Issuu

The

Bulletin Saginaw County Medical Society

March 2019 | Volume 77 | No 7

Physician Well-Being p. 16-19

10th Annual SCMS Foundation Golf Outing

ASAM Treatment of Opioid Use Disorder Course

p.12-13

p. 11

p. 5 www.SaginawCountyMS.com

Covenant Cancer Care Center Experts

From Discovery to Recovery Sussan M. Bays, MD, FACS

John C. Hughes, MD

Medical Director, Covenant Cancer Care Center and Breast Health Program

Covenant Medical Group Hematology/Oncology

Covenant Medical Group • Breast Surgery

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5090 Tel • 989.583.5093 Fax

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5195 Tel • 989.583.5046 Fax

Joseph P. Contino, MD, FACS

Michel Hurtubise, MD

Covenant Medical Group Breast Surgery

Covenant Medical Group Breast Oncology Specialist

•

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5195 Tel • 989.583.5046 Fax

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5060 Tel • 989.583.5046 Fax

Terese Cook, ACNP-BC

Binu Malhotra, MD

Covenant Medical Group • Surgical Oncology

Medical Director, Med. Oncology and Hematology Program

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5060 Tel • 989.583.5046 Fax

Covenant Medical Group Medical Oncology/Hematology 5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5060 Tel • 989.583.5097 Fax

James Fugazzi, MD

Gregory Sutton, MD

Medical Director, Covenant Radiation Center

Medical Director, Gynecologic Oncology Program

Covenant Medical Group • Radiation Oncology

Covenant Medical Group Gynecologic Oncology

4141 Tittabawassee, Saginaw, MI 48604 989.583.5250 Tel • 989.583.5259 Fax

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5060 Tel • 989.583.5046 Fax

Syed R. Hassan, MD

Sue Tobin, DO, FACOI

Covenant Medical Group Medical Oncology/Hematology

5400 Mackinaw, Fifth Floor, Saginaw, MI 48604 989.583.5060 Tel • 989.583.5097 Fax

Mark A. Zaki, MD Covenant Medical Group • Radiation Oncology 4141 Tittabawassee, Saginaw, MI 48604 989.583.5250 Tel • 989.583.5259 Fax

Your helping hands in the

The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2018-2019 OFFICERS AND DIRECTORS

President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD Past President Virginia R. Dedicatoria, MD

contents 5

REGISTER NOW! Tuesday, April 16 Membership Meeting “TED Talks: The Human Challenge of Healthcare” Spouse/Significant Other Invited!

Secretary Caroline G.M. Scott, MD Treasurer Mohammad Yahya Khan, MD Board of Directors Mildred S. Willy, MD Anthony M. Zacharek, MD Jorge M. Plasencia, MD

Kala K. Ramasamy, MD Tiffany K. Kim, MD

5 5

Contribute to New AMA-RAND Research

Caduceus Meeting

New Members

Applications for Membership CMU College of Medicine | CMU Health

Attention Retired Members

Resident Representative Mary J. McKuen, MD

Barb Smith SR&RN

MSMS Delegates

Do It For Daniel!

Zubeda S. Khan, MD

April Birthdays

Julia M. Walter, MD

Covenant HealthCare

Virginia R. Dedicatoria, MD

MSMS – Health Can’t Wait

Ascension St. Mary’s Hospital

Retiree Representative Rustico B. Ortiz, MD

Elvira M. Dawis, MD

Mildred J. Willy, MD Anthony M. Zacharek, MD Jorge M. Plasencia, MD

PHYSICIAN WELL-BEING • Empathy: A Critical Ally in Battling Physician Burnout • Cleveland Clinic’s Doctor Peer Coaches Build Physician Resiliency • What I’ve Learned From My Tally of 757 Doctor Suicides

In Memory – Patricia T. Shek

From the Editor

Bulletin Editor Louis L. Constan, MD

16-19

10th Annual Foundation Golf Outing – Sponsor/ Register

Mark G. Greenwell, MD

12-13

CMU OCME: 2019 Update | How to Obtain CME Credit

SCCMHA Mental Health First Aid Training

Advertiser Index

Key Providers

Calendar of Events

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

Christopher J. Allen, MD MSMS Alternate Delegates Caroline G.M. Scott, MD Waheed Akbar, MD Mohammad Yahya Khan, MD Danielle C. Duncan, MD Steven J. Vance, MD Amandeep S. Dhaliwal, MD Miriam T. Schteingart, MD Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

ON THE COVER: Match Day! Brad Demijohn and his wife, Sara and their daughter learn Brad matched to his first psychiatry residency choice at Pine Rest Christian Mental Health Services in Grand Rapids. More on Match Day in the April 2019 Bulletin! EDITOR Louis L. Constan, MD

PUBLISHER Saginaw County Medical Society

EXECUTIVE DIRECTOR Joan M. Cramer

350 St. Andrews Rd., Suite 242, Saginaw, Michigan 48638-5988. Hours: Tuesday, Wednesday, Thursday 8:30 AM - 3:30 PM. Web: SaginawCountyMS.com

DESIGNER Lori Krygier

Telephone: (989) 790-3590. Fax: (989) 790-3640 E-Mail: jmcramer@sbcglobal.net

All statements or comments in the Bulletin are those of the writers, and not necessarily the opinion of the Saginaw County Medical Society. Contributions are welcome. We publish committee reports, letters to the editor, Alliance reports, public health activities of the members, and some personal items (birthdays, weddings, graduations and like events). The Editor determines which are accepted. Advertisements are accepted as space is available at our going rates. Members may advertise office information, professional services, skills, and procedures, also at our going rates. We do not accept advertisements from nonmembers, or non-Saginaw hospitals. The Bulletin is mailed free of charge to SCMS members as part of their membership. Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

The Bulletin | March 2019 3

PRESIDENT’S LETTER

Big Data in Health Care By Julia M. Walter, MD

ig data in health care is big and it’s here now. It goes beyond the data driven by our EHRs. It includes genomic sequencing, pharmaceuticals, medical imaging, payer records, government agencies, smart phones and even medical wearable devices. The volume is immense and travels through a massive digital universe worldwide. It promises to improve health care and reduce health costs. The following are examples of how data analytics can improve health care. Staffing – it is a challenge in hospitals to predict staffing levels needed. By using algorithms based on years’ of data, some hospitals have been able to predict the amount and types of

patients so that staffing can be more accurate and improved health care provided. Medical wearables such as Fitbit or the Apple Watch collect real time data that, as a part of a patient’s health record, can alert not only the patient, but their health care team of a need to seek medical care. In tackling the opioid epidemic, aside from having access to MAPS, some data analytics have been able to identify >700 risk factors that predict whether an individual is at risk for abusing opioids. Other areas that can be advanced by applications for big data include population health by identifying disease trends and developing health strategies based on socioeconomics, demographics and geography. The reduction of adverse medication events

can occur through data to spot errors and adverse reactions. Data mining and analytics have the potential to identify the causes of disease and improve treatment and management. As exciting as these goals seem, big data analytics is fraught with road blocks and challenges. Data is diverse. It comes in many formats and context, and is difficult to merge into databases. Expertise and data scientists are needed to manipulate the data so that it is useable. Patient privacy and security, HIPAA, provides its own challenge. Perhaps our biggest challenge will be in seeing that an individual person sits in front of us.

Medical wearables such as Fitbit or the Apple Watch collect real time data that, as a part of a patient’s health record, can alert not only the patient, but their health care team of a need to seek medical care.

An office remodel could prepare your practice for modern challenges Wolgast can help you prepare for patient flow changes, documentation storage & HIPAA compliance

800-WOLGAST 4

The Bulletin | March 2019

Remodeling or Building New - Start with Us!

www.wolgast.com/blog/topic/medical-office-construction

REGISTER NOW! Tuesday, April 16, 2019, Membership Meeting Register now for our Tuesday, April 16, 2019, Membership Meeting - SPOUSE/SIGNIFICANT OTHER INVITED! DATE: Tuesday, April 16, 2019 TIME: 6:30 p.m. Social (cash bar) | 7 p.m. Dinner, Brief Meeting and Program PROGRAM: TED TALKS: “The Human Challenge of Healthcare” SPEAKERS: Thomas J. Veverka MD | Kimiko D. Sugimoto MD Steven J. Vance MD | Sussan M. Bays MD Duane B. Heilbronn Jr. MD | Samuel J. Shaheen MD PLACE: Horizons Conference Center, 6200 State Street, Saginaw COST: • SCMS Members, CMU Residents and Medical Students – no cost • Spouse/Significant Other of SCMS Members, CMU Residents and Medical Students – no cost • Physicians who are not members of the SCMS - $100 payable in advance • All others - $40 payable in advance RESERVATIONS ARE REQUIRED BY APRIL 11, 2019 Online reservations are now being accepted at https://www.surveymonkey.com/r/TEDTalks41619

Contribute to New AMA-RAND Research The RAND Corporation and American Medical Association are conducting research to better understand and describe how physician practices in a variety of specialties and practice arrangements (independent, IPA, health system, etc.) that have integrated behavioral health care into the range of services they offer. If you’ve integrated behavioral health care in your practice, whether you’re in the early stages or have a well-established program, we are asking for your participation in this research project. This phone interview-based research will enable the AMA to provide physicians with training and resources needed to effectively implement and manage behavioral health care in their practices. If you’re interested and available to participate, please contact Mark Friedberg, MD, MPP, RAND Senior Physician Policy Researcher, at mfriedbe@rand.org.

The SCMS would like to thank Ascension St. Mary’s Hospital, Bieri Hearing Specialists, Covenant HealthCare and Healthway Compounding Pharmacy for their support of SCMS Membership Meetings.

SAVE THE DATE! Tuesday, May 21, 2019, Membership Meeting Mark your calendar now for our Tuesday, May 21, 2019, Annual Membership Meeting at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Featured will be an update on the CMU College of Medicine.

The Bulletin | March 2019 5

FROM THE EDITOR

The Big Picture By Louis L. Constan, MD

hen Ben Franklin, during the heady atmosphere of the signing of the Declaration of Independence on July 4, 1776, warned those present that, “We must, indeed, all hang together or, most assuredly, we shall all hang separately,” he was reminding everyone that the success of the Revolution was anything but assured, many obstacles stood in the way, not least of which was Great Britain, the mightiest empire the world had ever known, which was known to deal harshly with those who opposed it’s rule. Optimism is a good thing, but it must be tempered with a dose of reality. No one knows this better than physicians; everything we see, everything we do, has a measure of morbidity and mortality. Let us consider present-day Saginaw. Things are looking up. The hospitals are busy, the factories are humming, employment is up, CMU is here, Dow is here, and Delta and SVSU are here. Ours is a great community, with a rich history, strong institutions, forward-thinking leaders, rich family ties. We should be optimistic about the future, right? Sure, but, like Ben Franklin in 1776, we must be realistic as well. We face serious

challenges. Our profession is still in crisis mode. Our community, in many ways, is also in crisis mode, facing an aging population, an opiate crisis, stagnant wages, poor educational achievement and an epidemic of chronic disease caused by poor health habits. Traditionally, our job as physicians has been to manage the 20 percent of the economy that deals with health care and it is the job of everyone else, government, business, foundations, etc., to deal with the other 80 percent. Nothing’s that simple, however. That 20 percent and that 80 percent, it turns out, are ever-sotightly intertwined such that they affect each other in complicated and myriad ways. Consider a few: • Unemployed persons are challenged to eat, sleep, and exercise in healthful ways, thereby getting sick more often, putting a strain on the medical system…you. • Persons with poor educational achievement don’t understand anatomy, physiology, pharmacology and self-care. They make poor patients. They also make poor workers, so businesses cannot grow. Our community as a whole suffers. • Unemployed, poor patients, stressed

patients have more pain, then they overuse and become addicted to opiates, with all that entails. • When a sick person doesn’t get proper medical care, for whatever reason, and can’t work, then his employer loses the ability to compete in the global marketplace, and may fail. The point is that medical care and the economic health of the community are intertwined. This has been obvious to many of us over the years, but has finally started to gain traction amongst community leaders in the last couple of years, and has culminated recently with the formation of a “multi-stakeholder” initiative THRIVE (Transforming Health Regionally in a Vibrant Economy). The acronym is quite appropriate…we all know that we need to transform the healthcare business, and we all know that working on healthcare alone, unless patients have jobs - good jobs, will never be successful. THRIVE brings together the full force of regional businesses and healthcare organizations, mixing continued on page 7

Our community, in many ways, is also in crisis mode, facing an aging population, an opiate crisis, stagnant wages, poor educational achievement and an epidemic of chronic disease caused by poor health habits.

The Bulletin | March 2019

continued from page 6

in some serious money and cooking up a vigorous effort at solving our economic and health issues AS A WHOLE rather than piecemeal. For instance, we now have a list of 35 separate needed interventions. That is a lot! But, fortunately, we also have amassed a vast database of health and economic data, as well as, a sophisticated computer simulation that models what happens to the entire community when money is allocated to a single effort, such that we can get the most bang for our buck. I’ve been following these efforts and am quite impressed. In fact, I have volunteered to write a regular Internet Blog detailing the project as it goes forward. A sampling of SCMS physicians involved include Drs. Tom Veverka, Cathy Baase, George Kikano and Sam Shaheen. The success of this enterprise is anything but assured, but I am expecting that the wonderful people in our medical community will assuredly “hang together” with the wonderful people in our community as a whole, and I am optimistic of our ultimate success.

ATTENTION RETIRED MEMBERS!

Retired physicians meet for lunch every Wednesday at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their own lunch, and the informal gathering lasts about an hour. Join your retired colleagues whenever you like! If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at jmcramer@sbcglobal.net.

Commercial medications not meeting the needs of your patients? We produce customized medications specially suited to meet the patient’s needs; thus, allowing limitless prescribing opportunities. • Liquid solutions • Discontinued medications • Topical medications • Human Identical Hormone Replacement for men and women • Sugar free/dye free medications • Non narcotic pain medications

Key Provider to the SCMS

Healthway Compounding Pharmacy 2544 McLeod Dr. N. | Saginaw, MI 48604 | 989.791.1691 | www.healthwayrx.com The Bulletin | March 2019 7

Do it for Daniel! The following note was sent from two CMU medical students to Joan Cramer in connection with her work in promoting suicide awareness and prevention training in medical schools. Dear Joan: Thank you for all your passion for, and assistance with, the safeTALK Suicide training. As medical students, we appreciate the importance of this topic, and are grateful for the opportunity to learn to save lives.

Join us as we learn about current national statistics, risk factors and associated stigma related to the national crisis of suicide and mental illness. One family shares their heart-breaking story of loss to suicide, the knowledge they have gained, and insight to help us in our role as health care providers.

Thursday, April 4 • 5-7 p.m. Friday, April 5 • 7:30-9:30 a.m. Friday, April 5 • 12-2 p.m. Location: Covenant Cooper Maidlow Lecture Theater

Best, Rebecca Hamburger and Kultaj Kaleka

2 Continuing Education Credits for Nursing & EMTs

We foster awareness and education to prevent suicide in the Great Lakes Bay Region and offer support for those who have lost a loved one to suicide. Barb Smith, Executive Director

To request trainings or resources, contact us today! 989.781.5260 | sosbarb@gmail.com

Presented by: Laura Walker, RN, EMT, CFRN, Injury Prevention Outreach and Trauma Education Specialist, Covenant HealthCare and Jeff Olson, Parent, Do it for Daniel To register, or for more information, contact Laura Walker at lwalker@chs-mi.com or call 583-7451 Covenant HealthCare – NCEC is approved as a provider of continuing nursing education by Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

Thanks to the Covenant HealthCare Foundation for sponsoring this special event

AUGUST 11, 2019 NEW LOCATION SAGINAW VALLEY STATE UNIVERSITY

suicideresourceandresponse.net 8

The Bulletin | March 2019

suicidersourceandresponse.net

APRIL BIRTHDAYS Lauren Aiello - Student Abiola Alaka - Student Michael Aljadah - Student Abhishek A. Bhandiwad MD H. Joseph Blair MD Donald J. Cady MD David W.T. Chen MD Seth D. Coombs MD Erinn E. Croco DO Brian C. deBeaubien MD Megan J. Dutcher DO Peter G. Fattal MD E. Malcolm Field MD Nicholas E. Haddad MD Victoria A. Haddad MD Theodore B. Hennig DDS C.R. Indira MD M. Sohail Jilani MD Min H. Kim MD Narendra R. Kumar MD H.F. Labsan MD Phillip W. Lambert MD Peter A. Lassing MD Toby C.J. Long MD

Emily R. Losinski - Student Bapineedu Maganti MD Khalid M. Malik MD Joseph F. Marshall MD – Happy Special Birthday! James McCourt MD Robert M. McNier MD Owen C. Morris DPM Phoo Pwint Nandar MD Aida B. Ponce MD Vasantha Rajagopal MD Sundhar R. Ramasamy MD Najibah K. Rehman MD MPH Clinton E. Rogers MD Miriam T. Schteingart MD Caroline G.M. Scott MD Constance L. Scott DO Carrie L. Selvaraj MD Joseph Shin - Student Aaron K. Smith MD Timothy A. Smith MD – Happy Special Birthday! Jung K. Suhr MD Robert D. Thill MD Lisa M. WintonLi MD Michael J. Wolohan MD

GOLF OUTING SAVE THE DATE! The SCMS Foundation will host its 10th Annual Golf Outing on Saturday, June 8, 2019 Saginaw Country Club Four Person Scramble 12 p.m. Registration 1 p.m. Shotgun Start See pages 12-13 for information and sponsorship opportunities!

Join over 4,000 Ascension healthcare providers now practicing with Certitude.

Certitude coverage delivers: • Risk resources to help you manage your practice, enhance patient safety, and save money • Flexible payment options to fit your needs • Certitude peer input for difficult claims and underwriting issues • Unified claims approach that helps you protect your important identity • Enhanced coverage for today’s ever-changing medical environment For more information on Certitude, call ProAssurance at 800.282.6242 or visit CertitudebyAscension.org.

The Bulletin | March 2019 9

Restorative Retreat Thursday, May 30 – Sunday, June 2, 2019 Physicians of all specialties welcome!

Join us at Crystal Mountain Resort in Thompsonville, Michigan on Thursday, May 30 to Sunday, June 2 for a restorative family-friendly weekend focused on well-being and developing approaches to promoting personal and professional health and fulfillment.

KEYNOTE SPEAKER

Hedy Wald, PhD – Warren Alpert Medical School of Brown University The Becoming: Crafting a Story of You for Resilience and Vitality

WORKSHOPS

• Advancing Your Career Through Enhancing Your Confidence: Banishing Imposter Syndrome • Coaching: A Versatile Tool to Change Conversations, Bring Dreams to Life, Reduce Stress & Reorder Life’s Priorities • Peaceful Warriors: Essentials of Non-Violent Self Defense • Awareness, Reflection & Meaning-Making: Creating a Professional Toolkit for Resilience, Well-Being & Vitality • Tips & Tricks for Keeping a Schedule When You Don’t Have One • Mindfulness Workshop: Intro to Meditation/Relaxation Techniques and More!

ACTIVITIES

CONTINUING EDUCATION CREDIT This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Emergency Physicians and Michigan College of Emergency Physicians. The American College of Emergency Physicians is accredited by the ACCME to provide continuing medical education for physicians. The American College of Emergency Physicians designates this live activity for a maximum of 13.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SEP 16, 2017 8:00 am – 12:00 pm SEP 16, 2017 The Pyle Center UW Extension

8:00 am – 12:00 pm April The Pyle Center UW Extension

27, 2019 | 9:00 am – 1:30 pm SEP 16 00 am –12 00 pm April 27,2017 2019| |89:00 1:30

IN-PERSON LOCATION

Central Michigan University College of Medicine Educational IN-PERSON LOCATION Building Central Michigan University 1632 Stone Street, Room 1008 College of Medicine Educational Saginaw, MI 48602 Building 1632 Stone Street, Room 1008 LIVE STREAM LOCATION Saginaw, MI 48602 Central Michigan College of Medicine LIVE STREAM LOCATION 1280 East Campus Drive, Room Central Michigan College of 2403 Medicine Mount Pleasant, MI 48859 1280 East Campus Drive, Room 2403 COST: Free Mount Pleasant, MI 48859

Treatment of Opioid Use Disorder Course covers all SEPThe 16ASAM 2017 | 8 00and medications 12 00 evidence-based practices for treating patients

REGISTRATION COST: Free https://elearning.asam.org/p/CMU _Apr27

REGISTRATION

https://elearning.asam.org/p/CMU _Apr27

CONTACT Alyson Hill

Email: hill1am@cmich.edu

CONTACT Alyson Hill

Email: hill1am@cmich.edu

with opioid use disorder. The ASAM Treatment of Opioid Use Disorder Course covers all evidence-based practices and medications for treating patients The opioid ASAM Treatment of Opioid Use Disorder Course is designed for: with use disorder. • Physicians, nurse practitioners, physician assistants, and healthcare The ASAM Treatmentworking of Opioid Use Disorder Course designed for: team members with patients with opioidisuse disorder.

Physicians, nurse practitioners, and physician assistants who wish to Physicians, nursetopractitioners, physician assistants, and healthcare obtain a waiver prescribe buprenorphine in oﬃce-based treatment of team members working with patients with opioid use disorder. opioid use disorder. • Physicians, nurse practitioners, and physician assistants who wish to obtain a waiver to prescribe buprenorphine in oﬃce-based treatment of Course Format: opioid use disorder. • Blended – four hours online, four hours live o Four hours of self-paced online learning to be completed by Course Format:Friday, April 26, 2019 • Blended – four hours four hours live o Four hours of online, live learning on Saturday, April 27, 2019 in Saginaw, o Four hours of self-paced online learning to be completed by MI or via live stream in Mount Pleasant, MI Friday, April 26, 2019 o Four hours of live learning on Saturday, April 27, 2019 in Saginaw, MI or via live stream in Mount Pleasant, MI • •

Course faculty are expecting learners to complete the first portion of the course before attending the live portion. This 4 hour online/4 hour live blended training satisfies eight hours of education requirements for providers to qualify for a DEA DATA2000 waiver. Course arequalify expecting to complete the first portionprovided of the course before NPs andfaculty PAs can afterlearners completing an additional 16 hours by ASAM. attending the live portion. This 4 hour online/4 hour live blended training satisfies eight hours of education requirements for providers to qualify for a DEA DATA2000 waiver. NPs and PAs can qualify after completing an additional 16 hours provided by ASAM.

ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training. ACCME ACCREDITATION STATEMENT: The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training. AMA CREDIT DESIGNATION STATEMENT: The American Society of Addiction Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ACCME ACCREDITATION STATEMENT: The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Society of Addiction Medicine designates this live activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AMA CREDIT DESIGNATION STATEMENT: The American Society of Addiction Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The American Society of Addiction Medicine designates this live activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Bulletin | March 2019 11

10th Annual Golf Outing – Sponsorship Form Saturday, June 8, 2019  Saginaw Country Club 12 p.m. Registration  1 p.m. Shotgun Start The Saginaw County Medical Society (SCMS) Foundation was founded in 1968 by SCMS members, and is the charitable entity of the SCMS. The Foundation:  Provides low interest loans to medical students with ties to Saginaw;  Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency;  Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member;  Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician;  Provides research grants and scholarships to medical students and residents through CMU CoM; and  Assists the SCMS Alliance in awarding seven nursing scholarships each year. Proceeds from this event are used for the above initiatives to help ensure the future of medicine in Saginaw County.  Title Sponsor - $6,000 (LIMIT OF TWO)  Company name in title of Golf Outing (including banner, program, all signage, etc.)  Company choice of (1) sleeve of golf balls with your company logo provided to each golfer; (2) golf towel with your logo provided to each golfer; or (3) ditty bag with your logo provided to each golfer  A representative from your company will be allowed to address the golfers from the podium at the Award Reception  Includes 4-person team  Event Sponsor - $3,000 (LIMIT OF FIVE )  Company name in golf carts and program  Company name on sign at driving range and practice putting green  Recognized from the podium  Includes 4-person team  Golf Ball Sponsor - $1,500 (Sleeve of golf balls with your company logo provided to each golfer)  Company name listed in program  Scorecard/Scoreboard Sponsor - $1,500  Company name on scoreboard and individual scorecards  Company name listed in program

 Award Reception Sponsor - $1,000  Company name listed on sign at reception, table-tents on reception tables and in program  Putting Contest Sponsor - $750  Company name on sign at tee and in program  Company representative on site  Lunch Sponsor - $500  Company name on sign in cookout area and in program  Beverage Sponsor - $500  Company name on sign at beverage stations and in program  Team Sponsor - $600 (Payment for four person golf team of your players)  Company name listed in program  Medical Student/Resident Team Sponsor - $600 (Payment for four person golf team of medical students/residents)  Company name listed in program  Longest Drive Sponsor - $500 (Men & Women)  Company name on sign at tee and in program  Closest to the Pin Sponsor - $500 (Men & Women)  Company name on sign at tee and in program  Tee/Hole Sponsor - $500 (LIMIT OF TWO PER HOLE)  Company name on sign at tee and in program

We would like to be a sponsor for the 10th Annual SCMS Foundation Golf Outing, as follows: Company Name: __________________________________________________________________________ Contact Person: __________________________________________________________________________ Address: ________________________________________________________________________________ Phone: ____________________________Email: _______________________________________________ Sponsor Level: __________________________________________________________________________ RETURN FORM AND CHECK BY FRIDAY, MAY 24, 2019, TO: SCMS Foundation  350 St. Andrews Road  Suite 242  Saginaw, MI 48638-5988 Questions? Contact Joan M. Cramer, SCMS Executive Director, at jmcramer@sbcglobal.net or 989-790-3590 Forms are downloadable at www.SaginawCountyMS.com under the Golf Outing tab 3/24/19 6:33PM

NOTE: For income tax purposes, the following values are NOT tax deductible: Golf participant, $88 each. An IRS-compliant tax deduction receipt will be provided upon request.

12 The Bulletin | March 2019

10th Annual Golf Outing

Four Person Scramble Saturday, June 8, 2019  Saginaw Country Club 12 p.m. Registration  1 p.m. Shotgun Start

TEAM REGISTRATION FORM Please sign up the following golfers to participate in the 10th Annual SCMS Foundation Golf Outing on Saturday, June 8, 2019. Golfers may sign up as an individual, or as a four-person team. Those that sign up as individuals will be assigned to a four-person team. The charge per golfer is $150, and includes green fees, cart, practice range, cookout lunch, beverages (domestic draft beer, Coke and Pepsi products, bottled water) on the course, two drink tickets (soft drinks, draft beer, house wine) and heavy hors d’oeuvres award reception with prizes. Cash contests include 50/50 and Hit the Green. Mulligans available for purchase. REGISTRATION PRIOR TO THE GOLF OUTING IS REQUIRED! Please sign up the following golfers: GOLFER NAME

 PLEASE PRINT!  PHONE

1. 2. 3. 4. If team is sponsored, please indicate name of sponsor for program_______________________________ Please return form and check by Friday, May 24, 2019 ($150 Per Golfer) to: SCMS Foundation 350 St. Andrews Rd., Suite 242 Saginaw, MI 48638-5988 Call Joan Cramer at 989-790-3590 or email jmcramer@sbcglobal.net with questions. Forms are downloadable at www.SaginawCountyMS.com under the Golf Outing tab If play is stopped because of inclement weather before five holes are completed, there will be no guest fee charged. If play is stopped between five and 13 holes, the guest fee will be the nine-hole rate. Playing 14 holes shall constitute the playing of 18 holes, and guests will be charged the full guest fee. Groups playing less than five holes will still be subject to and responsible for all other non-golfing products and services for which they contracted. The Saginaw Country Club is a spikeless facility and golf course. NOTE: For income tax purposes, $88 of the total per golfer charge is NOT tax deductible: An IRScompliant tax deduction receipt will be provided upon request. 3/24/18 6:45PM

The Bulletin | March 2019 13

Covenant to Host Spring Symposiums Friday, April 26 - Covenant Cancer Care Center’s 5th Annual Symposium: “The Role of the Primary Care Provider in the Multidisciplinary Care of Breast-Related Disorders” The Covenant Cancer Care Center’s 5th annual symposium, “The Role of the Primary Care Provider in the Multidisciplinary Care of Breast-Related Disorders” will focus on the multidisciplinary cooperation that is required for the management of today’s breast cancer patient. This symposium will provide tools to aid healthcare providers in the diagnosis and treatment of breast cancer, including understanding screening recommendations, survivorship care, genetics, benign versus malignant conditions and new treatment options. The continuing educational offering (5 AMA PRA Category 1 credit(s)™) will inform practitioners of new clinical applications and help improve care for the patient. This symposium is for physicians, nurses and allied health professionals, and will take place on Friday, April 26 from 8 a.m. to 2:30 p.m. at Horizons Conference Center. The cost is $100 for physicians, $50 for non-physicians and $50 for residents. Details and registration are available online at www. covenanthealthcare.com/cancersymposium or by calling 989.583.5142. Friday, May 3 – Pediatric Symposium: “Care of the Pediatric Patient” Covenant HealthCare presents the Pediatric Symposium: “Care of the Pediatric Patient” on Friday, May 3 at Horizons Conference Center. Not all healthcare providers have specialized training to guide the care of their pediatric patients. With the rapid changes in practices and protocols, many local physicians and allied health workers are hesitant to provide care. This symposium will bring together our clinical specialists to discuss the latest information on pediatric rheumatology, asthma, autism spectrum disorder, failure to thrive, chronic abdominal pain and diagnostic imaging. Those who would benefit most from this symposium include physicians, nurses and allied health professionals involved in the care of pediatric patients. • • • • • 14

Objectives of the symposium include: Discuss the latest recommendations for treatment of pain and withdrawal for use in neonatal and pediatric patients. Compare sedation techniques for use in healthy and ill children. Review the national guidelines for treatment of pediatric patients with concussive syndrome. Describe an approach to the pediatric patient with a behavioral crisis. Describe common pediatric urological problems. The Bulletin | March 2019

• Describe common pediatric sleep disorders and discuss what to look for and how to treat the disorders. Presentations will take place from 8 a.m. to 3:15 p.m., followed by a meet and greet with presenters from 2:45-4 p.m. (includes a wine and cheese reception). Online registration will be available at www.covenanthealthcare.com. For additional questions, call 989.583.4150. Saturday, May 4 – Neuro Rehab Symposium: “Current Trends in Stroke Management” Please save the date for the annual Neuro Rehabilitation Symposium: “Current Trends in Stroke Management” hosted by Covenant HealthCare and Mary Free Bed on Saturday, May 4, 2019, at Covenant HealthCare Mackinaw Lower Level Conference Room from 8 a.m. to 4:30 p.m. Continuing professional education will be available. We invite any professionals involved in stroke care to attend, including but not limited to physicians, medical residents, nurses, nurse practitioners, physician assistants, occupational, physical, recreational and speech therapists, psychologists, social workers, rehabilitation program administrators, rehabilitation specialists, case managers and all students. The cost to attend is as follows: Mary Free Bed/Covenant staff - $40; Professional Staff (outside of Mary Free Bed and Covenant) - $100; Students - $30; and Retirees- $50. Details and registration will be available online at www.covenanthealthcare.com/ neurosymposium. For questions or further information, please call 989.583.6414.

Covenant Earns Accreditation from American College of Radiology Covenant HealthCare has been awarded a three-year term of accreditation in radiation oncology as the result of a recent review by the American College of Radiology (ACR). Radiation oncology (radiation therapy) is the careful use of high-energy radiation to treat cancer. A radiation oncologist may use radiation to cure cancer or to relieve a cancer patient’s pain. The ACR is the nation’s oldest and most widely accepted radiation oncology accrediting body, with over 700 accredited continued on page 15

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sites and 30 years of accreditation experience. The ACR seal of accreditation represents the highest level of quality and patient safety. It is awarded only to facilities meeting specific Practice Guidelines and Technical Standards developed by ACR after a peer-review evaluation by board-certified radiation oncologists and medical physicists who are experts in the field. Patient care and treatment, patient safety, personnel qualifications, adequacy of facility equipment, quality control procedures and quality assurance programs are assessed. The findings are reported to the ACR Committee on Radiation Oncology Accreditation, which subsequently provides the practice with a comprehensive report they can use for continuous practice improvement. Construction and expansion of the Covenant Radiation Center are wrapping up. Watch for details on the ribboncutting and open house for the newly expanded Covenant Radiation Center. 10th Annual Covenant Kids Telethon is Saturday, April 27 Diagnosing sight issues early in premature infants. Easing the anxiety of a child during an MRI. Educating a preteen and her family about how to deal with diabetes. Giving a voice to adolescents with speech limitations. These moments are happening to kids across the region because of Covenant Kids and the businesses,

organizations and individuals who support it. Every penny of every gift donated to the Covenant Kids Fund with the Covenant HealthCare Foundation goes directly to support medical equipment and programs for pediatric patients - no administrative costs taken out - with the money staying local. The 10th Annual Covenant Kids Telethon will air live on WNEM TV5 from noon until 5 p.m. on Saturday, April 27, 2019, from the Mid-Michigan Children’s Museum in Saginaw. The Telethon will be hosted by WNEM TV5 personalities and Covenant physicians and staff, featuring stories of local Covenant Kids (past pediatric patients) and their families. continued on page 20

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Physician Well-Being Empathy: A Critical Ally in Battling Physician Burnout Sara Berg, Senior Staff Writer - AMA Wire® With almost half of doctor’s nationally experiencing burnout, one medical group turned to physician empathy training. Learn how empathy reduces burnout. At the Northeast’s largest nonprofit independent medical group, 48 percent of physicians reported burnout. That high rate of physician burnout - fed by the competing demands of contemporary medical practice - can make cultivating a healthy sense of empathy a struggle. That, in turn, can negatively affect professional satisfaction, which is why this medical group’s journey to reducing burnout began with physician empathy training. While physicians are commonly viewed as being empathetic, their behavior might come across differently to the patient in the room. The physician might seem rushed, distracted or trying to squeeze too much into one visit while simultaneously entering notes on the computer, said Steven Strongwater, MD, president and CEO of Atrius Health. The Boston-area medical group’s 1,300 clinicians deliver care to more than 720,000 patients. Sixty-one percent of employees and 76 percent of CEOs say it is important for organizations to exhibit empathy, Dr. Strongwater said at the International Conference on Physician Health in Toronto. The event was co-sponsored by the AMA, Canadian Medical Association and British Medical Association. “It turns out this is a really good business investment,” he said. “It is the soft stuff, but people basically said, ‘I didn’t think I needed this, but it turned out to be really helpful.’” While there is no “silver bullet,” Dr. Strongwater added that it is important to keep working toward improving physician satisfaction. When physicians show empathy, it can forge deeper connections with patients, leading to greater professional satisfaction and joy in work for physicians. Here is what Atrius Health learned from providing physician empathy training for doctors and other staff members: It takes time, dedication “How do you convey that you are really in the moment with your patient?” asked Dr. Strongwater. “This is not for the faint of heart.” It took many hours of prep time to design the class, create written materials, curriculum, videos and references for staff and physician empathy training, as well as, the post work, data processing, data analysis and reporting. Internally, the

classes are called “forums” instead of “training.” With preparation complete, 600 classroom-hours were devoted to reaching more than 4,000 staff members, including physicians. Each interdisciplinary session lasted two hours, teaching skills such as how to reliably convey empathy to patients and families. “We had docs in the room with registration staff and medical assistants they had never seen before,” Dr. Strongwater said. “We created a dialogue to talk amongst ourselves and to create that sense of a team.” Heart, head, heart The secondary goal was to create and encourage empathy toward one another during daily work. One lesson was to convey empathy in less than 10 seconds by remembering the mantra of “heart, head, heart.” “You encounter someone and you say something from your heart, ‘It must be difficult not to be feeling well. Thank you for coming in,’” said Dr. Strongwater. “Then you do something that is important or more serious, ‘What brings you into the office? Do you have a problem today?’” At the end of their care, physicians should say something from the heart again, such as, “I hope that you feel better soon,” or “It was great that you are working so hard on that goal.” Physicians are also encouraged to use this approach when writing their emails. Empathy and patient adherence are connected, said Dr. Strongwater. “Patients are more likely to follow your advice when they know you care about them.” “We definitely had an impact on moving the needle, so empathy training does work,” he said. “Once you go through it, even though it is soft - it is impactful.”

Cleveland Clinic’s Doctor Peer Coaches Build Physician Resiliency Sara Berg, Senior Staff Writer - AMA Wire® Changes in the health care landscape continue to add to stressors for physicians. Leaders at the Cleveland Clinic see doctor peer coaching as one effective tool to help raise physician resiliency and combat physician burnout. The Cleveland Clinic coaching network is available to their 4,000 professional staff, which aims to increase job satisfaction, engagement, resilience and professional goal attainment. The peer-coaching program matches physicians and other staffers with a peer coach to confide in. Together they work toward continued on page 17

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clarifying goals and values and form a path to achieving those goals. With doctor burnout being a major driver of physician turnover, one of the peer-coaching programs is showing efficacy in an impressive respect. Participation in the program substantially affected the decisions of 25 percent of coachees and 22 percent of coachees - to stay at the Cleveland Clinic. “This is a dual benefit not only for the coachees, but coaches too,” said Andrea Sikon, MD, at the International Conference on Physician Health in Toronto. The event was co-sponsored by the AMA, Canadian Medical Association and British Medical Association. Committed to making physician burnout a thing of the past, the AMA has studied, and is currently addressing, issues causing and fueling physician burnout - including time constraints, technology and regulations - to better understand the challenges physicians face. The AMA Ed Hub™ - your center for personalized learning from sources you trust - offers CME on professional wellbeing that can help you prevent physician burnout, create the organizational foundation for joy in medicine, create a strong team culture and improve physician resiliency. Meanwhile, the AMA’s STEPS Forward™ open-access platform offers innovative strategies that allow physicians and their staff to thrive in the new health care environment. Launching training sessions In a decade, the Cleveland Clinic grew from 300 to 3,000 physicians, causing the professional staff to crave relationships. The peer-coaching program allowed the team to facilitate relationships among these physicians. As an invite-only program, the training includes a four-day intensive - two days of training and a week off for physicians to practice with one another followed by another two days. Each session is 90 minutes, and occurs in the evenings with quarterly coaching sessions also available. The program mirrors communication skills training, said Dr. Sikon, to improve expressions of empathy and listening. Pre- and post-training evaluations help to analyze coaches’ performance, while also looking at engagement, satisfaction, resilience and use of skills outside the program. Helping physicians meet their goals Annual surveys have shown that 64 percent of coaches and 71 percent of coachees found the peer-coaching experience substantially affected their goals. The four highest goals for coachees were leadership, work-life balance, relationship building and transition. For coaches, the goals were to enhance their communication and leadership skills. “We have seen significant use of those skills outside of the direct coaching relationship,” said Dr. Sikon. “They are using it

and saying, ‘I am a better leader because of using these skills.’ People are using these skills not just with one another,” she said. “They are using them with their patients.” From all walks of medicine Core faculty members choose and nominate individuals in different specialties based on existing relationship centered skills and emotional intelligence capacity. Coaches who complete training can also recommend physicians they think would be good coaches. Most physicians have 20-40 years in practice, but about 10 percent have been in practice for less than 10 years. A small number of physicians are also retired or nearing retirement. “You spend your whole life immersed in your professional identity that is tied up in medicine, and then what do you do?” Dr. Sikon said. “This is another way to engage that experience with those individuals and their passion in a different way after retirement.”

What I’ve Learned From My Tally of 757 Doctor Suicides The Washington Post | By Pamela Wible January 13, 2018

Five years ago, I was at a memorial. Another suicide. Our third doctor in 18 months. Everyone kept whispering, “Why?” That was when I decided I had to find an answer. So I started counting dead doctors. I left that memorial service with a list of 10. Today, I have 757 suicides on my registry. And I began writing and speaking about why doctors die by suicide and why it’s so often hushed up. The response was huge: So many distressed doctors (and medical students) wrote and phoned me. Soon I was running continued on page 18

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a de facto international suicide hotline from my home. To date, I’ve spoken to thousands of suicidal doctors; published a book of their suicide letters; attended more funerals; interviewed hundreds of surviving physicians, families and friends. I’ve spent nearly every waking moment over the past five years on a personal quest for the truth of “why.” Guilt, bullying and exhaustion are big factors. Here are some of the things I’ve discovered while compiling my list and talking to so many people: High doctor suicide rates have been reported since 1858. Yet more than 150 years later, the root causes of these suicides remain unaddressed. Physician suicide is a public health crisis. One million Americans lose their doctors to suicide each year. Many doctors have lost a colleague to suicide. Some have lost up to eight during their career - with no opportunity to grieve. We lose way more men than women. For every female physician on my suicide registry, there are seven men. Suicide methods vary by region and gender. Women prefer to overdose and men choose firearms. Gunshot wounds prevail out west. Jumping is popular in New York City. In India, doctors have been found hanging from ceiling fans. Male anesthesiologists are at highest risk. My registry also shows that most of these doctors kill themselves by overdose. Many have been found dead in hospital call rooms where they are supposed to be resting between cases. Lots of doctors kill themselves in hospitals. They jump from hospital windows or rooftops. They shoot or stab themselves in hospital parking lots. They’re found hanging in hospital chapels. Physicians often choose to die in a place where they’ve been emotionally invested and wounded. “Happy” doctors also die by suicide. Many doctors who die by suicide appear as the happiest, most well-adjusted people on the outside. Just back from Disneyland, just bought tickets for a family cruise, just gave a thumbs-up to the team after a successful surgery - to mention only a few cases from my list - and hours later they shoot themselves in the head. Doctors are masters of disguise. Even fun-loving docs who crack jokes and make patients smile all day may be suffering in silence. Family members of doctors who have killed themselves are also at high risk of suicide. Sometimes even by the same method. A year after a depressed Kaitlyn Elkins, a star thirdyear medical student, chose suicide by helium inhalation, her mother, Rhonda, died by the same method. At the mother’s funeral, her husband told me, “Medical school has killed half my family.” 18 The Bulletin | March 2019

Suicidal doctors are rarely homicidal. On the list of suicides I’ve compiled, only two percent (15) also involved homicide. Seven of those homicides were by male physicians who killed a female spouse/girlfriend (all in health care - four nurses, a nursing student, a pharmacy tech and a dentist) before killing themselves. Three male physicians murdered their young children before taking their own lives. Another strangled his disabled adult daughter before killing himself. Less than one percent of all doctor suicides involve homicide of their children. Of the three cases involving young children, all the suicide victims were having relationship problems with the mother. One also killed the mother. Patient deaths hurt doctors. A lot. Even when there’s no medical error, doctors may never forgive themselves for losing a patient. Suicide is the ultimate self-punishment. In several cases, the death of a patient seemed to be the key factor in pushing them over the edge. Malpractice suits can be devastating. Humans make mistakes. Yet when doctors make mistakes, they’re publicly shamed in court, on TV and in newspapers (that live online forever). Many continue to suffer the agony of harming someone else - unintentionally - for the rest of our lives. Academic distress kills medical students’ dreams. Failing medical-board exams and not getting a post-medical-school assignment in a specialty of choice has led to suicides. Doctors can be shattered if they fail to gain a residency. Before his suicide, Robert Chu, unmatched to residency, wrote a letter to medical officials and government leaders calling out a system that he said ruined his career. Assembly-line medicine kills doctors. Brilliant, compassionate people can’t care for complex patients in 15-minute slots. When punished or fired by administrators for “inefficiency” or “low productivity,” doctors may become suicidal. Pressure from insurance companies and government mandates crush these talented people who just want to help patients. Many doctors cite inhumane working conditions in their suicide notes. Bullying, hazing and sleep deprivation increase suicide risk. Medical training is rampant with deplorable conditions - such as working nonstop for 24 hours or more - that are not permitted in other industries. Physicians report hallucinations, life-threatening seizures, depression and suicide due to sleep deprivation. Fatigued doctors have felt responsible for harming patients. Resident physicians are now “capped” at 28-hour shifts and 80-hour workweeks. If they “violate” work hours (by caring for patients), they can be forced to lie on their time cards or be written up as “inefficient” and sent to a psychiatrist for stimulant medications. Some doctors kill continued from page 19

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themselves for fear of harming a patient as a result of their extreme sleep deprivation. Blaming doctors increases suicides. Words such as “burnout” are often employed by medical institutions to shift blame to doctors for their emotional distress while deflecting attention from unsafe working conditions. When doctors are punished with loss of residency positions or hospital privileges for occupationally-induced mental health conditions, they can become even more hopeless and desperate. Doctors who need help don’t seek it because they fear mental health care won’t remain confidential. So they drive out of town, pay cash and use fake names to hide from state medical boards, hospitals and insurance plans out of fear that they will lose state licensure, hospital privileges and health plan participation. (Even if confidential care were available, physicians in training have little time to access care when working 80 to 100 or more hours per week.) Some doctors develop on-the-job post-traumatic stress disorder. This is especially true in emergency medicine, my registry suggests. One day, they just snap - like this ER doctor who contacted me after he tried to kill himself: “My wife once asked how we do it in the ER, to be there for everybody’s worst day and also for their best. My worst day was almost my last. Funny thing is, I was as happy as I had ever been in my personal life. My decision to end it all was 100 percent work-related.” The doctor had treated a girl in the ER for flu and then released her. She ended up back in the ER 30 hours later in respiratory distress and eventually died. His job was in jeopardy. “When I got home in the early-morning hours, I was just sad. I cried for the girl and her family. I cried myself to sleep and woke up still sad... There’s a saying we have in the emergency room when we witness trauma and death among the innocent: A little piece of my soul died... We’re almost never offered counseling, and in the end you get the jaded emergency doctor who struggles to care. My psychologist says it wasn’t just the last girl. It was trauma after trauma after trauma.” He took a handful of pills but ended up surviving and is grateful for it. Still, he writes “Emergency medicine once defined me. I loved going to work every day. I think at one point I was a good doc who cared about his patients. Now I am just very anxious even thinking about going back to work.” No time for our own pain. Like everyone else, doctors have personal problems. We get divorced, have custody battles, infidelity, disabled children and deaths in our families. Yet working 60 to 80 or more hours per week immersed in our patients’ pain means we often have no time to deal with our own. I’m always surprised by how often nonmedical people tell me they are shocked that doctors have the same mental-health issues and personal problems that everyone else has.

Some people in the medical profession believe the public doesn’t need to know that doctor suicide is a real problem, as if a healer being in pain is shameful and would frighten patients. (A few years ago, I was honored to be invited to a special event hosted by the American Medical Association. They were interested in previewing a TEDMed talk I was scheduled to give about doctor suicides. But shortly before the event, I was disinvited: People were “uncomfortable’’ with the topic, I was told.) After collecting so many stories over the past five years, I believe that ignoring doctor suicides just leads to more doctor suicides. Suicide is preventable, but we have to stop with the secrecy and face up to what it is about being a doctor that can be so emotionally difficult. I am hopeful the documentary “Do No Harm,” by Emmy-winning filmmaker, Robyn Symon, will raise awareness on both points. In the meantime, medical institutions need to openly acknowledge the problem and make changes to support the mental health of doctors and medical students. Healers, after all, also need healing. Wible is a family physician born into a family of physicians. When not treating patients, she devotes herself to preventing suicides by medical students and physicians. Contact her at idealmedicalcare.org/blog/ contact.

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Why Covenant Kids? Covenant is the regional leader in providing health care to children with the following services: • Level III Regional Neonatal Intensive Care Unit (RNICU) offering the highest level of critical care for neonatal infants. • A Pediatric Intensive Care Unit (PICU) serving MidMichigan and the northern lower Michigan region designed to care for critically ill infants and children through the age of 17. • ACS-Verified Pediatric Trauma Center - one of only seven in Michigan verified to care for the whole family in an emergency. • Community-based urgent care through MedExpress. • Extensive clinical programs for children (rehabilitation, autism, diabetes, urology, cardiology and more).

1) Call. Dial 1.855.475.KIDS (1.855.475.5437) during the Telethon to donate and give phone bank volunteers some work! 2) Visit. Families can stop by the Mid-Michigan Children’s Museum (515 Genesee, Saginaw) between noon and 5 p.m. on April 27. Covenant is thankful for the tremendous amount of community support received throughout the years. Many organizations have planned independent fundraisers, hosting jean days, spaghetti dinners, concerts, bike rallies, cupcake wars, Halloween parties, lemonade stands and more. To get involved with Covenant Kids, contact Karen Luplow at 989.583.4166.

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Patients, Doctors, Providers say Health Can’t Wait Prior authorization red tape and step therapy delays care and treatment for Michigan patients Michigan physicians, clinicians and health care providers see it every day. They examine patients, and together form a plan of care, often including additional tests, prescription medicines, and treatments – before insurance companies step in with prior authorization and step therapy red tape to prevent patients from immediately accessing the care they need. When insurance company bureaucracy gets between a physician and his or her patient, patients get sicker, health conditions worsen, and the cost of care skyrockets. That’s not right. Health can’t wait , and we’re doing something about it. We are excited to launch a groundbreaking new effort to improve patient care. Health Can’t Wait is a coalition of patients, health care providers and patient-support groups working together to put Michigan patients first by ending dangerous delays in patients’ access to health care caused by

insurance company bureaucracy, including prior authorization red tape and step therapy requirements. The coalition is being led by more than a dozen patient advocacy and health care organizations, including the American Cancer Society Cancer Action Network, Susan G. Komen Michigan, the Michigan State Medical Society and many, many more. You can learn more about Health Can’t Wait , the growing coalition, and its work online at HealthCantWait.org.

But we need your help! There are three things you can do to make a difference. First, share your story. Have you, a patient, or a member of your health care team witnessed or experienced a delay in care caused by prior authorization or step therapy? You can share your story – and your patients can share theirs – online at HealthCantWait.org. Your patients’ willingness to speak out about the impact insurance company red tape has had on their health couldn’t be more important, and sharing their story couldn’t be easier. Second, share the news about the coalition and the importance of this reform. Share the website on social media. continued on page 22

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Speak out to your friends, family and colleagues, and consider reaching out to your own lawmaker to encourage reform. The team at MSMS is standing by to help you craft and share your story and to connect you directly with your state legislators. Third, please consider a donation to Health Can’t Wait . Simply click “contribute” on the website to join our team. Your contribution could make all the difference. The Health Can’t Wait coalition’s work couldn’t be more important. Ninety-four percent of Michigan physicians report that prior authorization red tape causes delays in care for their patients. Prior authorization red tape is part of a staggering 92 percent of all care delays, and those delays can be devastating. In fact, 78 percent of physicians trace prescription and treatment non-adherence to prior authorization delays. In other words, when red tape and bureaucracy prevents patients from timely access to the medicine and treatment they need, those patients are dramatically more likely to suffer the devastating health effects that come from nonadherence. Sicker patients. More frequent visits to the emergency room. Longer hospital stays. Bigger bills. That’s not right. Health can’t wait .

Health Plan Survey: Payer Report Card This survey is designed to gather information about various health plans in Michigan, for members to use as a guide when

contracting with these health plans and for MSMS to use in our advocacy efforts. TAKE THE SURVEY.

A Look at Auto No-Fault Reform in 2019 Background In the eyes of Republican legislative leadership, auto nofault reform is the number one legislative issue for 2019. Not coincidentally, the first bill introduced in the Senate – Senate Bill 1 – was the vehicle bill for ensuing no-fault reform. That bill was introduced on January 15, 2019, by Senator Aric Nesbitt (R-Lawton). Several other bills have been introduced that may be under consideration as deliberations unfold around a larger package. Senate Bill 1 was referred to the Committee on Insurance and Banking, chaired by Senator Lana Theis (R-Brighton). The multi-section bill includes intent language, which will be filled in as priorities are identified. One section of the bill specifically delineates the goal of allowing individuals 62 or older to optout of personal injury protection if they have lifetime health care benefits. READ MORE.

Tell Your Auto No-Fault Stories The Michigan House Select Committee on Reducing Car Insurance rates has a launched a campaign titled “Reduce MI Rates Now” to gather stories from constituents and continued on page 23

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share information about the committee’s efforts to reform auto no-fault. It is crucial that physicians and accident survivors offer their perspective during this phase, while all approaches to reform are considered. Please visit the reducemiratesnow.com and select “Tell your story” at the top of the page. In your personal message, you’re encouraged to remind the committee that while you’re tired of being charged outlandish rates, you strongly oppose any reform that would result in lifesaving benefits being slashed. Tell the committee that insurance companies must be held responsible for offering fair and affordable rates, and express support for bringing transparency to the Michigan Catastrophic Claims Association. Conversely, if you feel that the coverage you are receiving for the cost of your policy is fair, share that too. It is absolutely imperative that every effort is made to ensure Detroit Mayor Mike Duggan’s perspective - pushing limited protection coverage or returning to a tort system - is framed as what it is: Insurance companies offering sham policies with no guarantee for rate reduction. That’s a good deal for insurance companies and a bad deal for everyone else. The committee is seeking constituent feedback, and now is the time. Please encourage your colleagues to do the same.

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The Bulletin | March 2019 23

New Urgent Care Opens in Birch Run Ascension St. Mary’s and Ascension Medical Group are pleased to announce the opening of a new urgent care within the Ascension St. Mary’s Birch Run health center at 9900 East Birch Run Road in Birch Run. Ascension Medical Group Birch Run Urgent Care opened on Monday, March 4.

hours designed to complement – not replace – care from a primary care provider. Ascension care teams are making it easier to be seen when and where you need care. The Birch Run Urgent Care will be open seven days a week, from 10 a.m. to 7 p.m. Patients can walk-in or schedule an appointment online. “We want to make receiving care as convenient as possible,” said Cheryl Gueldenzopf, President of Ascension Medical Group, Mid-Michigan. “We are excited to expand our urgent care services to this area.” A team of board-certified nurse practitioners will serve as the primary providers. Focused at the Birch Run Urgent Care will be Melissa North, MSN-FNP and Alexis Cartwright, FNPBC, while Candice Negrete, MSN-FNP and Jennifer BenderStafford MSN-FNP will support the Gratiot Road Walk-In Clinic. The team concept affords them flexibility to support either location. Also available within the Ascension St. Mary’s Birch Run health center is the primary care office of Ruth M. Licht DO, board-certified nurse practitioners Chandra Rasmussen and Belinda Bryce, physical therapy services, laboratory and x-ray. Ascension St. Mary’s also celebrates their first Walk-in Clinic located at 5810 Gratiot Road in Saginaw Township that opened one year ago!

Neurosurgeon Joins Ascension Medical Group

Great care will be right in the neighborhood. Located about one mile east of the outlet mall, Ascension Medical Group Birch Run Urgent Care will offer same-day care, with convenient

Ascension St. Mary’s and Ascension Medical Group are pleased to welcome Thomas E. O’Hara MD, neurosurgeon, to the Ascension St. Mary’s Neurosurgery team. He joins neurosurgeons E. Malcolm Field MD, Joseph G. Adel MD, Naman A. Salibi MD and Eric N. Bialaski DO. Dr. O’Hara has over 30 years’ experience in the diagnosis and surgical treatment of disorders of the adult nervous system. He specializes in motion sparing techniques that can be used in cervical artificial disc replacement and laminoplasty. The motion sparing is a surgical approach to “fusion” while trying to preserve normal range of motion. Dr. O’Hara earned his medical degree and completed neurosurgery residencies at Wayne State University School of Medicine and affiliated hospitals. He joins Ascension Medical Group after 10 years with McLaren Medical Center. Areas of specialty include complex and reconstructive spinal surgery, motion sparing spinal procedures and minimally invasive spinal surgery. Dr. O’Hara is accepting new patients, and referrals can be made by calling (855) 298-9888. continued on page 26

The Bulletin | March 2019

Welcome New Physicians

Employed Medical Staff Expands Ascension St. Mary's continues to expand our care team and welcomes several new physicians to our employed medical staff. • Neurosurgery Eric Bialaski, DO, specializes in complex and reconstructive spine surgery and spinal oncology surgery. He joins neurosurgeons E. Malcolm Field, MD, Joseph Adel, MD & Naman Salibi, MD. (855) 298-9888

Welcome

Eric Bialaski, DO Neurosurgery

• Primary Care Rachael Kasperowicz, MD, joins St. Mary's of Michigan Bay City Family Physicians (formerly Women's Health Center). (989) 671-9153

• Orthopedics Kevin Lawson, MD, brings years of experience in orthopedics with a special interest in laser spine surgery. (989) 799-1350 • Podiatry Laura Reitz, DPM, specializes in foot and ankle surgery, wound care, hammertoes, tendon injuries and complex forefoot & rearfoot reconstruction. (989) 790-6719

• Hematology/Oncology Roma Srivastava, MD, joins medical oncologists Ernie Balcueva, MD and Asma Taj, MD to complement our comprehensive cancer care program. She will focus on the care of patients with disorders of the blood, bone marrow, and lymphatic systems. (989) 497-3226

Rachael Kasperowicz, MD Primary Care

Kevin Lawson, MD Orthopedics

Laura Reitz, DPM Podiatrist/Foot and Ankle Surgery

Roma Srivastava, MD Hematology/Oncology

All are accepting new patients. The Bulletin | March 2019 25

continued from page 24

Unique Technology Used to Treat Pulmonary Embolisms

Annual Charity Golf Classic is May 22 at Apple Mountain Golf Club

The FlowTriever allows for the non-surgical removal of blood clots from pulmonary arteries A unique, minimally invasive device to treat patients with potentially deadly pulmonary embolisms is now being offered at Ascension St. Mary’s Hospital. The device, known as the FlowTriever, was approved last year by the U.S. Food and Drug Administration. It is the first thrombectomy device cleared by the FDA for the treatment of pulmonary embolisms. The pulmonary embolism specific clearance was based upon the strength of the FlowTriever Pulmonary Embolectomy (FLARE) Clinical Study. The FlowTriever allows for the non-surgical removal of blood clots from the pulmonary arteries without the use of thrombolytic drugs and the risk of bleeding complications. The device uses a specially designed catheter that is fed into the site of the clot, and is designed to pull the clot from the pulmonary artery, allowing blood to flow freely.

Enjoy a day on the course, while feeling good about supporting the hospital’s mission to provide the latest health care technology and treatments to everyone, every day. Foursomes will enjoy 18 holes of golf with cart, a complimentary gift package, course contests, raffles, and refreshments on the course, grilled lunch and dinner. Registration opens at 9 a.m., with the outing starting at 10 a.m. This year’s proceeds will support patient care enhancements. Our goal is to achieve a superior experience for the patients and families we serve. Patient satisfaction is not just about clinical outcomes; it’s about the overall experience as well. For more information about the region’s largest charity golf outing, call the Foundation at (989) 907-8875 or e-mail Tamera.Weighman@Ascension.org.

IN MEMORY

It is with sadness we announce Patricia T. Shek passed away on Wednesday, February 27. Pat was involved in the SCMS Auxiliary (now Alliance) for many years, serving as President and chair of many committees throughout the years. Pat, along with Pat Koenig and others, spearheaded the 100th anniversary celebration of the SCMS in 2002. Please keep the Shek family in your prayers. Patricia T. Shek passed away on Wednesday, February 27, 2019, at her home in Saginaw. She was born in New York City on June 28, 1927, and raised in the suburbs of Detroit. Patricia attended Wayne State University and discontinued her studies to marry a young Thoracic Surgeon, John L. Shek MD, and they moved to Saginaw in 1956. Dr. Shek died in Saginaw on September 17, 1998. Patricia is survived by two sons and one daughter, Peter S. Shek and his wife Debra Ann Shek and their children Millicent Elyse, John Walter and Peter Leonard Shek, all of Saginaw; her

daughter, Eugenie V. Shek, of Saginaw; and her son, John R. Shek, of South Pasadena, Florida, and his children by Sandra L. Eddy of Marblehead, Massachusetts, Madeleine Shek, of Missoula, Montana, and Katherine L. (Kaye) Shek, of Eugene, Oregon; and a brother Michael L. Turnbull and Patty (Petzold) Turnbull of Harbor Springs and Juno Beach, Florida. Patricia was active in her community, served on numerous committees and received many awards. In addition to various other positions, she served as President of the Saginaw County Medical Society Auxiliary from 1969-70. Funeral services were held on March 5, 2019, at First United Methodist Church, followed by internment at Oakwood Cemetery. The Shek Family is planning a memorial service and a gathering early in May 2019, for those who were unable to attend the funeral service. MEMORIALS: Those planning a memorial contribution are asked to consider the Saginaw Art Museum, Saginaw Bay Symphony Orchestra or a charity of your choosing. For Pat’s complete obituary, visit Deisler Funeral Homes by clicking HERE.

Caduceus Meeting for Recovering Health Care Professionals Third Thursday of each month at 7 p.m. | Zion Lutheran Church | 454 7th Street, Freeland, Michigan (Behind Pat’s Grocery Store on Midland Road in Freeland) Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs. Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists. We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members. 26

The Bulletin | March 2019

NEW MEMBERS Kevin J. Lawson MD Ascension St. Mary’s Orthopedics 5275 Colony Drive North Saginaw, MI 48638-7157 Office (989)-799-1350 healthcare.ascension.org Surgery - Orthopaedic/Spine, Pain Management

Monique S. Turner DO Women’s Ob-Gyn, P.C. 5400 Mackinaw, Ste. 6100 Saginaw, MI 48604-9533 Office (989)-792-3100 www.womensob.com Ob/Gyn

Omar N. Marar MD CMU Health - Surgery 912 S. Washington Ave., Ste. 1 Saginaw, MI 48601-2578 Office (989)-790-1001 www.cmich.edu/colleges/cmed/ Surgery - General, Colon & Rectal

Lisa M. WintonLi MD CMU Health - Surgery 912 S. Washington Ave., Ste. 1 Saginaw, MI 48601-2578 Office (989)-790-1001 www.cmich.edu/colleges/cmed/ Surgery - Breast, General

Najibah K. Rehman MD MPH Saginaw County Health Dept. Medical Director 1600 N. Michigan Avenue Saginaw, MI 48602-5306 Office (989)-758-3719 www.saginawpublichealth.org/ General Preventive Medicine and Public Health

APPLICATIONS FOR MEMBERSHIP FIRST READING: Application for membership that may be recommended for acceptance at the May 21, 2019, Board Meeting: Chris Paul Liakonis, DO (St. Mary’s Riverfront Cardiology) Specialty: Surgery - Cardiothoracic (Board Certified 2013) Medical School: Des Moines University College of Osteopathic Medicine, Des Moines, IA, 1993 Internship/Residency: MSU Oakland General Hospital, Madison Heights and Mt. Clemens, MI, Surgery-General, 1993-98 Fellowship: Deborah Heart & Lung Center, Browns Mills, NJ, Thoracic Cardiovascular Surgery, 1998-01 Prior Practice: (1) St. Clair Cardiovascular Surgeons, Roseville, MI, 8/01-9/02; (2) Greater Michigan Cardiovascular Surgeons, Dearborn, MI, 9/02-7/11; (3) Oakwood Cardiovascular & Thoracic Surgeons, Dearborn, MI, 7/11-7/17; and (4) Beaumont Cardiovascular & Thoracic Surgeons, Dearborn, MI 7/17-1/19. Sponsors: Doctors Adebambo Kadri and Vipin Khetarpal

www.SaginawCountyMS.com

SECOND READING: Applications for membership that may be recommended for acceptance at the April 16, 2019, Board Meeting: Christopher M. Archangeli, MD (CMU HealthPsychiatry) Specialty: Psychiatry (Board Certified 2017) and Child and Adolescent Psychiatry (Board Certified 2018) Medical School: University of Michigan Medical School, 2013 Internship/Residency: University of California Los Angeles – Semel Institute, Los Angeles, CA, Psychiatry, 2013-16 Fellowship: University of Vermont College of Medicine, Burlington, VT, Child and Adolescent Psychiatry, 2016-18 Sponsors: Doctors Kai Anderson and Furhut Janssen Onoriode S. Edeh, MD (CMU Health-Psychiatry) Specialty: Psychiatry (Board Certified 2017) and Child and Adolescent Psychiatry (Board Certified 2018) Medical School: St. Matthew’s University School of Medicine, Grand Cayman, Cayman Island, 2010 Internship/Residency: University of Connecticut Health Center, Farmington, CT, 2013-16 Fellowship: Cleveland Clinic, Cleveland, OH, Child and Adolescent Psychiatry, 2016-18 Sponsors: Doctors Kai Anderson and Furhut Janssen The Bulletin | March 2019 27

College of

Medicine CMU College of Medicine to Expand Residency Program Legislature okay’s plan by four Michigan medical schools to expand primary care residency programs through loan forgiveness Central Michigan University’s College of Medicine (CMU) will expand its residency program - led by CMU Medical Education Partners in Saginaw - through a collaborative initiative approved by the Michigan Legislature that also will award selected physician graduates up to $75,000 in loan forgiveness. Terms of the initiative require that physician graduates work in underserved areas of the state for at least two years. CMU is among four Michigan-based medical schools that collaborated on what’s dubbed the MIDOCS plan. It was developed to increase the number of medical residencies in the state - especially in the primary care specialties of family medicine, psychiatry, pediatrics and obstetrics and gynecology in underserved areas. MIDOCS allows CMU to expand its psychiatry residency program by two positions in 2019. The $5 million state appropriation for fiscal year 2019 will fund programs at the four participating medical schools that incorporate innovative teaching models such as integrated care, which coordinates general and behavioral health care. “We applaud the Michigan Legislature and our colleagues at Michigan State University, Wayne State University and Western Michigan University for having the foresight and the will to work together to create this program,” said George Kikano MD, CMU Vice President for Health Affairs and Dean of the CMU College of Medicine. Debt Drives Doctors Away from Primary Care The Association of American Medical Colleges (AAMC) predicts the nation will face a shortage of as many as 122,000 physicians by 2030. In Michigan, primary care physicians meet

GOLF OUTING SAVE THE DATE! Saturday, June 8, 2019

only 63 percent of the need, according to a study by the state Department of Public Health. Debt often drives new doctors’ decisions on where to practice and in which specialty. The AAMC reports that the average medical student’s debt has reached nearly $190,000. Because of that debt, many doctors choose higher-paying specialties rather than practicing primary care in underserved areas. One of the students who will benefit from MIDOCS is soonto-be CMU College of Medicine graduate Jisselly McGregor of Saginaw. On Match Day, she found out she was accepted into her top choice of CMU’s residency program in Saginaw. “I am thrilled to have matched into CMU’s residency program and to receive financial support as a result of the new MIDOCS program,” she said. “I selected psychiatry because of my passion to provide mental health treatment - particularly for migrant workers and underserved people in the region. My husband is a police officer in Saginaw, and we plan to stay in the area.” Enticement to Stay in the Community CMU Medical Education Partners’ two associate institutions, Covenant HealthCare and Ascension St. Mary’s Hospital, serve as teaching hospitals and are the primary referral hospitals for patients throughout middle and northeastern Michigan. Training also will occur at local federally qualified health centers, including Great Lakes Bay Health Centers. “MIDOCS will allow us to not only better serve our local communities by adding residencies, but it increases the incentive for our CMU-trained physicians to make a home here and continue to serve for many years,” said Mary Jo Wagner MD, CMU’s Director of Graduate Medical Education.

The SCMS Foundation will host its 10th Annual Golf Outing on Saturday, June 8, 2019, at the Saginaw Country Club. The SCMS Foundation makes low interest loans to medical students with ties to the Saginaw area in the hopes of encouraging the students to return to Saginaw to practice. Interest and principal can be forgiven if they return to Saginaw to practice as SCMS members.

Saginaw Country Club Four Person Scramble

See pages 12-13 for information and sponsorship opportunities! 28

The Bulletin | March 2019

12 p.m. Registration 1 p.m. Shotgun Start

College of

Medicine

ALL CME ACTIVITIES WILL REMAIN OPEN FOR CERTIFICATION FOR 60 DAYS AFTER THE EVENT. Sign-in as usual with no need to enter an Activity Code as it is embedded into the form. Click Sign In and proceed as usual. First time users will need to sign-in as a “new user” (one time only) and should follow on-screen instructions.

2019 UPDATE | HOW TO OBTAIN CME CREDIT Due to physician requests to eliminate the need for an Activity Code in claiming AMA PRA Category 1 CreditTM, the OCME is introducing a revised credit claiming process based on what many other medical centers and institutions use. Here is a link to the new CME Menu: https://cmetracker. net/CMED/Login?formname=CatalogLink Click Claim Credit:

Certificates

Search activities activities by by date date or or title title for for the the previous previous 60 60 days: days: Search

Click print Certificate for a PDF or close and the Certificate will automatically be saved for later retrieval. Select activity,then thenClick Click Certificate: Select activity, then Click Certificate: Select activity, Certidicate:

Passwords can be saved on most mobile phones, iPads and tablets. You can save the Claim Credit screen as a Favorite and Bookmark for fast access. PLEASE SEND US YOUR FEEDBACK at CME Comments and Suggestions https://www.cmich.edu/colleges/cmed/Education/CME/ Pages/Comments-CME-Form.aspx or email to CMEDCME@cmich.edu

THANK YOU!! The Bulletin | March 2019 29

Saginaw County Community Mental Health Authority (SCCMHA) Expands Mental Health First Aid Training in Saginaw County with the Assistance of a Grant from Blue Cross Blue Shield of Michigan Foundation SCCMHA is expanding the availability of training in the national Mental Health First Aid program in the Saginaw community assisted by a grant from the Blue Cross Blue Shield of Michigan Foundation. Mental Health First Aid training is a course supported and endorsed by the National Council for Behavioral Health and U.S. Congress, and is featured by the Substance Abuse and Mental Health Services Administration (SAMHSA) in their Registry of Evidence Based Programs and Practices. To date, more than 1.4 million persons in the U.S. have become Mental Health First Aid certified. Mental Health First Aid is an eight-hour training certification course for adults from all walks of life. The course teaches how to identify, understand and respond to signs of mental illness and substance use disorders. Training participants receive instruction on a fivestep action plan to assess a situation, select and implement interventions and secure appropriate care for the individual. The certification program introduces participants to risk factors and warning signs of mental health problems and addiction problems, builds understanding of their impact and overviews common treatments. Through research evaluations in randomized controlled trials and a quantitative study, the CPR-like program has been proven to be effective in improving trainees’ knowledge of mental disorders, reducing stigma and increasing the amount of help provided to others with mental illness and substance use disorders that they know or may experience in the community. In its pilot year, the program was introduced nationally in nearly 20 states and more than 40 communities nationwide.

ADVERTISER INDEX Advanced Diagnostic Imaging, P.C. Ascension St. Mary’s Hospital Barb Smith Suicide Resource & Response Network Covenant HealthCare Covenant Kids Covenant Wound Healing Center Jan Hauck – Century 21 Healthway Compounding Pharmacy 30

The Bulletin | March 2019

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Mental Health First Aid originated in 2001 in Australia under the direction of founders Betty Kitchener and Tony Jorm. To date, it has been replicated in 20 other countries worldwide, including the U.S., Hong Kong, Scotland, England, Canada, Finland and Singapore. “We welcome SCCMHA’s involvement and enthusiasm in the Mental Health First Aid community,” says Linda Rosenberg, MSW, president and CEO of the National Council for Behavioral Health, the organization who brought Mental Health First Aid to the United States in 2008. “We know they will have a great impact on the mental health communities throughout the Saginaw area, and will be key players in improving mental health literacy nationwide.” The National Council certified SCCMHA to provide the Mental Health First Aid program in October 2014 through an instructor certification course in Omaha, Nebraska. Since that time, SCCMHA has trained 1,700 persons in Mental Health First Aid. SCCMHA, and all the sites across the nation that replicate this program, maintain strict fidelity to the original, proven program. SCCMHA will utilize the grant funding from the Blue Cross Blue Shield of Michigan Foundation to purchase additional training materials and to prepare and certify four additional trainers, one of which will be a member of local law enforcement. The goal is to train an additional 1,000 Saginaw community members, to improve mental health literacy – helping them identify, understand and respond to signs of mental illness and addiction. For more information or to participate in a Mental Health First Aid training in Saginaw, call Alecia Schabel, at (989)-7973451. SCCMHA is headquartered at 500 Hancock Street in Saginaw, and provides numerous services including evaluations, screenings, treatment and referrals. In 2018, SCCMHA assisted more than 7,000 Saginaw County citizens. The National Council for Behavioral Health is a not-for-profit, 501(c)(3) association of 2,000+ behavioral healthcare organizations that provide treatment and rehabilitation for mental illnesses and addiction disorders to nearly seven million adults, children and families in communities across the country. The National Council and its members bear testimony to the fact that medical, social, psychological and rehabilitation services offered in community settings help people with mental illnesses and addiction disorders recover and lead productive lives.

When you have a need for a service, please consider our dedicated advertisers first! Horizons Conference Center/Riverview Brownstones Lori Krygier Graphic Designer Norton + Kidd Accounting & Consulting, P.C. Peak Performance PC Services Print Express ProAssurance Shields Chiropractic Wolgast Corporation

19 21 23 21 5 9 22 4

te t Please dona

oday

re so that we may ca for children tomorrow.

The Covenant Kids Telethon highlights the extraordinary care Covenant provides for kids in our region and helps raise money to continue our work for kids on into the future.

Watch the telethon Saturday, April 27, Noon - 5 pm on WNEM TV5. Learn more at covenantkidsmi.com.

PRSRT STD U.S. POSTAGE PAID Saginaw, MI 48605 PERMIT #189

350 ST. ANDREWS ROAD | SUITE 242 SAGINAW, MI 48638-5988

ADDRESS SERVICE REQUESTED

2018-2019 KEY PROVIDERS

These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers. Please mark your calendar for the following meetings and events in 2019. You will receive an email meeting notice and reminder each month for SCMS events. Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register. SCMS Membership Meetings are held on the third Tuesday of January, April, May, September and October. The SCMS Board meets on the third Tuesday of every month (except July and December) at 5:30 p.m. Saturday, April 27, 2019 CMU College of Medicine Education Building, 1632 Stone Street, Saginaw – ASAM Treatment of Opioid Use Disorder Course (includes Waiver Qualifying Requirements). See page 11 for more information. Tuesday, May 21, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and Annual Meeting at 7 p.m. Program: “Update on CMU College of Medicine.” Thursday, May 30-Sunday, June 2, 2019 Crystal Mountain Resort – Restorative Retreat for Physicians (family friendly). See page 10 for more information. Saturday, June 8, 2019 Saginaw Country Club – 10th Annual SCMS Foundation Golf Outing. Four person scramble. 12 p.m. Registration and Lunch, with 1 p.m. Shotgun Start. See pages 12-13 for sponsorship opportunities and team registration.

Tuesday, June 18, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m. There are no Board or Membership Meetings in July or August. Tuesday, September 17, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: TBD. Tuesday, October 15, 2019 HealthSource Saginaw - SCMS Board meets at 5:30 p.m. Membership Meeting – SPOUSE/SIGNIFICAN T OTHER INVITED with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: TBD. Tuesday, November 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

www.SaginawCountyMS.com Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | Cell 284-8884 | jmcramer@sbcglobal.net