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March 2011


Famed family medicine researcher to speak in Santa Rosa


Dr. William Miller, a well-known researcher and consulting editor for the Annals of Family Medicine, will speak at the new Vista Family Health Center in Santa Rosa on Wednesday evening, March 23. He will discuss current research on practice development and patient centered medical homes.

 

The event, which begins at 6 p.m., will also include presentation of the Sonoma Family Physician of the Year award. The winner will be announced at the meeting. Light refreshments will be served, and guests are welcome to attend. There is no charge. To RSVP, contact the California Academy of Family Physicians at cafp@familydocs.org or 415-345-8667. The health center is located at 3569 Round Barn Circle in northeast Santa Rosa.




Physicians invited to Smartphone Salon


Local physicians interested in improving their use of smartphones in clinical practice are invited to an informal Smartphone Salon in Santa Rosa on Thursday evening, March 24. The salon runs from 5:30 to 8 p.m., and participants are free to come late or leave early. Topics include best new medical apps for specialty care and HIPAA-compliant communication among physicians via smartphone. A “beginner’s corner” for doctors new to smartphones will also be available.

 

To RSVP and receive the location, contact Dr. Rachel Friedman at rscfriedman@gmail.com.




SCMA cosponsoring Medicare coding course


In partnership with the Practice Management Institute, SCMA is cosponsoring “Coding and Medicare Updates 2011,” a three-hour course that focuses on sweeping changes affecting your 2011 Medicare reimbursements. Participants will review major changes for 2011 coding, learn how to improve claim accuracy, and maximize reimbursement opportunities with Medicare incentive programs.

 

The course will be held from 1 to 4 p.m. on Friday, April 15, at the Fountaingrove Inn, 101 Fountaingrove Parkway, Santa Rosa. Cost is $105 for SCMA members and their staff and $165 for nonmembers. To purchase tickets, contact Rachel Pandolfi at 525-4375 or rachel@scma.org.




Nominations needed for SCMA election


In preparation for the upcoming SCMA election, all members are urged to submit nominations for leadership positions by March 18. Nominees must be SCMA members in good standing. Nominations are requested for the following positions:

• SCMA president-elect

• Individual SCMA board representatives from Petaluma, Sonoma Valley and Santa Rosa

• Two CMA delegates

• Two CMA alternate delegates

 

All positions require a three-year commitment, beginning July 1. Nominations can be e-mailed to cynthia@scma.org, faxed to 525-4328, or mailed to SCMA, 2901 Cleveland Ave. #202, Santa Rosa, CA 95403. Each nomination should include a brief statement about the nominee’s qualifications.

 

For more details, contact Cynthia Melody at cynthia@scma.org or 525-4375.




Act now to prepare for new Tdap booster law


Under a new law, all California students in grades 7-12 will need proof of a Tdap booster shot before starting school next fall. Act now to ensure your adolescent patients are protected against the ongoing threat of pertussis by taking the following steps:

 

View the free one-hour CME webcast, “Shots For School: Clinicians’ Role in California’s New Tdap Requirement,” available at www.uctv.tv/capertussis/.

 

Send reminder and recall phone calls and notices to your patients who have not yet received a Tdap booster, including those who have received a dose of Td but not Tdap.

 

Order enough Tdap vaccine to immunize your patients affected by the new law. Before ordering, ensure you have adequate storage in your vaccine refrigerator for your orders. In many clinics, multiple orders will be indicated.

 

Immunize with Tdap now at every opportunity, including sports physicals and visits for mild illness or injury, and give other recommended immunizations: meningococcal conjugate, HPV, influenza, and any catch-up doses of varicella, MMR, and hepatitis B.

 

Provide clear and accurate documentation about Tdap immunization for your patients and their schools. Vaccines have similar names and abbreviations, e.g., Tdap, Td, DTaP, DT—which can be confusing to school staff who will be keeping records for the new law. If you use the California Immunization Registry, consider printing out a copy of the Blue Card after Tdap has been given for the student to take to school.

 

Have parents check with their child’s school about how they should provide the Tdap documentation.

 

Post downloadable electronic banners on your practice’s website and in electronic newsletters to help notify your patients.

 

For additional information on the new Tdap school requirement, visit www.ShotsForSchool.org.




RSVPs needed for Legislative Day in Sacramento


Local physicians interested in attending CMA’s free Legislative Leadership Conference in Sacramento on April 5 should RSVP by March 31. SCMA will be renting a van to travel to Sacramento, so reservations are requested.

 

The annual conference, which last year drew more than 400 physicians and CMA Alliance members, allows doctors to meet with legislators and express their views on pending health legislation. The conference also includes a morning session featuring speakers from across the political spectrum.

 

To RSVP, contact Rachel Pandolfi at 525-4375 or rachel@scma.org.




Physicians invited to dinner with CMA president


All North Bay physicians and their spouse or guest are invited to the Marin Medical Society’s spring membership dinner on April 12, featuring CMA President Dr. James Hinsdale, a Marin County trauma surgeon. The dinner, to be held at the Servino Ristorante in Tiburon, begins with a social hour at 6 p.m., followed by the dinner and program at 7. Tickets are just $45 per person. Dinner choices include petrale sole, flank steak and vegetarian pasta. To purchase tickets and indicate your dinner choice, contact Ashleigh Strasheim at 415-924-3891 or ashleigh@marinmedicalsociety.org.




PEOPLE


Dr. Roger Barron, an allergist in Sonoma County for more than 30 years, has retired. His longtime partner, Dr. Michael Martin, will continue to see their patients. Reflecting on his long career, Barron noted that his favorite part was “Having the opportunity to take care of so many wonderful patients and work with terrific colleagues.” He devoted much of his career to teaching patients and their families how to understand, manage and control asthma. In addition to founding the Redwood Empire Chapter of the Allergy & Asthma Foundation of America, he was president of the California Society of Allergy & Clinical Immunology. He and his wife, Peggy, will continue to live in Santa Rosa and to volunteer for Global Partners, a nonprofit organization based in Rohnert Park that funds medical, agricultural and scholastic projects in Uganda, Kenya and Tanzania.

 

In late February, Santa Rosa cardiologist Dr. Sanjay Dhar performed a coronary angiogram by threading a cardiac catheter through the radial artery in a patient’s wrist—the first time such a procedure has been used in Sonoma County. The traditional approach is via the femoral artery, accessed through the groin. Dhar said the new procedure is widely used in Europe and Asia but has yet to catch on in the United States. Advantages include faster recovery, less bleeding and more patient comfort. “The convenience for patients is awesome,” observed Dhar. “Recovery is very rapid with this new approach.”

 

Dr. Arnold Honick, a board-certified radiologist and family physician, has joined the staff at Sutter Pacific Women’s Health Center in Santa Rosa. He specializes in breast imaging and will provide a range of screening procedures. Honick was previously director of breast imaging at Inland Imaging in Seattle. He holds an MD from Georgetown University.

 

Dr. Michael Star, a Santa Rosa orthopaedic surgeon, has been named director of the new Back and Neck Care Program at Santa Rosa Orthopaedics. The programs features a team approach to the prevention and treatment of back and neck problems.




RESOURCES


The 18th annual HIV/AIDS Review runs from 8:30 a.m. to 3:30 p.m. on March 12 at the Hilton Hotel, 3555 Round Barn Blvd., in Santa Rosa. This educational seminar, sponsored by the North Coast Area AIDS Education & Training Center, includes breakfast, lunch and 6 units of AMA PRA Category 1 credits. Cost is just $45. To register, call 527-6223.

 

Palm Drive Hospital has begun offering weekly CME grand rounds with local pulmonologist Dr. James Gude. The rounds, valid for one hour of Category 1 credit, are presented every Wednesday morning from 8 to 9 a.m. in the Solomon Telemedicine Hub at the hospital, located at 501 Petaluma Ave. in Sebastopol. Cases from rural ICUs in Northern California are presented via robotic telemedicine. For more information, contact Jeff Dunbar at 326-5855 or jeff.dunbar@offsitecare.com.

 

Physicians considering switching to electronic medical records can estimate savings and return on investment (ROI) by using the ROI Calculator, a new resource from CMA. To use the free calculator, visit www.cmanet.org/roi and answer a few basic questions about your practice. You will then be able to estimate your administrative savings, how much you qualify for in federal incentive payments, and what the overall ROI would be for converting to electronic health records.

 

A complete schedule of CMA webinars for 2011 is available at www.scma.org/resources. These popular bimonthly programs cover all aspects of medical practice and are free to SCMA members. The webinars usually run from 12:15 to 1:15 p.m., but some feature evening sessions from 6 to 7 p.m. Upcoming topics include:

• March 16: Key financial ratios to increase profitability

• April 6: Coding for medical necessity and quality care

To register, visit www.cmanet.org/calendar or call 800-786-4262.

 

Nonprofit health organizations in Sonoma County are encouraged to apply for Community Grants from the Pacific Foundation for Medical Care. The grants, generally in the $10,000 range, are awarded twice a year by the nonprofit foundation to support local projects that enhance health services. The application deadline for the next round of grants is April 2. For application materials, contact Kathy Pass at 525-4281 or kpass@rhs.org. For more information, visit www.pfmc.org.




APPLICANTS


Seena Davies, MD, Internal Medicine, Pediatrics, 401 Bicentennial Way, Santa Rosa 95403, 393-4104, Fax 393-4146, seenadavies@yahoo.com, Michigan State Univ 2003

 

Sahar Ghassemi, MD, Gastroenterology*, Internal Medicine*, Endoscopic Ultrasound, 1210 Sonoma Ave. #B, Santa Rosa 95405, 544-5093, Fax 528-8444, sghassemi@dhco.pro, Rush Med Coll 2001

 

* board certified




CLASSIFIEDS


Physician wanted

Physician wanted for ethical medical weight control. Part time. Pleasant conditions. No billing, no on-call. Short shifts. Perfect for semi-retired or someone looking for a little extra work. Locations in Vallejo and San Francisco. Please call 415-447-4200 or email info@californiaweightclinic.com.

 

Office space

Small suite for lease. Reception, 3 rooms, Summerfield Rd., Santa Rosa. Contact Connie, 707-525-0211.

 

How to submit a classified ad
To submit a classified ad for SCMA News Briefs or Sonoma Medicine, contact Erika Goodwin at erika@scma.org or 707-548-6491. The cost is one dollar per word.




ABOUT SCMA


The Sonoma County Medical Association, a 501(c)(6) nonprofit association, supports local physicians and their efforts to enhance the health of the community. Founded in 1858, SCMA is affiliated with the California Medical Association and the American Medical Association.

 

© 2011 SCMA, 2901 Cleveland Ave. #202, Santa Rosa, CA 95403




February 2011


CMA pushing for improvements to Affordable Care Act


By CMA Vice President Elizabeth McNeil

 

Note: The following story is excerpted from Ms. McNeil’s Jan. 28 report to the CMA Board of Trustees.

 

On Jan. 19, the House of Representatives passed HR 2, legislation to repeal the Affordable Care Act (ACA), but the measure is not expected to pass the Senate nor gain the support of the White House. CMA did not take a specific position on HR 2. In fact, none of the major national health care organizations took a position on HR 2.

 

CMA will be working vigorously to pursue improvements to the ACA, such as eliminating the IPAB (the non-elected board given broad new authority to govern Medicare), repeal of the Medicare SGR payment formula, increases in Medi-Cal reimbursement rates, augmenting graduate medical education, and improvements to quality reporting programs. CMA will continue to support provisions of the ACA that reform the abuses of the for-profit insurance industry, such as ending rescissions and coverage denials for pre-existing conditions, as well as forcing insurers to dedicate at least 80% of their revenue to direct patient care.

 

While a full repeal of the ACA is not expected to be successful, many predict that Congress will adopt some changes to the law on a bipartisan basis. For instance, both Democrats and Republicans have agreed to eliminate the Form 1099 new reporting requirement that requires businesses, including physician offices, to report certain payments.

 

AMA, CMA and the federation will be pushing legislation (The Medicare Patient Empowerment Act) to allow physicians to privately contract with Medicare patients. CMA was actively involved in crafting the bill, and several Republican leaders appear to be interested in introducing the legislation.

 

The AMA and many other state medical associations are pushing for federal medical liability reform that mirrors the successful laws in California and Texas. There will be several liability bills introduced and moved through the House, but passage of liability reform will be much more difficult in the Senate. CMA’s first priority will be to protect MICRA to ensure that federal law does not weaken California law.




Preteen Vaccine Week begins Feb. 13


This year’s Preteen Vaccine Week begins shortly before Valentine’s Day, a fitting reminder of the need for vaccinations amid an outbreak of kissing. The goal of this year’s campaign is to raise awareness of the new Tdap vaccine requirement for incoming students in grades 7-12, also known as “The New Rule: Shots Before School.” All students in those grades will need proof of a Tdap booster shot before starting public or private school in the fall.

 

In addition to Tdap, the federal Advisory Committee on Immunization Practices recommends that 11- and 12-year-olds receive meningococcal, varicella, HPV and annual flu vaccines. Complete details about Preteen Vaccine Week, including brochures, posters and multilingual materials, can be found on the California Department of Public Health website at www.cdph.ca.gov.




Health Careers Scholarship deadline is Feb. 28


Do you know a high school, college or reentry student who’s interested in pursuing a medical career? If so, encourage them to apply for a Health Careers Scholarship sponsored by SCMA and the SCMA Alliance. The application deadline for the scholarships, which are administered by the Community Foundation of Sonoma County, is Feb. 28. Applications are available at www.sonomacf.org. Children of physicians are not eligible for the scholarships.

 

Applications are reviewed by the SCMA Health Careers Scholarship Committee, which is co-chaired by Virginia Merwin and Dr. Jackie Senter. Last year the committee awarded $24,000 in scholarships to a dozen students, and this year even more money will be awarded, thanks in part to a $10,000 grant from the Pacific Foundation for Medical Care.

 

For more details, visit the SCMA Alliance website at www.scmaa.org or contact Virginia Merwin at vmerwin@earthlink.net or 321-4558.




Marin County seeking new Public Health Officer


Marin County is seeking a new Public Health Officer to replace Dr. Fred Schwartz, who has retired. The filing deadline is Feb. 4, so time is of the essence. The Officer plans, organizes and directs public health programs, and enforces public health laws and regulations. Responsibilities include serving as county spokesperson on public health issues, advocating for disease prevention and health promotion, and developing public health policy. Salary range is $166,000 to $201,000 per year.

 

Application forms and instructions are available at www.co.marin.ca.us/jobs. Physicians with questions or suggestions should contact HHS Director Dr. Larry Meredith at lmeredith@co.marin.ca.us or 415-499-6924.




Even busy doctors can join the iWALK Challenge


Even if you’re a busy doctor, the iWALK Challenge could motivate you to step away from the computer and get some exercise. All you have to do to participate in this 90-day event is to commit to getting at least 150 minutes of exercise each week. That's just 30 minutes a day, five days a week.

 

The iWALK Challenge begins Feb. 7 and walks, runs, swims or hikes until May 7. It’s 90 days of making exercise a priority. Do what you enjoy. You can go it alone or recruit your colleagues to join the movement. To register, visit www.iwalksonoma.org and click on the iWALK Challenge button. There you can download the Personal Fitness Tracker to keep track of your minutes, and you'll also be entered in a weekly drawing to win cool iWALK stuff and Sonoma County Parks passes. SCMA is a community partner in the iWALK project.




PEOPLE


Family physician Dr. Doug Pile, a fixture in the Healdsburg medical community since 1974, has retired. The son of Santa Rosa family physician Dr. Duane Pile, he attended medical school at UC San Francisco and completed his family medicine residency at Community (now Sutter) Hospital in Santa Rosa. He was in a group practice for one year before going solo in 1975. Twenty years later, he cofounded Healdsburg Primary Care with Drs. Dave Anderson, Locke Wilson and Paul Marguglio. “Doug’s strange sense of humor endeared him to his patients,” recalled Marguglio, who gave Pile much of the credit for the continued survival of Healdsburg Primary Care. Pile, a diabetes expert, noted that his biggest accomplishment was “empowering my diabetic patients to learn about their illness, and to feel that they had control over their outcomes based on choices they could make regarding lifestyle, medication and working together with their health educator.” In retirement, he plans to continue his longstanding interests in woodworking, photography and playing the clarinet. His brother, Dr. Tim Pile, continues to practice family medicine at Kaiser Santa Rosa.

 

SCMA President Dr. Catherine Gutfreund, a family physician at Kaiser Santa Rosa, will chair a newly formed CMA committee that will investigate strategies for strengthening the alignment between CMA and county medical societies, including SCMA. About a dozen physicians from around the state will serve on the committee, along with SCMA Executive Director Cynthia Melody and four other county medical society directors. Marin Medical Society president Dr. Peter Bretan, who has a satellite office in Sebastopol, will also serve on the committee, which is expected to make recommendations on alignment strategies and performance standards before next fall’s meeting of the CMA House of Delegates.

 

Five more local physicians have joined the Annadel Medical Group, the physician network affiliated Santa Rosa Memorial and Petaluma Valley hospitals. Internists Drs. George Bisbee, Catherine Davis, and Robert Schaefer will have offices in the main Annadel building at 500 Doyle Park Drive in Santa Rosa. Family physicians Drs. David Sisler and Paul Umino will continue to work at 24 W. El Rose Drive in Petaluma. The fast-growing Annadel group now includes 27 primary care physicians and hospitalists.




MEDICAL FACILITIES


The American College of Radiology has accredited the Breast MRI and MRI Biopsy programs at Redwood Regional Medical Group. “We are very proud to tell the community that our Breast MRI and MRI Biopsy programs have achieved this designation,” said RRMG president and radiologist Dr. Mark Popovich. RRMG is the only facility in the North Bay to have achieved the designation, which involves a thorough review of physician and staff qualifications, quality control and assurance, MR safety policies, and image quality.




RESOURCES


A complete schedule of CMA webinars for 2011 is available at www.scma.org/resources. These popular bimonthly programs cover all aspects of medical practice and are FREE to SCMA members. The webinars usually run from 12:15 to 1:15 p.m., but some feature evening sessions from 6 to 7 p.m. Upcoming topics include:

• Feb. 2: Embezzlement—Don’t be a victim

• Feb. 9: How to enroll in the EHR incentive programs

• March 2: E&M coding: Don’t leave money on the table

To register, visit www.cmanet.org/calendar or call 800-786-4262.

 

Palm Drive Hospital is presenting a CME on Fever of Unknown Origin from 8 to 9 a.m. on Wednesday, Feb. 9. The presenter is Sonoma County pulmonologist Dr. James Gude, and participants will receive 1 hour of Category 1 credit. The event will be held in the hospital’s Solomon Telemedicine Hub. For more details, contact Jeff Dunbar at 326-5855 or jeff.dunbar@OffSiteCare.com.

 

Physician leaders are encouraged to attend the IMQ/PACE Platinum Training Program for Physician Leaders, to be held March 10-12 at the Hilton San Diego Bayfront Hotel. The program covers the practical knowledge and skills needed to lead medical staffs and offers an interactive forum to empower physicians and reinforce learning. For more details, or to register, visit www.imq.org or call Leslie Anne Iacopi at 415-882-5167.

 

Nonprofit health organizations in Sonoma County are encouraged to apply for Community Grants from the Pacific Foundation for Medical Care. The grants, generally in the $10,000 range, are awarded twice a year by the nonprofit foundation to support local projects that enhance health services. The application deadline for the next round of grants is April 2. For application materials, contact Kathy Pass at 525-4281 or kpass@rhs.org. For more information, visit www.pfmc.org.

 

Physicians who enjoy flying planes are invited to attend an Electric Aircraft Symposium in Santa Rosa on April 29-30. The event, sponsored by the Santa Rosa-based Comparative Aircraft Flight Efficiency (CAFE) Foundation, features presentations by scientists from NASA and Lawrence Livermore Lab, among others. For more details, or to register, visit cafefoundation.org.




APPLICANTS


Ruchi Arora, MD, Family Medicine, 401 Bicentennial Way, Santa Rosa 95403, 393-4443, Fax 393-4866, Ruchi.x.arora@kp.org, Gandhi Med Coll 1997

 

Raymond Conway III, MD, Vascular & Interventional Radiology, Diagnostic Radiology*, 121 Sotoyome St., Santa Rosa 95405, 546-4062, Fax 525-4097, rconway@rrmginc.com, Jefferson Med Coll 2003

 

Paul Doemeny, MD, Diagnostic Radiology*, 121 Sotoyome St., Santa Rosa 95405, 546-4062, Fax 525-4097, pdoemeny@rrmginc.com, Georgetown Univ 2003

 

Ernesto Morales, MD, Orthopaedic Surgery, 1144 Sonoma Ave. #109, Santa Rosa 95405, 544-7077, Fax 544-7309, ejmoralesmd@sbcglobal.net, Univ Nicaragua 1955

 

Raymond Severt, MD, Orthopaedic Surgery*, Surgery of the Hand*, 131B Stony Cir. #2000, Santa Rosa 95401, 546-1922, Fax 578-5578, UC Los Angeles 1986

 

Steven Smith, MD, Orthopaedic Surgery*, 121 Sotoyome St., Santa Rosa 95405, 525-6620, Fax 546-2309, ssmith@rrmginc.com, Washington Univ 1980

 

Thomas Warr, MD, Internal Medicine*, Medical Oncology*, Hematology*, 1312 Prentice Dr., Healdsburg 95448, 433-3383 Fax 433-7210, twarr@nscd.org, Vanderbilt Univ 1981

 

* board certified




CLASSIFIEDS


Physician wanted

Physician wanted for ethical medical weight control. Part time. Pleasant conditions. No billing, no on-call. Short shifts. Perfect for semi-retired or someone looking for a little extra work. Locations in Vallejo and San Francisco. Please call 415-447-4200 or email info@californiaweightclinic.com.

 

Office space

Small suite for lease. Reception, 3 rooms, Summerfield Rd., Santa Rosa. Contact Connie, 707-525-0211.

 

How to submit a classified ad

To submit a classified ad for SCMA News Briefs or Sonoma Medicine, contact Erika Goodwin at erika@scma.org or 707-548-6491. The cost is one dollar per word.




ABOUT SCMA


The Sonoma County Medical Association, a 501(c)(6) nonprofit association, supports local physicians and their efforts to enhance the health of the community. Founded in 1858, SCMA is affiliated with the California Medical Association and the American Medical Association.

 

© SCMA 2011
2901 Cleveland Ave. #202
Santa Rosa, CA 95403




January 2011


Survey: 20% of county’s primary care doctors plan to retire by 2015


One in five local primary care physicians plans to retire during the next five years, according to a comprehensive survey released on Jan. 10 by the Sonoma County Department of Health Services. “Even as demand for primary care increases with the growth and aging of our population,” said Public Health Officer Mary Maddux-González, MD, “many primary care physicians are approaching retirement and fewer medical students—the next generation of physicians—are entering primary care.”

 

The survey, which had a 100% response rate from local primary care physicians, was conducted during the summer and fall of 2010. Cosponsors included Health Action, the Redwood Community Health Coalition and SCMA. An article about the survey appears in the current issue of Sonoma Medicine, available at www.scma.org/magazine. The complete report can be found at www.sonoma-county.org/health/ph/data.

 

The survey measured both physician and practice characteristics. Among the key findings:

 

• Of the 1,071 physicians in Sonoma County, 46% are primary care physicians (PCPs)—a much higher percentage than the rest of California, where only 34% of physicians are PCPs.

 

• About two-thirds of local PCPs are family physicians. The rest are general internists, pediatricians and geriatricians.

 

• Almost half the local PCPs (47%) are female, again a much higher percentage than the rest of California.

 

• Almost half the local PCPs (45%) are older than 55.

 

• Only 4% of local physicians are Latino, but Latinos comprise nearly one-fourth of the local population and 42% of its births.

 

• More than two-thirds of local PCPs (68%) work in large or very large practices, such as Kaiser, Sutter and community health centers. Ten percent work in medium-sized practices, and 22% are in solo or small practices.

 

• More than three-fourths of local PCPs (76%) use electronic health records.

 

Survey results have already been submitted to the federal government, which will use them to identify any Health Professional Shortage Areas in the county. Results will also be used to assess local primary care capacity.




Public Health Update: flu vaccines, new pertussis law


By Deputy Public Health Officer Mark Netherda, MD

 

Although influenza activity has been low in Sonoma County and nationally so far this flu season, reported cases have increased in the past several weeks. Flu season in Northern California typically peaks during January and February, so more cases are anticipated in the coming weeks. Clinicians are encouraged to keep vaccinating throughout the flu season—it is never too late to vaccinate.

 

Handy CDC references regarding testing, treatment and prevention of influenza during the 2010-11 flu season are listed below.

 

• Guidance for clinicians on the use of rapid influenza diagnostic tests.
www.cdc.gov/flu/professionals/diagnosis/clinician_guidance_ridt.htm

 

• Antiviral drugs for seasonal flu.
www.cdc.gov/flu/about/qa/antiviral.htm

 

• Interim guidance on the use of influenza antiviral agents.
www.cdc.gov/flu/professionals/antivirals/guidance/

 

• Influenza antiviral drug resistance.
www.cdc.gov/flu/about/qa/antiviralresistance.htm

 

• Seasonal flu vaccine safety and pregnant women.
www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htm

 

• Updated recommendations for obstetric health care providers.
www.cdc.gov/flu/professionals/antivirals/avrec_ob2011.htm

 

Under a new law (AB 354), California middle and high school students must be vaccinated against pertussis. Beginning July 1, all students entering 7th through 12th grades in both public and private schools will be required to show proof of receiving a Tdap booster vaccination before starting school.

 

Many families are unaware of this new law and will need to be encouraged by their clinicians to get their children vaccinated ahead of the July 1 deadline. No vaccine shortage is anticipated, but physicians and parents are urged to vaccinate ASAP to avoid a potential backlog of children needing immunizations.

 

 “With more than 7,800 confirmed cases and the deaths of 10 infants [in 2010], California experienced its worst outbreak of Pertussis in more than 50 years," said California Department of Public Health Director Dr. Mark Horton. "Protecting the health of California’s youth is one of our most urgent priorities. This new legislation will help us achieve our goal.”

 

For more information, visit www.cdph.ca.gov/programs/immunize/Documents/EarlyAlertToProviders-AB354.pdf.




Wanted: 100 iWALK employers


Physicians are always telling patients to get more exercise, but what about their own staff? Now doctors can walk the talk by becoming iWALK employers and promoting a culture of fitness in the workplace.

 

Any doctor’s office in Sonoma County can sign up for iWALK by visiting www.iwalksonoma.org/iWALKEmployer. The goal is for employees to get at least 150 minutes of walking or other exercise per week. Employers can organize weekly walking groups or sign up for the iWALK Challenge, a 90-day effort that culminates in the Human Race on May 7. More details are available at www.iwalksonoma.org.

 

iWALK, which is cosponsored by SCMA, is the exercise initiative within Health Action, a coordinated effort to combat obesity and other health problems in Sonoma County.




Office of Administrative Law rejects regulations for discount health plans


The Office of Administrative Law (OAL) has rejected regulations that would have legitimized “discount health plan” referral services. CMA vigorously fought these regulations, and has opposed a number of legislative attempts to legitimize these illegal referral services.

 

The Department of Managed Health Care proposed the regulations in February 2010, but OAL sided with CMA, ruling that the regulations are inconsistent with an opinion issued by the California Attorney General that concluded discount health plans are illegal.

 

Discount health plans charge patients a monthly membership fee in exchange for a list of physicians whose services they can supposedly access at a discounted rate. The promised discounts are often illusory, and the physicians are often listed without their consent or knowledge.




Gov. Brown's proposed budget would cut health and human services


Gov. Jerry Brown’s 2011-12 budget proposal includes major cuts to health care, in an attempt to close a projected $25.4 billion shortfall. The proposal would close the deficit through a mix of spending cuts, revenue increases, and other solutions (such as taking money from special funds). The spending cuts total $12.5 billion, with $1.7 billion slashed from Medi-Cal alone.

 

Of particular interest to physicians are proposals to:

 

• Cut Medi-cal provider rates by 10% ($720 million)

 

• Control Medi-Cal utilization ($217 million)

 

• Impose Medi-Cal copayments ($557 million)

 

• Contain costs in the Healthy Families program ($39 million)

 

Medi-Cal currently covers 7.7 million Californians and is expected to add up to 2 million more after full implementation of federal health reform.

 

Even at current rates, most physicians lose money treating Medi-Cal patients. As a result, it is nearly impossible to find physicians accepting new Medi-Cal patients in certain specialties. When Medi-Cal patients can’t find a doctor, many will end up in the emergency room, the most costly and least efficient venue for receiving treatment.

 

“With California's Medi-Cal rates already among the lowest in the nation, California's health care safety net cannot sustain these drastic cuts,” said CMA President Dr. James Hinsdale. “CMA will continue to fight for physicians and work to preserve access to care for California's low-income populations.”




PEOPLE


A front-page profile of former SCMA president Dr. Leonard Klay in the Jan. 3 Press Democrat described the many accomplishments of his long career, including delivering more than 7,000 babies, serving as a plaintiff in the successful RICO lawsuit against health insurers, and winning the 2010 Plessner Award from CMA. The full text of the article is available at www.pressdemocrat.com.

 

Orthopedic surgeons Dr. Briant Smith and Dr. Steven Smith have joined the Redwood Regional Medical Group. Dr. Briant Smith, who used to practice at Kaiser Santa Rosa, specializes in joint replacement. Dr. Steven Smith, formerly in private practice, specializes in adult reconstructive surgery.




RESOURCES


A presentation on the XMRV retrovirus and its relationship to cancer will begin at  7 p.m. on Monday, Jan. 17, at Santa Rosa Memorial Hospital, conference room B. The event is free but is only open to licensed medical professionals. RSVPs are required and should be directed to Susan Friedl at 396-5835 or susan@gordonmedical.com. The presenter is Judy Mikovits, PhD, a cell biologist.

 

A free one-hour webinar on embezzlement will be held on Wednesday, Feb. 2, at 12:15 p.m. and 6 p.m. This CMA webinar is for physicians only; no staff members will be approved for participation. Presenter Debra Phairas, president of Practice & Liability Consultants, will discuss measures doctors can take to prevent embezzlement, which is estimated to affect one in six physicians at some point in their careers. To register, visit www.cmanet.org/calendar.

 

Nonprofit health organizations in Sonoma County are encouraged to apply for Community Grants from the Pacific Foundation for Medical Care. The grants, generally in the $10,000 range, are awarded twice a year by the nonprofit foundation to support local projects that enhance health services. The application deadline for the next round of grants is April 2. For application materials, contact Kathy Pass at 525-4281 or kpass@rhs.org. For more information, visit www.pfmc.org.

 

A four-day course on difficult headache patients will be held in Rancho Mirage on President’s Day Weekend, Feb. 18-21. The course is sponsored by the Diamond Headache Clinic and includes 20.5 hours of Category 1 credit. To register, visit www.dhc-fdn.org.

 

A one-day seminar on pediatric orthopedics will take place at the Shriners Hospital in Sacramento on Saturday, March 5. The course, valid for 5 hours of Category 1 credit, includes presentations by several noted orthopedic surgeons. To register, contact 916-453-2041 or ncal.education@shrinenet.org.

 

The latest issue of CMA Practice Resources includes articles on EOB disclosures, timely access regulations and Blue Cross contract amendments. For a free subscription, visit www.cmanet.org/news/cpr.

 

The OMSS Advocate is a quarterly newsletter for members of the CMA Organized Medical Staff Section. To read the current issue, visit www.cmanet.org/news.




APPLICANTS


George Bisbee, MD, Internal Medicine*, 500 Doyle Park Dr. #G04, Santa Rosa 95405, 303-8344, Fax 303-8345, Univ Iowa 1970

 

Catherine Davis, MD, Internal Medicine*, 500 Doyle Park Dr. #303, Santa Rosa 95405, 303-8300, Fax 303-8301, UC Los Angeles 1989

 

Hong Luo, MD, Anatomic & Clinical Pathology*, Gyn Pathology, PO Box 1676, Sebastopol 95473, 829-5883, Fax 829-5895, Tianjin Med Univ 1988

 

Robert Schaefer, MD, Internal Medicine*, 500 Doyle Park Dr. #G03, Santa Rosa 95405, 303-8344, Fax 303-8345, Pritzer Univ 1969

 

Seema Shah, MD, Obstetrics & Gynecology, 500 Doyle Park Dr. #103, Santa Rosa 95403, 579-1102, Fax 579-1386, Jefferson Med Coll 2002

 

David Sisler, MD, Family Medicine*, 24 W. El Rose Dr., Petaluma 94952, 763-9891, Fax 762-2311, Univ Minnesota

 

Paul Umino, MD, Family Medicine, 24 W. El Rose Dr., Petaluma 94952  , 763-9891, Fax 762-2311, Creighton Univ 1970




CLASSIFIEDS


Office Space

Small suite for lease. Reception, 3 rooms, Summerfield Rd., Santa Rosa. Contact Connie, 707-525-0211.

 

How to submit a classified ad
To submit a classified ad for SCMA News Briefs or Sonoma Medicine, contact Erika Goodwin at erika@scma.org or 707-548-6491. The cost is one dollar per word.




ABOUT SCMA


The Sonoma County Medical Association, a 501(c)(6) nonprofit association, supports local physicians and their efforts to enhance the health of the community. Founded in 1858, SCMA is affiliated with the California Medical Association and the American Medical Association.

 

© SCMA 2011
2901 Cleveland Ave. #202
Santa Rosa, CA 95403




December 2010


Five physicians honored at SCMA awards dinner


More than 100 SCMA members, spouses and guests crowded into the Vintner’s Inn in Santa Rosa on Dec. 1 to honor five local physicians for their exceptional careers. In her opening remarks, SCMA President Dr. Catherine Gutfreund set the tone for occasion by noting, “We’re not providers—we’re physicians.” The subsequent awards made this distinction clear by highlighting the preeminent role of physicians in health care delivery.

 

The first to be honored was former SCMA President Dr. Leonard Klay, who received the Frederick Plessner Award from the California Medical Association in recognition of his decades of service to the patients of Sonoma County and his advocacy or organized medicine. The presentation included a video produced by CMA about Klay’s long career, including his public health work in El Salvador, his Army service in Germany, his long association with Dr. John Renfree, and his many contributions to Sonoma County medicine since arriving in Santa Rosa in 1971. These range from his work at the family planning clinic and the residency program to anti-tobacco campaigns and the successful RICO lawsuit against health insurance companies.

 

The Plessner Award is presented each year to the CMA member who best exemplifies the ethics and practice of a rural country practitioner. Upon receiving the award, Klay wryly observed, “All of us are still country doctors in the eyes of Medicare.” He explained that Sonoma County was definitely rural when he arrived but has become increasingly urban, even though Medicare still pays the county’s physicians at the lower rural rates.

 

All the subsequent award winners praised Klay, who has touched many lives during his lengthy career. First up was Dr. Bo Greaves, who received the Outstanding Contribution to Sonoma County Medicine award for his work with Health Action to make primary care more accessible by establishing patient-centered medical homes. He noted that the project has had success but also some failures. “We can do better,” he said. “We are trying to change the history of American health care.”

 

The Outstanding Contribution to SCMA award went to former SCMA President Dr. Richard Andolsen, who has served the medical association in many capacities for several decades. He advised his colleagues to “Enjoy the profession. It’s still a privilege and a joy for me to go to work.”

 

The evening closed with awards presentations to two physician writers. Dr. Stacey Kerr received the Outstanding Contribution to the Community award for her monthly column in the Press Democrat and her book “Homebirth in the Hospital.” Even though she has closed her practice, she continues to help patients through her writing. “I like to take complex medical issues and turn them into understandable prose,” she explained.

 

Dr. Matt Joseph received the Article of the Year award for Why Poetry?, a collection of poems published in the most recent issue of Sonoma Medicine. He noted that poetry and other arts can help doctors achieve balance in their careers, adding, “Whatever we can do to keep our other passions alive will help with our work.”




Dr. Bob Schultz to retire in April


Former SCMA President Dr. Bob Schultz, physician-in-chief at Kaiser Santa Rosa since 1995, will be retiring next April. Born in Fresno in 1947, Schultz attended UC Davis and began working at Kaiser Santa Rosa in 1981. He headed the ob/gyn department for several years before becoming physician-in-chief.

 

In an e-mail, Schultz said that the key accomplishments of his leadership at Kaiser included recruiting “an outstanding medical staff” and increasing Kaiser’s contributions to the community. “We are blessed to have a wonderful team of smart and dedicated professionals,” he wrote. “I will miss them dearly.”

 

Schultz served as president of SCMA from 2001 to 2002, at a time when the medical association was reorganizing. Drawing on his background in engineering, he created a user-friendly physician database that is still in constant use at SCMA. In 2002, he received the association’s Outstanding Contribution to the Community award in appreciation of “his steadfast interest, participation, and commitment to community activities.”

 

After retirement, Schultz plans to spend the summer at his farm in upstate New York before returning to Santa Rosa to “think about what I want to do with the rest of my life.” His successor will be named in mid-January.




Still time to update your Directory listing


SCMA is still accepting updates for the 2011 Sonoma County Physician Directory. The directory features photographs and detailed listings for all SCMA members, including their specialty(s), special medical interest and medical training. Basic information for nonmember physicians is included as well.

 

Physicians can update their listings by returning the verification form that was mailed in October. If you need a copy of the form, contact Rachel Pandolfi at rachel@scma.org or 707-525-4375.

 

Along with their verification forms, SCMA members received dues invoices for next year. Members who pay their dues by Jan. 15, 2011, qualify for a 5% discount. Payments need to be at SCMA by Jan. 15; there is no grace period. Installment payments can be arranged.

 

Nonmember physicians can complete a simple online membership application at www.scma.org/join.asp.

 




Congress begins negotiations to stop Medicare SGR cuts in 2011


By CMA Vice President Elizabeth McNeil

 

The House of Representatives passed HR 5712, the Physician Payment and Therapy Relief Act of 2010, by a voice vote to stop the 23% Medicare physician payment cut before it was scheduled to take effect on Dec. 1. The Senate passed the bill by unanimous consent prior to Thanksgiving. The bill will be signed into law by the President immediately.

 

Congress will remain in session until the Christmas holidays working on a legislative package that includes an extension of the Bush tax cuts and a plan to stop the 25% Medicare SGR cut that is scheduled to take effect on Jan. 1. Both Republican and Democratic leadership met with President Obama at the White House to begin bipartisan negotiations on the package. Both sides appear committed to passing a bill that stops the SGR cuts through 2011 and provides an update. The 12-month SGR proposal costs approximately $17 billion, and the committee staff are engaged in final negotiations on the funding offsets to cover the costs. The talks look promising at this point. CMA continues to work closely with California AARP, which recently approved radio and print ads in California to help with the SGR campaign. CMA urges all physician leaders to continue to call, write and meet with their members of Congress if you have not already done so. 

 

CMA is also working to include a Medicare payment locality update in the SGR package. Senators Boxer and Feinstein are talking to Senators Reid and Baucus and urging its inclusion. The House leaders have already committed to the California GPCI fix.




Time to declare Medicare participation for 2011


It's that time of year again–time for physicians to decide about their participation in Medicare. Physicians have until Dec. 31 to make changes to their status for 2011. Participation decisions are binding for one year, unless you choose to opt out entirely. Once you opt out, you cannot opt back in for two years.

 

As always, physicians have three choices regarding Medicare: be a participating provider; be a nonparticipating provider; or opt out of Medicare entirely. A participating provider must accept Medicare allowed charges as payment in full for all Medicare patients.

 

A nonparticipating provider can choose to accept or not accept assignment on Medicare claims on a claim-by-claim basis. Nonparticipating physician fees are 95% of participating physician fees. If you choose not to accept assignment, you can charge the patient 9.25% more than the amounts allowed in the participating physician fee schedule.

 

Physicians who opt out of Medicare are bound only by their private contracts with their patients. Medicare's limiting charges do not apply to these contracts, but Medicare does specify that these contracts contain certain terms. When a physician enters into a private contract with a Medicare beneficiary, both the physician and patient agree not to bill Medicare for services provided under the contract.

 

For more information on physicians' Medicare participation options, see CMA On-Call document #0151, “Medicare Participation (and Nonparticipation) Options.” On-Call documents are free to members at www.cmanet.org/member. Nonmembers can purchase the documents for $2 per page at www.cmanet.org/bookstore.




AMA survey finds preauthorization policies impact patient care


Policies that require physicians to ask permission from a patient’s insurance company before performing a treatment negatively impact patient care, according to a new AMA survey. The survey of 2,400 physicians was the first to quantify the burden of insurers’ preauthorization requirements for a growing list of routine tests, procedures and drugs. Results indicate that such requirements delay or interrupt patient care, consume significant amounts of time, and complicate medical decisions. Among the findings:

 

• More than one-third of physicians experience a 20% rejection rate from insurers on first-time preauthorization requests for tests and procedures.

 

• Nearly half of physicians experience difficulty obtaining approval from insurers on 25% or more of preauthorization requests for tests and procedures.

 

• Nearly two-thirds of physicians typically wait several days to receive preauthorization from an insurer for tests and procedures, while one in eight wait more than a week.

 

• Nearly two-thirds of physicians report it is difficult to determine which test and procedures require preauthorization by insurers.

 

"Nearly all physicians surveyed said that streamlining the preauthorization process is important and 75% believe an automated process would increase efficiency,” said AMA Immediate Past President Dr. James Rohack. “The AMA is urging health insurers to automate and streamline the current cumbersome preauthorization process so physicians can manage patient care more efficiently.”




Medicare claims will not be paid if provider is not in PECOS by Jan. 3


Medicare claims received on or after Jan. 3, 2011, will not be paid if the ordering or referring provider is not enrolled in PECOS (Provider Enrollment, Chain and Ownership System).

 

Physicians should also be aware that PECOS enrollment is required to receive federal EHR incentives under the Medicare program. Beginning in 2011, Medicare providers who demonstrate “meaningful use” of an EHR stand to receive up to $44,000 in incentive payments over five years.

 

Palmetto GBA, California’s Medicare carrier, recently identified 3,500 California providers (physicians and other practitioners who order services) who still do not have a record in PECOS. Over the next several weeks, these providers will receive letters from Palmetto notifying them of the need to enroll.

 

Physicians are urged to complete the application process as soon as possible. Applications are generally processed within 60 days, but can take longer if the application is incomplete or additional information is needed. Physicians who wish to take advantage of the incentive payments available for electronic prescribing, PQRI, and electronic health record program must be enrolled in PECOS.

 

CMA has also developed a step-by-step guide to walk physicians through the process, from determining if they are already in PECOS to helping them navigate the Internet-based PECOS enrollment system. This guide is available at www.cmanet.org/member.

 

CMA also hosted a PECOS enrollment webinar with Palmetto. The previously recorded webinar is available for on-demand viewing at www.cmanet.org/member.

 

Physicians who need help with the enrollment process can contact CMA’s Member Service Center at 800-786-4262 or memberservice@cmanet.org.




VOLUNTEERS NEEDED


The Sonoma County Office of Education needs physician volunteers to judge entries in the Science Fair on Feb. 8. This annual event attracts about 100 entries from local students in grades 6-12. Entry categories include health and human biology. Volunteers are also needed for the Science Olympiad on April 30, and donations to fund both events are requested as well. To volunteer or to make a donation, contact Mike Roa at mroa@scoe.org or 522-3253.

 

The American Cancer Society is seeking retired physicians who can serve as ambassadors to legislators and the media on cancer prevention and treatment issues. Orientation is provided by the cancer society. For details, contact Laura Moss at laura.moss@cancer.org or 545-6728.




PEOPLE


Dr. Nicole Faro and Dr. Laurie Salameh, both pediatricians, have joined Kaiser Santa Rosa. Faro graduated from UC Davis and Salameh from Touro University.

 

Dr. Vu Tran, a pulmonologist and sleep medicine specialist, has joined the Sutter Pacific Medical Foundation. His new office is at 95 Montgomery Dr. in Santa Rosa. He previously worked for Kaiser Santa Rosa.




HOSPITAL/CLINIC UPDATES


Planned Parenthood has opened a new clinic in Santa Rosa. The facility, located at 1140 Sonoma Ave., offers family planning services, cancer screening and testing for STDs. Abortion services will be added at a later date. The clinic serves uninsured patients and those with private insurance or Medi-Cal coverage. Phone is 527-7656.

 

Vista Family Health Center, the newest member of the Santa Rosa Community Health Centers network, has opened at 3569 Round Barn Circle in Santa Rosa. The 42,500 square foot facility houses 150 staff members and 56 exam rooms and will expand the network’s capacity by at least 10,000 patients. The new center, which also houses the Santa Rosa Family Medicine Residency Program, offers a full range of primary care services, including obstetrics, HIV treatment and mental health services.

 

Santa Rosa Memorial and Healdsburg District hospitals have joined forces to recruit physicians and develop integrated clinical systems. Both hospitals have signed an affiliation agreement that preserves their separate identities but allows them to collaborate on certain projects. The agreement comes in the wake of Sutter’s groundbreaking for a new hospital in northern Santa Rosa.

 

West County Health Centers will soon be opening a clinic in Forestville, bringing its network to seven offices in Sebastopol, Guerneville and other west county locations. They will also be expanding their Sebastopol clinic by 5,500 square feet next year. Total staff numbers are expected to rise from 75 to 95 FTEs during 2011.

 

Santa Rosa Memorial Hospital has been certified as a Primary Stroke Center by JCAHO. “We are very pleased to be recognized for the excellent stroke care we provide our patients,” said Dr. Smriti Wagle, the stroke center’s medical director. Memorial is the third facility in Sonoma County to receive the designation, following Kaiser Santa Rosa and Palm Drive.

 

Oaks Alzheimer’s & Dementia, a skilled nursing facility in Petaluma, offers a medication and behavior management program for patients with agitated and aggressive behaviors. For admissions, call 778-8686.




RESOURCES


Docsite is a commercial online service that helps physicians access their Medicare Physician Quality Reporting Initiative bonuses, which can average about $3,400 per physician. For details, visit www.docsite.com.

 

CMA has published a free guidebook for members on how to obtain federal funding for electronic health records. The guidebook, available at www.cmanet.org/member, explains the “meaningful use” measures needed to qualify for federal EHR funding. Physicians who use the guidebook can begin reporting on meaningful use as early as January 2011.

 

The Alameda-Contra Costa Medical Association is offering a free webinar on medical record documentation from 12:30 to 1:45 p.m. on Tuesday, Dec. 7. Topics include protective progress notes, medication management, and informed consent. To register, visit www.accma.org and click on the Seminars & Webinars link.

 

CMA is hosting a members-only webinar on ICD-10 coding from 12:15 to 1:15 p.m. on Wednesday, Dec. 8. Instruction will include a guide for implementation steps, planning and staff training. Content includes analysis of HIPAA-related transaction standards, new coding characteristics and changes in timeframes. Coding books are not required for webinar. To register, visit www.cmanet.org/calendar at least two hours before the start time.

 

CMA On-Call is a repository of thousands of pages of medical, legal, regulatory, and reimbursement guidance. All documents are available free to CMA members on the members-only website at www.cmanet.org/member. Topic headings parallel the chapters of CMA’s California Physician’s Legal Handbook, such as “Managed Care,” “Medical Board,” and other familiar medical-legal terms. To see a list of documents by topic, simply select that topic.




APPLICANTS


Jason Bacharach, MD, Ophthalmology*, Glaucoma, 104 Lynch Creek Way #15, Petaluma 94954, 762-3573, Fax 762-6873, jbacharach@northbayeye.com, Hahnemann Univ 1988

 

William Bartlett, MD, Ophthalmology*, 380 Tesconi Ct., Santa Rosa 95401, 544-3375, Fax 544-0808, Ohio State Univ 1989

 

Emily Conway, MD, Cardiovascular Disease*, Internal Medicine*, 500 Doyle Park Dr. #205, Santa Rosa 95405, 527-8444, Fax 578-7863, econway@srcmg.com, Brown Univ 2003

 

Rachel Friedman, MD, Family Medicine, 3569 Round Barn Cir. #200, Santa Rosa 95403, 547-2220, Fax 303-3318, friedmr@sutterhealth.org, Yale Univ 2008

 

John Gray, MD, Orthopaedic Surgery*, Spine Scoliosis, 525 Doyle Park Dr. #102, Santa Rosa 95405, 535-0838, Fax 535-0839, neagray@comcast.net, Univ Kansas 1969

 

Rachel Mayorga, MD, Internal Medicine*, Geriatric Medicine*, 1312 Prentice Dr., Healdsburg 95448, 433-3383, Fax 433-7210, Univ Utah 1999

 

Robert Park, MD, Weight Management, 715 Southpoint Blvd. #C, Petaluma 94954, 778-6019, Fax 778-6068, Instituteforhealthmgmt@gmail.com, Yale Univ 1971

 

Janet Pulskamp, MD, Obstetrics & Gynecology*, 401 Bicentennial Way, Santa Rosa 95403, 393-4490, Fax 393-3011, janet.h.pulskamp@kp.org, Yale Univ 1988

 

* board certified




CLASSIFIEDS


Office Space
Small suite for lease. Reception, 3 rooms, Summerfield Rd., Santa Rosa. Contact Connie, 707-525-0211.

 

How to submit a classified ad
To submit a classified ad for SCMA News Briefs or Sonoma Medicine, contact Erika Goodwin at erika@scma.org or 707-548-6491. The cost is one dollar per word.




ABOUT SCMA


The Sonoma County Medical Association, a 501(c)(6) nonprofit association, supports local physicians and their efforts to enhance the health of the community. Founded in 1858, SCMA is affiliated with the California Medical Association and the American Medical Association.

 

© SCMA 2010
2901 Cleveland Ave. #202
Santa Rosa, CA 95403




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