Minnesota September/October 2014 Family Physician Residents & Students Talk Health Care Transformation A Report from the AAFP National Conference of Family Medicine Residents & Medical Students By Lisa Regehr, MAFP Conference Coordinator This year, the AAFP National Conference of Family Medicine Residents and Medical Students focused on health care transformation. The conference was held August 7 - 9, 2014, in Kansas City, Missouri. Chapters of the Academy and the University of Minnesota Department of Family Medicine and Community Health provided scholarships for medical students. Medical Center, Essentia Health, Fairview Health Services, HealthPartners Medical Group, Mayo Clinic/Mayo Clinic Health System and Sanford Health. This event is a chance for medical students, residents, and family physicians to network, socialize, and learn about family medicine opportunities here in Minnesota. Ashley Cobb, MS4, Mayo, was one of the hosts of a workshop titled ‘Global Health Pathway: Challenges and Opportunities’ National Conference - Continued on Page 2 Forty medical students and 29 residents took part from Minnesota. Attendees participated in education sessions, procedure workshops and investigated residency and practice opportunities in the exhibit hall. “It was awesome. Very inspiring, very interesting workshops and a great opportunity to meet residency programs,” said Jennie Manning, MS4, Mayo Medical School. More than 100 people came to The Minnesota Reception which took place at the Alamo Draft House. Sponsors of the Minnesota Reception were Allina Health, Cuyuna Regional The Minnesota Reception at the Alamo Draft House Photo Credit: Nkauj Shoua Vang / University of Minnesota The Minnesota Academy of Family Physicians (MAFP) promotes the specialty of family medicine in Minnesota and supports family physicians as they provide high quality, comprehensive and continuous medical care for patients of all ages. PRESIDENT’S MESSAGE MEMBERSHIP REPORT LEGISLATIVE AWARD PRACTICE OPPORTUNITIES 3 4 9 13 National Conference - Continued from Page 1 on Friday afternoon. Cobb was also a recipient of the Tomorrow’s Leader Award. Other award recipients included Tony Blankers, MS2, Mayo and Dane Schaleben-Boateng, MS3, University of Minnesota, who received First-time Student Attendee awards. Delegates to the Resident and Student Congresses were Resident Director, Elizabeth Lownik, M.D., Alternate Resident Director, Nicole Solberg, M.D., Student Director, Emily Wolff, MS4, and Allan Kerandi, MS2, University of Minnesota. (Check out the student and resident director reports on pages 10 and 11 to learn about topics covered at the Congresses.) “Attending the AAFP National Conference was a great experience to delve into medicine in a new way as I was able to meet other medical professionals and students from around the country to learn more about family medicine and what opportunities this specialty has to offer,” said Laura McDowell, MS2, University of Minnesota Duluth. “The AAFP National Conference is a great experience for medical students who are interested in family medicine,” said Megan Chock, MS4, Mayo Medical School. “The residency fair provides the opportunity to become familiar with the wide range of opportunities in family medicine, and the sessions provide guidance that ranges from practical advice on how to manage your finances, information on applying to residency, and clinical pearls that will help on clerkships and even exams.” Faculty, residents and students heading to Kansas City for the AAFP National Conference. Photo Credit: Nkauj Shoua Vang / University of Minnesota This issue of Minnesota Family Physician is brought to you by Affiliated Community Medical Centers. Minnesota Family Physician (ISSN 0279-6120) is a publication of the Minnesota Academy of Family Physicians (MAFP), 600 S. Highway 169, Suite 1680, St. Louis Park, MN 55426. Phone: (952)542-0130; (800) 999-8198 Fax: (952) 542-0135. Web: www.mafp.org Email: [email protected]. Six issues of the Minnesota Family Physician are published annually. Except for official reports and announcements, no material in the Minnesota Family Physician is to be construed as representing the policies or views of the MAFP. The editors reserve the right to accept or reject any submission. The medical editor is Kurt Angstman, M.D. The Managing Editor/Designer is Kristie Thorson. Editorial copy and practice opportunity ads to be considered for the Nov/Dec 2014 issue are due by 10/27/14. MAFP Chapter Directors MAFP Officers Other MAFP Directors Ann Lee, DO - Central David Bucher, MD - East Metro Robert Koshnick, MD - Heart of the Lakes Roger Waage, MD - Lake Superior Chandra Gottipati, MD - Lake of the Woods Richard Horecka, MD - Minnesota Valley Deborah Dittberner, MD - Park Region Linda Bergum, MD - Range Scott Pauley, MD - Southeast Kimberly Wernsing, MD - Southern Samuel Hanson-Willis, MD - West Metro Beth Lownik, MD - Resident Director Emily Wolff - Medical Student Director Kourtney Bradford-Houle - Special Constituencies Dir. 2 September/October 2014 www.mafp.org Kurt Angstman, MD - President Mohammad Tariq Fareed, MD - President-Elect Richard Horecka, MD - Board Chair Dania Kamp, MD - Speaker of House Glenn Nemec, M.D. - Vice Speaker of House Raymond Christensen, MD - Treasurer Renee Crichlow, MD - Officer-At-Large David Bucher, MD - Director-At-Large Virginia Barzan, CAE - Executive Vice President MAFP Staff Kelly Bellomy - Membership Coordinator Arlene Lensing - Associate Director Jo Peterson, PhD - Foundation Executive Director Lisa Regehr - Conference Coordinator Barbara Skrivanek - Accountant/Office Coordinator Kristie Thorson - Communications Coordinator A Message from the MAFP President OPPORTUNITIES FOR FAMILY MEDICINE The transformation of our healthcare landscape sometimes feels continuous, disruptive and beyond our control. Adding to that our desire to do what is best for our patients (both collectively and for the one that we are caring for at this instant) creates a tension in our day to day practice that frustrates many family physicians. What is the American Academy of Family Physicians doing about this? How do we as an Academy negotiate the challenges of changes in healthcare (from legislative requirements to changes in workforce composition to the increasing complexity of the patients that we are caring for)? In August 2013, the AAFP started gathering information for Family Medicine for America’s Health: Future of Family Medicine 2.0. With several recent sessions from across the country, this report is due out this fall/early winter and has the potential to impact our specialty for the next decade. The focus of Future of Family Medicine 2.0 will be on a patient-centered team approach; the elimination of barriers to access; advanced information systems, including electronic health records; redesigned, more functional offices; a focus on quality and outcomes; and enhanced practice finances (http://www.aafp.org/about/initiatives/future-family-medicine. html). How do we, as an Academy or as individual clinicians, define a patient-centered team approach? From my perspective, there are many aspects of team-based care that the Family Physician does well. We have always involved multiple team members in the care of our patients- from our other specialty colleagues, to community specialists in pharmacy, APRNs, PAs, physical therapists, public health, school nursing, hospital (from staff floor nurses to L&D to ER), nursing home staff, private duty care specialists and family members. It is my hope that excellent team based care of the future allows each of us to provide more efficient care for the patients that entrust their health to us, rather than increase paperwork burdens that actually decreases our ability to care for our patients. Involvement in the primary care of our patients and their families shapes our definition of access. Access may be defined broadly as: medical school admissions policies that promote students that would be interested in primary care; creative ways to limit the impact of undergraduate and medical educational expenses that allows students to seek a specialty of their choice, rather than by return on investment; enhancing the number of Family Medicine residency slots available; creating high performing team-based care that allows us to care for a larger or more complex patient panel and defining appropriate local workforce issue needs. Access may also be defined as the capacity to see patients when and where they need care. There is routine clinical care, urgent care, after-hours care, emergency room care, hospital care, prenatal care, geriatric and hospice care. Specific patient populations may also have specific access issues, such as, those with chronic mental health diagnoses and those incarcerated, un- or under-insured, indigent patients or diversity patients. In determining the needs for access, the voice of the patient and the community are resources that we need to make sure are not lost as we proceed with health care transformation. After living through the transformation from paper medical records to the electronic medical records - I know that I would not wish to return to a time of missing charts, incomplete records, and handwriting prescriptions (I used to hate January, when the patients Kurt Angstman, MD with new insurances would need two handwritten prescriptions for all of their medications- one for 30 days and one for their mail order pharmacy!). However, the “holy grail” of the EMR is not here yet. Most family physicians grumble (trying to be polite…) about their EMR. The goal is a system that HELPS us with our care of the patient, HELPS us with the management of their chronic diseases and preventive health and HELPS us with the management of our patient population. It probably is easier to look at healthcare IT as a marathon, not as a sprint—we should be continually looking to work toward the ideal. It does seem that we as healthcare providers, due tend to be good at doing “work arounds” to get the job done. How we see patients on a day-to-day practice will change. With the needs of our patients for chronic disease management, health care maintenance and day-to-day medical issues, there is not enough current capacity to adequately do the work. How it will change will be the question. The form of how our offices are designed will follow the functions that we need. For a fully functioning, highly successful team to be co-located, this will require a redesign of the clinical spaces that we have. The future may rely less on waiting areas, rely more on self-registration, self-rooming AND asynchronous care (health care that is not directly associated with a face to face visit with the patient’s personal physician). The future of our specialty and our practices will be the expectation of outcome-driven data. We should be embracing this as a specialty. The more data we have that demonstrates that the effective, efficient, caring and comprehensive care we provide in our local team based clinics is superior to other mechanisms for delivering health care, the better it will be for our specialty. Yes, we can become overwhelmed with and question the results of our current quality metrics. In the future, I see the quality data as being eventually helpful to us, especially as we develop IT solutions for data management. We will not be able to lead the transformation of health care without reforms to finances. There are two sayings in management circles the first is that you can’t manage something you can’t measure and the second is that it should matter what you measure, because once you measure it, it will matter. Family physicians have generations of training for working in a fee-based RVU production model. As such, for many physicians, their concern is with productivity of their practice in addition to the health of their patients. How do we measure quality comprehensive health care and encourage productive and happy family physicians? At this time, I certainly do not have all (or any!) of the answers. The Future of Family Medicine 2.0 hopefully will help guide us forward for the next decade or so. I see this as an opportunity to enhance our specialty rather than a complete re-boot of the system. Minnesota Family Physician 3 membership Report Timothy Busian D.O., Rochester Kathleen Byron M.D., Hutchinson Chandra Cherukuri M.D., Minneapolis Lindsey Chmielewski M.D., Melrose Central Chapter Saif Choudhury M.D., Germantown, WI Maureen Kemper, M.D., Avon Jennifer Chung M.D., Minneapolis Shelley Overholt-Thiesen, M.D., Brainerd mafp membership Elizabeth Cozine M.D., Rochester Behrang Dehkordi M.D., Chicago East Metro Chapter (as of 8/31/14) Laura DuChene M.D., St. Cloud Baubak Azar, M.D., St. Paul Carrie Eckstam D.O., Edina Laura Briggs, M.D., Eagan Active = 2,152 Jeremiah Eisenschenk M.D., Maplewood Jeffrey Elbers, M.D., White Bear Lake Jibril Elabe M.D., Saint Louis Park John Hamerly, M.D., White Bear Lake Robyn Endrud M.D., Saint Paul Mandeep Kalirao, M.D., St. Paul Resident = 231 Liban Farah M.D., Minneapolis Denise Long, M.D., St. Paul Shahram Fasihy M.D., Bunaby BC Thomas Lundsten, M.D., St. Paul Kathryn Freeman M.D., St. Paul Sarah Masrud, M.D., Inver Grove Heights Student = 236 Rhonda Gaugh D.O., Lenexa, KS Craig Mommsen, M.D., North Saint Paul Matthew Monteiro, M.D., White Bear Lake Joanne Genewick D.O., St. Peter Joel Giffin D.O., Minneapolis Life = 298 Joseph Saccoman, M.D., North St. Paul Robyn Gilbertson M.D., Duluth Luree Schneider, M.D., St. Paul Matt Hansmeier M.D., Duluth Alden Tetlie, M.D., St. Paul Inactive = 49 Tyler Helland M.D., Minnetonka Alicia Turenne, M.D., Maplewood Liban Hired M.D., Eden Prairie Katherine Vickery, M.D., St. Paul Matthew Hoffman M.D., St. Paul Supporting = 3 Lake of the Woods Chapter Matthew Holmes M.D., Hermantown Roshan Ghimire, M.D., Crookston Eli Horn M.D., Duluth Muna Jama M.D., Falls Church, VA Minnesota Valley Chapter Total = 2,969 Micah Johnson M.D., St. Paul Mark Eakes, M.D., MPH, Sacred Heart Teresa Jones M.D., St. Paul Park Region Chapter Brittany Kalmi M.D., St. Paul Shan Flatt, M.D., Alexandria Mitika Kanabar M.D., Minneapolis Susan Pleasants M.D., Minneapolis Medha Karmarkar MBBS, Rice Lake Range Chapter Elsaid Rabi MBCHB, Sartell Joshua Kempf D.O., Mankato Stephanie Gillette, M.D., Bigfork Austin Krohn M.D., Hopkins ABM Masudur Rahman MBBS, Maple Grove Eric Scrivner, M.D., Bigfork Jennifer Kuyava M.D., Eden Prairie Pranav Reddy M.D., Eden Prairie Shelly Soltis, D.O., Grand Rapids Abby LaBounty M.D., St. Louis Park Tessa Reff M.D., Maple Grove Southern Chapter Mary Lally BMBCH, Rochester Michelle Rein M.D., Lanesboro Jennifer Brown, M.D., Faribault Sharon Landgren M.D., Duluth Sharath Reniguntala MBBS, Lombard, IL Amy Kvidera, M.D., St. Peter Bernice Lee M.D., Minneapolis Jason Ricco M.D., Madison Zachary Nolz, M.D., Luverne Rachel Long M.D., Minneapolis Maria Ryan M.D., Vernon Ahmad Yusuf, M.D., Worthington Ryan Luong M.D., Andover Sandhita Saha M.D., Rogersville Natalya Lyadova M.D., Plymouth Gobindveer Sahi M.D., Edina West Metro Chapter Kelly Sander M.D., Richfield Alberto Marcelin M.D., Rochester Ashlesha Tamboli, M.D., Minneapolis Lauren Maurer M.D., St. Paul Alana Sasaki M.D., St. Paul Lisa Vollmer, M.D., Minneapolis Amanda Mayer M.D., Minneapolis Amber Scaletta D.O., St. Paul Elizabeth Meichsner M.D., Plymouth Kristina Sinnott M.D., Santa Fe, NM RESIDENTS UPGRADED TO ACTIVE Gaurav Nigam MBBS, Ann Arbor, MI Jalayna Smith M.D., Roseville Katherine Norris M.D., Staples Maiken Strohm M.D., Wayzata MEMBERS Chad Norris M.D., Staples Stephen Uslinov M.D., Minneapolis Puneet Aggarwal M.D., Minneapolis Vitus Nwaele MBBS, Albany Gretchen Vanden Berg M.D., St. Paul Akochi Agunwamba M.D., Savage Kirk O'Donnell M.D., St. Louis, MO Nicholas Vidor M.D., Duluth Nathan Waibel M.D., St. Paul Troy Benson M.D., Waseca Sara Olmanson M.D., St. Cloud Keri Bergeson M.D., Montevideo Trevor Page DO, Washington, UT Danielle Wang M.D., Billings, MT Jaime Wirth M.D., Maplewood Raj Bhui M.D., Minneapolis Laura Paulson M.D., Duluth Ian Young M.D., Rochester Michelle Buelow M.D., St. Paul John Pelzel M.D., Woodbury New Active & Supporting Members 4 September/October 2014 www.mafp.org New Resident members Duluth Family Medicine James Braunwarth, M.D. Tsering Lhamo, M.D. Joni McAtee, M.D. Zachary Merten, M.D. Robert Payne, M.D. Arlene Rillo, M.D. Hennepin County Medical Center Ese Aghenta, M.D. Randolph Borrero, M.D. Justin Dowlatshahi, M.D. Mahveen Ethezaz, M.D. Andrew Garcia, M.D. Jonathan Koretoff, M.D. William Lu, M.D. Sadhana Vanka, M.D. Scott Wavinak, D.O. Jarrod Yamanaka, M.D. Mayo Family Medicine Natalie Erbs, M.D. Eva Fried, M.D. Natalie Gentile, M.D. Alessandra Glaser, M.D. Emily Justusson, M.D. Jessica Moertel, M.D. Abraham Tiffany, M.D. United Family Medicine Kelly Barnes, M.D. Jamie Dyer, M.D. Margaret Funk, M.D. Amanda Kern, D.O. Jillian Landeck, M.D. Kiara Levar, M.D. North Memorial Health Care Meredith Bourne, M.D. Camille DeLisi, D.O. Laura Giegler, M.D. Claudia Patino, M.D. Charles Salmen, M.D. Helen Thomas, M.D. St. Cloud Hospital Jason Huikko, M.D. Amy Olmschenk, D.O. Steven Solum, M.D. Cody Wendlandt, M.D. St. John’s Hospital Anne Horst, M.D. Tara Nelson, M.D. St. Joseph’s Hospital Beth Edwards, D.O. Emily Funk, M.D. Robert Hlavacek, D.O. JennaKeller,M.D. Leela Krummel, D.O. Michael Nasenbeny, M.D. New student members Mayo Dipti Banerjee Tyler Brobst Sagar Chawla Janice Cho Elizabeth Fracica Caitlin Harper Jennifer Hou Tiffany Hu Eric Jackson Daniel Joyce Emily Knight Gracia Kwete Christina Loporcaro Tanner Miest Jacob Morris Gregory Mowrer Praveena Narayanan Krishna Pundi Brian Sauer Heather Talley Trang Vu Nelson Winkler University of MN – Duluth Campus Laura Hoganson Matthew Leither Gavin Maurer Toy McGee Derek Notch Nicholas Van Lith University of MN – Twin Cities Campus Judy Boylan Alexander Feng Shahid Jaffer Ryan McFarland Mark Nelson Paige Nelson Michael Wagner in memoriam Kenneth Buresh, M.D., Scottsdale, AZ Member enrolled since 1954 Amy Shogren, M.D., Blaine Member enrolled since 1975 University of MN Family Medicine & Community Health Programs Fairview Smiley’s Clinic Oluwakemi Ajibade, M.D. Nadar Ali, M.D. Richard Brown, D.O. Ayman Srajeldin, M.D. Moaweya Zayed, M.D. Mankato Jared Colvert, D.O. Andrew Dickinson, M.D. Curt Schultz, D.O. Mary Terra, D.O. Heather Wells, D.O. Victoria Zbikowski, D.O. Methodist Hospital Brittany Berg, M.D. Michael Blackburn, D.O. Kaitlyn Henkelman, D.O. Samuel Kjome, M.D. Alice McDonald, MBChB Minnesota Family Physician 5 WHAT’S HAPPENING Lynne Lillie, M.D., Running for AAFP Board Position The MAFP is pleased to support the candidacy of family physician, Lynne Lillie, M.D., Red Wing, for the AAFP Board of Directors. The election will Lynne Lillie, M.D. take place at the Congress of Delegates in October. Seeking Newsletter Sponsors Sponsorship opportunities are still available for the 2015 & 2016 Minnesota Family Physician (MFP) newsletter. For more information, visit http://www.mafp.org/ newsletter-sponsorship. Questions? Email [email protected]. Presentations Family physicians, residents and students are encouraged to visit schools in their community and make a Tar Wars presentation. Those interested in keeping kids tobacco-free should call a principal, teacher or nurse at the school of their choice to arrange a presentation. To view the free curriculum online, please visit the Tar Wars section of the MAFP website at http://www.mafp.org/ patients/tar-wars. Please note that the National Tar Wars Poster Contest has been discontinued so no posters will be collected by the MAFP. 6 September/October 2014 www.mafp.org Save the Date! Winter Conference & SAM The 2015 Winter Conference will take place January 30-31 at Arrowwood Resort in Alexandria, Minnesota. Education sessions will draw from the breadth of the family medicine specialty offering something for everyone. There will also be a SAM Session on Friday afternoon. This conference is a chance to combine CME with a winter getaway. FREE CO*RE Webinars The State Academies of Family Medicine invite you to attend a FREE webinar on "Extended- Release/ Long-Acting Opioids: Achieving Safe Use While Improving Patient Care". The 90-minute webinars meet FDA requirements for ER/LA opioid risk evaluation and mitigation strategies [REMS]. A post-activity assessment will help you gauge your increase in knowledge and competency. Upon completion of the assessment and evaluation you will receive 1.5 AAFP Prescribed credits and we'll send you both the faculty slides and additional resources you can use to improve your care of patients. To view the schedule, visit http://www.mafp.org/cmeevents/ cme-listing/online-cme-listing/corewebinar. New Health Care Homes The Minnesota Department of Health has now certified 346 health care homes. Those recently certified include Buffalo Clinic – Buffalo; Buffalo Clinic – Monticello; Hennepin County Medical Center, Golden Valley Clinic and Hennepin County Medical Center Senior Care; Richfield Medical Group - Richfield; Sanford North Fargo Family Medicine; Sanford West Fargo Family Medicine; Sanford Jamestown Clinic 2nd Ave; Sanford Jamestown Clinic 5th Ave; Sanford Southpointe Family Medicine; and Sanford Moorhead Family Medicine. MAFP Member News Dave Thorson, M.D., was elected to be the next Minnesota Medical Association President. John Bachman, M.D., Rochester, has joined TransforMED’s Board of Managers. Bachman is a Saunders Professor of Primary Care at Mayo and an expert in “high tech, high touch” medicine. Renee Crichlow, M.D., Kathleen Brooks, M.D., James Boulger, Ph.D., and Patrick Rock, M.D., were appointed to the Blue Ribbon Committee on the University of Minnesota Medical School by Governor Mark Dayton. Leif Solberg, M.D., and Patricia Fontaine, M.D., MS, authored an article in the August issue of the Journal of the American Board of Family Medicine. The article, titled “Challenges of Medical Home Transformation Reported by 118 Patient-Centered Medical Home (PCMH) Leaders,” summarized the results of two surveys completed by medical clinics that were certified as PCMH practices. The article can be found at http:// www.jabfm.org/content/27/4/449.full. pdf+html. Elizabeth Maloney, M.D., co-authored new evidence-based treatment recommendations for Lyme disease. The guidelines were published in the August edition of the peer-reviewed journal Expert Review of Anti-infective Therapy. The article is available at http:// informahealthcare.com/doi/pdf/10.15 86/14787210.2014.940900. Barbara Yawn, M.D., MSc, co-authored an article on school-based asthma plans which was published in the July 2014 issue of MInnesota Physician. Volunteers Needed Volunteers are needed for the Medtronic Twin Cities Marathon on October 5. To join the medical team, visit http://twincitiesinmotion. volunteerlocal.com/volunteer/?start_ over&id=6455. Enter the registration code: MEDICAL2014 and hit Submit Code. Please register as soon as possible. Email William Roberts, M.D., at [email protected] with questions. - 2014 Research Foru m Paper of Greatest Interest TITLE OF RESEARCH Investigating Health Care Utilization Among Low-Income Adults in Duluth, MN PRESENTER Christopher Knapp, Britta Knutson, Nathan Guimont, MS3s, University of Minnesota Medical School Duluth OTHER AUTHORS Brittany Vaplon, MS3, University of Minnesota Duluth; Meena Muruggappan and Abby Steele, UMN Pharmacy Students OBJECTIVE OR HYPOTHESIS The University of Minnesota Medical School Duluth and College of Pharmacy jointly support the HOPE Clinic, a student run free clinic with faculty supervison. The HOPE Clinic is located in the CHUM drop-in center in downtown Duluth. The student board of directors wanted to gain research information on the health care access patterns of low income individuals in Duluth to provide better care for the patients that the HOPE Clinic serves, and to have a better understanding of the challenges that those individuals faced in accessing appropriate health care. Our objective was to investigate this population’s priorities in terms of their care, including convenience, cost, service providers, and insurance. Questions that were studied through the course of this research included: 1) What types of health services are uninsured, underinsured and low-income adults in the Duluth area utilizing? 2) What is the level of awareness among this patient population of existing services geared towards this population? 3) What are some of the reasons for current service utilization choices? situations and chronic health problems to minor injuries, and in each situation over 20% of study participants indicated that they would use the ER for their health care. However, patients reported that they felt their Primary care doctor cared for them more as a person than an ER doctor. When asked what they prioritized in their personal health decisions, men responded that they prioritized low cost POPULATION and women responded that they prioritized personalized care. Low-income, homeless or un-insured persons living in Duluth, MN. METHODS 35 Low-income adults, aged 18 and up, currently living in the Duluth area were recruited through local social service agencies and completed an intervieweradministered paper-and-pencil survey. The surveys were composed of 31 questions, and most of the questions were quantitative, with multiple choice responses and qualitative follow-up questions. MAIN RESULTS The data indicated that most of the study participants had access to health care and health insurance, and used health care services regularly. Participants tended to believe that their overall health was good. Participants accessed both Primary Care Services and Emergency Room services at rates well above the national average. Participants were given hypothetical situations, ranging from emergency CONCLUSIONS Participants in our study reported good health, but also reported high rates of usage of both primary care and emergency services. A limitation of the study is that we encountered our study participants through social service agencies, so we did not capture the lowincome population that did not access these services. MENTORS Melissa Walls, Ph.D., Timothy Stratton, PharmD, Ruth Westra, D.O., MPH and Ray Christensen, M.D. FUNDING SOURCES University of Minnesota Foundation, Fund 1363- HOPE Clinic An additional Paper of Greatest Interest from the 2014 Research Forum will be published in the next issue. October 10 - 12, 2014 . Minneapolis “Innovate & Invigorate” Register online at: www.iafp.com/fmm The Family Medicine Midwest Conference will feature topical peerRadisson Blu . 35 South 7th Street . Minneapolis reviewed education and presentaton sessions for faculty, residents and students, and social events! Network with your family medicine friends from throughout the Midwest, plus employer exhibits and learning opportunities for everyone! Conference Highlights: Residency fair with 38 Midwest Family Medicine Residency Programs . Procedure Workshops . Sessions, panels and workshops covering the breadth of family medicine and new developments and innovations in healthcare . Speed Date the Specialty Lunch . Hippocrates Café Minnesota Family Physician 7 Single Payer - Is It Right For Minnesota? Single Payer - Is it right for MN? That was the title of a forum co-sponsored on August 19 by the MAFP, the Minnesota Medical Association and Physicians for a National Health Plan. More than 60 physicians and medical students gathered in person and nearly 50 others in greater Minnesota were able to “attend” thanks to live stream technology. Rick Horecka, M.D., who chairs the MAFP’s Single Payer Task Force, was one of the panelists for the Q and A session that followed the presentations. Task force member Chris Reif, M.D., gave an overview about the MAFP’s experience with “Evolving Opinions about Single Payer.” He said “As family physicians, knowing that our patients have coverage and can afford care is important. We see this as a dialogue that will go on for years and wanted to be part of the conversation and to do that, we felt we needed to be educated more.” Now, the task force would like to continue the dialogue by offering to answer MAFP member questions about single payer options. See the ‘Dear SPTFy” article below for more information and send questions you may have to [email protected]. Dear SPTFy: By Eduardo Miguel Medina MD, MPH Resident North Memorial/UMN Department of Family Medicine and Community Health Improving our healthcare system is one of the more complex endeavors of our time. Overcoming institutional inertia, intransigence, and incompatibility with a high quality healthcare system makes this task not only formidable but seemingly impossible. Considering the array of stakeholders, moneyed interests, professional societies, lobbyists, political operatives, and last but never least patients, the only assured outcome is conflict. However, given an honest appraisal of the state of our healthcare system; the need for improvement was never more pressing. resulting in additional costs without increasing value. -The Commonwealth Fund report Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally illustrates that, while the U.S. healthcare system is the most costly it consistently underperforms. “The U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last or near last on dimensions of access, efficiency, and equity.” 1. Health care coverage for all is needed to ensure quality of care and to improve the health status of Americans. -Disparities in health outcomes, access, satisfaction and treatment persist between racial, gender, ethnic, educational, country of origin, sexual orientation, and socioeconomic groups. For example, closing the Black-White mortality gap in the U.S. would eliminate more than 83,000 excess deaths per year among African-Americans. In Minnesota African American, American Indian, Hispanic, and Asian children are at a greater risk for living in poverty with associated adverse health outcomes. - Millions of people living in the U.S. do not have health insurance and being uninsured is associated with increased mortality in the United States. - Medical costs continue to be the leading cause of personal bankruptcy. - The U.S. ranks last in amenable mortality among countries studied for, “deaths from certain causes before age 75 that are potentially preventable with timely and effective health care.” - The administrative burden in our current system is sizeable 8 September/October 2014 www.mafp.org - The U.S. is the only democratic industrialized nation that does not guarantee the right to healthcare for all of its citizens. Given the complexity of this task a set of principles is needed to guide and evaluate progress. The Principles for Reform of the U.S. Health Care System published in January 2007 is the largest consensus among physician organizations (including the AAFP) to endorse the following: 2. The health care system in the U.S. must provide appropriate health care to all people within the U.S. borders, without unreasonable financial barriers to care. 3. Individuals and families must have catastrophic health coverage to provide protection from financial ruin. 4. Improvement of health care quality and safety must be the goal of all health interventions, so that we can assure optimal outcomes for the resources expended. 5. In reforming the health care system, we as a society must respect the ethical imperative of providing health care to individuals, responsible stewardship of community resources, and the importance of personal health responsibility. 6. Access to and financing for appropriate health services must be a shared public/private cooperative effort, and a system which will allow individuals/employers to purchase additional services or insurance. 7. Cost management by all stakeholders, consistent with achieving quality health care, is critical to attaining a workable, affordable and sustainable health care system. 8. Less complicated administrative systems are essential to reduce costs, create a more efficient health care system, and maximize funding for health care services. Single Payer - Continued on Page 9 Single Payer - Continued from Page 8 9. Sufficient funds must be available for research (basic, clinical, translational and health services), medical education, and comprehensive health information technology infrastructure and implementation. 10. Sufficient funds must be available for public health and other essential medical services to include, but not be limited to, preventive services, trauma care and mental health services. 11. Comprehensive medical liability reform is essential to ensure access to quality health care. Let this serve as a framework for discussing a high per forming, high value healthcare system that embraces universal access, high quality coordinated care, and payment reform. The Single Payer Task Force (SPTF) was convened over a year ago to, “study state-based single payer systems especially as they would apply in Minnesota and present an informed view of the findings to the 2014 House of Delegates.” In response to the SPTF’s presentation on April 9, 2014, the following resolution, was adopted by the MAFP HOD: BE IT RESOLVED, that the MAFP promote the advantages of a Minnesota single payer financing system as one method of fulfilling the AAFP's Principles of Health Care Reform, and, BE IT FURTHER RESOLVED, that the MAFP actively participate in health care reform deliberations to inform and guide those promoting a Minnesota single payer approach regarding planning, implementation and governance in order to avoid its pitfalls and maximize its strengths, and, BE IT FURTHER RESOLVED, that the MAFP requests the AAFP Congress of Delegates to promote AAFP participation in national deliberations and discussions pertaining to single payer financing systems for health care reform, and, BE IT FURTHER RESOLVED, that the ad hoc Single Payer Task Force be continued for another year to provide education and support to MAFP members interested in learning more about single payer financing and being involved in health care reform discussion. In this spirit we present the inaugural column of Dear SPTFy. We invite readers to submit questions with the purpose of enriching the debate around single payer financing in Minnesota. Our lines are open. Rochester Lawmaker Presented with MAFP Legislative Achievement Award The MAFP presented Minnesota State Representative Tina Liebling (DFL-Rochester) with the 2014 MAFP Legislative Achievement Award. The award is given to a state or federal legislator from Minnesota in recognition of a specific action that has benefited patients or family medicine. Rep. Liebling is the Chair of the House Health and Human Services Policy Committee. She has been a longtime advocate for improved health care access and ensuring that Minnesota is a great place to practice medicine. In 2014, Rep. Liebling was the strongest advocate in the House of Representatives for maintaining some level of collaboration between physicians and advanced practice registered nurses, going so far as to introduce a separate bill from the one promoted by the APRNs to ensure that both sides of the argument were considered. Her efforts forced the APRNs to the table to negotiate some improvements in the final bill. Also, as chief author of the Omnibus HHS Policy bills this year, she ensured passage of a number of public health improvements including regulation of e-cigarettes, a prohibition on children using artificial tanning devices, and protecting children in foster homes from second-hand tobacco smoke. Kurt Angstman, M.D., MAFP President, and Will Nicholson, M.D., MAFP Legislative Chair, present the 2014 MAFP Legislative Achievement Award to Rep. Tina Liebling (DFL-Rochester). Minnesota Family Physician 9 A Report from the MAFP Resident Director To my fellow MAFP resident members: I am honored to serve as Resident Director of the MAFP for 2014-2015. I am a second year resident at the University of Minnesota North Memorial Family Medicine Residency Program. Prior to the pursuit of my MD/ MPH here at the U of M Twin Cities, I lived and worked in rural Haiti in administration and community health. My interests include public health, global health, research, and health policy, and I have been excited about the MAFP as a resource in all of these areas since first learning about the organization as a medical student. significant interest in the Minnesota programs among students, including many from other states. Clearly, Minnesota has a well-earned, national reputation for being a great place to learn and practice family medicine. Those of us training here now are greatly indebted to the committed, dedicated, and caring physicians who have built this strong culture of family medicine and patient-centered care. As I enter my second year of training, my understanding of family medicine is shifting. Before medical school, I knew, in theory, the Elizabeth Lownik, M.D., MPH importance of working “upstream” on public MAFP Resident Director health and policy to improve health. Now, as I encounter relentless examples of the social, Thanks to the generosity of the MAFP, my colleague and alternate Resident Director, Nicole Solberg and economic, and structural barriers that patients face, the desire I, attended the AAFP National Conference of Family Medicine for practical action and meaningful change is immense, as is Residents and Medical Students in Kansas City, MO earlier this the knowledge that such work can never be done without month. We were able to participate in the National Congress collaboration. I am filled with hope by the potential we have of Family Medicine Residents as representatives of our state. in family medicine to advocate for healthy communities. I Many issues important to residents were discussed, including am energized by the possibilities that systems changes in direct primary care, loan interest rates and forgiveness, and health care can bring at this important historical moment. I procedure/encounter tracking during residency. Of note, a am encouraged by the work that all of you at MAFP are resolution in support of single payer was discussed (but not already doing along these lines, and I am truly grateful for the adopted), and a resolution asking the AAFP to dissolve financial opportunity to work alongside and learn from you this year. ties to Coca-Cola was adopted. We learned a great deal about Thank you. parliamentary procedure, writing resolutions, and connecting with delegates and members from other states, and we greatly appreciated the opportunity. In addition to participating in the leadership forum, Nicole and I represented our residency programs in the exhibition hall, along with many other faculty and residents from the University of Minnesota, Hennepin, Mayo, and United programs. There was Beth Lownik, MD Elizabeth Lownik M.D., MPH – Resident Director [email protected] PGY 2 University of Minnesota North Memorial Family Medicine Residency Nominate a Peer, Mentor or Colleague for an MAFP Award The MAFP is now accepting nominations for the following awards: Family Physician of the Year Teacher of the Year Researcher of the Year Resident of the Year Medical Student Award Merit Award For more information and a detailed description of each award, please visit the MAFP website at http://www.mafp.org/Awards/awards-about. 10 September/October 2014 www.mafp.org Nomination Process All nominations must be made in writing to the MAFP office (mail, fax or e-mail). Include the award name, your name and phone number, and explain why the nominee is deserving. Also, if applicable, include the name of the nominee’s clinic, residency program or medical school. Additional information may be requested from the nominator or nominee. Candidates must be MAFP members, except Researcher of the Year Award candidates. Deadlines for Submission Family Physician of the Year: January 12, 2015 All Other Awards: February 16, 2015 Vax4 Campaign Materials Available The Minnesota Department of Health received a grant to increase vaccination rates for human papillomavirus (HPV). A new public awareness campaign, called vax4teens, geared towards families of adolescents was launched. As part of this effort, a toolkit with sample messaging and images has been developed for organizations, clinics, and local public health departments to promote adolescent vaccination. Visit www.health.state.mn.us/divs/idepc/ immunize/campaigns/index.htm to download the toolkit. A Report from the MAFP Student Director as ending Coca-Cola alliance with AAFP and supporting single payer systems. In addition to the opportunity to influence policy, the conference was a great networking opportunity. My fellow students and I were able to visit with residency programs from all over the country. I’d like to thank the MAFP on behalf of myself and the other 30+ students from Minnesota who were able to attend the conference because of MAFP financial assistance - it was an incredible experience and one that would not have been possible without your support! There are still a couple of great events coming up this year for the MAFP and students interested Emily Wolff MAFP Student Director in family medicine. First is the Family Medicine To give you a little background, I am a Midwest conference being held in Minneapolis fourth year student at the University of Minnesota Medical this October, which in addition to great research lectures, School. I have a particular interest in preventative medicine, poster presentations, and workshops will have a residency immunization, women’s health and rural medicine. I am exhibit hall (which will take the place of the fall Residency currently in the process of applying to family medicine Opportunities and Procedures Workshop hosted by the MAFP residency programs, and hope to one day be a rural family doc. in previous years.) We also have the Academic Round Table This is a time of change for family medicine, with changing to look forward to this winter, a great opportunity for student laws and payment structures, and an increased national focus leaders. on preventative and primary care medicine. I am thrilled to be entering this profession, and excited to see how family This year I’ve had the privilege of working with and getting to know the two Alternate Student Directors, Elizabeth Hillebrand medicine will evolve over the coming years. and Emma Sieling, as well as my counterpart in the Resident This August I was able to join 39 other Minnesota medical Director position, Dr. Beth Lownik. I am looking forward to the students at the AAFP national conference in Kansas City, rest of my years’ service as the Student Director for the MAFP. MO. This was my first year attending the conference. It was Please feel free to contact me with any questions, concerns, or incredibly inspiring to be surrounded by other students and suggestions at [email protected]. residents passionate about family medicine. It most definitely lit a fire under me, just in time for residency applications and Thank you, interviews! As the Minnesota delegate to the student congress, I tried my hand at resolution writing for the first time. The student congress passed resolutions on topics key to student education including financing medical school and encouraging Emily Wolff rural training, as well as non-education related topics such MS4, University of Minnesota Medical School Hello to my fellow MAFP members: I was very fortunate this year to be elected the Student Director of the MAFP. I was excited to have this opportunity to learn more about the MAFP, student leadership, and the impact of Minnesota physicians on policy making at the local, state and national level. My role as the student director allowed me to participate and share the student perspective in the MAFP Board of Directors and Academic Affairs Committee. Additionally, I was fortunate to be able to attend the AAFP national conference as Minnesota’s student delegate. Emily Wolff Minnesota Family Physician 11 “Working with these amazing school kids and their families has inspired me in many ways. I see outreach potential in every grade, at every school.” Lacey Running Hawk, M.D. Bimaadiziwin Project Lead A Healthy, Fun After School Idea When Lacey Running Hawk, M.D., a second year resident with United Family Medicine, connected with the MAFP Foundation to discuss her initial concepts for encouraging healthy behaviors among American Indian school children, she never thought her project would gain so much traction, so quickly. Using a $1,000 Innovation Grant from the Foundation, Running Hawk launched the initial phase of her project, BIMAADIZIWIN (Ojibwa translation “A Healthy Way of Life”) in collaboration with St. Paul’s American Indian Magnet School’s SOARing Eagles after school program. Over the next two academic years, Running Hawk will collaborate with medical students, her mentors, the AIMS principal, social workers, students, and after school supervisors. Running Hawk will lead American Indian centered lessons, physical activity, and healthy snack making activities which empower children to make healthier food choices, stay active, implement personal hygiene practices, and manage stress. The culturally centered curriculum will be designed using modules from Allina’s Health Powered Kids. Hitting the Books with 5-2-1-0 Throughout the 2014-2015 school year, the MAFP Foundation will engage ten rural and diverse Minnesota communities in developing model 5-2-1-0 themed projects. High school clubs, sports teams, and 4-H chapters from Argyle to Zumbrota will be challenged to create community or school based health and physical activity innovations that will be led by teens. Each teen group will receive an innovation grant and a medical student mentor. Research suggests community prevention efforts work. According to the Robert Wood Johnson Foundation, programs that aim to increase physical activity and improve nutrition have a return of $5.60 for every $1 spent. By engaging teens in 5-2-1-0, the MAFP Foundation aims to prepare the next generation of Minnesota family physicians. Each project will focus on one or more aspects of 5-2-1-0. This includes: five servings of fruits and vegetables per day, limiting recreational screen time to two hours or less, spending one hour per day in physical activity, and eliminating all sugary beverages. 12 September/October 2014 www.mafp.org Partner Spotlight As I look over the nearly 500 bags of donated school supplies piled high in cafeteria and hallways, I feel incredibly proud that the UCare team will fuel the learning of children living in poverty. Meeting the needs of Minnesota’s at risk families is our mission. Sparked by the desire to offer comprehensive health care coverage to low income community clinic patients in 1984, the family physicians of the University of Minnesota’s Department of Family Medicine and Community Health created UCare. We’re celebrating 30 years. UCare looks forward each fall to welcoming new members into various plans. In the last year alone, we added 100,000 formerly uninsured Minnesotans in securing high quality, affordable health care coverage through MNsure. With a total enrollment of 450,000 members, including 330,000 in public programs and 110,000 in Medicare plans, we continue to support the important relationship between family physicians and the patients who need them most. -Brian Eck, Director of Sales Practice Opportunities MHM/ Centurion is the NEW provider of healthcare services in the Minnesota Department of Corrections. In addition to rewarding work, we offer a flexible full or part-time schedules; Generous compensation package; paid malpractice insurance; and comprehensive full-time benefits for employees working 30 hours per week or more. Up to $40,000 Loan repayment assistance may also be available at qualifying sites! We are currently recruiting Primary Care Physicians for full-time, part-time and per diem opportunities throughout the area as well as a full-time Statewide Medical Director based out of our St. Paul office. If you are seeking a new career opportunity where you will make a difference and have a positive impact on public health, consider a position in correctional healthcare. Contact Tracy Glynn 877-616-9675 or email tracy@mhmcareers. Fairview Health Services is seeking full-time as well as per-diem moonlighters to work in urgent care, providing care in the communities of Andover, Bloomington, Brooklyn Park, Eagan, and St. Paul. Hours: MondayFriday, 8am – 10pm; Saturday, 8am – 10pm; Sunday, 10am – 8pm. The acuity at these facilities is moderate with physicians providing a broad spectrum of non-emergent care for minor illness and injury. All hospital admissions are referred to the physician on-call for these practices. Moonlighters are needed for a variety of shifts at these urgent cares and at other Fairview clinics in the metro area. Hours vary by site. Volume fluctuates seasonally. Candidates must be BE/BC in Family Medicine or Internal Medicine/Pediatrics. Please contact [email protected] for additional information or call 800-842-6469. EEO/ AA Employer Olmsted Medical Center, rated in 2012 and 2013 as one of Minnesota's top workplaces, is seeking BC/BE Family Medicine physicians to join our multi-specialty team for our clinic in Byron, MN (8 miles west of Rochester), Rochester, MN (SE Clinic) as well as Pine Island, MN (about 16 miles north of Rochester). Olmsted Medical Center, a not-for-profit organization, has been southeastern Minnesota’s hometown healthcare provider since 1949. Our 217 clinicians and more than 1,200 healthcare professionals serve at 16 locations, including a multi-specialty clinic, a hospital with a 24-hour emergency room, two FastCare retail clinics in Rochester Shopko stores, and 10 community branch clinics. Olmsted Medical Center has more than 20 specialties and is best known for its convenient, quality personal primary care. We offer great work/life dynamic schedule; no call responsibility; and an established practice. Contact Deb Cardille (507) 529-6748, dcardille@ olmmed.org to hear more about these great opportunities and visit our story at www.olmmed.org. Leading the way in innovation. Fairview Health Services is seeking a Family Medicine physician to provide outpatient primary care services at Fairview Clinics – Andover, a multi-specialty clinic. Providers see an average of 20-22 patients per day, and the call is 1:30. As part of our participation in the Pioneer Accountable Care Organization (ACO), the physicians use a team approach in managing clinical care. The site is using a model of care, Care Model Innovation, for their patients which actively looks at and changes clinical processes to maximize efficiency, resources, and clinical care. Visit www. fairview.org/physicians to explore this and other opportunities. Contact us at 800-842-6469 or [email protected]. EEO/AA Employer Park Nicollet Clinic is seeking full-time and part-time BE/BC FM Physicians to join its growing FM practices in the Twin Cities. Our Family Medicine department provides comprehensive services in health promotion, screening, diagnosis and disease management at 20 Park Nicollet Clinic locations in Minneapolis and surrounding suburban communities. It is our goal to provide care for most of the entire family’s health care needs. Current practice opportunities are listed on parknicollet.com. We believe outstanding health care is delivered when we merge the science and intellect of medicine with the compassion, spirit and humanity of our hearts. We refer to this as “Head + Heart, Together,” and it exists to inspire constant improvement and lasting success. We achieve this by partnering with patients and families in everything from care decisions to service and facility design. As we work together as a unified team, we engage patients, families and the community, and put them at the center of everything we do. Our integrated health care system, including Park Nicollet Clinic and Methodist Hospital, is recognized locally and nationally for great care and leadership. Share your expertise in an environment that supports new treatments and innovations while embracing a strong work-life balance. For immediate consideration, please send CV to: Missy Fisher, Director Clinician Recruitment, Park Nicollet Health Services, 3800 Park Nicollet Boulevard, St. Louis Park, MN 55416. For more information contact Ms. Fisher at (952) 993-6025 or (888) 437-5004; email [email protected]. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. To place an ad in the ‘Practice Opportunities’ section, please email text to Kristie Thorson at [email protected]. For information about deadlines and pricing, please visit http://www.mafp.org/ practice-opportunity-ad-information. Minnesota Family Physician 13 Practice opportunities Leading the way in innovation. Fairview Health Services is dedicated to academic medicine, population health management, team-based integrated care, and to leading the nation in creating a transformative, high-value healthcare system. We are seeking physicians to join us who want to be a part of our nationally recognized, patient-centered, evidence-based care team. Join us in vibrant communities such as Andover, Apple Valley, Blaine, Elk River, Hibbing, Lakeville, Minneapolis, New Brighton, North Branch, Pine City, Rogers, St Paul and Wyoming. Join us in delivering exceptional care every day. Visit www.fairview.org/physicians to explore this and other opportunities. Contact us at 800-842-6469 or [email protected]. EEO/ AA Employer Family Medicine Physician Careers at Mayo Clinic. We invite you to learn more about our generous signing bonuses and/or loan repayment options, as well as competitive salary packages that we can offer you as a Family Medicine Physician at Mayo Clinic and Mayo Clinic Health System. Mayo Clinic Health System connects Mayo Clinic’s respected expertise in patient care, research and education with Mayo’s community-focused multi-specialty groups in Minnesota, Wisconsin and Iowa. Enjoy our collegiality, stability, excellent compensation and benefits and a balanced, high-quality Midwest lifestyle. Visit www.mayoclinic.org/physician-jobs to explore opportunities and apply, or for questions, you may contact Jennell Prentice-Endrizzi, 507266-1130, [email protected]. EOE We are actively recruiting exceptional full-time BE/BC Family Medicine physicians to join our primary care team at the HealthPartners Central Minnesota Clinics - Sartell. This is an out-patient clinical position. Previous electronic medical record experience is helpful, but not required. We use the Epic medical record system in all of our clinics and admitting hospitals. Our current primary care team includes family medicine, adult medicine, ob/gyn and pediatrics. Several of our specialty services are also available onsite. Our Sartell clinic is located just one hour north of the Twin Cities and offers a dynamic lifestyle in a growing community with traditional appeal. HealthPartners Medical Group continues to receive nationally recognized clinical performance and quality awards. We offer a competitive compensation and benefit package, paid malpractice and a commitment to providing exceptional patient-centered care. Apply online at www. healthpartners.com/careers or contact [email protected]. Call Diane at 952-883-5453; toll-free: 800-472-4695 x3. EOE Allina Health is a not-for-profit family of clinics, hospitals and other care services dedicated to meeting the lifelong health care needs of communities throughout Minnesota and western Wisconsin. Our award-winning electronic health record system provides seamless, coordinated, informed care and improved patient safety. We are seeking part- and full-time BE/ BC Family Physicians for career opportunities in our wide variety of urban, suburban and rural communities. Join our team! We care for our employees by providing rewarding work, flexible schedules and competitive benefits in an environment where passionate people thrive and excel. View current openings and apply online at allinahealth.org/careers. For more information, email [email protected] or call 1-800-248-4921. EOE/AA Riverwood Healthcare Center – A state of the art facility equipped with the latest technology for patient care, designed to enhance health and healing. We are a fully integrated multi-specialty clinic with three primary care clinics. Featuring all single-occupancy hospital rooms, a deluxe birthing center and state-of-the-art ICU. We have an opportunity available in Family Medicine (with or without OB) to practice the full spectrum of Family Medicine within a 4-day week and 1:7 call, you can achieve a positive work/ life balance while pursing your professional aspirations. Join our growing practice of over 35 physicians, specialists and surgeons, which includes the 2013 Minnesota Family Physician of the Year. To learn more, visit our website at www.riverwoodhealthcare.org or call Tanya Pietz at 218-927-5587 or email [email protected]. 14 September/October 2014 www.mafp.org Urgent Care Moonlighting Opportunity in Minneapolis: Independent physician-owned urgent care clinic located conveniently near Uptown in Calhoun Village Shopping Center on W. Lake Street, seeking moonlighting physicians! Flexible hours, great location, friendly staff, competitive pay! Call Niki at 612-229-1072 or email [email protected]. Please visit our website at www.twincitiesmedicalclinic.com. Cuyuna Regional Medical Center (CRMC) is seeking Family Medicine physicians for its growing multi-specialty clinic. Located in a resort community in central Minnesota, CRMC was named as one of 150 Best Places to Work in Healthcare by Becker’s Hospital Review. Outpatient practice with or without OB. Practice with 10 FM colleagues and 3 PA’s. Locally based subspecialty providers in cardiology, OB/GYN, orthopaedics, urology, oncology, surgery and more. Very competitive comp & benefit package, generous signing bonus, and relocation. Within two hours of Mpls/St. Paul you will find a collegial and professional fit in Crosby. To learn more, contact Todd Bymark at 218-5464322 or [email protected] or see us at www.cuyunamed.org. Affiliated Community Medical Centers, Willmar, MN: Physician-owned multi specialty clinic is seeking a full-time physician to join the Family Practice Department in their Willmar, Redwood Falls, Granite Falls, Marshall, Litchfield and Benson affiliates. These positions offer a guaranteed salary plus production incentive and an outstanding benefit package. For further information, please contact Kari Bredberg, Physician Recruitment, 320-2316366 or e-mail [email protected]. Website: www.acmc.com. Glacial Ridge Health System/Family Medicine or Internal Medicine Physician: An ideal balance between your professional and personal life. Provide comprehensive care in a clinical and hospital practice. ER coverage available, but not required. GRHS is a progressive 19 bed Critical Access Hospital with two clinics. Glenwood is a family oriented community with an excellent school system. Recreational opportunities include boating, hiking, excellent fishing and hunting. We are halfway between Fargo and the Twin Cities. For more information, call Kirk Stensrud, CEO, at 320-634-4521. Mail CV to Kirk Stensrud, CEO, 10 Fourth Ave SE, Glenwood, MN 56334 or submit online at [email protected]. North Memorial is presently recruiting BC/BE family medicine physicians. We strongly promote primary care physician practice opportunities with our owned and associated clinics; including those that are physician owned, joint ventures and hospital owned. Which means you can choose from large or small and multi or single specialty practice options in metro, suburban or rural locations. These are excellent practice opportunities with comprehensive compensation and benefits packages. Contact: Mark Peterson, Physician Recruiter, North Memorial Medical Center, 3300 Oakdale Ave. N., Robbinsdale, MN 55422. Telephone (763) 581-2986. E-mail: mark.peterson@northmemorial. com Website: www.northmemorial.com Lake City Family Physicians, PC, an expanding independent family medicine clinic in Lake City, MN, seeks BE/BC family physician to join two active FPs and two excellent NPs. We offer the independence and clinical autonomy to practice quality and cost-effective health care. Practice in a setting where your professionalism and quality care skills can be fully utilized. No obstetrics. No in-patient hospital care. Light call from home. Three or four day work week. We’re located an hour southeast of the Twin Cities on the shores of Lake Pepin. Contact [email protected] Western Wisconsin (Amery, New Richmond, and Osceola): HealthPartners Medical Group is seeking exceptional BC/BE family medicine with or without OB physicians for growing rural communities in western Wisconsin. These positions offer a traditional family medicine practice in small-town rural settings, all within an hour’s drive of the Twin Cities. We offer a competitive salary, an excellent benefits package, and a commitment to providing exceptional patient-centered care. For more information, contact [email protected] or call Diane @ (952) 883-5453, toll-free: (800) 472-4695, x3. Apply online at www.healthpartners.com/careers. EOE Douglas County Hospital is seeking an emergency medicine or primary care specialty with emergency department experience to join our progressive team. Full-time, 12-hour shifts; 16,000 emergency department visits annually; Level III trauma designation; new/remodeled facility in 2010; committed to quality, evidence-based care and exceptional patient satisfaction; Class of 2001 and 2008 top 100 Hospitals in Nation; competitive compensation and benefits package, paid malpractice, CME, relocation, retirement plan and more. Contact Eddie Reif, [email protected], 320-762-6194. CentraCare Health seeks Family Medicine physicians to provide fullspectrum care in the Central Minnesota community of Long Prairie. Enjoy loan repayment and sign-on bonus benefits. OB is desired but not required. Health system outreach resources available. Physicians back up advanced practice providers in clinic and ER. The opportunity to participate in medical student and residency training. Critical access hospital, nursing home, dementia unit, independent living apartments and clinic under one roof. Excellent educational opportunities abound in family-friendly lakes area. Contact: Cassie Tinius, Physician Recruiter, 1-800-835-6652, ext. 57085; [email protected]; www.centracare.com Lakeview Clinic is seeking BE/BC family physicians to join our independent, multispecialty, physician-owned group in the southwest metro. This is a traditional practice opportunity with a 4 day work week in the office and inpatient care provided at Ridgeview Medical Center, a growing community hospital in Waconia. Enjoy the best of all worlds, from rural to suburban in one of our 4 sites, and the camaraderie and support found in our group of family physicians, internists, pediatricians, OB/GYNs, and surgeons. Family physicians with an interest in obstetrics preferred. Contact Sandra Beulke, MD at 952-442-4461 or at [email protected]. www. lakeviewclinic.com. Minnesota Family Physician 15 Prsrt Std U.S. Postage Minnesota Academy of Family Physicians 600 South Highway 169, Suite 1680 St. Louis Park, MN 55426 PAID Twin Cities, MN Permit No. 3198 Our Specialty is Family Medicine. Like Us on Facebook! Follow Us on Twitter! Thank you! The September/October 2014 Minnesota Family Physician is brought to you through the generous support of: Affiliated Community Medical Centers lifestyle :: career ACMC is the perfect match “I found the perfect match with ACMC.” Dr. Leah Schammel, ACMC Physician Affiliated Community Medical Centers is an eleven-clinic, physician-owned multispecialty health network in outstate Minnesota with over 170 providers and 35 specialty departments. We offer exciting practice opportunities at friendly, hometown clinics nestled in the heart of Minnesota’s lake country. www.acmc.com Kari Lenz, Physician Recruitment | [email protected] | (320) 231-6366 |
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