Dr. Joe and Kaye Florence once again opened their lovely historical home to their other family of rural medical students, faculty, residents and staff.
We ate too much, talked too much but did not drink enough of their famous egg nog. From Rural programs , we wish you the best this holiday season.
The final day of class for the Interdisciplinary Course, Rural Community Based Health Projects was Tuesday December 3, 2013. Students from the College of Medicine, College of Nursing, College of Public Health, College of Pharmacy and College of Clinical and Rehabilitative Health Science, worked for a full year in rural communities
identifying and researching health issues for a target population and partnering with the community to target their needs. The students worked in Johnson, Carter, Unicoi, Greene, Hawkins, Hamblin and Cocke Counties. Their final presentations featured each student's dedication to the community, including all the research that went into their project.
The Rural Health Association Conference was held November 2013 at the Music Road Conference center in Pigeon Forge. College of Medicine Rural programs were well represented. We exhibited at the event about all our rural programs. Three Quillen Rural Track medical students, Jonathan Goodnight, MS 4, Alex Munjal, MS , Alissa Hinkle, MS 3 and Dr. Joe Florence presented a talk on "A Patchwork Quilt of Home Remedies." During the awards luncheon, Dr. Joe Florence presented the Rural Health Association's Award of Merit to Sheldon Livesay, of One Accord Ministry, Rogersville, TN. Rural Programs have networked with this ministry for several years. Dr. Florence nominated Sheldon and we are very proud of this award. Tom Bishop, Psy.D., of our Johnson City Family Medicine clinic presented on Integrating Mental/Behavioral Health and Primary Care. Lastly, Three Rural Track students, Jonathan Goodnight, MS 4, Joey Watson, MS 4, Alissa Hinkle, MS 3, Dr. Joe Florence and Dr. Jim Shine from Mt. City clinic, discussed the recently new Student-Run Free Clinic in Mt. City, TN.
We have some great news. Remember the documentary film crew that followed us around during the 2012 event? Well, that film has been making the rounds at various festivals for the past year and has garnered several awards.
RAM this time will be held on July 2014 in wise county fairgrounds, we couldn't secure the Bristol Motor Way.
After spending a week at the AMA Interim Meeting in National Harbor, Md., AAFP leaders met with members of Congress and congressional staff Nov. 19-20 in Washington to discuss the repeal and replacement of the sustainable growth rate (SGR) formula and other issues of importance to family medicine. AAFP President Reid Blackwelder, M.D., offers an update on the Academy's advocacy efforts in the video below.
It's an inspiring sight when nearly 5,000 family physicians get together in one place. That was the scene last month in San Diego at the AAFP's Scientific Assembly.
One of the goals for our flagship meeting this year was for members to head home feeling connected, inspired and better equipped to care for patients. So how did we do? In our survey of attendees, nearly 88 percent of respondents said they felt better equipped to care for their patients as a result of attending, and 78 percent said they were inspired by the event. More than 96 percent said they would recommend the Assembly to their colleagues.
Those numbers are pretty good, but can we do better?
The Scientific Assembly is the nation's largest gathering of family physicians because it offers an opportunity to choose from more than 320 CME courses and earn up to 40 AAFP Prescribed credits. We're always working to enhance the already first-rate CME, but we also want to provide an experience that isn't limited to sitting in a classroom for four days.
In San Diego, we got just a taste of what is to come at future events. In addition to CME, there were learning opportunities related to topics such as contract negotiations, direct primary care, financial planning, meaningful use and more. In other words, Assembly can teach us more than clinical topics; it can improve all aspects of our practices.
Assembly also offered new opportunities to meet, or reconnect, with colleagues who share similar practice models, backgrounds or other interests. We're evaluating how to do an even better job of connecting members next year.
For the first time, we offered three general sessions that were linked -- addressing the real issues that affect family physicians, hearing the real voices from our members and offering real answers. More than seven out of 10 attendees told us those sessions were helpful.
I was honored to open the Scientific Assembly, and express my gratitude for the opportunity to be your president this year. I talked about the importance of finding balance and the critical nature of what some are calling the "quadruple aim." In addition to the triple aim of improving patients' outcomes, health and satisfaction at a lower cost, we have to do so while attending to our own health and satisfaction.
Glenna Salsbury, the keynote speaker for the opening session, drew especially high marks in our surveys. She talked about the importance of understanding our purpose in life and finding joy in it. We have an opportunity, at every moment, to decide whether to stay on a positive path, said Salsbury.
We also heard from speaker Sally Hogshead, who told us how each one of us has different ways of communicating with -- and fascinating -- people. If we understand and play to our strengths, she said, our patients will be more loyal, more trusting and more likely to adhere to instructions.
My hope is that everyone leaving San Diego felt energized and proud to be a family physician. Those are two of the goals we'll be focusing on for next year. We're already looking at ways we can make our 2014 Assembly -- scheduled for Oct. 21-25 in Washington -- a can't-miss event.
You can check back here for details. Registration will open in February.
If you attended Assembly last month in San Diego, please share your thoughts below on what you enjoyed and what the Academy can do to make the experience even more valuable to family physicians.
Free Mountain City Health Clinic: On Thursday, December 12, 2013: 4:00 PM – 6:30 PM ETSU Student Center , Kellogg Drive Mountain City, (pass the Phoenix Medical office, next to the old Levi Strauss building) TN Walk-Ins only! Servicesto include: Sick Walk-Ins, Cholesterol Check, Bloodglucose, Additional Blood work if indicated, Physicals,Sports physicals, School physicals, Blood Pressure, Heightand Weight, Hearing Exam, EKG if indicated, PAP smearand Women's Health, Men's Health and Physicals, andLung Function Screening. For more information pleasecontact Carolyn Sliger, (423) 439-6737mailto:firstname.lastname@example.orgThis event is being brought to you by James H. QuillenCollege of Medicine of ETSU, Third Year Medical students,Physicians and Mt. States Health Alliance
The Family Medicine Interest Group (FMIG) hosted a Phlebotomy Workshop on Monday afternoon, Nov. 18th. Several students learned the finer points of drawing blood from instructor, Carolyn Sliger, a certified phlebotomist. She is also coordinator of the Rural Track Program at Quillen.
The M1 and M2 students receive detailed instructions before having the opportunity to team up and practice on each other. Some were brave enough to let their fellow students actually do blood draws on them. The workshop was a success and no one needed smelling salts!
Rural Primary Care Track students enjoyed the evening for dinner and fellowship at the home of Anton Borja, DO, third year resident from the Johnson City Family Medicine Residency Clinic on 11-14-13. Ten first and second year medical students attended the event. Four residents were present: Travis Groth, DO and Amy Lawrence, MD from the Kingsport Family Medicine Clinic and Anton Borja, DO along with Tyler McCurry, DO from the Johnson City Clinic.
The next dinner planned with the Rural Track students and Family Medicine residents will be Thursday January 9th, 2014.
Rural Recruitment dinner was held at Jack's Grill 11-11-13, for our primary care residents including family medicine, pediatrics, and internal medicine. Recruiters were present from the states of TN, VA, KY and WVA. Discussion on loan repayment, stipends, benefits etc were all discussed with many questions from the residents. We are proud of our very own Travis Groth, DO, third year chief resident at the Kingsport Family Medicine clinic, signed up with TN Rural Partnership and will be going to Maryville, TN to work after graduating June, 2014.
Several faculty, residents and staff were in attendance for the Tennessee Academy of Family Physicians held in Gatlinburg at the Convention Center.
Reid Blackwelder, MD, Professor, Family Medicine, ETSU, 2013 American Academy of Family Physicians (AAFP) President-elect, lectured on "Patient-Centered Medical Home" and "Herbal Supplements"
October 14, 2013 03:59 pm Reid Blackwelder, M.D.– Time is running out. After weeks of disagreement, Congress and the White House have not reached common ground on the federal debt-ceiling limit.
The United States reached its borrowing limit in May. Since then, the U.S Treasury has taken measures to ensure that the federal government can meet its financial obligations -- such as Medicare physician payments -- without adding to the national debt. According to estimates by Treasury officials, those measures will be exhausted by Oct. 17. Thus, the nation enters its third week with much of the federal government shut down, no agreement in place to address the debt ceiling, and little time left for legislators and the Obama administration to reach a compromise.
If the U.S. government cannot borrow to pay its current bills, there likely will be grave consequences for the national and world economies. In health care, it likely could create a crisis situation for beneficiaries who depend on programs such as Medicare, Medicaid and Social Security. Medicare payments due to be paid on Oct. 17 likely would be delayed by one to five days if the debt ceiling is not addressed, according to the Bipartisan Policy Center. If the debt ceiling is not lifted by that date, the government would be forced to stop, limit or delay payment on a broad range of its obligations, including physician payments.
Treasury Secretary Jacob Lew told the Senate Finance Committee Oct. 10 that failing to raise the debt ceiling before Oct. 17 would cause physicians who treat Medicare patients to operate with "significant uncertainty about when they would be paid" for their services. He also said health care professionals would face "real liquidity challenges."
Meanwhile, the ongoing debate about the budget has kept much of the federal government shuttered. That means our nation's food supply is still at risk; our ability to track foodborne illnesses, influenza and other diseases is stifled; and new patients aren't being admitted to clinical trials because thousands of workers from the CDC, FDA, NIH and U.S. Department of Agriculture, as well as other government agencies, are sitting at home waiting for Congress to do its job so that they can get back to doing theirs.
Will Congress wait until the last minute before averting a default on U.S. debt? Or will it scramble for a solution after the fact? This 11th hour brinksmanship is the kind of performance we have come to expect from a Congress that, time after time, has resorted to short-term, temporary extensions to the sustainable growth rate (SGR) formula rather than offering an actual solution.
If Congress manages to avoid default and reopen the government, it still will have to deal with the issue of the SGR and a nearly 25 percent Medicare physician pay cut scheduled for Jan. 1.
By destabilizing Medicare, Congress threatens the financial viability of primary care practices. More importantly, millions of elderly and disabled Americans depend on a stable Medicare system that ensures they have access to the physicians they need. They are the ones who suffer when Congress cannot act, and the problems they face because of an unstable health care system will last long after the current impasse is resolved.
What can we do about it?
Contact your legislators and President Obama. Tell them to stop arguing and work toward solutions for the people they represent, including you and your patients.
Congress contends that it wants to improve the quality and reduce the costs of health care, but closing government health agencies and causing instability in essential health care programs are at odds with those goals. Congress must increase the debt limit and restore stability to Medicare. Our patients and our practices depend on it.
Reid Blackwelder, M.D., is president of the AAFP.
ETSU Family Medicine Associates relieve your pain through an ancient healing art.
Dr. Fereshteh Gerayli and Dr. Anton Borja have both received advanced training in acupuncture
and are certified to provide this added facet of care to patients of all ages.
By combining their training in Family Medicine with this ancient medical art, Drs. Borja and Gerayli
can offer new avenues of healing and better overall well-being for many patients. Acupuncture can
be an appropriate treatment for many medical conditions, including but not limited to chronic pain,
arthritis, women's health problems, headaches and digestive problems. It is safe and effective, and
patients who receive acupuncture from the hands of experienced physicians such as Drs. Gerayli
and Borja receive quality, integrative medical care.
First and Second year Quillen Medical Students volunteer at the Alternative School Health Screenings on October 3rd, 2013.
The students participated in taking Blood pressures, Eye Exams, Glucose Screenings and Cholesterol screenings