Established in 1844, our Journal is one of the oldest in the country. To learn more about the Journal and how to submit articles, please visit https://lsms.org/page/JLSMS.
JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY DECEMBER 2019 | VOLUME 171 | NUMBER 3
IN THIS ISSUE: 2019 YEAR IN REVIEW BURNOUT AND PHYSICIANS SUICIDE: WHY CYNICISM IS SO TOXIC CLINICAL CASE: LYMPHADENOPATHY IN THE HIV POSITIVE PATIENT
JOURNAL EDITORIAL STAFF
PRESIDENT’S MESSAGE
EDITOR D. LUKE GLANCY, MD
ASSOCIATE EDITOR L.W. JOHNSON, MD
Dear LSMS Members:
CHIEF EXECUTIVE OFFICER JEFF WILLIAMS
I would like to take this opportunity to extend my appreciation to LSMS staff, our volunteers, our members, strategic partners, service providers, and many others whose combined efforts have made my year as your president better than I ever imagined. In 2019, we experienced membership growth of 10%; had enormous legislative victories; helped friends of medicine win successful election campaigns; and we got back to our core mission, which is being the trusted advocate for physicians in the state of Louisiana. As we transition towards 2020, I believe the LSMS is poised for even more success and greater victories. We are currently performing our due diligence as we: 1) review and enhance core programs, 2) evaluate new product and service offerings, and 3) prepare to launch new campaigns to pursue multiple large and potentially groundbreaking new business opportunities. However, none of this would be possible without the contribution of our talented and dedicated staff who, as always, are tightly aligned to both LSMS’ Core Values and important Mission. Since making significant organizational changes to the Society in January 2017, we have remained focused on our growth strategy and are working diligently to evolve LSMS in a manner that will benefit our members and their patients who place their trust in us to protect the practice of medicine. Again, looking to 2020, I will reaffirm our commitment to our members, our business, and our staff as I anticipate another successful and rewarding year. I wish my successor, Dr. Katherine Williams who will serve as the 140th president of the Society all of the success and joy I’ve experienced during my term. I was told it would go by fast, but I was not prepared for the whirlwind that it has been. Please be safe over the holiday season, take time to relax and re-energize in the company of family and friends and know that we appreciate all you have contributed, and will continue to contribute, to the LSMS. I look forward to working with all of you in the New Year.
MANAGING EDITOR/ ADVERTISING & SALES CHRISTOPHER LEBOUEF
EDITORIAL ASSISTANT GINA GARNER
JOURNAL BOARD OF TRUSTEES CHAIR, GEOFFREY W. GARRETT, MD VICE CHAIR, K. BARTON FARRIS, MD SECRETARY/TREASURER, RICHARD PADDOCK, MD ANTHONY P. BLALOCK, MD D. LUKE GLANCY, MD LESTER W. JOHNSON, MD FRED A. LOPEZ, MD LSMS 2019 BOARD OF GOVERNORS OFFICERS PRESIDENT, LEE STEVENS, MD PAST PRESIDENT, SUSAN BANKSTON, MD VICE PRESIDENT, R. REECE NEWSOME, MD SPEAKER OF THE HOUSE, PAUL PERKOWSKI, MD VICE SPEAKER, T. STEEN TRAWICK, MD SECRETARY/TREASURER, RICHARD PADDOCK, MD CHAIR, COL, DAVID BROUSSARD, MD COUNCILORS DISTRICT 1 MEMBER, GEORGE ELLIS, JR., MD DISTRICT 1 ALTERNATE, JUAN GERSHANIK, MD DISTRICT 2 MEMBER, ROBERT CHUGDEN, MD DISTRICT 2 ALTERNATE, VACANT DISTRICT 3 MEMBER, ALLEN VANDER, MD DISTRICT 3 ALTERNATE, MARK HEBERT, MD DISTRICT 4 MEMBER, F. JEFF WHITE, MD DISTRICT 4 ALTERNATE, SUSAN VEILLON, MD DISTRICT 5 MEMBER, ADRIENNE WILLIAMS, MD DISTRICT 5 ALTERNATE, GWEN JACKSON, MD DISTRICT 6 MEMBER, MICHAEL ROPPOLO, MD DISTRICT 6 ALTERNATE, AZEEN SADEGHIAN, MD DISTRICT 7 MEMBER, BRIAN GAMBORG, MD DISTRICT 7 ALTERNATE, YOKO BROUSSARD, MD DISTRICT 8 MEMBER, LANCE TEMPLETON, MD DISTRICT 8 ALTERNATE, VACANT DISTRICT 9 MEMBER, ANDY BLALOCK, MD DISTRICT 9 ALTERNATE, RODERICK CLARK, MD DISTRICT 10 MEMBER, NICHOLAS VIVIANA, MD DISTRICT 10 ALTERNATE, JEREMY HENDERSON, MD SENIOR PHYSICIAN MEMBER, ROBERT MCCORD, MD SENIOR PHYSICIAN ALTERNATE, IRVING BLATT, MD YOUNG PHYSICIAN MEMBER, AMBERLY NUNEZ, MD YOUNG PHYSICIAN ALTERNATE, VACANT RESIDENT/FELLOW MEMBER, KEN EHRHARDT, MD RES./FELLOW ALTERNATE, TRINATH KURUVELLA, MD MEDICAL STUDENT MEMBER, BLAKE DENLEY MEDICAL STUDENT ALTERNATE, BRYCE CHRISTENSEN
Merry Christmas and Happy New Year,
Lee Stevens, MD President
. CONTENTS 04. MESSAGE FROM THE LSMS EVP & CEO
10. 12.
2019 YEAR IN REVIEW
06. 2019 ELECTION RESULTS
BURNOUT AND PHYSICIAN SUICIDE
EVP’S MESSAGE
WHAT’S IN A NAME?
The short answer, everything. Often, the first piece of information we know about a person or organization is their name and we immediately and rapidly form judgements. It’s these immediate judgements that are especially important as they can be either positive or negative and often will set the tone for future interactions. That’s why the Louisiana State Medical Society has worked tirelessly to create and uphold a brand that you as a physician can be proud to be a part of yesterday, today and tomorrow. The American Marketing Association, also known as the other AMA, defines brand as “a name, term, design, symbol, or any other feature that identifies one’s goods, products or services from others”. Based on that definition, you immediately know that the LSMS is a statewide entity based in Louisiana consisting of a community that represents medicine. While that is technically true, your Louisiana State Medical Society is so much more. I like to look at our brand as a promise to our members. It tells themwhat they can expect from us and it differentiates our offerings from any other medical association. Equally important to your name, is your company logo as it immediately tells a story. Have you ever noticed the arrow in the FedEx logo? What about the hidden “31” in the Baskins Robbins logo? Every picture tells a story and the LSMS logo, which represents our unique brand is no different. Simply put, it reflects our core values and guiding principles that together create our vision and mission. Our mission is to be the trusted advocate for physicians in the state of Louisiana. While our vision is to promote excellence in the practice of medicine. Not to sound redundant but how do we accomplish these lofty goals? By making sure everything we do and say is consistent with our mission, values, principles and values. In other words, by protecting our brand. Take another look at our logo above and let me tell you what you see. First, there are eight intersecting lines that represent our core values: advancement, exclusivity, legacy, trust, pride, dedication, partnership and voice. You’ll also see four dots, which represent our four guiding principles to advocate, collaborate, communicate and educate. Lastly, if you look closely, all those intersecting lines spell out LSMS. Why does this all matter? It matters because you matter! Every time you see our logo or hear our name, I want you to know that the LSMS is making you a promise. We promise to make Louisiana a better place to practice medicine just like we’ve been doing for over 140 years.
JeffWilliams Executive Vice President
Take Pride in Your Profession, Leave Your Legacy. Share your story or celebrate a deserving colleague today!
Louisiana’s physicians aren’t just health care and medical experts. They’re also community leaders, philanthropists, entrepreneurs, and policymakers dedicated to ensuring that patients receive quality health care at an affordable cost. #LSMSLegacy showcases Louisiana physicians, residents, and medical students leading the charge to help their communities thrive. LSMS wants to share your story! Our new campaign – #LSMSLegacy – highlights physicians leading the charge to help their communities thrive. We’ll profile these stories on our website, in our weekly e-newsletter, on social media, and with local media around the state. You can also submit on behalf of a colleague you admire who is also a LSMS member. For a list of suggested questions or to submit your story, email LSMS Communications Manager, Shawn Zeringue, at shawn@lsms.org with “LSMS Legacy Campaign” in the subject line.
4 J LA MED SOC | VOL 171 | NO. 2
2020 LSMS DIGITAL MEMBERSHIP BADGES #MYLSMS2020
Share your dedication to the LSMS and physician-led medicine in Louisiana on your social networks.
We can’t advocate, communicate, educate, and collaborate without your continued support. The LSMS now offers digital membership badges to show your dedication to the practice of medicine on your social media pages, as well as your website. If space or restrictions do not allow the digital membership badge to be included within the bio on your website, please remember to list the Louisiana State Medical Society as an affiliated organization within your bio. Please feel free to share your digital membership badges on social media. Make sure to tag us (@LaMedSoc) so we can show our appreciation for our members and 100% physician membership groups! For more information about 2020 LSMS digital membership badges, email Terri Watson, Sr. Director of Membership and Administration, at terri@lsms.org.
LSMS Vice President of Governmental Affairs, Maria Bowen, speaking to Ochsner Health System Housestaff on the importance of organized medicine and the role of the LSMS in healthcare.
SAMPLE SOCIAL MEDIA CAPTIONS
5 J LA MED SOC | VOL 171 | NO. 3
S ENAT E CONGRATULATES OUR ENDORSED CANDIDATES! HOUS E LAMPAC
District 1 District 5 District 6 District 14 District 15 District 17 District 18 District 20 District 23 District 25 District 28 District 33 District 35 District 39 District 42 District 43 District 45 District 48 District 67 District 68 District 69 District 70 District 74 District 75 District 76 District 77 District 80 District 82 District 94 District 98
Danny McCormick (Vivian) Alan Seabaugh (Shreveport) Thomas Pressly (Shreveport) Michael Echols (Monroe) Foy Gadberry (Calhoun) Patricia Moore (Monroe) Jeremy S. LaCombe (New Roads) Neil Riser (Columbia) Kenny R. Cox (Mansfield) Lance Harris (Alexandria) Daryl Deshotel (Hessmer) Les Farnum (Sulphur) Stephen Dwight (Westlake) Julie Emerson (Carencro) John Stefanski (Crowley) Stuart Bishop (Lafayette) Jean-Paul Coussan (Lafayette) Beau Beaullieu (New Iberia) Larry Selders (Baton Rouge) Scott McKnight (Baton Rouge)
District 6 District 9 District 10 District 12 District 15 District 16 District 21 District 23 District 24 District 25 District 26 District 27 District 28 District 33 District 34 District 35 District 36 District 37
Mack 'Bodi' White (Baton Rouge) J. Cameron Henry (Metairie)
Kirk Talbot (River Ridge) Beth Mizell (Franklinton)
Regina A. Barrow (Baton Rouge) Franklin Foil (Baton Rouge)
Bret Allain (Jeanerette) Page Cortez (Lafayette)
Gerald Boudreaux (Lafayette) Mark Abraham (Lake Charles) Bob Hensgens (Gueydan) Ronnie Johns (Sulphur) Heather Cloud (Turkey Creek) Stewart Cathey (Sterlington) Katrina R. Jackson (Monroe)
Jay Morris (Monroe) Robert Mills (Benton)
Barrow Peacock (Shreveport)
81% OF ENDORSED CANDIDATES WON!
Paula Davis (Baton Rouge)
Barbara Reich Freiberg (Baton Rouge)
Larry Frieman (Covington)
Malinda Brumfield White (Bogalusa)
Robert 'Bob' Owen (Slidell) Mark Wright (Covington)
Polly Thomas (Metairie) Charles Henry (Jefferson) Aimee Adatto Freeman (New Orleans) 78% Stephanie Hilferty (New Orleans)
OF ENDORSED CANDIDATES WON!
CLINICAL CASE:
LYMPHADENOPATHY IN THE HIV-POSITIVE PATIENT Suki Subbiah, MD
A 37-year-old man presented with a complaint of slowly enlarging non-tender cervical lymphadenopathy for approximately one year with more rapid enlargement within the past two months. He also reported occasional subjective fevers and chills as well as intermittent night sweats. He denied decreased appetite, weight loss, fatigue, other lumps or bumps, dental pain or infections, sick contacts, dysphagia, odynophagia, cough, shortness of breath, chest pain, abdominal pain, nausea or vomiting, diarrhea or constipation, blood in stool, blurry vision, headache, weakness, gait instability, or bone pain. He has a past medical history of HIV/AIDS (diagnosed in 2002) along with previous diagnoses of cryptococcal meningitis, pulmonary tuberculosis, disseminated histoplasmosis, and Pneumocystis jiroveci pneumonia. He has no active infections currently. He was initially compliant with combination antiretroviral therapy (cART) for the first several years, but then self-discontinued for a prolonged period of time (more than ten years). For the past two years, he has been fully compliant with his cART regimen. He denies history of surgical procedures. His current medication list includes emtricitabine/tenofovir alafenamide, dolutegravir, darunavir, ritonavir, sulfamethoxazole/trimethoprim, and fluconazole. He has never smoked cigarettes or used chewing tobacco. He does not drink alcohol or engage in recreational drug use. He is married and lives with his wife and daughter. He works at a plant nursery as a landscaper. He denies family history of malignancy.
Upon examination, the patient was noted to have a temperature of 98.9 degrees Farenheit, pulse of 105 beats per minute, blood pressure of 110/76 mm Hg, respiratory rate of 22 breaths per minute, oxygen saturation of 100% on room air, weight of 236 pounds, and height recorded as 165.1 centimeters. Bulky bilateral cervical lymphadenopathy, right greater than left, was appreciated on palpation. There was no palpable supraclavicular, axillary, or inguinal lymphadenopathy. Cardiac examination demonstrated regular rhythm without murmurs, rubs, or gallops. Lungs were clear bilaterally on auscultation. Abdomen was non-tender and non-distended to palpation with normoactive bowel sounds present and no palpable hepatosplenomegaly. The skin demonstrated no evidence of rash or lesions. Neurological exam revealed no focal deficits, with normal strength and sensation in all extremities. Complete blood count was normal with a white count of 6,700 cells/μL and normal differential, hemoglobin of 13.5 g/dL, and platelet count of 235,000 cells/μL. Alkaline phosphatase was elevated at 291 units/L (normal range 20-120 units/L), and total protein was also elevated at 10.3 g/dL (6.0-8.0 g/dL). Remainder of comprehensive metabolic panel was normal, including transaminases. Serum protein electrophoresis demonstrated elevated gamma globulin fraction of 4.0 g/dL (0.5-1.5 g/dL) but was found to be polyclonal gammopathy as no monoclonal spike was detected. HIV viral load was undetectable (<20 copies/mL), and CD4 count was decreased at 131 cells/μL (359-1519 cells/μL) with low
CD4/CD8 ratio of 0.05 (0.92-3.72) andCD4% of 4.1% (31-59%). Hepatitis B and C testing were negative. Erythrocyte sedimentation rate (ESR) was markedly elevated at 95 mm/hr (0-15 mm/hr). CT of neck with contrast noted extensive lymphadenopathy in soft tissues of neck, particularly on the right. He underwent core needle biopsies of right cervical lymph node with pathology confirming classical Hodgkin lymphoma (Epstein Barr virus-positive). PET/CT demonstrated several areas of abnormal hypermetabolic activity: multiple nodal masses in the right neck (largest measuring 6.0 cm), bilateral axillary and supraclavicular lymphadenopathy, multiple liver lesions with adjacent enlarged gastrohepatic lymph nodes, multiple bilateral lung lesions, and multiple areas within the pelvic bones. Imaging findings were consistent with Stage IVB disease (lung, liver, bone) with a calculated International Prognostic Score of 3 indicating 60% predicted 5-year rate of freedom from progression of disease and 78% estimated rate of overall survival. Echocardiogram and pulmonary function testing showed normal cardiac and lung function. To read the full article, visit lsms.org.
7 J LA MED SOC | VOL 171 | NO. 3
LEGISLATIVE SESSION
PHARMACEUTICALS REQUIRES A HEALTH INSURER TO PROVIDE COVERED COMPARABLE FORMULARIES THAT CAN BE PRESCRIBED AS AN ALTERNATIVE WHEN DENYING COVERAGE OF A MEDICATION. THIS LEGISLATION WAS SUPPORTED BY LSMS. IT HAS 2 EFFECTIVE DATES. IF YOU RECEIVE DENIALS ELECTRONICALLY, ALTER NATIVE OPTIONS SHALL BE PROVID ED ON JANUARY 1, 2020. IF YOU RECEIVE DENIALS IN WRITING, ALTERNATIVE OPTIONS SHALL BE PROVIDED ON JULY 1, 2020. (ACT 206)
LSMS MEMBERS SUCCESS!
YOUR VOICE IN HEALTH CARE Solid reputation as a strong, unified voice with members of the legislature
YOU OUR SUPPORTERS Engaged building blocks for physcian-led medicine in Louisiana
WINNING TEAM Making Louisiana a better place to practice medicine
THE LSMS IS YOUR LEADING ADVOCATE FOR THE MEDICAL PROFESSION BEFORE THE LOUISIANA LEGISLATURE, STATE AGENCIES, LICENSING BOARDS, AND THE JUDICIAL BRANCH OF GOVERNMENT .
LEGISLATION BY THE NUMBERS
1,080 HOURS AT
BILLS TRACKED FORMAL POSITIONS THE CAPITOL
116 41
ISSUES MANAGEMENT
50+ LSMS PHYSICIAN MEMBERS SEATED ON OVER 19 STATEWIDE BOARDS & COMMISSIONS
LSMS STAFF REPRESENTATION ON 25 STATEWIDE BOARDS & COMMISSIONS MONITORING AGENCIES THAT ARE MAKING DECISIONS ABOUT HOW YOU ARE PAID AND PATIENT CARE
LAMPAC
2019 WAS AN ELECTION YEAR
ENDORSEMENTS
78% OF ENDORSED HOUSE CANDIDATES WON! 81% OF ENDORSED SENATE CANDIDATES WON!
VOTE
HOUSE OF DELEGATES
TOWNHALL MEETINGS
PHYSICIANS LEADERSHIP ACADEMY
1,300 103 10 4 MILES TRAVELED TOTAL ATTENDEES DISTRICTS VISITED CME HOURS THE LSMS HIT THE ROAD TO VISIT EACH DISTRICT .
PARTNEREDWITH LSU E.J. Ourso College of Business Administration to provide physician leaders with necessary skills to be successful in the ever-changing business of medicine.
131 20
TOTAL DELEGATES
TOTAL RESOLUTIONS INCLUDING AMA DIRECTIVES & LSMS POLICY REPRESENTING ALL AREAS OF THE STATE FOR POLICY AND DECISION-MAKING .
14 GRADUATES FROM THE SPRING CLASS OF 2019 TUITION FUNDED FROM THE LSMS AND A GRANT BY THE PHYSICIANS FOUNDATION
RESOURCES
COMMUNICATIONS
JOURNAL OF THE LSMS
CONFERENCES ATTENDED 8
TRANSITION BACK TO PRINT IN KEEPING WITH THE MISSION OF THE JOURNAL TO MEET THE NEEDS OF TODAY’S PHYSICIAN, THE JOURNAL TRANSITIONED TO A MEMBERSHIP PUBLICATION FOR MEMBER NEWS AND INFORMATION TO KEEP LSMS MEMBERS INFORMED WITH THE ONGOING ISSUES FACING THE PRACTICE OF MEDICINE IN LOUISIANA AND AWAY FROM PUBLISHING SCIENTIFIC PEERREVIEWED MEDICAL MANUSCRIPTS INDEXED IN PUBMED.
SAVING YOU MONEY
75% OF DUES ARE TAX DEDUCTIBLE
WEBSITE REDESIGN
THE LSMSWEBSITEWAS COMPLETELY REDESIGNED, MAKING IT MORE USER FRIENDLY WITH STREAMLINED NAVIGATION FOR OUR MEMBERS. VISIT LSMS.ORG TO SEE THE UPDATE.
MEMBERSHIP
SOCIAL MEDIA
1,327
1,141
242
TOTAL MEMBERS 6,144
NEW MEMBERS 1,896
@LAMEDSOC JOIN THE CONVERSATION
BURNOUT AND PHYSICIAN SUICIDE: WHY CYNICISM IS SO TOXIC Pamela Parsons, MD
Physician burnout, depression, and more specifically, physician suicide, is an alarming reality of ‘modern’ medicine. A high rate of physician suicides has been reported going back to 1858.¹ In more recent years, statistics have remained grimly unchanged: approximately 400 physicians in the U.S., more than one per day, die by suicide each year.² The disease of physician suicide starts early; after accidents, suicide is the most common cause of death of medical students.² More than 27 percent of 100,000 medical students questioned in a 2016 study experienced symptoms consistent with diagnostic criteria for depression, and 11 percent had experienced suicidal thoughts, yet only 15 percent actively sought mental health treatment.³ Another survey of 2,100 female physicians revealed that, since starting med school, 33 percent had been diagnosed with mental health conditions, and most of those self-prescribed rather than sought formal treatment.⁴ Self-medicating substances abounds; approximately 10 to 15 percent of physicians have substance use disorders, in contrast to roughly nine percent of the general public.³ Compounding the self-treatment issue is that one in three physicians do not have even a basic therapeutic relationship with a primary care provider,² and self- treatment profoundly displaces referral to appropriate mental health care.² Alarmingly, physicians who die by suicide with
are 20 to 40 times more likely to have ingested benzodiazepines, barbiturates and antipsychotics than non-physician individuals.⁴ It is not surprising, then, that doctors who attempt suicide have a significantly higher completion rate relative to the general population.² Most of us will have a moment of cynical thinking occasionally, and in this context, cynicism is an adaptation to the day-to- day frustrations of practicing medicine. Cynicism becomes toxic, however, when generalized to most circumstances for an extended period of time. Approximately half of all physician providers experience cynicism (as well as exhaustion).⁵ Burnout may contribute to medical errors. Perhaps more significantly, physician burnout “ … appears to be equally, if not more, important than the [scores on workplace safety measurements] to the risk of medical errors occurring.”⁵ Additionally, both medical errors and burnout, independent of each other, increase the risk of provider suicidal ideation two- fold.⁶ Globally speaking, burnout and cynicism develop gradually, often insidiously changing how we react emotionally, professionally, and personally; there is a cumulative trauma from the repetitive loss of patients, best expressed as ‘a piece of my soul just died.’¹ Cynical attitudes aren’t just for seasoned providers, either. In addition to practicing physician providers, medical students and residents
have progressive negativity over the course of their medical training.⁷ ⁸ As cynical thinking takes hold, providers become detached and harbor negative attitudes toward patients (and peers), lose investment in the healthcare profession, and subsequently, lose out on meaningful interactions and information critical to sound medical decision- making.⁹ demonstrated a With so many indications of cynicism in the medical environment, is there hope? Thankfully, the culture of change is reaching the once-neglected arena of provider wellness and satisfaction. Both professional medical organizations and individual medical systems are proactively addressing the issue, and with satisfying results. Additionally, there have been increased efforts between major medical associations and the Federation of State Physician Health Programs to address barriers to care for physicians, including steps to assure confidentiality as well as to clarify and delineate boundaries between medical licensing boards and the respective state-run physician health entities.² At an individual level, we must also allow ourselves the benefit of being human, recognizing that cynicism can develop from a place of vulnerability¹⁰ made ever more acute by the exaggerated sense of responsibility integral to identity as physicians.⁴
12 J LA MED SOC | VOL 171 | NO. 3
REFERENCES
What can the physician do to combat cynicism and burnout?
1.
Wible, P. What I’ve learned from my tally of 757 doctor suicides. https://www. washingtonpos t . com/nat i ona l /hea l th- science/what-ive-learned-from-my-tally-of- 757-doctor-suicides/2018/01/12/b0ea9126- eb50 - 11e7 - 9 f 92 - 10a2203 f 6c8d_s to r y. html?utm_term=.53d56fec9030. January 13, 2018. Andrew, LB. Physician Suicide. https:// emedicine.medscape.com/article/806779- overview. August 1, 2018. Hoffman, M, Kunzmann, K. Suffering in silence: the scourge of physician suicide. https:// www.mdmag.com/medical-news/suffering- in-silence-the-scourge-of-physician-suicide. February 5, 2018. Collier, R. Physician suicide too often “brushed under the rug.” http://www.cmaj. ca/content/189/39/E1240. October 2, 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC5628041/ Meszaros, L. Physician burnout triples the incidence of medical errors. FeaturedArticles in Internal Medicine. www.mdlinx.com/internal medicine/featured articles/. September 06, 2018.
6.
White, T. Medical errors may stem more from physician burnout than unsafe health care settings. https://med.stanford.edu/news/ all-news/2018/07/medical-errors-may-stem- more-from-physician-burnout.html. July 8, 2018. Batley NJ, Nasreddine Z, Chami A, Zebian D, Bachir R, Abbas HA. Cynicism and other attitudes towards patients in an emergency department in a middle eastern tertiary care center. https://bmcmededuc.biomedcentral. com/articles/10.1186/s12909-016-0539-y. January 29, 2016. https://www.ncbi.nlm.nih. gov/pubmed/26823070 Peng, J; Clarkin C; Doja, A. Uncovering cynicism in medical training: a qualitative analysis of medical online discussion forums. https:// bmjopen.bmj.com/content/8/10/e022883. August 8, 2018. https://www.ncbi.nlm.nih. gov/pmc/articles/PMC6196850/.
• Put your well-being at the top of your to-do list. Establish a therapeutic relationship with a primary care provider. One in three physicians do not have this type of relationship. • If you see yourself in this article, acknowledge that the problemexists. Ask for help and follow through with it. This is a sign of strength, not weakness. Your well-being depends on it. Do it. NOW.
7.
2.
3.
8.
4.
9. Lyndon, A. Burnout amonghealthprofessionals and its effect on patient safety. https://psnet. ahrq.gov/perspectives/perspective/190/ burnout-among-health-professionals-and-its- effect-on-patient-safety. February 2016. 10. Firestone, L. Is cynicism ruining your life? The risks of indulging in cynical attitudes and the rewards of being positive. https://www. psychologytoday.com/us/blog/compassion- matters/201212/is-cynicism-ruining-your-life. December 3, 2012.
5.
In September, we celebratedWomen in Medicine Month by recognizing LSMS members on social media and showcasing what it means to them to be a woman in medicine.
Being a woman in medicine is an honor. It is a wonderful and great responsibility to provide care for people in our community. It takes a level of sacrifice and boldness to protect patients and lead complex health care teams.
I thank God every day for my work as a physician and psychiatrist. Making a positive difference in the lives of the mentally ill, and ultimately in society, is an honor. The presence of greater diversity, including greater numbers of women, has made a profound difference in medical care. Women and men can combine a full-time practice, family life, and outside pursuits.
Medicine, my ministry, my calling, my passion, is all I ever dreamed about from age 3; now it’s my purposed reality for life.
Cynthia Brown-Manning, MD LSMS Member Since 2018
Azeen Sadeghian, MD LSMS Member Since 2016 This breaks some of our ingrained social norms.
Mary Fitz-Gerald, MD LSMS Member Since 1989
13 J LA MED SOC | VOL 171 | NO. 3
SOCIETY NEWS
EDUCATE
Congratulations to the Joel Byne, Manuela Gaviria, and Dustin Latimer for receiving the P.H. Jones, MD Scholarship for 2020!
One student from each medical school was selected and awarded an annual scholarship of $4,000. The selection process was conducted by LSMS's Educational and Research Foundation Board. Awardees were selected and notified in December and will be recognized at the LSMS Annual Meeting on January 24, 2020 at the Baton Rouge Marriott. The Philip H. Jones, M.D. Memorial Scholarship Fund honors an extremely influential member of Louisiana's physician community. Philip Harold Jones was born in Jackson, Louisiana in 1896. At an early age he moved with his family to Lutcher and then Baton Rouge. He was the grandson of Dr. John Welsch Jones who graduated from Tulane University School of Medicine in 1852. His father, Dr. Philip Huff Jones, had graduated from Tulane University School of Medicine in 1878. At the time of his death in 1970, Dr. Jones left a portion of his estate to the Louisiana State Medical Society's Educational and Research Foundation. A portion of these funds are invested to provide scholarships to medical students. These scholarships have provided invaluable assistance to students at the state's three medical schools: Louisiana State University's School of Medicine - New Orleans, Louisiana State University School of Medicine - Shreveport, and Tulane University School of Medicine.
JOEL BYRNE LSU SCHOOL OF MEDICINE NEW ORLEANS
Joel Byrne is a fourth year medical student at LSU School of Medicine in New Orleans. He grew up on his family’s farm in the rural community of Elton, Louisiana. He is pursuing a career in dermatology and will be the first physician in his family.
MANUELA GAVIRIA TULANE UNIVERSITY SCHOOL OF MEDICINE
Manuela Gaviria was born and raised in Colombia and first came to the U.S when she was 12. She graduated from Lusher Charter High School as valedictorian and has since received a bachelor's and master's degree in Neuroscience from Tulane University. Currently, she is a second year student at Tulane University School of Medicine pursuing a M.D-M.S dual degree. Manuela is in the USAF Health Professions Scholarship Program. She has always demonstrated determination in working and caring for others. Aside from her desire to serve as a military physician, she continuously looks for ways to help the underserved. She is a student leader at Luke's House, a free clinic serving those who are not eligible for public insurance; namely, immigrants. She is also the president for Tulane's Latin American Medical Student Association who's mission is to represent, support, educate, and unify Latinomedical students, and those supportive of such community in order to better serve this particular patient population. Manuela aspires to pursue a surgical specialty and strives to continue developing creative strategies that remove existing barriers to care in the local community.
DUSTIN LATIMER LSU SCHOOL OF MEDICINE SHREVEPORT
Dustin Latimer grew up in Denham Springs, LA where I graduated from Denham Springs High School and began attending LSU in 2011. He majored in biological sciences but had a vested interest in teaching organic chemistry as a supplemental instructor for 2 years. After graduating from LSU, he began medical school at LSUHSC-Shreveport in 2016. During his third year of medical school, I fell in love with psychiatry as a field, the patient population, and discovered the need for more mental health professionals within Louisiana’s healthcare system. His career interests involve the integration and normalization of mental health care in the primary care setting. He firmly believes that psychotherapy can be utilized as a means of preventative medicine for some of the most common disease processes affecting Louisiana’s population. Outside of medicine, Dustin enjoys filmmaking, exercising, spending time with his wife and golden retriever, and watching the LSU Tigers.
14 J LA MED SOC | VOL 171 | NO. 3
LOU I S I ANA S TAT E ME D I C A L S OC I E T Y
1 3 9 T H ANNUA L ME E T I NG O F T H E HOU S E O F D E L E GAT E S J ANUA R Y 2 3 2 5 , 2 0 2 0 | B ATON ROUG E , L A
WELCOME RECEPTION January 23, 2020 · 6 P.M. Baton Rouge, Louisiana
NON-COMPETE PANEL DISCUSSION January 24, 2020 · 10:30 A.M. Baton Rouge, Louisiana
AWARDS LUNCHEON January 24, 2020 · 12:15 P.M. Baton Rouge, Louisiana INAUGURATION GALA January 24, 2020 · 7 P.M. Baton Rouge, Louisiana
VISIT LSMS.ORG/HODPARTICIPATE FOR MORE INFORMATION.
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