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LOUISIANA<br />

FAMILY DOCTOR<br />

Winter 20<strong>03</strong> An Official Publication <strong>of</strong> the <strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s Volume 16, Number 4


Published by<br />

<strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong><br />

<strong>Family</strong> <strong>Physician</strong>s<br />

919 Tara Boulevard<br />

Baton Rouge, LA 70806<br />

Telephone: 225-923-3313<br />

Fax: 225-923-2909<br />

academy@lafp.org<br />

Website: www.lafp.org<br />

Brian P. Krier, MD, Editor<br />

Sonora S. Thigpen, Managing Editor<br />

Officers<br />

Richard Streiffer, MD<br />

President<br />

Derek Anderson, MD<br />

President-Elect<br />

Roger Zoorob, MD, MPH<br />

Vice President<br />

Brian P. Krier, MD<br />

Secretary<br />

Bryan Picou, MD<br />

Treasurer<br />

Marguerite (Cissy) Picou, MD<br />

Immediate Past President<br />

Daniel Jens, MD<br />

Speaker, General Assembly<br />

Russell Roberts, MD<br />

Vice Speaker, General Assembly<br />

Robert E. Lahasky, MD<br />

E. Edward Martin, Jr., MD<br />

Delegates to AAFP<br />

Michael Harper, MD, Chair<br />

Education Committee<br />

Bryan Picou, MD Chair<br />

Operations Committee<br />

Wayne Gravois, MD, Chair<br />

Michael Marcello, MD, Co-Chair<br />

Membership & Legislative<br />

Issues Committee<br />

Roger Zoorob, MD, MPH, Chair<br />

LAFP Foundation Research<br />

Committee<br />

LAFP Staff<br />

Sonora S. Thigpen<br />

Executive Vice President<br />

Executive Assistant<br />

Cathy Stanley<br />

Administrative Assistant<br />

Lenda Broussard<br />

In This Issue<br />

From the President. . . . . . . . . . . . . . . . . . . . . . . . 4<br />

From the Editor/Secretary . . . . . . . . . . . . . . . . . . 5<br />

Upcoming Events . . . . . . . . . . . . . . . . . . . . . . . . . 6<br />

20<strong>03</strong> Foundation Report. . . . . . . . . . . . . . . . . . . . 7<br />

Report on AFP Seminar . . . . . . . . . . . . . . . . . . . . 8<br />

20<strong>03</strong> Membership Report . . . . . . . . . . . . . . . . . . 9<br />

LAFP Financial Report . . . . . . . . . . . . . . . . . . . . 11<br />

Residents’ Corner . . . . . . . . . . . . . . . . . . . 12-14<br />

Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />

Cover Photograph: Shrimp boats<br />

<strong>Louisiana</strong>’s <strong>Family</strong> Doctor is the <strong>of</strong>ficial quarterly publication <strong>of</strong> the <strong>Louisiana</strong><br />

<strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s (LAFP). It serves as the primary communication<br />

vehicle to LAFP members.<br />

No material in <strong>Louisiana</strong>’s <strong>Family</strong> Doctor is to be construed as representing the<br />

policies or views <strong>of</strong> the <strong>Academy</strong>.The editors reserve the right to review and to reject<br />

commentary and advertising deemed inappropriate.Advertisers and agencies must<br />

indemnify and hold the the LAFP harmless <strong>of</strong> any expense arising from claims or<br />

actions against the LAFP because <strong>of</strong> the publication <strong>of</strong> the contents <strong>of</strong> an advertiser.<br />

No part <strong>of</strong> this publication may be reproduced or transmitted in any form or by<br />

any means, electronic or mechanical, including photocopy, recording or any<br />

information storage and retrieval systems, without permission from the Editor.<br />

Subscriptions are free to members <strong>of</strong> the <strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s.<br />

Subscription rate for non-members is $35 per year.To subscribe call 225-923-3313.<br />

Editorial deadlines:<br />

February 15 May 15 August 15 November 15<br />

Edition 4<br />

Created by Publishing Concepts, Inc.<br />

Virginia Robertson, President • vrobertson@pcipublishing.com • 14109 Taylor Loop Road • Little Rock, AR 72223 / 501.221.9986<br />

For advertising information contact: Whitney White at 501.221.9986 or 800.561.4686 • wwhite@pcipublishing.com<br />

visit our website www.pcipublishing.com<br />

3


FROM THE<br />

PRESIDENT<br />

A Movement<br />

As family physicians, you know the<br />

state <strong>of</strong> health care in our State from living<br />

it daily as you care for your patients.<br />

You see the epidemic <strong>of</strong> diabetes and<br />

obesity, the increasing burden <strong>of</strong> poor<br />

access to healthcare that so many <strong>of</strong> our<br />

citizens experience, the waste and<br />

redundancy in administering a dysfunctional<br />

system, and the defensive medicine<br />

that so many physicians feel obligated<br />

to practice. You also know the<br />

unique value that you as a family physician<br />

bring to your patients: your<br />

breadth and versatility as a generalist;<br />

your whole-person, whole-family orientation;<br />

the value <strong>of</strong> long term relationships<br />

with patients and families; your<br />

interest in preventing, not just treating,<br />

illness; the importance and, even the<br />

superiority, <strong>of</strong> listening, talking, supporting,<br />

as opposed to inappropriate or<br />

unnecessary technology.<br />

You’re family physicians. You live<br />

these things. You understand them<br />

intuitively.<br />

You also know that what you have<br />

to <strong>of</strong>fer as a family physician is an<br />

essential component <strong>of</strong> the complex<br />

solution needed to fix the health care<br />

system problems that our state and<br />

country are experiencing. Our legislators<br />

need to know what we do. So do<br />

the Deans <strong>of</strong> the medical schools and<br />

the new governor and her staff. And<br />

medical students—there are still many<br />

students, a majority I would argue,<br />

who enter medicine for altruism and<br />

find service and humanism compelling<br />

reason to consider a career as<br />

a primary care doc.<br />

Know your facts so you can talk to<br />

your legislators. Point out that <strong>Louisiana</strong><br />

• ranks 49th, the second worse in the<br />

nation, in health indicators.<br />

• led the nation in diabetes death rates<br />

for the last 3 years<br />

• ranks 2nd in percent <strong>of</strong> low birthweight<br />

babies, 5th in neonatal<br />

deaths, 4th in infant mortality;<br />

• has the 6th highest rate <strong>of</strong> obesity in<br />

the country;<br />

• is 48th in the nation for women over<br />

50 who have obtained mammograms<br />

within 2 years;<br />

• has breast cancer and cervical cancer<br />

rates for African-American women<br />

above national rates.<br />

• ranks 6th worse in access to health<br />

care, with 20% <strong>of</strong> the state’s population<br />

lacking access to primary care<br />

• contains Health Pr<strong>of</strong>essionals<br />

Shortage Areas (HPSAs) in all but 10<br />

<strong>of</strong> our 64 parishes, with 26 parishes<br />

designated as whole-parish and<br />

another 28 parishes as partial HPSAs.<br />

Make the point that poor accessibility<br />

to and availability <strong>of</strong> primary care<br />

physicians contribute to these health<br />

indicators, and is further exacerbated by<br />

the rural nature <strong>of</strong> the State. (Sixty-three<br />

percent—40 <strong>of</strong> 64—<strong>of</strong> our parishes are<br />

rural with 1.35 million <strong>of</strong> the state’s 4.2<br />

million, or 32% <strong>of</strong> the population, living<br />

in rural areas.) <strong>Family</strong> Medicine is the<br />

only specialty whose physicians<br />

demonstrate a predilection for locating<br />

in rural areas, up to eight times more<br />

likely to settle and practice in rural<br />

areas. Yet, despite the increase in the<br />

supply <strong>of</strong> US physicians over the last 20<br />

years, the percentage practicing primary<br />

care and the proportion <strong>of</strong> all physicians<br />

practicing in rural areas relative to<br />

urban areas have both declined.<br />

We know from published research<br />

that countries and, in the U.S., states<br />

with more primary care physicians—<br />

but not more specialists—have better<br />

population-based health indicators,<br />

and that continuity <strong>of</strong> care, more likely<br />

when care is provided more by<br />

generalists then specialists, is associated<br />

with lower hospital utilization,<br />

greater use <strong>of</strong> preventive services and<br />

lower costs. Without better access to<br />

Rick Streiffer, MD<br />

primary care services and an accompanying<br />

shift towards more prevention<br />

and early treatment, <strong>Louisiana</strong><br />

will have little opportunity to reduce<br />

the disturbing trends.<br />

Be sure that they know that less<br />

than 1/3 <strong>of</strong> <strong>Louisiana</strong> physicians are<br />

dedicated to primary care practice,<br />

while many are aging and nearing<br />

retirement within a relatively short<br />

time. (About 25% <strong>of</strong> the 1,183 <strong>Louisiana</strong><br />

FP/GPs are age 60 or above.) In lieu <strong>of</strong><br />

access to PCPs, many people seek care<br />

in emergency rooms. This drives disproportionate<br />

spending in institutional<br />

and emergency room settings, giving<br />

<strong>Louisiana</strong> the 2nd highest per capita<br />

state government expenditure for hospitals<br />

in the country.<br />

<strong>Louisiana</strong> must invest in family medicine<br />

for the health <strong>of</strong> the state—there is<br />

no question about that, and that family<br />

physicians are the primary care specialists<br />

<strong>of</strong> choice to address the unique<br />

needs <strong>of</strong> this state. <strong>Louisiana</strong>’s leaders<br />

must assure that we train adequate<br />

numbers <strong>of</strong> family physicians for our<br />

need, in the highest quality training programs,<br />

and then find ways to support<br />

practitioners once they take on the challenges<br />

<strong>of</strong> daily practice and, especially,<br />

<strong>of</strong> rural practice.<br />

Talk to your legislators. Write your<br />

local newspapers. Tell your community<br />

leaders, your patients. Like Arlo Guthrie<br />

suggested in Alice’s Restaurant—you<br />

can help make this a movement. Join<br />

the LAFP in creating greater awareness,<br />

momentum, a movement.<br />

4


FROM THE SECRETARY<br />

“All we can really control<br />

is our own attitide”<br />

My chief resident and I have been<br />

on the recruiting tour lately and have<br />

engaged in some very thought provoking<br />

conversations that I would<br />

like to touch on in this column.<br />

Please read his description and<br />

thoughts in the “Resident’s Corner”<br />

concerning a recent night on medicine<br />

call at LSUHSC-Monroe. It is sure<br />

to bring back some great but perhaps<br />

suppressed thoughts <strong>of</strong> your own<br />

training. He had a “busy” night on<br />

call, yet walked away positive and<br />

thankful.<br />

I have been hearing a recurring<br />

theme lately. It is that “all we can really<br />

control is our own attitude.” One <strong>of</strong><br />

the more descriptive versions was “if<br />

[negative attitudes] could fly this place<br />

would be an airport.” I changed the<br />

original orator’s 8-letter word to [negative<br />

attitudes] in order to be more<br />

polite. The original orator was not my<br />

chief resident, in case you are wondering.<br />

But the thought is very pr<strong>of</strong>ound<br />

and has very real consequences. One<br />

<strong>of</strong> the most serious challenges I find<br />

myself facing as a new <strong>Family</strong><br />

Practice Program Director is other coworkers<br />

negative attitudes and how<br />

they influence and feed into other’s<br />

actions. As I contemplate how to<br />

break this vicious cycle, I unfortunately<br />

find that I have few tools to fall<br />

back on from my long medical education.<br />

Too <strong>of</strong>ten as physicians we don’t<br />

really get trained or figure out that we<br />

are part <strong>of</strong> a team and should be the<br />

leaders <strong>of</strong> that team even from the<br />

start. Yet, our assessments and plans<br />

direct patient care.<br />

I haven’t figured out the reason for<br />

the “bad attitudes” at this particular<br />

time. I suspect it is multifactorial.<br />

How much is my insecurity as a new<br />

program director? Is it related to internal<br />

conditions at our institution?<br />

There have been some pretty major<br />

changes lately. Is it related to more<br />

global concerns: Iraq and the economy?<br />

But no matter the cause, we still<br />

are responsible for our own attitude.<br />

Being in the new leadership position<br />

that I am, my eyes are now<br />

focused on such issues. Before this<br />

position, I had far less interaction<br />

with the hospital and clinic personnel.<br />

I wasn’t focused on creating team<br />

spirit. Now I find myself, not just caring<br />

for patients and training residents,<br />

but being a leader and pulling everyone<br />

else toward the same goals.<br />

I keep reminding myself that there<br />

is hope; I really do have a very caring<br />

and talented staff. I have to attack this<br />

problem with my attitude, first! From<br />

my experience as a father, I know<br />

that attitudes are contagious. If I<br />

approach my son with a harsh attitude,<br />

I am most likely to get a harsh<br />

attitude back. If I approach my<br />

daughters with a harsh attitude, I am<br />

most likely just going to hurt their<br />

Brian P. Krier, MD<br />

feelings. However, I am learning that<br />

being positive and loving, yet firm,<br />

gets the result I what and with a better<br />

attitude on their part.<br />

So even though “all we can control<br />

is our attitude,” keep in mind our attitudes<br />

are contagious. If anything will<br />

brake the vicious cycle, it’s being positive,<br />

appreciative, thankful, forgiving,<br />

caring, gentle (I could go on) and loving.<br />

Even God is trying to tell me<br />

something, we recently started a bible<br />

study in our home and the first thing<br />

we all felt we needed to study was<br />

LOVE (1Corinthians 13).<br />

I know that I’m not alone in this<br />

situation. Forming a private practice<br />

carries the same challenges. I salute<br />

all the family doctors who have been<br />

able to master attitudes and build<br />

practices that create a positive environment<br />

for patients to come and be<br />

cared in. If you have built something<br />

you are proud <strong>of</strong>, please share it.<br />

Contact your local medical school or<br />

<strong>Family</strong> Practice Residency and invite<br />

students and residents to come to<br />

your practice as part <strong>of</strong> a rotation.<br />

Feel free to contact me at<br />

Bkrier@lsuhsc.edu or 318-330-7615<br />

for contact numbers.<br />

5


Upcoming Events<br />

COMING IN 2004!<br />

9TH ANNUAL WINTER CONFERENCE<br />

January 28-31, 2004<br />

Steamboat Grand Hotel<br />

Steamboat Springs,<br />

Colorado<br />

www.steamboatgrand.com<br />

57TH ANNUAL ASSEMBLY<br />

July 22-25, 2004<br />

Edgewater Beach<br />

& Golf Resort<br />

Panama City, Florida<br />

6


ASSEMBLY HIGHLIGHTS<br />

LAFP FOUNDATION<br />

20<strong>03</strong> Foundation Report<br />

Dear LAFP Member:<br />

In 1987, the <strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong><br />

<strong>Family</strong> <strong>Physician</strong>s Foundation was<br />

established to promote and support<br />

innovation and improvement <strong>of</strong> the<br />

specialty <strong>of</strong> <strong>Family</strong> Practice. Through<br />

our combined efforts, our 20<strong>03</strong><br />

Foundation accomplishments include:<br />

• Funding for LSU-New Orleans, LSU-<br />

Shreveport and Tulane FMIG programs<br />

• Funding for student attendance at<br />

the National Conference <strong>of</strong> Students<br />

and Residents<br />

• Funding for student and resident<br />

attendance at the <strong>Louisiana</strong><br />

<strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s<br />

Scientific Assembly<br />

• Payment <strong>of</strong> dues for <strong>Louisiana</strong>’s first<br />

year medical students<br />

• Presentation <strong>of</strong> the Gerald R.<br />

Gehringer <strong>Family</strong> Practice Award to<br />

a Senior at LSU School <strong>of</strong> Medicine<br />

in New Orleans.<br />

While we are on the right track, we<br />

can not let the momentum stop. We<br />

must continue our quest to be the<br />

foremost champion <strong>of</strong> <strong>Family</strong><br />

Medicine in <strong>Louisiana</strong>.<br />

So, remember, it is member support<br />

that enables the Foundation to continue<br />

its mission to attract, encourage<br />

and educate students in the field <strong>of</strong><br />

family medicine. Please take a<br />

moment to make a contribution to the<br />

LAFP Foundation in support <strong>of</strong> these<br />

worthwhile efforts. Mail your check<br />

payable to the LAFP Foundation to 919<br />

Tara Blvd., Baton Rouge, LA 70806.<br />

We are grateful for the support<br />

shown by the following individuals,<br />

listed below, who gave generously to<br />

the LAFP-Foundation in 20<strong>03</strong>. As <strong>of</strong><br />

deadline time, our donors included,<br />

doctors:<br />

Arceneaux, Tuney, Duson<br />

Bacon, Gloria, Chicago<br />

Batie, Donnie, Baton Rouge<br />

Birdsall, Gary, Larose<br />

rouilette, Beau, Bunkie<br />

Chen, Guihong, Port Allen<br />

Daigle, Renee, Baton Rouge<br />

Dinh, Hanh, Jackson<br />

Domingue, Christopher, Monroe<br />

Edwards, Mark, Baton Rouge<br />

Gonzales, Jose, Sulphur<br />

Grimball, Roger, Sulphur<br />

Guillot, David, Alexandria<br />

Hau, Macsuu, Hammond<br />

Ishler, Harold , Baton Rouge<br />

Lahasky, Robert, New Iberia<br />

Lamp, Jeffrey, Baton Rouge<br />

Lanson, David, Kenner<br />

LeBeau, Thomas, Lake Charles<br />

Madden, Michael, Alexandria<br />

Marcello, Michael, Mathews<br />

Martin, E. Edward, Covington<br />

Metoyer, Derek, Opelousas<br />

Metoyer, Lana , Opelousas<br />

Murphy, Theresa, Benton<br />

Mwatibo, James, Lafayette<br />

Nicewander, R. Kurt, New Orleans<br />

Olivier-Wittman, S R, Metairie<br />

Palmiano, Alberto, New Iberia<br />

Primeaux, Arthur, Lake Charles<br />

Qayyum, Muhamma, Bastrop<br />

Rawls, Russell, Port Sulphur<br />

Richert, Allen, Sulphur<br />

Shaw, Mark, Bernice<br />

Smith, John, Minden<br />

St. Martin, William, Houma<br />

Stell, Gerald, Minden<br />

Stewart, Brian, Sulphur<br />

Tassin, A. John, Ville Platte<br />

Thomas, Jerry, Franklinton<br />

Wagman, Randall, Lake Charles<br />

Waldo, Stephen, Hammond<br />

Sincerely,<br />

Marguerite “Cissy” Picou, MD<br />

Foundation President<br />

LOUISIANA STATE BOARD OF MEDICAL<br />

EXAMINERS NOMINATION<br />

The LAFP is in the process <strong>of</strong> compiling a list <strong>of</strong> names <strong>of</strong> nominees <strong>of</strong> LAFP members<br />

to present to the Governor to select one LAFP representative to serve on the <strong>Louisiana</strong><br />

State Board <strong>of</strong> Medical Examiners, according to state law, as Dr. Melvin Bourgeois’ term<br />

expires this year.<br />

If you are interested in being nominated to serve in this position, please contact the<br />

LAFP <strong>of</strong>fice by January 15, 2004, providing your CV and contact information.<br />

7


FROM THE LEGISLATIVE LOBBYIST<br />

By Jo Rose,<br />

Legislative Lobbyist<br />

Report on AFP Seminar<br />

The goal <strong>of</strong> the AAFP seminar last<br />

month was to bring together state<br />

chapters and their lobbyists not only<br />

to exchange information on the challenges<br />

and opportunities each state<br />

had during their past legislative sessions<br />

but also to emphasize how<br />

important it is for AAFP members to<br />

become involved in the political<br />

process. This involvement includes<br />

encouraging members to run for these<br />

elective <strong>of</strong>fices and/or forming a PAC<br />

to assist those candidates who deserve<br />

their support.<br />

The AAFP seminar covered topics<br />

ranging from ensuring state commitment<br />

to the recruitment and training<br />

<strong>of</strong> family physicians to state medical<br />

liability reforms and drug policies. A<br />

very real concern is “white coat flight.”<br />

Doctors are leaving their practices<br />

because <strong>of</strong> a number <strong>of</strong> issues including<br />

skyrocketing medical malpractice<br />

insurance premiums, Medicaid reimbursement<br />

issues, and the inability <strong>of</strong><br />

state governments to grow residency<br />

programs. These issues are controlled<br />

by elected <strong>of</strong>ficials.<br />

One such “doctor-legislator” is<br />

Joseph Hardy (Republican, Nevada<br />

State Representative) who shared his<br />

observations on the challenges <strong>of</strong> formulating<br />

and implementing the state<br />

health budget and the role <strong>of</strong> the family<br />

physician in leading the healthcare<br />

debate at the state capitol. He advised:<br />

1. One challenge was, and continues<br />

still, is to make people understand<br />

what Medicaid is and educate them<br />

about the importance it plays in the<br />

state budget (in Nevada it is about<br />

25% <strong>of</strong> the state budget).<br />

2. He encourages his colleagues not<br />

to try to use short-term solutions<br />

for budget deficits.<br />

3. He wants to raise the awareness in<br />

his communities <strong>of</strong> budget issues.<br />

When he is told “no new taxes”—<br />

he turns it around to ask where to<br />

cut: Do you take health insurance<br />

away from 6,000 children? At what<br />

cost are you willing to sacrifice<br />

health care to the needy?<br />

4. It all boils down to economics.<br />

Nevada hired an economics expert<br />

as a budget balancing strategy. This<br />

helped give them an edge in supplying<br />

simple answers to complex<br />

questions.<br />

One point dealt with workforce<br />

issues and the state role in encouraging<br />

medical universities to recruit and<br />

train family physicians and gain<br />

Medicaid support. It was noted that<br />

Medicaid will not pay for: (1)<br />

Universities substituting existing general<br />

education costs; (2) Costs already<br />

covered by GME or service payments;<br />

(3) Educational experiences that cannot<br />

be linked to the Medicaid population;<br />

(4) Non-legitimate sources <strong>of</strong><br />

state match. Medicaid will pay for: (1)<br />

Undergraduate education costs associated<br />

with developing special experiences<br />

to better prepare health pr<strong>of</strong>essionals<br />

to serve the Medicaid population;<br />

(2) Reasonable costs in proportion<br />

to the benefit to Medicaid. In<br />

addition, Medicaid will pay for student<br />

travel and living expenses: (1) these<br />

costs are covered by Medicaid<br />

through the full cost reimbursement<br />

options for FQHCs and local health<br />

departments; (2) These costs are not<br />

counted as part <strong>of</strong> the prospective<br />

payment rate set for each FQHC.<br />

The Federal Funds Participation<br />

(FFP) match rates come in three different<br />

categories for Medicaid services:<br />

(1) Patient Care (per federal funds participate<br />

rate)(administrative 50%; system<br />

development 90%); (2)<br />

Administrative & General (50%) (system<br />

development, 75% for pr<strong>of</strong>essional<br />

time; Patient care per FFP rate); (3)<br />

System Development (90%)<br />

(Administrative 50%, Patient care per<br />

FFP rate).<br />

Interesting information was the<br />

number and percentage <strong>of</strong> <strong>Louisiana</strong><br />

medical school graduates who were<br />

family practice residents:<br />

NUMBER OF GRADS 7/01-6/02<br />

#1ST YR<br />

FP RESIDENTS PERCENT<br />

LSU-NO 169 12 7.1<br />

LSUS 96 20 20.8<br />

Tulane 146 11 7.5<br />

Another point was the problem<br />

with pharmaceutical access by<br />

patients and the family physicians role<br />

in advocating policies to ensure that<br />

patients have access to needed drugs.<br />

The average price <strong>of</strong> a retail prescription<br />

in 2002 in <strong>Louisiana</strong> was $49.95<br />

(39th in the Nation with Alaska being<br />

number 1 with $54.58 and Alabama<br />

being 51 with $44.80). The number <strong>of</strong><br />

prescriptions per capita in <strong>Louisiana</strong> is<br />

13.4 (5th in the Nation). The percent<br />

change in total number <strong>of</strong> retail prescriptions<br />

between 2001 and 2002 in<br />

<strong>Louisiana</strong> was 4.2% (8th in the Nation)<br />

while the percent change in the average<br />

price <strong>of</strong> retail prescriptions<br />

between 2001 and 2002 was 9.1%<br />

(27th in the Nation).<br />

In the area <strong>of</strong> medical malpractice,<br />

<strong>Louisiana</strong> is only one <strong>of</strong> five states not<br />

considered to be in a medical liability<br />

crisis. For other jurisdictions the consequences<br />

are threatening to diminish<br />

patients’ access to care and increase<br />

health care costs, with an uncertain<br />

impact on quality.<br />

The last workshop dealt with the<br />

pros and cons <strong>of</strong> establishing and<br />

managing political action committees.<br />

The California Medical Association,<br />

with its 35,000 membership has a million-dollar<br />

political action committee.<br />

The Executive Director feels that this<br />

has helped them be one <strong>of</strong> the five<br />

states not in medical malpractice crisis.<br />

Many <strong>of</strong> the state academies have<br />

small PACs with Ohio just starting<br />

theirs with $2,000.00. They focus on<br />

the Health Committee Chairmen. It<br />

was formed because other events didn’t<br />

work and the PAC gave them<br />

access they didn’t have before and<br />

helped them network with other<br />

PACs. It also increased their visibility<br />

and their members became more<br />

involved because in order to raise<br />

money, doctors must call doctors to<br />

encourage them to donate to the PAC.<br />

But it was suggested that the minimal<br />

amount needed to have a successful<br />

PAC is around $30,000.00 a year.<br />

The wrap-up session concluded<br />

that the practice <strong>of</strong> medicine is regulated<br />

at all levels <strong>of</strong> government: local,<br />

state and federal. It is important for<br />

individuals who understand critical<br />

issues that impact the recruitment,<br />

training, and practice <strong>of</strong> <strong>Family</strong><br />

Medicine to participate in this process<br />

to ensure that those issues are considered<br />

whenever and wherever legislation<br />

is proposed.<br />

8


EDUCATIONAL<br />

PARTNERS<br />

Through the dedication and<br />

generous support <strong>of</strong> our<br />

20<strong>03</strong> Partners, the <strong>Louisiana</strong><br />

<strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s<br />

continues to present<br />

outstanding continuing<br />

medical education activities.<br />

We appreciate their support<br />

and hope that you will join us in<br />

extending a warm and heartfelt<br />

THANK YOU to the representatives<br />

<strong>of</strong> these companies.<br />

DIAMOND PARTNER<br />

(15,000+)<br />

Aventis<br />

AstraZeneca<br />

PLATINUM PARTNERS<br />

($10,000-$14,999)<br />

Schering Pharmaceuticals<br />

GOLD PARTNERS<br />

($5,000-$9,999)<br />

Bristol-Myers Squibb Company<br />

Eli Lilly and Company<br />

GlaxoSmithKline<br />

Wyeth Laboratories<br />

SILVER PARTNERS<br />

($3,500-$4,999)<br />

Merck & Company<br />

BRONZE PARTNERS<br />

($2,000-$3,499)<br />

Berlex Laboratories<br />

Otasuka Pharmaceuticals<br />

Purdue Pharma, L.P.<br />

PARTNER<br />

American <strong>Academy</strong> <strong>of</strong> <strong>Family</strong><br />

<strong>Physician</strong>s<br />

Aventis Pasteur<br />

McNeil Consumer Products<br />

transferred their membership to our chapter in 20<strong>03</strong>!<br />

ACTIVE<br />

Shamim Akhtar Ali, MD, Lafayette<br />

Timothy A. Bella, MD, Baton Rouge<br />

Arthur Tomlinson Fort, MD, New Orleans<br />

Judith M. Hackett, MD, New Orleans<br />

Scott A. Kurzer, MD, Harvey<br />

Robert F. Marshall, MD, Jennings<br />

Randall K. Wagman, MD, Lake Charles<br />

Mohammed Yousuf, MD, Metairie<br />

RELOCATIONS TO LOUISIANA<br />

Jack L. Berg, MD, Shreveport - Uniformed<br />

Services<br />

Michelle Mireille Davis, MD, New Orleans -<br />

California<br />

Christopher Fernandez Del Riego, MD,<br />

Metairie - California<br />

James E. Domst, MD, Leesville - Colorado<br />

Bobby T. Ensminger, MD, Winnfield - Arkansas<br />

Yousri Gadallah, MD, Oakdale - Nevada<br />

Sheri Renee Godbey, MD, New Orleans -<br />

Massachutes<br />

Pamela R.H. Guoth, MD, Mamou - Georgia<br />

Corey M. Hall, MD, Baton Rouge -<br />

Pennslvania<br />

Alicia M. Hopkins, DO, Shreveport - Ohio<br />

Thomas Price Houston, MD, New Orleans -<br />

Illinois<br />

Evelyn J. Johnson, MD, Lafayette - Virginia<br />

Kenneth E. Joslyn MD, Mandeville - Oklahoma<br />

Sumna Kuruvilla, MD, Monroe - Foreign<br />

Chapter<br />

Nicole W. McKee, MD, Houma - Florida<br />

Judith Bynum Nance, MD, Pineville -<br />

Mississippi<br />

Michael Shane Phillips, MD, Ruston - Alabama<br />

Evelyn J. Rodrizuez, MD, Rosepine -<br />

Massachutes<br />

Mary H. Sherk, MD, Lake Charles -<br />

Pennslvania<br />

Bradley James Touchet, MD, Alexandria -<br />

Oklahoma<br />

Jose L. Veras-Pola, MD, Metairie - New York<br />

TRANSFERS OUT OF LOUISIANA<br />

Serena Barakat, MD, Virginia<br />

Srinivas R. Bramhadevi, MD, Ohio<br />

Andrea B. Brown, MD, Texas<br />

Israel Caro, MD, Florida<br />

Stephen Matthew Cary, MD, Wisconsin<br />

Andrew L. Chesson, III, MD, North Carolina<br />

Melody L. Counts, MD, Virginia<br />

Kelly M. Degraffenreid, MD, Georgia<br />

Debra LeAnn Drake, MD, Tennessee<br />

MEMBERSHIP<br />

20<strong>03</strong> Membership<br />

Report<br />

Please join us in welcoming the following members who either joined or<br />

Somes C. Guha, MD, West Virginia<br />

Michael Haghighi, MD, Florida<br />

Alan Jamison Hanley, MD, Georgia<br />

Jane Elizabeth Hartline, MD, Arizona<br />

Kevin C. Hayes, MD, Mississippi<br />

Andrew J. Henning, MD, California<br />

Mitchell F. Horan, MD, Nevada<br />

Mishi K. Jackson, MD, Georgia<br />

Kyle Lee James, MD, Washington<br />

Vishal B. Malpani, MD, West Virginia<br />

Marilyn Dianne, Marshall, MD, Arkansas<br />

Stefan L. Montgomery, MD, Texas<br />

Le Tuong Nguyen, MD, Florida<br />

Senam E. Oraha, MD, Pennslvania<br />

Jimmy R. Randles, MD, Texas<br />

Anjali A. Rege, MD, Vermont<br />

Jean A. Rizkallah, MD, Indiana<br />

Evelyn I. Rodriguez, MD, Uniformed Services<br />

Cengiz Paul Satir, MD, Texas<br />

Vickie H. Satir, MD, Texas<br />

Satyadevi R. Sista, MD, Massachutes<br />

Raji Srinivasan, MD, Pennslvania<br />

Joshua A. Summers, MD, North Carolina<br />

Dennis M. Swenie, MD, Illinois<br />

Christopher B. Thomas, MD, New York<br />

Mark Edward Tilyou, MD, Pennslvania<br />

Anh Chi Tran, MD, California<br />

Leticia K. Tucker, MD, Kentucky<br />

Victor Joseph Weaver, MD, Tennessee<br />

Sharon E. Westbrook, MD, Idaho<br />

Johnny M. Wilson, MD, Texas<br />

RESIDENT TO ACTIVE<br />

RAPIDES REGIONAL -ALEXANDRIA<br />

Kenneth E Brown, MD, St. Joseph<br />

Laura C Fairbanks, MD, Pineville<br />

Uzvalatha Ganji, MD, Alexandria<br />

Jonathan David Hunter, MD, Alexandria<br />

Jason Robert Morris, MD, Alexandria<br />

Mark A Schneider, MD, Marksville<br />

Gordon E White, MD, Alexandria<br />

BATON ROUGE GENERAL MEDICAL CENTER<br />

Carol L. Smothers, MD, Baton Rouge<br />

E. A. CONWAY MEDICAL CENTER<br />

Sowmya Brahmadevi, MD, Monroe<br />

Patrick Leroy Flyte, MD, Casa Grande, Arizona<br />

Godfrey Sama-Nyuva Fondinka, MD,<br />

Bamberg, S. Carolina<br />

Charla Frances Little, MD, Monroe<br />

Sandra K. Parker, MD, Monroe<br />

Roshni B Patel, MD, Monroe<br />

Khaled Shafiei, MD, Monroe<br />

Parviz S Talebi, MD, Monroe<br />

9


MEMBERSHIP<br />

EAST JEFFERSON GENERAL HOSPITAL<br />

Tara G Berner, MD, New Orleans<br />

Michael Prentice Davis, MD,<br />

Metairie<br />

Anna Marie Falcon, MD, Metairie<br />

Taura R Parquet, MD, Metairie<br />

Christopher L Richards, MD,<br />

Janine A Yeostros, MD, Metairie<br />

KENNER REGIONAL MEDICAL CENTER<br />

Riaz U Haque, MD, Kenner<br />

Lora M Langefels, MD, Kenner<br />

Mariusz Rogalski, MD, Kenner<br />

LAKE CHARLES MEDICAL CENTER<br />

Christopher J Achee, MD, Jennings<br />

Daniel D C<strong>of</strong>fey, MD, New<br />

Windsor<br />

Carolyn A Hutchinson, MD, Lake<br />

Charles<br />

Stacey W Mayeaux, MD,<br />

Opelousas<br />

James Edward McNally, MD,<br />

Jennings<br />

LSUHSC-SHREVEPORT<br />

Mark A Cimino, MD, Shreveport<br />

Steven R. De Loach, MD, New<br />

Orleans<br />

Eric C Dupree, MD, Winnfield<br />

Philip D Isherwood, MD,<br />

Shreveport<br />

William F Maranto, MD,<br />

Shreveport<br />

Kevin Mark McGann, MD,<br />

Shreveport<br />

Julius E Petty, MD, Shreveport<br />

William J Slusher, MD, Ruston<br />

Sandra R Volden, MD, Shreveport<br />

Susan Lee Wingo, MD, Shreveport<br />

Alina Zacharia, MD, Shreveport<br />

Kin Hood, MD, Shreveport<br />

OCHSNER CLINIC<br />

Farrell B Johnson, MD, New<br />

Orleans<br />

UNIVERSITY MEDICAL CENTER -<br />

LAFAYETTE<br />

Cher Yan Aymond, MD, Lafayette<br />

James S George, MD, Lafayette<br />

Craig H Greene, MD, Opelousas<br />

Randall Kennedy, MD, Lafayette<br />

Tom D Price, MD, Lafayette<br />

Vanessa Thomas, MD, Franklin<br />

STUDENTS<br />

LSU-NEW ORLEANS<br />

Rishi Agarwal<br />

Erin Bardin<br />

Sudipkumar Bhanderi<br />

Deepa Bhatnagar<br />

Sharell Bindom<br />

Lisa C Birdsall<br />

Lance Black<br />

Blake Booth<br />

Lynzie Boudreaux<br />

Kirk W Bourgeois<br />

Kristal M Bourgeois<br />

Nancy Joy Briley<br />

Karyn Brown<br />

Gaby Buller<br />

Jonathon Chapman<br />

Christina Chen<br />

Stephen Clark<br />

Elizabeth Clement<br />

William Ray Cothern<br />

Paul Dampt<br />

Damian DeFrancesch<br />

Yagnesh Desai<br />

John D’hemecount<br />

Jamie Do<br />

Jacob Dowden<br />

Alexis Duke<br />

Aaron Dupree<br />

Jason Durel<br />

Alesi Erin<br />

Adam Foreman<br />

Jack Forrest<br />

Corey Foster<br />

Duncan Fredman<br />

L’Issa Gates<br />

Carl Gauthier, Jr<br />

Roxanne Girod<br />

John Paul Gniady<br />

Praveen Gootam<br />

Jaime Kaye Gosserand<br />

John Guilliot<br />

Tim Haman<br />

Erin Hanover<br />

Mia J Harris<br />

Tanya Henry<br />

Kasey T Hill<br />

Ian Hodgdon<br />

M’Liss Hogan<br />

Nanette Icho<br />

David Janz<br />

Christopher Johnson<br />

Sarah Jolley<br />

Eric Judd<br />

Adam Kennedy<br />

Brad Lake<br />

Oleana Lamendra<br />

Christina Leal<br />

Ann Long<br />

Gina Long<br />

Suzanne Lousteau<br />

Stacey Macip<br />

Michelle Manning<br />

Jennifer Mills<br />

Tommy Morel<br />

David Novosad<br />

Tara R Oden<br />

Jennifer Pellegrin<br />

Lori M Quintal<br />

Meera Ramachandran<br />

Cristina Romanach<br />

Brandy Roy<br />

Joshua Shraberg<br />

Stephanie W Smith<br />

Victoria Solderitch<br />

Vincent A Tullos<br />

Paul Walker<br />

Luke Wall<br />

Barton Wax<br />

John A Young<br />

Lauren Zatarain<br />

Amy W Zeringue<br />

LSU-SHREVEPORT<br />

Martin John Carter<br />

Don Allen Davis<br />

Elizabeth Dawn DeVille<br />

Penny Xuan Dupre<br />

Mathew Clark Erickson<br />

Tolvert Eugene Fowler, Jr<br />

Joshua Alan Good<br />

Andre F Guidry<br />

Nichole Churchman Moore<br />

Errol P Wilder<br />

TULANE MEDICAL SCHOOL<br />

Christina Ng Bergstrom<br />

Douglas Lionel Constant<br />

Bradley Ryan Friedman<br />

Kevin Guillory<br />

Sabrina Ann Kane<br />

Kristi Lewis<br />

Rhonda Ann Lizewski<br />

Erica Marin<br />

Sarah Markley<br />

Christian Antonio Mayorga, Jr<br />

Jennifer McEntee<br />

M. Jane Moore<br />

Jarelle Jamie Morgan<br />

Melanie Elaine Munn<br />

Matthew Leslie Tripp<br />

Seth Browning Wallace<br />

RESIDENTS<br />

RAPIDES REGIONAL - ALEXANDRIA<br />

Samreen Ali, MD<br />

Jiho Choi, MD<br />

Johnny Kevin Ingram, MD<br />

Latonya Renae Kelly, MD<br />

Suneetha Koduru, MD<br />

Daniel Renois, MD<br />

BATON ROUGE GENERAL<br />

MEDICAL CENTER<br />

Margeaux C Coleman, MD<br />

Jane Trumbo Harrington, MD<br />

Scott Daniel Hayes, MD<br />

Srinivas Kata, MD<br />

Barbara Linn Keller, MD<br />

Allison Dee Parkman, MD<br />

Vincent Lee Shaw, Jr, MD<br />

Rome Abdul Sherrod, III, MD<br />

KENNER REGIONAL MEDICAL<br />

CENTER<br />

Tinka Ann Barnes, MD<br />

James Keith Daniel, MD<br />

Lane Nur Ertugay, MD<br />

Michael C Heichen, MD<br />

Ivo Tzvetanov Iatchovski, MD<br />

John Jin, MD<br />

Toikus Zawinul Westbrook, MD<br />

UNIVERSITY MEDICAL CENTER -<br />

LAFAYETTE<br />

Dixie Guillott Broussard, MD<br />

Barry Ray Byram, MD<br />

Gordon H Clark, MD<br />

Paula Louise Conolly, MD<br />

James H Johnson, MD<br />

N Augusta LaFleur, MD<br />

Jeanne Dauphine Theriot, MD<br />

LAKE CHARLES MEMORIAL HOSPITAL<br />

Penny Lynn Goodwin, MD<br />

Bradley Loewer, MD<br />

Dang Dinh Nguyen, MD<br />

Ghada A Saqer, MD<br />

Michael Ash Tahir, MD<br />

Amy Michelle Townsend, MD<br />

Binh Ngoc Tran, MD<br />

EAST JEFFERSON GENERAL HOSPITAL<br />

Atiya Momin, MD<br />

Janet Elaine Strangi, MD<br />

Michael Angelo Valdes, MD<br />

Kathleen Garvey Williams, MD<br />

E.A. Conway Medical Center<br />

Farooq Masoud Ahmed, MD<br />

Mustafa Mohiuddin Akif, MD<br />

Fawzia Haque, MD<br />

Martin C Kaba, MD<br />

Mohamed Gamil Ibra Mohamed,<br />

MD<br />

Harnish R Patel, MD<br />

Carter W Quayle, MD<br />

Ali Mohamed Al Zewail, MD<br />

LSUHSC-SHREVEPORT<br />

Elias Belay Bahta, MD<br />

Zareena Bozeman, MD<br />

Rashid Daud, MD<br />

M C Degr<strong>of</strong>f-Davis, MD<br />

Jennifer Henley, MD<br />

Esther M Holloway, MD<br />

Alicia M Hopkins, DO<br />

Sanjoy Mukerjee, MD<br />

Bao Thang Ngoc Pham, MD<br />

Magdy Eskander Shehata, MD<br />

MEMBERSHIP RECAP<br />

As <strong>of</strong> 10/31/<strong>03</strong><br />

Type<br />

Count<br />

Active 705<br />

Sustaining 2<br />

Inactive 6<br />

Life 64<br />

Resident 153<br />

Student 3<strong>03</strong><br />

Total Members 1,233<br />

Prospective Residents 12<br />

Pending Approval 9<br />

Eligible Nonmembers 218<br />

(108) Former Active Members<br />

Other Practicing FPs 18<br />

Not eligible for membership<br />

Total Nonmember FP/GPs 257<br />

10


FINANCIAL REPORT<br />

<strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physician</strong>s<br />

Financial Report<br />

For the Years Ended December 31, 2002 and 2001<br />

Statement <strong>of</strong> Assets and Liabilities - Modified Cash Basis<br />

Assets 2001 2002<br />

Total Cash Assets 163,139 236,057<br />

Total Property and Equipment 161,881 160,224<br />

Total Other Assets 12,672 12,173<br />

Total Assets 337,692 408,454<br />

Liabilities and Net Assets<br />

Total Liabilities 79,821 72,028<br />

Net Assets (Unrestricted) 257,871 336,426<br />

TOTAL LIABILITIES AND NET ASSETS 337,692 408,454<br />

Statement <strong>of</strong> Revenues, Expenditures and Net Assets - Modified Cash Basis<br />

REVENUES 2001 2002<br />

Membership Dues* 145,742 153,871<br />

Assembly Revenues 132,055 124,748<br />

Winter Conference Revenues 38,889 40,<strong>03</strong>5<br />

Magazine Revenues 380 2,365<br />

Summer Breakaway Revenues -0- -0-<br />

Directory Revenues -0- -0-<br />

Other Revenue 10,622 26,119<br />

TOTAL REVENUES 327,688 347,138<br />

EXPENDITURES 2001 2002<br />

Operational Expenses 58,361 46,640<br />

Assembly Expenses 43,715 54,672<br />

Winter Conference Expenses 24,697 30,791<br />

Summer Breakaway Expenses -0- -0-<br />

Magazine Expenses 5,051 6,850<br />

Salaries 122,528 90,841<br />

Travel 14,541 7,623<br />

Other Expenditures 27,178 31,166<br />

TOTAL EXPENDITURES 296,071 268,583<br />

Net Assets - January 1 226,254 257,871<br />

Net Assets - December 31 257,871 336,426<br />

Increase in Unrestricted Net Assets 31,617 78,555<br />

Complete copy <strong>of</strong> Independent Auditor’s Report and Financials available upon request.<br />

11


RESIDENTS’ CORNER<br />

Baton Rouge General<br />

Medical Center<br />

by Letecia Spurlock Miles,<br />

Senior Residency Coordinator<br />

Greetings from the Baton Rouge General’s<br />

<strong>Family</strong> Medicine Residency.<br />

All residency programs at this time <strong>of</strong> the<br />

year, are aggressively seeking residents to train<br />

for the next academic year. We too are in the<br />

midst <strong>of</strong> this frantic, but yet fulfilling stage. We<br />

are excited about this recruitment season and<br />

all <strong>of</strong> its possibilities. We have attended fairs in<br />

the cities <strong>of</strong> New Orleans, Shreveport, Mobile,<br />

Nashville, Texas and Georgia and had the great<br />

opportunity <strong>of</strong> meeting many wonderful students.<br />

We are equally excited about the applicant’s<br />

interviewing with us this year. We’ve met<br />

some magnificent students and we look forward<br />

to a successful year!<br />

Mark your calendars for the 2004<br />

ALSO Course held January 23 - 25, 2004 at<br />

the Baton Rouge General <strong>Family</strong> Medicine<br />

Residency Program. If you are interested in<br />

more information, please contact Dr. Edward<br />

Geno or Connie Rome at (225) 387-7899. The<br />

Also Course will be in combination with our<br />

2nd Annual “Second Look”. We are looking<br />

forward to having all <strong>of</strong> our applicants visit us<br />

again. The 20<strong>03</strong> event proved to be successful<br />

with us matching 3 <strong>of</strong> the 4 applicants who<br />

came back, so we are looking forward to<br />

another successful year.<br />

We are pleased to announce two <strong>Family</strong><br />

Medicine Health Promotion Externship positions<br />

open for the summer <strong>of</strong> 2004. Program<br />

acceptance includes: $300 per week, housing,<br />

and some meals. For more information and application<br />

materials, please contact: Robert Chasuk,<br />

MD, e-mail, Rob.Chasuk@brgeneral.org or<br />

Letecia Miles, Senior Residency Coordinator at<br />

fmrp@brgeneral.org or phone at (225) 387-<br />

7899.<br />

The residents have enthusiastically and<br />

energetically attended the LSU and SU football<br />

games. Yeah.... Go Tigers and Jaguars! They are<br />

equally excited about the 2004 upcoming<br />

events. This year they will “knock-down” some<br />

pins at their upcoming Bowling Tournament,<br />

attend the Hornets basketball game and take in<br />

a movie at the local theater. Yes, our residents<br />

do know how to have fun!!!!!<br />

By the time you receive this article, many <strong>of</strong><br />

you will be celebrating the holidays, so we wish<br />

all <strong>of</strong> you a wonderful and blessed holiday. Be<br />

safe!<br />

East Jefferson General Hospital<br />

<strong>Family</strong> Practice Residency Program<br />

by Susan Gremillion,<br />

Residency Coordinator<br />

Julie Crawford, Staff Assistant<br />

Graduation and Orientation each year<br />

blends together bittersweet memories, joys and<br />

laughs, and roasting and toasting our Senior<br />

Residents has become a welcomed tradition<br />

here at E.J. We wish all <strong>of</strong> our graduates lots <strong>of</strong><br />

success in all their endeavors. Dr. Tara Berner<br />

has joined Dr. Joseph Tebbe in Lakeview, New<br />

Orleans, Dr. Anna Falcon is working at the EJ<br />

After Hours Clinic in Kenner, Dr. Janine<br />

Yeostros has transferred to Seattle, Washington<br />

to begin her practice, Dr. Chris Richards has<br />

joined the <strong>Family</strong> Doctors Group on the<br />

Westbank, and Dr. Taura Parquet is planning to<br />

stay in the area as well. We miss you all!<br />

Trading spaces with our grads are our new<br />

residents. Dr. Chris Fernandez del Riego, local<br />

Tulane graduate returns to New Orleans, transferring<br />

to us from San Diego, CA as a PGY-II,<br />

and Dr. Jose Veras Pola from St. Clare’s<br />

Hospital, Schenectady, N.Y. I believe both<br />

would say they are now “Southerners”. We are<br />

pleased to announce Kim Garvey-Williams,<br />

M.D., LSU, New Orleans, Atiya Momin, M.D.,<br />

Dhaka Medical College, Bangladesh, Janet<br />

Strangi, M.D. from Wiggins, MS, graduate <strong>of</strong><br />

Saba University, and Michael Valdes, M.D. relocated<br />

from Miami, FL, graduate <strong>of</strong> Universidad<br />

Centrl Del Este, Dominican Republic complements<br />

our first year class. We’re delighted to<br />

have all <strong>of</strong> them!<br />

Just as orientation was being completed the<br />

E.J. <strong>Family</strong> Practice Residency Program took<br />

part in a unique program assisting in hosting<br />

the National Student Leadership Conference.<br />

This is a conference for selected high-achieving<br />

juniors and seniors from high schools all<br />

over the country with an interest in medicine.<br />

Our chief residents, Dr. Jay Dumas and<br />

Dr.Kevin Plaisance, along with Dr. Coutrney<br />

Landry, PGY-II, were guest speakers for the students<br />

sharing with them the “Life <strong>of</strong> a<br />

Resident”. They answered the curious students<br />

questions about requirements, expectations,<br />

sharing medical school experiences and<br />

changes in today’s medicine. We then invited<br />

eight <strong>of</strong> the high school students to shadow our<br />

residents for the day. This included clinic,<br />

rounding with the inpatient team, and a<br />

“hands-on” suture class. According to the students<br />

it was an experience that they will always<br />

remember.<br />

Dr. Jay Dumas, Dr. Alex Hoang, and Dr. Ann<br />

Heikkinen attended the National Conference <strong>of</strong><br />

<strong>Family</strong> Practice Residents and Medical<br />

Students in Kansas City, Missouri. Jay, Alex and<br />

Ann go into the recruiting <strong>of</strong> students promoting<br />

the theme to all “<strong>Louisiana</strong> (EJ)—A<br />

Resident’s Paradise”.<br />

We couldn’t agree more!We also want to<br />

give our congratulations to Dr. Mike Davis and<br />

Celeste, his new bride! Also, Mike will be graduating<br />

at the end <strong>of</strong> November. Best wishes to<br />

Mike—we’ll miss you!<br />

Interview season is underway and we are<br />

pleased with the interest in <strong>Family</strong> Medicine!<br />

LSUHSC–Alexandria<br />

<strong>Family</strong> Medicine Residency<br />

Program<br />

by Jason Beasley, PGY III<br />

What an exciting time here in Alexandria!<br />

The hard work and diligence <strong>of</strong> our program<br />

director, Dr. Michael Madden, and the rest <strong>of</strong><br />

our faculty has been rewarded. We have<br />

received notification <strong>of</strong> our FULL accreditation<br />

status. Our program will not undergo another<br />

site visit until 2007! Even though we are now<br />

fully accredited, the faculty continues to strive<br />

to make this program even better. The recruiting<br />

season is also going well, with applicants<br />

from as far away as Kentucky and Connecticut.<br />

Several outstanding students have interviewed<br />

already, and many more have scheduled interviews<br />

in the near future.<br />

Drs. Michael Madden, Brian Elkins, Brian<br />

Jobe, and Reagan and Leslie Elkins recently<br />

conducted a suture workshop for the FMIG at<br />

LSU New Orleans. While there, Dr. Reagan<br />

Elkins gave a presentation entitled “<strong>Family</strong><br />

Medicine: Who Are We?” This hopefully helped<br />

to spark student interest in the field <strong>of</strong> family<br />

medicine. We have been pleased to have students<br />

rotating here from Tulane, LSU<br />

Shreveport and New Orleans. The residents<br />

and faculty have all enjoyed getting to know<br />

them and being a part <strong>of</strong> their medical education.<br />

Those students fortunate enough to be<br />

here in early November were treated to the<br />

Heart <strong>of</strong> Spain Exhibit that has been here in<br />

Alexandria.<br />

The LSU <strong>Family</strong> Practice flag football team is<br />

winding down their season. While the team did<br />

not make it to the play<strong>of</strong>fs, all <strong>of</strong> the players<br />

had a great time (although a few got their fair<br />

12


RESIDENTS’ CORNER<br />

share <strong>of</strong> injuries!). Those not playing had great<br />

fun cheering the team on from the sidelines.<br />

Hopefully, everyone will be recovered in time<br />

for the start <strong>of</strong> the next sporting season.<br />

Congratulations are in order for Dr. Stacy<br />

Zeller, faculty physician, and her husband, Larry.<br />

Dr. Zeller recently gave birth to twin boys, Daniel<br />

and David. Although the bouncing baby boys<br />

were premature and spent three weeks in the<br />

NICU, they are both home now with big brother<br />

Joseph. Dr. Zeller will be missed while out on<br />

maternity leave, but we know she will be returning<br />

soon. Word also has it that several <strong>of</strong> our<br />

male residents are going to be proud Pappas in<br />

the months to come—more on that later.<br />

LSUHSC-Lake Charles<br />

Lake Charles Memorial Hospital<br />

by Rick Jeansonne, PGY III<br />

Things are going smooth here. Since I<br />

wrote to you last, we have scheduled close to<br />

30 interviews already and interest in the program<br />

has soared. We just wrapped up our fall<br />

harvest weekend with students from all the<br />

regional medical schools and I’m pretty sure<br />

everyone enjoyed it. The weather was great and<br />

the food was even better. I suckered Joe Nida<br />

(PGY 2) into joining my musical entertainment<br />

at the Bonfire/Pig Roast, with plenty <strong>of</strong> cajun<br />

music as well. However Dr. Tuan Pham was<br />

busy chowing down and was not able to do any<br />

Michael Jackson this year. Although I guess this<br />

was for the best since we are trying to recruit<br />

students after all!!! The interns have finally figured<br />

out the ins and outs <strong>of</strong> the hospital and<br />

clinic and are slowly becoming independent.<br />

We also wrapped up the annual in-service<br />

examinations and we’ll get those results pretty<br />

soon. We are especially proud <strong>of</strong> our graduates<br />

last year as the <strong>Family</strong> Practice Board Exam<br />

scores returned and the class average was over<br />

the 94th percentile! Congrats to PGY 2 Jamie<br />

Benton and husband Carter for the healthy<br />

arrival <strong>of</strong> twin boys in November as well as to<br />

PGY 2 Joe Nida and wife Jody with the birth <strong>of</strong><br />

their son at the end <strong>of</strong> November. We are excited<br />

about the upcoming spring and the match<br />

process. We also are already preparing for our<br />

next site visit scheduled for 2005 to keep our<br />

full accreditation. A lot <strong>of</strong> hard work has been<br />

done by our program director as well as the<br />

surrounding Lake Charles physician community<br />

to make sure this program remains as strong<br />

as it is. We are always striving to remain the<br />

best <strong>Family</strong> Medicine Residency in the south.<br />

LSUHSC-Monroe<br />

<strong>Family</strong> Practice Residency Program<br />

Lawrence Carter, M.D., Chief Resident<br />

Brian Krier, MD, Director<br />

“I’m On Call Tonight”<br />

This is a phrase uttered by residents around<br />

the country on a daily basis. However, at the<br />

LSU-Monroe, E. A. Conway <strong>Family</strong> Practice<br />

Residency Program, many times these words<br />

can mean so much more. Our residency is<br />

unique in that it is an unopposed residency<br />

program, meaning that when there are procedures<br />

to be done, we do them. There isn’t any<br />

competition among us or other residents.<br />

Furthermore, we are given the opportunity to<br />

have considerable autonomy when it comes to<br />

patient care. Because <strong>of</strong> this, about a third <strong>of</strong><br />

the time, our <strong>Family</strong> Practice residents have<br />

experiences that go far beyond what is typically<br />

expected. I’m sure this will become clear<br />

after reading how the events <strong>of</strong> my last call<br />

unfolded.<br />

I arrived at the hospital around 6:45 am,<br />

pre-rounded on my Medicine team, attended<br />

morning report, rounded with my staff physician<br />

and discharged several patients. Following<br />

this, I attended noon conference and proceeded<br />

to my <strong>Family</strong> Practice Clinic at 1pm. I saw<br />

approximately 12 to 13 patients, performed a<br />

circumcision, and evaluated an eight-year-old<br />

male with a testicular mass. After resting for 30<br />

minutes or so, I was called to the Emergency<br />

Department to evaluate a patient with acute<br />

pancreatitis. The nursing staff was unable to<br />

gain peripheral IV access, so I placed a subclavion<br />

triple lumen catheter. About 3 medicine<br />

consults later; I performed a paracentesis<br />

on a febrile, liver failure patient. Around 2am<br />

that next morning, I performed a lumbar puncture<br />

on a patient with suspected encephalitis.<br />

At this point, I’m sure you are thinking<br />

“what a call night!” but the fun wasn’t done yet.<br />

At 7:30 am, while rounding on all the new<br />

patients on my medicine team, I was paged to<br />

the labor unit to deliver one <strong>of</strong> my OB patients<br />

who was complete and pushing. After delivering<br />

the baby and, <strong>of</strong> course, filling out the<br />

paper work, I rushed to morning report to<br />

present the 11 patients I had admitted the night<br />

before. Wow, what a day and I was still out <strong>of</strong><br />

the hospital by 1pm!!!<br />

Now that I’m a third year resident, I <strong>of</strong>ten<br />

reflect on what I thought it would be like to be<br />

a doctor. I never imagined that 13 years later,<br />

not only would I be doing so much, but that I<br />

would be making decisions and caring for<br />

patients with so much confidence and independence.<br />

There is a stigma at some University<br />

hospitals that follow the <strong>Family</strong> Practice residents,<br />

but my experiences at E. A. Conway disprove<br />

all such ideas. Without going in detail,<br />

most <strong>Family</strong> Practice Residents know what stigma<br />

I speak <strong>of</strong>. In closing, when I first started<br />

this program, my then Director, who happens to<br />

be working in Kenya at present, made the comment<br />

that I was learning how to be a “real doctor”.<br />

Two and a half years later I understand<br />

what he was saying, and it is truly gratifying.<br />

Lawrence Carter, M.D.<br />

Chief Resident,<br />

<strong>Family</strong> Practice Residency Program<br />

I’m sure Dr. Carter’s comments bring back<br />

many memories <strong>of</strong> your medical training experience;<br />

they do me. They reflect the necessity<br />

for quality education in order for us to take<br />

care <strong>of</strong> our patients, however, it takes more<br />

than just being competent in procedures and<br />

ordering the right tests to be a “real doctor.” It<br />

takes caring enough to be available to your<br />

patients when they need you and the confidence<br />

in your own ability (and limitations) as<br />

a physician. I appreciate Dr. Lawrence Carter<br />

for his comments and opportunity to reflect<br />

back on my own medical training.<br />

Brian P. Krier, M.D.<br />

Director, <strong>Family</strong> Practice Program<br />

LSUHSC-Monroe<br />

LSUHSC-Shreveport<br />

Residency Program<br />

Kim J. Hunter, Residency Coordinator<br />

Can you believe it is already November, our<br />

PGY-1’s are nearing the 6 month mark. They are<br />

doing a great job, adapting well to seeing<br />

patients and learning a lot during their rotations.<br />

ERAS is up and running, fast and furious.<br />

We have begun interviewing and have scheduled<br />

several future interviews. This is a very<br />

exciting time, so far thirteen <strong>of</strong> our applicants<br />

are LSU students. Debbie Henry, Academic<br />

Coordinator did a great job hosting and arranging<br />

our resident fair in October. It was a great<br />

success. We had 20 <strong>Family</strong> Medicine programs<br />

to participate from Texas, Arkansas, Mississippi<br />

and <strong>Louisiana</strong>. Student participation was outstanding.<br />

We would like to welcome to our staff, full<br />

time faculty member, Patrick B. Wood, MD<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> <strong>Family</strong> Medicine, Co-<br />

Director, Primary Care Pain Management Clinic<br />

13


RESIDENTS’ CORNER<br />

Adjunct Assistant Pr<strong>of</strong>essor, in the Department<br />

<strong>of</strong> Anesthesiology. Dr. Wood completed his residency<br />

in <strong>Family</strong> Medicine at LSU Health<br />

Sciences Center in Shreveport following graduation<br />

from medical school form the same institution.<br />

Following his residency, he undertook a<br />

yearlong fellowship in Psychopharmacology<br />

AAFP Foundation –<br />

the philanthropic arm <strong>of</strong> the <strong>Academy</strong><br />

“Give until it feels good, not<br />

until it hurts!”<br />

- AAFP Foundation donor<br />

Why give $35 in the<br />

“Dues Check Off”<br />

Campaign?<br />

4 Fast – Simply make sure the q4 “Yes” box<br />

is checked on your Dues Statement or<br />

Online Invoice<br />

4 Pain-free – $35 and tax-deductible<br />

q4<br />

4 Stretches – gifts are shared with Network<br />

chapter foundations<br />

4 Positively impacts the specialty with<br />

education, research and charitable<br />

programs!<br />

To learn more or add a gift visit<br />

www.aafpfoundation.org<br />

_________________________<br />

Simply check the “YES” box on your <strong>Academy</strong><br />

Dues Statement.<br />

Note: If you do not personally fill out your dues<br />

form, please inform your <strong>of</strong>fice staff <strong>of</strong> your desire to<br />

support the AAFP/F.<br />

Research in the Department <strong>of</strong> Psychiatry. His<br />

primary research focus is the Fibromyalgia<br />

Syndrome. Dr. Wood serves as coordinator for<br />

the Behavior Medicine curriculum for the<br />

<strong>Family</strong> Medicine residency program. We would<br />

also like to welcome home Randy Richter, MD.<br />

Dr. Richter has been in Germany since July<br />

2002 serving our country as a member<br />

<strong>of</strong> the Army Medical Unit. We<br />

look forwarding to him returning to<br />

work November 18, 2002. Several <strong>of</strong><br />

our faculty members have submitted<br />

packages for promotions: J. Bart<br />

Pope for Pr<strong>of</strong>essor and Rush-<br />

Kolodzey, Minao Baudoin and Jeffrey<br />

German for Associated Pr<strong>of</strong>essor.<br />

Congratulations to each <strong>of</strong> them.<br />

Congratulations goes out to Dr.<br />

Patrick Deere, 2nd year and bride<br />

elect Kelly, announced their engagement<br />

and will tie the knot December<br />

7, 2002. Our resident, faculty and<br />

medical students were actively<br />

involved again in the “Tar Wars”<br />

effort. Along with the support <strong>of</strong><br />

AHEC they presented this program<br />

to over 500 fourth and fifth graders<br />

in October.<br />

University Medical<br />

Center<br />

– Lafayette<br />

David Reehlmann, LCSW<br />

Numerous bright, new, faces<br />

have been observed around here<br />

lately. Interviewing and recruiting<br />

have been the order <strong>of</strong> the day<br />

recently at the FP residency in<br />

Lafayette. We have been enjoying<br />

spending time with the folks coming<br />

for interviews and getting to know<br />

them somewhat more personally<br />

during the process. A number <strong>of</strong><br />

students have been in and out <strong>of</strong> the<br />

program and hospital lately on various<br />

rotations from different medical<br />

schools, and they have been fun to<br />

have about. Plus, we’ve been getting<br />

a good little bit <strong>of</strong> work out <strong>of</strong> them<br />

. . ! Residents and faculty have, also, attended<br />

several residency fairs at various locations over<br />

the last few months. This has been an interesting<br />

process, particularly for the new people<br />

who are experiencing this activity for the first<br />

time from a new perspective.<br />

All FP residents in the nation took the annual<br />

ABFP In-Training Examination on November 7th,<br />

and ours can hardly wait for their results. Since<br />

the bar has been raised on what constitutes a<br />

passing score on the board’s certifying examination,<br />

instruments such as the In-Training Exam<br />

gain increased significance as assessment tools.<br />

We’ve again had some new additions to our<br />

local FP “family”. Faculty member Alan<br />

Broussard and wife Deidra, a former graduate<br />

and current preceptor here, celebrated the<br />

arrival on September 20th <strong>of</strong> Adam Joshua,<br />

their third child. Ellen and James Johnson, 2nd<br />

and 1st year residents respectively, also had<br />

their second child, April Marie, born on 7<br />

November. Congratulations to these physicians<br />

on the latest expansions <strong>of</strong> their families.<br />

Other activities include senior resident<br />

Amanda Phillips’ having initiated a hospital-wide<br />

coumadin monitoring clinic to try to improve<br />

adherence with that medication. Although a<br />

daunting task, my thought is that Amanda is up to<br />

the challenge. First year resident Agusta Le Fleur,<br />

will co-present a seminar in November at The<br />

Society <strong>of</strong> Teachers <strong>of</strong> <strong>Family</strong> Medicine annual<br />

Conference on Patient Education in San Antonio.<br />

The topic is, “Getting Patients Moving;<br />

Counseling for Physical Activity in <strong>Family</strong><br />

Practice”; not a matter <strong>of</strong> minor importance in<br />

primary care.<br />

Faculty preceptor Lou McCormick, MD is<br />

also scheduled to present a seminar at the STFM<br />

Patient Education Conference in San Antonio. His<br />

presentation is entitled, “ADHD in Community-<br />

Based Practice: How to be Successful.” Dr.<br />

McCormick has been working actively in this<br />

area for many years, and his approach to the<br />

subject is very helpful.<br />

Finally, rumor has it that our own, loquacious,<br />

second-year resident, Coogan Ryan, has<br />

become engaged. If, instead <strong>of</strong> being on vacation,<br />

he was here writing this column, I could<br />

ask him about it just to make sure. Hope he’s<br />

been having a good time and “congratulations!”<br />

q4<br />

800-274-2237, ext. 4462<br />

YES, I will give a $35<br />

Tax-deductible gift to the AAFP/F<br />

14


LAFP MEETING CALENDAR<br />

Mark Your<br />

Calendar<br />

January 28-31, 2004<br />

9th Annual Winter Conference<br />

Steamboat Springs, Colorado<br />

July 22-25, 2004<br />

57th Annual Assembly<br />

Panama City, Florida<br />

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See yourself as a member <strong>of</strong> the Air Force Reserve. For more<br />

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20<strong>03</strong><br />

Consultant<br />

Directory<br />

THIBODAUX<br />

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Neil J. Maki, M.D.<br />

525 St. Mary Street<br />

Thibodaux, LA 7<strong>03</strong>01<br />

Phone 985-446-6284<br />

Fax 985-447-1754<br />

LAFAYETTE<br />

Lafayette<br />

Orthopedic Surgery<br />

M. Angela Mayeaux, MD<br />

401 N. College, Ste. #2<br />

Lafayette, LA 70501<br />

Phone 337-235-1600<br />

Fax 337-235-1604<br />

15


<strong>Louisiana</strong> <strong>Academy</strong> <strong>of</strong><br />

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