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Dr. Susan Black - Massachusetts Academy of Family Physicians

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Dr. Susan Black - Massachusetts Academy of Family Physicians Powered By Docstoc
					                   MASSACHUSETTS



Family Physician



Dr. Susan Black
Massachusetts Family
Physician of the Year
                                         MASSACHUSETTS                                                                  VOLUME 1, NUMBER 3




                     Family Physician
Contents                                                                                                                       2005-2006 OFFICERS

MassAFP Spring CME Refresher .............................................................5                                        PRESIDENT
President’s Corner ...................................................................................6                     E. John Lentini, DO, Braintree

Legislative Update ...................................................................................8                        PRESIDENT-ELECT
                                                                                                                           Thomas C. Hines, MD, Arlington
Around the State......................................................................................9
Family Medicine Perspectives: Life’s Pendulum ....................................10                                                 TREASURER
                                                                                                                          Patricia A. Sereno, MD, Stoneham
The Match 2005 ....................................................................................12
Opportunities: The National Conference of Special Constituencies .......14                                                         SECRETARY
                                                                                                                          Dennis M. Dimitri, MD, Worcester
Residents’ Corner...................................................................................15
Welcome................................................................................................17                IMMEDIATE PAST PRESIDENT
                                                                                                                           Laura C. Knobel, MD, Walpole

                                                                                                                               AAFP DELEGATES
Advertisers Index                                                                                                          Rachel Wheeler, MD, Concord
                                                                                                                         Hugh M. Taylor, MD, South Hamilton
Kyphon ...................................................................................................17
                                                                                                                         AAFP ALTERNATE DELEGATES
Medical Waste Disposal Company Inc. .................................................19                                   Laura C. Knobel, MD, Walpole
New England Dairy & Food Council .........................................................4                                E. John Lentini, DO, Braintree

New England Physician Recruitment .....................................................11                                            DIRECTORS
                                                                                                                          Kim B. Abell, MD, South Deerfield
ProMutual Group......................................................................................3                          Fred Baker, MD, Holden
Sanofi Pasteur........................................................................................16                Jennifer Childs-Roshak, MD, Hopkinton
                                                                                                                            Martin D. Devine, MD, Auburn
                                                                                                                         Joseph W. Gravel, Jr., MD, Malden
                                                                                                                                      .
                                                                                                                             James P Hoye, MD, Dighton
                                                                                                                           Stephen J. Levine, MD, Holyoke
                                                                                                                           Stanley E. Sagov, MD, Arlington

                                                                                                                            RESIDENT CO-DIRECTORS
                                                                                                                             James S. Bath, MD, Malden
                                                                                                                            Karen M. Entrop, MD, Malden

                                                                                                                               STUDENT DIRECTOR
                                                                                                                             Stephanie C. Chu, Brookline

                                                                                                                               PARLIAMENTARIAN
                                                                                                                         John J. Janas, MD, Hampton Beach

                                                                                                                            COMMITTEE ON CLINICAL
                                                                                                                           and PROFESSIONAL ISSUES
                                                                                                                         Chair: Lyle G. Bohlman, MD, Malden

                                                                                                                COMMITTEE ON CONTINUING MEDICAL EDUCATION
                                                                                                                        Chair: Kami S. Phillips, MD, Gardner

                                                                                                                         COMMITTEE ON LEGISLATIVE
                                    EDITOR: Joseph Peppe, MD, Boston                                                      and REGULATORY AFFAIRS
                                                                                                                        Chair: Laura C. Knobel, MD, Walpole
                           MANAGING EDITOR: Karen L. Brenke, Manchester
                              Massachusetts Academy of Family Physicians                                            COMMITTEE ON LONG-RANGE PLANNING
                                PO Box 1406 • Manchester MA 01944                                                      Chair: Thomas C. Hines, MD, Arlington

                                Tel: (978) 526-9753 • Fax: (978) 526-4417                                             COMMITTEE ON PUBLIC RELATIONS
                                                                                                                         and MEMBERSHIP SERVICES
                         E-mail: information@massafp.org • www.MassAFP.org
                                                                                                                      Chair: Dennis M. Dimitri, MD, Worcester
 Massachusetts Family Physician is published by Innovative Publishing Ink, 10629 Henning Way, Suite 8,
                        Louisville, KY 40241, 502.423.7272 or 866.423.7523.                                     COMMITTEE ON RESIDENT and STUDENT AFFAIRS
                                                                                                                      Co-Chair: James S. Bath, MD, Malden
     Innovative Publishing Ink specializes in creating magazines for associations. Please direct inquiries to        Co-Chair: Karen M. Entrop, MD, Malden
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                                             www.ipipublishing.com
                                                                                                                          EXECUTIVE VICE PRESIDENT
                                                                                                                                Karen L. Brenke
3
                                                                                                               From the Editors
MassAFP Spring
CME Refresher
After on-site registrations were tallied, a total of 145 family physi-   highest standards of integrity in his unceasing commitment to intro-
cians, family medicine residents, medical students and nurse practi-     duce, influence and monitor legislation to ensure that outcomes are in
tioners attended the MassAFP Spring CME Refresher held May 13-           the best interest of family medicine and that it furthers the quality of
14, 2005 at the Four Points by Sheraton in Leominster. While the         patient care to the people we serve.
numbers fall short of the 190 all-time high, the increase over the
past two years set a positive tone for the Academy’s annual event.       Dr. Amy L. Lee (Tufts
                                                                         University Family
Fifteen diverse topics, from “Prescribing in Pregnancy” to               Medicine Residency)
“Confronting the Inevitable: Completing Advance Directives,   ”          was recognized as the
were offered with 10 of the lectures being presented by family           recipient of the 2005
physicians: Drs. William A. Damon, Martin D. Devine, Charles             Massachusetts’
B. Eaton, Mary E. Frank, Jeremy Golding, Laura N. Goldman,               Family Medicine
Thomas G. Kincer, James R. LaSalle and Hugh M. Taylor. Dr.               Educators Award
Mary Frank, President of the American Academy of Family                  (MFMEA). The
Physicians (AAFP), presented the Sidney Listernick Memorial              MFMEA was created
Lecture, “More on the Future of Family Medicine – Financing              in 2001 to honor the
                 ”
the New Model. One attendee commented “An Excellent pres-                contributions of Drs.
entation, Mary Frank reminded me why I became a family                   Ginette Harrison, Ann
physician and has inspired me to begin transforming my practice          Nemitz, Steven Putterman and Fredrick Rimmele, MassAFP members
for the future.”                                                         who are no longer with us, but whose dedication to teaching continues to
                                                                         affect the lives of untold numbers of people. For each of them, being a
While the educational sessions and speakers were extremely well          family physician was not enough; the need to incorporate teaching as an
received, the Annual Business Meeting became the highlight of the        integral part of their medical careers was a common thread in their distin-
two-day conference when a number of awards, recognizing member           guished lives. During his presentation of the award, Dr. Dimitri, MassAFP
contributions to the Academy, were presented.                            Secretary and Chair of the Public Relations Committee, stated, “Dr. Lee’s
                                                                         extraordinary love of teaching along with the compassion she has for her
                                                                         patients clearly exemplifies the same characteristics of the four physicians
                                                                         in whose memory this award was established.”

                                                                                                                    Dr. Leonard M.
                                                                                                                    Finn (Needham)
                                                                                                                    received the AAFP
                                                                                                                    Distinguished
                                                                                                                    Service Award in
                                                                                                                    grateful recognition
                                                                                                                    of his twenty-seven
                                                                                                                    years of dedicated
                                                                                                                    and     exceptional
                                                                                                                    effort in furthering
                                                                                                                    the specialty of
                                                                                                                    family medicine
                                                                                                                    within the
During his President’s report, Dr. John Lentini presented Dr. Hugh M.                                               Massachusetts
Taylor with a Presidential Service Award recognizing his twenty-five     Academy of Family Physicians. Dr. Mary Frank spoke eloquent-
years of extraordinary commitment and dedicated leadership. Dr. Taylor   ly of Dr. Finn’s many accomplishments, commenting that Dr.
has shown an unyielding determination to enhance the involvement of      Finn had served the Massachusetts Academy well during his
family physicians in legislative affairs within the Commonwealth of      tenure as both alternate delegate and delegate to the AAFP
Massachusetts and the United States Congress while maintaining the       Congress of Delegates. (continues to page 18)


Massachusetts Family Physician                                                                                                                      5
President’s Corner


                           Legislation Needed to
E. John Lentini, DO
                           Insure the Uninsured
Health Care for All, Affordable Care Today,                              ing that 20% of our uninsured are either unaware that they are eli-
                                                                         gible for coverage or unable to navigate the application process. I
Insuring the Uninsured, Health Care                                      recognize that illiteracy and problems with the English language
Access, or whatever name you choose to                                   may be contributing factors, but clearly the outreach efforts that
                                                                         have been cut back need to be reinstated and expanded.
use, this year health care reform legislation
is of historic importance to the people of our                           There are 36,000 Massachusetts citizens who are either the newly
                                                                         employed or newly unemployed. The newly employed come to my
Commonwealth. Working to insure that                                     office and are proud that they have a job but embarrassed that they
meaningful health care reform legislation is                             are unable to pay for their care since oftentimes their insurance cov-
                                                                         erage is not available to them for three to six months. Equally dis-
passed is something that all family physi-                               turbing to me are my patients who have recently lost their jobs and
cians can and should feel good about.                                    in the process have lost their insurance coverage – how absurd!

                                                                         Among the uninsured, there are 68,000 individuals with incomes
Five years ago, former Nebraska Senator Robert Kerry stated that
                                                                         of over $56,000 and another 100,000 individuals with incomes of
there were six ways for an American to obtain health insurance:
                                                                         over $75,000 who have elected not to purchase health insurance
reach age 65, become disabled, get blown up in a war, prove that
                                                                         for numerous reasons. We must all keep in mind that even with
you are poor and promise to remain poor, work for the federal
                                                                         incomes in this range, the cost of health coverage can be a burden
government, or find a job with an employer that offers insurance
                                                                         and viewed as unaffordable. In Massachusetts, the cost of a fami-
coverage. Those Americans who do not fit into any of these
                                                                         ly plan can run between $12,000 and $16,000, and I believe it is
groups fall through the cracks, and in so doing, they wind up
                                                                         unreasonable and unacceptable to expect families to spend 20% of
receiving only half as much health care as those with insurance. I
                                                                         their total income on health insurance. It is apparent there is a
am sure that most of you are aware that only one state, Hawaii, has
                                                                         need for “pared down” plans with higher co-pays and deductibles
universal health care; and that since 1991, the American Academy
                                                                         to bring down the cost of health care for these people.
of Family Physicians has tried to promote a universal health care
plan that nationally has fallen upon deaf ears. It has become obvi-
                                                                         In the numerous health care bills currently before the Legislature,
ous to me that universal health care is one of those issues that indi-
                                                                         remedies can be found for each of these categories among the
vidual states must take the initial lead and pave the way for the
                                                                         uninsured. The governor’s bill is “bare boned” and conservative
future of national, comprehensive and cost-effective health care.
                                                                         with no employer mandate for coverage; Health Care for All’s bill
                                                                         is all-encompassing, liberal and includes an employer mandate
In the Commonwealth of Massachusetts, nine percent of the pop-
                                                                         (The Massachusetts Academy of Family Physicians is on the
ulation is uninsured, or approximately 500,000 people.
                                                                         Steering Committee of Health Care for All.); Senator Travaglini
Thankfully, we are well under the 17% national average. Of these
                                                                         has a bill that falls somewhere between the others and does not
500,000 people, 150,000 comprise the working uninsured. They
                                                                         have an employer mandate. Many of us remember when
are individuals who work hard and struggle to provide the basics
                                                                         Massachusetts led the charge in the mid-1990s, mandating univer-
for their families, but they are unable to pay the high cost of health
                                                                         sal health care for Massachusetts children; our program became a
insurance coverage. Currently there are bills before the
                                                                         model for the rest of the nation.
Legislature that will allow MassHealth to expand coverage to
include many of these people.
                                                                         For the first time in Massachusetts’ history, both sides of the aisle,
                                                                         Democrats and Republicans, support some form of universal
One remarkable statistic I have learned is that there are an aston-
                                                                         health care. As president of the MassAFP, I believe it is part of my
ishing 106,000 individuals who are eligible for MassHealth but
                                                                         job to ensure that whatever legislation is enacted will be both com-
are not currently enrolled. As a family physician, I find it disturb-

6                                                                                                                               Massachusetts Family Physician
prehensive and fair. During May and June, our legislative consult-     Third, I addressed the adoption of parity in payment issues!
ant, Ronna Wallace, arranged for me to meet with several key           During my testimony, I brought to the attention of the legislators
health care reform leaders. I have met with Representative Peter       that in Massachusetts 87% of all family physicians accept
Koutoujian, House Chair of the Joint Committee on Public               MassHealth patients; this figure compares with only 77% nation-
Health; Senator Steve Tolman, Senate Chair of the Joint                wide. In addition, I brought to their attention the fact that we do
Committee on Mental Health and Substance Abuse;                        this despite the reality that family physician income in New
Representative Patricia Walrath, House Chair, Joint Committee on       England is the lowest among all sectors in the nation! I also made
Health Care Financing; Senator Robert L. Hedlund, Joint                them aware that we are beginning to see family physician partici-
Committee on Public Service; Representative Garrett J. Bradley,        pation rates in MassHealth decline and, while the drop is not as
House Vice Chair, Joint Committee on the Judiciary; Helen              dramatic as most other specialties, any decline does not bode well
Flaherty, Chief of Staff to Senator Richard T. Moore, Senate           for our patients. Fortunately, many legislators realize that if
Chair, Joint Committee on Health Care Financing; Robert                MassHealth physician participation rates continue to decline,
McCarron, Chief of Staff, House Ways and Means Committee;              there will be huge patient access issues. My testimony rein-
Emily Sherwood, Research Director of the Joint Committee on            forced to the Legislature that 500,000 newly insured people
Health Care Financing; Johanna Dobrich, Staff Director; and Jake       could not begin to knock on our office doors without reform of
Gleckel, Legislative Aide staffers to Representative Elizabeth A.      the payment system. Some of the legislation includes provisions
Malia, House Vice Chair Joint Committee on Mental Health and           for parity by raising the MassHealth payment rate to that of the
Substance Abuse, as well as John McDonough, Executive                  Medicare rate sequentially over several years. I voiced my appre-
Director of Health Care for All. These meetings culminated with        hension that payment parity might be eliminated, while the leg-
my presenting oral testimony at the June 8th hearing of the Joint      islation is rewritten in committee, to make the final legislation
Committee on Health Care Financing.                                    more affordable, and vehemently suggested that this must not
                                                                       happen, since meaningful health care reform will not be possi-
As family physicians, you and I know that one of the hallmarks of      ble without this crucial provision.
family medicine is prevention. Not all Massachusetts legislators
are aware of this; therefore I brought this message into the hear-     Setting the state issues aside, I must for a moment touch upon
ings. You and I must continue to make the important issues known       national health care reform. The federal government would
so that whatever legislation finally comes out of Committee, we        like to decrease payments to physicians by 26% over the next
are assured that it contains the essential elements for meaningful     six years, yet during that same timeframe the medical inflation
health care reform.                                                    rate is expected to increase by 13%! While I am advocating at
                                                                       the state level to bring the MassHealth payment rate up to the
Although there are many important aspects to this legislation, I       Medicare payment rate, we are in real danger of the Medicare
will briefly discuss only three. First, any legislation must include   payment rate dropping to the level of the MassHealth!
coverage for mental health and substance abuse. Integrating the        Supporting the American Academy of Family Physicians’
delivery of mental health and medical services is more effective       (AAFP) efforts to correct the flawed Medicare reimbursement
and efficient than separating them. Parity obliterates the stigma of   formula is in all of our best interests.
mental health issues and promotes total health care. My message
during the hearings was that health care is not comprehensive          Finally, while I trust our elected officials to provide us with mean-
unless it covers mental health and substance abuse.                    ingful reform, we must be there to provide guidance during the
                                                                       process. In the coming months I will be calling on you to call or
Second, some of these bills mandate the formation of several com-      write your state representatives and senators in support of a fair
mittees to ensure continued oversight and review of the health care    and meaningful bill for health care reform. At the same time, the
system. The Legislature, with input from several professional          leadership of the AAFP will be contacting you to call your nation-
associations and other organizations, will appoint members,            al representatives and senators in Washington to push for mean-
including physicians and other health care specialists, to serve on    ingful Medicare payment reform. Now is not the time for any of
these committees. I was concerned that no mention was made, in         us to be complacent, it is not the time to let others fight our bat-
any of these bills, as to the type of specialist to be selected. On    tles, nor is it the time to complain and do nothing. Now is the time
behalf of the MassAFP, I strongly urged the inclusion of a dedicat-    to act! Do not be afraid to stand up and ask for what you need to
ed seat for a Primary Care Physician (PCP) on all oversight bod-       keep your office doors open.
ies that are created, because I believe the PCP perspective is para-
mount for the success of any health care reform legislation.           These are just a few of the current conflicts we need to wrestle
During my testimony, I defined a PCP as a family physician or a        with, and it will not be easy. However, family medicine, with its
primary care internist; in other words, the same criteria that an      many facets, has never been easy, so we are well equipped to face
insurance company would use to determine if a physician could          the challenges ahead. Please join me when I call upon you so that
have a panel of patients and be their primary provider. I stressed     we will have the resources to insure that every Massachusetts cit-
that the unique comprehensive vision of the PCP is crucial for the     izen can have access to and be treated by you – dedicated and
proper implementation and long-term success of any health plan.        magnificent Family Physicians.

Massachusetts Family Physician                                                                                                             7
Legislative Update

                     Committee Hearings, the state budget and, most        again – a process which yields different results
                     importantly, health care access dominated the         each time it is repeated. Why should we care?
                     legislative agenda this spring.                       Because the state funds hospitals, clinics, com-
                                                                           munity health centers, Medicaid and virtually all
                     Health care access remains the priority of the        public health programs. The MassAFP success-
                     House and Senate, as well as Governor Mitt            fully supported several amendments in the
                     Romney. While many bills have been filed to           House budget to increase funding for a variety of
                     resolve the problem of how to insure the unin-        public health programs, including immuniza-
                     sured, two emerged as the most viable. In early       tions, tobacco control, expanding MassHealth
                     June, the new Joint Committee on Health Care          coverage to legal immigrants, and community
                     Financing (JCHCF) held a public hearing on            health centers. Support for similar initiatives will
                     these bills, which included:                          continue as the budget deliberations continue in
                                                                           the Senate.
                     • S.2042, “An Act Providing for Health Access,
by Ronna Wallace       Affordability and Accountability” – This bill,      Last, but certainly not least, are the ongoing leg-
                       drafted by Senate President Robert Travaglini       islative committee hearings. This year is differ-
                       and supported by the Democratic Senate, would       ent than previous years, as we watch the newly
                       reduce the number of uninsured by half.             created committees tackle the complex issues
                                                                           before them, including mental health and sub-
                     • H.2777/S.738, “An Act to Establish Health Care      stance abuse, health care financing and public
                       Access and Affordability” – This bill is more       health. Throughout the change process, there is
                       comprehensive legislation developed by Health       opportunity for growth and the MassAFP has
                       Care for All and supported by the Affordable        successfully taken advantage of such opportuni-
                       Care Today! Coalition, of which the MassAFP is      ty. MassAFP President Dr. John Lentini has been
                       an active member.                                   busy in the state House, visiting newly appointed
                                                                           committee leaders and educating them as to the
                     A third, somewhat less comprehensive, health          pivotal role of family medicine in the health care
                     insurance reform plan filed by Governor Mitt          and human service system.
                     Romney will be heard by the Joint Committee on
                     Financial Services in early fall. The common          To date, the Academy has submitted testimony in
                     thread of all these bills is that they are intended   support of the following priority bills:
                     to increase the availability of health insurance
                     coverage for all citizens of the Commonwealth in      • Streamlining the Physician Credentialing
                     the most cost-effective manner feasible. The            Process (S.1217, S.1291 and S.1320)
                     MassAFP is a vocal proponent of health care           • Increasing Access to Over-the-Counter
                     access for all individuals, and we are working          Emergency Contraception (H.1643/S.1319)
                     hard to ensure fair and comprehensive provisions      • Primary Enforcement of the Motor Vehicle
                     for family physicians and their patients in what-       Safety Belt Law (H.229/S.1367)
                     ever revised legislation emerges from the             • Woman’s Right to Know (S.979/H.674)
                     JCHCF. This probably will not occur until early       • Health Care Access (H.2777/S.738 and S.2042)
                     fall, after the JCHCF spends the summer further       • Increasing the Availability of Protective
                     analyzing this complex issue. Specifics of the          Gear for Renters of Recreational Sports
                     MassAFP position are elaborated in the                  Equipment (S. 208)
                     “President’s Corner.”
                                                                           The Massachusetts Academy is working hard
                     Traditionally, most of the state Legislature’s        for you and your patients and we value your
                     attention in the spring is focused on the state       input. If you have an issue of importance, a
                     budget, and this year is no different. This is the    question or just a comment, please e-mail us
                     process during which the $23 billion appropria-       at information@massafp.org. The more we
                     tions package to keep the state running for anoth-    learn from our members, the better we are
                     er year is picked apart, put back together again,     able to represent your views.
                     and picked apart and put back together all over



8                                                                                                              Massachusetts Family Physician
Around
the State




In 2005, twenty-nine (29) Massachusetts medical students     We would like to take this opportunity to welcome the following
chose to enter family medicine residency programs with 31%   active members who have relocated to Massachusetts: Meena
entering programs in the Commonwealth. Congratulations to    K. Bhola, MD, Upham’s Corner Community Health Center;
Heather Kettenis, Amber Lambert, Henry Liao and Hope         Mary Chmura, MD, Amherst Family Practice; Veemal
Mitchell (Boston University School of Medicine); Erin        D’Souza, MD, South Carver Medical Associates; Gail Ellis,
Lunde, Catherine Livingston, Christiana Nwofor and           MD, Willowdale Medical Group in Topsfield; Heidi Foley, MD,
Frances Baxley (Harvard Medical School); Bonu Kapoor,        Foley Family Practice in Athol; Jeremiah Frank, MD,
Christina Kim, Maria Linnell, Dana Mann, David               Department of Family Medicine at the Boston Medical Center;
Solondz, Elly Tsai, Audrey Wen, Zoreisha Wesley and David    Michele Geller, MD, Holistic Family Practice in Newbury;
Young (Tufts University School of Medicine); Karlene         Kenneth Gerweck, MD, East Boston Neighborhood Health
Boswell, Andrew Cook, Gabrielle Hyde, Vanessa                Center; Andrea Gordon, MD, has joined the faculty at the Tufts
Jacobsohn, Thomas Jaquith-Houston, Emily Jones,              University Family Medicine Residency; Marguerite C. Gump,
Jeanette Lavasta, Lauren McClure, Martha McLoughlin,         MD, Valley Medical Group Greenfield; Carolyn Haskell, DO,
Eleni Spartos-O’Donovan, Jennifer Pfau and Cindy Su          Tewksbury Medical Group PC; Michael Reyes, MD,
(University of Massachusetts Medical School).                Department of Family Medicine & Community Health at UMass
                                                             Medical School; Paul Turnquist, MD, Highland Primary Care
Welcome to Greg Czarnecki, DO, (U of Connecticut, IM         in Newburyport; and Nicole Wood, MD, Harbor Medical
Residency) and Justin Dorfman, DO, (Christiana Care FM       Associates in Pembroke.
Residency) who have joined the UMass Fitchburg program as
Sports Medicine Fellows.

Massachusetts Family Physician                                                                                             9
     Family Medicine
        Perspectives


             Life’s Pendulum                                                                                 by Mark Su, MD


One of my philosophical             Doing so has been easier at times, and        ects and goals of my own free will. I was
                                    harder at times. I fought it tooth and nail   convinced that I was maintaining bal-
father’s favorite teaching points   in medical school, philosophically resist-    ance: I was still playing basketball and
during my childhood was,            ing the urge or need to be sucked in to the   tennis regularly; my wife and I were liv-
“Balance is important in life,      24/7 schedule demands of that particular      ing as nannies to a middle-school child
Mark. Balance. Too far this         educational process. Perhaps that was         (and so I was forced to step away for
                                    somewhat detrimental to me, in retro-         lengths of time to socialize with him or to
way, no good. Too far that way,     spect, as my memory of that experience        help him with homework); we were
also no good. Balance.” So, I’ve    is one full of tension and conflict.          involved with our church and even led a
always been a proponent of          Strangely, however, that abruptly             weekly home group; and we would see
                                    changed as I fully embraced the residen-      my wife’s parents every month or month
walking down the middle of the      cy experience, not only fulfilling my         a half, who lived 40 minutes away. But
road, trying to stay even-keeled,   given obligations, but additionally pursu-    now that life has changed, post-residency,
keeping life balanced.              ing a number of profession-oriented proj-     I’ve learned something new once again:

10                                                                                                             Massachusetts Family Physician
although I may have been balanced on          Please don’t misunderstand me – I don’t
the micro-level, I was far from being         regret anything. Much of this change in        NEW ENGLAND PHYSICIAN
attuned to the macro-level. Although we       mentality and life is due to an improving      RECRUITMENT CTR-Boston
were frequently advised otherwise by our      grasp on my professional skills and
                                                                                             Rated #1 in MASSACHUSETTS for Physician
residency behavioral science teachers, I      knowledge (much thanks to my residen-
                                                                                             Recruitment, according to Drosish Research.
had a hard time looking beyond the trees      cy teachers and mentors!), and I’m con-
to see the forest. As much as possible in     fident that the effort spent in training has   ONE of the largest independent recruitment
the context of a residency education, I was   allowed me to more quickly adjust and          centers for Physicians in NEW ENGLAND with
                                                                                             the most up-to-date and largest database of
balanced in my tangible, measurable use       transition to my current stage and com-
                                                                                             Physicians looking for jobs in all specialties.
of time, maintaining my hobby skills and      fort of practice, all the while recognizing
pursuing personal inner growth. However,      I will never fully stop learning. But per-     What are people saying about us?
I was arguably imbalanced in the intangi-     haps what I’m learning is that this “bal-      "MOIRA, in their office is superb...very, very
                                                                                             knowledgeable on Family Medicine jobs...per-
ble awareness of “the big picture” of life,   ancing act” is not so much about trying
                                                                                             sonable and very helpful."
and a vision of what I might want life to     to maintain the middle of the road as it is
look like for the years to come, which,       about recognizing different focuses at         "It was great to have them meet with us face to
except by the grace of God, nearly drasti-    different stages in life. I really enjoyed     face...know our practice and find out for myself
                                                                                             why so many recommend them."
cally changed what life could have been       residency, and even with a different per-
like right now and for years to come.         spective now, I don’t know that I would        "Excellent at scouring the premier cream of the
                                              do it differently if given the chance to do    crop out of the Boston teaching centers and
In the first year after residency, joining    it over. But perhaps my intense focus          throughout the country." "Wonderful recruiters."
a small office practice in the                then has led to a counter-response now,
                                                                                             "After checking 4 of their many references, I was
Newburyport area, I began to enjoy life       and the pendulum has swung the other           sold that the NEPRC was the group for our
outside of medicine in new ways – my          way as I recalibrate. If or when the pen-      doctors...within 2 months...we found the perfect
wife and I quickly formed strong rela-        dulum swings back the other way, and I         fit...I highly recommend their group and tell all
                                                                                             my associates in the In-House recruitment net-
tionships with families of diverse ages       find myself centralized on medicine once
                                                                                             work the same."
in town, I finally took up guitar lessons     again, I’m sure I will enjoy it even more
(put off for two years), I returned to the    greatly than ever before. For sure, I’m          NEW ENGLAND PHYSICIAN RECRUITMENT CTR-Boston
                                                                                                       781-829-2250 • Fax: 781-829-2276
piano and now play keyboard in one of         learning the difference between staying             E-mail: lorileo@neprc.com • www.neprc.com
the rotating bands at church, I joined        the middle of the road (balance), and
one of our local tennis club’s league         commitment, which inherently requires
teams, and found too many opportuni-          some deviation to the right or left, as
ties to play basketball around town. I        life’s different phases and needs take cen-
still enjoyed the practice of medicine,       ter stage. Somewhere there is a compro-
but life outside of my vocation took on       mise between my dad saying, “Balance is
greater prominence. Even more amaz-           important in life, Mark. Balance. Too far
ingly, that perspective has now grown         this way, no good. Too far that way, also
into one of, “Wow, I’m only going to          no good. Balance,” and Mr. Miyagi
live life once,” prompted by the desire       (Karate Kid, circa 1984) saying, “Daniel-
to participate in every possible future       san, must talk. Man walk on road. Walk
moment with our soon-to-be-born son.          left side, safe. Walk right side, safe. Walk        To advertise in future issues of
More so than I thought would be possi-        down middle, sooner or later, get                   Massachusetts Family Physician,
ble, the practice of medicine has             squished just like grape.”                          please contact Jerry Stains at
become an even smaller piece of the
puzzle as I begin to measure life’s prior-    I’m used to finding the most direct path                  502.423.7272 or
ities and the time I will allot to them       to get from point A to point B. As the                jstains@ipipublishing.com.
during this limited lifespan – a radical      journey of life continues on, I’m finding
change from my residency days and my          the road is a bit windier and less direct
mentality at that time. This change is        than I anticipated, but that’s OK. For now,
reflected in my personal situation by the     I’ve rolled down the windows, I’m feel-
fact that I have stopped practicing           ing the breeze, smelling the fresh air,
obstetrics, a real passion of mine in res-    paying as much attention to the scenery                  www.ipipublishing.com
idency (though other factors have con-        as I am to the road itself, and enjoying
tributed to this decision), and reportedly    the journey while thinking a little less
as well as many others of my genera-          about the destination that will undoubt-
tion, as evidenced by recruiters’ atten-      edly change before I arrive there. (Come
tiveness to the lifestyle desires of new      to think of it, just to heighten the experi-
residency grads, which often are in           ence, maybe I ought to borrow a convert-
sharp contrast to the mentalities of older    ible while I’m at it…and get a baby car
generations of doctors.                       seat, too!).

Massachusetts Family Physician                                                                                                                11
     The Match 2005
     Massachusetts Family Medicine Fill Rate Up 13%
            New England Fill Rate Up 20%

                                For the second year in a row,
                                family medicine residency
                                programs nationally gained
                                ground in the National
                                Resident Matching Program,
                                with an overall fill rate of
                                82.4%, as compared with
                                78.8% in 2004. While 102
                                fewer positions were offered
                                (2,782) nine more positions
                                filled (2,292) than in 2004.
                                The number of US seniors selecting family medicine
                                residencies continues its downward trend, and
                                nationwide the US senior fill rate has dropped from
                                a high of 73% in 1996 to 40.7% in 2005. However,
                                this figure is somewhat distorted in that it does not
                                include the number of US graduates from DO
                                schools nor does it account for the fact that a large
                                percentage of the IMGs are US-born and plan to
                                practice in this country.

                                In Massachusetts, 37 family medicine residency
                                positions were offered, one fewer position than last
                                year, and 35 of the positions were filled, represent-
                                ing a fill rate of 94.6% up from 81.6% in 2004.
                                Thirty-one positions, or 88.5%, were filled with US
                                seniors, which is above the 40.7% national average.

                                The 2005 New England overall fill average of
                                93.3% is up 20.2% from last year, exceeding the
                                national average by 10.9%. The New England state-
                                by-state fill rate is as follows: Connecticut (92.9%),
                                Maine (83.3%), Massachusetts (94.6%), New
                                Hampshire (100%), Rhode Island (100%) and
                                Vermont (100%).


12                                                                        Massachusetts Family Physician
  Massachusetts Match Results by Program
  Boston University FMR
  Victoria Dunaevsky, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Drexel University College of Medicine
  Katherine Gergen-Barnett, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yale Univeristy School of Medicine
  Naomi Gordon-Walinsky, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Drexel University College of Medicine
  Eleni Spartos O’Donovan, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School
  Claudeleedy Pierre, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Brown Medical School
  Daniel Trutt, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .McGill University Faculty of Medicine

  Lawrence FPR
  PGY 2
  Elena Rosenbaum, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Pennsylvania School of Medicine

  PGY 1
  Keisa Bennett, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Kentucky College of Medicine
  Shirin Elena Madjzoub Celebi, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of The Witwatersand, South Africa
  Scott Kaiser, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Southern California, Keck School of Medicine
  Amber Lambert, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Boston University School of Medicine
  Adriadne Mueller, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Drexel University College of Medicine
  Abigail McMillan Rattin, MD . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania State University, Milton S. Hershey Medical Center,
  Anuj Kumar Shah, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Loyola University Stritch School of Medicine
  Joey Tryon, DO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of New England College of Osteopathic Medicine

  Tufts University FMR
  Christina J. Cataldo, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Saint George’s University
  Mary K. Engel, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania State University College of Medicine
  Elizabeth A. Hutton, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Albany Medical College
  Christina Y. Kim, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tufts University School of Medicine
  Dana D. Mann, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tufts University School of Medicine
  Priya A. Pullukat, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Michigan Medical School
  Gabrielle Hyde Sousa, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School
  Timothy N. Stephens, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Kansas School of Medicine

  University of Massachusetts/Fitchburg FMR
  Sean Dacus, DO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of New England College of Osteopathic Medicine
  Jeanette LaVasta, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School
  Tom Jaquith-Houston, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School
  Aaron Way, DO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Lake Erie College of Osteopathic Medicine
  Ellen Licudine, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .St. Louis University

  University of Massachusetts/Worcester FMR
  Barre Family Health Center
  Stanley Babu, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Slaska Akademia Medyczna Katowice, Poland
  Karlene Boswell, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School
  Margo Kaplan, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Maryland School of Medicine
  Parvathis Somasundaram, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Guy’s, King’s & St. Thomas’s School of Medicine, UK

  Family Health Center of Worcester
  Brian Cooper, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Temple University School of Medicine
  Donna Pierre, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Saint George’s University, Grenada
  Anstasia Rinis, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .State University of New York Stony Brook School of Medicine
  Rula Youssef, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Tichreen, Syria

  Hahnemann Family Health Center
  Lakshmi Damodaran, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kempegowda Institute of Medical Sciences, India
  Leelie Franck, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Drexel University College of Medicine
  Kibibi Gaughan, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .American University of the Caribbean, School of Medicine
  Martha McLoughlin, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .University of Massachusetts Medical School

            Congratulations to all the new residents! The MassAFP Board of Directors looks forward to welcoming you as resident
            members and invites you to participate in the activities of the Academy. For those of you new to the area, we hope you
            enjoy your new surroundings. Welcome to Massachusetts!!


Massachusetts Family Physician                                                                                                                                               13
Opportunities: The National
Conference of Special Constituencies
New Physician Delegate: Sarah Sciascia, MD                                       new physicians). Throughout the three days of the conference, important
My experience at the National Conference of Special Constituencies               issues relevant to each constituency were discussed and debated with many
(NCSC) was much different than I had been expecting. When I was asked            of them resulting in written resolutions. These resolutions, once created and
to represent Massachusetts as the New Physician Delegate, I did not realize      perfected, are sent to the Congress of Delegates or the Board of Directors of
what an opportunity this would be to have a voice in a way that makes a dif-     the AAFP for further consideration with the aim of being adopted.
ference so quickly. In a matter of three days, I was able to meet with other
new family physicians, help to identify concerns common to our group,            As the International Medical Graduate (IMG) delegate, I not only appreci-
write resolutions to make changes, and then follow those resolutions             ated the issues surrounding IMGs in family medicine (which ranged from
through the beginning of the legislative process. It was refreshing to meet      broad issues such as cultural competency training to technical issues of cre-
others interested in reclaiming the motivation to practice the way family doc-   ating a Web link for IMGs on the AAFP Web site), but also those of the new
tors should, with an emphasis on proactive, preventive care.                     physicians (issues of Maintenance of Certification to new physician sup-
                                                                                 port) and women physicians (maternity rights in residency programs to
Some specific resolutions to be passed on to the Congress of Delegates           women faculty development). The NCSC provided a forum to present
related to reducing the cost of Maintenance of Certification (MOC) for new       thoughts and ideas that are special to particular groups of doctors and
physicians, maintenance of medical student interest in family medicine, and      patients. This type of an assembly of doctors is special to the AAFP and
the family physician role in addressing performance-enhancing substance          should be a benchmark of what good family physicians should aim to
abuse in athletes.                                                               encompass in their practices. The future of medicine in America relies on an
                                                                                 understanding of our vibrant multi-cultural patient population. The NCSC
The conference was an opportunity also to meet officers from the local to        delegation represents that multi-cultural patient population beautifully.
the national level and to get more comfortable with the idea of contacting
local legislators to discuss issues in primary care medicine. I now plan to      The NCSC provides an opportunity to network with fellow colleagues, del-
become more involved in the Massachusetts chapter activities and work            egates, leaders, state chapters and constituencies. The attendees engage in
toward the goals set forth in the Future of Family Medicine project.             insightful and thought-provoking discussions with enthusiasm and energy
                                                                                 and the passion that this delegation has for family medicine is palpable.
International Medical Graduate Delegate: Meena Bhola, MD
On April 6th, in Kansas City, Missouri, at the National Conference of            As we move into the “Future of Family Medicine,” this type of a congrega-
Special Constituencies (NCSC), a dynamic event for family medicine               tion becomes even more relevant and important. The age of technology
occurred that could potentially affect the lives of thousands. There was a       merging with medicine brings us to a new level of health care and will
congregation of the existing and future leaders in family medicine who spent     demand more of our creative abilities, foresight, adaptability and accounta-
three days considering the state of family medicine in America.                  bility. It is an exciting time for family medicine, with the broad range of serv-
                                                                                 ices that we can and do provide as family physicians, and a time for us to
These leaders constituted a diverse group of family physicians from differ-      prove our capabilities by becoming leaders not only in family medicine, but
ent constituent chapters around the country who represented one or more of       also in medicine in general. Taking the reins strongly by the hand, we should
the special constituencies (minority physicians, international medical grad-     guide the way of the future of medicine.
uates, women physicians, gay/bisexual/lesbian/transgender physicians and

  14                                                                                                                                           Massachusetts Family Physician
                                                                                                  Residents’ Corner

That time of year has come once again. For many, the end of spring signals
the end of school, the end of residency, and the beginning of the next chapter
of the book. More importantly, for graduating residents it means the end of
many long years of school and training, and the start of their lives as attend-
ing physicians. A both exciting and terrifying prospective!

How do these fresh new grads foresee         Stacey does feel, however, that there is     Finally, we move six years out of resi-
the upcoming year? What concerns do          a reason it is called “the practice of       dency to speak with Dr. Parra Tomkins,
they have about leaving the protected        medicine,” and anticipates gaining           who is faculty at the Tufts Family
environment of residency? How do             more confidence as she continues to          Medicine Residency. Unlike her junior
young attending physicians find that         practice. She hopes to doubt herself         colleagues, she feels that she is com-
reality met or failed their expectations?    less as the years go by, while all along     fortable with the day-to-day medical
And what new concerns arise after            providing exceptional care.                  decisions that arise in her practice. Dr.
practicing for a few years?                                                               Tomkins has found that practice has
                                             Jumping ahead two years, I spoke with        been greatly enhanced by electronic
After speaking with three physicians         Dr. Mike Coffey, who practices with          resources and allows her improved
at varying stages in their medical           Ell Pond Medical Associates, Family          confidence in the thousands of medical
careers, we can begin to see how             Medicine in Ball Square. He states that      decisions she makes every day. At this
physicians develop professionally and        during the first year out into practice,     stage in the game for her, she focuses
personally as they journey further           “you are just trying to keep your head       mostly on personal development and
through their careers.                       above water to deliver good patient          improving “personal and professional
                                             care.” Focusing on details of your           balance.” She feels that she is good at
First, Stacey Rubtchinsky is a soon-to-      office/practice is very difficult to do      setting limits, but at times feels guilt
be graduate from the Tufts Family            during that time. Now, however, he           and inadequacy at not finishing work
Medicine Residency. She will be head-        feels that he has definitely improved        tasks immediately in exchange for per-
ing to her hometown of Marblehead to         with regard to his comfort level in          sonal time. In all, Dr. Tomkins enthusi-
practice, and is greatly looking for-        patient care but certainly still has         astically states that she “would still
ward to starting her new job. Not only       moments of “I just don’t know what’s         recommend medicine as a profession”
because of her short commute to              wrong” with the patient. Luckily for         to young folks starting off.
work, but also because she has the           Dr. Coffey, that happens with much
opportunity to be an integral part of        less frequency. He has also developed        Overall we can see a common thread
the community she calls her own.             a comfort level with accessing spe-          between these three physicians –
That alone causes her some concerns          cialists for assistance, since he is no      always working to improve. It does-
as she will have to find a good bal-         longer surrounded by 31 residents            n’t matter if one is just beginning
ance between home life and work life,        and attendings with whom he can dis-         practice or is a 30-year veteran; we
while learning to “set boundaries            cuss patient care.                           all try to better our practices and our
with my patients that I may also see                                                      lives to improve both patient and
in the local market or at the beach.”        Dr. Coffey’s focus of practice has been      personal care. We certainly have
                                             slowly shifting as he has settled in – he    excellent role models.
Dr. Rubtchinsky has also been thinking       is now thinking a great deal more
a great deal about leaving the comfort       about practice management and the            Cheers,
of residency. She has enjoyed the com-       “next level” of patient care. He is          Kristen Guest
radery of residency, and the security        working hard to incorporate, over time,      Tufts Family Medicine Resident
and ease of being able to “run a ques-       the goals and ideas of the New Model         CRSA Resident Chair – Outgoing
tion by someone.” Starting in a new          of Family Medicine. At this point he
place means learning (and quickly!)          has started the basics of Open Access
how the system works and who the             and is looking forward to improving
specialists are for referrals in her area.   this system and also to beginning
In addition, she, like most new gradu-       group visits at his practice. And all this
ates, is concerned about her ability to      while awaiting the start of fatherhood!
trust her judgments with confidence.


Massachusetts Family Physician                                                                                                   15
     PAID ADVERTISEMENT



New Immunization Recommendations Address
Increased Risk of Meningococcal Disease Among
U.S. Adolescents and College Students
In February 2005, the U.S. Centers for Disease Control and          four of the five major disease causing serogroups of Neisseria
Prevention’s (CDC) Advisory Committee on Immunization               meningitidis (A, C, Y, W-135), the bacterium that causes
Practices (ACIP) approved new immunization recommendations          meningococcal infection.
that target young adolescents and college students. These new
ACIP recommendations are in response to the elevated risk of        In general, the benefits of a successful conjugate vaccine include
disease among adolescents and young adults, as well as avail-       improved duration of protection, induction of immunologic
ability of a newly approved conjugate meningococcal vaccine.        memory, booster responses and a reduction in carriage rates.

The new ACIP recommendations call for immunization of the           There are risks associated with all vaccines. The meningococcal
following cohorts:                                                  vaccine mentioned above can cause pain, redness and induration
• 11- to 12-year-old at the pre-adolescent visit                    at the site of injection, headache, fatigue, and malaise. As with
• adolescents at high school entry                                  any vaccine, vaccination with this new quadrivalent meningo-
• college freshmen living in dormitories.                           coccal conjugate vaccine may not protect 100% of individuals.

ACIP’s recommendations also state all other adolescents who         Meningococcal Disease: Rare, But Deadly
wish to decrease their risk of meningococcal disease may elect      Meningococcal disease is a rare, but deadly bacterial infection
to receive the vaccine.                                             that strikes between 1,500 and 3,400 Americans every year,
                                                                    causing meningitis or sepsis in the majority of cases.
Other professional organizations, such as the American              Approximately 10 percent of individuals who contract meningo-
Academy of Pediatrics (AAP), the American College Health            coccal disease will die. Of those who survive, up to one in five
Association (ACHA) and the American Academy of Family               suffer permanent disabilities such as hearing loss, neurological
Physicians (AAFP) are currently reviewing the new recom-            damage and limb amputations.
mendations targeting younger adolescents and college stu-
dents, and are expected to adopt similar recommendations in         Meningococcal disease is transmitted through the exchange of
the near future.                                                    respiratory and throat secretions, usually through close, person-
                                                                    al contact. Meningococcal disease often begins with symptoms
Adolescents and Young Adults at Increased Risk                      that can be mistaken for common viral illnesses such as the flu.
In the past, the focus of meningococcal disease immunization        Symptoms may include fever, headache, stiff neck, vomiting,
policy has been on college students, since the old polysaccharide   confusion and a petechial or purpuric rash.
vaccine provided a shorter duration of protection (3-5 years).
Published research in the past decade has highlighted that the      Meningococcal disease can progress very rapidly and can kill an
adolescent risk for meningococcal disease begins to rise around     otherwise healthy young person in 48 hours or less. Despite
the high school entry age of 14 to15. This led public health        improved understanding of meningococcal disease, the illness
experts to refocus their attention on this younger age group.       remains a serious health threat to groups at greater risk for the
Experience with conjugate vaccines, offering a longer duration      disease, including adolescents and young adults.
of protection, and the availability of the new meningococcal
conjugate vaccine has led policy makers to institute new            Vaccination is the best method of prevention against meningococcal
meningococcal recommendations.                                      disease, and health officials are charged with the task of educating
                                                                    and vaccinating those most at risk for this devastating disease.
Immunization: New Technology to Prevent Meningococcal Disease
Up to 83 percent of cases of meningococcal disease in adoles-       For more information about meningococcal disease and immu-
cents and college students are caused by the potentially vaccine-   nization, visit the following Web sites:
preventable serogroups that are included in a new conjugate         • www.cdc.gov
meningococcal vaccine.                                              • www.meningococcaldisease.com
                                                                    • www.nmaus.org
The first quadrivalent conjugate vaccine licensed in the U.S. for   • www.sanofipasteur.us
the prevention of meningococcal disease in adolescents and
adults aged 11-55 years is designed to offer protection against


16                                                                                                                       Massachusetts Family Physician
Welcome
The Academy would like to welcome
the following new members.

Active Members                    Ms. Shreya Raj
Meena Kumar Bhola, MD, Boston     Ms. Rhoda A. Rasi
Veemal D’Souza, MD, Carver        Ms. Rebecca J. Rhee
Jeremiah D. Frank, MD, Boston     Ms. Shawnatte S. Saddler
Andrea E. Gordon, MD, Malden      Ms. Kari S. Schichor
Marguerite C. Gump, MD, Conway    Ms. Alison T. Schwartz
Michael A. Reyes, MD, Worcester   Mr. Steven B. Sobey
Nicole Wood, MD, Pembroke         Mr. Aaron N. Stayman
                                  Ms. Natalie Stein
Student Members                               .
                                  Ms. Diane V Stevens
                                  Mr. George E. Storer
Boston University School of
                                  Mr. Aaron F. Summers
Medicine
                                  Mr. Amit Sura
Ms. Sionne A.C. George
                                                .
                                  Mr. Michael P Thackrey
Mr. Kevin M. O’Connor
                                  Ms. Shelly Hsiao-Ying Tien
Ms. Ani Tahmassian
                                  Mr. Eric Tjonahen
                                  Ms. Liesbeth I. Tyzelaaar
Tufts University School of
                                  Mr. Norman Viadaya
Medicine
                                  Ms. Padade M. Vue
Ms. Sarah E. Axler
                                  Ms. Lauren R. Weintraub
Ms. Alyssa G. Bishop
                                  Ms. Loraine E. Wu
Mr. Jordan A. Chase
                                  Mr. Arthur Yan
Mr. Chien Chow
                                  Mr. Branden E. Y ee
Mr. Matthew D. Cohn
Ms. Laura E. Cowen
                                  University of Massachusetts
Mr. David S. Edwards
                                  Medical School
Mr. Joshua F. Edwards
                                  Ms. Saritha Dhruvakumar
Mr. Stephen J. Eyre
Ms. Taly Glaubach
Ms. Jennifer Goldberg
Ms. Gareen Hamalian
Ms. Margaret M. Hayes
Mr. Taylor A. Horst
Mr. Eric Huang
Ms. Elizabeth A. Jalkut
Mr. Lee H. Justin
Ms. Lauren A. Kanter
Mr. Jon C. Kerr
Ms. Rebecca A. Kurnik
Ms. Anna K. Linnell
Mr. David Dun-Hung Lo
Ms. Kim Lu
Ms. Elena L. Lvin
Mr. Michael J. Meguerdichian
Mr. Richard A. Misiaszek
Ms. Kristina Mori
Mr. Anh Q. Nguyen
Mr. Daniel T. Parker
Mr. Mitesh G. Popat
Ms. Rubina Pothiawala
Ms. Jane C. Preotle
Mr. Wilson F. Pyle


 Massachusetts Family Physician                                 17
(continued from page 5)

Dr. Mary Frank presented Susan
Black, MD (Tewksbury), with the
Massachusetts Family Physician of
the Year Award. In presenting
Susan with this award, Dr. Mary
Frank stated, “Dr. Black has served
as a role model for students, resi-
dents, her colleagues and staff, as a
compassionate family physician,
and as an active leader within her
community. At the national level,
Susan broke the glass ceiling as the
first woman to run for president of
the AAFP – she paved the way for
those of us who have followed.
Susan was my mentor; had it not
been for her I would not be here
today! We are honored to recognize
Susan for her commitments to her
patients, contributions to her com-
munity and for furthering the ideals
of family medicine.”

In December 2004, the MassAFP
Board of Directors approved the
recommendation of the Committee
on Resident and Student Affairs to
establish two awards, MassAFP
Preceptor of the Year and MassAFP
Preceptor Hall of Fame. The pur-
pose of each award is to recognize,
on a statewide basis, exemplary
clinical teaching of medical stu-
dents in the specialty of family
medicine. Highlighting the
careers of the six recipients, resi-
dent and student board members
Dr. Kristen Guest and Mr. Seth
Flagg made the presentations.

Dr. Alain Chaoui, North Shore
Family Medicine, Peabody, was the
inaugural recipient of the MassAFP
Preceptor of the Year. In accepting
the award, Dr. Chaoui closed his
remarks by stating, “Teaching fami-
ly medicine students is one of the
great joys of my life and I plan to
continue teaching until the end of
my career.”




18                                      Massachusetts Family Physician
           With numerous family members, colleagues and friends in attendance,
           Drs. William A. Damon (Gardner), Floyd L. McIntyre (South Dennis),
           Samuel C. Pickens (Barre), Stanley E. Sagov (Arlington) and Robert
           “Toby” Wesselhoeft (Carlisle) were inducted into the MassAFP
           Preceptor Hall of Fame. To be eligible for induction into the Preceptor
           Hall of Fame, physicians must have precepted medical students for
           more than 10 years. During the recipients’ remarks, the love of both
           family medicine and teaching, with all the accompanying trials and
           tribulations, were eloquently voiced.

           At the close of the meeting, as family members, colleagues and friends congrat-
           ulated the award recipients, we had a chance to talk about the rich history of
           MassAFP members who give of themselves to prepare new generations of fam-
           ily physicians. During our conversation, we realized that we had just witnessed
           more than a century of family medicine teaching being recognized – to be exact,
           it was 290 years!

           Sincerely,
           Joseph Peppe, MD, Editor
           Karen L. Brenke, Managing Editor




           Dr. William A. Damon     Dr. Floyd L. McIntyre     Dr. Samuel C. Pickens




           Dr. Stanley E. Sagov     Dr. Robert “Toby”
                                    Wesselhoeft

Massachusetts Family Physician                                                               19
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