MSSNYeNews: Child Abuse, Physician Abuse – January 31, 2020

Arthur Fougner MSSNY Presiident

PRESIDENT’S MESSAGE
Arthur Fougner, MD
MSSNY President

MSSNY eNews
January 31, 2020

Vol. 23  Number 5


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Colleagues:

Wisconsin Drs. John Cox and Sadie Dobrozsi had their adopted infant daughter taken away – apparently because a Nurse Practitioner with the hospital Child Abuse Team mistook what Pediatric Dermatologists felt were birthmarks for bruises. Additionally, the baby had a bruise on her heel – the same heel where blood was taken. Although the test results were available for the Nurse Practitioner, she missed that they pointed in the direction of a possible bleeding and clotting disorder which could easily lead to that bruise. Dr. Dobrozsi was especially upset since she is a Pediatric Hematologist-Oncologist. Yet, there you are and the case is now wending its way through the courts as the couple now face criminal charges.

For the sake of brevity, I am oversimplifying but the issue here is clear – despite the opinions of fifteen medical experts, their child is now a ward of the state.

But wait, there’s more.  In another case a Nurse Practitioner accused an employed Indiana Ob-Gyn of rendering patient care while being under the influence. Despite the hospital’s not following its own substance protocol, including due process, the employed physician’s medical group suspended her with partial pay and she had to enter into a five year treatment program with Indiana’s version of CPH in order to keep her license. Though this physician is still in the treatment program, she filed suit against the hospital, the medical group and the Nurse Practitioner and won a $4.75 M verdict.

So, if anyone who’s reading this still doesn’t understand the problem of independent practice by “NotExactlies ®” or the threat to your career from a government agency’s overreacting to an allegation without due process, please feel free to contact me. And do come to Albany March 4 and let them hear from all of us. After all, it’s only your career.

Take your place on The Great Mandala
As it moves through your brief moment of time.
Win or lose now you must choose now
And if you lose you’re only losing your life


Comments? comments@mssny.org@mssnytweet; @sonodoc99

Arthur Fougner, MD
MSSNY President


Get Updates for Healthcare Providers on the Novel Coronavirus from DOH – Monday, February 3, 2020 4:00 pm
The NYC DOHMH and the NYS DOH will present updates on the outbreak,
review new guidance from the Centers for Disease Control, and discuss infection control considerations.


Capital Update


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Plan to Be in Albany on March 4th for MSSNY’s “Physician Advocacy Day”
As we begin to unpack the Governor’s budget proposal and the legislative work at the Capitol continues, the need for physician advocacy and grassroots involvement is greater than ever. With the Governor’s budget proposal teeing up items for potential concern such as huge Medicaid cuts, legalized marijuana and unfair changes to the physician disciplinary process, while also supporting reforms such as regulating PBMs and a flavored tobacco ban, it is imperative that physicians be in contact with their local legislators to ensure the physician community’s message is well-represented.

One opportunity is to participate in MSSNY’s “Physician Advocacy Day” that will be held on Wednesday, March 4th in the Lewis Swyer Theatre in the Egg located at the Empire State Plaza, Albany NY. Click here to register!

Join your colleagues from all around New York State and come to MSSNY’s Physician Advocacy Day to speak with your legislators and key policymakers to ensure they’re making the right choices for New York’s physicians and their patients.

A brief luncheon to which members of each House are invited to speak with their constituents will follow the morning program.  Please work with your County Medical Societies to schedule appointments for physicians to meet with their elected representatives.

If you have any questions/comments, please contact Raza Ali at rali@mssny.org.                                                                (ALI)


Wuhan Coronavirus (2019-nCoV) Response & Preparation Efforts
With the World Health Organization declaring the Wuhan Coronavirus a global health emergency, MSSNY is participating in a bi-weekly conference call with the New York State Department of Health regarding preparation and response efforts.  Gov. Andrew Cuomo said that test results for seven suspected cases of the new coronavirus came back negative and the state is still waiting for results on three other cases.  DOH has issued guidance on January 17, 2020 and a copy of that guidance is at:  Please Click Here

The DOH also has a website dedicated to the corona virus : Please Click Here.

MSSNY will be conducting two webinars regarding public health emergencies.  The first is a virtual drill scheduled for Feb. 19, 2020 and is entitled, “Incident Command System and Crisis Communications”.  The webinar is scheduled for 6-8 p.m. and its main objective is to obtain information about local, state, and national chain of command in a public health emergency and to understand the importance of planning for medical surge.  On March 18, 2029, there will be a webinar on Wuhan coronavirus (2019-nCoV), conducted by William Valenti, MD, chair of MSSNY Infectious Disease Committee.  More information will be available shortly on this.

MSSNY Medical Matters on February 19th from 6:00 – 8:00pm is a virtual drill on the “Incident Command System and Crisis Communications”.   While this drill uses another biological scenario, it does provide essential information from NYS DOH on the incident command system and communications that will be employed should the coronavirus outbreak becomes much larger.

Faculty for this program are: Arthur Cooper, MD; Pat Anders, MS, MEP; William Valenti, MD and Lorraine Giordano, MD.

Educational Objectives are:

  • Obtain information about local, state and national chain of command in a public health emergency and learn how to access resources
  • Understand the importance of planning for medical surge and triage of patients, as well as staff and family considerations, in the office-based practice setting during a health emergency
  • Develop an understanding that all public health emergencies can potentially have mental health implications for survivors and others connected with the event
  • Acquire skills for the management of patients in a public health emergency

Please note that there are recommended pre-course materials to be viewed prior to this virtual drill. You will be sent a link with your registration confirmation. We encourage all participants to examine these prior to the Virtual Drill.  Register by clicking here:

Please Click Here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The Medical Society of the State of New York designates this live activity for a maximum of 2.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
(CLANCY, HOFFMAN)


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MSSNY Presents Testimony Raises Concerns with a Number of State Budget Proposals
MSSNY Senior Vice President Moe Auster presented testimony to a joint Senate-Assembly Committee meeting examining the proposed State Health Budget proposals for Fiscal Year 2020-2021.  Among the issues MSSNY raised:

  • Strong objections to proposals that would permit the bypassing of long-standing physician due process when a complaint is filed is OPMC;
  • Strong objections to the recent 1% cut to physician Medicaid payments, as well as concerns regarding even deeper cuts that could be imposed to meet a $2.5 Billion Medicaid savings target;
  • Support for funding to extend the Excess Medical Malpractice Insurance program, but strong objections to the failure to include historical language extending the program
  • Strong objections to a proposal to permit the sale of recreational or “adult use” marijuana
  • Strong objections to the significant expansion of the existing physician-pharmacist collaborative drug program to include nurse practitioners and physician assistants.
  • Support for proposals to regulate PBMs
  • Support for proposals to limit the sale of flavored tobacco products and to help prevent the health risks associated with vaping
  • Support for health insurance reforms, including creation of an administrative simplification task force and health claims denial transparency report.

To view a video of the testimony, click here: Please Click Here.  You can either advance to the 8:04    mark or scroll to the direct link to Mr. Auster’s testimony.    (AUSTER)


MSSNY Continues to Push Back Against Troubling Proposal to Bypass Disciplinary Due Process
With Part L of Governor’s proposed Health Budget bill containing extremely troubling measures to bypass important due process protections for physicians during disciplinary proceedings, all physicians are urged to contact their legislators Please Click Here to urge that the Legislature reject this unfair proposal.

The proposal would, among many other provisions, make it far easier for the Commissioner of Health to disclose to the public that a physician is under disciplinary investigation or summarily suspend a physician without going through existing due process protections.

That is particularly troubling that only a small percentage of complaints to OPMC result in a disciplinary sanction. MSSNY has indicated that we agree with the importance of acting quickly when it is imperative, but these proposals would completely undermine important and longstanding due process protections. Given that most complaints are dismissed without any sanction or action, this series of proposed changes to bypass these rights would create a substantial possibility of unfairly destroying an innocent physician’s career. 

Please urge your legislators to reject this proposal from the Budget.   (AUSTER)


                                                                  

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Surprise Bill Resolution Heats Up in Congress – Contact Your Representatives Today
With key US House of Representatives Committees likely to present a new draft to address the issue of surprise medical bills, all physicians are urged to contact New York’s Senators Schumer and Gillibrand, as well as their respective Representative, to request that they enact a fair surprise bill law similar to New York’s highly acclaimed law. A letter can be sent from here.

With Congress under pressure to find new revenue sources to help fund the federal Budget once the existing Budget resolution expires on May 22, the Congressional Budget Office has erroneously identified grossly unfair surprise billing legislation sponsored by Rep. Pallone and Sen. Alexander (H.R. 3630/S.1895) as one revenue source.  Unfortunately, this proposal would give insurers the power to pay for surprise out of network bills based upon insurers’ self-determined in-network rates, with little power to meaningfully to seek a more fair payment.

This is significant contrast to New York’s law, which sought to strike a fair balance to ensure that on-specialty care in hospital emergency departments was not jeopardized and would not eliminate incentives for insurers to put together comprehensive physician networks.

New York physician leaders will be having meetings with key members of New York’s Congressional delegation on Capitol Hill the week of February 10th.  Their message will be that physicians very much agree with the goal of the legislation to protect patients from facing these bills, but disagree strongly with the solutions being offered.

Please contact your representatives today: Please Click Here. (AUSTER, CARY)


MSSNY Joins Radiologists to Oppose Proposed Changes to Scope-of-Practice for Physician Assistants Operating Fluoroscopy Imaging Technology
MSSNY Albany staff recently joined leaders of the NYS Radiological Society for a day of meetings with key lawmakers, in Albany, to express concerns over a bill (S1812/A2982) that would allow physician assistants (PAs) who complete a brief training program to operate fluoroscopy imaging technology as part of a diagnostic or treatment procedure.

Fluoroscopy is an x-ray-based technique that allows continuous imaging of an instrument, a body part, or dye as each is used during a diagnostic or treatment procedure. In a fluoroscopy procedure, an e-ray is passed through the body and the images are transmitted to a monitor so that movement can be detected and evaluated, It is used in cardiac, orthopedic, and other surgeries, as well as in diagnostic studies, among other medical procedures. Concerns over medical radiation exposure has grown in recent years, with the issue earning national attention.

MSSNY opposes this legislation as it does not require adequate time for training or appropriate supervision by a qualified physician. We will continue to monitor the issue and share updates as they happen.   (CARY)


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MSSNY Staff Participates in Final Session of Department of Health (DOH) Workforce Workgroup
MSSNY Albany staff recently attended the latest session of one of the DOH’s workgroups charged with examining the workforce aspects related to the Delivery System Reform Incentive Payment (DSRIP) program. DSRIP is the main mechanism by which New York State implemented its Medicaid Redesign Team (MRT) in 2014.

DSRIP´s charge since then has been to fundamentally restructure the state’s health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years. Up to $6.42 billion was allocated to the program, with payouts based on results in system transformation, clinical management and population health. The project included extensive work by the following subcommittees of the workforce workgroup:

·        Barriers to Effective Care Coordination

·        Care Coordination Curriculum

·        Care Coordination Training Guidelines

·        Health Care Data

·        Primary Care and Behavioral Health Integration

·        Workforce Compendium

Leaders from each subcommittee provided detailed updates on their most recent work, as well potential next steps as the move on to the next phase of the project. MSSNY Albany staff is a member of the main workgroup and will continue to participate and ensure the physician perspective is included in all discussions, as well as report back developments as they happen.       (CARY)


Registration now open for “Steps to Physician Wellness and Resiliency”
MSSNY Committee on Physician Wellness and Resiliency will hold its first webinar, entitled Steps to Physician Wellness and Resiliency on February 25th from 7:30-8:30am. Jeffrey Selzer, MD will serve as faculty for this webinar.

Educational Objectives are:

  • Review the warning signs that stress, depression, anxiety or substance use may impact work or personal life
  • Identify strategies to increase personal empowerment toward making positive change, including self-assessment tools
  • Recognize self-monitoring strategies for stress related problems and know when to seek professional assistance

Register by clicking here:

Please Click Here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
(CLANCY, HOFFMAN, ALI)
                                                                                              

 pschuh@mssny.org mauster@mssny.org  pclancy@mssny.org  zcary@mssny.org
rali@mssny.org
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Get Updates for Healthcare Providers on the Novel Coronavirus from DOH – Monday, February 3, 2020, 4:00 pm
The NYC DOHMH and the NYS DOH will present updates on the outbreak,
review new guidance from the Centers for Disease Control, and discuss infection control considerations.


Council Notes-January 30, 2020

  • MSSNY Commissioner of Public Health and Education Dr. Joshua Cohen reported the following:
  • MSSNY is participating in a bi-weekly conference call with the New York State Department of Health regarding Wuhan coronavirus. MSSNY will be conducting two webinars: “Incident Command System and Crisis Communications” is a virtual drill and is scheduled for February 19, 6 pm – 8 pm. On March 18, Dr. William Valenti, Chair of MSSNY’s Infectious Disease Committee, will conduct a webinar on Wuhan coronavirus.
  • MSSNY will launch its educational program on Physician Wellness in February. The educational program “Steps to Physician Wellness and Resiliency” webinar will be held on February 25 at 7:30 am. A live seminar will also be available at the House of Delegates meeting in Tarrytown on April 23, 3-4 pm.
  • In February, MSSNY will select 4-7 practices interested in improving their practice operations and professional satisfaction through the AMA/Physician Foundation Practice Transformation. This opportunity is open to all types of physician practices and specialties and requires a 16-18-month commitment. Single and multispecialty groups with at least 30 physicians are welcome to submit a statement of interest. If interested, email Pat Clancy, MSSNY Senior VP of Public Health and Education at pclancy@mssny.org.
  • Steven Schwalbe, MD, was presented with a Certificate of Appreciation for his many years of dedicated service as Chair of MSSNY’s Interspecialty Committee. Dr. Schwalbe is Associate Professor of Anesthesiology and Associate Director, Department of Anesthesiology at Mount Sinai.
  • Marina Caskey, MD, was presented with the Albion Bernstein Award, which was endowed by the late Morris Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in 1940. Dr. Caskey is an Associate Professor of Clinical Investigation at The Rockefeller University. Her research focuses on the development and testing of a promising new strategy that uses broadly neutralizing antibodies to prevent or treat HIV infection.
  • MSSNY Speaker Dr. Latrielle announced that March 11 at 5 pm is the hard deadline for House of Delegates (HOD) Resolution submissions. After the March 11 deadline, resolutions will have to be reviewed by the Rules Committee. The HOD will be held at the Tarrytown Marriot April 24-26, 2020.
  • Young Physicians Section (YPS) announced two upcoming events:
  • YPS Annual Meeting: 2/29/20, 8:30 am -12:30 pm at the New York Academy of Medicine, 1216 5th Ave, NYC. Keynote speaker AMA Board of Trustees Chair Jesse Ehrenfeld, MD will present “The Evolving Healthcare Landscape: Challenges and Opportunities for Young Physicians.”
  • MSSNY Young Physicians, Resident, Med Student Social: 2/28/20, 6 pm-9 pm at Sessions 73, 73rd St and 1st Ave, NYC. All physician trainees and attendings up to eight years in practice are invited. Come network with other medical trainees and young physicians.

State Department Advisory: DO NOT TRAVEL TO CHINA
Last night, the State Department issued a travel advisory telling Americans not to travel to China because of the public health threat posed by coronavirus. New York hospitals have stepped up preparations for the possibility that a patient with this year’s novel strain of coronavirus would walk into a local emergency room, as the U.S. Centers for Disease Control and Prevention reported the first case Thursday of person-to-person transmission within the United States.

A special page has been created at NEJM.org with a collection of articles and other resources on the 2019 Novel Coronavirus outbreak, including clinical reports, management guidelines, and commentary.
Visit NEJM.org/coronavirus today >>


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Novel Coronavirus Cases in China Pass SARS at Its Peak
Nearly 6000 confirmed cases of the novel coronavirus (2019-nCoV) have been reported in China, according to World Health Organization numbers released on Wednesday. The outbreak has officially surpassed the 2002–2003 outbreak of severe acute respiratory syndrome (SARS) coronavirus, which totaled 5327 cases in China, the Associated Press reports.

Over 9200 additional novel coronavirus cases in China are suspected, the WHO reports. There have been 132 related deaths, all in China. Outside of China, 68 cases have been confirmed. A WHO committee will reconsider whether to declare a Public Health Emergency of International Concern on Thursday.

Meanwhile in the Lancet, researchers report on a genomic analysis of 2019-nCoV from nine patients in Wuhan, China, all of whom had a connection to the Huanan seafood market. Genetic sequences from the patients’ samples were almost identical, which indicates that the virus emerged in humans very recently, the researchers note. Additionally, the virus appears most similar to two SARS-like coronaviruses that originated in bats. The researchers say that taken together, their findings suggest that bats are the original host and an animal sold at the market might have served as an intermediate host that facilitated transmission to humans.

Also in the Lancet, researchers report on a cluster of 99 patients with 2019-nCoV at a Wuhan hospital. Roughly half had exposure to the market. Overall, 11 patients died — all from multiple organ failure following acute respiratory distress syndrome.


Low-Dose CT Scans Can Reduce Lung Cancer Death in Smokers, Ex-Smokers
 A study of smokers and ex-smokers in the Netherlands and Belgium is confirming that widespread screening using low-dose CT scans can dramatically lower the lung cancer death rate.” Researchers found that “after 10 years, the mortality rate for men who received regular screening was reduced by 24% compared to men who got no screening.” Reuters adds that “although women were under-represented in the study, the research team found that screening lowered their risk of dying from lung cancer by 33%.” The findings were published in the New England Journal of Medicine. Also covering the story are the Wall Street Journal (1/29) and CHEST Physician (1/29).


US Life Expectancy Increased for First Time in Four Years In 2018, Data Indicate
The New York Times (1/30) reports that “life expectancy increased for the first time in four years in 2018, the federal government said Thursday, raising hopes that a benchmark of the nation’s health may finally be stabilizing after a rare and troubling decline that was driven by a surge in drug overdoses.” According to the Times, “Improvements in cancer mortality rates represented the single largest share of the life expectancy gain in 2018, about 30 percent.” The Times adds, “Next came the decline in so-called unintentional injuries, which include deaths from car accidents and drug overdoses.”

“Life expectancy in the United States in 2018 was 78.7 years – an increase of 0.1 year compared with life expectancy of 78.6 years in 2017, the” US Centers for Disease Control and Prevention’s National Center for Health Statistics reported https://www.cdc.gov/nchs/products/databriefs/db355.htm



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Doctor Must Pay $1.1M to Settle Kickback and False Claim Allegations
An otolaryngologist in New York agreed to pay the federal government $1.1 million to settle allegations that he paid kickbacks and submitted false claims to Medicare for services provided in adult residential facilities, the Justice Department announced. Rajendra Bhayani allegedly paid cash tips, high rents, and other payments to medical management companies for exclusive access to facility residents — many of whom had disabilities or mental illnesses — so he could bill for allergy testing and other medical procedures that prosecutors said were unnecessary.


Barbershops Could Offer a Community Setting for Diabetes Testing
Having Black men tested for diabetes at barbershops could be a way to ensure more timely diagnoses, according to new research. Previous studies have shown that barbershops, as trusted community places among Black men, can be spots to diagnose high blood pressure by removing barriers to care — such as insurance and cost — that this population may face.

In the new study, researchers approached around 900 men who frequented one of eight barbershops in Brooklyn, N.Y. — a third of these men agreed to be tested, and almost 10% had blood sugar levels that would have resulted in a diabetes diagnosis in a doctor’s office.

Nearly 30% had prediabetes, which, with proper lifestyle changes, can be prevented from progressing. Although these results are promising, the small study group and its location could mean the findings are not generalizable.  (STAT, Jan.28)


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FL Surgeon Files Whistleblower Suit re Requiring in House Referrals
A Florida surgeon filed a whistleblower lawsuit against his former employer, Orlando Health, claiming it violated federal law by requiring him to perform surgeries and refer patients within the network’s facilities — and firing him when he did not obey. Ayman Daouk, MD, an orthopedic surgeon in Orlando, alleged in a lawsuit filed in early January that he was fired for performing surgeries at Florida Hospital, a facility unaffiliated with Orlando Health, and for referring patients to radiologists outside of the health system’s network.

Daouk sued Orlando Health and three of its subsidiaries — claiming that mandatory self-referrals violate “Stark law” and anti-kickback statutes, the lawsuit stated. The complaint said that because Orlando Health owns the facilities that it requires physicians to refer to, “there exists an unbroken chain of financial relationships that renders these referrals as violations” of Stark law, which prohibits doctors from referring patients to entities where they have financial interests.

Daouk also claimed that physicians received payments and benefits for referring to Orlando Health facilities, a direct violation of the federal anti-kickback statute.

Daouk was employed by Physician Associates for three years when it was acquired by Orlando Health in 2012. In the complaint, Daouk said that at the start of his employment, physician referrals in-network were highly suggested, but not required.

Daouk, too, was contacted by administration officials for performing surgeries at Florida Hospital. In November 2014, Daouk was informed that his employment would be terminated if he continued performing surgeries at other hospitals, the complaint stated. When Daouk objected to this restriction, Dennis Buhring, president of Physician Associates, allegedly said that he was “sending a very negative message to [his] employer.”

There are a number of reasons why hospitals may require referrals to be made within network, said Mollie Gelburd, JD, associate director of government affairs at the Medical Group Management Association. One reason may be promoting care coordination, as referring patients to doctors exclusively within network makes the transfer of medical records and information easier.

However, she said, there is concern that hospitals require doctors to practice medicine and make referrals in network for a profit motive.

Jay Wolfson, PhD, a health policy expert at the University of South Florida in Tampa, said this case “goes to the heart of physician clinical autonomy.” (Medpage 1/29/20)


Number of Smokers— 14%– at All-Time Low
The percentage of Americans who smoke — 14%, or 34 million people — is at an all-time low, but smoking still remains the number one cause of preventable disease, death, and disability, and doctors could be doing more to help patients quit, Surgeon General Jerome Adams, MD, MPH, said Thursday.

“Forty percent of smokers who see their physician aren’t advised by the provider to quit,” Adams said at a press conference announcing the release of a 700-page report on smoking cessation. “So why are 40% of our health providers out there not advising smokers to quit?”…”I often say you come into the orthopedist’s office because you’ve got a broken ankle, but you’re more likely to die from the fact that you’re smoking,” so even the orthopedist should be talking to that patient about quitting, Adams continued. “At every touchpoint, everyone should be. The tools that the CDC has put out are designed to help empower more people to know what they can do to help folks quit.”

Examples of tools physicians can look at include the Million Hearts protocol and the smokefree.gov website.

Adams also chided health insurers who require prior authorization or high copays for smoking cessation treatments, calling such policies “penny-wise and pound-foolish.” “According to the report, comprehensive, barrier-free coverage and promotion can increase the use of proven treatments and lead to higher rates of successful quitting,” he said.


AMA Foundation Launches New Initiative to Address LGBTQ Health Disparities
American Medical Association Foundation (AMAF) today announced that John D. Evans, telecommunications pioneer, internationally-recognized business executive and philanthropist, will lead a unique and innovative initiative designed to dramatically shape the future of LGBTQ health.

The new initiative will create a cadre of LGBTQ health specialists through the AMA Foundation LGBTQ Fellowship Program – a national fellowship program to promote best practices and shared outcomes, while exponentially improving the quality of LGBTQ health care across the nation.

“A key social determinant of health affecting sexual and gender minorities is a shortage of health care providers who are knowledgeable and culturally competent in LGBTQ health. This shortage underscores the immediate need for the AMA Foundation’s LGBTQ Fellowship Program which will train physicians to become LGBTQ Health Specialists,” said former AMAF president and founding donor of its LGBTQ endowment fund,  and MSSNY Councilor Joshua M. Cohen, MD, MPH, FAHS. Moreover, policies that permit the denial of services to LGBTQ people are linked to a 46 percent increase in the proportion of gay, lesbian, and bisexual adults who report mental distress and gay men account for more than two thirds of all people diagnosed with HIV each year in the United States, despite comprising only 2 percent of the general population. Establishing a national network of LGBTQ health specialist physicians who are formally trained to serve sexual and gender minorities will have a dramatic and positive impact on this community. The LGBTQ Fellowship cohort provides a transformative opportunity to:

  • Decrease LGBTQ health disparities;
  • Increase cultural and clinical competence amongst physicians in LGBTQ health;
  • Build capacity of LGBTQ health services sector to better identify and address the unique health needs of the LGBTQ community, such as the effects of anesthesia on transgender patients undergoing gender affirming surgery due to medications;
  • Improve basic quality of life (health and well-being) of LGBTQ communities;
  • Understand and address social determinants of health faced by this community through the promotion of research and supporting the dissemination of research findings across mediums such as medical journals; and,
  • Provide safe entry point to link individuals to broader health and wellness services.

2020 MSSNY Young Physicians Section Annual Meeting
Join us for the premiere annual meeting attended by your medical trainee and physician colleagues from across NY state. Earn CME* and learn from experts on how to succeed when starting practice and how to best advocate for your patients outside of the hospital and clinic.

WHEN: Feb 29, 8:30 AM – 12:30 PM
WHERE: New York Academy of Medicine, 1216 5th Ave, New York, NY 10029, USA

* The Medical Society of the State of New York (MSSNY) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

MSSNY designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Limited space available. Preregistration required. Register here.
MSSNY Members FREE. Non-members $75
Click here for information on how to become a MSSNY member


MSSNY Young Physicians, Resident Fellow, Med Student Social
WHEN:   Friday, 2/28/2020, 6pm-9pm
WHERE: Sessions 73 – 73rd St. and 1st Ave. New York, NY
All physician trainees and attending physicians up to 8 years in practice are invited. Come network with other medical trainees, young physicians and learn about how you can impact the future of medicine in New York.
RSVP for social here


SIGN UP TO RECEIVE ALERTS FROM MSSNY’S GRASSROOTS ACTION CENTER 

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When you subscribe to the Medical Society of the State of New York Grassroots Action Center, the Division of Governmental Affairs will alert you when legislation and issues of importance to physicians and patients, either in the NYS legislature or in Congress, are at critical stages.

Accordingly, contact from constituents would be vital to influencing the path and future of that legislation or issue.

Alerts will be accompanied by recommended actions you or your designee can take to have maximum impact such as calling, tweeting and emailing a customizable letter to your legislators.

If you are concerned with health care policy formation in New York State, please subscribe today by texting MSSNY to 52886 and you will be prompted to enter your email address.  When you sign up, it is best to use your NY-based voting address or practice address (if you do not reside in NY) for your alerts.

Contact the Division of Governmental Affairs at 518-465-8085 or albany@mssny.org if you have questions or comments.  Thank you.
(WILKS)


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Great Career Opportunities for Clinical Physicians
Physicians, are you looking for a change?  Tired of working long shifts with an overwhelming patient load?  Come work at a well-equipped and staffed correctional facility where you can MAKE a difference, working with a smaller number of patients for reasonable hours.

Starting salary is $143,381 – $171,631 *Additional $20,000 geographical differential for Clinton & Franklin CF, and $10,000 for Five Points, Greene and Groveland CFs. We offer full-time, part-time & hourly/per-diem positions.

We have openings in the following counties offering a choice of urban, suburban or rural living:

Clinton*                 Clinton Correctional Facility (sporting and recreational outlets)
Chemung               Elmira and Southport Corrl Facilities (Gateway to the Finger Lakes)
Columbia*             Hudson Correctional Facility (antiquing, arts & collectables)
Dutchess                Green Haven Correctional Facility (Hudson River Valley Beauty)
Franklin*                Franklin & Upstate Corrl Facilities (North Country, 1 hour to Montreal)
Greene*                 Greene Correctional Facility (rural charm yet only 2 hours to NY City)
Livingston*            Groveland Correctional Facility (State Parks, hiking, fishing)
Oneida                   Mohawk Correctional Facility (Cooperstown, breweries)
Orleans                  Albion Correctional Facility (Greater Niagara Region & Canal Town Culture)
Sullivan                  Woodbourne Correctional Facility (mountains, outlets, entertainment)
Seneca*                 Five Points Correctional Facility (heart of wine country)
St. Lawrence          Riverview Correctional Facility (hiking, boating and museums)
Ulster                     Shawangunk and Wallkill Corrl Facility (Catskill Mountains, Casinos)
Washington           Great Meadow Corrl Facility (Between Vermont & Green Mountains)
Westchester           Bedford Hills Correctional Facility (Less than 1 Hour to NYC)
Wyoming               Wyoming Correctional Facility (waterfalls, family farms, natural beauty)

NYS Corrections Personnel Ad

Inquire with the Facility Personnel Office regarding benefits and anticipated opportunities: http://www.doccs.ny.gov/faclist.html. Contact: www.doccs.ny.gov or DOCCS Personnel Office at (518) 457-8132 for more information and to apply.



 

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