant Mortality.

“I like to think that I represent the ‘everywoman’ perspective on that commission,” Yvonne says, “because I am one of the few people on the committee who is actually taking care of pregnant women and delivering babies in the real world. Some things that look great on paper may simply not be practical.”

Dr. Moore also serves as Clinical Instructor at the University of Tennessee (UT) Department of Obstetrics and Gynecology, where she teaches others how to integrate personal values and professional practice as she has done.

“As a member of the clinical faculty at UT,” Yvonne explains, “I am responsible for instructing residents and medical students in gynecological surgery as well as preoperative evaluation and postoperative care.

Often during a surgical case, there are opportunities to discuss scenarios from my office practice to get the residents to think about how they would handle certain ethical dilemmas. They are sometimes surprised to know that patients welcome wise counsel that is based on your faith convictions.”

Dr. Moore extends her life-changing, lifesaving message to anyone who will receive it. “I have a special relationship with the sidewalk counselors in this area who occasionally call me during patient encounters to counsel patients by cell phone,” Yvonne relates.

“In fact, she added,” I attended a baby shower recently for a woman whom I helped persuade to continue her pregnancy during a cell phone conversation outside a local abortion clinic. She had had an early abortion procedure performed, but the abortion had ‘failed’ and she had remained pregnant.

“Her beautiful, healthy baby boy was the guest of honor at the shower. Having seen that beautiful baby and held him in my arms, I know that his life is by no means a ‘failure.’ There are few things more special than looking into the face of a child who

might not be here had God not spoken to the mother through me. What a blessing to be used by Him in that way.

To God be the glory.”

Chalk up another rescue for the angels.

Now I lay me down to sleep Angels watching over me, my Lord Pray the Lord my soul to keep Angels watching over me.

If I die before I wake Angels watching over me, my Lord Pray the Lord my soul to take Angels watching over me.

—African American Spiritual

Testimonials “I came home from the national meeting on Sunday, and on Monday afternoon I was able to put into practice what I was taught. David Stevens talked about having a vision and asked if we had ever told a patient that they needed Jesus.

Well, today a patient came to my office with non-specific abdominal pain, problems communicating with his wife and other health problems. I took a history and examined him. I then asked if I could be open with him as a fellow human being.

After 15 years of practice since medical school, I was able to tell a patient that he needed Jesus. We discussed this further and I was able to lead B.L. in the prayer of confession and acceptance of Jesus Christ. We hugged each other and I welcomed him into God’s kingdom.”

—Luke A. Elliott, M.D. “Just wanted to say thank you for the encouragement and positive influence you’ve had on my thinking. I’m grateful to have access to such a tremendous service. I’m looking forward to many more years of great publications, networking and representation from you folks.”

—J. David Kimpel, M.D., C.M. (2004 graduate) “I just want to let you know how much my husband and I enjoyed meeting [Dr. Stevens] at the CMDA booth at the AAFP conference in New Orleans. I believe it is so important to have CMDA present at the annual AAFP meetings. For members, we love to see a friendly Christian face. For Christian non-members, they can find out about CMDA. And for those who are lost, the ministry can be the vessel which leads to their salvation!”

—Alison LaFrence, M.D.

Did You Know?

• The Continuing Medical & Dental Education (CMDE) Commission provides CMDE in a compact, multi-track module enabling medical and dental missionaries to affordably earn Category 1 credits to assist in maintaining licensure in the U.S.A. CMDE Commission Chair Dorothy M. Barbo, M.D., reports that over 320 participants came from 41 countries in Africa, the Middle East and Asia to attend the 25th Consecutive Annual International Conference of CMDA-CMDE in Limuru, Kenya.

• The Medical Malpractice Ministry (“3M”) ministers to doctors targeted by lawsuits and to those who wish to prepare for the possibility. The 3M Resource Kit, provided free of charge, offers legal, practical and spiritual counsel.

“Physician Heal Thyself,” a resource by Curtis E. Harris, M.S., M.D., J.D., includes a PowerPoint presentation with sound. This year, the ministry received 91 phone calls for help and in response sent 61 resource packets, loaned 34 videos and personally called 29 individuals.

• The Domestic Missions Commission (DMC) and the Christian Community Health Fellowship (CCHF) together manage a multimillion-dollar, three-year Compassion Capital Grant awarded in 2002 through the Office of Faith Based Initiatives in the Department of Health and Human Services. DMC chair Rick Donlon, M.D., reports, “Funding from the grant helps us provide technical assistance and financial sub-awards to new and struggling faith-based health centers that provide primary care services to the poor in federally designated Medically Underserved Areas (MUA’s) or Health Professional Shortage Areas (HPSA’s).

“To date, CMDA/CCHF have made awards to 22 medical ministries in 17 states, many of them led by CMDA members,” he says. “We hope to assist in the creation of as many as 20 new full-service Christian health centers as well as provide assistance to other faith-based health ministries that serve the poor on a part-time or volunteer basis.”

• The Continuing Education Committee (CEC) provides high-quality specialized medical and dental education to our constituents and affiliated organizations, under the auspices of the Accreditation Council for Continuing Medical Education (ACCME). Chairman Donald Wood, M.D., reports that the CEC provided educational opportunities for 3,014 individuals in 2003, accumulating nearly 560 approved hours. Approved provider status through the Academy of General Dentistry (AGD) continues through December 2006.

Profile Influencing their families, colleagues, and patients toward a right relationship with Jesus Christ.

“Love builds bridges where there are none.”

—R. H. Delaney Plans and Providence don’t always match, French Moore III, D.D.S., has discovered.

“I was president of my class at the Medical College of Virginia, I had planned out my career, and I had all the things that I thought were important—a good-paying part-time job, a shiny black sports car and a girlfriend,” French recalls.

“Then one night I attended a Josh McDowell presentation on ‘Maximum Sex.’ Josh explained the way the world views sex, and how the world tries to achieve salvation. He seemed to be talking directly to me. I had tried going to church and doing more good than bad, but I realized that all my righteousness was worthless before a Holy God. I acknowledged my need and accepted what Jesus had done for me.”

Within days of that commitment to Christ, a dental classmate began to disciple French in the faith—a mentoring relationship that was to prove providential in more ways than one.

“A year later,” French remembers, “I noticed a physical therapy student who had been dating the dental student who had discipled me. Our relationship developed, and soon Laura and I were engaged. Our plan was to marry after I graduated and took my boards.”

Plan B A misunderstanding with the Army left French locked into a three-year enlistment. Two weeks after their wedding, French left his new bride for advanced camp at Fort Sam Houston, then flew off to serve in Frankfurt, Germany, where Laura joined him.

“Even though we saw our assignment to Germany as a ‘mistake’,” French observes, “God used those years to help us establish our own family, our own values and our own goals.” After his military stint, French and Laura returned to the States to launch the life they had envisioned.

“I was able to start practicing dentistry with my Dad,” French notes. “We found a good local church and got involved in a small group. We started working as youth leaders, I served on the church board, and we were involved from the

nursery level to Sunday School, missions to building committees. I also got involved with the local dental association and began a study club.”

Taming the tyranny of activity Not surprisingly, French relates, “Life started to get busy. By this time, our first two daughters had been born, Laura was expecting our third daughter while working part-time, and we weren’t seeing much of each other. Some weeks, I didn’t make it home for dinner a single night.

Laura recalls feeling conflicted.

“I was proud of all the things French was doing in our church and in the community,” she remembers, “but I resented the amount of time he spent away from the family.”

French sensed the strain his well-meaning church and community activities had put on his wife and family—his first priority.

“Deep down, I knew something had to change. I just didn’t know what or how. About that time, an acquaintance advised me to cut back to a four-day workweek and to guard against over-commitment. I knew I needed to give my wife and my family priority over my work and community obligations.

“That decision changed my life. As the year progressed, I not only enjoyed more time at home, I also became more efficient at work and was able to still meet the needs of my patients.”

More Plan B Laura became pregnant, and ultrasound exams revealed that a boy would soon join the Moore’s all-girl clan of Anna, Grace and Kathryn.

French explains, “I had waited a long time for a son. I was unsure whether to name our son French Hale Moore IV, because I didn’t want him to feel a pressure to follow in our footsteps. We decided at the last minute that it would honor his 96-year-old great-grandfather and his grandfather.

“It was a difficult delivery,” French recounts. “The baby’s heart rate had started dropping during delivery. The cord had wrapped around his neck four times, and he looked cyanotic. After the birth, in the nursery, a pediatrician friend broke the news to me that he suspected our baby had Down’s Syndrome.

“Other than my salvation, I have never experienced God’s power and presence in a more tangible way than I did at that moment. I felt that this child was a special gift that God was delighting in giving us. My concerns about his name vanished. He would be French H. Moore, IV, and he would be free to be whomever God wanted him to be.”

Laura confides, “It took me a little longer to embrace the idea of a son with Down’s Syndrome, but French’s enthusiasm for our new son was contagious. While many marriages struggle and falter with the stresses of a special needs child, our marriage reached a deeper level of dependency and intimacy.”

“Baby French” soon grew into “Buddy,” a loveable, rambunctious boy with an unquenchable sense of humor and a penchant for engines and action.

“Buddy gave me an avenue to share my faith and a boldness that I hadn’t had before,” French explains. “He opened

doors for conversation and windows into people’s lives that I couldn’t or wouldn’t have noticed before.”

“I met a CMDA employee on a Promise Keeper’s trip. His son had been through open-heart surgery when he was younger, and we were facing the same thing with Buddy in two months. Together we started a weekly men’s small group that still meets after nine years.”

Building bridges In the years since Buddy’s birth, French has continued to find bridge-building outlets. He led a Promise Keepers men’s movement in his church, developed partnerships between local churches to dismantle racial barriers, and launched an early morning men’s accountability meeting. He has also used CMDA tools to turn his practice into a bridge-building ministry.

“I attended the Saline Solution seminar in Washington, D.C., about five years ago,” he says, “and found it very helpful in seeing my work as my ministry. I appreciate having CMDA as a resource for books and seminars and ‘Christian Doctors Digest.’”

The Moores’ pastor, Paul J. Bufford of Abingdon Bible Church, adds, “French influences his colleagues and friends through his passion for dealing with the issue of bitterness in

Testimonials “I had not attended a Women in Medicine and Dentistry (WIMD) conference before. I came away from it feeling refreshed in my spirit, challenged to make changes in my life and relaxed with fellowship of new friends.”

— Pat Rees, M.D. “The Lord Jesus Christ was lifted up and glorified in our midst at the conference. The worship, special music, testimonies, times of prayer, as well as the speakers, were absolutely inspiring. The workshops were instructive and encouraging to the students. I was absolutely amazed at the sense of body life that God brought to this gathering of students—as they opened their hearts to each other— shared some of their pain, prayed for each other, reached out and encouraged each other. What an awesome group of students!”

— (Southern California Area Director) Mike Roberts, D.D.S. “Nothing we do will be of any lasting consequence for any individual, if the heart and will of that person are not completely surrendered to God. This is the key to living well and to persevering in our professions.”

— WIMD commission chair A.J. Demlow, M.D.

Story photos by Dave Bushong

their lives. He keeps Christian materials on hand at his office to give to anyone he talks with about this.”

Associate Pastor Greg Alderman adds, “French’s testimony in the community is very positive, and he has been instrumental in bringing people together.”

That desire to bring people together and lead them to Christ led French to Ecuador on a short-term Global Health Outreach mission. He spent a harrowing night on a rickety bus bouncing down a dark, treacherous mountainous road, trying to get ahead of striking workers who were furiously blocking off all routes back to Quito.

When the team finally reached a nearby town, French recalls, “We put the word out on radio and TV that we would see patients at a local church in that town. Within no time, we were covered up with patients. Some of the Chechua Indians walked for miles to get help in our clinic.”

“We experienced so many examples of God’s protection, care and timing in a short period of time,” French explains.” We’ve seen so much fruit from the evangelism done by the local church and the changed lives in the participants on the trip. This year we completed our sixth trip to the area. I have had the privilege of taking my two oldest daughters when they were sixteen.”

French stresses, with typical passion, “If you haven’t been blessed by a missions opportunity either at home or abroad, its time for you to go. If you have gone, it’s time to introduce some colleagues.”

Did You Know?

• CMDA’s female members now number over 6,000. The Women in Medicine and Dentistry (WIMD) commission seeks to “encourage women personally and spiritually, and equip them with practical skills, so that they can live out the call of medicine or dentistry as it intersects with every area of their lives.” Over 100 women attended the sixth semi-annual WIMD conference, approved for six hours of continuing education, in Portland. Commission chair A.J. Demlow, M.D., notes that WIMD leaders “have personally committed to mentoring and connecting with the women where we live and work.”

• The Marriage Commission stimulates an ongoing process of marital growth by teaching couples, from a biblical perspective, skills to refocus, rekindle and recommit to each other as marriage partners and to Jesus Christ as their common bond and Lord. Marriage Enrichment Weekends focus on couple participation in small group discussion and explore topics such as: priorities, personality, communication, conflict resolution, intimacy, recommitment to spouse and recommitment to God. During 2005, the commission will hold weekend workshops in San Antonio, Providence, Kansas City, Hilton Head, Chicago and California.

Profile Advancing biblical principles in bioethics and health to the Church and society.

With a publication-studded CV approaching the Psalms in length, Dr. Robert Orr has long since proven that biblical faith can walk arm-in-arm with the highest standards in medical professionalism. Currently serving as Professor of Family Medicine at the University of Vermont College of Medicine and as Director of Ethics at Fletcher Allen Health Care, Dr. Orr has received numerous awards, including Vermont Family Doctor of the Year, one of the Best Doctors in America, the Outstanding Faculty Award at Loma Linda University School of Medicine, and the American Medical Association’s Isaac Hayes and John Bell Award for Leadership in Medical Ethics and Professionalism. He is a member of the CMDA Board of Trustees. Dr. Orr took a break from battling the culture and ethics wars in Vermont (where the drive for assisted suicide preceded the drive for homosexual marriage) to share his perspective with Today’s Christian Doctor on ethics, politics and faith.

Photo of Dr. Orr by Dave Bushong

What triggered your interest in ethics?

I believed what I was taught in medical school in the 1960’s— that a fetus was a human being; that when caring for a pregnant woman, I had to be concerned about the welfare of two patients; and, that a physician who did an abortion was the scum of the profession because he was killing a person. The social upheaval of the 1970’s blind-sided me; I just never imagined that a focus on individual patient rights—a good change—would so quickly degenerate into demanding a “right” to an abortion.

I attended the premiere showing of the Francis Schaeffer C. Everett Koop film series, “Whatever Happened to the Human Race?” I was so moved and convicted by their message that I purchased a copy of the films to show in local churches around New

Vermont State Capitol, courtesy of Vermont Division for Historic Preservation

England. I later became a member of the Ethics Commission of the (then-named) Christian Medical Society. In 1989 I received a postdoctoral fellowship in clinical ethics at the University of Chicago and spent the next year immersed in study of the issues and learning how to apply ethical theory and principle at the bedside.

How do you integrate your faith and professional ethics?

My favorite “ethics text” in Scripture is Micah 6:8: “...what does the LORD require of you?

To act justly and to love mercy and to walk humbly with your God.” But the most important teachings are on (1) the principle of the sanctity of human life, based on the Imago Dei, and (2) the compassion of Jesus.

I was asked to meet with a family on a Sunday morning a few weeks ago. They were struggling with some difficult treatment decisions for their elderly husband/father who had had a severe stroke three or four days earlier. Should he have a surgical drainage procedure on his head? Should he have a feeding tube? Should he be resuscitated if his heart should stop?

I spent time with them learning about the man before his stroke—his progressive dementia, his active life, his firm Catholic faith, his verbally expressed wishes about end-of-life issues. After an hour or so of discussion, a consensus developed about what to do and not do. Because of their faith and the concern they had expressed of not wanting to do anything that would go against the teachings of the Church, it seemed appropriate to offer to pray with them. We held hands and prayed for God’s wisdom and the Spirit’s peace.

Why did you enter the political fray on assisted suicide?

To be honest, I was reluctant to step into the public square on this issue, fearing it might diminish my credibility and effectiveness in the area of ethics consultation. But I have believed so clearly and strongly for so many years that physicians should never intentionally cause or assist in the death of a patient that I couldn’t remain silent.

When bills were introduced into both houses of the Vermont legislature to legalize physician-assisted suicide, it became clear that we needed to identify individuals and groups who were willing to take a public stand. [CMDA Executive Director] David Stevens spent two days encouraging and educating a handful of us about how to approach the legislature and the media.

It became clear that we needed to bring together physicians, nurses, disability rights advocates, and right-to-life folks, as well as both Catholic and Protestant religious leaders. We have done that in the Vermont Alliance for Ethical Healthcare (www.vaeh.org). Another CMDA member has focused on educating the churches and pastors in Vermont.

Photo by Jeb Wallace-Brodeur

What ethics battles lie ahead and how can they be addressed?

I expect the exploding advances in genetic science will present the greatest challenge to our ethics and to the next generation of doctors. Unfortunately, most individuals involved in teaching ethics today come from a secular, humanistic, autonomy-driven perspective. Christian students and residents need a good mentor from whom they can learn how to practice medicine in a godly way and who can offer support when they encounter the strong secular perspective.

The strength of CMDA position statements and their public visibility has increased tremendously in the past ten years. We should continue to be a leader in analysis, education and public policy.

Dr. Orr’s principles for political involvement: • Know your facts and your arguments.

• Know the literature.

• Know the opposition and their arguments.

• Be respectful, but firm.

• Develop key relationships and alliances.

Did You Know?

• The Ethics Commission prepared and successfully presented to the Trustees and House of Delegates position papers on: immunization; moral complicity with evil; the non-traditional family, adoption and procreation; freedom of conscience in healthcare; and a Christian view of physical death. You can access and download these statements at the CMDA Web site (www.cmdahome.org). The commission is deliberating on the following statements: personhood and medicine, the Christian purpose of medicine, stem cell research, human cloning (update), beginning of life, post-coital contraception and eugenics. Chairman Robert Scheidt, M.D., stresses that the commission welcomes suggestions for topics.

• The CMA Washington office made over 200 personal contacts with policy makers and reached a cumulative total of over three million readers with newspaper commentaries this past year.

• As the trusted “go-to” source for appointments to Health and Human Services federal commissions, CMA provided 135 CVs to White House and Health and Human Services contacts and helped secure eight appointments for seven members during FY04: Jean Wright, M.D. (2); Anne Spaulding, M.D.; Beverly B. Nuckols, M.D.; Richard Kent Zimmerman; Yvonne Moore, M.D.; Russ Robertson, M.D.; and Warren Heffron, M.D. • The Media & Public Relations department sent out 22 news releases that helped generate 354 interviews and mentions in media outlets. The media outlets soliciting the most interviews included Family News in Focus, Moody Broadcasting’s “Primetime America,” American Family Radio, USA Radio, Salem Broadcasting’s SRN News, Christianity Today and American Medical News. Dr. David Stevens debated medical ethicist Rosamond Rhodes regarding eugenics, on CNN. • CMDA helped introduce the National Embryo Donation Center, produced a Manufacturing Life educational CD on genetics and distributed public service announcements to over 400 stations nationwide. Nearly 100 members contributed to researching and reviewing CMDA’s comprehensive ethics statement on homosexuality.

• Top issues for media interviews included the National Embryo Donation Center, RU-486, embryonic stem cell research and human cloning, partial-birth abortion and the “morning-after pill.” Several dozen members participated in media training seminars held at headquarters and at the national convention.

• CMA member Alieta Eck, M.D., testified before the U.S. Senate regarding health insurance alternatives. Jean Wright, M.D., testified twice on fetal pain—for the Virginia state House and Senate—and also briefed over 150 U.S. congressional leaders and staff on the topic.

Testimonials “[Dr. Jean Wright’s] briefing on fetal pain was one of the best we have had on the Hill, and the turnout was incredible.

I hope you are happy with how it went because we certainly are.”

—U.S. House of Representatives Pro-Life Caucus leader “I chair the Commerce committee in the Kansas Senate and we are hearing HB 2647 to create a biosciences authority. I have accessed your Web site, and it is tremendous. I appreciate the short course on embryonic stem cell research.”

—State Senator Karin Brownlee, R, Olathe, Kansas “Please know that your work to defend and assist victims of trafficking is breakthrough work, and will go to set standards for the medical profession in dealing with these special people harmed by such atrocities of body and soul.”

—U.S. Department of Health and Human Services consultant “Thank you for your commitment to this cause and your breakthrough work towards developing a protocol for victims of human trafficking. It will be historic.”

—Health and Human Services consultant “Thank you for your kind words and to express our appreciation that you took the time to draft such an excellent letter to the editor.

With your efforts, and our efforts, and the efforts of many others, we are putting forth the right ideas in the public forum and making a difference not only in policy, but also in the lives of vulnerable people around the world. Keep up the great work!”

—U.S. State Department official “Thank you for all you are doing to further the cause of life! I praise God for you and all your work.”

—Crisis pregnancy center ministry official “Thank you so very much for connecting us with [CMA member] Dr. Jean Wright. Her expertise, qualifications, intelligence and presence were an invaluable asset in the Virginia House and Senate committee hearings.”

— Legislative Liaison, Concerned Women for America of Virginia “Thanks for all that you and CMDA are doing to keep fighting the good fight! Keep the clarion call sounding.”

—Adult stem cell research scientist “Thanks so much for speaking at our CMA Dermatology meeting.

We appreciate all your work representing the Christian physician’s view on the political scene. Thanks for showing us how we may be more active in various ways.”

— Jerry Ariail, M.D. (President, CMA Dermatology Section)

Finances For the fiscal year ending June 30, 2004, CMDA’s net income in combined funds totaled $799,480. This net income is the result of total income for operating and restricted funds of $13,532,467 and total expense of 12,732,987.

Total assets - $14,323,078 Total liabilities - $ 2,970,328 Net assets (for all companies) - $11,352,750 (includes new facilities) CMDA ended the fiscal year with a net loss in the General Fund (operating budget) of $328,071. Total income in the General Fund (without considering donated medical services and medicines and the facilities) was $5,932,200.

Non-budgeted operating funds of donated medical services and medicines and facilities together had income of $6,085,782. So total income from operations was $12,017,982.

Using the same guidelines, expense in the General Fund was $6,260,271 and for donated medical services and medicines and facilities the amount was $5,137,539 resulting in total expense for operations of $11,397,810.

CMDA, as a member of the Evangelical Council for Financial Accountability, maintains the highest standards for integrity and personal accountability to ensure financial statements fairly and accurately presented in accordance with generally accepted accounting principles. An independent audited financial report is available upon request.

David Stevens, M.D., M.A. (Ethics) Executive Director

How Funds Support Ministries (Expense)

National Ministries 18%

Donated Medical Services & Medicines 36%

Programs 16%

Donations 26%

Other 8%

Dues 14%

Highlights • As of June 30, 2004, total pledges towards the “Heart Changers” capital campaign were $9,322,426 toward a goal of $10,000,000. As of June 30th, $7,794,552 had been given in pledge fulfillments.

Colette T. Davis, C.P.A.

Missions 13%

Sources of Income

Education 6%

Campus Ministries 14% Publications 3% Conferences and Seminars 3% Membership Development 4% Fund-raising & Development 1%

Expended Donations Medical Services & Medicines 38%

• CMDA gave $9,400 in Westra grants to medical and dental students to go on short-term mission trips and $19,850 in short-term mission grants to residents going on mission trips during fiscal year 2004. In addition, $75,000 was given to four medical students through the Steury Scholarship Fund, providing medical school tuition scholarships in agreement for service on the mission field.

Photo by Dave Bushong

Officers of CMDA Executive Director David L. Stevens, M.D., M.A. (Ethics) Associate Executive Director Gene G. Rudd, M.D. Chief Financial Officer Colette T. Davis, C.P.A. Controller Connie Fox Board of Trustees Warren A. Heffron, M.D.—President Ruth A. Bolton, M.D.—President-elect Robert F. Agnew, M.D.—Secretary/Treasurer David L. Stevens, M.D., M.A. (Ethics) Executive Director Inis J. Bardella, M.D. William “Bill” Bolthouse, M.D. Jacqueline A. Chadwick, M.D. John R. Crouch Jr., M.D. George C. Gonzalez, M.D. Jack I-Ning Lu, M.D.—Resident Robert D. Orr, M.D. Clydette L. Powell, M.D. J. Scott Ries, M.D. Neal G. Smith, D.D.S. James N. Thompson, M.D. J. Greg Whaley—Student Chris F. Wong, D.D.S.

Testimonials “I am certainly grateful to have the resources you offer at my disposal. I feel like now I have valid physiological and psychological arguments against homosexuality. I respect all of you in this organization tremendously for your ability to stand up in this world and declare what you know is right despite the ever increasing pressure from those who ignore God’s calling and choose to define their own morality. Your website is very professional and organized. I really enjoy reading the articles you produce, which outline and defend biblical truth with God-given logical arguments.”

—Josh White, L.C.P.L., U.S.M.C.

Contact Information: Christian Medical & Dental Associations P.O. Box 7500 Bristol, TN 37621-7500 Phone: (423) 844-1000 E-mail: main@cmdahome.org Web site: http://www.cmdahome.org

Medical couple describes a team-based model of whole person care that they used in their practice.

by James E. Dill, M.D., and Bobbie Dill, B.S.N.

INTRODUCTION As the practice of medicine continues its managed care metamorphosis, Christian clinicians have the challenge and opportunity to move from the traditional reductionistic, biomedical approach to embrace a more integrative model in treating patients. Much of the frustration experienced by Christian physicians and nurses today will be sidestepped as the biomedical model, with its focus on disease, is replaced by a biopsychosociospiritual model. This model is a universal principle and includes the tools necessary to solve diagnostic and treatment dilemmas. The program is based on a chronic disease care team model with nurse case management in conjunction with in-office Christian counselors. Our model is consistent with the team-based care espoused by the Institute of Internet Web site:

h t t p : / / w w w. c m d a h o m e . o r g

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Medicine which has called for a “new health system for the 21st century”1 utilizing such teams. It organizes and focuses each patient’s care plan from a whole person perspective. Our model is applicable for management of most chronic disease patient populations (i.e. asthma, diabetes, migraine headaches, arthritis, fibromyalgia, functional bowel disorders). It has been successfully instituted in both primary and specialty practices.

Many clinicians reject the idea of an integrative approach as they falsely believe it would take more time, complicate the treatment plan and not bring the necessary reimbursement. We discovered just the opposite in all categories.

Despite the challenges, we want to strongly state that this approach is not only possible but can bring order from managed care chaos and result in good patient outcomes.

This article will describe the biopsychosociospiritual model that we prayerfully instituted and successfully followed in two practice settings over 12 years. It proved to be helpful to our patients and was a joy to us.

Our pathway to the practice of whole person medicine began when we trusted Christ as Savior and Lord, yielding 28

T o d a y ’s C h r i s t i a n D o c t o r

control of our lives to Him, and asking that He use us in our family and in our practice. When Jesus takes over a life, does it make a difference? Oh yes! And it was one morning shortly thereafter, during devotions, that Luke 4:18 came alive and confirmed our direction. Simultaneously the ministry of the Christian Medical Society became part of our experience and was a powerful mentor.

We were introduced to the lives and ministries of Drs. Paul Tournier, Paul Brand, C. Everett Koop and Francis Schaffer and were drawn to their perspective and teachings. Our excitement grew with the call to practice medicine as a ministry—helping people one-on-one through a whole person approach on the domestic front. The dream seemed impossible. We had no idea how to begin, but as we started praying for wisdom and guidance, everything changed.

Within a year, through the gentle prompting of the Holy Spirit in both our lives, we left our comfortable home and successful GI practice in the Philadelphia suburbs and moved with our three small children to the Boston area. We believed the pathway and message were crystal clear, much to the dismay of some of our friends and family. We established a small practice in the lower level of our home while Jim pursued education in rehabilitation counseling at Boston University as well as a working relationship with Gordon College and Gordon Conwell Theological Seminary (GCTS).

The next three years were to be our training ground as our fledgling practice grew, along with our home Bible study and close friendship with our pastor and a local Christian psychiatrist. Weekly Bible study and prayer with this pastor and psychiatrist became a powerful experience that inspired future endeavors in wholism. During this time in New England, we had the privilege of planning the medical arm of a Christian integrative health system alongside a dedicated team that included pastoral counselors from GCTS. Toward the end of the three years we had grown professionally and spiritually through the ministry of our church, Bible study, counseling education, friends and patients. It was then that the Lord expanded the vision and we were called back to Jim’s Virginia hometown where we were to build a Christian integrative gastroenterology practice.

The call and methods were clear. With the Lord’s guidance we would structure the practice around the principles we had been taught, paying careful attention to creating a caring Christian medical team and a tranquil office environment.

We would slowly form alliances with other Christian physicians, pastors and counselors to make it possible to deliver seamless biopschosociospiritual care, expanding into a community care model.

FIGURE ONE (below) illustrates the care model’s patient flow as it occurs within the practice setting.

THE MODEL’S FOUR LEVELS OF CARE LEVEL 1. PHYSICIAN/ NURSE PRACTITIONER INTAKE This level involves all patients presenting to the practice for care. It begins with the standard diagnosis/relationship building/treatment/educational segments. We believe it is critical that every visit take place in the consultation room and then move to the exam room. This will enable physicians to more readily practice unconditional acceptance and active listening, enhancing the ability to form a trust-based relationship. Importantly, history taking includes gentle probing for depression or history of abuse. We were very concerned when our research revealed that 38.5 percent of out patient sample diagnosed with irritable bowel syndrome (IBS) had a history of sexual abuse. Use of an intake form containing questions about church affiliation is often a natural lead-in to developing a spiritual assessment. In addition, physicians can begin to triage, selecting out patients they believe will benefit from the “special education and support program.” In our GI practice we targeted patients with functional bowel disorders, hepatitis C receiving treatment, inflammatory bowel disease (IBD), children with encoporesis and patients with histories of abuse.

LEVEL 2. NURSE CASE MANAGER The second level is managed by an experienced R.N., N.P., P.A., or A.P.N. who follows physician protocol guidelines.

Here the physician extender interacts as an educator, case finder and support counselor from a whole person perspective. She primarily employs “talk therapy” instead of hands on nursing while monitoring symptoms and medication. The education segment includes: anatomy, physiology, medication, nutrition, and lifestyle, including stress management.

This is accomplished during 30-minute, reimbursable “nurse visits” in a private setting, free from interruption so as to maximize patient concentration and comprehension. Each visit is conducted in a biopsychosociospiritual manner, encouraging expression of patient concerns, symptoms, and educational gaps. Educational issues are addressed in an orderly manner with stress reduction often being a focus. Selecting the nurse is very important to the success of the model. Case finding for pastor, counselor or psychiatrist referral is an important part of the first two levels.

The use of a specially-trained nurse not only extends the physician’s time but this role is also financially sound. The nurse charges for the time spent with patients

and is reimbursed by Medicare, Medicaid and private insurances. This offsets a significant percentage of the nurse’s salary. Each practice will need to make its own determination as to the level of physician extender to hire. Nurse practitioners and physician assistants can function more independently. The experienced RN, however, can also function independently following protocols as long as the physician is present in the office to fulfill reimbursement requirements and to facilitate communication. The nurse can function in this role on a full- or part-time basis but for optimum effectiveness “special program time” must be set apart from other duties. Personal characteristics and strengths must be considered and a specific job description formulated.

LEVEL 3. CHRISTIAN PSYCHOLOGICAL COUNSELOR The third level involves referrals to an in-house counselor and/or community pastor or psychiatrist. Here, patients continue to meet with the nurse but now have additional support from a Christian counselor who focuses on their specific psychological or spiritual problem. Careful diagnosis leads to an effective treatment method carried out within the familiar office environment. It is important to know the counselor’s spiritual perspectives as well as unique specialty areas (i.e. abuse, panic disorder). It is vital to offer both male and female choices because some patients, for instance those with histories of abuse, will usually only accept a certain gender. We believe referral to a psychiatrist is always necessary if a patient is suicidal and often necessary with substance abuse or other complex psychological problems.

Internet Web site:

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THE BIOPSYCHOSOCIOSPIRITUAL MODEL • An in-office care team made up of physician, nurse, counselor • Referral to out-of-office pastors and psychiatrists • Organizes patient care plan from “whole person perspective” • A chronic care model enhancing greater patient independence and self care • Care is coordinated among team members with patient consent • Ministers Christ to patients through evangelism and fellowship • Raising “faith flags” (Saline Solution) is a natural component of care • Patient satisfaction and outcomes proved positive • Patient flows from one level to next with nurse acting as laison • Formalized prayer and Bible study increases team’s cohesiveness • Tranquil office environment is created to encourage relaxation • Potential decrease in malpractice suits with positive provider relationship

LEVEL 4. CHRISTIAN COMMUNITY Level four incorporates other community resources as the care team continues to weave the patient into a strong safety net for ongoing support and socialization. Here the patient can be connected with specialists in areas such as financial aid, parenting, weight loss or grief support groups. The patient’s pastor and church are a central ongoing focus.

Strong working relationships can be built with school, hospice, parish or prison nurses to further extend care and community involvement.

PHYSICAL OFFICE SETTING Care must be taken to create a pleasing, tranquil environment. Absence of TV, noise control, privacy, instrumental music, soft colors, comfortable furniture, Christian literature, family-centered magazines and art are important aspects of encouraging relaxation.

CONCLUSION We found that Christian physicians can keep ministry in medicine, even at a time when healthcare in the U.S.A. is speeding toward the antithesis of this approach with the constraints of managed care and influx of new age spiritualities. This model utilizes an office-based care team that part30

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ners with patients along their journey to wholeness (Shalom). The modern principles of attachment theory introduced to us by our counselor colleague enhanced our understanding of the importance of this principle in the healing process. This patient-centered model allows for a trust-based relationship with patients across their lifespan, respecting the patient’s right to an enduring healthcare relationship. ✝ Authors’ note: For additional information about the model and topic please see the following books and articles. A packet of additional materials is available from the authors. Contact us by e-mail at: twodills@aol.com.

Articles: ✎ Dill, JE, Dill, BP. Multidisciplinary Office Model for the Treatment of Irritable Bowel Syndrome. Clinical Perspectives in Gastroenterology, 1999; Sept/Oct, 289-298. ✎ Dill, BP, Dill, JE. The RN’s role in the office treatment of irritable bowel syndrome. Gastroenterology Nursing, 1995;18 (3), 100103. ✎ Brende JO, Dill JE, Dill B, et al. Integrated diagnostic and treatment approach for the medical patient who has had psychological trauma. Southern Medical Journal, 1998; 91, 318-324. ✎ Dill, B, Dill JE, Sibcy, GA, Brende JO. The registered nurse’s role in the office treatment of patients with histories of abuse: A proposed treatment model. Gastroenterology Nursing, 1997;20 (5), 162-167. ✎ Dill B, Sibcy GA, Dill JE, et al. Abuse, threat, and irritable bowel syndrome: what is the connection? Gastroenterology Nursing, 1997; 20, 211-215.

Books: ✎ Biebel, David B and Koenig, Harold G. New Light on Depression, Zondervan, Grand Rapids, Michigan, 2004. ✎ Clinton, TE, and Sibcy, GA. Attachments, Integrity Publishers, Brentwood, TN, 2002.

Notes: 1. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century.Washington, DC: national Academy Press; 2001.

Jim and Bobbie Dill were married in 1966.

When adopting three beautiful children and buying their dream house didn’t fill their spiritual void, both Jim and Bobbie found the Lord through a godly neighbor in 1974. By the next year the Lord led them to begin a journey toward the practice of whole person medicine that brought them to the Boston area.

The work then continued in Virginia, where together they began a solo GI practice with a spiritual emphasis utilizing their biopsychosociospiritual model. Since that time the Lord has opened up opportunities to come alongside others interested in providing this care delivery model. Currently Jim and Bobbie are traveling and providing GI locum tenens coverage and consultation. Jim has been a member of CMDA since 1974.

Advertising Section Dental Dentist - VA. Associate needed for progressive practice featuring implants, cosmetic services, sedation dentistry, digital radiography, cosmetic imaging, and well-trained, friendly staff. For more info, check out www.dentalcare4u.com.

Fax CVs to William T. Griffin, DDS at 757-8730197.

354/0137/2337 Pediatric dental clinic in SW Missouri seeking FT/PT dental director/associate director for Area Community Health Emissaries, Inc. (non-profit corporation since November, 2003). Student loan forgiveness for FT. Call Linda Howerton at 417223-2243; e-mail achekids@olemac.net.

354/0667/2346

Dental Group Practice - California. Seeks Christian general dentist and orthodontist to join partnership. New building and equipment, high technology, 10 chairs, surgery and ortho suite.

Established community in central Orange County. Fax resume to 714-505-4503.

352/0649/2321

Dental practice for sale: Small town near Flint and Saginaw, MI. Established practice in modern building. Small gross, very generous terms. Will stay to introduce if desired. Telephone 989-8232973 (evenings).

354/0665/2344 Dental practice: Michigan, Lapeer. Associate needed in well-established cosmetic oriented

general practice. Excellent opportunity with possible partnership. Fax resumes to 810-6643888.

354/0422/2345 Dentist - Manteca, Calif. Community in central valley 90 miles east of San Francisco. Great opportunity to purchase quality oriented practice.

Owner retiring to fulfill family obligations out of the area. E-mail remlapke@aol.com; call 209-2394198.

354/0659/2336 Dentist: Excellent opportunity for competent dentist to join a practice in beautiful Williamsport located in central PA. Associate status for a few years, then buy out retiring general dentist.

Excellent area for family. Contact Dr. Boyd; 570323-6116.

351/0569/2298 Dentist - Norwich, Vermont. Christian dentist seeking associate for busy, practice leading to

partnership. Newly renovated, well-trained staff.

Contact: Dr. Kravitz; 303 South US Rt. 5, Suite 4, Norwich, VT 05055; 802-649-2630; fax: 802-6491709; Toby.Kravitz@Dartmouth.edu. 354/0661/2340

Overseas Missions Guatemala - Small 3-room clinic (Todos Santos) northwestern Guatemala. Serving large Mayan population. Christian couples needed - FPs, PAs, RNs for ST/LT missions. Spring-like weather year round. Contact William Smith, MD; 518623-2403; billsmith6@mailstation.com.354/0671/2351 Guatemala. Vacation with a purpose. Serve Christ with your medical skills in Guatemala.

Well-equipped clinic near tourist services needs ST docs, PAs, and NPs. Spanish needed. Contact ochaeta3@hotmail.com; phone 011-502-7-9263234; Web site: hammerpartners.org. 354/0672/2352

Advertise in Today’s Christian Doctor—you’ll get results!

“We have had numerous responses to our ad. Even though it is small, it has reached a lot of people who are interested in our services. CMDA’s magazine seems to target a group of medical professionals who have a heart for missions like no other publication in which we advertise. Thank you for providing an important tool for ministries to communicate their message.” —Gayle, Blessings International Need an associate? Help with your missions project? Selling your practice?

Looking for a good position? Advertise in TCD’s Advertising Section. Contact Patti Kowalchuk by phone 423-844-1000 or by e-mail: patti@cmdahome.org for information and rates.

Internet Web site:

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Advertising Section Nepal - Opportunity to serve in community hospitals in rural Nepal under Nepali Christian management. Need expatriate surgeons and OB/GYN doctors short-or long-term. Contact Tirtha Thapa at hdcs@htp.com.np. 354/0662/2341 Pakistan - Christian physicians urgently needed for ST/LT in rural Shikarpur Christian Hospital: female (GP/FP, OB/GYN, GS) for OB/general; male/female pediatrician, OB/GYN for ST teaching GYN surgery. Contact Bill Bowman, MD; 714-963-2620; drbillbow@aol.com.

351/0361/2302

Positions Open

resources, helping open satellite office, etc. Prefer eastern U.S. Mutual commitment to Jesus Christ and willingness to work together for common good essential. Details (salary/benefits) negotiable. E-mail for CV and further information: contact_md@earthlink.net.

354/0669/2348 Female Nurse Practitioner - 2 years experience in Family Practice. Seeking ministry minded practice or teaching position. ANCC certified. Does not prescribe contraceptives. Mobile, 814-6731495; Home, 814-677-3060; e-mail lburgess@csonline.net.

354/0664/2343

Internal Medicine, FP & PEDs–Orlando, FL. BC/BE Internal Medicine, FP & PEDs. State-ofthe-art practice located in newly constructed private clinic. Bilingual in Spanish a plus. Competitive salary and benefits. Fax CV: 407-251-7812; or e-mail: dtrevett@bellsouth.net.

354/0673/2353

Medical Practice Administrator (MHA/CMDA Member) seeking contractual or consulting employment with Physician Practice that is considering conversion to cash-based, patientcentered operations. Contact Ralph Biddle, biddles@comcast.net or 215-233-2507. 354/0663/2342

Internist. General or subspecialty internist needed to join 3 internists in Boone, NC in a wellestablished, 20+ year practice. Excellent hospital, dialysis, CA treatment center, MRI, CT and cardiac cath.

Located in the Blue Ridge Mountains, mid-sized town with skiing and golf.

Send CV to: Appalachian Internal Medicine, 108 Doctors Drive, Boone, NC 28607; 828-264-6362; fax 828-265-4816.

354/0356/2350

Practice for Sale

Orthopedic Surgeon needed to join a three physician orthopedic practice committed to providing orthopedic care with compassion as well as excellence. Time off for short-term missions supported.

Kearney Orthopedic and Fracture Clinic would like to talk with general and subspecialty orthopedists about the possibility of joining us in practice. The clinic has been in existence over 30 years.

Clinic owns an on-site, JCAHO accredited Surgery Center. The Clinic and Good Samaritan Hospital are co-sponsors of the Nebraska Joint Replacement Center. Good Samaritan Hospital (207 beds) and its staff of 130 physicians provide tertiary care to a largely rural population in Central and Western Nebraska and Northern Kansas. Kearney, NE, is home to the University of Nebraska Kearney, the Museum of Nebraska Art, USHL hockey team, NIFL football team, the Great Platte River Road Archway Monument and Good Samaritan Health Systems. We can help with financial aspects of relocation. Please contact Dr. Chris Wilkinson at 308-865-1406 or cwilkinson@kofc.kearney.net. Our business manager, Vicki Aten, can be reached at 308-865-2512 or vaten@kofc.kearney.net.

342/0467/2119

Positions Wanted Christian BC General Surgeon looking for combined medical practice/”missions partner.”

Mission board offering me opportunity to serve 40-50% of the year through multiple short overseas projects. Timing of trips highly flexible.

Seeking long-term relationship with surgical practice for remainder of each year - providing vacation coverage, increasing manpower

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Pain Management & Rehab practice for sale: Milwaukee, WI. Extremely busy established practice. $500,000+ average annual receipts working 4 days per week. To inquire e-mail practice@wi.rr.com. Services rendered: EMG’s, injections, consultations and pain management. Full service surgery center 5 minutes away for flouro guided procedures. Performance of injections is not a must.

354/0670/2349

Advertising Section

Paid Advertisement

Informative. User-friendly.

Graphically stimulating.

Manufacturing Life is the newest bioethics resource from CMDA that you cannot live without. Why? Because it gives you the tools you need to educate your family, friends and colleagues on every aspect of stem cell research, human cloning and genetics. You can adapt this for use in your church Sunday school or small group study, introduce it at a conference or use it simply as part of your personal study. The possibilities are limitless! For more information, go to our Web site www.cmdahome.org/Shopping & Ads Purchase one for yourself, a friend or your church.

A great deal for ONLY $19.95, CMDA members $9.95, plus shipping and postage.

“Come to . . . a quiet place and get some rest” (Mark 6:31).

For more information, contact: Missy Shaffer (423) 844-1000 or e-mail: mjshaffer@cmdahome.org.

Internet Web site:

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This section represents a portion of our opportunities. To view a complete listing, go to the Placement Section on our web site, www.cmdahome.org

ANESTHESIA OPENINGS IN AL, CA, IL, NE, NM, NY, OR. Nebraska (AN-140). Independent, singlespecialty group. Inpatient/outpatient call 1:4. 2 openings!

New Mexico (MS-103). Anesthesia group consists of 1 MD and 2 CRNAs. With the addition of MD call would be 1:4.

(AN-135). Independent group, 6 physicians & 7 CRNAs. Call is 1:6.

GENERAL SURGERY OPENINGS IN AL, AR, AZ, CA, CO, GA, IA, IL, KS, LA, MD, MI, NC, NY, OH, OR, TN, TX, WA, WI. Arizona (SG-252). Independent, single-specialty group. Inpatient/outpatient. Skills desired are laparoscopic - minimally invasive. Bariatrics a plus but not required.

ORTHOPAEDICS Openings in AL, AZ, CA, CO, GA, IL, IN, MI, MN, NC, NE, NM, PA, SC, TN, TX, WA. Arkansas (OS-144). State's leading Orthopaedic physicians seeking to add an addition surgeon.

Located in a historic city with lovely neighborhoods, museums, and scenic parks. This opportunity sits right in the middle of all the state has to offer.

Indiana (OS-198). Independent Orthopaedic and Sports Medicine, single-specialty group. Call schedule 1:4. Located in north central Indiana.

Texas (MS-311). New Solo independent practice opportunity. Inpatient & outpatient. Weekend call coverage is 1:5. Great opportunity with tremendous group in community.

Washington (OS-163). Group of 4 physicians seeking an Orthopaedic Spine &/or Hand Surgeon.

VASCULAR OHIO (VS-106); VIRGINIA (SG-165); MINNESOTA (SG-221); NORTH CAROLINA (SG-120).

Contact Cathy Morefield, CMDA Placement Service at 888-690-9054, fax CV to 423-844-1005; or e-mail: cathy@cmdahome.org

MED/PEDS OPENINGS IN GA, IL, IN, KY, MI, MN, NC, PA, OH, TN, WA

NURSE PRACTITIONER OPENINGS IN FL, OH, TN, WA, WI, WY

OB/GYN OPENINGS IN CA, CO, FL, GA, ID,IN, IA, MD, MA, MI, MN, MO, NM, OH, OK, PA, TN, VT, WA, WI 34

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Advertising Section Colorado (OB-240). Group of 3 OB/Gyns searching for another OB/Gyn to join them as their senior partner is retiring. Practice is 10 years old.

in the Lord Jesus Christ is integrated into every aspect of their practice. Located in SE Georgia near Florida border.

Florida (OB-269). 2-year-old OB/Gyn practice seeking FT or PT OB/Gyn physician to join growing practice. Call will be 1:2. Great benefits.

Internal Medicine

PEDIATRICS OPENINGS IN CA, FL, GA, IL, IN, MI, NC, OH, PA, SC, TN, UT Indiana (PD-219). Group of 1 FT and 1 PT pediatrician. PT physicians going into retirement and are seeking a full-time practitioner to take her place.

California (PD-223).

Practice for sale.

Pediatrician wanting to retire after 42 years of practice. Call 1:3.

PHYSICIAN ASSISTANT OPENINGS IN FL, TN, WY

PSYCHIATRY OPENINGS IN AZ, AR, FL, IL, MN, WI

NEUROLOGY OPENINGS IN AL, MO, NC, OH

OPHTHALMOLOGY OPENINGS IN KY, MI, WA, WV

Ohio (MS-277). Opportunity to join an independent well-established practice consisting of an IM and Med/Peds physician. Practice is located in beautiful North-Central Ohio.

Nephrology North Carolina (NP-112). Thriving 2-year-old independent single specialty practice. New building with 12 exam rooms. Possible partnership in 2 years. Located in Foothills of NC.

Rheumatology Tennessee (MS-154). Great opportunity for physician to “hit the ground running” and have a built-in referral base. Located in beautiful west TN in historical mid-size city. Plenty of recreation.

North Carolina (MS-303). Large multi-specialty health care practice seeking to add a Rheumatologist. Beautiful city near east coast.

Their goal is to provide high quality care to the people they serve.

Contact Gloria Gentry, CMDA Placement Service, 888-690-9054; fax CV to 423-844-1005; or email: gpgentry@cmdahome.org

Neonatology Kentucky (NEO-102). Independent, hospital owned practice of 15 years seeking a Neonatologist.

Certified Nurse Midwife Illinois - Northern (OB-132). Join a women’s practice that strongly emphasizes Christian values.

Contact Rose Courtney: 888-878-2133; fax CV to 423-844-1005; or e-mail rose@placedocs.com.

Cardiology Georgia (CD-129). Busy successful practice interested in a fully trained cardiologist. Their goal is to provide highest quality cardiovascular care in a Christ-like manner. Located on SC/Georgia border.

Illinois (CD-124). Busy group looking for BC/BE Cardiologist, interventional or non-interventional. Located in a very fast-growing suburban area west of Chicago. Ideal for families.

Texas (CD-128). Well-established single specialty practice with 6 physicians is seeking to add a Cardiologist due to expansion. Rich blend of culture in this historic city in SE Texas.

Gastroenterology Georgia (GI-135). 2-physician single specialty practice seeking 2 Gastroenterologists. Their faith

Family Practice Dallas, TX suburb (FP-951). 3- physician practice needing FP, no OB. Inpatient/outpatient required. Call 1:4. Charter Statement quotes: “We agree to conduct and maintain this practice based on an adherence to Christian principles and outlook in all that we do.”

Atlanta, GA suburb (FP-962). 4-provider practice (2 physicians & 2 mid-levels) searching for FP, OB optional. Inpatient/outpatient required.

North Central Pennsylvania (FP-501). Single specialty group needing FP, OB optional.

Inpatient/outpatient required. Call is 1:7 on weekdays and 1:4 weekends.

Central Arizona (FP-490). Independent practice consisting of 3 FP physicians and 2 Mid-levels searching for BC/BE FP physician, OB optional.

Current call is 1week in 5 (flexible).

Northern Florida (FP-695). Independent 2 physician group searching for FP associate, no OB. Both inpatient/outpatient are required but there is an option for outpatient only with a hospitalist group available. Call would be 1:8 For more information on U.S. family practice opportunities, see www.cmdahome.org or phone Allen Vicars at 888-690-9054.

E-mail: allen@cmdahome.org

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