Your 2011
President Wes Dean,
M.D., Powell,
and his wife,
Tammy
Guest Editorial: ‘Rise to
the Occasion’- see page 5
Call for nominees for
2011 Awards: Family
Physician of the Year &
John S. Derryberry M.D.
Distinguished Service
Award - see page 11
Doctor Dean being sworn in
by Roland Goertz, M.D., 2011
AAFP President
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2 Tennessee
academy of family physicians
TENNESSEE ACADEMY
OF FAMILY PHYSICIANS
TENNESSEE
FA M I LY PH YSICI A N
AN OFFICIAL PUBLICATION OF THE TENNESSEE ACADEMY OF FAMILY PHYSICIANS
Tennessee Academy of Family Physicians
500 Wilson Pike Circle, Suite 212,
Brentwood, TN 37027
Winter 2010
Vol. 3 nUmBeR 4
CO-EDITORS
Michael Hartsell, M.D.
Greeneville
Kim Howerton, M.D.
Jackson
OFFICERS
PRESIDENT:
R. Wesley Dean, M.D.
PRESIDENT-ELECT:
Gregg Mitchell, M.D.
VICE PRESIDENT:
B. Alan Wallstedt, M.D.
SECRETARY-TREASURER:
Kim Howerton, M.D.
IMMEDIATE PAST PRESIDENT:
T. Scott Holder, M.D.
SPEAKER OF THE CONGRESS:
Lang Smith, M.D.
VICE SPEAKER OF THE
CONGRESS:
Ty Webb, M.D.
DELEGATES TO THE AAFP:
Charles Ball, M.D.
Timothy Linder, M.D.
ALTERNATE DELEGATES TO THE AAFP:
Lee Carter, M.D.
T. Scott Holder, M.D.
EXECUTIVE DIRECTOR/
MANAGING EDITOR:
Cathy Dyer
Please send address changes to:
Tennessee Academy of Family Physicians
500 Wilson Pike Circle, Suite 212
Brentwood, TN 37027
FOR ADVERTISING INFORMATION
Deborah Merritt
[email protected]
501.221.9986 or 800.561.4686
CREATED BY:
Publishing Concepts, Inc.
Virginia Robertson, Publisher
[email protected]
Publishing Concepts, Inc.
EDITION 11
14109 Taylor Loop Road
Little Rock, AR 72223
4
5
7
8
12
14
16
22
President’s Corner
Guest Editorial: Rise to the Occasion
Recap of August 22, 2010
Board of Director’s Meeting
Highlights of 2010 TNAFP Annual Assembly
TNAFP Delegates to AAFP Congress
Report
Leaders on the Move
2011 Tennessee Tar Wars Poster Contest
Dates Set & Volunteer Teachers Needed
Practice Opportunities
Tennessee academy
of family physicians
3
PRESIDENT’S CORNER
T
he Chinese philosopher Confucius
said “Choose a job you love, and
you will never have to work a
day in your life”. After practicing Family
Medicine for 20 years, I still love what I
do and although the daily challenges of
practicing medicine continue to grow, the
opportunity to care for my patients makes
what I do anything but work. Serving
others, it seems, is what family doctors
do best and I continue to appreciate the
opportunity to be a family physician. The
opportunity to serve as your 2011 President
of the Tennessee AFP is truly a privilege and I am honored
to be in this position.
“
We must all learn how to practice in a new
environment…there is that issue of “change”
again. Our Academy must change as well.
We must continue to provide value to each
individual member. We must provide, as best
we can, the tools to help our members deal with
the real issues faced in daily practice.
”
As always, some of the challenges we face haven’t
changed a great deal. Change is something to which we
have all become accustomed. The longer I practice, the
more I realize that we must become proficient at dealing
with change, both in the practice of medicine and the
business of medicine. Member participation continues to be
a concern. As the demands and burdens of practice continue
to increase, there is precious little time to give. Keeping our
families and ourselves healthy must be a priority. What little
time is left must be delegated carefully. We must continue
to encourage interest in Family Medicine by students in our
medical schools. Their interest is impacted greatly by what
they see in each of us. We continue to need enthusiastic,
interested and motivated physicians to become involved in
the Academy at both the local and state level. Please help as
much as possible with our Doctor of the Day program in the
state legislature as well as consider involvement in Tar Wars.
Some challenges are relatively new. Manpower issues
are becoming a more prominent concern. Lack of student
interest in family medicine continues, and along with a
4 Tennessee
academy of family physicians
need to care for an ever-increasing Medicare population is
leading to the “perfect storm”. Providing primary care by
Family Physicians does not seem likely at this point unless
some significant changes occur in reducing the burden of
day-to-day practice and in reimbursement to primary care
physicians. We must continue to be involved in the issues of
healthcare reform at both a state and national level. Please
get involved and donate to the AAFP’s FamMedPAC if you
have not already.
We must all learn how to practice in a new
environment…there is that issue of “change” again. Our
Academy must change as well. We must continue to provide
value to each individual member. We must provide, as
best we can, the tools to help our members deal with the
real issues faced in daily practice. Issues including EHR’s,
the Patient Centered Medical Home and evidence based
medicine all in an environment of transparency. We must
continue to provide to our members information through
our Annual Meeting, Practice Enhancement Seminar, and
by any other means that will be helpful and practical. In
order to be as effective as possible, we must also continue to
improve our ability to quickly and efficiently communicate
with our members state-wide.
Strategic planning must become a focus. One definition
of insanity might be doing something the same way and
expecting a different outcome. We must continue to grow
and change…do things differently and hopefully get new
and better outcomes. We must do whatever it takes to
continue to make Family Medicine successful and vital in
our state. Get involved!
I would like to take this opportunity to thank Doctor
Scott Holder for his service as our most recent President.
His service to the Tennessee Academy of Family Physicians
is appreciated, and his continued involvement as an
Alternate Delegate to the AAFP will be of great value.
Professional baseball player and 1967 inductee to the major
league Baseball Hall of Fame, Branch Rickey said “It is not
the honor that you take with you, but the heritage you leave
behind.” A tremendous heritage has been handed down by
so many leaders in this Academy in recent years.
I look forward to the opportunity to contribute to the
best of my ability. If I can ever be of any service, please do
not hesitate to contact me.
Wesley Dean, M.D., FAAFP
Powell
2011 Tennessee AFP President
GUEST EDITORIAL
Rising TO THE
I
occasion
have an adventurous spirit. It lies
buried, but it’s there, like a dormant
seed, just waiting to sprout. I had
served as “Doc of the Day” in Nashville
several years ago. So, when it was decided
that each TNAFP Board Director (or a
member from their district) must volunteer,
I never imagined that I was destined for an
adventure on May 4th.
It started raining May 1st and Nashville
soon had 13-inches. My mother began long
before that to give me frequent updates
on the impending “flood.” That’s nothing
new. If it rains in California, Mom issues
flood warnings. I gave her concerns their
usual credence, until I also began to hear
of actual flooding. On May 2nd, I got
serious. Concerned that the water supply
might become contaminated, I packed
bottled water, hand sanitizer, and the
Davidson County Health Department phone
number as a resource. I reviewed current
recommendations on antibiotics for infectious
diarrhea, preparing for whatever I might
need to treat. I reassured myself that typhoid
hasn’t been an issue in USA floods. I added
snacks in case I got stranded. A flashlight and
solar-powered weather radio seemed like good
ideas.
After several phone calls with Cathy
Dyer, I was assured that the Legislature
would be in session, but that everyone would
understand if I elected to not come. ME,
shirk a responsibility? I already had my
malpractice coverage confirmed and paid,
my luggage packed, daughter- and mothersitting arranged, and it was the last Tuesday
available before school adjourned for summer.
I shuddered at trying to rearrange it all. With
my jaw stubbornly set and my adrenaline
levels rising, I
thought that even
if I had to rent a
raft, if they were in
session, I would be
there. An image of
me rowing across
in the dark of night
floated through my mind. If Washington
could cross the Delaware, Robbins could cross
the Cumberland! It was now a quest.
My poor, worried mother deemed me
insane (not the first time she’d reached that
conclusion), especially when she learned that
I wasn’t getting paid for “risking your life.”
My husband granted his support after a brief,
politically-charged query as to why legislators
warranted their own doctor (I explained that
we are sometimes asked to give testimony on
healthcare issues). My daughter begged to
come along, remembering previous trips that
included dinner at the Rainforest Café and
walks through the Cascades of the Opryland
Hotel. Cathy armed me with her cell number
for me to call upon arrival. The Downtown
Sheraton confirmed that they were open.
My too-run-down-to-qualify-as-a-“clunker”
jalopy had to be serviced for a perpetually
lighted “service engine soon” warning. So, the
day of the trip, it went into the shop. The pit
of my stomach did betray some trepidation as
the sun sank in the sky. Would I inadvertently
wander onto a dark, flooded street? Finally, I
headed westward, into the sunset, tempted to
post a “Nashville or Bust” sign on the vehicle!
Sometime after 9 PM, I arrived (to Cathy’s
relief). The hotel did not
have hot water, but it was
potable. After dumping
my arsenal of baggage, I
returned to the lobby with
camera gear, inquiring
whether there might be a
place from which I could
photograph the Capitol
at night. I was promised
that the manager would
open up the Pinnacle (the
rotating top of the hotel)
for me, if I would wait
until he was free. That
proved to be several hours.
I chatted with the lady at
the desk. She was from
Franklin, a town I had just discovered, due
to the recent TAFP Legislative Seminar. I
had visited the Carnton Plantation and
McGavock Confederate Cemetery. All of
that was now under water, and Franklin had
a curfew of 10 PM, so she was stranded in
Nashville. Apparently, ANYONE outside in
Franklin was to be arrested on the spot; even
Continued on page 6
Tennessee academy
of family physicians
5
emergency patients were to phone ahead for
escort to a hospital. I felt an almost personal
loss to hear that the Opryland Hotel and
Opry Mills were under several feet of water.
Around 1 AM I was escorted to the Pinnacle,
along with a couple (and their wine glasses),
who already seemed to be reeling. After a few
stationary photos, the Pinnacle was put into
motion.
Content after my photo adventure, I
crawled into bed. Soon, I was awakened by
a loud noise that I surmised must be a lowflying plane. A few hours later I was startled
by an explosive sound but reassured myself,
until I heard multiple sirens. Soon, they
were quiet but the sun had risen and all hope
of sleep was gone. The local news channel
reviewed the devastation and revealed that
there had been an early morning explosion
downtown that resulted in loss of power
to the AT&T building and the Downtown
Hilton. Suddenly, an icy shower didn’t seem
too bad. At least I had power for curling
and flat irons! I repacked, gathering
my essentials for the day: purse, phone,
flashlight, computer, camera gear, snacks,
bottled water and shoes.
After checking out, I visited the gift
shop. The cashier looked a bit disheveled.
He soon divulged that he had watched his
house, and everything he owned, wash
away the previous day. I pride myself
on finding words of comfort, but the
platitudes I stammered out seemed woefully
inadequate. As I left, I pondered the
television interviews. There appeared to be
a common hierarchy to the rescue efforts:
people (especially family) first, pets second,
and photographs third. All else could be
replaced.
I headed up the hill, and what a hill
it was, with my load in tow! The May
morning felt like mid-July. I was soon
sweating enough to add a final inch to
the Cumberland. After scaling numerous
concrete steps up Capitol Hill, I was
greeted by a “closed” entrance. Muttering,
I descended, and moved on to the next
set of steps. I spilled onto the scene at the
security entrance, pouring sweat, shifting
bags large enough to hold major explosives,
with hair frizzy from the humidity. Despite
my authentic Tennessee AFP “Doctor of the
Day” polo shirt, I appeared quite in need of a
physician myself, as I struggled to breathe. I
6 Tennessee
academy of family physicians
sputtered, “I’m the Doc of the Da-Da-Day,”
in between gasps. Maybe it was the shirt, or
perhaps I looked less like a terrorist than a
physician, but the guard actually believed me.
Mercifully, after he explained that I needed to
be at yet another distant entrance, he offered
to escort me there (through the blessedly airconditioned building)!
Soon, I was entrusted into the capable
hands of the nurse I’d worked with previously.
As I attempted
to regain my
composure (and my
O2 saturation), she
filled me in on the
medical perspective
of the Capitol. I
learned that the
health committee
the Doc of the Day
was scheduled to sit
in on was cancelled.
Then, we were off to check the pulse of the
Capitol. I was introduced to everybody
who was anybody, and we made a couple of
“how-have-you-been-doing?” checkup stops.
Soon, I was being handed off to the Sergeant
at Arms who had given me a wonderful
VIP tour during my previous stent. Leaving
the basement-housed modern addition, we
entered the historic capitol, again. There is
something about a building that has stood
the test of time with grace and fortitude that
evokes reverence. As I heard the tales of valor,
victory and scandal that shaped the heroes
depicted in the paintings and sculptures, I
felt awe. I ran my fingers over a defect in the
handrail; palpable proof of a bullet fired in a
dispute during the Civil War era. Having been
reared in Virginia, much of Tennessee history
was unfamiliar to me.
As I digested the information given and
admired the architecture, I couldn’t escape
the irony. During my journey through
Tennessee’s past, that very day modern
Tennesseans were making history just outside
those walls. Hundreds of new heroes were
experiencing their own defining moments,
putting aside their personal needs to help
others. From those who risked their lives
to pull a neighbor from the waters, to those
who opened up their homes to strangers and
lost pets, to the young teenage boy who (to
the amazement of his sister who told the
story) walked away from his videogames on
a “no school” day to seek out neighbors who
needed help sorting through debris. Folks
were using this opportunity to rise above who
they normally are to discover who they could
be.
Outside, I snapped photos as my guide
pointed out familiar landmarks. Unfamiliar
were the flooded streets and stranded cars.
Voyeuristically, I peered into the devastation
without having a personal connection.
Protected by the mighty fortress of the
Capitol, I felt guilty. My cold shower and
hot hike were insignificant compared to the
unfathomable upheaval around me. I was
allowed the privilege of bearing witness to
the “500-year flood,” but it was not my own
story.
Back in the clinic, we tended to the B/P
checks, rashes and the occasional presyncope case. I learned that the nurse there
is expected to treat anyone on Capitol
grounds that are in need of medical care, be it
legislator, tourist or protestor. I also learned
of the latest scandals (for medicinal purposes,
of course, given the impact these have on
the cardiovascular systems of our elected
officials). By mid-afternoon I felt that I’d
had a privileged, intimate experience that one
could only have as the Doc of the Day.
Usually, I’m a stay-at-my-post kind of doc,
but when I was told that all was well and I
could scoot off around 3:30, I didn’t argue.
I was dying to see this flood, up close and
personal. My gear and I headed to the banks
of the Cumberland. Amid television crews
and curiosity seekers, I snapped shots of the
muddy water as it rapidly carried debris,
lapping at land it hadn’t touched in centuries.
By then, the water had been receding for
several hours, but remained impressive.
I decided to check out other areas, but
as I drove from downtown, my car began
to complain. After a few stops requiring
one foot on the brake and the other on the
gas pedal to keep the engine running, the
“service engine soon” light was back in
business. I headed onto Briley Parkway,
attempting to get within walking distance of
the Opryland Hotel, while listening to stories
of loss, bravery and compassion from the
local radio station. Suddenly, without any
visible indication as to why, every vehicle
ahead of me made an impromptu U-turn,
heading back the opposite direction on the
divided highway. Recollections of downtown
explosions and words like “arrested on sight”
came to mind. I decided those drivers must
have heard some warning I’d missed. So, I
turned tail and pointed my jalopy toward
home. My adventure was over. I’d had no
defining moment, myself. It was time to get
out of the way of real heroes.
Over the months since, I’ve been proud
of how Nashville residents handled the
catastrophe. They quietly went to work,
helping each other and rebuilding their lives.
No one blamed the government. Those who
were accused of possibly contributing to
the devastation (some thought the decision
to release water from a local dam was ill
advised) readily accepted their portion of
responsibility. No significant looting or
rioting ensued. Country music stars, many
of them losing valuables to the flood, quickly
had memorabilia up for auction and arranged
a benefit concert. Our volunteers did just
what their ancestors had done; they rose
to the occasion, without seeking accolades
and without whining. They may not be
immortalized in the Capitol, but when I
tell of the flood, they will be the heroes of
the story. Yes, I’m mighty proud to be a
Tennessean!
Sherry L. Robbins, M.D.
Knoxville
TNAFP Board Director, District #2
If you are interested in serving as the TNAFP Doctor of the Day in 2011, please contact the Tennessee AFP Office
RECAP OF AUGUST 22, 2010
BOARD OF DIRECTOR’S MEETING
+Reconfirmed submission of a Resolution
to the 2010 AAFP Congress on Durable
Medical Equipment.
+Selected the recipient of the 2010 John
S. Derryberry M.D. Distinguished Service
Award: Commissioner of Health, State of
Tennessee – Susan Cooper, MSN, R.N.
+Extended the deadline for nominees for
the 2010 Family Physician of the Year
Award.
+Agreed the process for nominations for
the Family Physician of the Year Award and
Distinguished Service Award should begin
each October during the TNAFP Annual
Meeting.
+Announced call for nominees for AAFP
Commissions (Charles Ball, M.D. currently
serves on the AAFP Commission on
Governmental Advocacy; Lee Carter, M.D.
currently serves on the AAFP Commission
on Continuing Professional Development).
+Announced that the 2011 Practice
Enhancement Seminar will be held on
Saturday, March 26, at the Cool Springs
Embassy Suites in Franklin.
+Approved that the President-elect each
year appoint the Program Planning
Committee for the Practice Enhancement
Seminar and that a member of the TNAFP
Foundation Board be included on the
Planning Committee.
+Received information that one Tennessee
AFP Component Chapter is on the IRS list
of Tennessee non-profits at risk of losing
their tax-exempt status for failure to file
required returns for 2007, 2008, 2009.
+Received report from Doctor Beth Anne
Fox, Chair of the Education Committee, of
upcoming meetings of the Family Medicine
Interest Groups at ETSU and Vanderbilt.
Members may contact Cathy at the TNAFP
office for additional information on any of
these items
Tennessee academy
of family physicians
7
Tennessee AFP 2011 Board of Directors
2010 1st Place Booth Theme/Decorations Belk & Associates
2010 2nd place Booth Theme/Decorations Americhoice by United Health Care
LtoR: 2nd - Woodie Belk of Belk &
Associates, 3rd - Brian Smith of tnREC,
1st - Ruben Garcia of Next Generation
Imaging for Best Male Exhibitor Costume
8 Tennessee
academy of family physicians
LtoR: 3rd - Kim Estes of Next Generation
Imaging, 1st - Chanda Hurst of tnREC, 2nd
- Karen Belk of Belk & Associates for Best
Female Exhibitor Costume
New AAFP Fellows being sworn in by Reid Blackwelder, M.D., AAFP Board Member
2010 1st Place Group Costume Theme Winners - PathGroup
A special ‘thank you’ to Sherry L. Robbins, M.D. Official 2010 Annual Meeting Photographer!
2010 2nd Place Group Costume Theme Winners - Quest
Diagnostics
Tennessee Academy
of family physicians
9
PRENATAL ALCOHOL EXPOSURE and ALCOHOL
PREVENTION IN WOMEN of THE CHILD BEARING AGE
Family physicians at some point during
their practice have contact with either a
patient at risk for having an alcohol exposed
pregnancy or a patient who is living with
effects from exposure. The Centers for
Disease Control and Prevention (CDC)
estimates that of nearly 4 million infants born
in the US each year, approximately 40,000
will have what could be preventable alcohol
exposed birth defects and of those, 1,000
to 6,000 will be born with Fetal Alcohol
Syndrome (FAS). The extent of the problem
could be even more significant than current
data suggest because of how difficult it is to
establish specific prevalence information.
Since FAS was first described in 1973,
it has become known that it results in a
wide variety of physical, behavioral, and
cognitive problems. Although these effects
can vary from structural defects referred to
as FAS, what is most often unknown is that
individuals who appear to be normal may
suffer behavioral and/or learning problems as
a result of prenatal alcohol exposure. Infants
affected with FAS may be recognized at birth,
but many of the manifestations appear only at
pre-school age when learning, behavioral or
social problems may start to emerge. In order
to account for physical features and this wide
range of conditions, the term Fetal Alcohol
Spectrum Disorder (FASD) was formulated in
2004. Screening for Prenatal Alcohol Effects
The following describes the criteria for
diagnosis FAS and were suggested by a
scientific working group of experts in FAS
research, diagnosis, and treatment through
coordinated efforts of the CDC, the National
Center of Birth Defects and Developmental
Disabilities (NCBDDD), Department of
Health and Human Services (DHHS) and
the National Task Force on Fetal Alcohol
Syndrome and Fetal Alcohol Effect (NTFFAS/
FAE) in 2004.
• Documentation of all three facial
abnormalities (smooth philtrum, thin
vermillion border or upper lip, and small
palpebral fissures)
• Documentation of growth deficits (height
or weight, or both, at or below the 10th
percentile)
10 Tennessee
academy of family physicians
Documentation of Central Nervous
System abnormalities (structural,
neurological or functional, or a
combination)
It is extremely important to remember
that most individuals with deficits resulting
from prenatal exposure to alcohol do not
express all of the features necessary to meet
the criteria for FAS. Learning and life skills
affected by prenatal alcohol exposure vary
greatly, depending on the amount of alcohol
exposure and the timing and pattern of
exposure, as well as each individual’s current
and past environment. Only 15% have an
IQ under 70 and most have an IQ in the
normal or above normal range. Therefore
what services are needed vary according to
what parts of the brain have been affected,
the age or level of maturation of the patient,
the health or functioning of the family, and
the overall environment in which the patient
is living.
Prenatal Drinking and Deficient
Contraception
The National Institute on Alcohol Abuse
and Alcoholism (NIAAA) report that 40% of
women do not know they are pregnant until
4 to 7 weeks into the pregnancy and 50% of
women who are of childbearing age (15-44)
drink alcohol. The US Department of Health
and Human Services report that every year
over 80% of childbearing aged women who
do not use birth control become pregnant and
even with birth control, three out of 100 will.
A number of women think they are infertile
or too old to get pregnant and some do not
want to take birth control because they fear
side effects or they cannot afford it. The
CDC reports that while most women reduce
alcohol consumption after learning they are
pregnant 13% continue to use alcohol during
pregnancy. The CDC’s Behavioral Risk Factor
Surveillance System found that approximately
one in eight pregnant woman (500,000 per
year) report alcohol use within the past 30
days and approximately 80,000 report binge
drinking.
Alcohol Screening Tools
Measuring women’s alcohol consumption
has been one way to identify who may be at
risk. Screening instruments like the TWEAK
•
(Russell, 1994) for example, have been found
to be more reliable in women as opposed to
the CAGE. They, however, only identify the
range of alcohol use not contraception use.
The TWEAK scores range from 0 to 7.
The tolerance and worry questions each
contribute two points and the other three
questions contribute one point each. Any
endorsement of the worry question is scored
a two. On the tolerance question, if three
or more drinks are needed to feel high, the
question is scored as a two. A total score of
three or more on the TWEAK is suggestive of
harmful drinking patterns.
T - Tolerance: How many drinks can you
hold?
W - Have close friends or relatives Worried or
complained about your drinking in the past
year?
E - Eye Opener: Do you sometimes take a
drink in the morning when you get up?
A - Amnesia: Has a friend or family member
ever told you about things you said or did
while you were drinking that you could not
remember?
K(C) - Do you sometimes feel the need to cut
down on your drinking?
It is important to remember that it is
difficult for some women to recall the amount
and frequency of their alcohol intake, and
fear of shame may make them hesitant to
reveal their use especially if it is heavy.
In summary, it is very important to
advice women to abstain from alcohol
during pregnancy or during the child bearing
age unless they are using appropriate
contraception. Alcohol has detrimental effects
on the fetus that can manifest in physical,
neurologic or behavioral abnormalities
including FAS and FASD. These are
preventable with avoidance of alcohol during
pregnancy
Roger Zoorob MD MPH
Kristy Goodman MSW, LCSW
Department of Family and Community
Medicine, Meharry Medical College
Nashville
TNAFP 2010 “JOHN S. DERRYBERRY M.D.
DISTINGUISHED SERVICE AWARD”
Commissioner Susan Cooper, R.N., M.S.N.
LtoR: Scott Holder, M.D. presents John
S. Derryberry M.D. Distinguished Service
Award to Commissioner Susan Cooper
The Tennessee Academy of Family
Physicians’ John S. Derryberry M.D.
Distinguished Service Award is presented
to an individual, or individuals, whom
the Tennessee AFP feels has demonstrated
exemplary leadership and character along
with outstanding and distinguished service
to the Family Physicians in Tennessee. The
award is named in honor of the late John S.
Derryberry, M.D., Shelbyville, who served the
Tennessee and American Academy of Family
Physicians with honor and distinction from
1964 until his passing in 1998.
Susan Cooper, R.N., M.S.N.,
Commissioner of Health for the State
of Tennessee, the recipient of this year’s
Tennessee Academy of Family Physicians’
John S. Derryberry M.D. Distinguished
Service Award, has been an absolute friend
and supporter of the Tennessee Academy
of Family Physicians and its membership in
efforts to improve the health of the citizens of
Tennessee.
Commissioner Cooper understands the
important value and need for primary care
and preventive services, and has been a strong
advocate for the reduction of tobacco use in
Tennessee.
Since becoming Tennessee’s Commissioner
of Health, Ms. Cooper has served faithfully
as a judge for Tennessee’s yearly Tar Wars
Poster Contest providing a special touch to
the contest each year and to the children with
posters submitted in the contest.
Commissioner Cooper previously was
a special policy and health advisor to
the Governor, serving as Co-Chair of the
TennCare Safety Net Study Committee,
charged with developing the health care
safety net for uninsured citizens of the State,
development of Project Diabetes, and the
GetFit Tennessee initiative.
Congratulations and best wishes to
Commissioner Susan Cooper!
TNAFP 2010 “FAMILY PHYSICIAN OF THE YEAR”
Thomas A. Smith, M.D., Winchester
LtoR: Scott Holder, M.D. presents Family
Physician of the Year Award to Tom Smith,
M.D.
The Tennessee Academy of Family
Physicians’ Family Physician of the Year
Award is bestowed upon an individual who
exemplifies the ideal Family Physician and
who has made an outstanding contribution
to Family Medicine, and to the advancement
of health and/or medical training and medical
education. This year’s recipient meets all of
these criteria with dignity and outstanding
commitment to Family Medicine in Tennessee.
Doctor Thomas A. Smith has served the
families of Winchester and Franklin County
for more than thirty years. His grandfather,
and then his father practiced family medicine
in Franklin County. Additionally his uncle
practiced in Franklin County and built the
town’s original hospital. Today he carries on
the family legacy demonstrating a passion for
quality medicine. Doctor Smith has been a
true mentor to countless medical students who
have precepted with him over the years.
Doctor Tom Smith has been an example
of ‘service above self’ in his community. He
founded in 2009 ‘Volunteers in Medicine in
Southern Tennessee’, a free medical clinic
in Franklin County for citizens unable to
afford medical care. He was instrumental in
establishing the PEN Foundation in Franklin
County which works to strengthen area
schools and give citizens the opportunity to
make positive contributions to the schools
and students in their communities through
tutoring and other volunteer activities.
He has served as President of the Tennessee
AFP in addition to serving on numerous
committees, and he currently serves on the
Board for the Tennessee AFP Foundation.
Congratulations Doctor Smith upon
receiving the Tennessee AFP’s 2010 Family
Physician of the Year Award! You are a true
example of the compassion and caring of
family physicians.
Tennessee academy
of family physicians
11
REPORT OF THE DELEGATES & ALTERNATE DELEGATES TO
THE 2010 CONGRESS OF DELEGATES OF THE AMERICAN
ACADEMY OF FAMILY PHYSICIANS
T
he 2010 American Academy of Family Physicians’ Congress
of Delegates met in Denver, Colorado. The Tennessee AFP
was well represented by Charles Ball, M.D. and Lee Carter,
M.D. with Tim Linder, M.D. serving as well. We are saddened to
report that Mike Hartsell, M.D. was not able to attend due to the
illness and subsequent death of his sister. Doctor Hartsell has served
the Academy well and his presence and authority will be missed
greatly as he rotates off of the Tennessee AFP Delegation to the AAFP.
He is to be commended for the leadership and grace with which he
has served.
L to R: Lee Carter M.D., Charles Ball M.D., Tim Linder M.D.
Glenn Stream, M.D. of Washington state was elected as PresidentElect of the AAFP. New Board members elected were Bob Wergen,
M.D. of Nebraska, Barbara Doty, M.D. of Alaska, and Rick Madden,
M.D. of New Mexico.
As is usual, many resolutions were debated at this Congress - some
very controversial.
A resolution asking the Academy to send a letter to Federal House
and Senate Leadership requesting an end to “Don’t Ask, Don’t
Tell” was defeated easily after testimony from Armed Forces Service
Members of the Academy. Your Tennessee Delegation joined them in
opposing this measure.
A resolution brought by Tennessee to ask the National Academy to
help members fight fraud in the Medicare durable medical equipment
market was passed and, hopefully, there will be new links on the
AAFP website to help us with this issue. *(Please see the copy of
the Resolution as adopted by the AAFP Congress which follows this
report.)
12 Tennessee
academy of family physicians
A resolution to add a new member to the AAFP Board of Directors
from the “Special Constituencies” was defeated as testimony was
heard and well documented that this group is well represented in our
Academy.
A resolution addressing the controversy of the AAFP alliance with
Coca-Cola was debated at length. This is a continuing controversy as
our Academy seeks to increase non-dues revenue - the most important
issue from this debate is that of our national leadership needing to be
very transparent to the membership when dealing with any entity that
we may partner with to further our goals.
Another controversial resolution dealt with a decision by the AAFP
Board of Directors to sell member emails to various outside vendors
and entities. It was discussed at length that the Board decision was in
direct opposition to recommendations from various Chapter Staffs.
Subsequently, the Board failing to realize that this was very important
to our membership found itself with a resolution curtailing this by
directing that the Board could only sell the emails of members that
“opt in” to allow this to happen. It is unfortunate that national
leadership failed to realize how significant this was to members and
thus lose another source of non-dues revenue. The most important
point made to national leadership was their failure to be transparent
in their actions.
Another very controversial resolution, advocating the AAFP
approval of same sex marriage, was narrowly defeated in this
Congress. Your Tennessee Delegation opposed this resolution but we
expect this to return next year.
Multiple other resolutions were brought forth and are listed under
the Academy website, with the usual opposition to independent
practice by Advance Practice Nurses among them. In the interest of
brevity these will not be repeated here but your Delegation would be
glad to discuss any resolutions with members.
We would be remiss if we did not add that our Academy is
well represented by our Chapter Executive, Cathy Dyer, who has
an impressive grasp of materials discussed during our meetings.
Tennessee is frequently seen as leaders in many of these debates due to
her tireless efforts.
The next AAFP Congress of Delegates will meet in Orlando,
Florida in 2011 and we would welcome any members to join us as the
Congress deliberates next year.
Respectfully submitted,
Tim Linder, M.D., Delegate
Charles Ball, M.D., Acting Delegate*
Lee Carter, M.D., Alternate Delegate
*(Doctor Ball served as Tennessee AFP voting Delegate
in the absence of Doctor Hartsell)
TENNESSEE AFP RESOLUTION ADOPTED BY 2010 AAFP CONGRESS OF DELEGATES:
“TELEMARKETING OF DURABLE MEDICAL EQUIPMENT”
equipment (DME) or supplies for which
recipients may not qualify and may not have
requested, and be it further
RESOLVED, That the American Academy of
Family Physicians (AAFP) develop a policy
statement to address the issue of unsolicited
requests from vendors for durable medical
equipment or supplies for which recipients
WHEREAS, The telemarketing of durable
medical equipment (DME) via television and
facsimile is growing in both frequency and
intensity, and
WHEREAS, the requests from vendors to our
member physicians for orders and/or approval
of certain DME for diabetics, ostomy patients,
or mobility impaired persons often is not
requested by the patient and the physician,
and
WHEREAS, the solicitation for orders comes
to the provider with identifying information
of the patient without any distinction as to the
source of the request (supplier vs. the patient),
and
WHEREAS, the unsolicited request comes to
the provider via electronic media (usually fax)
and not at the time of an office visit, and
WHEREAS, the time to clarify the validity
of the request is an unpaid administrative
burden, and
WHEREAS, the recipient may not qualify for
the specified DME because they do not meet
criteria for immobility, testing frequency, or
appropriate use, and
WHEREAS, guidelines, rules and regulations
for approval and appropriate use of DME
(specifically, electric powered chairs and
diabetic testing supplies) are not well known
by many of our members, especially as it
relates to fraud, now, therefore, be it
RESOLVED, That the American Academy of
Family Physicians (AAFP) educate its members
with information and guidelines addressing
the rules and regulations for appropriate
certification of durable medical equipment
(DME) solicited on behalf of any patient
in their practice in order to comply with
regulations and avoid fraud, and be it further
RESOLVED, That the American Academy
of Family Physicians (AAFP) recommend a
strategy for its members to handle unsolicited
requests from vendors for durable medical
may not qualify or may not have requested to
use for future reference, and be it further
RESOLVED, That the American Academy of
Family Physicians (AAFP) provide a link on
the AAFP website explaining exactly how a
member can report suspected abuse or fraud
by a durable medical equipment (DME)
vendor.
INSPIRIS is a solutions-driven care and care management company focused on improving the
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To learn more about this opportunity at INSPIRIS
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Or call: 310-903-3460
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Tennessee academy
of family physicians
13
LEADERS ON THE MOVE
INFORMATION FOR MEMBERS
*Important: Please check your Tennessee AFP website on a regular
basis for up-to-date information which is of importance to you, your
practice and your patients: www.tnafp.org
*Congratulations to TNAFP student member, Jessica Cornett, for being
selected as a National Health Service Corps Scholar! Jessica serves as
President of the Family Medicine Interest Group at Vanderbilt.
*Tim Linder, M.D., Selmer, Tennessee AFP Delegate to the AAFP
Congress, served as a member on the AAFP Reference Committee
on Education at the 2010 AAFP Congress of Delegates in Denver in
September.
*Congratulations to Tennessee AFP member, Lanny Copeland, M.D.,
Brentwood, for being recognized by the Nashville Business Journal as a
‘Health Care Hero’. Doctor Copeland serves as Chief Medical Officer
for LifePoint Hospitals and oversees efforts to enhance the quality of
care at 48 hospitals in 17 states.
*Congratulations to Tennessee AFP member, Richard Anderson,
M.D., Franklin, for being recognized by the Nashville Business Journal
as a ‘Health Care Hero’. Doctor Anderson is Medical Director for
Graceworks Health Clinic in Franklin which provides free or low
cost health care to the uninsured, people between jobs and uninsured
college students.
*Congratulations to Daniel
Lewis, M.D., Greeneville,
for having been selected as a
recipient of the 2010 Pfizer
Teacher Development Award.
The annual Award is presented
by the AAFP Foundation
to recognize outstanding
community-based new
physicians who combine clinical practice with part-time teaching of
family medicine.
*James Lohse, M.D., Franklin, and S.
Steve Samudrala, M.D., Brentwood,
represented the Tennessee AFP at the
unveiling of the State of Tennessee’s
Men’s Health Report Card in Nashville
on September 27. The Tennessee AFP
was a sponsor of the Report Card. A
link is provided on the Tennessee AFP
website home page to the Report Card
– www.tnafp.org
14 Tennessee
academy of family physicians
*Dear TAFP: “Thank you again for Tennessee Academy of Family
Physicians’ kind support of the 2010 Tennessee Coordinated School
Health Institute! We so appreciate your help making this event
possible. Tennessee’s school health coordinators are working hard
to advance the well being of our state’s students and their continued
training and networking is such an important component to their
success. Your kind assistance helped us to host one of the best
Institutes ever, and we’re so grateful for your partnership with us.
Sincerely,
Rebecca Johns-Womack, Executive Director, Tennessee Coordinated
School Health
Robert D. Rabon, President, National Center for Youth Issues
*Dear Scott and Charles: I appreciate you taking the time to send me
a copy of the summer issue of the TNAFP’s quarterly journal. Rep.
Hensley has done a fine job in his service to the medical community.
Thanks again for all that you do for our state.
Sincerely,
Senator Randy McNally
*Dear Cathy & TAFP: Thank you so much for the tee shirts you gave
us at the National Tar Wars meeting. Hailey has a great poster and we
will wear them proudly. It was really great seeing you in D.C., and we
look forward to Colorado.
Thanks again,
Doctor Michelle & Jim Jones
* Beginning January 1, 2011, Medicare will pay for tobacco cessation
counseling for all tobacco users
covered by the
federal benefit program. Under
the enacted Patient Protection
and Affordable Care Act,
certain preventive services
such as tobacco cessation
counseling will be covered
by Medicare at no costs
to beneficiaries. Also
included will be physical
exams and certain
screenings.
Department of Family & Community Medicine
A Center dedicated to improving health providers’ and trainees’ clinical skills to address FASDs and its
prevention among women of childbearing age.
The Southeastern Fetal Alcohol Spectrum Disorders Regional Training Center (FASDsoutheast) is based at
Meharry Medical College Department of Family & Community Medicine (Nashville, Tennessee). It serves the
9-state southeastern US region of AL, FL, GA, KY, LA, MS, SC, TN, and TX with an emphasis on FASD prevention,
intervention, and ethics. Collaborators with the FASDsoutheast include Tennessee State University, Morehouse
School of Medicine, the University of Tennessee, and the University of Louisville.
Services offered at no cost include:
• FASD training for medical and other health care professionals and
students (1-hour to full-day) at your site
• FASD Train the Trainer workshops
• Collaborative partnerships including support and technical assistance
for new speakers and satellite teams in the southeast region
• Hosting of events to disseminate FASD education and awareness
Contact [email protected] or 615.327.5525 for inquiries or to schedule an educational session.
Supported by the Centers for Disease Control and Prevention (CDC) grant no. 5U84DD000443-03.
www.FASDsoutheast.org
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Tennessee academy
of family physicians
15
2011 TENNESSEE TAR WARS POSTER CONTEST DATES SET
VOLUNTEER TEACHERS NEEDED
T
he Tennessee Tar Wars program
announces the 2011 Tennessee
Tar Wars Poster Contest to be
held on Sunday, March 27, 2011 at 2:00
p.m., at the Cool Springs Embassy Suites,
Franklin, Tennessee. The first place winning
student, and one parent or guardian, of
the Tennessee Tar Wars Poster Contest will
receive a trip to the National Tar
CORPS
Wars Poster Contest in Washington D.C. in
July of 2011.
If you have posters to submit, please
note posters must be received by the
Tennessee AFP office by March 1, 2011,
and also note the requirements below for
submission of posters to the Tennessee State
Poster Contest:
*Only 4th and 5th grade students who
have had the Tar Wars presentation are
eligible to submit posters for the contest.
*All poster entries must have a
completed ‘School Poster Entry Form’ and
a completed ‘Authorized Release Form’
submitted with each poster entry. No
poster will be accepted without both forms
completed. Note: Do NOT staple, glue or
tape entry forms to the backs of posters.
*All posters must incorporate creative
and original artwork and ideas. Depictions
of cartoon, video games and movie/
television characters; celebrities; movie
themes; past poster designs – does NOT
constitute creativity and originality.
*Posters must deliver a clear and
positive message about being tobacco-free.
Death themes and art displaying negative
health consequences – cigarettes, ashtrays,
coffins, people smoking, etc. – are NOT
considered positive messages and will NOT
be accepted. (*A small no smoking symbol
is acceptable.)
*Computer clip art, pictures from
magazines and other print media or any
other copyrighted brand or product images
will NOT be accepted.
*All posters submitted for the Tennessee
16 Tennessee
academy of family physicians
State Tar Wars Poster Contest will NOT be
returned.
*All poster entries, with completed
‘Entry Form’ and ‘Release Form’ must be
received by the Tennessee Tar Wars program
by March 1, 2011 for inclusion in the
Tennessee State Poster Contest.
*You are requested to submit no more
USA
thanworldwide
one poster
per school.
medical
& dental careers
If you are interested in teaching Tar
Wars in your local 4th and/or 5th grader
classrooms, please contact the TNAFP office
in Nashville to receive a copy of the 20102011 Tennessee Tar Wars Teaching Guide (or,
you can print a copy from the TNAFP website
at: www.tnafp.org). It takes approximately
USA
one hour
to teach
one Tar
Wars careers
class. Please
worldwide
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& dental
consider providing this service to one or more
of your local 4th and 5th grade classrooms.
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YOUR 2011 TNAFP
OFFICERS & BOARD OF DIRECTORS
President:
R. Wesley Dean, M.D., Powell
President-Elect:
Gregg Mitchell, M.D., Jackson
Vice President:
B. Alan Wallstedt, M.D., Brentwood
Secretary-Treasurer:
Kim Howerton, M.D., Jackson
Immediate Past President:
T. Scott Holder, M.D., Winchester
Speaker of the Congress:
Lang Smith, M.D., Columbia
Vice Speaker of the Congress:
Ty Webb, M.D., Vice Speaker
Delegates to the AAFP:
Charles Ball, M.D., Columbia
Timothy Linder, M.D., Selmer
Alternate Delegates to the AAFP:
Lee Carter, M.D., Huntingdon
T. Scott Holder, M.D., Winchester
DISTRICT
DIRECTORS:
ALTERNATE DIRECTORS:
1
Beth Anne Fox, M.D., Kingsport
Tom Avonda, M.D., Johnson City
2
Sherry L. Robbins, M.D., Knoxville
Charles Leonard, M.D., Talbott
3
Mary Bean, M.D., Chattanooga
Allen Sherwood, M.D., Ooltewah
4
Tersa Lively, D.O., Crossville
Chet Gentry, M.D., Cookeville
5
Stephanie Gafford, M.D., Fayetteville
J. Lynn Williams, M.D., Decherd
6
Roger Zoorob, M.D., Nashville
T. Michael Helton, M.D., Smyrna
7
Joey Hensley, M.D., Hohenwald
D. Gabriel ‘Gabe’ Polk, D.O., Columbia
8
Kevin Wheatley, M.D., Huntingdon
Avinash Reddy, M.D., Jackson
9
Walter Fletcher, M.D., Martin
Susan S. Lowry, M.D., Martin
10
Robert Kirkpatrick, M.D., Germantown
Raymond Walker, M.D., Bartlett
Minorities
Ernest Jones, M.D., Carthage
S. Steve Samudrala, M.D., Brentwood
New Physicians
D. Gabriel ‘Gabe’ Polk, D.O., Columbia
Daniel Lewis, M.D., Greeneville
Women
Doreen Feldhouse, M.D., Dyersburg
Mary Huff, M.D., Sweetwater
Resident
Andrew McCormick, M.D., Bristol
Fielding Randolph, M.D., Jackson
Student
Carol Logan., Nashville (Vanderbilt)
Theo Hensley, Johnson City (ETSU)
Thank You
VERY SINCERE THANK YOU TO OUR OUTSTANDING
2010 SUPPORTERS
As the year comes to an end, we’d like to offer a very sincere ‘thank
you’ to those companies who provided outstanding support to the
Tennessee Academy of Family Physicians during 2010. This support
includes educational grants provided in support of TNAFP CME
programs, function sponsorships held in conjunction with TNAFP
CME programs, Tar Wars financial support/grants and advertising in
our quarterly journal, ‘Tennessee Family Physician’.
SILVER SUPPORTER ($10,000 to $15,000 total 2010 support):
Vanderbilt Medical Center
BRONZE SUPPORTERS ($5,000 to $10,000 total 2010 support):
State Volunteer Mutual Insurance Company
Tennessee academy
of family physicians
17
AMENDMENTS TO THE CONSTITUTION & BYLAWS ADOPTED BY
2010 TNAFP CONGRESS
Bylaws Amendment 1-2010: Timing
of
Dues Payments
and
Reinstatement
of
Membership
for
Members Dropped
for
Non-Payment
of
Dues
BYLAWS, CHAPTER VII, SECTION 6
TO AMEND THE BYLAWS of the Tennessee Academy of Family Physicians in Chapter VII, Section 6 paragraph to keep the Tennessee AFP
Bylaws consistent with the American AAFP Bylaws per changes approved by the AAFP Congress in October 2009.
Reads At Present
As Proposed
Chapter VII, Section 6. Any member whose dues or assessments are unpaid at the time of any Annual Meeting shall be ineligible to vote or
hold office. Any member whose total dues or assessments are payable on a calendar year basis (active, affiliate, inactive, life and supporting)
and whose dues or assessments are: (1) unpaid by July 1 April 1of the calendar year or; (2) more than thirty (30) days in arrears if payable in
installments shall be notified by mail that thereof at the member’s address of record. Unless payment is received within thirty (30) days thereafter, the Academy shall cause the member’s name to be stricken from the roll in conformity with the Bylaws of the American Academy of Family
Physicians, Chapter VII, Section 9. If a member thus stricken from the roll shall pay the amount due prior to the end of that calendar year, the
Board of Directors may, at its discretion reinstate said member. If at the end of that calendar year the amount due remains unpaid, the member
whose name has been stricken from the roll shall be in the same status as though he had never been a member and shall acquire membership
only in the manner set forth in these Bylaws provided. However, that former active members whose names have been stricken from the roll for
failure to pay dues shall not be re-enrolled as new active members in accordance with the provisions of Chapter I, Section 2 (A) unless such
former members furnish evidence completion of having earned one hundred fifty (150) (100) credits of postgraduate study acceptable to the
Board of Directors during the three two years immediately preceding the date of application.
Action Taken: Adopted
Special Resolution-2010: “Commendation of Deceased Members”
Introduced By: T. Scott Holder, M.D., President, On Behalf of the Tennessee AFP Board of Directors
Whereas, The Tennessee Academy of Family Physicians is extremely
grateful to its many members who devote their time and effort to the
continuing growth of the Academy; and
Whereas, The affiliation of Family Physicians with the Academy of
Family Physicians is necessary for the continuing expansion of Family
Medicine; and
Whereas, Members of the Tennessee Academy of Family Physicians are
deeply saddened by the loss of one (1) of its members who passed away
in the Year of Our Lord, two-thousand-eight; three (3) of its members
who passed away in the Year of Our Lord, two-thousand-nine; and
four (4) of its members who passed away in the Year of Our Lord, twothousand-ten; namely:
Ronald A. Cole, M.D., Greeneville – August 2010
Kenneth L. Hill, M.D., Newport – July 2010
Royce Holsey, M.D., Stone Mountain, GA – August 2009
Frank Houston Lowry, M.D., Madisonville – August 2010
18 Tennessee
academy of family physicians
James A. Moore, M.D., Memphis – November 2009
Benjamin Rush Shellabarger, M.D., Jackson – December 2009
Ralph Simonton, M.D., Portland – February 2008
H. Trent Vandergriff, M.D., Maryville – September 2010
Now Therefore Be It
RESOLVED, That this Congress of Delegates here assembled observe a
minute of silent prayer in memory of these members; And Be It Further
RESOLVED, That the families of these members be made aware of
the deep and sincere sympathy of the Tennessee Academy of Family
Physicians.
Action Taken: Adopted as Presented
IT’S NEVER TOO EARLY TO START
THINKING ABOUT NOMINEES
FOR THE 2011 TENNESSEE ACADEMY
OF FAMILY PHYSICIANS’
“Family Physician of the Year Award”
and “John S. Derryberry M.D. Distinguished
Service Award”
Deadline for Nominations for both
Awards will be June 1, 2011.
Contact the Tennessee AFP office for a
nomination packet with forms for both
awards.
FAMILY PHYSICIAN OF THE
YEAR NOMINATIONS:
Any member in good standing of the
Tennessee AFP who has made an
outstanding contribution to Family
Medicine, to the advancement of
health and/or medical training and
medical education is eligible for nomination for this Award.
The following support date is
required on each FP of the Year
Award nominee:
*completed nomination form
*updated curriculum-vitae
*a current photograph of the nominee,
*up to five (5) pages of additional support documentation such as personal
letters or testimonials may be included
All nominees MUST be a current
member in good standing of the
Tennessee Academy of Family
Physicians.
JOHN S. DERRYBERRY M.D.
DISTINGUISHED SERVICE
AWARD NOMINATIONS:
The Tennessee Academy of Family
Physicians’ ‘Distinguished Service
Award’ was established to recognize
outstanding and distinguished service
by a physician or by a non-physician
demonstrating exemplary leadership,
character, and/or dedication to community involvement. In 1998 the
‘Distinguished Service Award’ was
renamed the ‘John S. Derryberry, M.D.
Distinguished Service Award’ in honor
of the late John S. Derryberry, M.D.,
Shelbyville, who served the TNAFP
and AAFP with honor and distinction
from 1964 until his passing in 1998.
Doctor Derryberry served as President
of the American AFP in 1979.
Nominations received should be for
persons who deserve recognition of
their outstanding service or contribution to the advancement of Family
Medicine, to the Tennessee Academy
of Family Physicians, or to the public
welfare on Family Medicine’s behalf,
whether of a civic, scientific, or special service nature. Nominees do
NOT have to be members of the
Tennessee Academy of Family
Physicians.
Any member of the TNAFP in good
standing may nominate a possible
recipient for this Award for consideration by the Tennessee AFP Board of
Directors.
The following support data is
required on each Distinguished
Service Award nominee:
1) A detailed statement of the scientific, cultural, or special service justification for the nomination.
2) Biographical information on the
nominee to include a recent black and
white photograph.
Free fitness
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your young patients a book to take home.
The book teaches children about the
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nutrition and emotional well-being.
AAFP members can order books at
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3) Education and training of nominee.
4) Professional history, contributions
to Family Medicine, special appointments.
5) Substantial evidence of merit
including printed material, publications,
articles, or other citations or relevant
supporting documents.
F is for Fitness was made possible by MetLife Foundation
and the American Academy of Family Physicians Foundation.
Tennessee Academy
of family physicians
19
THANK YOU TO OUR 2010 ANNUAL ASSEMBLY
SUPPORTERS & EXHIBITORS!
SPECIAL RECOGNITION:
The Tennessee Academy of Family Physicians expresses its
appreciation to the following for educational grants:
Abbott Pharmaceuticals
Merck
Pfizer
Primary Care Education Consortium
State Volunteer Mutual Insurance Company
Vanderbilt University Medical Center
And, sincere appreciation for sponsorships and services donated:
College of Medicine, UT Health Science Center
MAG Mutual Insurance Company
ProAssurance
Shared Health
State Volunteer Mutual Insurance Company
The Rural Partnership
EXHIBITORS:
The Tennessee AFP wishes
to express its most sincere
appreciation and gratitude to each
and every exhibiting company
at our 62nd Annual Scientific
Assembly in Gatlinburg:
Dispensary of Hope
4UMD
Abbott
AIT Laboratories
Americhoice by United Health
Care
Ameritox
AseraCare Hospice
Belk & Associates, Inc.
Bethel University Physician
Assistant Program
BlueCross BlueShield of TN
Boehringer Ingelheim
Bureau of TennCare
Caris Healthcare
Dept. of Family Medicine, ETSU
Quillen College of Medicine
DeRoyal
Diagnostic Health
20 Tennessee
DoctorsManagement, LLC
Otsuka America Pharmaceutical
Inc., Medical Device Division
Tennessee Dept. of Health
Communicable &
Dominion Diagnostics
PathGroup, Inc.
EHS
PCA SKIN
e-MDs
Pfizer
FlexMedical
Pfizer Vaccines
Tennessee Medical Association
Genentech
PriCara
Tennessee Regulatory Authority
GMA Healthcare
Primary Care Diagnostics
Teva Respiratory
HCA
Prometheus Laboratories Inc.
tnREC, a division of QSource
Kowa Pharmaceuticals America,
QSource
Ulrich Medical Concepts, Inc. Univ.
Inc.
Environmental Disease Services
Tennessee Disability
Determination Services
Quest Diagnostics
of Tennessee Family Medicine
LeBonheur Children’s Hospital
Rural Health Association of TN
Residency Program
Lincoln Memorial University-
The Rural Partnership
UT Graduate Medical Education
DeBusk College of Osteopathic
Saint Thomas Health Services
Vanderbilt University Med.
Medicine
Sanofi-Aventis U.S.
MAG Mutual Insurance Company
Sanofi Pasteur
Medinteract, LLC
Shared Health
Merck & Co., Inc.
SJ Pharmaceuticals, LLC
Merck Vaccines
St. Jude Children’s Research
Mountain States Health Alliance
Hospital
NextGen Healthcare
SVMIC
Next Generation Imaging, LLC
Takeda Pharmaceuticals
Novartis
TeamHealth
Office of eHealth Initiatives, State
Tennessee Academy of Physician
of Tennessee
academy of family physicians
Assistants
Ctr.
When representatives of these
companies visit your offices,
please express to them your
appreciation for their support
of your Tennessee Academy of
Family Physicians. The TNAFP
Annual Assembly would not be
possible without their support!
OCT 1st, 2013
Prepare Now for the ICD-10 Transition
The change to ICD-10 codes takes effect on October 1, 2013.
What do you need to get ready?
Providers will need to use ICD-10 diagnosis and inpatient procedure codes starting on
October 1, 2013. And in preparation for ICD-10, starting January 1, 2012, all practice
management and other applicable software programs should feature the updated Version
5010 HIPAA transaction standards.
Make sure your claims continue to get paid. Talk with your software vendor, clearinghouse, or
billing service NOW, and work together to make sure you’ll have what you need to be ready. A
successful transition to ICD-10 will be vital to transforming our nation’s health care system.
Visit www.cms.gov/ICD10 to find out how CMS can help prepare you for a smooth transition
to Version 5010 and ICD-10.
Official CMS Industry Resources for the ICD-10 Transition
www.cms.gov/ICD10
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PRACTICE OPPORTUNITIES
If you are looking for a partner or a practice
location, send information preferably by
email to: [email protected]; or by snail
mail to: Tennessee AFP, 500 Wilson Pike
Circle, Suite 212, Brentwood, TN 37027; or
by fax to: 615-370-5199. Information for
practice opportunities will be accepted only
from TNAFP members and will be placed in
the Tennessee Family Physician at no charge.
You are required to include your name,
address and/or telephone number and/or
fax number and/or email address as contact
concerning opportunities will be made directly
between interested parties and not through
the TAFP. Information will be placed in
four (4) editions unless the TAFP is notified
otherwise. Deadline for the next issue (Spring
2011) is January 21, 2011.
^ Department of Family and Community
Medicine Faculty Position - The Department
of Family and Community Medicine at
Meharry Medical College is currently seeking
a Board Certified Family physician to serve
as a full-time faculty. The position includes
faculty appointments at Meharry Medical
College and Vanderbilt University at the
level of Assistant or Associate Professor
depending on experience and qualifications.
Previous academic experience as a residency
or clerkship faculty or fellowship training is
required. Nashville is an excellent community
and offers many amenities. The department
has eighteen Family Medicine Residents and
also administers Preventive and Occupational
Medicine Residency Programs and a
Sports Medicine Fellowship. For Further
Information Contact: Roger Zoorob, MD,
MPH, FAAFP, Meharry-Vanderbilt Professor
and Chair, Department of Family Medicine,
1005 Dr. D. B. Todd, Jr. Boulevard,Nashville,
Tennessee 37208. [email protected],
615-327-6572, familymedicine.mmc.edu
Meharry Medical College is an Equal
Opportunity Employer
^Summit Medical Group, Outpatient Practice
Opportunities, Family Medicine - Partnership
Opportunities Available - Summit Medical
Group is looking for quality-minded family
medicine physicians. Enjoy the benefits of
being employed by a physician owned and
operated business with 225 primary care
physicians. Opportunities are available in
practices located in Knox and surrounding
counties in East Tennessee. Partnership is
discussed after 24 months of employment.
Positions start as employed positions and
have the following benefits: Paid Malpractice
Premiums, Health, Dental, Vision and
Disability Insurance Options, Twelve Paid
Vacation Days & Six Paid Sick Days per
Year, Five Paid Days and $3,000 for CME
per Year. For more information, please email
your CV to Cheryl Crye at
[email protected]
Union City needs You!
New Medical Director and Staff Physician Opportunities at Baptist Memorial Hospital.
TeamHealth is hiring a full-time staff physician and
medical director for Baptist Memorial Hospital in
Union City, Tennessee. The ED at this 173-bed hospital has
an annual patient volume of 16,500 with weekend mid-level
provider coverage and scribes in ED. Candidates must have
ACLS and PALS certifications. Experienced ED physicians,
along with those trained in family medicine, internal medicine,
IM/Peds or emergency medicine will also be considered.
TeamHealth offers:
Located in the northwest corner of Tennessee just south of the
Kentucky border, Union City provides an outstanding quality
of life—including great access to Reelfoot Lake and Kentucky
Contact Cathy Lee at 866.599.0067
or [email protected].
• Outstanding compensation
• Paid professional liability insurance
• Freedom from the hassles of practice management
• Flexible scheduling
• Free CME opportunities
• Great work/life balance
• Relocation and other assistance available
Lake, the largest manmade body of water in the United States.
1955 THMS Baptist Memorial Hosp ad.indd 1
22 Tennessee
academy of family physicians
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www.teamhealth.com
[email protected]
8/25/2010 9:54:27 AM
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Although the complication rate with KYPHON® Balloon
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TENNESSEE ACADEMY
OF FAMILY PHYSICIANS
Permit No. 2437
500 Wilson Pike Circle,
Suite 212, Brentwood, TN
37027
I don’t just
have insurance.
I own the company.
Michael A. McAdoo, M.D.
Milan Medical Center
Milan, TN
Family Practice
Medical Professional Liability Insurance
“Like me, you’ve probably noticed some professional liability insurance carriers recently offering physicians what seem to be
lower rates. But when I took a closer look at what they had to offer, I realized they simply couldn’t match SVMIC in terms of
value and service. And SVMIC gives me the peace of mind that comes when you’re covered by a company with a stellar record
of over thirty years of service and the financial stability of an “A” rating or better since 1984. At SVMIC, I know it’s not just
one person I rely on… there are 165 professionals who work for me. And, since SVMIC is owned by you, me, and over 14,000
other physicians across the Southeast, we know our best interests will always come first.”
Mutual Interests. Mutually Insured.
Contact Randy Meador or Susan Decareaux at [email protected] or call 1-800-342-2239. www.svmic.com
SVMIC is exclusively endorsed by the Tennessee Medical Association and its component societies.