Look Who’s Joined BayCare Medical Group BayCare Medical Group welcomed more than 60 physicians to our practice during 2016. Whether you’re a new or experienced physician, if you’re looking for a new professional home consider BayCare Medical Group.
Preyanka Aggarwal, MD Family Medicine 36245 Highway 27 Haines City (863) 421-9801
Anicia L. Ndabahaliye, MD Hospitalist 3231 McMullen Booth Road Safety Harbor (727) 725-6526
Christina Canody, MD Pediatrics 4712 Armenia Ave. Suite 102 Tampa (813) 879-5716
Tanmay Patel, MD Hospitalist 6600 Madison St. New Port Richey (727) 815-7207
A. Mosharraf Hossain, MD Hematology-Oncology 1601 W. Timberlane Drive Suite 100 Plant City (813) 708-1312
Wendy Quiles, MD Family Medicine 1625 N. Carpenter Ave. Bartow (863) 533-1448
Carmen Nan, MD Hospitalist 4211 Van Dyke Road Suite 200 Lutz (813) 321-6237
M. Troy Sailers, MD Family Medicine 10141 Big Bend Road Suite 101 Riverview (813) 397-1270
Other Provider Not Pictured: Sheallah Palmer, MD 2044 Trinity Oaks Blvd., Suite 130 Trinity | (727) 375-0601
To learn about employment opportunities, visit BMGPhysicians.org or contact a recruiter at (813) 636-2009. BC1608235-1216
2016/2017 Season Tickets On Sale Now!
THE FLORIDA ORCHESTRA
Saint-Saens’ Organ Symphony Jan 7 & 8
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Brahms, Mozart & Mendelssohn Jan 21 & 22
New Series: Happy Hour Concerts Feb 2 & 23
The Music of David Bowie Feb 3
TFO Gala with Itzhak Perlman Feb 4
Sing Out! Tampa Bay Feb 11
Beethoven’s Symphony No. 2 Feb 17 - 19
Mardi Gras in New Orleans Feb 24 - 26
LISTEN LOCAL | Concerts in Tampa, St. Pete & Clearwater www.FloridaOrchestra.org | 727.892.3337 or 1.800.662.7286
Contents
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4 Unquestionable Reasons to Travel in 2017
10
Keeping Up With the Competition 4
From the Publisher
8
Feature 4 Unquestionable Reasons To Travel In 2017
10
Feature Unpredictable Behavior Of The Millennial Patient And Health Care
14
Feature Keeping Up With The Competition
16
Fit Corner 5 Reasons You Might Be Performing Cardio Incorrect
18
Money Matters May The Force Be With Your Investment Strategy
20
Unpredictable Behavior of the Millennial Patient and Health Care
14
6
Feature 2017 Fashion
Advertisers Anise Global Gastrobar 5 BayCare Medical Group 2 Cena 7 The Florida Orchestra 3 HealthE Gourmet 13 JW Marriott 23 The Meridian Club 21 PNC Bank 24 Point Grace 11
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2017 Fashion Doctor’s Life Tampa Bay
Issue 6, 2016
From the Publisher
www.doctorslifetampabay.com
C
10, 9, 8, 7, 6, 5, 4, 3, 2… Happy New Year! elebrations and resolutions are two things most participate in every year. The New Year brings us a blank canvas for change and with any luck; prosperity, new beginnings and the strategy to achieve it all.
“New Year's Day: Now is the accepted time to make your regular annual good resolutions. Next week you can begin paving hell with them as usual.” - Mark Twain However you spend your New Year, make it your best year. In this issue of DLM, Nick Hernandez explains why you should be paying attention to your competition. Keeping up with the Joneses is relevant when it comes to your practice. We shine a light on the healthcare behaviors of our largest generation and strategy to keep the force with you in our Money Matters section.
TAMPA BAY
Our newest fashion contributor, Kristin Wright, provides several fashion tips to get you ready for 2017 and make sure to read our top undisputable reasons to vacation this year. Travel and a little time away from the office should be part of everyone’s New Year resolution. The perfect script to reboot!
Tampa Headquarters 1208 East Kennedy Blvd. Tampa Fl, 33602 813-419-7788 Group Publisher Ed Suyak publisher@doctorslifetampabay.com
The number one resolution made every year is staying fit and or losing weight. Fitness and eating healthy are two main components that help achieve both. With anything, it is only worth doing if it’s done correctly so make sure to read our five reasons you might doing cardio incorrect.
Creative Director Rob Stainback Editorial Director Danielle Topper
It has been an amazing 2016 and I look forward to an even better 2017. The entire DLM and I wish you a Happy New Year and thank you for your readership.
Associate Publisher CJ Cooper Advertising Account Executive Ryan O’Neil
Be well,
Contributing Writers Nick Hernandez Kristin Wright
-Ed Ed Suyak Group Publisher publisher@doctorslifetampabay.com
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™
Doctor’s Life Magazine, Tampa Bay is always seeking events, stories and remarkable physicians. Please email the publisher if you have an event, an editorial idea or you know of a doctor or dentist who may have done something extraordinary. We want your suggestions and feedback. publisher@doctorslifetampabay.com Doctor’s Life Magazine, Tampa Bay does not assume responsibility for the advertisements, nor any representation made therein, nor the quality or deliverability of the products themselves. Reproduction of articles and photographs, in whole or in part, contained herein is prohibited without expressed written consent of the publisher, with the exception of reprinting for news media use. Printed in the United States of America.
Doctor’s Life Tampa Bay
Issue 6, 2016
4
Unquestionable
Reasons to Travel in
8
2017
Doctor’s Life Tampa Bay
Issue 6, 2016
Do you dream of getting away from the stress of your everyday life? Are you looking for a way to reconnect with loved ones? Do the winter blues have you dreaming of warm sunny days? Sounds like you're in need of a vacation.
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lanning a vacation gives you something to look forward to in the New Year. What's more, studies show planning a vacation is one the best parts of the travel experience. It can boost your mood for weeks leading up to the big trip. From researching exciting destinations, booking accommodations and counting down the days until you leave, travel can get your 2017 off to the right start, or be the perfect gift for the holidays. Here are four tips to make the trip perfect: 1. Get away to disconnect: When planning a vacation, select a location where you can truly disconnect from your job and home responsibilities. For example, with 60 miles of coastline open for relaxation and fun, Myrtle Beach, South Carolina, is a beautiful destination that's an easy drive or flight from virtually anywhere in the United States. Once you
Issue 6, 2016
arrive, make sure your out-of-office email is set and resist the urge to check social media. Vacations should be the time focused on you and your loved ones. 2. Get away to reconnect: AAA reports two out of three people say quality time with loved ones is the most important part of a vacation. In addition to selecting a great location, strive to find comfortable and convenient accommodations. Condotels, multibedroom hotel units, and beach homes, are all excellent options to bring your family and friends closer together. Plus, the extra amenities (like full kitchens) are sure to make your stay that much more relaxing. 3. Get away to build memories: A whopping 91 percent of people say their favorite memory is a vacation, according to Expedia.com research. To set the stage for massive memory-making, select a location with something for
Doctor’s Life Tampa Bay
everyone. Choose destinations that are appealing to who is vacationing. If it is a family vacation, make sure it is family friendly with both kid and adult activities. 4. Get away to try something new: Trying an activity you've never done before is guaranteed to give you and your family memories to last a lifetime. Do some research about the destination you've selected and sign up for activities in advance to ensure you get the most convenient times. Whether it's crabbing off a pier, kayaking pristine back-rivers or taking a hot air balloon ride, doing a unique activity is something you'll always remember (plus you'll get a story that is sure to make everyone jealous back home). Stop dreaming and start planning - life is full of possibilities. Whether a romantic couple’s vacation or a family trip next year let these ideas guide you to the vacation of a lifetime.
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Unpredictable
Behavior of the Millennial Patient and Health Care
Those in the millennial generation both confuse and fascinate many. We know how they feel about Snapchat and flexible work hours, but how do they feel about health care and, specifically, their own health? A recent study conducted online by Harris Poll on behalf of Novant Health among over 2,000 U.S. adults aged 18 and older, including 419 millennials aged 18-35, highlights some of the unique ways in which millennials approach and engage with health care. 10
Millennials believe they would be healthier if they only had more time in the day. Even though millennials spend a huge amount of time on the couch, 66 percent say they would take better care of themselves if they had more time to do so. Millennials report that an average day includes around 9 hours of sedentary activities - including, on average, almost 3 hours sitting at a desk for work, more than 3 hours watching TV, and just over 2 hours of social media usage. It seems as though millennials' lack of motivation, not their schedules, may keep them planted on the couch bingewatching Netflix, rather than running on the treadmill.
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CONTINUED ON PAGE 12
Issue 6, 2016
Ad
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One Heart Magazine
www.heartbeatsaveslives.org
CONTINUED FROM PAGE 10
Millennials prefer to go "old school" when it comes to getting health information. Despite millennials' pervasive daily social media use, only 21 percent use social media as a means to diagnose themselves or a loved one with a health ailment. Surprisingly, it appears millennials rely on physicians for health information - with 46 percent of millennials utilizing their primary care providers as their major health information resource.
For millennials, respect from health care providers is a top priority.
End-of-life planning is important for millennials, but they don't know where to start. The death of music icon Prince and discovery that he did not have a will may have brought the topic of end-of-life planning to the minds of many millennials. Eighty-eight percent of millennials agree that end-of-life planning is important, but most (62 percent) say they wouldn't know where to start when thinking about end-of-life care. Half of millennials (51 percent) don't feel it is important to think about planning for end-of-life care at this stage of their life. Few currently have a living will (11 percent) or a will/testament (11 percent) in place. "The millennial generation presents a number of unique challenges. The better we understand them, the better we will be able to serve them," says Novant Health's Chief Consumer Officer Jesse Cureton. The nationwide survey was conducted online among 2,104 U.S. adults age 18 and older (including 419 millennials aged 18-35) by Harris Poll on behalf of Novant Health from March 1-9, 2016. For complete research method, including weighting variables and additional subgroup sample sizes, NovantHealth. org/ConsumerAttitudes.
Many may assume effective treatment defines a quality health care experience, but for millennials that's not always the case. The study found that similar proportions of millennials say being treated well/with respect (69 percent) and effective treatments (73 percent) are how they define quality health care. Quality in health care is defined multi-dimensionally, starting with effective treatment, but respect, disclosure, meeting expectations for care and being treated as a person, not a patient, are also commonly mentioned. Around seven in 10 millennials agree with this holistic view of defining quality health care as effective treatment, being treated with respect, and being kept fullyinformed.
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Doctor’s Life Tampa Bay
Issue 6, 2016
Keeping Up With The
Competition By Nick Hernandez
Practice managers must be keenly aware of what competing practices are doing as well as practices outside of their catchment area. Practice management requires a firm focus on the competition; identifying its strengths and vulnerabilities is crucial. Since managing a successful practice requires decision and action based on situational awareness, identification of your competition’s expectations and preparations is also important. Because the healthcare landscape is changing so rapidly, accurate and timely information regarding what competing practices are doing is a prerequisite for success. It is said that Field Marshal Erwin Rommel (an intelligent German WWII commander dubbed the “Desert Fox”) once declared, “It is not that one general is more brilliant or experienced than the other; it is a question of which general has a better appreciation of the battlefield.”
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Issue 6, 2016
This is why I maintain that knowledge of your competition is a key function of effective practice management. To be clear, practice management is about making and executing decisions, but a market analysis can help support a smart decision-making process. What is a market analysis? A market analysis is not just a product, but also a process. A market analysis seeks to identify and evaluate existing conditions and capabilities, estimate possible competitive courses of action, and assist in the development of your practice’s course of action.
Gathering information Information gathered during the course of managing a practice is essential to the development of a timely and accurate market analysis. Indeed all staff members are involved in information gathering in one way or another and thus their knowledge should be tapped in order to better shape the market picture. Aside from gleaning information from your own staff, turning to your professional colleagues is certainly another great trusted source. Beyond those two avenues, you may want to consider linking up with a qualified consultant. These individuals have access to multiple markets, associations, networks and resources (perhaps even your competition). Additionally, they also can prepare a detailed analysis based on your particular specialty and service line and can more easily pulse the market due to their independent status.
Interpreting the information Once you have obtained the information necessary to build a picture of the competitive landscape, you are confronted with other challenges. Most importantly, you must properly interpret the information. Many mistakes in market analyses are not the result of a failure to collect the correct information, but rather a failure to discern the correct meaning from the information collected. Admittedly, any assessment of the competition’s intentions is ultimately an estimate. While a good market analysis can identify the possibilities and probabilities, there will always be an element of uncertainty in these estimates. However, when properly focused and given adequate time and resources, a market analysis can come close to meeting these standards. It is important to note though that practices operate in a healthcare environment characterized by uncertainty. Uncertainty is also a fundamental attribute of competition. So, even if the correct information is obtained, there is no guarantee that it will be interpreted correctly or that it will not change. Gaps in our knowledge of the competition are a natural and unavoidable characteristic of operating within the healthcare industry. We must remember though that a competent market analysis can help reduce some of that uncertainty and help pave the way for strategic planning and business operations within your practice. Issue 6, 2016
Doctor’s Life Tampa Bay
15
Fit Corner
5
Reasons
You Might Be Performing Cardio Incorrect
Does your exercise routine live and die by the treadmill? Does your workout consist of an hour on the elliptical? While you can't ignore the positive impact aerobic exercise has on your health, it may not be the dream weight-loss solution you hope for.
"It seems an awful lot of people walk, jog, run and cycle on a regular basis, hoping the time spent on the treadmill, bike or trail will equate to drastic weight loss results," says Paul Kriegler, registered dietitian and nutrition program manager for Life Time Fitness. "There's a fair amount of research on how much cardio is best for realizing health benefits, but there are a
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few factors that could be compromising those benefits for you."
You're doing cardio, but moving less throughout the rest of the day. Think about this: you wake up early, get to your health club and work hard for a solid hour, spinning your legs until they feel like jelly. A puddle of sweat Doctor’s Life Tampa Bay
surrounds your bike and your heart rate monitor says you burned 950 calories. That's great, until later on, you forgo your normal walking break because you feel too worn out. And later that evening, you catch a nap before dinner rather than walking the dog or mowing the lawn. People often justify inactivity in the hours after a strenuous workout. Most experts recommend getting the majority of your
Issue 6, 2016
sensitivity," published in the September 2013 edition of the Journal of Applied Physiology, opting for long, frequent sessions is often less effective than shorter, higher intensity. Doing long sessions of cardio, more than 60 minutes, is rarely necessary unless you're training for a specific event. Another observational study of recreational joggers suggest you're better off capping your strict cardio time at 30 minutes and including several days per week of resistance training.
You think cardio means "I get to eat extra calories without consequence." While exercising to burn off some energy may give you a little room for forgiveness, exercising to prepare for poor eating habits doesn't guarantee you results. In fact, according to a study in PubMed, large amounts of cardio training have been shown to induce compensatory eating patterns, especially in women. It's easy to get into this mindset, but exercise is far more than just a way to expend calories. Well-planned, properly executed bouts of activity can stimulate your body to go through incredible changes, but not if you're using food as a reward.
All your cardio sessions are the same. Cardio can be helpful for getting a little solitude or zone out time, but doing the same workout every day when you're looking for results is definitely not the answer. A good exercise program incorporates variability from one workout to the next. Your body has a few major energy systems, and they all need to be challenged over time. Try an Active Metabolic Assessment to scientifically determine your most efficient heart rate zones so you can exercise smarter.
High Intensity Interval Training Cardio on an Empty
movement throughout the day instead of condensing it into one particular segment.
You're doing too much cardio. The health benefits of cardiovascular training appear to begin after around 30 minutes of moderate intensity four to five days per week, totaling around 150 minutes. When it comes to cardio, more isn't always better, especially if you don't give your body time to recover. According to an article titled "Effect of the volume and intensity of exercise training on insulin Issue 6, 2016
Good morning, time for boot camp or hill sprints; while skipping breakfast‌ Not so fast. You probably heard that fasted cardio training first thing in the morning is excellent for fat loss, and that interval training generally beats out steady-state cardio training. Put two and two together and it's sure to be the most unbeatable cardio program ever, right? No unfortunately, it doesn't always work this way. Most bodies need to have glucose to burn as fuel in order to exercise at such high-intensity levels. Attempting fasted sprints is a recipe for disaster. Not only will your performance suffer, but you could be setting yourself up for lean muscle loss and injury. Cardiovascular exercise may promote a positive mood, better cognitive function and reduce diabetes risk, but only if you do it right. Take these factors into consideration the next time you lace up your gym shoes and hop on the nearest cardio machine. Always consult with your physician prior to any new fitness program.
Doctor’s Life Tampa Bay
17
Money Matters
May the Force be with Your
Investment Strategy
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Doctor’s Life Tampa Bay
Issue 6, 2016
There is great unrest in the financial universe. The next disturbance in The Force is anyone's guess. Like the rebels in the forthcoming Star Wars film Rogue One, you seek a new hope. Fear not and reach for a promising investment future. Look to the setting suns. In Episode IV: A New Hope, a moisture farmer named Luke Skywalker contemplates his future as two suns set. Great challenges loom ahead. Preparations are critical. The same is true of your financial future. Do you have an emergency fund? Are you on track for retirement? TIP: You must be looking now to see what can happen later.
The Force will be with you, always. The keys to investing success lie inside youthough you shouldn't go it alone. Envision what you'll encounter. Create a strategy to meet those demands. Ask yourself: * How much can I contribute? * In which areas? * What does victory look like? * When will objectives be met? When fear for the future emerges, seek advice. In Star Wars, Jedi knights guide apprentices. All lean on master Yoda. TIP: Navigate challenging times with an advisor or representative at your financial institution.
Rendezvous Before dangerous missions in Star Wars, the rebels convene. Strategy is detailed. Difficult questions are asked. Consensus is reached. Regarding your investment plan, perhaps it's time to re-evaluate your budget and increase monthly contributions to your portfolio. "Schedule time on a quarterly basis to review your portfolio's performance," says Kevin Driscoll, vice president of advisory services at Navy Federal Financial Group. Issue 6, 2016
"It's a great idea to involve your financial advisor in this process. A second opinion can provide perspective and help you identify areas for improvement. TIP: Plans tend to impact others, so be sure to communicate and collaborate.
Diversify your attack. An effective strategy in battle employs multiple fronts. In Star Wars, missions combine air and ground tactics. Investing also incorporates "divide and conquer." Experts recommend investing in diverse assets: stocks, bonds, certificates, real estate and more. TIP: To diversify your portfolio, invest in stocks and bonds across a variety of business sectors.
Stay in formation. Your portfolio will be tested. Be mindful. In Star Wars, Jedi are trained to draw close to each other when threatened. Remember no matter how poorly an investment is performing, history shows the market corrects with time. "When the market dips, purchase more shares with the same dollar amount. When the market spikes, your owned shares increase in value," Driscoll explains. This investing method is called dollar-cost averaging. It lowers the average cost of shares over time. TIP: Avoid watching the market too closely. Resist the urge to bail on an asset. Invest consistently, with the long view in mind.
Don't go rogue. In Star Wars, The Empire has built a vast Doctor’s Life Tampa Bay
portfolio of assets on Darth Vader's watch. He offers enticing rewards to bounty hunters who support his regime. Your mission in financial planning is to resist the ever-present temptation to go rogue. Don't be seduced by others' success. Don't jump when a friend asks you to invest in his can'tmiss venture (unless his goals align with yours). TIP: Record your investment plan in writing, which firms up the details. When tested, fall back on the document.
The saga will have many episodes. Despite your best intentions, some investments will succumb to the dark side of market forces. Remember investing takes patience and fortitude. Like most journeys, the story of your portfolio won't be told in a single chapter. TIP: Avoid making an investment decision when your emotions run hot or cold.
Get started. If there's an example in Star Wars of what not to do in investing, it's Han Solo. He didn't believe in market forces (at first). At times, he struggled to manage obstacles. As we saw in Episode VII: The Force Awakens (and as early as Episode IV: A New Hope), Han didn't take debt seriously. Collectors were after him at every turn. In Episode VI: The Empire Strikes Back, his assets were frozen. Your destiny can be simpler. You don't have to be a swash-buckling smuggler. A moisture farmer from a remote desert outpost can make sound financial decisions toward prosperity. 19
… A N D
I T
B E G I N S !
NEW GOALS. RENEWED FOCUS – AND RESOLUTIONS. By Kristin Wright
Before you even get to shout “1” in your New Year’s countdown, fashion has already taken off. Did you know that fashion is always six months to a year ahead? Spring lines are usually finalized somewhere around the end of the summer of the previous year. Being a Floridian, there is a short transitional season between winter and spring. Our coldest months in Florida are characterized by layering in the early morning and ending the day in a sleeveless shirt! Enter a New Year and season by jumpstarting your closet on trend with these guidelines.
Early Bloomer Most people imagine Spring when thinking florals, abstract prints and light color palettes. However, 2017 fashion is transitioning quickly into an early bloom. In the last couple of years, top fashion brands such as Michael Kors, Tory Burch, Ralph Lauren and Burberry, have introduced full resort capsules to assist in the transition from holiday wear to spring wardrobing. These capsules start to hit floors when most are still looking to bundle up for the coldest months of the year. In Florida, these key pieces naturally become a part of our everyday wardrobe—shorts, linens, light jackets and blazers. CONTINUED ON PAGE 22
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Issue 6, 2016
Imagine a private island with a spectacular two-mile, white sand beach and the only footprints are yours. Such a place really exists. Just 13 beachfront units and several private rental homes. No cars, no crowds, no hassles. It will win your heart.
Elegant cuisine and as much or as little as you want to do. Daily Snorkeling Trips Bone, Reef, Deep Sea Fishing Off-Island Excursions New Spa Services
The Meridian Club on Pine Cay Turks and CaiCos islands For inFormation 649.941.7011 reservations@meridianclub.com meridianclub.com
CONTINUED FROM PAGE 20
Pair It. Wear It. Bold prints have versatility in your wardrobe and can often times be taken from day to night looks solely on how you pair them.
• Pair a printed bottom or short with a basic top. The key is to offset the print with a color that doesn’t take away from print. Men, you too can rock a fashionable printed short or pant. Be bold and bring out your inner bloom by pairing a printed short with a nice basic short sleeve button down. • For a daytime look, pair a printed top or blouse with a basic short, capri or linen pant. To take this same print into a nighttime look, throw a blazer or light fabrication jacket over your top and pair with slacks or a darker denim pant • Ladies! Tune up your basic pieces like that plain black dress by adding a pop of a print. Just simply throwing in a printed clutch OR shoe to a monochromatic outfit adds personality and completely changes the look!
•B e BOLD! Try pairing stripes on stripes! The key to this trend is pairing stripes of both different sizes and directions. For example, if you have vertical stripes on the bottom, you can pair them with a top with horizontal stripes; one bold stripe or a couple would create a fun look. •P air stripes with solids! Striped bottom OR striped top? Pair with a solid. Don’t be afraid to make this solid one of the top spring colors! •N autical continues to be a trend this year. Striped outerwear adds to any basic look and can be accessorized to take you from day to night. •M en-A striped blazer, jacket or woven paired with a khaki bottom for a daytime look. Take it into the evening by just pairing with a dark denim or slack. Following New York Fashion Week, Pantone Color Institute released their top ten colors for Spring 2017. The below colors will be found in casual and dressy apparel for men and women.
1. Niagara
6. Pale Dogwood
2. Primrose Yellow
7. Greenery
3. Lapis Blue
8. Pink Yarrow
4. Flame
9. Kale
5. Island Paradise
10. Hazelnut
Spring is all about color! Pair It. Wear It!
Stripes. Forever. Vertical, horizontal or a mixture of the two? Stripes are everywhere this season. Both men and women will be sporting stripes— from banker stripes to bold, color-blocked stripes—even paired together in the same look, is a go for this year.
Pair It. Wear It. The size of the stripe, as well as the direction, has an impact on the eye. So, vertical or horizontal lines is the question! This is a common conversation in fashion. It is amazing to hear and see how people react to stripes on clothing. Some stray away from horizontal lines because they feel it creates an illusion of being “wider”. Others gravitate towards vertical stripes to create height and feel it creates a slimming effect. In my experience, I narrow it all back to the size of the stripe. No matter the direction of the stripe, size matters! 22
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AFRICA
ASIA
EUROPE
LATIN AMERICA
MIDDLE EAST
NORTH AMERICA
&