August 2013 - Spokane County Medical Society

August SCMS The Message Open2
Table of Contents
2013 Officers and
Board of Trustees
Anne Oakley, MD
President
David Bare, MD,
President-Elect
This is Your Message! .
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Terri Oskin, MD
Immediate Past President
Internships . . . . . . . . . . . . . . . . . . . . . . 1
Shane McNevin, MD
Vice President
Second-Year Medical Students to Learn In Non-Traditional Ways . . . 2
Matt Hollon, MD,
Secretary-Treasurer
Physicians Lead Medical Home Improvements
Trustees:
Robert Benedetti, MD
Audrey Brantz, MD
Karina Dierks, MD
Clinton Hauxwell, MD
Charles Benage, MD
J. Edward Jones, MD
Louis Koncz, PA-C
Gary Newkirk, MD
Fredric Shepard, MD
Carla Smith, MD
Newsletter editor –
David Bare, MD
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at Group Health, Columbia and Providence .
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Molecular Infectious Disease Testing on Cervicovaginal Samples . . . 6
Hot Spotters Group Gets Boost from
Providence Community Benefit Fund . . . . . . . . . . . . . In memoriam .
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High School Students Introduced to
Health Care Careers Through ‘Work 101’ . . . . . . . . . . . . 8
Project Access Patient Jack Schierholz and
Advanced Dermatology and Skin Surgery .
Spokane County
Medical Society Message
A monthly newsletter published by
the Spokane County Medical Society.
Advertising Correspondence
Quisenberry
Marketing & Design
Attn: Lisa Poole
518 S. Maple
Spokane, WA 99204
509-325-0701
Fax 509-325-3889
[email protected]
All rights reserved. This publication,
or any part thereof, may not be
reproduced without the express
written permission of the Spokane
County Medical Society. Authors’
opinions do not necessarily reflect
the official policies of SCMS
nor the Editor or publisher. The
Editor reserves the right to edit
all contributions for clarity and
length, as well as the right not to
publish submitted articles and
advertisements, for any reason.
Acceptance of advertising
for this publication in no way
constitutes Society approval or
endorsement of products or
services advertised herein.
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Darryl Potyk, MD named as Assistant Dean for UWSOM .
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Medical Mission Opportunity .
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Membership Recognition for August 2013 .
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3rd Annual River Cruise .
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continuing medical education . . . . . . . . . . . . . . . 15
meetings/conferences/events .
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Classified Ads . . . . . . . . . . . . . . . . . . . . . 16
Medicine 2013 .
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Master in public health .
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Events calendar . . . . . . . . . . . . . . . . . . . . 19
“I
will prepare and someday my chance will come .”
– A braham L incoln
August SCMS The Message Open3
This is Your Message!
Internships
This publication has one simple goal--to
connect our members! It is open to any
of you who have ideas or events to share.
There is usually a monthly theme and we
attempt to contact our members when
we know they are particularly involved
or knowledgeable about the topics for
our articles, but you are also welcome to
reach out to us! I have been reading this publication for more
than 20 years without really wondering where the articles come
from or thinking about the great staff behind the work! Hats
off to Michelle Caird in our office and to all of our contributing
members. Now it’s your turn.
Do you remember your first day of internship? If you are like most
physicians, that day is indelibly imprinted on your consciousness.
So think back, back, back to that first day, the first admission, the
first page, and (heaven help us!) the first code. Now you are in
the mindset of the 33 interns who just arrived in Spokane and are
starting their very first rotation.
By Anne Oakley, MD
SCMS President
By Judy Benson, MD, Providence Internal Medicine Residency
Spokane Program Director
Next month we would like to feature those of you involved in
“Leadership”. This word can encompass many ideas including
running an office, working for one of our large provider groups,
working in government, community building, etc. We would love
to hear facts about your roles, why you chose to become involved
and the challenges you face. We can all benefit from hearing both
the positive and negative stories.
Topics in upcoming issues include Physician Assistants and their
training, roles, practice models and evolution of the practice.
There will be an issue focusing on the Medical Society itself,
detailing its value to the community, membership and where it is
heading. And probably most challenging, there will be an issue
focusing on our own health, mental and physical. This will include
how our jobs and lives can be affected and resources available
to help members in need. If you have special insights into any of
these topics, we welcome your articles or thoughts.
One focus area we would like to add to The Message is human
interest stories. We are interested in members involved in exciting,
different or unusual activities and hobbies. It can be anything from
stamp collecting to skydiving. We just need your help getting
the names and ideas to the SCMS staff. Our writers will do the
interviews. We believe this is another way to build collegiality.
If you are a creative writer that would like to write one or two
human interest stories a year for The Message please contact
Michelle at the SCMS office at [email protected] or (509) 3255010. Also needed are photographers willing to add that special
touch to the stories.
This month we have several articles about medical education in
our community from contributors working on programs for high
schoolers, medical students and residents. You can read about
Group Health’s physician-led development of a new Medical
Home model. We also have an article about new developments in
laboratory medicine. There is a lot going on here in Spokane! Let
us publish what you care about.
They started their year with a week of orientation – you
remember, that time when every department of the hospital
wanted to come to talk with you while you remembered about
10%. Then with a heavy heart you begin two days of ACLS.
You have already reviewed BLS on line with a test to receive an
electronic certificate but now you wander into a room full of
“Annies” of every shape and size – many of whom are just torsos
with an occasional free arm or leg floating around the room.
Then you learn to use an AED (how many of you can use an AED
– great machine for the office if you don’t want the traditional
hefty defibrillator, code cart, etc.). Finally, after lectures on
pharmacology, arrhythmias, acute coronary syndrome and
stroke, you begin your stations where you are coached to use
the classic Bee Gees’ song “Stayin’ Alive” to monitor your chest
compressions, learn about door-to-drug time, defibrillate or
cardiovert (you remember the drill-the list is endless). Then the
BIG test – Megacode with all of its stuttering, stammering and
sweaty palms.
Ready for a break, the new residents begin a scavenger hunt
– first at SHMC to find the “hidden” spots so you make it
to the code before it is done and then off to find the “hot”
spots of Spokane.
Then PPD, urine drug testing, mask fitting, oodles of paperwork,
but at the end of that will come that first paycheck. FINALLY!
And to top it all off they learn Stentor, two Meditech systems
and EPIC. Of course, passwords don’t work, are lost or changed
multiple times before this day is done.
Don’t forget that you still have to move in, unpack and wait for
that new bed to be delivered. But always in the back of your
mind is the ever looming first day of real work and your first
patient. You come to the wards, someone introduces you as Dr.
Somebody and you look around wondering who they are talking
about. Your white coat is longer now, clean, crisp (for the first
and last time) and loaded with books, phones, pagers (that you
don’t know how to use yet even though it has gone off twice), pen
lights, hammers and other paraphernalia. You struggle to find
the 9th floor resident office where everyone is waiting at 0630 for
sign-out. You open the door; take a big breath and walk-in. Your
first day of medicine has begun.
August SCMS The Message 1
Second-Year Medical
Students to Learn In
Non-Traditional Ways
By Doug Nadvornick, WSU Medical Sciences
“I believe this model is an excellent way to go,” said Dr. Michael
Ryan, the UWSOM Associate Dean for Curriculum. “Many
students don’t find traditional lectures are useful as they have
in the past. Attendance at lectures is lower than it used to be in
some courses. There’s so much content out there and students
are constantly out there searching for it.”
Picture these two scenarios involving second-year University
of Washington medical students taking classes, beginning in
August 2013.
Ryan says he noticed during a recent lecture session one UWSOM
student scouring the University of Michigan website for a lecture
covering the same material he was listening to in Seattle.
In Seattle more than 200 students will spend a significant amount
of time parked in a large lecture hall, listening to UW School of
Medicine (UWSOM) faculty members talk about pathology or one
of the other subjects in the second-year curriculum.
“Students are also searching social media for answers,” Ryan said.
“They’re crowdsourcing to get information from outside sources,
information that’s sometimes more succinct than what they’re
getting from us.”
In Spokane a group of fewer than 20 students will spend a
significant amount of time parked in a small classroom. The
difference is, instead of a professor lecturing, he or she will lead a
discussion with the students on a case related to that day’s topic.
Several of Spokane’s incoming second-year students say they’re
intrigued by the new model. They like the idea of fewer lectures.
But at least one, Scott Hippe, admits he’s taking a chance that
the education he’ll receive in Spokane will be inferior to what he
would get in Seattle.
The Seattle example is the traditional model for medical
education, still used by many American medical schools. The
Spokane example, a two-year pilot program, is part of a “flipped
classroom” used by a growing number of schools, from K-12
to graduate-level programs, said Dr. Bill Sayres, one of four
Spokane physicians creating the Spokane hybrid in conjunction
with the UWSOM.
“That’s not surprising,” said Bill Sayres. “Medical students don’t
succeed by taking chances. The amount of time and energy it
takes to get into medical school is enormous. These are very
focused students who have their long-term goals in mind,” he
said.
“We’ll be using the same curriculum as the students in Seattle.
After all, the students have to take the same exam and they’re
graded the same way,” Sayres said.
The difference is in the delivery.
“By not attending lectures, students are demonstrating that the
traditional lecture format may not be relevant to how they master
a subject,” he said.
Sayres says the Spokane model will differ from the traditional
format in three ways. One is class size. While much of the
curriculum in Seattle is delivered to a large group, Spokane
is thinking small. Its 19 second-year students will be split into
two groups. Each group will be staffed by two local physicians
(“guides”) who will serve as academic mentors for the entire
school year.
The second difference is that students will be required to do far
more prep work before class, to read and study the material that
their Seattle peers will hear for the first time in the lecture hall.
The third difference is that Spokane classroom sessions will
be “lecture-free zones,” devoted instead to discussions about
specific medical cases.
What Spokane is trying is new to the University of Washington
School of Medicine, said Dr. Ken Roberts, director of WSU
Medical Sciences and the WWAMI Spokane medical education
program. “But other medical schools have been using these
methods for many decades, so there is much evidence that these
changes improve curriculum delivery,” he said.
Still, Sayres thinks they’ll adjust well and become much more
active participants in the small-group sessions.
The UWSOM’s Michael Ryan says one impetus for the pilot is a
shortage of space in Seattle. He says the UWSOM would have
difficulty accommodating an increase in class size in a smallgroup format. If the pilot proves to be as successful as hoped, he
says the medical school may adopt some of Spokane’s delivery
model and figure out how to make room to accommodate it.
In addition to Sayres, a family doctor at Group Health, the
new Spokane “guides” are Group Health family doctor Dr.
Alisa Hideg, Group Health pediatrician Dr. Cicely White and
pediatrician Dr. Bruce Abbotts of the Valley Young Peoples Clinic.
I make house calls.
Jurene Phaneuf
SPECIALIZING IN
P H Y S I C I A N R E L O C AT I O N S
August SCMS The Message 2
C E L L : 5 0 9 -2 9 4 -119 2
O F F I C E : 5 0 9 - 5 3 5 -74 0 0
J U RE N E P H A N EU F @ G M A IL .C O M
Physicians Lead Medical
Home Improvements at
Group Health, Columbia
and Providence
Shifting mindset for physicians
These changes represent a significant cultural shift for physicians
as they move into more of an attending role. They will be
encouraged to spend less time on routine parts of patient visits,
phone calls, and secure messaging, and focus more on leading
the clinical team.
By Paul Fletcher, MD
Group Health Cooperative, Columbia Medical Associates and
Providence Medical Group are all adding new medical home
features to their care for patients. As changes play out, the role
of primary care physician continues to evolve.
Group Health refines its program
At Group Health, we have had a long history of comprehensive
primary care supported by electronic medical records (EMRs),
quality data, and case managers to coordinate care for patients.
Formally launching the medical home a few years ago, we
improved the way clinicians manage and respond to phone calls
and implemented secure e-mail to boost patient satisfaction
and access. Patients were given easy access to their doctors,
test results, and medical advice via a Web portal. Nurses and
pharmacists became more active in tracking and motivating
patients with chronic disease. We also added tools to be
prepared for every visit so doctors could provide opportunistic
care during patient visits, such as overdue tests and preventive
screenings.
By combining our focus on medical home elements and
new lean-management skills we implemented a reliable and
consistent product across all of our medical centers. Our
patients now have higher expectations. We are answering the
phones and patient questions much more quickly. We improved
patient access and our quality scores, and are able to provide
more comprehensive care during every visit. We have also
increased visits to specialty as we uncovered more health
problems and reduced costs for emergency-room (ER) care and
hospital admissions.
Lessons learned
Some aspects of Group Health’s medical home weren’t as
successful as we’d hoped. We relied too heavily on the pairing
of a doctor and nurse to care for a panel of patients, and
realized that we need to broaden the team. We also expected
secure e-mail to reduce the number of in-person visits and
work load much more than it did. Primary care doctors are still
overburdened, so we are making adjustments.
We are trying to reduce the time physicians spend on indirect
patient care, forms, faxes, refills, and gathering data. Our
staffing model is also changing. Team size will remain the same,
but include more mid-level and support staff, caring for more
patients. Advance Practice Practitioners (nurse practitioners and
physician assistants) and clinical pharmacists will handle more
patient teaching and secure e-mail.
Some physicians may find it difficult to step away from patient
counseling and teaching because they enjoy the relationship
building with their patients. We share that value and are having
lots of discussion about continuing the relationship, though in a
different way.
Because Group Health will rely on teams to care for patients like
never before, physicians will need team-leadership skills. We
are now investing in training so physicians will feel comfortable
leading and trusting their colleagues, giving feedback, and
sharing their expertise.
Columbia defines its population
This year the physicians of Columbia Medical Associates
decided they too would implement a patient-centered medical
home. Although practitioners already used many of the
principles, creating a formal system in Columbia’s fee-for-service
environment is a first.
“One challenge in a fee-for-service setting is that we only see
patients who show up in the office for appointments. But it’s not
good enough just to evaluate patients as they come through
the door. This doesn’t capture the necessary comprehensive
health monitoring for our patients who don’t come in at all,” says
Roger Woodruff, MD, a family physician for Columbia Medical
Associates.
Columbia’s first step has been to define panels and teams at its
13 offices. It used its billing system to pull patients seen over the
last three years and study how patients interacted with providers.
Leaders assigned patients to providers based on who saw a
patient most frequently for annual care and chronic conditions.
They also designated each clinic as a care team, although some
larger offices will break into smaller groups over time.
Improving chronic disease care
Columbia is now focused on managing chronic disease, targeting
diabetes because the group had the most data on this condition
and diabetes reflects a high “misery index” for patients and high
care costs.
Insurers are very interested in quality measurement and
most share data on how their patients are performing, but
Columbia’s reported volumes for each insurance company were
typically small and not very useful. Instead, Columbia is building
a recordkeeping platform to include all of its patients no matter
the insurer, and the physicians are deciding what to monitor
largely based on HEDIS measures.
August SCMS The Message 3
“It’s exciting. We’ll come up with our own standards and
recordkeeping so that the data will be meaningful to us so we
can improve,” adds Woodruff.
At one clinic, employees are now screening patients scheduled
for appointments and making sure that those with diabetes
codes have had a current eye exam, lab tests, and other
measures critical in comprehensive diabetic care. They are
also giving the doctors gap-analysis reports so the doctor can
address needed care during the visit. In addition, employees are
screening panel lists at the office level to verify when diabetes
patients were last seen and encouraging overdue clients to come
in for care.
By year-end 2013, Columbia plans to expand these tools across
all of its clinics and to fully monitor basic preventive screenings
including mammograms and colorectal screening.
Providence expands team approach
Providence is expanding its team-based approach so that
physicians, advance practice practitioners, nurses, and medical
assistants work more collaboratively to coordinate care. One
of Providence’s main goals is to improve care transitions by
contacting patients who have been hospitalized or visited the ER
and making sure they are seen by their primary care provider for
follow-up care. Providence is also using care teams to manage
patients between visits in order to reduce hospitalizations and
improve care of complex patients. “Over the past four years, Providence Medical Group has grown
from 45 to over 400 physicians. Many primary care groups have
joined, and in the next six to 12 months, we expect to take care
of many new patients,” says Brian Seppi, MD, Providence medical
director for primary care redesign.
Wherever one practices, physicians are in the same boat. We all
need more cost-effective care models because patients expect
great service at an affordable price. When Washington’s health
care exchange goes live this fall, more patients will gain coverage
and seek primary care beginning in 2014. At the same time, the
industry is experiencing a shortage of primary care providers, so
we must try new approaches.
As we delve deeper into primary care redesign, Group Health,
Columbia and Providence are meeting regularly to share best
practices and learn from each other. We are committed to finding
new ways to provide quality care and meet patient and clinical
staff needs, all in a cost-effective way.
By Paul Fletcher, MD, assistant medical director for primary care
at Group Health Cooperative with input from Roger Woodruff,
MD, of Columbia Medical Associates and Brian Seppi, MD, of
Providence Medical Group.
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“Because our current primary care providers don’t have capacity,
we are looking at different ways to care for patients and using
physicians’ time to the best of their ability. They should not be
spending two hours a day doing paperwork, but instead caring
for their patients,” says Seppi.
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In February Providence implemented a new EMR. This has
improved patients’ access to their medical information and
allowed better communication between providers, which
are essential to placing the patient at the center of the
medical home. Who pays? Why now?
“One large barrier we’ve faced is how to pay for this work before
we get the resources from payers. In the short term, it makes
your bottom line worse,” says Dr. Woodruff.
All three organizations grapple with the issue and the solutions
haven’t matured yet. Group Health is paying Columbia a fee to
coordinate its care, but payments from health plans aren’t yet
the industry norm.
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August SCMS The Message 4
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Molecular Infectious
Disease Testing on
Cervicovaginal Samples
Studies have shown that Amsel criteria and wet mount
microscopy have their own set of problems, and misdiagnosis
can still occur using these time-tested approaches. In a study of
the use of Amsel criteria and microscopy, it was found that the
use of these measures and tools did not reduce the number of
misinterpretations, and some studies reveal that the misdiagnosis
of patients with vaginal complaints can be rather high.2
By Felix Martinez, Jr., MD
In our world of rapidly evolving technology, does molecular
testing for infectious disease offer value? If there is a current
practice or test that detects disease and helps administer
good care to patients, is there reason to readily adopt a new
approach? Specifically, will molecular testing for specific
organisms aid in the work up of vaginal discharge? Is this new
testing a better mousetrap?
We ask these questions in the difficult clinical realm of
vulvovaginitis/vaginosis and the new tests now available to identify
organisms associated with these conditions. It is important to
understand exactly what the testing offers, as well as what if any
changes that we might initiate would mean to our patients.
Vulvovaginitis/vaginosis affects many women and can be
associated with several serious health conditions. Identifying
a specific cause of some types of vulvovaginitis/vaginosis has
remained enigmatic, and there is controversy and variation in
overall approach to this sometimes difficult-to-treat problem.
Many women who experience a vaginal infection have discharge,
itching and odor, which often continues after alternative
therapies, including over-the-counter medications. In a small
sample of self-diagnosed women who were studied, 34% had
vulvovaginal candidiasis, 19% bacterial vaginosis, 21% mixed
vaginitis, and 2% Trichomonas vaginitis. In the remainder, no
disease was detected or involved a non-infectious condition (for
example, lichen sclerosis)1.
This variety of causes and imputed causes of vulvovaginitis/
vaginosis illustrates part of the problem that medical
professionals face in trying to help patients with vaginal
discharge and the difficulties encountered in selecting correct
treatment choices.
Polymerase Chain Reaction (PCR) analysis of vaginal swabs has
proven to be a useful adjunct test for vulvovaginitis/vaginosis.
Several improvements have been offered by this testing. First, the
collection process has improved. A flocked swab is now available
that collects a sample from many areas on the vaginal wall, where
flora is most abundant.
Another improvement has been the improved sensitivity and
specificity of molecular testing. This allows for identification of
specific organisms that respond to specific antibiotic therapy.
Molecular testing for gonorrhea and chlamydia offer testing
convenience when performed on a Pap collection, but samples
obtained from the cervical area using traditional Pap collection
devices may not offer the most sensitive means of collecting
causative organisms of vulvovaginitis/vaginosis.
Accurate speciation of identified organisms in this testing allows
for appropriate treatment options and lower recurrence rates.
In summary, molecular testing has shown value in the evaluation
of patients with signs and/or symptoms of vulvovagintis/vaginosis.
The testing is both highly sensitive and specific. Speciation of
organisms allows for selective employment of antibiotics, and
a separate swab collection provides the best means to detect,
identify and speciate organisms.
So, if a better mousetrap does come along...
References:
1 Ferris DG et al. Over-the-Counter Antifungal Drug Misuse Associated With PatientDiagnosed Vulvovaginal Candidiasis Obstet Gynecol 2002;99:419 –25.
2 Andreas Schwiertz*, David Taras, Kerstin Rusch and Volker Rusch. Throwing the dice for the
diagnosis of vaginal complaints? Annals of Clinical Microbiology and Antimicrobials Annals of
Clinical Microbiology and Antimicrobials 2006, 5:4 doi:10.1186/1476-0711-5-4
The three diseases most frequently associated with vaginal
discharge are bacterial vaginosis (caused by the replacement
of the vaginal flora by an overgrowth of bacteria, including
Gardnerella vaginalis, Mobiluncus, Ureaplasma, Mycoplasma,
and numerous fastidious or poorly characterized anaerobes),
trichomoniasis (caused by the protozoan Trichomonas vaginalis),
and candidiasis (genital fungal infection, usually caused by
Candida albicans). In addition, cervicitis, both infectious and
non-infectious, can also sometimes cause a vaginal discharge.
Vulvovaginal candidiasis is usually not transmitted sexually, but
it can be a frequent persisting condition in women who have
vaginal complaints.
An important tool in evaluation of vaginal discharge has
been wet mount microscopy. Wet mounts, however, require
experience to interpret and are sometimes difficult to evaluate.
Also, microscopes have become an expensive piece of office
equipment that many practitioners now choose to forego.
August SCMS The Message 6
Hot Spotters Group Gets
Boost from Providence
Community Benefit Fund
benefits across the board—for patients, doctors, health systems
and communities. We know anecdotally, intuitively and from the
data coming out of similar programs around the country that this
works, but we must build our own body of research in order to
efficiently tailor the program to our community.
By Lee Taylor, Director Strategic Initiatives
3. Legal support staff from the Center for Justice
The work of the Hot Spotters Group is modeled after the
Camden, New Jersey Coalition of Healthcare Providers,
which originally coined the name “Hot Spotters”. The
Spokane Hot Spotters Group focuses on high risk
patients with a history of high utilization of health care
and emergency services. The group collaborates with
providers of medical, behavioral health, substance abuse
and housing services to develop a community care plan
that will provide the best care available while working to
reduce community costs. This group is embarking on a
very important focus on community-wide collaboration
to solve some of the most challenging medical and
behavioral health cases in the community.
The Hot Spotters Group was given a big boost recently with
generous funding from the Providence Community Benefit
Fund. This is essential start-up funding that will help pave the
way for additional revenue from foundations and other sources.
Ultimately, the work of the Hot Spotters Group will improve
the overall health of very complex patients while dramatically
reducing the cost of care across the system. Those valuable
services will be sustained by funding from health care insurance
providers and other health care stakeholders.
The recent Providence contribution will help us grow the Hot
Spotters Group program in three key areas:
1.Staffing for a Community Health Work (CHW) and
administrative personnel.
The Community Health Work component is the foundation of
this work. CHWs are trained to view the client with the broadest
lens possible and then connect the dots between primary care
providers, specialists, behavioral health professionals and others
in an effort to maximize the health benefit to the client while
improving the overall functionality of the system for the benefit of
everyone. Additional staffing in this area will greatly expand the
potential of the Hot Spotters initiative.
2. Health care economist staffing from WSU to work on
outcome measurement strategies
Tracking the outcomes of this work is crucial, particularly in
the early stages. First and foremost, the data will enable us to
continually improve our efforts to coordinate care for those
vulnerable individuals. It will also demonstrate to community
leaders and funding sources that this work has quantifiable
The legal support provided for the Hot Spotters Group by the
Center for Justice is an element of the emerging Health and
Justice Initiative which strives to increases the collaboration of
the legal system with healthcare providers. Efforts by hospitals
and health care systems to address the problems of hospital
recidivism through social interventions point out that reducing
costs in the health care system will not happen if we merely
reduce resources available for the providers who are treating
the symptoms of poverty, mental illness, substance abuse, and
homelessness. High health care costs are not solely the result
of an individual’s failure to take personal responsibility for one’s
health nor are they solely the result of waste in the system or
poor quality care. They are the result of complex and pervasive
problems with no easy solution.
The legal community across the country has recognized this over the
past ten years and is addressing it by embracing a holistic approach
through the use of medical-legal partnerships. In these partnerships,
a lawyer is placed at a hospital or community health center that
treats low-income people, and is trained to work with patients on
the problems of poverty that cause poor health outcomes. With
help from the Center for Justice’s Health and Justice Initiative, the
Spokane Hot Spotters Group will be tracking the results of those
efforts, both for health care outcomes and for costs.
The Providence Community Benefit Fund contribution is an
important milestone in the growth of the Spokane County
Medical Society Foundation’s ambitious, multi-faceted effort to
tackle the most confounding health care problems in the region
through forward-thinking community partnerships.
If you would like to discuss how we can partner with you or your
organization on these or other community health initiatives,
please call me at (509) 220-2651 or email at [email protected].
In Memoriam
Leif J. Larson, MD
On July 12, 2013Leif Larson passed away unexpectedly. He was
born on February 3, 1953. Leif received his medical degree
from the University of Hawaii, John A. Burns School of Medicine
in 1984. He worked as a respected urgent care physician for 28
years, most recently for Rockwood Clinic. He is survived by his
children Katherine and Kristine and by his sisters Anita and Ingrid.
August SCMS The Message 7
High School Students
Introduced to Health Care
Careers Through ‘Work 101’
By Kevin Dudley, Marketing and Communications Coordinator,
Greater Spokane Incorporated
Who are the health care professionals of tomorrow? How will they
be trained?
Those are some of the questions the community is asking, and
it’ll take a community effort to ensure there are enough skilled
workers to serve the needs of area residents for years to come.
A number of area organizations teamed up to create ‘Work 101,’ a
program that connects high school students with professionals in
STEM (Science, Technology, Engineering and Math) workplaces.
Its goal is to link
the business
and education
sectors
and create
experiential job
experiences
for high school
students.
A Riverpoint Academy junior gets an up close, hands-on
lesson at the health clinic at Fairchild Air Force Base
There was a
focus put on
health care
professions when placing students.
“We have a medical school coming….this is a perfect opportunity
for businesses in the health sciences to be active in helping to
shape our future workforce and helping to create those learning
experiences,” said Alisha Benson, the Director of Education and
Workforce at Greater Spokane Incorporated.
This being the first year Work 101 was implemented, only
students from Mead’s Riverpoint Academy completed
internships. Next year, students from Spokane Valley Tech will
also complete internships.
In the health care realm, four students interned at Fairchild Air
Force Base’s health clinic. For Lt. Col. Matthew Albright, hosting a
high school student was the base’s way of helping students figure
out whether they like a career or not, and before it’s too late.
“Once you’re into a career field, it’s really hard to change that
career to a different career that maybe you enjoy more,” he said.
“That was the push behind allowing students to come out here
and job shadow.”
Students at Fairchild learned how to apply an IV, how the military
tests pilots for various ailments that might occur while flying, the
proper technique to use when x-raying a patient and much more.
Learning the day-to-day tactics medical professionals use,
though, was just a sliver of what the students learned. When
going to the doctor or being treated in a hospital or clinic,
patients aren’t aware of what goes on when the doctor leaves the
August SCMS The Message 8
Continued on next page
room: who he or she talks to, what decisions they make and why,
and how many people are actually working on one patient.
“What’s nice for these students is they get the behind the
scenes exposure of how the medical technicians, the doctors,
the medical administrators all work together for that patient to
problem solve,” Albright said.
Problem solving is a key component to the curriculum at the
Riverpoint Academy.
“I’ve learned you need a lot of teamwork,” said Sonia Khokhar,
a student at the Riverpoint Academy and an intern at Fairchild’s
health clinic. “Communications-wise, you need to talk to
everyone about what’s going on with each patient.”
The early returns for Work 101 are positive, both from an
employer and student perspective.
“The businesses have been impressed with how prepared the
students are,” Benson said. “They’ve also been impressed with
realizing they can be a link and be an influence. They have a real
opportunity to help take what the students have been learning in
the classroom and put it into action in a workplace.”
At a recent Riverpoint Academy Advisory Committee meeting,
three students who completed internships presented what they
learned, and all of them talked about teamwork, workflow and
collaboration – things that you really only learn by doing.
Next year, there will be a higher demand for internships offered
in the health care sector when Spokane Valley Tech also allows
students to complete internships.
“We’ll go from having fifteen bioscience internships to seventyfive,” Benson said.
Work 101 was created through a partnership between the
Riverpoint Academy, Spokane Valley Tech and the Spokane Area
Workforce Development Council.
Businesses have to be at the table during the process as well for
the program to be successful.
“We know that we have a workforce shortage, especially in the
STEM careers,” Benson said. “One of the things we’ve learned
is that exposure of students to these workplaces helps to shape
their future career choices and now is a critical time for businesses
to be active in helping to recruit our future workforce.”
Now that the first round of internships are complete, Work 101
organizers are gearing up for the fall, when more students will
need to find places to gain job experience. So far so good,
according to Benson.
“The takeaway from the businesses and the students is that we’re
headed in the right direction,” she said.
August SCMS The Message 9
Project Access Patient
Jack Schierholz and
Advanced Dermatology
and Skin Surgery
By Jim Ryan, Project Access Program Coordinator
In this space each month, Project Access will feature one of
our generous providers, in appreciation of all the medical
professionals in the region who donate their time and talents to
the care of our clients. In order to give you a complete picture of
the good work being performed by those physicians, physician
assistants and health care providers, we will also share the story
of a Project Access client served by our featured provider. If you
have a great Project Access story to share, please let us know!
Send it to [email protected].
We asked Jack about his experience with Advanced Dermatology.
“Dude, those guys are awesome,” he said. “I’ve spent my life
helping people and I never expected anyone to step up and
help me like that.” In the year since Jack’s surgery, he has been
unflinching in his desire and willingness to give back in any way
he can, saying “we’ve gotta take care of each other, man.” Jack
is currently working on starting up a non-profit hot dog cart to
benefit wounded warriors. He’s going to call it “Veteran Dogs.”
In 2012, the ten-person team at Advanced Dermatology and Skin
Surgery saw 22 patients under Project Access. That would be a
remarkable donation in itself, but it represents only what we’ve
asked of them, not a limit on their willingness to give. Advanced
Dermatology has never turned a Project Access client down. This
is a testament both to Project Access’s dedication to referring
only those patients who qualify and to Advanced Dermatology’s
commitment to providing care for those in need.
It must be mentioned here that this is also due to the generosity
of our other dermatology partners, including Dermatology
Specialists of Spokane, Dermatology Associates of Spokane,
Northwest Dermatology and Spokane Dermatology Clinic, all
of whom pledge to Project Access. The generosity of those
providers means that Project Access can grow in leaps and
bounds without capacity concerns in this specialty area.
BEFORE
A Client’s Story
In March of 2012, Jack Scheirholz went for a routine checkup
at Spokane Falls Family Clinic that resulted in the diagnosis of
a lesion on his nose as a probable basal cell carcinoma. Jack
was uninsured and collecting unemployment at the time, with
a weekly benefit amount of $195—$10,140 per year—leaving
him with few options for treatment. Spokane Falls Family Clinic
referred Jack to Project Access and we received his application in
early April. He was immediately approved for a specialist referral.
Spokane Falls Family Clinic conducted a biopsy of the lesion on
April 19 and confirmed a diagnosis of cancer. Jack was referred to
Advanced Dermatology through Project Access and had his first
appointment on May 8. Dr. Cvancara and his team removed the
cancer shortly thereafter. When we contacted Jack a year later, he
said that everything had “healed up beautifully.” “You can hardly
even tell that anything happened there.”
August SCMS The Message 10
AFTER
Darryl Potyk, MD named as
Assistant Dean for UWSOM
By John McCarthy, MD, Assistant Dean for Regional Affairs
UWSOM
During the past several years, medical education in Spokane
and eastern Washington has evolved and grown in a number
of significant ways. Much of that growth and development has
occurred during the tenure of Deb Harper, MD, who served
as University of Washington School of Medicine’s (UWSOM’s)
Assistant Dean for Clinical Medical Education for the last eight
years in Spokane. She fostered the growth of Spokane’s clerks
from approximately 75 to 250 per year. It was during her time
in this role that five years ago WSU Spokane and UWSOM
developed 20 new medical education seats for first-year students.
And this year, for the first time in the UWSOM’s history, training
for second-year medical students will be possible outside of
Seattle and occur in Spokane.
Dr. Harper has decided to now return to more of a clinical focus,
which opened recruitment for a new Assistant Dean for UWSOM.
We were fortunate in that a number of excellent candidates
expressed interest in this role. Darryl Potyk, MD has been named
as the new Assistant Dean. He will join me in leading clinical
education initiatives for eastern and central Washington.
Dr. Potyk has been working primarily in Graduate Medical
Education, having served as the Transitional Residency Director
and more recently as the Assistant Director with Providence
Internal Medicine Residency Spokane (he will continue in that
role part-time). He brings an appreciation of the complexity
of GME development and sustenance as well as a significant
connectedness with the Spokane community. His organizational
skills will be significantly appreciated as will his leadership and
relationships within the community. UWSOM and WSU Medical
Sciences leadership and staff look forward to having Dr. Potyk join
medical education efforts in Spokane and eastern Washington.
Dr. Potyk will be taking over the responsibilities for the third- and
fourth-year clinical students within the Spokane area. He will be
working closely with the TRACK students (those spending most
of their year in Spokane) as well as with the rotating students
who select clerkships in Spokane. I will continue to focus on rural
clerkship education activities in eastern Washington with emphasis
in the rural longitudinal programs. Both of us will continue working
to develop more GME opportunities within our community.
We will continue to work closely and synergistically with Dr.
Ken Roberts in his role to lead education for medical students
in their first and second years. As this leadership collectively
pursues avenues to meet the critical physician workforce needs,
we speak clearly with one voice – we need to develop medical
education opportunities for the students and patients who live
east of the Cascades.
We ask that you welcome Dr. Potyk as he assumes his new
position and that you continue to be aware of the need for
growing medical education for the future of our patients. It is an
exciting time and we remain in a growth phase.
Our business is turning them into realities.
We do this by helping our clients plan and manage their financial resources. Fee-only.
For a complimentary
consultation or brochure, call:
Greer Gibson Bacon, CFP®
(509) 838-4175 or (888) 864-8827
assetplanning.com
August SCMS The Message 11
Medical Mission Opportunity
The following information was sent to SCMS President Anne
Oakley, MD from a fellow Leadership Spokane program graduate.
If you are in the health profession, willing and able to go to the
Honduras (Guanaja and the Bay Islands) for a week, two or a
month, please send me your information along with possible
dates. I am looking to bring a group of professionals and mission
groups to Guanaja mid to end October, December before the
holidays and the first week in February.
You will need to have the resources to travel to Guanaja and cover
your expenses while there. For a minimal cost you will receive
accommodations on the islands with three meals a day and
beverages, boat transfers to the areas in need and a local guide. You
will have time to enjoy the water and local adventures as well. You
are welcome to bring your families along to learn about the area. Possible volunteer opportunities are listed below:
1. Women’s Health Doctors to come for two week or more to train
local interns on procedures of yearly exams, breast self-exams
and sexually transmitted disease prevention.
2. Dentist or Hygienists to provide cleaning, treatment and
education for youths and adults.
3. Mission groups to assist with obtaining and delivery of medical
and dental supplies and equipment.
Approximate costs per person:
• Transportation Airfare from Spokane $680 to Roatan
and $162 to Guanaja. Boat transfer to the Cay is
included in weekly rates.
• Weekly Accommodations rate on Clark’s Cay or similar $
1350 per person per week based on double occupancy
includes seven nights (two single or one double bed
room with private bath), breakfast, lunch and dinner with
daily beverages. Dinner out on your arrival Saturday with
welcome drinks. Boat transfers to and from airport and
weekly transportation as needed to and from The Cays,
Savannah Bight and Banacca.
• Other miscellaneous expenses you may incur include
purchasing your favorite snacks (bring them with you),
alcoholic beverages (can be purchased locally or bought
at US Duty Free shops prior to departing the US),
souvenirs (sold locally) and tip money as you see fit.
• If you are unable to travel, donations can be made to
assist in this project.
If this adventure and mission fits your expertise or calling, please
contact Connie Stark, CEO StarkTours at [email protected]
or (509) 315-6717.
New Physicians and Physician
Assistant for August
The following physicians and physician assistants have applied
for membership and notice of application is presented. Any
member who has information of a derogatory nature concerning
an applicant’s moral or ethical conduct, medical qualifications or
such requisites shall convey this to our Credentials Committee in
writing to the Spokane County Medical Society, 104 South Freya
Street, Orange Flag Building, Suite 114, Spokane, Washington,
99202.
PHYSICIANS
Alhafez, Fadi, MD
Internal Medicine
Med School: Tishreen U, Lattakia, Syria (2001)
Internship: Damascus University (2002)
Residency: Rosalind Franklin U, Cook County Hospital (2006)
Fellowship: U of WA (2013)
Practicing with IPC – Holy Family Hospitalists 08/2013
Carter, Gregory, MD
Internal Medicine
Med School: Loyola U of Chicago (1986)
Internship: U of CA Davis Medical Center (1987)
Residency: U of CA Davis Medical Center (1990)
Practicing with St Luke’s Physiatry Practice 08/2013
Cope, Jeremy M., MD
Internal Medicine
Med School: Flinders, U, Australia (2005)
Internship: Gold Coast Hospital (2006)
Residency: Providence Spokane Internal Medicine Residency
(2013)
Practicing with IPC – Holy Family Hospitalists 08/2013
Hwang, Becky J., MD
Radiology
Med School: UMDNJ-SOM New Jersey (2007)
Internship: UMDNJ-SOM New Jersey (2008)
Residency: NY Medical College - St Vincent’s Hospital (2010)
Practicing with Inland Imaging Associates 08/2013
Jones, Geoffry, MD
Family Medicine
Med School: U of Washington (1996)
Internship: Family Medicine Spokane (1997)
Residency: Family Medicine Spokane (1999)
Currently practicing with Family Medicine Newport
Li, Frank D., MD
Pain Management
Med School: U of North Carolina (1997)
Internship: Pittsburgh County Memorial Hospital (1998)
Residency: U of CA Irvine (2001)
Fellowship: U of CA Los Angeles (2002)
Practicing with Spokane Pain Center 07/2013
August SCMS The Message 12
Continued on next page
Santarpio, Camille, DO
Obstetrics and Gynecology
Med School: U of New England (2002)
Internship: Maine Medical Center (2003)
Residency: Maine Medical Center (2006)
Practicing with Obstetrix Medical Group of WA 10/2013
Snyder, Jennifer C., MD
Family Medicine
Med School: U Autonoma de Guadalajara, Mexico (2008)
Internship: Central Washington Family Medicine Residency (2011)
Residency: Central Washington Family Medicine Residency (2013)
Practicing with Providence Family Medicine Residency Spokane
08/2013
Tryon, Brian, MD
Diagnostic Radiology
Med School: Drexel U (2000)
Internship: Drexel U Hospitals (2001)
Residency: Drexel U (2005)
Practicing with Radia, Inc., PS 09/2013
Kaur, Jasdeep, MD
Internal Medicine
Practicing with Holy Family Hospital 08/2013
Lawson, Andrew J., MD
Family Medicine/Sports Medicine
Practicing with Providence Family Medicine Residency 08/2013
Marchion, Christina S., MD
Family Medicine
Practicing with Providence Family Medicine Residency 08/2013
Mezei, Gabor C., MD
Obstetrics
Practicing with PMG - Maternal Fetal Medicine 07/2013
Mejia, Juan C., MD
Surgery
Practicing with PMG - Kidney Transplant Surgery 08/2013
Plymale, Jennifer M., MD
Pediatrics
Practicing with PMG - Center for Congenital Heart Disease
08/2013
Vanderhoeven, Jeroen, MD
Maternal-Fetal Medicine
Med School: Flinders, Drexel U (2006)
Internship: Oregon Health Sciences U (2007)
Residency: Oregon Health Sciences U (2010)
Practicing with Deaconess Perinatal Services 07/2013
Preugschat, Dexter A., MD
Internal Medicine
Practicing with PMG - Internal Medicine Hospitalists 07/2013
PHYSICIANS PRESENTED A SECOND TIME
Barry, Robert T., MD
Diagnostic Radiology
Practicing with Inland Imaging 01/2014
Roberts, Meghan E., MD
Internal Medicine
Practicing with PMG - Internal Medicine Hospitalists 08/2013
PHYSICIAN ASSISTANT
Bettesworth, Jacob G., DO
Anesthesiology
Practicing with Providence Anesthesia Services 06/2013
Carlson, Casey, PA-C
Physician Assistant
School: Oregon Health Sciences U (2009)
Practicing with PMG – Orthopedic Specialties 08/2013
Cannon, Todd A., MD
Anesthesiology
Practicing with Anesthesia Associates (Deaconess &Valley)
09/2013
Condon, Erik J., MD
Anesthesiology
Practicing with Providence Anesthesia Services (Sacred Heart)
08/2013
Do, Johnny N., MD
Internal Medicine
Practicing with Holy Family Hospital 08/2013
Membership Recognition
for August 2013
Guzman Aguayo, Nelio, MD
Pediatric and Adult Nephrology
Practicing with PMG - Kidney Care of Spokane 07/2013
Thank you to the member listed below. His contribution of time
and talent has helped to make the Spokane County Medical
Society the strong organization it is today.
Hill, Chandler H., MD
Emergency Medicine
Practicing with Valley Hospital /Sacred Heart Emergency
Departments 08/2013
10 Years
S. Alan Rietze, MD
August SCMS The Message 13
8/1/2003
3rd Annual River Cruise
A perfect summer evening was the setting for the 3nd annual
river cruise on Thursday, July 11. SCMS members and their
significant others cruised to Lake Coeur d’Alene on The
Serendipity listening to guitar player, Steven King, and visiting
with colleagues. The cruise was sponsored by the Community
of Professionals partners: UBS - The Prewitt Group, US Bank and
Numerica Credit Union.
Anne Oakley, MD and Mihai Alexianu, MD
Ellie McIntyre from Numerica Credit Union; Anne Oakley, MD and Jennifer Mayfield, MD
Kingsley Ugorji, David Bare, MD, and Bill Bender, MD
Jim Nania, MD and Karina Dierks, MD
Providence Family Medicine Residency Spokane physicians with spouses and
significant others
August SCMS The Message 14
Continuing Medical Education
Meetings/Conferences/Events
Moderate (Conscious) Sedation and Analgesia: 3.0 Hour(s)
of Category 1 CME credit, sponsored by the Spokane County
Medical Society. Tuesday, September 17 5:30 – 9:15 p.m. at
the Providence Sacred Heart Medical Center Mother Joseph
Room. This is SCMS’ annual program to satisfy JCAHO
requirements and provide a refresher course to members of
the medical community in order to increase patient safety. For
more information contact Karen Hagensen at (509) 325-5010 or
[email protected].
Spokane County Medical Society presents MEDICINE
2013: 7.0 Hours of Category 1 CME credit, sponsored by the
Spokane County Medical Society. The program will focus
on the more challenging management issues that clinicians
encounter. Speakers from the University of Washington,
Virginia Mason Medical Center as well as several local experts
will present. The conference will be held on Friday, September
27, 2013 at the Davenport Hotel. Visit the Spokane County
Medical Society website for more information and to view
the program brochure at www.spcms.org or contact Karen
Hagensen (509) 325-5010 or [email protected].
Rockwood Health System Breast and General Tumor
Boards: The tumor boards are jointly sponsored by Rockwood
Health System and the Spokane County Medical Society.
Tumor Boards will be held weekly June – December 2013. Each
Tumor Board is worth 1.0 Category 1 CME credits. For more
information please contact Sharlynn M. Rima CME Coordinator
at [email protected].
Promoting Healthy Families (Practice Management Alerts
from the American Medical Association) is designed to help
physicians successfully talk about healthy behaviors with their
adult patients in a way that may spark—and help sustain—
positive changes for the whole family. The continuing medical
education activity includes a video module, a detailed
monograph and patient handout. These activities have
been certified for AMA PRA Category 1 Credit™. For more
information www.ama-assn.org.
Institutional Review Board (IRB) - Meets the second Thursday
of every month at noon at the Heart Institute, classroom B.
Should you have any questions regarding this process, please
contact the IRB office at (509) 358-7631.
Spokane Guild of the Catholic Medical Association- is
pleased to present a lecture by Father Robert Spitzer, SJ,
PhD, on “The Scientific Evidence for the Existence of God”.
Father Spitzer is the past president of Gonzaga University. He
is an author, educator, philosopher, and founder of the Magis
Center of Reason and Faith. Please join us on 3 October,
Thursday evening at 6 p.m. at Providence Auditorium, Sacred
Heart Medical Center. All health care professionals are
welcome. Atheists and agnostics are especially welcome. For
more information contact Al Oliva, MD at (509) 220-3586.
National Environmental Health Association Courses
sponsored by the CDC and EPA available. Courses include
National Environmental Public Health Performance Standards
Workshop: Building Local and National Excellence, Biology
and Control of Insects and Rodents Workshop, Environmental
Health Training in Emergency Response and Environmental
Public Health Tracking 101. For more information go to the
website at www.nehacert.org.
Physician Family Alanon Group: Physicians, physician
spouses or significant others and their adult family members
share their experience, strength and hope concerning difficult
physician family issues. This may include medical illness,
mental illness, addictions, work-related stress, life transitions
and relationship difficulties.
We meet Tuesday evenings after 6 p.m. The format is
structured by the 12-Step Alanon principles. All is confidential
and anonymous. There are no dues or fees. To discuss
whether this group could be helpful for you, please contact
Bob at (509) 998-5324.
Expedited Partner Therapy in the Management of STDs: 1.5
Hour(s) of Category 1 CME credit, sponsored by the Spokane
Regional Health District’s STD Medical Coalition, the Seattle STD/
HIV Prevention Training Center and Sacred Heart Medical Center.
Presented by Matthew Golden, MD, MPH at the Providence Sacred
Heart Medical Center Auditorium (20 W 9th Ave) on August 20 from
noon to 1:30 pm. Expedited Partner Therapy (EPT) is the strategy
by which the identified sex partners of a patient diagnosed with a
treatable STD, usually chlamydia or gonorrhea, are provided directly
with therapy without an intervening medical evaluation. Join us to
learn about the practice of EPT and how to access free medications
for your patients’ partners. Lunch will be provided. Register at srhd.
org/stdcme or contact Anna Halloran at [email protected] for
more information.
August SCMS The Message 15
REAL ESTATE
MEDICAL OFFICES/BUILDINGS
Comfortable Three-Bedroom Home in quiet neighborhood for
rent. Good storage in kitchen, gas stove, dishwasher, refrigerator,
washer/dryer and fireplace. Comes furnished or can negotiate.
Close to Hamblen Grade School, Sac Middle School and Ferris
High School. Three bedrooms, three baths, large living room,
family/TV room, master bedroom has private bathroom, two-car
garage. Large windows in living room look out into large fenced
yard with automatic sprinkler system (front and back).
Snow blower and lawnmower provided. Call (408) 594-1234
or (509) 993-7962.
Large Second Owner Custom Built Executive Home with
unparalleled views of Liberty Lake and Spokane Valley on
five acres available for sale or lease. Custom hardwood floors
and woodwork throughout, cherry office shelves, cathedral
ceilings, central air, three car garage, brick porch, tile roof, large
deck, three fireplaces, four bedrooms, four bathrooms, formal
dining room, large kitchen, large eating room and den. Walk
out basement, wood stove, kitchen and bathroom. Large 30’ x
100’ pole barn with separate utilities, two phase power, three
twelve-foot overhead doors. 30 x 60 sports court. Large animals
allowed. Water rights included. 4Kw grid interactive, portable
battery backup solar system available. Offered for $600k or for
lease $3250, no pets/smokers. Seller is a real estate broker at
(509) 220-7512.
South Hill – on 29th Avenue near Southeast Boulevard Two offices now available in a beautifully landscaped setting.
Building designed by nationally recognized architects. Both
offices are corner suites with windows down six feet from the
ceiling. Generous parking. Ten minutes from Sacred Heart or
Deaconess Hospitals. Phone (509) 535-1455 or (509) 768-5860.
North Spokane Professional Building has several medical
office suites for lease. This 60,000 sf. professional medical office
building is located at N. 5901 Lidgerwood directly north of Holy
Family Hospital at the NWC of Lidgerwood and Central Avenue. The building has various medical office spaces available for
lease from 635 to 10,800 contiguous usable square feet. and has
undergone extensive remodeling, including two new elevators,
lighted pylon sign, refurbished lobbies, corridors and stairways. Other tenants in the building include urgent care, family
practice, pediatrics, dermatology, dentistry, pathology and
pharmacy. Floor plans and marketing materials emailed upon
request. A Tenant Improvement Allowance is available, subject
to terms of lease. Contact Patrick O’Rourke, CCIM, CPM®with
O’Rourke Realty, Inc. at (509) 624-6522, mobile (509) 999-2720
or [email protected].
Beautiful Priest Lake Cabins for Rent Our newly restored
cabins are located on the historic site of Forest Lodge in the
entrance to the scenic Thorofare. Two cabins are available. Each
sleeps 8. They are located at the water’s edge, have gorgeous
views, bordered by the National Forest and 18 acres of private
land. The beds and furnishings are all new and cabins have all
the amenities - decks, docks, beaches with fire pits, walking
trails and forest to explore. Boating, hiking, swimming, sailing,
snowmobiling in winter or just relaxing in the sunshine. You will
enjoy a peaceful, fun-filled vacation at this amazing site. For
available dates, pricing, photos and details call Jeannie or John
at (509) 448-0444.
One of Copeland’s best north side homes on over fifty acres
with meadows, trees, complete privacy and gorgeous views. This home offers contemporary living at its best featuring four
bedrooms, four bathrooms, three-car garage, hard rock maple
floors, cabinets and built-ins, three balcony decks plus a patio
with water feature. The second level has a distinctive master
suite with custom built-ins, large walk-in closet, lovely master
bath with lowboy toilet and bidet, a large sitting room with
built-in shelving, raised gas fireplace and extraordinary views! The main floor great room boasts granite, stainless appliances,
oversized pantry and very functional laundry suite with chute.
Super-efficient geothermal heating and cooling affords
economical year ‘round comfort. Twenty minutes from Holy
Family Hospital. Mead schools! $750,000 Call Marilyn Amato at
(509) 979-6027.
August SCMS The Message 16
August SCMS The Message 17
August SCMS The Message 18
MARK YOUR CALENDARS
Watch for more details!
2013 SCMS EVENTS
Triple Play/Raptor Reef Family Event
September 07 Saturday
Hayden Lake, ID
Moderate (Conscious) Sedation Program
September 17 Tuesday SHMC—Mother Joseph Room
SCMS Presents Medicine 2013
September 27 Friday The Davenport Hotel
Senior Physicians Dinner
October 17 Thursday Manito County Club
Orange Flag Building
Phone: (509) 325-5010
104 South Freya Street, Suite 114
Fax: (509) 325-5409
Spokane, WA 99202-4686
Website : www.spcms.org
August SCMS The Message 19
t
s
e
w
h
t
Nor
IF YOU COULD FIT THE
ON A PLATE
Join us at our all new restaurant Chinook Steak, Pasta and
Spirits. Acclaimed Executive Chef Adam Hegsted highlights
the best of the Northwest, including King Salmon from
the Puget Sound, beef sourced exclusively in Washington,
Columbia River Steelhead and wild local huckleberries.
Themenucaterstoavarietyoftastes,wood-firedpizzas,
old-world rustic style pastas, all with thought given to
affordabilityandfive-starquality.Joinusfordinnerorfor
a drink at our non-smoking bar Wednesday through Sunday.
C DAC A SI N O.CO M |
/C D A C A S I N O R E S O R T
Wed - Thur: 5 - 9 pm, Fri - Sat: 4 - 10 pm, Sun: 4 - 9 pm
Lounge open daily: 3 pm - close
“WHAT MAKES OUR RESTAURANT UNIQUE
IS ITS ‘RUSTIC SIMPLICITY’ AND THE BEST
THE NORTHWEST HAS TO OFFER.”
– EXECUTIVE CHEF ADAM HEGSTED
August SCMS The Message 20
SPOKANE COUNTY MEDICAL SOCIETY - ORANGE FLAG BUILDING
104 S FREYA ST STE 114
SPOKANE, WA 99202
PRSRT STD
U.S. Postage
PAID
Spokane, WA
Permit No. 307
ADDRESS SERVICE REQUESTED
Printed on GP Spectrum® Paper: Certified by the Sustainable Forestry Initiative. Please recycle.
ROCK CREEK RIDGE
at SUNUP BAY
Lake Coeur d’Alene - Idaho
Welcome to Rock Creek Ridge at Sunup Bay
Rock Creek Ridge at Sunup Bay stands apart on the shores of world famous Coeur d’Alene Lake in North
Idaho. Located a short distance south of the City, this spectacular property is limited to 33 estate-size parcels,
and the gated community offers a secluded and spacious living opportunity covering an impressive 250 acres.
Waterfront lots feature 3-6 acres with 300’ to 350’ of lake frontage and a boat dock with covered slip. Ridge lots
have generous 4-20 acres parcels including spectacular views of the lake. Features include a community beach
with 800’ lake frontage and a boat slip for each lot. Welcome to Coeur d’Alene Lake.
Ridge Lots Priced from $149,900
Waterfront Lots Priced from $499,500
Amenties Include:
• Private Estate Lots in a gated community
• Community Water
• Private Covered Docks for Waterfront Lots
• Community boat slips available for ridge lots
• Community Beach with 800’ water frontage
• Rock Creek Golf Club Idaho, an exclusive, invitationonly, private golf club, opened its world class course on July
1, 2012. The club developed a wonderful start with a high
energy, fun filled group of Founding Members poised to
build the membership one good family at a time. For more
visit: rockcreekgolfclubidaho.com
RockCreekRidgeAtSunUpBay.com
Beutler - Waterfront
BILL FANNING
BROKER
[email protected]
cell (509) 999-5444
direct (509) 321-1132
fax (509) 321-1131