*LA Family Physician V16#2 03 - Louisiana Academy of Family ...
*LA Family Physician V16#2 03 - Louisiana Academy of Family ...
*LA Family Physician V16#2 03 - Louisiana Academy of Family ...
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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 />
PHYSICIANS AND SURGEONS<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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& Sports Medicine<br />
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 />
<strong>Family</strong> <strong>Physician</strong>s<br />
919 Tara Boulevard<br />
Baton Rouge, LA 70806<br />
PRSRT STD<br />
US POSTAGE<br />
PAID<br />
LITTLE ROCK, AR<br />
PERMIT NO. 2437<br />
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