Join us in Gatlinburg on October 28

Join us in Gatlinburg on October 28-31 for the Tennessee Academy of Family Physicians’ 60th Annual
Scientific Assembly!
Tennessee wins 2nd Place in National Tar Wars Poster Contest and SnowBird receives National Tar
Wars ‘Star Award’ – See Page 10 & 15.
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TENNESSEE
FA M I LY PH YSICI A N
TENNESSEE ACADEMY
OF FAMILY PHYSICIANS
Tennessee Academy of Family Physician
500 Wilson Pike Circle, Suite 212,
Brentwood, TN 37027
An official publication of the Tennessee Academy of Family physicians
CO-EDITORS
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Michael Hartsell, M.D.
Kim Howerton, M.D.
OFFICERS
PRESIDENT:
Lee Carter, M.D.
PRESIDENT-ELECT:
T. Scott Holder, M.D.
SECRETARY-TREASURER:
Gregg Mitchell, M.D.
IMMEDIATE PAST PRESIDENT:
Charles Ball, M.D.
SPEAKER OF THE CONGRESS:
B. Alan Wallstedt, M.D.
VICE SPEAKER OF THE
CONGRESS:
Lang Smith, M.D.
DELEGATES TO THE AAFP:
Reid Blackwelder, M.D.
Michael Hartsell, M.D.
ALTERNATE DELEGATES TO THE
AAFP:
Charles Ball, M.D.
Timothy Linder, M.D.
EXECUTIVE DIRECTOR:
Cathy Dyer
Please send address changes to:
Tennessee Academy of Family Physicians
500 Wilson Pike Circle, Suite 212
Brentwood, TN 37027
For Advertising Information
Greg Jones
Fall 2008
Vol. 1 Number 2
Presidents Corner
Editorial- “Tea Time”
Members of the 2008 TAFP Congress of
Delegates
Proposed Amendments to the TAFP Constitution
and Bylaws for Consideration by the 2008 TAFP
Congress of Delegates
2008 National Tar Wars Poster Contest...
Tennessee places 2nd
Recap of June 2008 TAFP Board of Directors
Meeting
“Thank You’s” Received from recipients
of TAFP Outstanding Student in Family
Medicine Awards
Letter Received
[email protected]
501.221.9986 or 800.561.4686
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Virginia Robertson, Publisher
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Slate of Nominees for 2009 Officers and
Board of Directors
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EDITION 2
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PRESIDENT’S CORNER
The
60th
Annual
Assembly
of the
Tennessee
Academy
of Family
Physicians
is almost
upon us.
The year has flown by so fast,
and during this time, the Academy celebrated many accomplishments. We began in 2007
preparing for this conference
in Gatlinburg with discussions
concerning the lecture topics and
speakers. The culmination of
the work has been led by Doctor Mary Huff, Program Chair.
Included in this Journal are items
related to both the Congress of
Delegates and the Annual Assembly in October, including
resolutions and proposed Bylaw
Amendments which have been
submitted for the Congress of
Delegates. Register early and
reserve your hotel room quickly.
Come join us for fun, educational learning and fellowship.
I hope to see you in October in
Gatlinburg.
I want to congratulate Jim
King, M.D., for his service as the
2008 President of the American
Academy of Family Physicians.
He represented all family physicians well as President, and I
believe he will continue to do
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so as the 2009 Chairman of the
American AFP Board of Directors. Doctor Reid Blackwelder
has announced his candidacy
for the AAFP Board of Directors
in 2009. I encourage all of our
members to rally around and
support him in his efforts. He is
an excellent candidate and will
be a strong voice for the Tennessee Academy.
Our second journal with
Publishing Concepts has fulfilled
a smooth transition to what appears to be a better product. I
ask each of you to review this
journal and its contents and
contemplate what can we add,
take away or change that will
continue to improve this means
of communication. The Editors,
Cathy and I all want to produce
a journal that meets your needs.
And, in the light of communication, go online and check out
our new Web site with our own
personal domain name: www.
tnafp.org. The AAFP chose to
no longer host state chapter Web
sites, so we were able to acquire
the Web site name as our own.
Phase I has been completed, and
we are beginning discussions
of content for Phase II. This is
another excellent opportunity for
you as a member to review our
Web site and make recommendations about what you would like
to see the Web site contain to
assist you and meet your needs.
We’ve seen the beginnings of a
f a m i l y
p h y s i c i a n s
Patient Centered Medical Home
project in Memphis taking its
first steps toward existence in
conjunction with AAFP, ACP,
many insurance companies,
FedEx and Memphis Business
Group. This coalition should
prove formidable indeed. Better
relationships with the Medical
Directors of Blue Cross, Aetna
and United have opened lines of
communication between those
companies and our Academy as
we try to deal with the impact of
third party payers upon our office practices.
The relationship between
TAFP and the AAFP’s FamMedPAC continues to be strong. I
thank everyone for their support
of the National PAC, and if you
haven’t contributed in the past,
please consider doing so now.
The coordination of FamMedPAC and the grass roots efforts
of Family Physicians across this
state toward the Medicare cuts
had an effect upon our Congressional Delegation in Washington,
D.C., and produced veto proof
votes in both chambers.
As this year comes to a close,
I have already begun to wonder
what 2009 has in store for us as
an Academy and as Family Physicians. May we all strive together
for good for the sake of our
patients and each other.
Lee Carter, M.D., Huntingdon
President
EDITORIAL
Tea Time
Starbucks Sumatra coffee is my
addiction. There, I’ve said it. It would
take a miracle to separate me from this
ritual I thought. I was forced to separate myself from this habit in March. I
would have no access to the soothing
aroma in the Sudan. I’d just have to
deal with it! Such would be my tiny
sacrifice for our mission experience. I
have never been dedicated to this sort
of passion for taking medical care to
the ends of the earth. But this one captured me like nothing I’ve experienced
before. I couldn’t say “no” to the idea
presented by my associate minister.
Serendipity followed every step of the
way. Obstacles fell aside and connections grew. Three team meetings with
packing medication, supplies, and
equipment led to group bonding that
was and remains uniquely divine. The
next thing I know, I’m landing in Entebbe, Uganda, with memories of past
turmoil between Israel and Idi Amin
and that nation’s darkest hours. We
had two days to acclimate to 85 degree
weather in March, no hot water, and
fathom the conversions of dollars
to shillings and then into Sudanese
pounds. We forfeited communications by phone and Internet, boarded
a twin-engine prop-jet and jumped off
the edge of civilization. Yei’s airstrip is
dirt. The “International” airport is a
two room concrete hut with one desk
and a large freight scale. Dry season
is a good thing for travel in southern
Sudan. There is no pavement. Dirt
packs well on roads surfaces, and
dust is ever present. Construction of
hut homes was evident everywhere.
Minimal power, no running water, no
sewer, no waste collection, and no visible authority or government is life as
usual. No wonder mission experiences
are based on “things unseen.”
Ochan translated for me for two
days. He is mature for his 23 years.
His presence calmed my sense of
panic and uncertainty as I worked in
the medical clinic at the Yei United
Methodist Church Compound. He
was shorter and thinner than most
young adults I saw, most likely due to
an adolescence spent on the run from
rebels and in exile in Gulu, Uganda.
His family was slaughtered in a systematic murder by troops of the Lord’s
Resistance Army while he watched
from the bush. Bullets were quick if
fatal, but the wounded were hacked to
death or set on fire. Such images fueled
his flight across the southern Sudan
into the jungles of Uganda. His fortune
of finding an uncle in Uganda relieved
him of the daily survival on leaves and
grubs. He had eight years to finish
school and heal his own psyche before
returning to his home. Ochan’s family
is scattered across the south and no
longer centered in Yei. Homecoming
is a bitter task, but he sees the hand
of God in his life. His journey is to
tell the story. Everyone in Sudan suffers. Darfur gets the headlines. Darfur
gets the United Nations peacekeepers. Forgotten are the southern tribal
communities of Equatoria. They have
endured civil war in 40 of the past 50
years. The horrors of man’s inhumanity to one another in the murders, rape,
slavery, displacements, exile, and sheer
chaos are spread across Sudan and
are not limited to the north. We are
in southern Sudan thanks to the 2005
Cease Fire Agreement; the Sudanese
People’s Liberation Army wrestled this
from Khartoum at great cost. We were
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witness to a homeward
migration of exiles from camps
in Congo, Chad, Kenya, Uganda, and
Ethiopia that has biblical implications.
They are a wandering people who now
are coming home. Yei’s population
swelled from 50,000 in 2005 to over
200,000 this year alone.
Ochan was one of several young
adults employed by us as translators
for the medical clinic. Making sense of
histories and symptoms from Swahili
and Arabic into broken English take
patience and a sense of humor. How
many different words are there for
belly pain? We were a team of three
nurses (two American and one Ugandan), one Emergency Medical Technician (our experienced team leader),
a Ugandan clinician, and one family
doctor (me). Our capacity was about
65 people a day for each clinician – a
total of 275 a day. We turned away
almost that number who had walked
great distances to be seen and be treated. The Yei Methodist Church was
a pole and canvas tent that gave us
shelter from direct sun in the 85-100
degree heat. The church was transformed each morning into our clinic,
pharmacy, and waiting area. Medications had to be unpacked and sorted
every day. Clinic “cubicles” of purple
cloth had to be draped over makeshift
poles before clinic could begin. The
split rail pews were our exam room
seats and my chair for six hours. The
stream of patients never ended. Such is
the need for medical care in a nation
recovering from civil war. Church and
tribal leaders were needed regularly to
maintain order when tempers flared.
Waiting times were long, and no one
would give up a seat for water or toilet
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breaks for fear of losing his or her
place in line. The waiting area held
about one hundred and fifty. Onethird of our patients were children and
infants. The clinic waiting area was a
continuous coughing throng. Everyone was suspected to have parasites
(worms) in addition to specific illnesses. Bronchitis, gastroenteritis, and
pneumonia were the top three diagnoses in kids. The paucity of otitis media
and tonsillitis was thought to be due
to the prevalence of breast-feeding.
Malaria was endemic and
treated with a low index of
suspicion. Adults had typical
problems of viral illness superimposed on malnutrition,
but they were all treated
for parasites and examined
with malaria in mind. Blood
pressures were consistently
normal or low unless valvular disease was present.
There were two overweight
individuals in the 1,100 seen
over four and a half days of
clinic. No one was obese.
There simply aren’t excess
calories available in the
Sudan. Three diabetics were identified
by secondary symptoms of urinary and
neurological complications. Sexually
transmitted disease (already diagnosed
at hospital laboratory) came with
requests for medication. HIV disease
is present but did not manifest itself in
our clinics. Our Ugandan clinician had
psychology training and was quickly
seeing the alcoholics and schizophrenics; the depressed and traumatized
were too numerous to subdivide. The
stories are the same as those of the Fur
people of the north. Most people had
endured horrors that pale the imagination.
By Friday evening, we had completed not only a week of clinic but
also the spiritual bonding of a mission
team. I had completed my first foreign
medical experience and felt both the
joy and relief that all had been accomplished with safety and resounding community acceptance. I sat in
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the dining hall of the Crop Training
Center where we shared our twicedaily meals. I stirred a much-needed
brew of African tea sweetened with
brown granulated sugar that attracted
far too many bees and yellow jackets.
There was no brewed coffee to be had.
I’d overcome the caffeine withdrawal,
self-imposed because of my personal
avulsion to instant Nescafe. Our hosts
felt rather proud to offer this form of
coffee complete with a metal tin. Tea
had become both my substitute and
solace. Tea was my morning ritual to
psych myself for the uncertainty each
day brought and my vesper of thanks
for each day accomplished better
because of the step of faith that began
the morning. We overcame the lack of
running water, electricity, sewer, and
paved roads. We found friends who
shared the passion for life lived fully in
the service of others. We lived in moment that God would provide not only
the wisdom, strength, and guidance
for the task at hand but also received
blessings far beyond our expectations. Tea became a new ritual with a
purpose. I now find sweet succor in the
remembrance of friends I have made
half a world away. I sip African tea as
I write this and realize the British have
kept this secret too long. But everything must change when you view the
world with a new lens. I long to sip tea
again with Pastor Conus, Sister Edina,
Nurse Rosette and our Ugandan hosts
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Samuel Suuti and David Muwaya.
Will I have the trust to answer the call
again if asked to return to this place?
How could I do otherwise?
Each of us is asked to serve our
brothers and sisters in some capacity at
some point in our lives. Bishop Felton
May, the interim General Secretary of
the United Methodist General Board
of Global Ministries, drew a marvelous example from scripture and applied it to Sudan. Luke’s passage of the
Good Samaritan illustrates three ways
the world approaches Africa,
in general, and the Sudan,
in particular. The traditional
colonialist view is that of the
thief who mugs the traveler;
“What’s yours is mine and I’m
going to take it!” The world
has watched passively as several African nations have spiraled into chaos and leaves a
neutral attitude represented by
the Pharisee on the highway
tiptoeing by on the opposite
side of the road; “What’s mine
is mine and I’m going to keep
it!” We are invited to see, and
I have had the privilege of being the Samaritan who stops, renders
aid, lifts the injured to his donkey, and
delivers them to shelter for recovery.
What would it be for all of us to offer
the hand of hope? Can we live like
“What’s mine is yours and I’ll share
it!”?
Sudan lies mugged at the roadside.
We have happened by. We are measured by how we respond. The challenge is seeing that the world is full of
“Sudans” and that our blessings are
such that we enjoy the ability to be
a Good Samaritan not necessarily a
world away. Our neighbor is nearby.
It is in serving them that we find our
salvation. Lord, give us the ears to
hear and the eyes to see. Bless us with
African tea. I’m going back.
Michael Hartsell, M.D.,
Greeneville
Co-Editor
MEMBERS OF THE 2008 TAFP CONGRESS OF DELEGATES
Speaker: B. Alan Wallstedt, M.D., Brentwood
Vice Speaker: Lang Smith, M.D., Columbia
DELEGATES: ALTERNATE DELEGATES:
DISTRICT 1 (John Sevier Chapter)
Beth Anne Fox, M.D., Kingsport
Bruce Boggs, M.D., Jonesborough
James Holt, M.D., Johnson City
Amylyn Crawford, M.D., Kingsport
L. Alan Colyar, M.D., Johnson City
Robert Diez d’Aux, M.D., Greeneville
DISTRICT 2 (Tennessee Valley
Charles Leonard, M.D., Talbott
Jose Malagon, M.D., Clinton
Matt Mihelic, M.D., Knoxville
Chapter)
Gregory Blake, M.D., Knoxville
R. Wesley Dean, M.D., Powell
Joanne Filchock, M.D., Knoxville
DISTRICT 3 (Chris Graves Chapter)
Mary Huff, M.D., Sweetwater
J. Mack Worthington, M.D., Chattanooga
Allen Sherwood, M.D., Ooltewah
Donald Zeigler, M.D., Hixson
John Standridge, M.D., Harrison
DISTRICT 4 (Tom Moore Chapter)
Kenneth Dale Beaty, M.D., Livingston
Chad Griffin, M.D., Sparta
Chet Gentry, M.D., Cookeville
Thomas A. Jenkins, M.D., Cookeville
Tersa Lively, D.O., Crossville
Ernest Jones, M.D., Carthage
DISTRICT 5 (Nathan Bedford
Stephanie Gafford, M.D., Fayetteville
Diane Petrilla, M.D., Sewanee
Stephen Scott Sommerschield, M.D., Cowan
Forrest Chapter)
Christopher Gafford, M.D., Fayetteville
T. Scott Holder, M.D., Winchester
Thomas A. Smith, M.D., Winchester
DISTRICT 6 (Andrew Jackson
Omar Hamada, M.D., Brentwood
T. Michael Helton, M.D., Smyrna
Roger Zoorob, M.D., Nashville
Chapter)
George Lanny Holmes, M.D., Nashville
Ruth Stewart, M.D., Nashville
Rodger Wallace, M.D., Nashville
DISTRICT 7 (Nathan Bedford
Shawn Gentry, M.D., Columbia
Joey Hensley, M.D., Hohenwald
D. Gabriel Polk, D.O., Waynesboro
Forrest Chapter)
Joe Hall, M.D., Waynesboro
James R. Hayes, II, M.D., Spring Hill
J. Cummins Couch, M.D., Mt. Pleasant
DISTRICT 8 (Forked Deer River Chapter)
Ryan Bartz, D.O., Selmer
Adam English, D.O., Jackson
Michael Revelle, M.D., Jackson
Gregg Mitchell, M.D., Jackson
Kevin J. Wheatley, M.D., Huntingdon
Kellie Wallace Wilding, M.D., Jackson
DISTRICT 9
Douglas Scott Summers, M.D., Paris
Susan S. Lowry, M.D., Martin
James E. Naifeh Jr., M.D., Dyersburg
Doreen Feldhouse, M.D., Dyersburg
John W. Hale, Jr., M.D., Union City
Philip W. Nanney, M.D., Paris
DISTRICT 10 (Memphis Chapter)
W. Clay Jackson, M.D., Covington
Mary Braza, M.D., Memphis
Gregory Laurence, M.D., Germantown
Gloria Burns, M.D., Cordova
Perry Rothrock, M.D., Memphis
Shelia Thomas, M.D., Memphis
DISTRICT 11 (Resident Chapter)
Elizabeth Denby Close, M.D., Chattanooga
Crystal Caraway Dyer, M.D., Greeneville
Rachel Ballard Mehr, M.D., Nashville
Benjamin David England, M.D., Knoxville
Crystal Antrease Maxwell, M.D., Jackson
Robert Wayne Silmon Jr., M.D., Kingsport
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PROPOSED AMENDMENTS TO THE TAFP CONSTITUTION AND BYLAWS FOR
CONSIDERATION BY THE 2008 TAFP CONGRESS OF DELEGATES
Bylaws Amendment 1-2008: Nominations for AAFP Exemplary Teaching Awards
To amend the Bylaws of the Tennessee Academy of Family Physicians in Chapter VII, Section 1(C), ‘Education
Committee’ by adding the Executive Committee will be tasked with reviewing and approving nominees for AAFP
Exemplary Teaching Awards in the event there is not sufficient time to bring the nominees to the TAFP Board to meet
AAFP deadlines for nominations:
Reads At Present
As Proposed
Section 1 (C). Education Committee Section 1 (C). Education Committee
Beginning in 2006, this Committee will be tasked with
Beginning in 2006, this Committee will be tasked with soliciting and presenting nominees for the AAFP
soliciting and presenting nominees for the AAFP with
Exemplary Teaching Awards to the TAFP Board for
Exemplary Teaching Awards to the TAFP Board for
the Board to select nominees to be submitted to the
the Board to select nominees to be submitted to the
AAFP. In the event there is not sufficient time to bring
AAFP. nominees for these Awards to the TAFP Board to meet
AAFP nomination deadlines, nominees received will be reviewed
and approved by the TAFP Executive Committee.
Bylaws Amendment 2-2008: Nominations for AAFP Awards
To Amend the Bylaws of the Tennessee Academy of Family Physicians in Chapter VII, Section 1(D), ‘Nominating
Committee’, by adding the Executive Committee will be tasked with reviewing and approving nominees for AAFP Awards
other than the Exemplary Teaching Awards in the event there is not sufficient time to bring the nominees to the TAFP
Board to meet AAFP deadlines for nominees:
Reads At Present
As Proposed
Nominating Committee. Section 1(D)Nominating Committee. Section 1(DA) It shall be the
It shall be the responsibility of this committee to responsibility of this committee to look at nominees for the
look at nominees for the AAFP’s Thomas W. AAFP’s Thomas W. Johnson Award, the AAFP’s
Johnson Award, the AAFP’s Robert Graham Robert Graham Physician Executive Award and additional
Physician Executive Award and additional award nominee requests received from the AAFP, not to
award nominee requests received from the include nominees for the AAFP Exemplary Teaching Awards
AAFP, not to include nominees for the AAFP which are designated to the Education Committee.
Exemplary Teaching Awards which are The Nominating Committee will bring their suggested
designated to the Education Committee.
nominees before the TAFP Board of Directors for selection of
nominees to be submitted to the AAFP. In the event there is
not sufficient time to bring nominees for these awards to the
TAFP Board to meet AAFP nomination deadlines, nominees
received will be reviewed and approved by the TAFP Executive
Committee.
Bylaws Amendment 3-2008: Pre-Membership CME Requirements for Active Members
TO AMEND THE BYLAWS of the Tennessee Academy of Family Physicians in Chapter I, Section 2(A), ‘Active Members’,
to keep the TAFP Bylaws in compliance with Amendments to the AAFP Bylaws adopted by the 2007 AAFP Congress of
Delegates:
Reads At Present
As Proposed
Those graduates of three-year family medicine residency
(A) Active Members.
programs approved by the Accreditation Council on
Those graduates of three-year family medicine residency
Graduate Medical Education, those graduates of
programs approved by the Accreditation Council on
family medicine residency programs approved
Graduate Medical Education and those who complete
by the College of Family Physicians of Canada
either (1) a one year AOA-approved rotating general
and who are certified by the College of Family
or family medicine internship plus two year AOA
Physicians of Canada and those who complete
approved general or family medicine residency, or (2)
(1) a one year AOA-approved rotating general or
a three year AOA-approved general or family
Approved general or family medicine residency, who
either medicine residency, who first apply for active
first apply for active membership after December 31,
membership after December 31, 1988, are not required to
1988, are not required to complete postgraduate study
completepost-graduate study as a condition to election to
as a condition to election to active year of residency
active membership within one (1) year of residency
completion.
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Tennessee academy of family physicians
completion. However, family medicine residency graduates who first
apply for active membership after December 31, 1988,
condition to election to active membership and who
apply for such membership more than one (1) year but less than three (3) years after residency
completion must provide evidence of completion
during the two years immediately preceding application of one hundred (100) credits of postgraduate study
acceptable to the Commission on Continuing Medical
Education. Those who first apply for active membership more than three (3) years after residency completion
provide evidence of completion during the three years immediately preceding application of one hundred
fifty (150) credits of post-graduate study acceptable to
the American Academy of Family Physicians Board of Directors.
than three (3) years after residency
completionmust provide evidence of completion during
the three years immediately preceding application of
one hundred fifty (150) credits of post-graduate
study acceptable to the American Academy of
Family Physicians Board of Directors.
Bylaws Amendment 4-2008: Pre-Membership CME Requirements for Active Members
TO AMEND THE BYLAWS of the Tennessee Academy of Family Physicians in Chapter I, Section 2(A), ‘Active Members’,
to keep the TAFP Bylaws in compliance with Amendments to the AAFP Bylaws adopted by the 2007 AAFP Congress of
Delegates:
Reads At Present
As Proposed
(A) Active Members.
(A) Active Members.
Former active members of the Academy who are Former active members of the Academy who are
dropped from membership may apply for membership
dropped from membership may apply for membership
as a new member in accordance with Section 2(A) of
as a new member in accordance with Section 2(A) of
this chapter by furnishing evidence of completion
this chapter. If such an application is made less than
during the three years immediately preceding the date
two years after having ceasedto be an evidence of
of application of one hundred fifty (150) credits of
having earned, during the two years immediately
active member, the applicant must furnish Directors.
preceding the date of application, one hundred
(150) (100) credits of postgraduate study acceptable
to the Board of Directors.
Bylaws Amendment 5-2008: Pre-Membership CME Requirements for Supporting Members
TO AMEND THE BYLAWS of the Tennessee Academy of Family Physicians in Chapter I, Section 2(E), ‘Supporting
Members’, to keep the TAFP Bylaws in compliance with Amendments to the AAFP Bylaws adopted by the 2007 AAFP
Congress of Delegates:
Reads At Present
As Proposed
(E) Supporting Members.
(E) Supporting Members.
With respect to those physicians who are eligible With respect to those physicians who are eligible
for supporting membership by virtue of being for supporting membership by virtue of being
actively engaged in family medicine, the teaching actively engaged in family medicine, the teaching
of family medicine or medical administration for of family medicine or medical administration for
the previous six years, such physicians must have the previous six years, such physicians must have
completed 150 credits of postgraduate study completed 150 100 credits of postgraduate study
acceptable to the American Academy of Family acceptable to the American Academy of Family
Physicians Board of Directors during the three Physicians Board of Directors during the
years immediately preceding their application for
two years immediately preceding their application
supporting membership. This type of supporting
for supporting membership only if they previously
member also must complete 150 credits of
held supporting membership and ceased to be a
acceptable postgraduate study every three years
supporting member less than two years prior to
in order to retain supporting membership. reapplying for supporting membership. This type of
supporting member also must complete 150 credits
of acceptable postgraduate study every three years
in order to retain supporting membership.
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2008 NATIONAL TAR WARS POSTER CONTEST…….
Tennessee places 2nd in National Poster Contest
Ryan Anne Cothron,
Tennessee’s 2008
State Tar Wars Poster
Contest Winner, and her
mother and sister visit
with Tennessee’s U.S.
Representatives and
Senators during the 2008
National Tar Wars Poster
Contest in Washington,
D.C., in July where her
poster placed 2nd.
Curtis Swager, Legislative Aid to Senator
Lamar Alexander
Senator Bob Corker
Attending Senator Alexander’s
and Senator Corker’s Tennessee
Tuesday Breakfast
U.S. Congressman John Duncan
U.S. Congresswoman Marsha
Blackburn
SnowBird (Steven Good) of WSMV-TV
in Nashville receives the National ‘Star
Award’ during the National Tar Wars
Poster Contest.
10
10
T
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U.S. Congressman Bart Gordon
U.S. Congressman John Tanner
o
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RECAP OF JUNE 2008 TAFP BOARD OF DIRECTORS
MEETING
+Received report on recipients at each of the medical schools of the TAFP’s Outstanding Student in
Family Medicine Award for graduating students entering a Family Medicine Residency.
+Confirmed the nomination of Snowbird of WSMV-TV in Nashville for the National Tar Wars “Star
Award.”
+Received for information proposed TAFP Constitution and Bylaws amendments to be presented to
the 2008 Tennessee AFP Congress of Delegates.
+Noted the TAFP’s new Web site (www.tnafp.org) and new quarterly journal effective with the summer 2008 issue.
+Voted Reid Blackwelder, M.D., Kingsport, as the recipient of the TAFP’s 2008 John S. Derryberry,
M.D., Distinguished Service Award.
+Voted David Byrd, M.D., Athens, as the recipient of the TAFP’s 2008 Family Physician of the Year
Award.
+Received listing of TAFP Active members with outstanding 2008 membership dues which would be
delinquent by the Bylaws on July 1, 2008.
+Discussed the AAFP restructuring and cutbacks due to closing a $9.5 million gap between revenues
and expenses.
+Reviewed the listing of restructured AAFP Commissions.
+Reviewed a resolution received on “Disaster Medicine Certificate of Added Qualifications (CAQ)”
with the Board voting approval for submission to the 2008 AAFP Congress in San Diego.
+Discussion the new Sports Physical Rule Change.
+Discussion MRI Precertification by MedSolutions.
+Voted for the TAFP to host an exhibit booth at the 2008 Tennessee School Nurses Association Annual Conference in November.
+Approved policy on requirement for all TAFP local component chapters to file yearly the IRS Form
990-N if the chapter has a federal tax identification number.
+Unanimously approved the candidacy of Reid Blackwelder, M.D., Kingsport, for the AAFP Board
of Directors in 2009.
For additional information on any of these items, please contact Cathy at the TAFP office in
Brentwood.
12
T
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a c a d e m y
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f a m i l y
p h y s i c i a n s
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13
“THANK YOU’S” RECEIVED FROM RECIPIENTS OF
TAFP OUTSTANDING STUDENT IN FAMILY
MEDICINE AWARDS
Dear Members of the TAFP:
I am honored to be the recipient of the TAFP’s 2008 Outstanding Student in Family
Medicine Award at UT. Thank you so much. I am very grateful for the support the
TAFP gave me during medical school, and I look forward to continuing to be a part
of the TAFP as a resident.
Jeremy Draper
Dear TAFP:
Thank you for the wonderful privilege to be this year’s Outstanding Student in
Family Medicine from Meharry. Your thoughtfulness and kindness is unforgettable.
The plaque was beautiful, and what graduating physician can’t use a monetary gift,
especially with moving expenses. I anticipate what the future holds for me here in
Kansas City (UMKC). Thank you again.
Andria Humphrey-Johnson
Dear TAFP:
Thank you so much for the honor of being named the 2008 Outstanding Student in
Family Medicine at ETSU. I am very excited to have received this award. Once
again, thank you.
Jason Myatt
14
T
e n n e s s e e
a c a d e m y
o f
f a m i l y
p h y s i c i a n s
LETTER RECEIVED
To everyone at the Tennessee
Academy of Family Physicians’
“Tar Wars” program:
I want to thank everyone involved with the Tennessee Tar Wars
program who worked so hard to
include SnowBird in this year’s
convention in Washington, D.C. I
appreciate the opportunity you gave
me to meet the talented students
from across the country and see
their fantastic posters in competition at the national level.
I was surprised by the nomination for the Star Award and honored to receive it. I am also grateful
for the incredible generosity your
organization showed to my wife
and me, covering the travel expenses so that we could attend the
convention and SnowBird could
pick up his award. Cathy Dyer
was especially generous and helpful
by making all the travel bookings,
filling out all the paperwork and
treating us to a delicious dinner the
day we arrived in D.C.
Since I began my participation as
a judge for the state poster contest in 1999, I’ve continued to be
amazed each year by the imagination, creativity, artistic talent and
passion on display for the cause
that Tar Wars promotes. The posters demonstrate that the students
really “get it” and give me hope
that a smoke-free future is possible.
To be able to follow our state
winner to the national competition
and be present as she won second
place was a real thrill for us. We
enjoyed our trip to D.C., had a
lovely time with everyone who attended the dinner Monday evening,
and I was proud to be a Star Award
recipient. It was especially rewarding to be present for Tar Wars’ 20th
anniversary. Your program’s efforts
have improved the life and health of
American children, and I am happy
T
e n n e s s e e
A
c a d e m y
to be a small part of its success.
I look forward to many more
years of judging posters in the Tennessee Tar Wars contest and sending
more great entries to the national
convention. With Tennessee posters
coming in second place for the past
two years in the national competition, I’m sure the upcoming 4th and
5th grade students’ eyes are on the
first place position. I know that the
talent is out there, and I can’t wait
to see what our area students come
up with in 2009 and beyond.
Thank you again for nominating
WSMV-TV Channel 4’s SnowBird
for the Star Award and for your
incredible generosity.
Sincerely,
Steven Good
a.k.a. SnowBird – ‘the bird with the
word’
o f
f a m i l y
p h y s i c i a n s
15
RESOLUTIONS RECEIVED FOR INTRODUCTION TO
THE 2008 TAFP CONGRESS OF DELEGATES
SUBJECT: Support of Single Payer
National Health Insurance
By:Thomas Jenkins, M.D.;
Alternate Delegate, District 4
WHEREAS, 47 million Americans
lack health insurance; and
WHEREAS, The Institute of
Medicine estimated in 2002 that
the lack of health insurance causes
roughly 18,000 unnecessary deaths
annually, and the Urban Institute
updated their figures to estimate
that 137,000 people died from
2000 to 2006 because they lacked
health insurance; and
WHEREAS, Another 61 million
Americans have inadequate
insurance to meet their health care
needs in the event of a serious
illness; and
WHEREAS, A lack of adequate
insurance prevents many of our
patients from obtaining the care
they need in a timely fashion,
from getting the tests required for
diagnosing numerous illnesses,
including cancer, from taking their
physician-prescribed medications
for treating chronic illnesses such
as diabetes and asthma, and from
obtaining preventive care; and
WHEREAS, Illness and medical
bills contribute to half of all
personal bankruptcies, affecting
nearly two million Americans
annually; and
WHEREAS, Existing, skimpy
insurance policies are inadequate
to protect against financial ruin:
75 percent of those bankrupted by
medical bills were insured at the
onset of their bankrupting illness;
and
WHEREAS, Proposals for
“consumer directed health care”
would worsen this situation by
penalizing the sick, discouraging
prevention and saddling many
working families with medical bills;
and
WHEREAS, The United States
spends twice the amount per
capita on health care as most
industrialized nations which
provide universal coverage to all
citizens; and
WHEREAS, American physicians
are inundated with bureaucratic
tasks and costs that physicians in
Canada and other nations with
national health insurance avoid;
and
WHEREAS, One-third (31 percent)
of health spending is consumed by
unnecessary, wasteful administrative
bureaucracy; and
WHEREAS, The U.S. could have
saved 5,350 billion on paperwork
in 2007 with a single payer
system, enough to cover all the
uninsured, and is the only proposal
to effectively control costs going
forward; and
WHEREAS, On July 30, 1965,
Congress passed the first Medicare
bill, despite numerous warnings
about the `dangers of socialized
medicine’, and opposition by
the AMA, and Medicare has
become one of the most popular
and successful Federal programs
ensuring access to health care and
dignity for this country’s senior
citizens and permanently disabled
Americans; and
WHEREAS, The American
College of Physicians endorsed
single payer as “one pathway”
to universal coverage in their
January 2008 position paper based
on an evidence-based review of
international health systems; and
WHEREAS, Single payer national
health insurance would protect
the doctor-patient relationship,
assure patients a free choice of
doctors, and allow physicians a free
choice of practice settings; NOW
THERFORE BE IT
RESOLVED, That the Tennessee
Academy of Family Physicians
expresses its support for universal
access to comprehensive,
affordable, high-quality health care
through single payer national health
insurance.
TENNESSEE AFP’S 60TH ANNUAL SCIENTIFIC ASSEMBLY
October 28-31, 2008; Gatlinburg Convention Center
We hope to see you in Gatlinburg the last week of October! If you have not received your assembly program/registration brochure, please contact the TAFP office, or you can access the brochure on the TAFP
Web site at: www.tnafp.org.
16
T
e n n e s s e e
a c a d e m y
o f
f a m i l y
p h y s i c i a n s
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we bought
…On June 20, 2005
107 year-old
Medical Protective, a
urer based in
medical malpractice ins
e insurance is
Fort Wayne. Malpractic
has proved to
tough to underwrite and
insurers. As
be a graveyard for many
l Protective
part of Berkshire, Medica
exceeding
has financial strength far
s, a quality
that of its competitor
viders that
assuring healthcare pro
ll not end up
long-to-settle claims wi
because their
back on their doorstep
insurer failed….
…We want Medical
Protective to continue
to be the company that
thinks like a doctor and
behaves with the same
integrity and individual
care as a doctor….
– from Warren Buffett,
April 26, 2006
ter to
– from Warren Buffett’s Let
2006
28,
ary
bru
Shareholders, Fe
…We’re proud to have
Medical Protective as part
of the Berkshire family….
– from Warren Buffett,
May 30, 2006
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3/24/08 11:38:11 AM
SLATE OF NOMINEES FOR 2009
OFFICERS AND BOARD OF DIRECTORS
PRESIDENT-ELECT: T. Scott Holder, M.D., Winchester
VICE PRESIDENT: R. Wesley Dean, M.D., Powell
SECRETARY-TREASURER: Gregg Mitchell, M.D., Jackson
SPEAKER OF THE CONGRESS: B. Alan Wallstedt, M.D., Brentwood
VICE SPEAKER OF THE CONGRESS: Lang Smith, M.D., Columbia
DELEGATE TO A.A.F.P.: Michael Hartsell, M.D., Greeneville
ALTERNATE DELEGATE TO A.A.F.P.: Charles Ball, M.D., Columbia
District 2 - DIRECTOR:
Sherry L. Robbins, M.D., Knoxville
ALTERNATE DIRECTOR: Charles Leonard, M.D., Talbott
District 4 - DIRECTOR: Tersa Lively, D.O., Crossville
ALTERNATE DIRECTOR: Chet Gentry, M.D., Cookeville
District 6 - DIRECTOR: Roger Zoorob, M.D., Nashville
ALTERNATE DIRECTOR: T. Michael Helton, M.D., Smyrna
District 8 - DIRECTOR: Kim Howerton, M.D., Jackson
ALTERNATE DIRECTOR: Kevin Wheatley, M.D., Huntingdon
District 10 - DIRECTOR: Jay Smith, M.D., Memphis
ALTERNATE DIRECTOR: Parvathi Perumareddi, D.O., Lakeland
Minorities - DIRECTOR: Ernest Jones, M.D., Carthage
ALTERNATE DIRECTOR: Harold Nevels, M.D., Nashville
New Physicians - DIRECTOR: Donald K. Zeigler, M.D., Hixson
ALTERNATE DIRECTOR: D. Gabriel Polk, D.O., Waynesboro
Women - DIRECTOR: Amylyn Crawford, M.D., Kingsport
ALTERNATE DIRECTOR: Doreen Feldhouse, M.D., Dyersburg
District 11 (Residents): Donald Brent Hatcher, M.D., Jackson (UT)
Rachel Ballard Mehr, M.D., Nashville (Meharry)
The Resident receiving the highest number of votes will serve as elected Director;
the resident receiving the second highest number of votes will serve as elected Alternate Director.
Students - BOARD REPRESENTATIVE: Gavin B. Pinkston, Memphis (UT)
ALTERNATE BOARD REPRESENTATIVE: Susan Goggans, Nashville (Meharry)
18
T
e n n e s s e e
a c a d e m y
o f
f a m i l y
p h y s i c i a n s
BIG WIN FOR
DOCTORS & PATIENTS!
In 2001, the Tennessee Medical Association made a commitment to reform
Tennessee’s medical liability laws. Unpredictable jury awards and meritless lawsuits
posed a real threat to patient access to care and the cost of care in Tennessee.
In 2008, legislation passed that will benefit all Tennessee physicians and the
patients we serve for years to come.
This would not have happened without the grassroots support of TAFP members,
the financial support of allied health organizations like the American Medical Association
and State Volunteer Mutual Insurance Company, and the leadership of the TMA.
W W W. ML R NO W.OR G
JOIN IN AND BE A TENNESSEE TAR
WARS VOLUNTEER – You can make a
difference…
It only takes one hour of your time to teach one Tar Wars
class in your local classrooms. Tar Wars is the AAFP’s
national pro-health tobacco-free education program and
poster contest for 4th and 5th graders to discourage tobacco
use among youth. The program uses a community-based
approach and provides an opportunity for health care professionals, school personnel and community members to
work toward a common goal of discouraging youth tobacco
usage.
Your help in teaching Tar Wars in your local classrooms
would be appreciated! 2008-2009 Teaching Guides will
be available in September. Contact the Tennessee AFP for
a printed copy, or access a copy on the TAFP Web site at:
www.tnafp.org. Or, if you are interested in being a Tennes-
see Tar Wars Volunteer or have questions, please contact
Cathy Dyer, Tennessee Tar Wars Coordinator, at the TAFP
office: Toll Free at 1-800-897-5949; Nashville/Brentwood
calling area at 615-370-5144; E-mail at tnafp@bellsouth.
net.
LEADERS ON THE MOVE AND INFORMATION
FOR MEMBERS
*Congratulations to TAFP
Resident member Deep Acharya,
M.D., who received the Arnold P.
Gold Humanism and Excellence
in Teaching Award. The Award is
sponsored by the Arnold P. Gold
Foundation to honor residents chosen by the students they teach who
have exhibited particularly strong
teaching skills and are role models
for compassionate, relationshipcentered care of their patients and
the families. Doctor Acharya also
received this Award in 2006.
*According to new numbers by
the Kaiser Family Foundation, Tennessee ranked 17th in the nation
for the number of medical school
graduates it produced in 2007.
Tennessee produced a total of 381
graduates, of which, 183 were fe20
20
T
T
e n n e s s e e
e n n e s s e e
a c a d e m y
a c a d e m y
male and 198 were male.
*Those TAFP members whose
three year CME re-election period
with the Academy will end December 31, 2008, should have recently
received a reminder letter from the
TAFP office. If the TAFP can assist
you in any way, please contact us.
*Thank You Received – Dear
Cathy: Thank you very much for
the Tar Wars T-shirt. I hope you
enjoyed your stay in D.C. and that
my staff was able to help you. Very
best wishes. Sincerely, Lamar Alexander
*The AAFP Foundation is celebrating its 50th anniversary with
a new fund designed to provide
ongoing support for the specialty’s
legacy and philanthropic work.
The AAFP/F will support practice
o f
o f
f a m i l y
f a m i l y
p h y s i c i a n s
p h y s i c i a n s
based clinical research; scholarships
and grants for students and residents; the Tar Wars tobacco cessation program; humanitarian efforts
including Physicians with Heart
and other programs. Donations
can be mailed by mailing a check
to AAFP Foundation, 11400 Tomahawk Creek Parkway, Leawood, KS
66211.
*Lee Carter, M.D., President, and
Cathy Dyer represented the TAFP
at the AAFP National Conference
of Family Medicine Residents and
Medical Students held in Kansas
City on July 31-August 2. The
TAFP has a booth at the Conference within the ‘Tennessee Row’
and hosts a reception on Thursday
evening for all Tennessee students
and residents along with medical
Continued on next page
school and residency program faculty and staff attending the conference.
*Reminder: The Tennessee AFP Web site is located at: www.tnafp.org. The TAFP Web site offers up-to-date
and current information and also links for your convenience in contacting many useful Web sites such as: Tennessee Department of Health, Governor’s TennCare Web site, AAFP, CDC, Tennessee General Assembly and
many others. The TAFP e-mail address is: [email protected].
*Mark Your 2009 Calendar for these Important Dates:
TAFP Legislative Seminar, February 28 – Embassy Suites Nashville Airport
TAFP Summer Weekend Seminar, July 10-12 – Montgomery Bell State Park
TAFP 61st Annual Scientific Assembly, October 27-30 – Gatlinburg Convention Center
NEW 2008 MEDICARE PHYSICIAN FEE
SCHEDULE PAYMENT RATES EFFECTIVE
FOR DATES OF SERVICE JULY 1, 2008,
THROUGH DECEMBER 30, 2008
The Medicare Improvements for Patients and Providers Act of 2008 was enacted on July 15, 2008. As
a result, the mid-year 2008 Medicare Physician Fee
Schedule (MPFS) rate of -10.6 percent has been replaced with a 0.5 percent
update, retroactive to July
1, 2008.
Physicians, non-physician practitioners and
other providers of services paid under the MPFS
should begin to receive
payment at the 0.5 percent update rates in approximately 10 business
days or less. Medicare
contractors are currently
working to update their
payment system with the
new rates.
In the meantime, to
avoid a disruption to the
payment of claims for physicians, non-physician
practitioners and other providers of services paid
under the MPFS, Medicare contractors will continue
to process the claims that have been on hold on a
rolling basis (first in/first out) for payment at the
-10.6 percent update level. After your local contractor begins to pay claims at the new 0.5 percent rate,
to the extent possible, the contractor will begin to
T
automatically reprocess any claims paid at the lower
rates.
Under the Medicare statute, Medicare pays the
lower of submitted charges or the Medicare fee
schedule amount. Claims with
dates of service July 1 and
later billed with a submitted
charge at least at the level of
the January 1 – June 30, 2008,
fee schedule amount will be
automatically reprocessed.
Any lesser amount will require
providers to contact their local
contractor for direction on
obtaining adjustments. Nonparticipating physicians who
submitted unassigned claims
at the reduced nonparticipation amount also will need to
request an adjustment.
Contractor Web sites are
being updated with the new
rates, and these should be available shortly.
Be aware that any published MLN Matters articles
affected by the new law will be revised or rescinded
as appropriate.
Finally, be on the alert for more information about
other legislative provisions which may affect you.
Further instructions regarding other provisions of
MIPPA will be forthcoming.
e n n e s s e e
A
c a d e m y
o f
f a m i l y
p h y s i c i a n s
21
PRACTICE OPPORTUNITIES
If you are looking for a partner
Jones at 615-418-6370 or Amy at
or a practice location, send
information preferably by
e-mail to: tnafp@bellsouth.
net; or by snail mail to: TAFP,
500 Wilson Pike Circle, Suite
212, Brentwood, TN 37027;
or by fax to: 615-370-5199.
Information for practice opportunities will be accepted
only from TAFP members and
will be placed in the Tennessee
Family Physician at no charge.
You are required to include
your name, address and/or
telephone number and/or fax
number and/or e-mail address
as contact concerning opportunities will be made directly
between interested parties and
Information for practice
not through the TAFP. Inforopportunities will be accepted
mation will be placed in four
only from TAFP members and
(4) editions unless the TAFP is
notified otherwise. Deadline for
will be placed in the Tennessee
the next issue (winter 2008) is
Family Physician at no charge
October 17, 2008.
Full-time practice opportunity for a Board Certified Family
Physician is available at Forest Hill
615-735-3458; e-mail: cfhbilling@
Family Practice and Aesthetics in
mwsi.net.
Germantown/Collierville area. The
Wesley Eastridge, M.D., is renew, free-standing facility provides
cruiting a partner to practice with
the latest state of the art equipment in Gate City, Va., just outside of
and a large patient population. Vis- Kingsport, Tenn. This is a small
it our Web site at www.fhfpaa.com
county seat community and only
for additional information about
20 minutes from our two hospitals
our practice. Please send cover
inside Kingsport. We are seeking a
letter and CV to: Sandy Morgan,
conscientious and motivated board
Administrator – [email protected] certified family physician to join
Excellent practice opportunity
our practice. Call Holly Wheeler
is available for a certified Family
(423) 239-8508 or e-mail Holly_
Nurse Practitioner in Carthage,
[email protected].
Tennessee. Carthage Family Health
Summit Medical Group is lookCare is located close to I-40 and
ing for board certified family mediNashville. This is a free-standing
cine physicians and non-physician
health care facility with a large staproviders (nurse practitioners and
ble patient population. Individual
physician assistants) to work in
will be working with other Family
outpatient or urgent care settings.
Nurse Practitioners. For further
Wonderful opportunities available
information, contact Doctor Ernest
in a very established and success22
T
e n n e s s e e
a c a d e m y
o f
f a m i l y
p h y s i c i a n s
ful physician owned and operated
company where lifestyle and financial rewards are offered as a part of
this group. For more information,
contact Cheryl Wilburn, Recruiting
Manager, Summit Medical Group,
1225 E. Weisgarber Road, Suite
200, Knoxville, TN, 37909; phone:
865-584-4747; e-mail: cwilburn@
summithealthcare.com.
Professional Building for Sale –
Pikeville Clinic Building, Pikeville,
Tenn. Includes two full-time Primary Care Physician practices and
rental space with two Home Health
Agencies renting at this time. Includes one square block in downtown Pikeville. There is a hospital
in Pikeville. Board Certification not
required. Call: C.P. Bownds, M.D.,
at 423-447-6833.
The Military Entrance Processing
Station (MEPS) in Knoxville, Tenn.,
is recruiting physicians who are
committed to excellence for on-call
positions. The candidates should
have strong clinical and occupational skills. Individuals will conduct
medical qualification examinations
for applicants entering the Armed
Forces. This is an excellent opportunity offering a flexible, part-time
work schedule. The MEPS offers
an ideal climate with a rewarding
and patriotic mission – building
the various branches of the Armed
Forces. Individuals are subject to
credentials review and must possess
an unrestricted license from any
state. Medical malpractice liability is covered by the United States
Government. If you are searching
for a unique opportunity to be a
part of our medical services team,
send your C.V. to: Commander,
Knoxville MEPS, 9745 Parkside
Drive, Knoxville, TN 37922-2204;
[email protected]; (865)
531-8221 ext 2221.
Ca
Protein
D
B2
A
B12
HelpYour Lactose
Intolerant Patients
Enjoy Dairy
www.3aday.org
P
K
Niacin
Most people with lactose intolerance can enjoy dairy foods. They can reduce symptoms by drinking small portions of milk as part of a meal,
and gradually increase their intake over time. A meta-analysis of clinical studies showed that those diagnosed with lactose maldigestion
could consume up to 1 cup of milk with a meal and stay symptom-free.1 The 2005 Dietary Guidelines recommends three servings of low-fat
or fat-free dairy foods every day as part of a healthy diet. It also recommends lactose-free milk or yogurt containing live, active cultures as
alternatives to milk for those with lactose intolerance.2 Hard cheese, which is naturally low in lactose, is another calcium-rich choice.
For children, the 2006 American Academy of Pediatrics report, Lactose Intolerance in Infants, Children, and Adolescents, recommends
consumption of dairy foods in order to get enough calcium, vitamin D, protein and other nutrients essential for bone health and
overall growth. The AAP report recommends several dairy options for children that are often well-tolerated, including lactose-free
or lactose-reduced milk, yogurt or hard cheese such as Cheddar or Swiss.3
Encourage your patients to meet recommendations for 3 servings of dairy foods every day.
For more information on lactose intolerance visit www.nationaldairycouncil.org
1
Savaiano, D. A., Boushey, C. J., and McCabe, G. P., Lactose Intolerance Symptoms Assessed by Meta-Analysis: A Grain of Truth That Leads to Exaggeration, J. Nutr., 2006 136, 1107
U.S. Department of Agriculture and U.S. Department of Health and Human Services.
Dietary Guidelines for Americans 2005. 6th Edition. Washington, D.C.: U.S. Government Printing Office, January 2005. www.healthierus.gov/dietaryguidelines.com
3 Melvin B. Heyman, MD, MPH for the Committee on Nutrition. Lactose Intolerance in Infants, Children, and Adolescents. Pediatrics Vol. 118 No. 3 September 2006, pp. 1279-1286.
http://pediatrics.aappublications.org/cgi/content/full/118/3/1279
2
Copyright © 2007 National Dairy Council.®
PRSRT STD
US POSTAGE
TENNESSEE ACADEMY
OF FAMILY PHYSICIANS
500 Wilson Pike Circle,
Suite 212, Brentwood, TN
37027
PAID
LITTLE ROCK, AR
PERMIT NO. 175
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on course. For more than 30 years, SVMIC has offered malpractice insurance to physicians. We’re right on board with you, always
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For information, contact Randy Meador or Susan Decareaux at [email protected] or call 1-800-342-2239. Web site: svmic.com.
SVMIC is exclusively endorsed by the Tennessee Medical Association and its component societies.