*LA Family Physician V16#2 03 - LAFP

FAMILY DOCTORSummer 2003 An Official Publication of the Louisiana Academy of Family Physicians Volume 16, Number 2Cypremort Point State Park BeachLouisiana CoastLouisaCajun Country

FROM THEPRESIDENTIn This IssueMarguerite (Cissy) Picou, MDAs I sit here thinking aboutwhat this year has brought to theLAFP, I am pleased with theprogress. A few years ago, wehad a leadership meeting and laiddown some pretty good goals forthe Academy. One of the mostimportant goals was to be morelegislatively active. We have donethat by hiring a lobbyist who willbe glad to send you legislativeupdates if you will send youremail address to the Academy. Italways awes me that the legislatorswant to have so much controlover medicine.The other main goal was tobecome more financially sound. Ifour CME and conferences continueto be well attended by you withjust a few more, I believe that canhappen. Speaking of CME, theeducation committee is workinghard to get good speakers for ournext convention in July. It promisesto be a good time as well asa learning experience.This year for the first time in awhile, there will be a golf and tennistournament. I hope all of youplayers will sign up. It promises tobe fun and challenging. The proceedsof the tournament will go tothe Foundation, which has not hada fund raiser in a while.Several of us have just returnedfrom the annual leadership conferencewhere we learned aboutthe Future of Family MedicineProject. We learned that ourpatients love and respect us andthat the specialist values us. Ithink that our only problem isgetting students to go into familymedicine.And last, but certainly not least,I ask each of you to pray for mymom. She has recently found outthat she has metastatic cancer. Weare going to Germany for experimentaltreatments and I ask foryour prayers for her.From the President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 2From the Editor/Secretary . . . . . . . . . . . . . . . . . . . . . . . . . Page 32003-2004 Board of Director Nominations . . . . . . . . . . . . . page 4The Stethoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 556th Annual Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . Page 7-10Residents’ Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 12-14Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 15Published byLouisiana Academy ofFamily Physicians919 Tara BoulevardBaton Rouge, LA 70806Telephone: 225-923-3313Fax: 225-923-2909academy@lafp.orgWebsite: www.lafp.orgRoger Zoorob, MD, MPH, EditorSonora Norman, Manager EditorOfficersMarguerite (Cissy) Picou, MDPresidentRichard Streiffer, MDPresident-ElectDerek Anderson, MDVice PresidentRoger Zoorob, MD, MPHSecretaryBryan Picou, MDTreasurerMichael Marcello, MDImmediate Past PresidentBrian Krier, MDSpeaker, General AssemblyDaniel Jens, MDVice Speaker, General AssemblyDonnie Batie, MDEdward Martin, Jr., MDDelegates to AAFPMichael Harper, MD, ChairEducation CommitteeBryan Picou, MD ChairMichael Oler, MD, Co-ChairOperations CommitteeWayne Gravois, MD, ChairMichael Marcello, MD, Co-ChairMembership & LegislativeIssues CommitteeRoger Zoorob, MD, MPH, ChairLAFP Foundation ResearchCommitteeLAFP StaffSonora S. NormanExecutive Vice PresidentAdministrative AssistantCathy Stanley2

FROM THE EDITOR/SECRETARYLouisiana’s Family Doctor is theofficial quarterly publication ofthe Louisiana Academy ofFamily Physicians (LAFP).It serves as the primarycommunication vehicle toLAFP members.No material in Louisiana’sFamily Doctor is to beconstrued as representing thepolicies or views of theAcademy.The editors reserve theright to review and to rejectcommentary and advertisingdeemed inappropriate.Advertisers and agencies mustindemnify and hold the theLAFP harmless of any expensearising from claims or actionsagainst the LAFP because of thepublication of the contentsof an advertiser.No part of this publication maybe reproduced or transmitted inany form or by any means,electronic or mechanical,including photocopy, recordingor any information storage andretrieval systems, withoutpermission from the Editor.Subscriptions are free tomembers of the LouisianaAcademy of Family Physicians.Subscription rate for nonmembersis $35 per year.Tosubscribe call 225-923-3313.Editorial deadlines:February 15,May 15,August 15, andNovember 15AdvertisingPublishing Concepts, Inc.Whitney White • 800-561-4686wwhite@pcipublishing.comwww.pcipublishing.comIs the Golden Age of FamilyMedicine Gone?I am writing this letter on myway to the Annual Family PracticeResidency Directors’ meeting inKansas City. As you may know,one of the hats I wear is the FamilyPractice Residency Director ofLSUHSC-NO Kenner Program. I amwondering what other residencydirectors will be discussing thisyear in both formal and during theinformal sessions. I am certain thatone issue will definitely be raised:How can we get students moreinterested in family practice residenciesafter a very low match yearacross the nation.This is a serious problem thatfaces family medicine as a specialty.Family doctors are the main suppliersof health care in rural andhealth shortage areas in our state.The fewer students join our residenciesthe fewer graduates wehave. This translates into lesspatient care in rural areas and theinability to find good partners whocan help shoulder the burden ofprimary care. I am anxious to sharemy ideas and see what others aredoing nationwide to battle this seriousset back, and I will share withyou what I learn when I return.That aside, I want to offer mysincere thanks to all of you in practicesaround the state who teachand act as role models for our medicalstudents and residents. If youRoger J. Zoorob, MD, MPHare not teaching in your practices,please contact our medical schoolchairs or residency directors andactively participate. Your efforts willbe highly appreciated.Second, your LAFP is makingpositive changes at the state level.Your physician advocacy committeeled by Drs. Mike Marcello andWayne Gravois has, with theapproval of your board, hired alobbyist to bring your issues suchas billing, image and physicianshortage to your legislature.Dinners are being held with therural caucus and other legislativebodies to help people understandthe importance of family medicineand what it provides to the State ofLouisiana, as well as to make themaware of the problems we are facing.These partnerships with legislatorsare going to be very importantin the LAFP’s efforts to helpyou.(continued on page 14)General Assembly Meeting Notice:Make Plans to participate in the Academy’sdesision-making process by attending theGeneral Assembly on Saturday, July 19, 2003.The meeting will be held during the56th Annual Assembly,which will be held July 17-20, 2003at the Lafayette Hilton & Towers.If you haven’t registered for the meeting and wish todo so, you may contact the LAFP officeor visit our website for more information atwww.lafp.org.3

WE’VE GOTTHREE GREAT WAYSTO SOLVE AMERICA’SCALCIUM PROBLEM.2003-2004BOARD OF DIRECTORNOMINATIONSOFFICERS:PresidentPresident-ElectVice-PresidentSecretaryTreasurerSpeaker/GAVice-Speaker/GAAAFP DelegateAAFP AlternateDelegateResidentStudentsTulaneLSU-NORichard Streiffer, MDDerek Anderson, MDRoger J. Zoorob, MD, MPHBrian Krier, MDBryan Picou, MDDaniel Jens, MDRussell Roberts, MDRobert Lahasky, MDDerek Anderson, MDJames Taylor, MD(B.R.General)Rep: Brad FriedmanAlt Rep: Jessica GalandakRep: Deborah E. BurchDISTRICT OFFICERSDistrict 1Director James Tebbe, MDAlternate Bert Tillery, MDAccording to the United States Departmentof Agriculture, most Americans just don’t getthe calcium they need every day.That’s why we’re launching a new marketingand educational effort called 3-A-Day of Dairy.This program will help spread the wordthat three servings a day of milk, cheese oryogurt are a delicious way to get the calciumyou need for stronger bones and better bodies.It’s a very simple message.And it’s receivingsupport from health professional organizationslike the American Academy of FamilyPhysicians, the American Academy of Pediatrics,the American Dietetic Association, and theNational Medical Association.All in all, tens of thousands of healthprofessionals agree that 3-A-Day of Dairy isessential to a healthy diet.They also know that emphasizing thebenefits of 3-A-Day of Dairy cannot onlyhelp address the nation’s calcium deficit, butalso educate people on making smart choicesconsistent with the USDA’s Food GuidePyramid.Just look for the 3-A-Day logo on milk,cheese and yogurt products that are an excellentsource of calcium. The Dietary Guidelines forAmericans recommend choosing a diet that’slow in saturated fat and moderate in total fat.So be sure to enjoy the low-fat and fat freevarieties of dairy often–all readily available.To find out more about our program,visitus at www.3aday.org.Supported by:© 2003 3-A-Day of Dairy For Stronger Bones, American Dairy Association ® /National Dairy Council ® ®District 3ADirectorAlternateDistrict 4DirectorAlternateDistrict 5DirectorAlternateDistrict 6AAlternateDirectorDistrict 6BAlternateDistrict 7DirectorAlternateCamille Pitre, MDBryan Matherne, MDRicky Jones, MDDavid Henry, MDRobert Parker, DOBrian Krier, MDChristine Smith, MDE. Edward Martin, Jr., MDGerald Foret, MDMark Dawson, MDEarl J. Soileau, MD4

GUEST ARTICLEBy David T. Henry, M.D.,caq GeriatricsShreveport, LATheSTETHOSCOPEI picked it up from its gray box andheld it as if it might break right therein my hands. I was just one of over a100 tan coated freshmen medical studentsreceiving a black imitationleather bag, reflex hammer, pen lightand brand new stethoscope. Theywere gifts from a pharmaceutical company.We were about to the enter thesecond year and begin our training inphysical diagnosis and assessmentand the pharmaceutical company hadjust provided us with the first “toolsof-our-trade.”When I picked up thesmall black artificial leather bag andlooked inside I had the sense that thiswas the beginning of somethingimportant. Opening the rectangulargray box containing a gray stethoscopeI felt a chill. A moment to thisday not forgotten. Therein lay the“symbol.” The badge of our identitytelling all, that it’s owner was in possessionof secret knowledge. It was akey. A key that would unlock thedoor of knowledge and the door tothe exclusive club of physicians. Ipicked it up from its box and a chillran through me as I felt it’s heft andit’s flexibility. I placed it in my ears, atfirst uncomfortable because it wasthere backwards. I realized then that Ihad no clue how I was going to makethis new stethoscope yield it’s secretsto me. Yet I also knew that one day Iwould come to know it’s secrets. Iplaced it folded into the side pocketof my tan lab coat, stained from hoursand hours in the gross anatomy lab.This placement would be an actrepeated untold thousands of timesover the next nearly four decades forme. I turned and walking extra tallwith my bag and new stethoscopeand strode down the hall toward thelight of the Tulane Avenue entrance.Little did I know how that stethoscopewould change my life forever after.Medical students develop ritualswith stethoscopes. The location andplacement denotes one’s station orcaste in the academic society of medicalstudents, interns, residents andfaculty. Our tan lab coat with thestethoscope in the pocket generallydrew smiles from upper classmanwho knew the stethoscope intimately5

GUEST ARTICLEand they knew that we did not.When the junior year began andthe identifying short white coatbecame our uniform we carried it inour side pocket at first. Later that sameyear it moved to clasp around ourneck, hanging like a necktie. The seniorswore it around the neck like astole, collar open, tie pulled downbefitting the knowledgeable savvy studentaccustomed to long days andnights on service. Already the identityof the medico swung with the stethoscopeswagger. The stethoscope everpresent, if folded and held in a handwhile rapidly walking said “importantperson on an urgent important mission.”Slung over one shoulder ifaccompanied by wrinkled rumpledclothes and red eyes said “been upsaving lives on the unit and have hadno sleep and I still have hours to go.”When twirled like a rope around,around means “I am done I am goinghome.” Or “I am done and on the wayWelcome toLouisianaFamily DoctorMagazineto Joe Raviotta’s for a beer.” Little didwe know in those days where thestethoscope would take us. Even thethrill of walking across the stage to getour diploma fades with time, but theThis magazine serves as theLouisiana Academy of FamilyPhysicians’ major communication source—providing members with public relations,legislative and membership information.1500 copies of each issue are addressed andmailed to family practice physicians, residents intraining, medical students and legislators.For Advertising information contactWhitney White at wwhite@pcipublishing.comor 1.800.561.4686stethoscope daily renews a person.When we pick up that symbol nothingelse can instantly bring focus andsense of purpose like putting on thestethoscope. It was there for the veryfirst patient we ever had entrusted tous and there for every patient after. Itwas there for the first mother to beexamined by us and for the wonder ofthe rapid heartbeat of a new human’ sheart heard through that stethoscopefor the very first time. It’s there whenthat new person takes it’s first breathand you hear it live for the very firsttime. It’s there when the inner soundsof countless patients reveal the secretsof the afflicted for our interpretation.It’s there as the sounds of life fadefrom our hearing, slipping throughour fingers like sand. It’s there to comfortthose who present themselves toour care and they sense it’s chilly feelagainst their skin, they know then that“their doctor” is on the job, at the taskof caring for them and they are reassured.When my day is done it will bethe stethoscope that will attest that Ihave left for home and my days withthe stethoscope are finished. The verynext second, somewhere, a youngheart will race as they take out a shinynew stethoscope from within it’s box,there to lead it’s new owner on themost remarkable of journeys.6

56th Annual Assembly & ExhibitionLafayette Hilton & Towers, Lafayette, LouisianaJuly 17-20, 2003Program AgendaWednesday, July 16, 2003Saturday, July 19, 2003 - 4 hrs. CME3:00—5:00 pm Registration Desk Open (Physicians & Exhibitors)5:00–6:30 pm Foundation Board of Directors Meeting6:30–8:30 pm LAFP Board of Directors Meeting8:00–9:30 pm Networking ReceptionThursday, July 17, 2003 - 4 hrs. CME7:00 am-5:00 pm7:00-7:30 am7:00-7:30 am7:30-8:30 am8:30-9:30 amRegistration Desk OpenContinental Breakfast with ExhibitorsLAFP Past President’s BreakfastNew Treatment Options in ADHD, Earl Soileau, MDGet a Life: Recognition and Management ofDepression —Part 1, Warren Jones, MD7:00 am-1:00 pmRegistration Desk Open9:30-10:00 amRefreshment Break with Exhibitors7:00-7:15 amContinental Breakfast10:00-12:30 pmGeneral Assembly–Membership Meeting7:15-7:30 am7:30-8:30 am8:30-9:30 am9:30-10:00 amWelcome, Announcements, IntroductionsMarguerite “Cissy” Picou, MD, LAFP PresidentAsthma in School-Aged ChildrenHolley Galland, MDInsomnia in the Primary Care SettingCharles Cefalu, MD, MSRefreshment Break with Exhibitors12:45-2:15 pm2:15-2:55 pm3:00-4:00 pm4:00-5:00 pmAwards & Installation LuncheonDessert with Exhibitors–Grand Prize DrawingWinner Must Be PresentGet a Life: Recognition and Management ofDepression —Part 2, Warren Jones, MDType 2 Diabetes: Treating to TargetFrank Svec, MD10:00-12:00 pm10:00-11:00 am11:00-12:00 pm12:30-1:30 pm1:00 pm6:30 -8:00 pmOPTIONAL: Practice Management Workshop–MedicalCoding: Getting Paid for What You Do (Pt. 1)Emily Hill PA-C (LIMITED TO 25 REGISTRANTS)Varicella Immunization, Kenneth Davis, MDLegally Correct Pain Management: How to Keep YourselfOut of Trouble–David Benson Brushwood, JDCooking Demonstration with Chef Patrick MouldLouisiana Culinary Enterprises, Inc.Golf & Tennis TournamentsWelcome ReceptionFriday, July 18, 2003 - 6 hrs. CME7:00 –2:30 pmRegistration Desk OpenSunday, July 20, 2003 - 6 hrs. CME7:00 am-2:00 pm7:00-8:30 am8:30-9:30 am9:30-10:30 am10:30-10:45 am10:45-11:45 am11:45-12:45 amRegistration Desk OpenCME Breakfast—Dyslipidemia ManagementJames Early, MDSinusitis, Ben Close, MDAllergic & Non-Allergic Rhinitis, Ben Close, MDRefreshment BreakThyroid Disorders, Michael B. Harper, MDOverview of Adult Health MaintenanceMichael B. Harper, MD7:00-7:30 amContinental Breakfast with Exhibitors12:45-12:55 pmFarewell Remarks(End of official program)7:30-8:30 amImmunization Update for Family PhysiciansRoger Zoorob, MD, MPH1:00-2:00 pmOptional CME: Lunch Lecture/Leadership Symposium—How toFrame Your Message to the Media, Judy Johnson, Daily Advertiser8:30-9:30 am9:30-10:00 am10:00-12:00 pm10:00-11:00 am11:00 -12:00 pm12:30-2:30 pmThe Louisiana Arboviruses: St. Louis, Eastern Equine &West Nile, Ron Wilcox, MDBreak with ExhibitorsOPTIONAL: Practice Management Workshop–MedicalCoding: Getting Paid for What You Do (Pt. 2)Emily Hill PA-C (LIMITED TO 25 REGISTRANTS)Recognizing the Signs & Warnings of Multiple SclerosisRobert Martinez, MDHepatitis B & C, Ron Wilcox, MDSports Medicine Procedural Workshop: Soft Tissue &Joint Injections, Kim Edward LeBlanc, MD, PhD, FAAFPNOTE: NEW DATEMark your 2004 Calendar9th Annual WinterConferenceJanuary 28—February 1, 2004Steamboat Grand Hotel,Steamboat Springs,Colorado7:00-11:00 pmPresident’s “Cajun Fun” PartyFamily Fun NightSpeakers and/or topics are subject to change without notice7

Meeting InformationRegistrationIf your registration is postmarked by June 15,you receive the “Early Bird” discount andsave $50 off your full meeting registrationfee. AAFP Residents pay one flat registrationfee whenever they register.Registration fee covers CME offerings,syllabus, and daily continental breakfasts andcoffee breaks, as well as one complimentaryticket to the Awards and InstallationLuncheon and President’s Party. Additionaltickets and Guest Registrations can bepurchased at a nominal charge. SeeRegistration Form for pricing.Leadership SymposiumLAFP is offering training to leaders andpotential leaders of the LAFP. This trainingwill consist of how to develop leadershipqualities, as well as how to further theLAFP’s goals through grassroots lobbying.The training programs will be heldconcurrently with general CME sessions.More information will follow to those who areinterested. This training will be offered free ofcharge, through the generous support of oursponsor, Schering Pharmaceuticals. Up to 6CME credit hours will be offered forattending this program. Please notify theLAFP staff of your interest in attending thissymposium. Seating is very limited. You maycontact Sonora Norman via telephone (800)375-5237 or by email at academy@lafp.org.Cancellation PolicyRefunds, less a $75 administrative charge,will be given on receipt of writtencancellations received prior to July 1, 2003.No refunds will be given after July 1, 2003.AccommodationsLafayette Hilton & TowersTo make reservationscontact the LafayetteHilton Direct at (337) 235-6111 or toll free 800-33-CAJUN (22586) andidentify yourself as anLAFP meeting attendee.Online reservations may be made by visitingwww.lafayette.hilton.com. Click “Book aroom” and enter “LCP” in the “Group/Convention Code” field.Rates are available from July 17-20, 2003.Any dates outside of the room block dates aresubject to availability. All rooms in theLAFP block will be held until July 1, 2003or until all the rooms in the block arereserved, whichever may occur first.Rates are as follows: Two Doubles $91.00;King $101.00; Executive Doubles $121.00;Executive King $131.00; Standard OneBedroom Suite $193.00; Standard TwoBedroom Suite $283.00.Special EventsCookingDemonstrationwithChef PatrickMouldThursday, July 17, 2003,12:30— 1:30 pmChef Patrick Mould is an award-winning chef,cookbook author, television personality and aleading authority on Cajun and Creole cuisineand now he will share with you some of hisculinary secrets at his Louisiana School ofCooking. Chef Mould will teach participantsthe basics of the Bayou State’s great Cajunand Creole Cuisine. You will also take awayan understanding of the unique culture ofLouisiana. He will share with you recipes ofsome famous Louisiana dishes.The fee is $30 person and includes on-sitecooking demonstration (Lafayette Hilton’sVermillion Room) & samples of recipes, aswell as recipes to take with you. You will alsobe provided light refreshments. A minimumof 40 participants are needed to guarantee thedemonstration.Golf & Tennis TournamentsThursday, July 17, 2003, 1:00 pmThe LAFP Foundation is sponsoring twocharity events, Golf & Tennis Tournaments,to support the Foundations’ goals. Seeenclosed registration forms if you areinterested in participating in these events.Welcome ReceptionThursday, July 17, 2003, 6:30—8:00 pmThe Family Doctors of Acadiana will onceagain host the LAFP leaders and membershipin their beautiful facilities. Please join us forthe opportunity to network with your peers atthis casual, family- oriented function.“Lagniappe on theBayou”President’s PartyFriday, July 18, 20037:00-11:00 pmYou won’t want to miss this event, which willoffer food, dancing, live entertainment, and achance to spend time with family and friends,having “fun on the bayou”. Registrantsreceive one complimentary ticket to thisevent. Additional tickets may be purchasedfor family and friends. Ticket prices are,Adult (12 and over) $35, Child (Age 4-11)$20. Children 3 and under are free. Attire:Casual. Laissez les bons temps rouler (Letthe good times roll)Awards andInstallation LuncheonSaturday, July 19, 200312:45-2:15 pmJoin us at the Installation & Awards Luncheonas outgoing President, Doctor Marguerite“Cissy” Picou gives her official farewell.New officers will be installed followed by theinaugural address of incoming president,Doctor Rick Streiffer. This function alsospotlights our Family Physician of the Year,2003 Partners, and 25-50 Year Members.Full meeting registrants receive onecomplimentary ticket to this event. DailyRegistrants and others wishing to attend canpurchase tickets by utilizing the Extra Ticketsection of the Registration Form. Ticket pricesare, Adult (12 and over) $25, Child (Age 4-11) $15. Children 3 and under are free.Attire: Business Casual (Board members areasked to wear a coat & tie for theirinstallation)AccreditationThis program has been reviewed and isacceptable for 20 hours credit by theAmerican Academy of Family Physicians.AAFP Prescribed credit is accepted by theAMA as equivalent to AMA PRA Category 1credit for the AMA Physicians RecognitionAward. When applying for AMA PRA,Prescribed hours earned must be reported asPrescribed hours, not as Category 1.ObjectivesThis activity is designed for the specialty offamily medicine, but may also be ofeducational interest to the specialties ofinternal medicine, pediatrics and otherprimary care fields. It is designed to introduceproviders to the latest information, techniquesand technology applicable to office-basedpatient care through didactic lectures andinter-active discussions. Upon completion ofthis activity, participants should have aworking and applicable comprehension ofthese topics. Specific objectives for each topicwill be included in the participant syllabus.This meeting also provides the opportunity forresidents, students, educators and physiciansto intereact.8

56th Annual AssemblyLafayette, Louisiana, July 17-20, 2003Need More Information: Contact the LAFP by mail at 919 Tara Boulevard, Baton Rouge, Louisiana 70806, by phone 800-375-5237, or 225-923-3313,by FAX 225-923-2909, or by email at academy@lafp.org.Please Print:Name: _________________________________________________________________________________________________________________Mailing Address: _________________________________________________________________________________________________________City: __________________________________ State: _____________________ Zip: ___________________________________________________Phone: _____________________ Fax: __________________ Email: ________________________________________________________________Spouse/Guest Name: ______________________________________________________________________________________________________Children’s Names(s) and Age(s) if attending: ___________________________________________________________________________________How did you hear about this meeting __________________________________________________________________________________________AAFP, Magazine, Website (CMESearch, etc), LAFP Mailing, LAFP Fax……Please check if you require special accommodations (or have dietary restrictions) to participate in this activity. You will be contacted regarding yourneeds.Please complete the following information by entering a check mark or number where indicated. This information will aid the LAFP in givingaccurate counts for social functions and workshops.Wednesday, July 16, 2003Foundation Board of Directors MeetingLAFP Board of Directors Meeting (Board Members & Committee Chairs)Networking Reception (Cash Bar)____________Enter total number attending—> #_______Thursday, July 17, 2003Practice Management Coding Workshop: Part I (10:00 am-12:00 pm) Complimentary: Limited to first 25 registrants ______Tennis Tournament (Please complete registration form) Enter # of interested players—> #__________Cooking Demonstration with Chef Patrick Mould 12:30-1:30 pm (Registration fee is $30 per person) #__________Golf Tournament (Please complete registration form) Enter # of players—> #__________Welcome Reception (6:30-8:00 pm) Enter total number of family members attending—> #__________Friday, July 18, 2003Practice Management Coding Workshop: Part II (10:00 am-12:00 pm) Complimentary—Limited to first 25 registrants ______Networking Lunch — This is a time to meet & network with your peers while enjoying a box lunch in CME room.______President’s Party (7:00-11:00 pm)1 ticket included with full meeting registration only. ______Saturday, July 19, 2003General Assembly (10:00 am-12:30 pm) (Business Meeting for Membership)______Awards & Installation Luncheon (12:45 pm—2:15 pm) — 1 ticket included with full meeting registration only. ______Sunday, July 20, 2003CME Breakfast (7:00-8:30 am)Optional CME: (1:00-2:00 pm) Leadership Symposium: Lunch/Lecture: How to Frame Your Message to the Media____________Please Complete Reverse9

REGISTRATION FEES (NOTE: *Daily registration fees donot include tickets to the Installation & Awards Luncheon, Cooking Demonstration orPresident’s Party)*THU *FRI *SAT *SUN FULL TOTALLAFP/AAFP MEMBER (Member ID #__________________________________________)Regular Registration Fee $125 $125 $125 $125 $450$___________________LAFP/AAFP FAMILY PRACTICE RESIDENT & LIFE MEMBERS (Member ID #___________________________)Registration Fee $75 $75 $75 $75 $200 $LAFP STUDENT MEMBERS (Member ID#___________________)(Registration Fee is complimentary, however, pre-registration is required : Registration does not include tickets to Installation Luncheonor President’s Party.)check if studentALLIED HEALTH/PHYSICIAN ASSISTANTS (Copy of License must be attached)Regular Registration Fee $150 $150 $150 $150 $475$___________________NON-MEMBER—Specialty (_____________________________________________)Regular Registration Fee $150 $150 $150 $150 $475GUEST REGISTRATION & EXTRA TICKETS$___________________Guest Registration (Includes all Continental Breakfasts, 1 ticket to Installation & Awards Luncheon,Cooking Demonstration with Chef Mould, and President’s Party)$100 $___________________Cooking Demonstration with Chef Mould (Thurs., July 17, 12:30-1:30 pm) Adults (Age 12+) $30 $___________________President’s Party (Fri., July 18, 7:00-11:00 pm) Adults (Age 12+) $35 $___________________Child (Age 4-11) $20 $___________________Child (Age 3 and under) N/C #___________________Installation & Awards Luncheon (Sat., July 19, 12:45-2:15 pm) Adults (Age 12+) $25 $___________________Child (Age 4-11) $15 $SPECIAL CONTRIBUTIONSI would like to sponsor the cost for (#_____) student(s) attendance at the social functions held inconjunction with our meeting. I would like to make a donation to the LAFP Foundation for:____ Tar Wars ____ Center of Excellence ____ Jean Aitken Fund$50 each$___________________$___________________TOTAL AMOUNT DUE LAFP $PAYMENT MODE___ Check enclosed payable to LAFP OR ___ I prefer to use a credit card: ___ Visa ___ MasterCardCheck #_________________ ___ American Express ___ Discover CardCard Number: ____________________________________________________________ Expiration Date: ____________________10Card Holder’s Name: _______________________________________ Signature: _________________________________________NOTE: Refunds, less a $75 Administrative Fee will be made upon receipt of written request until July 1st. See brochure for cancellation policy.LAFP Student members are invited to attend our CME activities, Continental Breakfasts, Breaks, and Exhibits at no charge, but preregistrationis required. Spouse/Guest Registration, as well as Extra Tickets for the social functions, can be ordered by completing theappropriate section.Magazine

Through the dedication and generous support of our 2003 Partners, the Louisiana Academy of Family Physicians continues topresent outstanding continuing medical education activities. We appreciate their support and hope that you will join us inextending a warm and heartfelt THANK YOU to the representatives of these companies.DIAMOND PARTNER (15,000+)AventisAstraZenecaPLATINUM PARTNERS ($10,000-$14,999)Schering PharmaceuticalsGOLD PARTNERS ($5,000-$9,999)Bristol-Myers Squibb CompanyEli Lilly and CompanyGlaxoSmithKlineWyeth LaboratoriesSILVER PARTNERS ($3,500-$4,999)Merck & CompanyBRONZE PARTNERS ($2,000-$3,499)Berlex LaboratoriesOtasuka PharmaceuticalsPurdue Pharma, L.P.PARTNERAventis PasteurSPECIAL ACKNOWLEDGMENTSThe Sinusitis & Rhinitis presentations are being supported through an educational grant from Aventis Pharmaceuticals.This program is administered by the American Academy of Family Physicians.The Leadership Symposium is supported by an educational grant from Schering.This program is made available through the American Academy of Family Physicians Foundation.The Practice Management Workshop is supported by an educational grant from Aventis/Pharma.This program is made available through the American Academy of Family Physicians.The CME Breakfast Lecture on Dyslipidemia Management is supported by an educational grant from AstraZeneca.This program is administered by The France Foundation.The Continental Breakfast on July 17, 2003 is being sponsored by Berlex Laboratories.11

RESIDENTS’ CORNER12LSUHSC-S Family PracticeResidency in Alexandriaby Robin Dale, PGY IIOur recruiting season has paidoff as we received a full class onmatch day. Congratulations to ournew class of interns: Samreen Ali,Jihoi Choi, Kevin Ingram, LatonyaKelly, Suneetha Koduru, andDaniel Renois. We are excited toget them here and have thembegin their training (less than 80hrs/wk and not more than 30consecutive hours of course).Graduation will be held onJune 28th at Louisiana College.Michael Fleming, president-electof the AAFP, will be our speaker.“Senioritis” has set in among thisgroup of residents as a combinationof anxiety, excitement, fear,and high expectations converge.Five of the eight graduates (LauraFairbanks, Latha Gangi, JonathanHunter, Jason Morris, and GordonWhite) will be staying in theAlexandria/Pineville area to practice.Ken Brown will be returninghome to Illinois to fulfill his obligationsthere. Mark Schneider willbe setting up practice inMarksville. Lee Ellender will bedoing a Sports Medicine fellowshipin Huntsville, Alabama. Ourtotal number of graduates practicingin the Alexandria/Pinevillearea will now be 16 with 19 in thethree parish area (Rapides,Catahoula, Avoyelles). This programhas done an amazing jobfilling the deficit of primary caredoctors in the area.Life has been moving fast herewith many extracurricular activitiesand new additions to theschedule. The Rapides ParishAnnual Sports Physical day washeld on May 17 for all the localathletes to obtain pre-participationphysicals, with several of ourresidents participating. A Pfizersponsored cardiac health fairopen to the public and mannedby our staff, faculty, and residentswas held with blood pressure,BMI, glucose, cholesterol measurementsand exercise advice onMay 3. Dr. Tuncay Ertan, staff pulmonologist,has started a pulmonaryclinic which is availableto our panel of patients. A completepulmonary function lab isnow available to us in clinic.Recently, a co-ed softball tournamentprovided a much neededbreak for several of the residentsand clinic personnel. The LSUFamily Practice team finished in3rd place in this tournament.One of the most exciting developmentsis news from RapidesRegional Medical Center that anew building for our residency ison the horizon. Hopefully thisbuilding will be completed withina year’s time frame.Congratulations should also goto the newly elected chief residents:Drs. Jason Beasley, RobinDale, and Chris Griffin. Drs.Jonathan Hunter and Jason Morrishave done an excellent job overthe past year. Also, congratulationsto Dr. and Mrs. MichaelMadden on the birth of their firstgranddaughter, Lily, on October21, 2002. Dr. and Mrs. Madden areall ready well on their way to havingLily totally spoiled!LSUHSC-S Family PracticeResidency Program at LakeCharles Memorial Hospitalby Rick Jeansonne, M.D., PGY IIThings are really heating up inSouthwest Louisiana. It’s almost atthe 90 degree mark and we’reabout to sweep into the new yearon July 1. We take pride in welcomingour new interns, PennyGoodwin, Bradley Loewer,Michael Tahir, Ghada Saqer (thecousin of our Pediatric IntensivistFaculty, as well as the man mostresponsible for my entire inpatientpediatric knowledge, Dr.Jamal Saqer), Binh Tran, AmyTownsend, Dang Nguyen. Thesenew residents will join our PGY-2and PGY-3 residents. Tuan Phamand I will be the new ChiefResidents, and we look forward toanother prosperous year. We continueto expand here at LakeCharles Memorial Hospital as wenow do all of our obstetrics/gynecologyat the state-of-the-art newWomen’s Hospital of LCMH(Gauthier Campus). All of ourpresent PGY-3’s will be sayinggoodbye at the upcomingGraduation Ceremony at theCountry Club of Lake Charles onJune 26, 2003. It’s a shame to losesuch quality folks but that’s theway the calendar turns!We are proud of our full accreditationstatus as well as all of ourinterns who have passed their StepIII exams. Planning has begun forthe summer pool party to takeplace in June, where we will welcomethe new interns with a BBQand live music courtesy of MichaelJackson Pham and the singing of“You Lost that Loving Feeling” byall the new interns (They don’tknow this yet).We also just completed our residencyretreat in May 2003. It wasa time of planning for the nextyear and to contemplate how thenew regulations will affect ourprogram. We also had some comedywith guest speaker BruceHamilton’s talk, “No Bad Days.”All in all it was a productive daywith many areas of our curricu-

RESIDENTS’ CORNERlum scrutinized to make the programbetter. The residents continueto staff the free CalcasieuCommunity Health Clinic onThursday evenings and some ofthe residents are using their vacationtimes to travel to South andCentral America, as well as Africato do mission work. Brian Lasnerjust returned from South Africa ona one month elective and hasplans to use a vacation week andwork in Ecuador next month.Other residents will soon be travelingto locations such as ElSalvador and Saltillo, Mexico towork with the poor and sick.Congratulations are in order toJackie Heinen (wife of DavidHeinen) who is expecting a littleboy this summer as well as JamieBenton who is expecting TWINS.Rumor has it her husband tradedhis four-wheeler and duck blindfor a jogging stroller and cradle!He’ll also have a bay boat for salepretty cheap in the near future.Well that’s all I’ve got this time.Hope everyone has a safe summer.University Medical Center– Lafayetteby David Reehlmann, LCSWThis update finds residents andstaff busy and working hard herein Lafayette. The additionalpatients/families we have beenreceiving courtesy of the relativelynew Community CARE programassigning Medicaid recipients tolocal primary care physicians hasmade things interesting. It’s notexactly like we needed morepatients to provide care for, butthey have been being absorbedwithout a major problem otherthan an initial log-jam and ongoingscheduling challenges. Dana Faul,RN, our head nurse has beendoing a good job of seeing to itthat these new folks are integratedinto our patient base.It’s difficult to believe thatanother academic year is almostfinished, and that the cycle of residentscoming and going will,once again, acutely reveal itself.While this is always somewhat of areflective time because of theforthcoming departure of ourgraduating residents, we look forward,nevertheless, to the newpeople coming in. Perhaps theexcitement of the latter -mitigates,somewhat, the separation pangswe experience from the former.This year’s incoming group willinclude a married couple, Jamesand Evelyn Johnson. Evelyn istransferring as a second-year resident,having completed her firstyear of FP residency at HowardUniversity College of Medicine.Her husband, James, attendedSABA University. Others joining usin July include: Dixie Broussardwho is from the LSU ShreveportSchool of Medicine; Barry Byram,University of South AlabamaSchool of Medicine; and GordonClark, Saint George’s University.Also starting in July will berecently married Jeanne Dauphine,now Jeanne Theriot, who attendedthe LSU Shreveport School ofMedicine. Congratulations, Jeanne!Paula Conolly, American Universityof the Caribbean and Gus ShroederLafleur, from Tulane UniversitySchool of Medicine, round out thefive incoming women for the residentclass starting July ’03.Mario Pulido, UniversityAutonoma Central America, is thefinal person scheduled to join us.He is, in my humble opinion,pretty much a shoe-in to win theEnrique Iglasias look-alike contest. . .We continue to miss facultymember Al Rees who has been“borrowed” from us for the pastfew months by the US Army.Although recent military operationshave largely wound down, Almust remain in position a whilelonger to help returning soldiersaddress medical issues arisingfrom their recent deployment. Hisservices to these men and womenas well as to the country are greatlyappreciated.With the help of Robin Boyles,Noah Oliver, and Debbie Smith, alldirectly or indirectly affiliated withthe Southwest Louisiana AreaHealth Education Center, we wereable to have a very good Tar Warscampaign after all this year. Robin,in particular, deserves much credit,as she came onto the scene lateand had to help make sense out ofconsiderable confusion in a shortperiod of time. We also thankJeannie Daigle, Executive Directorof SWLAHEC, for her ongoing supportof this activity. Other goodnews in this respect is that financialsupport for future local TarWars activities may be more stablein the near-term.Our own, loquacious, currentlysecond-year resident AmandaPhillips was accepted to presentand actually did present twoposters at the 2003 AnnualMeeting of the SoutheasternSurgical Congress in Savanah,Georgia in May. Amanda was theprimary author for both presentations;the only presented by an FP.Finally, second-year resident fora brief while longer, GrantLashley, had a crawfish boil at hishome recently. Many of the tastycrustaceans were on hand foreveryone’s enjoyment. Can’t waituntil the next one!13

RESIDENTS’ CORNERNews from LSUHSC FamilyPractice Residency Programin KennerResidency news:We will welcome our new firstyear residents during orientationfrom June 23 to 27, 2003:Bridget Garth fromUniversity of MississippiJames Daniel fromMeharry Medical CollegeLane Ertugay fromHacHepe UniversitesiJohn Jin fromTulane School of MedicineIvo Iatchovski fromSemmelweis UniversityTinka Barnes fromUniversity of KansasSchool of MedicineToikus Westbrook fromMeharry Medical CollegeOur third years will be graduatingon June 22, 2003.Congratulations to Drs. RiazHaque, Kevin Hayes, JeanRizkallah, Mariusz Rogalski andLora Langefels.Dr. Roger Zoorob and Dr.Kevin Hayes attended the LSUH-SC-AMA Residency Fair in April ofthis year.Faculty news:Drs. Roger Zoorob, VincentMorelli and Michele Larzelerehave submitted an alternativemedicine monograph to the AAFPfor publication later in the year.The Family Practice Update,directed by Dr. Kim EdwardLeBlanc and co-directed by Dr.Zoorob, was held from April 28thto May 2nd at the Royal SonestaHotel in New Orleans and wasattended by 160 participants.Faculty modulated the update,including Drs. Larzelere, RonGagne, Betty Gatipon, Leblancand Zoorob. Dr. Morelli presented“Evaluation of New Theories inMedicine” and “PreparticipationExamination.” Dr. Charles Cefalupresented “Psychopharmacologyof Fatigue and Reduced Energy”and “Osteoporosis: Evaluation andManagement.” Dr. Kim EdwardLeBlanc presented “Hypertensionin the Physically Active,”“Ergogenic Aids: Powders, Pillsand Potions” and “LumbarDisorders: Medical Options.”Dr. Zoorob is coordinating aseries of conferences for the LAFPFoundation and MDC ResourceCenter on medical management ofthe developmentally disabled.The first lecture was given on May21st by Dr. Jeanne King and a 1-1/2 day conference was held June20-21, 2003 at the Hilton Hotel inKenner.The residency will be relocatingto a new family practice center onthe fourth floor of the same building,the Kenner Regional medicaloffice building. There will bemore examination rooms andstate-of-the-art equipment toaccommodate the needs of ourresidency as it matures.Announcing the 9th annualMedical Job Fair of LouisianaSaturday & Sunday,Aug. 23 & 24, 2003Sheraton ShreveportShreveport, LADesigned for physicians looking for a position in a rural orunderserved urban area or an office in those areas wantingto recruit physicians and other health care personnel.Registration and detailed information areavailable at www.medicaljobfair.orgFROM THEEDITOR/SECRETARY(continued from page 3)Another important partnership iswith the MDC Resource Center.This partnership, secured by theLAFP Foundation’s research committee,will educate family physiciansabout the care of developmentallydisabled individuals.There will be invitations coming bymail for many CME evening eventsin your area. Please sign up andattend. These activities are CMEaccredited.Finally, I want to encourage youto attend your LAFP and its foundation’sactivities. We have the annualassembly in Lafayette July 16th-20th. This is an excellent educationaland networking activity.Support your academy; it is yourcollective voice. With your help andthe LAFP, the golden age of the specialtywill be restored. We/you cando it.I hope all of you have a pleasantsummer.14

LAFP MEETING CALENDARMark YourCalendarJuly 17-20, 200356th Annual AssemblyLafayette, LouisianaJanuary 28-31, 20049th Annual Winter ConferenceSteamboat Springs, ColoradoJuly 22-25, 200457th Annual AssemblyPanama City, FloridaAn Emergency Medicine Management Corporation withstrong physician leadership seeks career primary carephysicians to staff contracted emergency departments inthe following states:AL, AR, CO, FL, GA, KY, LA, MS, NC, NM, TN & TXThe Schumacher Group offers independent contractor status,medical malpractice insurance, procured with extendedcoverage at no cost to physicians, and in house flexiblescheduling. Medical Directorship opportunities are available.For additional information about TSG opportunities, contactus at 800-893-9698 or visit our website atwww.tsged.com. You may also fax your CV to Judy Suldo@ 337-262-7298 or email it to judy_suldo@tsged.com.2003ConsultantDirectoryTHIBODAUXThibodaux Orthopaedic& Sports MedicineNeil J. Maki, M.D.525 St. Mary StreetThibodaux, LA 70301Phone 985-446-6284Fax 985-447-1754LAFAYETTELafayetteOrthopedic SurgeryM. Angela Mayeaux, MD401 N. College, Ste. #2Lafayette, LA 70501Phone 337-235-1600Fax 337-235-160415

Louisiana Academy ofFamily Physicians919 Tara BoulevardBaton Rouge, LA 70806PRSRT STDUS POSTAGEPAIDLITTLE ROCK, ARPERMIT NO. 2437WHAT CANLAMMICODO FOR YOU?Save You Time through ONLINE RESOURCES:Certificates of Insurance • CME Seminars • Risk Management ToolsLog on to www.lammico.com—and gain around-the-clock access to your Certificate of Insurance.(You can authorize any hospital, group, or insurance company to do the same.)Learn valuable risk management techniques online—and earn continuing education credit,plus premium discounts. Complete two programs, and save 10 percent off the basiclimits renewal for the following year.Rely on www.lammico.com to advance the tradition LAMMICO launched more than 20 years ago—unparalleled service to Louisiana’s health care practitioners.www.lammico.com(800) 452-2120 | (504) 831-3756