2014 Officers and Board of Trustees
Table of Contents
David Bare, MD President Matt Hollon, MD President-Elect Anne Oakley, MD Immediate Past President
President’s Message: Urgent Care: The Fast-Food Shops of Medicine But Is It Time to Get Back to Home Cooking? . . . . . . . . . . . . . . . . . .
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J. Edward Jones, MD Vice President Gary Newkirk, MD Secretary-Treasurer
PASSION
Trustees Charles Benage, MD Audrey Brantz, MD Karina Dierks, MD Elizabeth Grosen, MD Clinton Hauxwell, MD Louis Koncz, PA-C Frank Otto, MD Fredric Shepard, MD Carla Smith, MD Brian Tryon, MD Newsletter Editor – Matt Hollon, MD
– DEAN BUNKOWSKE, PHYSICAL THERAPIST
Advertising Correspondence SCMS Publications Attn: Saraj Bailey 211 W 2nd Ave Spokane, WA 99201 509-343-0123 Fax 509-325-3889 Saraj@quisenberry.net
Dean is one of 1,000 dedicated INHS employees making a d i ff e re n c e i n o u r communities for the last 20 years. Find his inspirational story at INHS.ORG/INHS20
ST. LUKE’S REHABILITATION INSTITUTE
INSPIRING COLLABORATION. CONNECTING COMMUNITIES.
IOM, GME and Spokane . . . . . . . . . . . . . . . . . . . . . . . . . 5
WSU College of Nursing Addresses Sustainability . . . . . . . . . . . . . . . .
7
Group Health Top Health Plan in Washington State, According to Washington Health Alliance . .
8
Providence Sacred Heart Announces Cardiac Intensive Care Expansion . . . . . . . . .
9
Big Brothers Big Sisters: Start Something . . . . . . . . . . . . . . . . . . . 11
Spokane County Medical Society The Message A monthly newsletter published by the Spokane County Medical Society.
“St. Luke’s is a place to nurture my passion for helping people heal with proven therapies and care.”
Vivian M. Moise, MD Gardening: One Person’s Garden is Another’s Temple . . . . . . . . 3
All rights reserved. This publication, or any part thereof, may not be reproduced without the express written permission of the Spokane County Medical Society. Authors’ opinions do not necessarily reflect the official policies of SCMS nor the Editor or publisher. The Editor reserves the right to edit all contributions for clarity and length, as well as the right not to publish submitted articles and advertisements, for any reason. Acceptance of advertising for this publication in no way constitutes Society approval or endorsement of products or services advertised herein.
SCMS Presents: Moderate (Conscious) Sedation/Analgesia Seminar . . . . . . . . . . 12
New SCMS Members . . . . . . . . . . . . . . . . . . . . . . . . .
13
Eastern Washington Physician Health Committee . . . . . . . . . . . . . . . . 14
Classified Ads: Real Estate . . . . . . . . . . . . . . . . . . . . . . .
15
Classified Ads: Medical Offices / Buildings / Positions Available . . . . . . . . . . . . 18
Classified Ads: Meetings / Conferences / Events . . . . . . . . . . . . . . . . . 20
“Patience is not the ability to wait but the ability to keep a good attitude while waiting.” –Joyce Meyer
President’s Message
President’s Message
URGENT CARE: THE FAST-FOOD SHOPS OF MEDICINE. BUT, IS IT TIME TO GET BACK TO HOME COOKING?
venture capitalists, independent owners
However, I don’t feel these
preventing chronic disease conditions.
and private investors. So profitable are
developments are the future of
Genome-mapping will be available,
UC’s in meeting the needs of people
medicine. Health care, not health,
informing providers about health issues
that according to forbes.com, they are
continues to be our greatest challenge
leading to preventive corrections in
“projected to grow to more than 12,000
as it remains costly, inconvenient, and in
protein synthesis, avoiding the disease
by 2019.”
some cases, low quality. I see a different
state altogether. It will be like having
future, though. As the availability of
your community doctor available
technology increases, many will receive
24/7 in your own home, with medical
what they need at their fingertips with
information obtained as easily as you
instantly accessible, medical-provider
can now look up the game scores of
workstations. There will be apps that
your favorite sports team.
2
Minute Clinics take Urgent Care a step further by providing a list of conditions and treatment costs that are displayed on a “menu” at the front desk and advertised in the Sunday papers. Patients are evaluated sitting in a chair rather than on an exam table. They also offer limited “shake and bake” testing, allowing the patient to shop while waiting for test results and treatment recommendations. Manned by nonphysician providers, these organizations are located within large pharmacy chains and super stores which offer multiple items housed under one roof for the convenience of their customers.
By David Bare, MD
choices, convenience and quality.
locations, with convenient and extended
SCMS President
House calls by the community doctor
hours, and acceptance of easy payment
for an evaluation led to hospitals where
methods; thus, the origin of Urgent Cares
emergency rooms (ER) and in-patient
(UC) and Minute Clinics.
At one time or another, we’ve probably all chosen a quick sandwich or burger instead of taking the time to prepare a well-balanced meal at home. Although “Home Cooking” is touted as the best way to effectively and efficiently meet quality nutritional requirements, there often isn’t time in our busy schedule to do so. However, even “home cooking” has become a bit of a misnomer. We frequently prepare products in the microwave, with little or no effort given in purchasing raw ingredients, learning the art of preparation, or understanding nutrition. Medicine over the last century has essentially changed in the same way as eating habits and eateries regarding
care were provided. Doctor offices were established to meet patient needs, with the expectation that patients would travel to a central location where all office staff would be localized. Labs, pharmacies, physical therapy, and many other ancillary services were introduced, requiring referrals or appointment scheduling to accomplish care. Multi-specialty clinics became attached to hospitals with departments that included many of the ancillary services to efficiently and effectively utilize health care resources, making for more of a one-stop shop similar to that of food courts. Similar to fast-food establishments, a need was identified necessitating complete, non-emergent care through a walk-in, non-appointment model at high traffic, easily accessible
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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UC centers serve a specific purpose, and according to www.debt.org, “Urgent
take vital signs and analyze small blood samples obtained from finger sticks, allowing providers to “listen and look” for a diagnosis and deliver treatment recommendations from a remote location. Medications will be delivered
Urgent Cares are certainly a stepping stone towards a new paradigm in health care, but I think the future of mankind’s health holds so much more promise for being and staying healthy. n
by pharmacies to the home. Health will become more important to individuals as incentives are offered through employers and insurance carriers for maintaining better health habits,
1 Fay, Bill (2014) Emergency Rooms vs. Urgent Care: Differences in Services and Costs. www.debt.org 2 Irwin, D. B. (2014, July 21). CEO and Founder of American Family Care. Drive-Thru Health Care: How McDonald’s Inspired An Urgent Care Gold Rush. www.forbes.com
SCMS MEMBERSHIP VOTES FOR DEUNIFICATION
Care costs are significantly less than those of ERs.” 1 For example, Medica
The Spokane County Medical Society
combined dues bill was becoming a barrier
to you. We will continue to participate in
Choice Network estimates treatment
(SCMS) membership ratified the vote
to membership for individuals versus
the leadership and policy development
for acute bronchitis at $127 at the UC
to de-unify from the Washington State
groups and leading to a membership less
of WSMA, and will highly encourage
compared to $595 in the ER, and $110
Medical Association (WSMA) on August
reflective of the demographics of our
our members to join both associations
for treatment of a UTI at the UC versus
15, 2014 as recommended unanimously by
medical community as a whole, driving the
and support the PAC. We thank all of our
$665 in the ER. Staffed by board certified
the Board of Trustees following their June,
discussion for de-unification.
members who took the time to participate
physicians, Urgent Care facilities provide
2014 meeting. Bylaw changes require a
the quality of care comparable to office
simple majority vote. However, this issue
practice or emergency rooms for selected
passed by an overwhelming vote of 96%.
conditions, with more and more hospitals
SCMS will continue its strong relationship, collaboration and partnership with WSMA. While it provides the opportunity
establishing UCs to expand their service
All our members will benefit by having a
to differentiate the missions and programs
area and referral base. Urgent Cares
choice of how to spend their discretionary
between the two associations, it also
have grown into a profitable business
dollars on professional memberships. This
allows SCMS to focus more closely on
venture that are owned and operated by
will be reflected in the fall dues billing for
the issues and solutions that fit our local
insurance companies, hospital systems,
the 2015 calendar year. Previously, the
area’s unique needs and are important
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in the vote. n
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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In-Depth Interview
In-Depth Interview
However, the work is hard and very physical.
end, her garden is her temple and
St. Luke’s Rehabilitation Institute and also as
She does all the landscaping herself,
that’s where you will most likely find
Medical Director for the Spokane Muscular
including hauling rocks, and it gets more
her in her free time.
Dystrophy Clinic. Dr. Moise specializes in
challenging each year. Yet, she wouldn’t have it any other way and offers these words of advice for any beginner or future gardeners. “See what’s hearty and grows well in your neighbor’s yard and get the same types.” She added that the more rare varieties in garden magazines rarely survive, and you
VIVIAN M. MOISE, MD GARDENING: ONE PERSON’S GARDEN IS ANOTHER’S TEMPLE By Shelly Bonforti
her rehab residency training at UC Davis, that
SCMS Development Coordinator
she was able to cultivate her current passion
In the backyard sits a woman, completely absorbed in her surroundings. The morning air is cool and refreshing as the sweat on her brow forms. As she seizes her shovel
for gardening. “I would see gorgeous flower gardens in my neighborhood and wanted mine to be just as gorgeous. It’s my competitive nature,” she professed.
calms me and brings me immense joy.” Gates goes on to say that working in the garden can lead to “increasing strength and better circulation, faster healing, a more powerful immune system, stronger bones (fighting bone
Her garden is her personal pride and joy. She
better-functioning organs – all of which help
reaching the noon hour. She stretches
has created her own waterfall and tiered
avoid injuries and illness while speeding up
forward, excavating the ground before
perennial garden landscaping, and maintains
recovery when damage does happen.”
her. She takes a break to stretch, and then
about 20 rose bushes and a large perennial
continues her task at hand. Why is she
flower garden. “It’s my therapy,” she states,
doing this, you may ask? Many answers may
“and being in the garden is my spiritual
come to mind, but there’s only one obvious
connection as well. My garden is my temple.”
is her therapy for long 12-14 hour days from her responsibilities as Medical Director of both the Spokane Muscular Dystrophy Clinic and the Spinal Cord Injury Program at St. Luke’s Physiatry Practice.
remove weeds every single week or they will take over.”
care. She sees herself as being a patient
California, and graduated with honors from the University of California, San Francisco. She completed her Physical Medicine & Rehabilitation Residency at the University of California, Davis Medical Center, where
When she’s not in her garden working,
she later served as Chief Resident. Board-
you can find Dr. Moise watching her
certified by the American Board of Physical
favorite crime-solving television
Medicine and Rehabilitation as well as in the
shows, working out on her treadmill
sub-specialty of Spinal Cord Injury Medicine,
or retail therapy (better known as
Dr. Moise currently serves as Medical
catalog clothes shopping). But in the
Director of the Spinal Cord Injury Program at
gardening also provides a great workout. Digging borders and holes, and regular weeding are great
working outdoors and being in tune with
for toning arms. It also brings about a sense of
nature has been part of the human equation
accomplishment, and of course, landscaping adds
from man’s earliest existence. It is the
to the value of a property.
Growing up in Hollywood, California, Dr. Moise
serious disconnect we are having with the
recalls living in a poor section of town in an
planet, our lifestyles, the interconnectedness
apartment building where her garden was
with life (and non-life) as well as each other
described as a cement driveway. There was
that is making the rediscovery something
no real opportunity for her to do anything of
new — and vitally important.” Dr. Moise
the sort. She had lived in apartment buildings
agrees, “When I’m in my garden working, I
her entire life prior to practicing as a full-
feel connected to the earth, the heavens, the
fledged doctor. It wasn’t until years later, after
divine, and to nature and all living things. It’s
moving to Spokane for her first job following
a spiritual activity for me that grounds me,
3
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than paying for cut versions from expensive
Croft Horticultural Design. “Growing things,
For Dr. Moise, gardening produces a great “high” as she watches life return to the garden in the spring as winter fades, and as her flowers come back each year. She planned how and where each flower and shrub would be planted so there would always be something blooming in every part of her garden, be it spring, summer or fall.
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musculoskeletal injuries. n
Dr. Moise completed all of her schooling in
planting and using your favorite flowers rather
rediscovered,” said Jane Gates of Gates &
injuries, neuromuscular diseases and
to improve the quality of life of each patient.
as well. The most obvious is saving money by
florists. Not only do flowers smell good, but
the treatment of patients with spinal cord
educator as well as a physician and works
There are many unseen benefits of gardening
“Horticulture as therapy is being
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
the shade or vice-versa. And last, “you gotta
the guiding influence in Dr. Vivian Moise’s
loss), better coordination and flexibility, and
and pitch fork, she diligently digs before
response for Dr. Vivian Moise. Gardening
should never place sun-loving perennials in
A strong connection with each patient is
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SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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Medical Education
Medical Education
IOM, GME AND SPOKANE
This will all take time, likely lots of time.
Reauthorization of the act through 2020 will
do their entire medical training (medical
Fortunately there is some hope in the short-
be considered in the next congressional
school and residency) without leaving
term. There are some limited alternative
session (S-1759).
Spokane. We all know that those who train
funding mechanisms available. As you have likely heard, the Internal Medicine
By Darryl Potyk, MD, FACP
and other professions in general. The
today, an increasing amount of training (and
University of Washington School of
IOM cites both the public’s health and the
most of the practice of medicine) is done
Medicine Assistant Dean for Regional
economy as having important stakes in the
outside of the hospital setting. Graduate
Affairs & Clinical Professor Providence
effectiveness and availability of a well-
medical education funding is broken in
Internal Medicine Residency Spokane
trained physician workforce. Recognizing
these and several other ways. But since the
Associate Program Director
that transition in health care delivery is
current funding mechanisms are written as
necessary, the IOM stated that “leveraging
federal statues, changing to a more focused,
the public’s GME investment for greater
strategic and accountable system will truly
public benefit depends on secure and
require an act of Congress.
I don’t always agree with what they have to say, but when the Institute of Medicine issues a report I try to pay attention as it is usually of some consequence. So when the IOM recently issued a document titled “Graduate Medical Education that Meets the Nation’s Health Needs” I thought I should pay attention. Should you pay attention? I would say yes, as a physician who did your residency in the US your residency paid was paid for by the government and the government continues to fund residency programs. This discussion is particularly relevant as we seek to expand
predictable funding. This goal is achievable by keeping federal GME support in Medicare where it can continue as an entitlement program. Effective strategic investment is far less feasible in a federal program subject to annual discretionary funding.” Thus, the recommendation is being made to continue funding GME through Medicare, although
With this background information, the IOM makes the following recommendations: Transition to a performance-based
they recommend significant changes in the
Maintain the level of GME funding through
funding mechanisms.
Medicare (inflation adjusted), although the current Medicare GME payment
sure that GME funding is strategic and
we should be paying attention to this issue.
responsible. Strategic in the sense that while
Graduate medical education (GME) is funded
there is an ongoing debate regarding the
through Medicare and in 2012 alone, public
number of physicians needed, there is no
tax dollars contributed more than $15 billion
doubt that currently the physician workforce
To meet these needs, new infrastructure
to support residency training. That should get
is mal-distributed. Shortages remain in
will be needed; specifically a GME Policy
everyone’s attention.
several areas and should be targeted
Council to be housed in the Department
strategically. While GME has produced more
of Health and Human Services as well
physicians, it has not produced an increasing
as a GME Center within CMS. A portion
proportion of physicians who choose to
of GME budget should be allocated to
practice primary care, to provide care to
create and sustain these new entities (no
underserved populations, or to locate in rural
additional public funds should be used).
support GME. If yes, should Medicare, a health insurance program for older adults and certain disabled people continue to fund an educational program? The committee debated the justification and rationale for federal GME funding given the lack of federal funding for undergraduate medical education, other health care professionals
or underserved areas. Increasing strategic spending and accountability in the future will likely address these issues. Furthermore, GME funding was codified at a time when hospitals were central to GME training and payments go currently to sponsoring institutions, most of which are hospitals. Yet
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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by the Teaching Health Center Act. This act has allowed grants to teaching centers for the establishment of new accredited or expanded primary care residency programs. While we are all very excited about local GME expansion and alternative funding outside of the traditional CMS model, this alternative funding stream, the “Teaching Health Center Act”, expires in 2015 and must be reauthorized by Congress.
Education Act of 2014.” This legislation builds upon the Teaching Health Center model to permanently fund Teaching Health Centers (through Medicare) and their focus on training primary care physicians in community-based settings and rural/ underserved areas beginning in 2019. I find it exciting and frankly amazing! Spokane is on the forefront of change and this is an invigorating time to be involved in medical education. Students can currently
physicians and physicians-to-be will soon be joining us as peers and colleagues. In addition, they will likely be the ones taking care of us as we get older (so train them well!). There are changes coming, but all of these changes point to increasing medical education in Spokane one way or another. I hope that you will consider getting involved in the medical education process; supporting this expansion, supporting increased funding for GME and welcoming medical students and residents into your office(s). It is in all of our best interests. n
physician workforce.
in Spokane. In addition, simply as taxpayers
whether the public should continue to
through alternative funding made possible
titled “The Community-Based Medical
and join us as colleagues. These young
strategic investment in the nation’s
One area that the IOM focuses on is making
fundamental questions; the first one being
here in Spokane each increased by 3 slots
introduced new legislation (S. 2728)
here are very likely to remain here in town
system of GME funding that will drive
undergraduate and graduate medical education
The IOM report started by asking
and Family Medicine residency programs
In addition, on August 1, Patty Murray
system should be phased out in favor of a system that is based on performance, ensuring oversight and accountability while encouraging innovation.
The GME funding system should not be based upon hospital volumes but rather should be
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based upon a national per-resident amount, and the funding should be redirected so that GME funds are distributed directly to the
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GME sponsors.
| THE MESSAGE | SEP TEMBER 2 014
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Medical Education
Group Health
WSU COLLEGE OF NURSING ADDRESSES SUSTAINABILITY
By Alli Benjamin
hired Beth Schenk, who was then enrolled
nursing faculty, documenting the importance of
WSU College of Nursing
in the college’s PhD program, to assess the
sustainability in practice and how to take steps
college’s sustainability practices in a research
to green health care settings and in education.
It’s estimated that every day, hospitals in the U.S. produce 33 pounds of waste per patient, totaling more than 6,000 tons across the nation. As the nation’s largest health care profession and the largest single component of hospital
assistant role. She asked Schenk to advise where green topics could be inserted into coursework and to create sustainable tools and resources for students and faculty.
“This is a double-edged sword for nursing,” said Butterfield. “We want the 3.1 million nurses in the U.S. to understand the toxic chemicals they are being exposed to in the
staff, nurses have the potential to lead a culture
“If this is something we’re teaching our nursing
workplace, and we want to empower them to
of sustainability.
students, it must be something we embrace and
make changes to reduce health care’s impact
practice as a college first,” Butterfield said.
on the environment.”
33 pounds of waste per patient—it’s not
Findings from Schenk’s recommendations were
Since Schenk completed the environmental
just soiled linens or trash from a nursing
broad. She looked at the college’s energy and
assessment of the college, staff and faculty
station,” said WSU College of Nursing Dean
water usage, computer energy management,
have been actively pursuing green goals, and
Patricia Butterfield. “It’s a bag of leftover
commuting practices and incentives, waste,
there is interest from University leadership to
chemotherapy. It’s unused antibiotics and
recycling practices, exposure to toxic
spread this movement across WSU Spokane.
radioactive waste. In some places, it’s
chemicals, and more. Recommendations ranged
outdated electronic components being
from simple changes that could be immediately
shipped to Third World countries, where it
addressed to long-term, phased approaches
will sit in a landfill emitting toxic chemicals
for more complex issues. Next came inserting
like lead, mercury, and cadmium. These are
this information into the curriculum. Schenk
examples of deadly chemicals that end up in
analyzed both undergraduate and graduate
our environment, for us and future generations
coursework. Opportunities were abundant.
“When you think about a hospital producing
to be exposed to.”
“We found many natural links. In physiology
Long an advocate for environmental health
courses, we spoke about hormone disrupting
and sustainability, Butterfield has made
chemicals like Bisphenol A (BPA), flame
intentional decisions to infuse a culture of
retardants, phthalates—a ubiquitous type of
sustainability into all aspects of the college
chemical found in many products, including
which is headquartered in Spokane—
plastics, cosmetics, adhesives, and more. In an
programs, teaching, and daily business
informatics course, we covered electronic waste
operations. “The health care industry has
and what happens when components are left
incredible potential to make a big impact on
in a landfill, as well as how to investigate safe
environmental sustainability,” said Butterfield.
alternatives for disposal,” Schenk said.
This effort is positioning the college as a leader in sustainable health care and nursing practice, both in course content and in recruiting faculty and doctoral students interested in sustainability.
A spring ‘14 graduate, Schenk began a 25 percent faculty appointment with the college this fall. Looking to the next five to 10 years, both Schenk and Dean Butterfield are continuing to develop resources and tools
GROUP HEALTH TOP HEALTH PLAN IN WASHINGTON STATE, ACCORDING TO WASHINGTON HEALTH ALLIANCE
Group Health Cooperative was the overall
Several Washington plans, including Aetna,
transparency and providing information about
stewardship into coursework.
top-scoring health plan among five assessed
Cigna and Group Health, all performed close to
the quality of a physician or hospital.
by the Washington Health Alliance, a
the national best in select areas.
“When I realized I wanted to pursue a PhD in
collaborative of employers and others
Nursing, I was not sure how it would advance
working to improve health care transparency
this issue, but I felt that the issue was largely
and quality through measurement.
for bringing content related to environmental
missing from scientific conversations in nursing,” said Schenk. “I am pleased to be able to add to the conversation, and feel that the work to earn my PhD has been time well spent. I am hopeful that by offering scientific analysis to nursing practice issues related to environmental impacts will help, as Dr.
“evaluate”), was designed by the National
best in “helping members manage acute/
Business Coalition on Health (NBCH). eValue8 is
episodic conditions and advanced care.”
a nationally standardized request for information (RFI) that was originally developed by the NBCH to help purchasers assess the performance of health plans. Today, NBCH regularly updates the
Schenk and posted in clinical lab spaces. The
environmentally safe and healthy practice.’”
RFI based on evidence, consensus standards
For more information on environmentally
plans across the country. The Washington Health
sustainable work related to nursing, and to
Alliance uses the eValue8 request for information
view some of Schenk’s work, visit
to evaluate health plans in the state.
environmentally preferable products, toxic
Infusing a culture of sustainability at the college
chemical disposal, and recycling. Videos
has taken time. Beginning in 2010, Butterfield
were produced for current WSU and national
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
7
nursing.wsu.edu/Research. n
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“helping members get/stay healthy”; it was less than one percentage point below the national
Butterfield says, ‘move the dial toward more
students and faculty on energy use, purchasing
below the best performance in the nation on
The assessment, known as eValue8 (pronounced
Informational posters were created by posters provided a wealth of information for
Group Health was only two percentage points
and input from health care purchasers and health
Aetna scored on par with the best performance nationally in the area of physician and hospital management measurement, which includes how well a plan reduces hospital readmissions and what health plans require of hospitals in their network.
state on giving members information on costs. A sixth insurance plan, Premera Blue Cross, was invited to participate in the voluntary evaluation but has declined to take part since 2009. More than half of a plan’s score depends on how well it supports its members in helping get healthy, be good consumers and manage their own health, including acute, episodic or chronic conditions. Group Health scored particularly high in promoting members to get and stay healthy, especially in the areas of tobacco use and obesity.
Cigna scored close to best performance nationally in consumer satisfaction, price
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
Regence was the highest-scoring plan in the
8
For more information contact Angela Matson, Group Health (509)241-7146. n
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Providence Sacred Heart
Providence Sacred Heart
PROVIDENCE SACRED HEART ANNOUNCES CARDIAC INTENSIVE CARE EXPANSION
campaign to support this historic project. The
completion by April 2016. Mahlum Architects
admit patients with critical heart conditions
PHC Foundation will match up to $2 million of
of Seattle and Bouten Construction of
throughout the construction process.
all donations to the CICU expansion.
Spokane are partnering on the project,
There will be a reduction in beds available
which will provide jobs to skilled workers
in the CICU for a time, but experienced
from approximately 60 sub-contractors.
cardiac nurses will still oversee patients
Additionally, Providence will hire more
who may be placed in other specialized
critical care nurses to staff the new Cardiac
intensive care units during the expansion.
Phase 1 of construction (building new space) will be complete by June 2015 and phase 2 (remodeling existing rooms) is planned for
Providence
space for critical care patients,” says
Driven by cardiac physicians and nurses,
Intensive Care Unit
Sacred Heart
Elaine Couture, regional chief executive
the design features sophisticated team
upon completion of
Medical Center
for Providence Health Care, which
stations that will make the critical care
the expansion.
& Children’s
includes Sacred Heart Medical Center &
environment easier for families, patients
Children’s Hospital.
and caregivers to navigate.
Hospital has announced that it will expand and remodel its adult cardiac intensive care unit (CICU) to meet the needs of the region for highly specialized cardiovascular inpatient treatment. Construction began July 28 and will be complete by
CONSTRUCTION
Need agreement with the Washington State
that will dramatically improve our ability to
Department of Health.
provide sophisticated care to these complex
An open-air courtyard will provide reprieve for patients who are able to leave their rooms, and for their loved ones who occasionally
a reputation as the region’s
spend weeks visiting the hospital.
leaders for cardiovascular care and research. Sacred
caring for the whole person,
cardiac surgical programs
which is central to the way we
on the west coast and
serve our patients and families,”
performs more cardiovascular
“This long-standing excellence and reputation have drawn referrals from a five-state region and to meet the needs of patients, we need to expand our inpatient
Providence proudly welcomes Dr. David Ramey to our team.
“This type of feature is vital to
Heart has one of the largest
and heart transplantation.
joe.robb@providence.org. n Images by Mahlum Architects
surgical services at Sacred Heart.
Heart Institute have long held
bypass grafting, robotic cardiac surgery
will continue to
Providence Health Care at (509) 474-3081 or
Worrall, MD, chair of cardiac
and the Providence Spokane
repair and replacement, coronary artery
Sacred Heart
For more information, contact Joe Robb,
overall experience,” says Neil
Providence Sacred Heart
as a regional and national leader in valve
Providence
enhance the patient’s and family’s
existing space.
state. Sacred Heart has been recognized
says Couture.
clinicians and have designed a new CICU
space and another to remodel
adult cardiac surgery performed in the
CONTINUES
“Sacred Heart listened to our expert
phases: one to build out new
including approximately 15 percent of all
the highest quality care at Sacred Heart,”
project as part of the 2012 Certificate of
project will take place in two
procedures than any facility in Washington,
to ensure every patient continues to receive
Providence received approval for this
patients, while at the same time,
fully vetted by our providers and caregivers
PATIENT CARE DURING
spring, 2016. The $19.2 million
“A staffing and transition plan has been
says Couture. WHAT THE EXPANSION WILL DO The project will include renovation and modernization of the existing 22-bed unit and add 12 more critical care beds. All rooms will have the latest monitoring equipment necessary for patients with complex needs. Existing stationery “booms” where all devices are plugged in will be replaced by mobile booms so caregivers can position equipment in the most appropriate and convenient way to expedite care.
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
9
Dr. Worrall adds, “The expanded CICU will allow us to make the sophisticated and specialized care that Sacred Heart is known for available to more patients in our community and the region.” As a non-profit health care system, Providence relies on community support to help fund essential needs of its hospitals that are above and beyond capital budgets. Providence Health Care Foundation is
PROVIDENCE MEDICAL PARK - SPOKANE VALLEY
David Ramey, MD, recently joined Providence Medical Specialties in Spokane Valley. Dr. Ramey is board certified in neurology and sees adult general neurology patients. He is also a fellowship trained, board-certified sleep specialist, providing diagnosis and management of adult and pediatric sleep disorders. Medical Specialties Providence Medical Park 16528 East Desmet Court Spokane Valley, WA 99216
Accepting new patients. To schedule a referral call 509.944.8971. For a complete listing of Providence Medical Group physicians, visit phc.org.
launching a community-wide fundraising
| THE MESSAGE | SEP TEMBER 2 014
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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| THE MESSAGE | SEP TEMBER 2 014
Big Brothers Big Sisters
Course Objectives
Spokane County Medical Society presents
START SOMETHING HOW TO GET INVOLVED
a direct and lasting effect on the lives of young people in our community to change their lives for the better, forever.
By Bailie Guinn, Partner Relations Associate As the nation’s largest donor and volunteer supported mentoring network, Big Brothers Big Sisters makes meaningful, monitored matches between adult volunteers, or “Bigs,” and children, “Littles,” ages 6-14. We develop positive relationships that have
Right now, we have nearly 80 kids on our waiting list who are excited to be matched
We partner with parents/guardians, volunteers,
with a Big Brother or Big Sister, and we
and others in the community to help each child
need your help! If you’d like to change the
in our program have higher aspirations and
life of a child in our community and live in
greater confidence, avoid risky behavior, and
Spokane or Kootenai County, you might be
achieve educational success.
the perfect mentor in the Big Brothers Big
Want to hear more about how our program makes an impact in the lives of area children? Check out our “Moment with a Match” videos at www.nwbigs.org/videos
PLASTIC SURGERY 41% NEUROLOGICAL SURGERY 39% URGENT CARE 38% NEUROLOGY 36% PATHOLOGY 33% CARDIOVASCULAR SURGERY 32% ORTHOPEDIC SURGERY 32% UROLOGICAL SURGERY 32% GENERAL SURGERY 31% RADIOLOGY 30% EMERGENCY MEDICINE 30% OBSTETRICS AND GYNECOLOGY 29% FAMILY PRACTICE 29% OPHTHALMOLOGY 28% INTERNAL MEDICINE 27% PULMONARY DISEASES 26% GENERAL PRACTICE 26% GYNECOLOGY 24% PEDIATRICS 24% GASTROENTEROLOGY 21% PSYCHIATRY 20% PHYSICAL MEDICINE & REHAB. 18%
Sisters program. To start the enrollment process or learn more about the details of becoming a “Big,” go to our website (http://www.nwbigs.org/bigs), or contact Ken Shelton at kshelton@nwbigs.org or (509) 328-8310 x214. n
Most physicians can expect to face at least one claim over a 30-year career. Our proprietary research indicates that, depending on your specialty, you have an
18-41%
chance of that claim turning into a lawsuit.*
How likely are you to get sued? With
100%
defense verdicts in public trials over the past 5 years,*
and 90.7% during the past 10 years, our defense skills are indisputable. Discover why more physicians are switching to the only locally based, mutually owned company in the Pacific Northwest for their liability insurance. *
See more details at phyins.com/howlikely.
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
www.phyins.com HOME OFFICE: Seattle, WA
11
| THE MESSAGE | SEP TEMBER 2 014
Moderate (Conscious) Sedation/Analgesia
SEMINAR
At the conclusion of this program participants will be able to: •
•
THURSDAY, OCTOBER 30, 2014 5:30 pm – 9:00 pm
• •
PROVIDENCE SACRED HEART MEDICAL CENTER AUDITORIUM TH 101 W 8 AVE, SPOKANE, WA 99204
•
Agenda & Faculty 5:30 – 5:55 pm
Registration/Dinner
•
5:55 – 6:00 pm
Program Welcome, Announcements, and Overview – Dr. Lloyd Halpern
•
6:00 – 6:15 pm
Practice Standards and Risks for Moderate Conscious Sedation/Analgesia – Dr. Eric Johnson
•
6:15 – 6:45 pm
Monitors: Why Use Them, How They Work, and What is Measured – Dr. David Burns
6:45 – 7:00 pm
Adults: Pharmacology of Commonly Utilized Anesthetics – Dr. Eric Johnson
7:00 – 7:30 pm
Practical Considerations for MSA for Adults – Dr. Eric Johnson
7:30 – 7:45 pm
Break
7:45 – 8:15 pm
Two Critical Case Presentations/Adult with Simulator – Drs. Halpern & Johnson
8:15 – 8:45 pm
Pharmacology of Commonly Utilized Anesthetics and Practical Considerations for MSA for Children – Dr. Lloyd Halpern
8:45 – 8:55 pm
Course Question/Answer Session
8:55 – 9:00 pm
Closing Comments – Dr. Lloyd Halpern
CME Category 1
Moderate (Conscious) Sedation is utilized by an increasing number of officebased physicians and dentists. Attendance at this seminar will enable medical professionals to understand pertinent guidelines, monitoring standards, and discuss practical considerations for adults and children.
Moderate (Conscious) Sedation and Analgesia Seminar
Other:
)
The Spokane County Medical Society designates this educational activity for a maximum of 3.0 hours in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission. The Spokane County Medical Society designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.
______ SCMS Members (MD, DO) $115 ______ PA Member $100 ______ Retired SCMS Members (MD, DO, PA) $95 ______ Non-Members (MD, DO) $175 ______ Non-Member PA and ARNP $125 ______ Allied Health (RN and Others) $85 ______ Residents $25 ______ Medical Students $25 ______ NW Telehealth Sites (Dinner Not Included) $95 (Offsite) ______ Total Enclosed
Zip:
RSVP by October 24, 2014 No cancellations or refunds after October 24, 2014 Please make pre-payment by: Check Make checks payable to: SCMS Account Number: Exp Date: Card Holder’s Billing Address & Zip:
The Spokane County Medical Society is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.
Regular Dinner Vegetarian Dinner
Specialty: State:
3.0 Hours
Attendance includes dinner and course materials
(Please Print)
Name: E-mail: Physician: Day Phone: ( Address: City:
•
Identify the risks associated with Moderate Sedation/Analgesia (MSA). Comprehend relevant national and state standards of care. Apply best-practice monitoring for patients receiving MSA. List medical conditions and characteristics of patients at higher risk during MSA, with particular attention to the airway. Understand the necessity for maintaining patient consciousness and the elevated risks associated with unconsciousness. Select appropriate anesthetic agents and doses based on the knowledge of the pharmacology of these agents and patient condition, age, and size. Advise patients which medications should be continued or stopped prior to surgery. Develop office protocols for the treatment of untoward events such as airway obstruction, anaphylaxis, bleeding, and hospital transfer. Outline practical considerations for MSA for both adults and children.
VISA MC
Contact Karen (509) 325-5010 for more information Fax form to (509) 325-5409 or mail to SCMS–Orange Flag Bldg, 104 S Freya St, Ste 114 Spokane, WA 99202
FINAL OPPORTUNITY TO ATTEND THROUGH SCMS
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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| THE MESSAGE | SEP TEMBER 2 014
New SCMS Members The following physicians and physician assistants have applied for membership and notice of application is presented. Any member who has information of a derogatory nature concerning an applicant’s moral or ethical conduct, medical qualifications or such requisites shall convey this to our Credentials Committee in writing to the Spokane County Medical Society, 104 South Freya Street, Orange Flag Building, Suite 114, Spokane, Washington, 99202.
Shino, Trent, MD Family Medicine Med School: U of Utah (2011) Internship: Providence Family Medicine Residency Spokane (2014) Joined Family Medicine Center 08/2014
PHYSICIANS PRESENTED A SECOND TIME Dave, Brijal, MD Pathology Joined InCyte Pathology, PS 07/2014 Yin, Liqun, MD Anatomic & Clinical Pathology Joined InCyte Pathology, PS 09/2014 Gebrekidan, Dawit, MD Internal Medicine Joined Providence E. WA. Internal Medicine Hospitalists 09/2014
and talent has helped to make the Spokane County Medical Society
40 Years
Assistance is available to you in the following areas:
Marital and Family Issues
Death of a Spouse or Family Member
Drug/Alcohol Misuse
This commi�ee, a fusion of the former SCMS commi�ee and one including members of medical staffs of Community Health Services and Providence Health Care Hospitals, meets quarterly to educate ourselves about physician health issues, review u�liza�on and sa�sfac�on with the Wellspring Employee Assistance Program (EAP) and plan ac�vi�es, programs and resources to address needs in those areas.
Lawsuit Educa�on and Support
Some of the guiding principles of the commiƩee are:
MQAC/OSTEO Board Issues
Boundary Issues
The medical profession and healthcare community should foster physician well‐being
Disrup�ve Behavior
A sense of community with one’s peers is vital to personal well‐being
Elder Care
Assess the changes in the healthcare environment
Prac�ce Management
Jeffery M. Snow, MD
9/16/1974
20 Years Eric J. Bowton, MD
9/13/1994
David R. Fregeau, MD
9/13/1994
Carol R. Guthrie, MD
9/13/1994
Alfonso Oliva, MD, FACS
9/13/1994
M. Kathleen Reilly, MD, PhD
9/13/1994
10 Years Anthony M. Sestero, MD
9/1/2004
Saima M. Ahmad, MD
9/29/2004
Ethan M. Angell, MD
9/29/2004
J. Keith Carter, MD
9/29/2004
Joseph L. Cvancara, MD
9/29/2004
Sarah E. D’Hulst, MD
9/29/2004
Physician Commi�ee Members
Mancong Zhang, MD
9/29/2004
(Name and Contact Informa�on) Jim Shaw, Chair 710‐3151
Chatburn, Andrea, DO Family Medicine/Hospice and Palliative Medicine Joined Providence Medical Group Palliative Care 08/2014
Invested in Your Comfort and Your Care Hospice of Spokane’s first priority is patient care so our patients can focus on what’s important to their lives.
PHYSICIANS ASSISTANTS
“You think you’re prepared for it, and you’re just not. I made the choice for Hospice of Spokane. The doctor said ‘enjoy the fact you can just be [the] daughter now.’”
Lee, Brandon, PA-C Physician Assistant Med School: U of WA, MEDEX Northwest (2010) Joining Emergency Consultants, Inc. TBA
PHYSICIANS ASSISTANTS PRESENTED A SECOND TIME
– Amanda, daughter of Hospice of Spokane patient
Baca, David, PA-C Physician Assistant Joined Northwest Orthopedic Specialists 07/2014
Northeast Washington’s only nonprofit hospice, providing care and support for terminally ill patients and their families since 1977.
Comfort. Dignity. Peace of Mind.
Gott, Jacob, PA Physician Assistant Joining Spokane Critical Care 11/2014
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
EWPHC is a “quick call” to find assistance
Thank you to the members listed below. Their contribution of time the strong organization it is today.
PHYSICIANS
EASTERN WASHINGTON PHYSICIAN HEALTH COMMITTEE (EWPHC)
MEMBERSHIP RECOGNITION FOR SEPTEMBER 2014
509.456.0438
hospiceofspokane.org
Barry Barnes
255‐6557
Michael Metcalf
927‐4102
Paul Russell
954‐4989
Steve Brisbois
953‐3798
Michael Moore
747‐5141
Robert Sexton
624‐7320
Andi Chatburn
624‐2313
Mira Narkiewicz
889‐5599
Tasca Snow
565‐4000
Deb Harper
443‐9420
Sam Palpant
467‐4258
Alexandra Wardzala
990‐1938
Michael Henneberry
448‐2558
Tad Pa�erson
939‐7563
Hershel Zellman
993‐4274
Greg Loewen
844‐8476
Rod Peterson
944‐5781
Caduceus Al Anon Family Group ‐ Meets every Thursday evening from 6:15 pm un�l 7:15 pm at 626 N. Mullan Rd., Spokane, WA. Non‐smoking mee�ng for spouses and signicant others of Healthcare Providers who are in recovery or who may need help seeking recovery. Facilitated 12 Step Al Anon Format. No dues or fees. Contact (509) 928‐4102 for more informa�on. Physician Family Alanon Group ‐ Physicians, physician spouses or signicant others and their adult family members share their experience, strength and hope concerning difficult physician family issues. This may include medical illness, mental illness, addic‐ �ons, work‐related stress, life transi�ons and rela�onship difficul�es. We meet Tuesday evenings a�er 6pm. The format is structured by the 12‐Step Alanon principles. All is conden�al and anony‐ mous. There are no dues or fees. To discuss whether this group could be helpful for you, contact Bob at (509) 998‐5324.
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| THE MESSAGE | SEP TEMBER 2 014
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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Classified Ads
REAL ESTATE MEDICAL OFFICE SPACE AVAILABLE FOR SUBLET IN DEACONESS MEDICAL BUILDING at 801 West 5th Ave. 1,400+ sq. ft. to accommodate two to three practitioners. Prime location on main floor and nicely decorated. Available December 1, 2014. Call (509) 953-9417 for details. RIVER FRONT AND ACREAGE, 3,300 sq. ft., 4 Bedroom Home for Lease (Or Sale) $1,850/month. Close in but feels like the country. Four bedroom, three and ½ bath, master suite with corner jetted tub and large walk-in closet, open living and dining area with great views and gas fireplace, family room with wood stove, attached two-car garage and detached two-place carport. Forced air natural gas furnace. Large multilevel deck and patio looking toward river. Wooded acres on the Little Spokane River with private trails, sandy beach and swimming hole. Plentiful wildlife. School bus comes to front drive. Mead school district. Close to Whitworth, shopping and freeways but very quiet and secluded. Cable hook-up. Grounds are river irrigated. First and last plus cleaning deposit. Utilities not included. No indoor pets. $150/month grounds maintenance fee if you choose not to do it yourself. Contact Scott (509) 435-7099. For photos go to Craig’s list - http://spokane. craigslist.org/apa/3984125910.html. COMFORTABLE THREE-BEDROOM HOME in quiet neighborhood for rent. Good storage in kitchen, gas stove, dishwasher, refrigerator, washer/dryer and fireplace. Comes furnished or can negotiate. Close to Hamblen Grade School, Sac Middle School and Ferris High School. Three bedrooms, three baths, large living room, family/TV room, master bedroom has private bathroom, two-car garage. Large windows in living room look out into large fenced yard with automatic sprinkler system (front and back). Snow blower and lawnmower provided. Call (408) 594-1234 or (509) 993-7962.
ONE OF COPELAND’S BEST NORTH SIDE HOMES on over fifty acres with meadows, trees, complete privacy and gorgeous views. This home offers contemporary living at its best featuring four bedrooms, four bathrooms, three-car garage, hard rock maple floors, cabinets and built-ins, three balcony decks plus a patio with water feature. The second level has a distinctive master suite with custom built-ins, large walk-in closet, lovely master bath with lowboy toilet and bidet, a large sitting room with built-in shelving, raised gas fireplace and extraordinary views! The main floor great room boasts granite, stainless appliances, oversized pantry and very functional laundry suite with chute. Super-efficient geothermal heating and cooling affords economical year ‘round comfort. Twenty minutes from Holy Family Hospital. Mead schools! $665,000 Call Marilyn Amato at (509) 979-6027. ALL COSTS INCLUDED--UPSCALE VIEW CONDO One of a kind, separate entrance condo built into an upscale home on the north side. (Owners rarely in residence) This home is located in a quiet, gated community, with panoramic views overlooking a small lake and golf course. It is totally turnkey furnished, dishes, linens, cleaning supplies etc. All new appliances, modern decor. One bedroom (king size bed/rollway for guests) one bath, complete laundry room w/full size washer/dryer and one car garage with extra storage. ALL COSTS ARE INCLUDED! Heat/ AC, Utilities/Water, Cable TV, Internet/Wi-Fi, Long Distance phone. Golf and walking trails right out the door. Close to Holy Family Hospital and Whitworth University. Freeway access to South Hill hospitals. Call (509) 954-8339 for details. Available immediately. Willing to rent “unfurnished.” NEW 2,400 SQ. FT. HOME located five minutes from downtown Spokane in country setting. Three bedrooms, three bathrooms, full kitchen and completely furnished. $250.00 day/$1,000.00 week/$3,000.00 month with a month maximum stay unless arranged by owner. Call Sheri at (208) 641-9069 or email 209homedesign@gmail.com.
You’re invited to a
Region 9 Healthcare Coalition FREE Event
REGISTER: srhd.org/register/default.asp?id=41
Emergency Preparedness Workshop for Healthcare Providers Thursday, October 16, 2014 Breakfast: 6:30 a.m. Speakers & discussion: 6:45 a.m. - 9:00 a.m. Shriner’s Hospital Health Education Center, Room 1 FREE Join our efforts to increase the resiliency of your practice’s & our community’s healthcare system emergency response capacity by: • Delivering the right care in the right amount of time during emergencies • Meeting the planning & response needs of the broader healthcare system • Having a voice in the community planning process • Securing Medicaid reimbursement through active participation in preparedness planning We’ll also have facilitated table discussions and networking opportunities. REGISTER: srhd.org/register/default.asp?id=41
The Washington State Region 9 Healthcare Coalition is a group of 250+ committed volunteers who work in healthcare across the 10 counties of eastern Washington, and we’re reaching out to new community partners. Learn more by visiting our website srhd.org/hcc or by emailing hcc@srhd.org.
CONTINUED ON NEXT PAGE
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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| THE MESSAGE | SEP TEMBER 2 014
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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| THE MESSAGE | SEP TEMBER 2 014
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SPOK ANE COUNT Y MEDICAL SOCIE T Y |
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| THE MESSAGE | SEP TEMBER 2 014
REAL ESTATE (CONT’D) CONDO FOR RENT- Very nice and clean 2BR, 2BA one-level, 1,200 sq. ft. 7th and Monroe, City views, one block walk to Deaconess, Shriners, shopping. Convenient to SHMC, Rockwood and downtown. Covered underbuilding parking. Quiet, nicely updated, fireplace, dishwasher, washer/dryer, elevator. $800/month. Call (509) 263-1746 for more information and to see.
635 to 10,800 contiguous usable sq. ft. and has undergone extensive remodeling, including two new elevators, lighted pylon sign, refurbished lobbies, corridors and stairways. Other tenants in the building include urgent care, family practice, pediatrics, dermatology, dentistry, pathology and pharmacy. Floor plans and marketing materials emailed upon request. A Tenant Improvement Allowance is available, subject to terms of lease. Contact Patrick O’Rourke, CCIM, CPM®with O’Rourke Realty, Inc. at (509) 624-6522, mobile (509) 999-2720 or psrourke@comcast.net.
MEDICAL OFFICES/BUILDINGS NEW MEDICAL PLAZA - Downtown Spokane has available a 2,000 sq. ft. Ambulatory Surgery Center within a newly constructed integrated medical plaza. Medical Plaza is comprised of complimentary clinical specialties including dermatology, age management, wellness programs and a medical spa. Surgery Center is ready for immediate custom build out to your specifications. Conveniently located within one mile of two major hospitals at the intersection of 3rd and Sherman. Plenty of onsite parking with heated sidewalks. Building amenities include shared conference room, beautiful lobby, coffee kiosk and more. Partnership/ownership opportunity possible subject to terms of lease. Financing available. For further information, and to schedule a tour, contact John Driscoll at (509) 624-1184, ext. 1123. SOUTH HILL – on 29th Avenue near Southeast Blvd. - Two offices now available in a beautifully landscaped setting. Building designed by nationally recognized architects. Both offices are corner suites with windows down six feet from the ceiling. Generous parking. Ten minutes from Sacred Heart or Deaconess Hospitals. Phone (509) 535-1455 or (509) 768-5860. NORTH SPOKANE PROFESSIONAL BUILDING has several medical office suites for lease. This 60,000 sq. ft. professional medical office building is located at N. 5901 Lidgerwood directly north of Holy Family Hospital at the NWC of Lidgerwood and Central Avenue. The building has various medical office spaces available for lease from
OFFICE SPACES FOR LEASE 1315 NORTH DIVISION - Located 1.5 miles north of downtown Spokane and just west of Gonzaga and the university district. SUITE #1 - Approx. 860 sq. ft. $900 /month, including utilities. Ideal for ancillary medical, chiropractic or therapeutic clinic. Space has a receptionist-enclosed area with several office, storage, or exam rooms. SUITE #2 – 204 sq. ft. – $300/month, including utilities. Built-in cabinets, running water, and leaded walls. Originally used for C-Arm procedures. SUITE #3 – 213 sq. ft. $300/month, including utilities. Small built-in cabinet and solar tube. The rest of the building is occupied by a physiatry practice. Amenities: Free on-site parking and shared reception area. Call for a showing of your ideal office space (509)321-2276. POSITIONS AVAILABLE ESTABLISHED SPOKANE CLINICAL RESEARCH COMPANY is seeking primary care and specialty physicians interested in serving as Principle Investigators or as Sub-Investigators. There is an opportunity to assume an on-going research portfolio and to join new studies that are opening in the fall of 2014. For more information, contact Dalyn Boehm or John Driscoll at Premier Clinical Research at (509) 343-3710 or research@ premierclinicalresearch.com.
SPOK ANE COUNT Y MEDICAL SOCIE T Y |
BC/BE PEDIATRICIAN WANTED, SPOKANE The State of Washington Division of Disability Determination Services seeks a BC/BE pediatrician to perform contract service in our Spokane office. Contract services include the evaluation of physical impairment severity from medical records and other reports, utilizing Social Security regulations and rules of law. Medical consultants function as members of the adjudicative team and assist staff in determining eligibility for disability benefits. Reimbursement: $65/ hour base; potential for $68/hour for high productivity. Interested physicians should contact Chief Medical Consultant Dr. Gene Profant at (360) 664-7454 or Spokane Office Manager David Bennett at (509) 329-2508. This position reviews interesting cases; teaching is thus an integral function. Hours are quite flexible. PHYSICIAN (OB/GYN AND URGENT CARE) OPPORTUNITIES AT COMMUNITY HEALTH ASSOCIATION OF SPOKANE-Spokane Locations (CHAS) Enjoy a quality life/work balance and excellent benefits including competitive pay, generous personal time off, no hospital call, CME reimbursement, 401(k), full medical and dental, NHSC loan repayment and more. To learn more about physician employment opportunities, contact CHAS Human Resources at (509) 444-8888 or hr@chas.org. Visit our website to learn more and to apply www.chas.org. MID-LEVEL OPPORTUNITIES AT COMMUNITY HEALTH ASSOCIATION OF SPOKANE-Family Practice ARNP and Physician Assistant needed in Spokane, WA and Moscow, ID. Enjoy a quality life/ work balance and excellent benefits including competitive pay, generous personal time off, no hospital call, CME reimbursement, 401(k), full medical and dental, NHSC loan repayment and more. To learn more about employment opportunities, contact CHAS Human Resources at (509) 444-8888 or hr@chas. org. Visit our website to learn more and to apply www.chas.org. CONTINUED ON NEXT PAGE
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| THE MESSAGE | SEP TEMBER 2 014
Classified Ads POSITIONS AVAILABLE (CONT’D QTC MEDICAL GROUP is one of the nation’s largest private providers of medical disability evaluations. We are contracted through the Department of Veterans Affairs to manage their compensation and pension programs. We are currently expanding our network of Psychology, Psychiatry, Physical Medicine and Rehabilitation, Family Medicine, Occupational Medicine, Internal Medicine and General Medicine providers for our Washington Clinics. We offer excellent hours and we work with your availability. We pay on a per exam basis and you can be covered on our malpractice insurance policy. The exams require NO treatment, adjudication, prescriptions to write, on-call shifts, overhead and case file administration. Please contact Maggie Dillon directly at (909) 978-3548 or mdillon@qtcm.com or visit our website www.qtcm.com to learn more about our company. PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington is recruiting for an excellent Family Medicine physician to join our care team in Spokane Valley, a scenic suburb of Spokane. Full-time opportunity with our growing medical group in what will be a large, state-of-the-art medical ambulatory center (construction completion target is spring 2014). No OB. Outpatient only. Competitive compensation and comprehensive benefits. PMG – Eastern Washington is our physician-led network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at mark.rearrick@ providence.org or (509) 474-6605 for more information.
PROVIDENCE FAMILY MEDICINE RESIDENCY SPOKANE - Immediate opening with Providence Family Medicine Residency Spokane (PFMRS) for a full- time BC/BE FP physician who has a passion for teaching. PFMRS is affiliated with the University of Washington School of Medicine. We have seven residents per year in our traditional program, one per year in our Rural Training Track and also administer OB and Sports Medicine Fellowships. This diversity benefits our educational mission and prepares our residents for urban & rural underserved practices. We offer a competitive salary, benefit package and gratifying lifestyle. Please contact Linda Barkley, Program Assistant at (509) 459-0688 or Linda. Barkley2@providence.org.
We are looking for a COMPASSIONATE AND SKILLED FAMILY/INTERNAL MEDICINE PHYSICIAN/ FINAL YEAR RESIDENT for our growing clinic in the Olympic Peninsula. This setting provides a place and all the resources for setting up your own private practice in a complete turnkey manner with regulatory and administrative matters taken care of professionally. The organization is physician led and takes care of physicians very well. We would expect the new physician to start with some urgent care hours and slowly transition to a full time private practice primary care. Candidates signing up in during their residency are eligible for a $1000 per month stipend for the remainder of their residency. For further details, please call (509) 414-6390.
PHYSICIAN-BE/BC FAMILY MEDICINE - General Full Time, Spokane, WA Columbia Medical Associates (CMA) is a multispecialty medical group with more than 40 clinicians in 12 locations throughout the Spokane, Wash. region. The providers of CMA are dedicated to providing patient-centered, evidencebased medical care for the 70,000 patients the organization serves each year. CMA employs 200 health care professionals and accepts all types of insurance. CMA is a subsidiary of Group Health Cooperative and its physicians are employees of Group Health Physicians. Benefits include: Full malpractice indemnification, medical/ dental/vision benefits, 401(k), 4 weeks paid vacation, CME, long-term disability, long-term care benefits. Competitive salary offered. Spokane is located on the eastern side of the state. Its unique location provides year round activities including skiing, hiking, boating and kayaking. Small town charm, pleasant neighborhoods, affordable housing and a highly rated school system make Spokane a great place to live and an unparalleled place to raise a family. Columbia Medical Associates is an Equal Opportunity Employer committed to a diverse and inclusive workforce. Interested candidates may send a CV to Jessica Billings at billings.j@ghc.org.
PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington has immediate opportunities for BE/BC Family Physicians to join our expanding primary care team in Spokane, eastern Washington’s largest city. Newborns to geriatrics, no OB. Excellent compensation and benefits. PMG – Eastern Washington is our physicianled network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at mark.rearrick@providence.org or (509) 474-6605 for more information.
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MANN-GRANDSTAFF VA MEDICAL CENTER in Spokane has immediate opportunities for Psychiatrists, Emergency Medicine Physicians, Internists, and Hospitalists and an immediate opening for a Director of the Emergency Department. Recruitment incentives and Education Debt Reduction Incentives may be available. Please contact Rodney Gile (509) 434-7590 (Rodney.gile@va.gov) or Robyn Highbarger (509) 434-7393 (Robyn.Highbarger@va.gov) for specific information about positions.
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SPECTRUM HEALTHCARE RESOURCES has an immediate opportunity for a civilian Family Practice Physician at Fairchild Air Force Base. This contract position offers: Fulltime; Outpatient setting; Monday through Friday, 7:30am to 4:30pm; Manageable patient load (20-25 per day) and Shared on-call responsibilities (mostly telephone consulting). The position will have the following requirements: Current and unrestricted medical license; Successful completion of a family medicine residency; Board Certified by the ABFM or AOBFP; BLS, ACLS, PALS and Ability to work in a team setting. Contact Spectrum recruiter Lisa Paska for more information at Lisa_Paska@spectrumhealth. com or (314) 744-4107. FULL-TIME LICENSED PHYSICIAN ASSISTANT (PA) wanted for expanding clinic in Spokane, Washington. Currently patients are seen four days per week, Monday through Thursday, 8 a.m. to 5 p.m. Approximately 24 patients per day. This could expand into five days a week in the future. No call, weekends or holidays. Fabulous benefit package offered, including vacation and CME benefits. Starting salary depends on experience. Submit resume and cover letter to Kris Norton, Office Manager Inland Neurosurgery & Spine Associates, P.S. 105 W 8th Ave, Ste. 200 Spokane, WA 99204 or knorton@neuroandspine.com. N.E. WASHINGTON HEALTH PROGRAMS LOON LAKE COMMUNITY HEALTH CENTER is seeking a family practice ARNP or PA-C. The ideal candidate will enjoy working with a medical team that is dedicated to the mission of NEWHP and have the ability to work autonomously. The Loon Lake clinic is nestled in the rural area of Loon Lake in N.E. Washington State. The area allows for the recreational enthusiast who enjoys, skiing, hiking, hunting, fishing, snowshoeing, horseback riding and any other outdoor event that you desire. Competitive salary and benefits. N.E. Washington Health Programs is also a NHSC/State student loan repayment eligible site. Please send resume to NEW Health Programs/Attn: HR DTR/PO Box 808/Chewelah, WA 99109 or email to: vickien@newhp.org. EOE & Provider
PHYSICIAN WANTED NATIVE PROJECT/ NATIVE HEALTH CLINIC—Consider joining a growing, innovative, community health clinic in Spokane, WA. NATIVE offers patient-centered care in a medical home that provides medical, dental, mental health, chemical dependency and preventative health services in a multi-disciplinary practice model and needs a Family or Internal Medicine physician. Physician benefits include competitive salary and excellent medical, dental and life insurance benefits, 401(k), paid licenses and CMEs, I.H.S. and NHSC loan repayment and signing bonus. At NATIVE’s beautiful facility, we serve people of all ethnicities, income levels, ages and medical or behavioral health needs. For more information contact Dylan Dressler, Clinic Manager, at (509) 4837535 or our website at www.nativeproject. org for the complete job description. MEETINGS/CONFERENCES/EVENTS Spokane County Medical Society presents MEDICINE 2014: 7.0 Hours of Category 1 CME credit, sponsored by the Spokane County Medical Society. The program will focus on the more challenging management issues that clinicians encounter. The conference will be held on Friday, September 26, 2014 at the Red Lion Hotel at the Park. Visit the Spokane County Medical Society website for more information and to view the program brochure at HYPERLINK “http://www.spcms.org” www.spcms.org or contact Karen Hagensen (509) 325-5010 or karen@spcms.org. MODERATE (CONSCIOUS) SEDATION AND ANALGESIA: 3.0 Hour(s) of Category 1 CME credit, sponsored by the Spokane County Medical Society. Thursday, October 30, 2014, 5:30 – 9:00 p.m. at the Providence Sacred Heart Medical Center Mother Joseph Room. This is SCMS’ annual and final program to satisfy JCAHO requirements and provide a refresher course to members of the medical community in order to increase patient safety. For more information contact Karen Hagensen at (509) 3255010 or email karen@spcms.org.
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INSTITUTIONAL REVIEW BOARD (IRB) Meets the second Thursday of every month at noon at the Heart Institute, classroom B. Should you have any questions regarding this process, please contact the IRB office at (509) 358-7631. PHYSICIAN FAMILY ALANON GROUP: Physicians, physician spouses or significant others and their adult family members share their experience, strength and hope concerning difficult physician family issues. This may include medical illness, mental illness, addictions, work-related stress, life transitions and relationship difficulties. We meet Tuesday evenings after 6 p.m. The format is structured by the 12-Step Alanon principles. All is confidential and anonymous. There are no dues or fees. To discuss whether this group could be helpful for you, please contact Bob at (509) 998-5324.
COMMUNITY OF PROFESSIONALS
For more information regarding the Community of Professionals program contact Dean Larsen, CEO at (509) 325-5010.
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SPOKANE COUNTY MEDICAL SOCIETY - ORANGE FLAG BUILDING 104 S FREYA ST STE 114 SPOKANE, WA 99202
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Providence announces its new Spokane Valley orthopedic location.
Providence Orthopedic surgeons are board certified and subspecialty trained, offering patients a superior level of orthopedic treatment and onsite occupational therapy. Bryan Mitchell, MD, specializing in sports medicine and general orthopedics, including knee, hip and shoulder arthroscopy. William Page, MD, specializing in hand and upper extremity orthopedic surgery. Eric Bowton, MD, specializing in shoulder repair and reconstruction, and total joint replacement.
PROVIDENCE MEDICAL PARK - SPOKANE VALLEY
Surgical Specialties Providence Medical Park 16528 East Desmet Court Spokane Valley, WA 99216
Accepting new patients. To schedule an appointment, call 509.944.8920. For a complete listing of Providence Medical Group physicians, visit phc.org.
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