SAN FRANCISCO
MARIN MEDICAL SOCIETY
1868 2018
Anniversary Celebration &
Advancing the Art & Science of Medicine:
Celebrating
150 Years of Advocating
for Physicians and Patients
March 15, 2018 ST. FRANCIS YACHT CLUB SAN FRANCISCO
Board of Directors
2018 Officers
President . . . . . . . . . . . . . . President-Elect . . . . . . . . . . Secretary . . . . . . . . . . . . . . Treasurer . . . . . . . . . . . . . . Immediate Past-President . . . . SFM Medicine Editor . . . . . . . .
John Maa, MD Kimberly Newell Green, MD Ben Franc, MD Brian Grady, MD Man-Kit Leung, MD Gordon Fung, MD
2018 Directors Charles Binkley, MD Peter Bretan, Jr., MD Alice Chen, MD Anne Cummings, MD Nida Degesys, MD Robert Harvey, MD Naveen Kumar, MD Michael Kwok, MD Raymond Liu, MD Jason Nau, MD Dawn Ogawa, MD Stephanie Oltmann, MD Heyman Oo, MD Rayshad Oshtory, MD
David Pating, MD William Prey, MD Justin Quock, MD Michael Scahill, MD Monique Schaulis, MD Michael Schrader, MD Dennis Song, MD, DDS Jeffrey Stevenson, MD Winnie Tong, MD Eric Wang, MD Matthew Willis, MD Joseph Woo, MD Albert Yu, MD
2017 Outgoing Officers President . . . . . . . . . . . . . . President-Elect . . . . . . . . . . Secretary . . . . . . . . . . . . . . Treasurer . . . . . . . . . . . . . . Immediate Past-President . . . . SFM Medicine Editor . . . . . . . .
Man-Kit Leung, MD John Maa, MD Brian Grady, MD Kimberly Newell Green, MD Richard Podolin, MD Gordon Fung, MD
Outgoing Directors Larry Bedard, MD Irina deFischer, MD Steve Fugaro, MD Alexander Geng, MD
Imran Junaid, MD Todd May, MD Richard Podolin, MD Lori Selleck, MD
Program
5:30 pm
Welcome Reception.
. . . . . . . . . . . . . . . .
Guitarist—Kevin Ayers Photo Station
6:30 pm
Dinner Seating 7:00 pm
Welcome .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mary Lou Licwinko, JD, MHSA SFMMS Executive Director & CEO
Rob Margolin, MD 150th Anniversary Celebration & Gala Planning Committee Chair
7:15 pm
President’s Remarks & Introductions. . . . John Maa, MD
Honorary Presentations.
2018 SFMMS President . . . . . . . . . . . .
Mechanics Bank Presentation .
. . . . . . .
Special Guests Debbie Kelley Executive Vice President & Director of Wealth Management, Mechanics Bank
8:00 pm
Video Presentation “SFMMS at 150”. . . . . . . . . . . . . . . . . . . Rob Margolin, MD 8:15 pm
Featured Speaker “Physician Leadership: Past & Future” . . . . . Sandra Hernández, MD
9:00 pm
Event Concludes
President & CEO, California Health Care Foundation
Organizational
Sponsors
Please join the San Francisco Marin Medical Society as we gratefully acknowledge the support of these dedicated partners:
Presenting Sponsor
Platinum Sponsors
Saint Francis Memorial Hospital
St. Mary’s Medical Center
Gold Sponsor
Silver Sponsors
Bronze Sponsors
Actify Neurotherapies
A. L. Nella & Company LLP
Chinese Hospital Medical Staff
Marin General Hospital
SFMMS would like to thank Saint Francis Memorial Hospital, UCSF Mt. Zion, and Hospice by the Bay for providing meeting space for SFMMS meetings; Practice Management & Liability Consultants for providing a gift for our featured speaker; and Dr. Robert Harvey for making the St. Francis Yacht Club available for our 150th Anniversary Celebration & Gala. SFMMS sincerely thanks every member who has served on an SFMMS committee, delegation, board, task force, or other volunteer body—you are the soul of the medical society.
A very special thanks to the 150th Anniversary Celebration & Gala Planning Committee: Rob Margolin, MD – Chair Irina deFischer, MD Steve Heilig Erin Henke Man-Kit Leung, MD
Mary Lou Licwinko Keith Loring, MD John Maa, MD Kimberly Newell Green, MD Monique Schaulis, MD
Individual
Sponsors
Keystone Sponsors Lawrence Cheung, MD Man-Kit Leung, MD John Maa, MD David Werdegar, MD
Champion Sponsors Peter Bretan, Jr., MD Eduardo Dolhun, MD Steven Fugaro, MD Robert Margolin, MD Shannon Udovic-Constant, MD
Ambassador Sponsors Michael Kwok, MD Jason Nau, MD Michael Scahill, MD Monique Schaulis, MD Jeff Stevenson, MD
John Maa, MD 2018 SFMMS President
Medical Student / Resident Sponsors
Bios
Donald Abrams, MD Roger Eng, MD Stephen Follansbee, MD George A. Fouras, MD Gordon Fung, MD Erica Goode, MD Keith Loring, MD Kim Newell Green, MD Charles Wibbelsman, MD
After entering Harvard Medical School in 1990, Dr. Maa was commissioned as an officer in the US Army in 1991. He completed the UCSF general surgery residency in 2002, and conceived of the “surgical hospitalist� during a health policy fellowship at UCSF, for which he was named one of the Top 20 People Making a Difference in Healthcare in America in 2009. In 2013, he was elected President of the Northern California Chapter of the American College of Surgeons, and awarded the national Arthur Ellenberger Award for Excellence in State Advocacy. He serves as the Immediate Past Chair of the University of California Office of the President Tobacco Related Disease Research Program SAC, as Chief of the Division of General and Acute Care Surgery at Marin General Hospital, on the Board of Directors for the American Heart Association and on the Advisory Board of General Surgery News.
Bios, cont. Sandra R. Hernández, MD Featured Speaker President & CEO, California Health Care Foundation Dr. Sandra R. Hernández has been president and CEO of the California Health Care Foundation since January 2014. CHCF is an independent foundation with assets of more than $700 million, headquartered in Oakland, California, and dedicated to making health care work for all Californians, especially low-income and underserved populations. Prior to joining CHCF, Dr. Hernández was CEO of The San Francisco Foundation, which she led for 16 years. She previously served as director of public health for the City and County of San Francisco. She also co-chaired San Francisco’s Universal Healthcare Council, which designed Healthy San Francisco, an innovative health access program for the uninsured. Sandra is an assistant clinical professor at the University of California, San Francisco, School of Medicine. She practiced at San Francisco General Hospital in the AIDS clinic from 1984 to 2016. She was appointed by Governor Jerry Brown to the Covered California board of directors in February 2018. She currently serves on the Betty Irene Moore School of Nursing Advisory Council at UC Davis and the UC Regents Committee on Health Services. Sandra served on the External Advisory Committee at the Stanford Center for Population Health Sciences in 2016. Sandra is a graduate of Yale University, the Tufts School of Medicine, and the certificate program for senior executives in state and local government at Harvard University’s John F. Kennedy School of Government.
David E. Smith, MD 50-Year Member Dr. David Smith is a living legend in the San Francisco Bay Area and beyond, having been a foundational figure confronting addiction in our society. Born and raised in Bakersfield, he came to UC Berkeley and then to UCSF for medical school. Dr. Smith opened the Haight-Ashbury Free Clinic during 1967’s “Summer of Love.” In the 40 years he headed the clinics, over one million patients were seen, and the free clinic movement spread around the nation. He has served as guest editor of the SFMMS journal, and co-chaired the San Francisco Addiction Summit, co-sponsored by the SFMMS last year and again this June. Dr. Smith is a past-President of the American Society of Addiction Medicine. He has been awarded the University of California Medal of Honor, the UCSF Chancellor’s Award, and countless other recognitions. He embodies the principle under which he founded his clinic half a century ago: “Health care is a right, not a privilege.”
Advocacy
As the only medical association to represent the entire spectrum of medical specialties, modes of practice and interests of physicians in San Francisco and Marin, the San Francisco Marin Medical Society (SFMMS) has been a champion for community health issues since its formation in 1868. Our policymaking efforts through collaborations with state and national medical societies and political leaders, as well as articles in our award-winning journal, San Francisco Marin Medicine, have given us a reputation for being influential far beyond the Bay Area. The SFMMS advocacy agenda continues to focus on public health and the following areas: ENSURING ACCESS TO CARE: With ongoing vigilant efforts to preserve programs and prevent cuts in Medi-Cal reimbursement, SFMMS leaders have long advocated that everyone should have access to quality medical care. SFMMS advocated for, and has provided assistance to, community-based organizations including the Haight-Ashbury Free Medical Clinics, San Francisco Free Clinic, Marin Community Clinics, Operation Access, and many others where members have donated medical care and treatment for the uninsured and underserved. ANTI-TOBACCO ADVOCACY: SFMMS was a loud voice for cracking down on tobacco promotion and use, and supported the early 1990s ban on smoking in San Francisco restaurants, a landmark policy that spread nationwide. SFMMS has also advocated for stronger protections from secondhand smoke, higher taxes on tobacco products to provide additional funding to Medi-Cal, and the removal of tobacco products from pharmacies. In 2017, SFMMS supported a ban on flavored tobacco products adopted in San Francisco that is now being hard-fought by the tobacco industry. HIV PREVENTION AND TREATMENT/HEPATITIS B: Having been among the first to push for legalized syringe exchange programs, appropriate tracking and reporting processes for clinical data, optimal funding and more—SFMMS has been at the center of advocacy for responses to the AIDS epidemic since the 1980’s, including drafting several resolutions that would evolve into CMA and AMA policies, as well as statewide ballot initiatives. SFMMS continues to be a partner in the Hep B Free program in San Francisco. SUGAR-SWEETENED BEVERAGES: SFMMS has long been on record combatting overconsumption and marketing of sugar and soda, especially to young people. To help prevent and battle obesity, diabetes, heart disease and other associated diseases, SFMMS endorsed the SF vs. Big Soda coalition and supported the landmark local tax on sugar-sweetened beverages, approved by voters, with revenue slated to help fund programs to prevent or reduce the consequences of consumption of sugarsweetened beverages. ANTIBIOTIC RESISTANCE: SFMMS leaders have presented at national meetings and contributed to policy on antibiotic resistance, including the AMA’s first statement on antibiotic overuse in agriculture. SCHOOL AND TEEN HEALTH: SFMMS helped establish and staff a citywide school health education and condom program, removed questionable drug education efforts from high schools, and has worked on improving school nutritional standards. VACCINATION ADVOCACY AND EDUCATION: In response to increased outbreaks of vaccine-preventable diseases in the Bay Area and across the state, the medical society emerged as a leader in supporting policy to increase school vaccination rates. Through education about the safety and efficacy
of vaccines, and support of legislation which eliminated personal belief exemptions from required childhood vaccines, vaccination rates have increased significantly since 2012. SFMMS has authored several resolutions for the CMA, including a resolution allowing minors to receive vaccines to prevent STIs without parental consent. END-OF-LIFE CARE: SFMMS leaders have developed numerous policies and educational efforts to improve care toward the end of life, including publishing guidelines on medical futility or nonbeneficial treatment that have been widely adopted by regional health systems. SFMMS was one of the early adopters of Physician Orders for Life-Sustaining Treatment (POLST) in California and has been active in the local community coalition to ensure successful use of the form and the important conversation that goes along with completing the medical orders contained on the form. As medical and public opinion evolved, SFMMS became neutral on the option of physician-assisted dying and advocates for physicians and patients to exercise their own judgment as part of the patientphysician relationship. REPRODUCTIVE HEALTH AND RIGHTS: SFMMS has been a champion of reproductive choice for women, including supporting the use of RU486 and the medical termination of pregnancy. SFMMS continues to be a state and national leader in advocating for women’s reproductive health and choice, including access to all medical-indicated services. ENVIRONMENTAL HEALTH: Among SFMMS’ many environmental health efforts are establishing a nationwide educational network on scientific approaches to environmental factors in human health, and advocating for reduced exposure to mercury, lead and air pollution. GUN SAFETY/DOMESTIC VIOLENCE INTERVENTION: SFMMS has contributed to the national debate on gun safety, including ending censorship and allowing physicians to discuss gun safety with their patients. The medical society published guidelines on domestic violence screening and intervention for physicians and other clinicians which were widely distributed and well received by clinicians, and was cited in the Journal of the American Medical Association as one of the best such resources. ORGAN DONATION: SFMMS has been the vanguard in seeking improved donation of organs to decrease waiting lists and deaths due to the shortage of organs through educating the public and proposing new policies regarding consent and incentives for organ donation. DRUG POLICY AND OPIOID SAFETY: SFMMS has been a leader in exploring and advocating new and sound approaches to drug abuse, including some of the first policies regarding syringe exchange, medical cannabis, “treatment on demand” policy that supports immediate entry into drug treatment for those requesting it, and treatment instead of incarceration. SFMMS was integral in the development of CMA’s landmark report on decriminalization and regulation of cannabis. In collaboration with the public health department, SFMMS has helped develop guidelines for safe opioid prescribing that have been adopted in primary care settings. PRESERVING PHYSICIAN AUTONOMY: Working together with the CMA, SFMMS advocates for policies that protect physician autonomy and the patient/physician relationship, scope of practice and reimbursement. PARTNERSHIPS: SFMMS works closely with many local specialty and health organizations such as the Chinese Community Health Care Association, Marin Community Clinics, Marin Department of Health and Human Services, RxSafe Marin, San Francisco Community Clinic Consortium, San Francisco Department of Public Health, San Francisco Emergency Physicians Association, San Francisco Pediatric Council, West Bay Hospital Conference, and others.
History
February 4, 1868—57 physicians come
1941—The first non-profit community blood
together to form the San Francisco Medical Society, the first permanent local medical society in the West.
bank in the nation, now Blood Centers of the Pacific, is co-founded by medical society leaders and operates out of a building owned by the medical society.
June 1868—During an outbreak of small pox in San Francisco, the medical society pushes for a vaccination program and for a new isolation hospital to be built.
1870—San Francisco becomes the tenth largest city in the US with a population of nearly 150,000. The city has two medical schools—Toland Medical College, which later becomes UCSF Medical School, and Cooper Medical College, which later becomes Stanford Medical School.
1876—The Act to Regulate the Practice of Medicine, prepared by the San Francisco Medical Society, becomes California law restricting the practice of medicine to those with a medical school diploma or who can prove their medical competence through an examination.
1877—The medical society accepts the first woman into its membership—Dr. Lucy Field Wanzer.
1898—Rural doctors in Marin County join together to form the Marin Medical Society.
1906—The San Francisco earthquake strikes, destroying over 80% of the city and killing 3,000. Medical society members work together to deliver high-quality medical care to the community.
1947—Kaiser Permanente introduces its unique prepaid health insurance coverage. Today, Kaiser physicians continue to serve as officers, directors, and delegates of the medical society.
1960—Dr. Roberta Fenlon is elected as the first woman president of the medical society.
1972—Dr. Xavier Barrios is elected by the medical society and is the first Hispanic president of a medical society in California.
1977—SFMS sponsors first of ongoing biennial visits of the Hiroshima Prefectural Medical Association to test atomic bomb survivors living in the Bay Area and becomes sister medical association to HPMA.
1980s—SFMMS physicians respond immediately to the AIDS epidemic, helping to develop a network of programs and services that would become the world’s first model AIDS program.
1982—Dr. Rolland Lowe is elected as the first Asian American president of the medical society. He is elected as the first Asian American president of the California Medical Association in 1997.
1988—San Francisco establishes the
number of hospitals, San Francisco becomes the medical center for all of California.
nation’s largest needle exchange program, and by 2000, legislation supported by SFMMS and CMA is passed to decriminalize needle exchange programs across the state.
1927—The first issue of the medical society
1989—SFMMS members, Dr. Harold E. Varmos
journal is published, and has been in continuous publication ever since. Today, the award-winning San Francisco Marin Medicine journal is distributed to over 4,000 and is an essential resource for the Bay Area’s medical community.
and Dr. J. Michael Bishop, receive the Nobel Prize in Medicine for innovations in cancer research.
1910—With its medical schools and large
1990s—SFMMS leaders work to improve care at the end of life, and publish guidelines on medical futility or nonbeneficial treatment
that are widely adopted by regional health systems.
Early 1990s—SFMMS supports a ban on smoking in restaurants and other businesses. This landmark policy spreads nationwide.
1991—As a champion of reproductive choice for women, SFMMS supports a woman’s right to choose, including the use of RU 486 and medical termination of pregnancy.
1997—SFMMS member, Dr. Stanley B. Prusiner, receives the Nobel Prize in Medicine for his discovery of prions and their relationship to neurological diseases.
2009—SFMMS becomes an early adopter of Physician Orders for Life-Sustaining Treatment, or POLST, in California.
2017—The San Francisco Marin Medical Society (SFMMS) is created by combining the San Francisco Medical Society, and the Marin Medical Society.
SFMMS at 150 Today, with more than 2,000 members, the San Francisco Marin Medical Society unites dedicated physicians to champion quality health care and innovation for patients and the community, and serves the professional needs of physicians in San Francisco and Marin. SFMMS aims for its membership to provide exemplary health care to the community, experience professional fulfillment and shape the future of medicine. SFMMS has evolved through the decades, and its position as leaders within the Bay Area and California continues to grow. As the eighth largest component medical society among the 37 societies within the California Medical Association, the combined organization is poised to significantly strengthen its ability to serve its membership, and now has an even stronger advocacy voice and wider sphere of influence.
Message
. . . from SFMMS Executive Director & CEO, Mary Lou Licwinko, JD, MHSA
As we celebrate the 150th anniversary of the founding of the San Francisco Medical Society (SFMS), we are highlighting the many contributions that SFMS and the Marin Medical Society (now the San Francisco Marin Medical Society) have made to physicians’ practice of medicine and the health of their patients. The SFMS was founded on February 4, 1868, in order to provide medical education and quality of care to a city with a diverse citizenry formed as a result of the Gold Rush. Thirty years later the Marin Medical Society was established to serve a burgeoning rural community. The latest organizational achievement has been the 2017 merger of the San Francisco Medical Society and the Marin Medical Society to form the San Francisco Marin Medical Society. In many ways this was a natural fit with physicians living in Marin and working in San Francisco, and vice versa, and with a patient population that is often served by physicians from both communities. There was also a fit in terms of physician activism within the two communities and a desire to continually strive for access to care for all. As the SFMMS turns 150 years old, I am also celebrating my 20th year as CEO of the organization. I am happy to report that the SFMMS is thriving and can look forward to many more great things in the future. It has been my honor to serve such a distinguished and caring community of physicians.
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