DEA Issues New Training Requirement for Substance Use Disorders

April 6, 2023 // Southern Medical Association

In December 2022, the Consolidated Appropriations Act of 2023 enacted a new one-time training requirement on the treatment and management of patients with opioid or other substance use disorders for all practitioners who are registered with the Drug Enforcement Administration (DEA). Practitioners are now required to complete 8 hours of training for Medication Assisted Treatment as part of the MATE Act. This new training requirement goes into effect June 21, 2023, and the deadline for completion is the date of a practitioner’s next scheduled DEA registration submission.

Complete training requirements, as well as additional information, can be found on the U.S. Department of Justice · Drug Enforcement Administration Diversion Control Division website.

Disclaimer: The following information is intended for informational purposes only. SMA does not endorse or recommend any in particular.

Available Courses

AMA CME Course on Substance Use Disorders

American College of Physicians Course on Prescribing Opioids for Chronic Pain

CME Passport (ACCME)

Boston University School of Medicine Course on Opioid Prescribing Education

National Institute on Drug Abuse Courses on Opioid and Pain Management

Prime, Inc. Course on Prescribing Opioids for Pain

Prime, Inc. Course on Safe & Effective Prescribing of Controlled Substances

Providers Clinical Support System Courses for Chronic Pain

Posted in: 2023

New Tech and Sports Medicine – with Dr. Marcus A. Rothermich

March 31, 2023 // Southern Medical Association

SMA Executive Director Randy Glick recently spent time talking with Dr. Marcus A. Rothermich, a board-certified orthopedic surgeon with Andrews Sports Medicine. During the wide-ranging conversation, Dr. Rothermich discussed the future direction of sports medicine, as well as recent advances in medical technology, including the HoloLens mixed reality goggles and their implications for orthopedic surgery. And with both Randy and Dr. Rothermich working in Alabama, they were sure to touch on sports in the South!

April 2023 CME Webinar

March 27, 2023 // Southern Medical Association

Burnout, Wellness and Systemic Change: A Clinician's Prescription for Well-Being

Drs. Desiree Burroughs-Ray and Christopher Jackson

REGISTER HERE

This session will discuss system level and individual level practical solutions to healthcare workers dealing with burnout amidst the convergence of multiple pandemics. Using personal stories and changes enacted at the system level in our institution, we want to start a conversation around a prescription for addressing wellness from the healthcare worker perspective!

Learning Objectives

At the conclusion of this activity, the attendee should be able to:

  • Identify the prevalence of symptoms of burnout in US healthcare professionals.
  • List individual strategies to prioritize wellness.
  • Evaluate strategies for implementing system level changes to help mitigate burnout and promote wellness.
Posted in: 2023CME

The Physician Position

March 24, 2023 // Rob Ingram

The Best Defense is a Proactive Offense

Physician deficit, burnout, and scope of practice – these terms have become all too familiar when discussing the state of health care in 2023. Overcrowded, underserved medical facilities. Overworked medical professionals. Physician-less teams. The majority of you who may be reading this article know the reality of this issue. But, let's say for the sake of the discussion, you are reading this with no prior knowledge on the subject. Here's a relevant scenario with a "Southern parallel”, if you will…

It's quite possibly the most scrutinized, yet coveted position for an athlete in American sports. It requires leadership in victory and defeat. It requires countless hours of preparation and situational precision. With it comes expectations of confidence, grit, charisma and control. The ones who are best at it know the strengths and potential weaknesses of every member of their team. They have an uncanny ability to maximize each individual skill set to achieve a superior level of success.

The best ones are surrounded by teammates committed to that same level of success and realize that success comes when every member plays with an aligned expectation. It's a role they didn't take lightly, but one that they decided on easily. Because it was a calling. Leadership and the desire to catalyze change are in their DNA and nothing short of legal force or natural disaster could have derailed their course.

In both victory and defeat, by praise and by blame...it's the quarterback who assumes the responsibility.

The Quarterbacks are Disappearing

So, what if the upside was gone? What if the rewards and responsibilities of being a quarterback were mere shells of what they once were because of political and special-interest interference? What if the GAME of football ceased to have any resemblance to "football" at all? What if, for the sake of the bottom line, quarterbacks were replaced with, say, “left outside linebackers”? (Nothing against the guys in the trenches. Their strengths likely lie in other, more brutal areas of the game.)

What if an up-and-coming quarterback's calling was greeted in such a way that the cheers of the fans became as muted as the calling? What if political resistance and external interference along the way overshadowed the once-unwavering pursuit? What would the next generation see? Who would they look to? When would the standards, once held high by the leader of the team, cease to be standards at all?

Would the absence of a quarterback affect the quality of a game?  If so, WHO all would be affected? HOW would they be affected? Would the absence of the QB eliminate the need for one? Or would it force another highly skilled position player to do their best to fill the role? What would be the outcome? Would the result of that outcome produce an immediate, winning result? Would the "learning curve" be acceptable to team ownership and invested fans who require unanimous victory from every outing? Would the standard of the team remain exceptional, or would it eventually migrate to an "acceptable" level? Follow this same narrative and apply the far-reaching effects to medical team morale, patient care quality, and the overall level of confidence placed into the system.

The quarterbacks are disappearing and health care is being forced to adjust. The concept of BEST scope of practice doesn't devalue anyone on the team, rather it utilizes experts in their field in the very role in which they are extensively trained to achieve the highest level of excellence. It requires every member to contribute their own irreplaceable, professional set of skills.

What Happens Now?

The physician deficit in the US is increasing at an historic rate, leading to financial, mental, medical, and even legal strain on the very institutions and individuals who are providing the care. The expanding scope of practice is ultimately forcing those with very specific training to reach beyond their range of expertise and assume unintended responsibilities.

The Physician Position is Disappearing

It's time to start talking about it. It's time for medicine to again be led by physicians who will once again clearly hear their calling and be the example for the next generation. It's time to take a look at what physician deficit really means. It means a deficit in standards, leadership and accountability...a deficit that most football fans would regard as unacceptable on the gridiron. So, why would we allow it when it directly effects our lives and the lives of our kids and grandchildren?

A slow fade to medical mediocrity would be catastrophic in a country where the call to being a physician should be without interference. It should be an unencumbered pursuit that is as fulfilling as the destination.

Welcome to the Family

At SMA, we are committed to providing education and programs that will ultimately nurture, grow, support and unite the Family of Medicine...physicians, residents, healthcare professionals, and students...at every step of the journey.

SMA’s Annual Scientific Assembly is October 25-28, 2023 at the Grandover Resort & Spa in Greensboro, North Carolina. We invite you to be a part of something special.

What’s New in SMA’s CME Library

March 20, 2023 // Southern Medical Association

Spending Time with the Future of Medicine

March 17, 2023 // Randy Glick

In my role as SMA’s Executive Director I recognize that our physicians-in-training are incredibly active within the Association and are dedicated to learning and supporting each other as they navigate the beginnings of their medical careers. But recently I had the privilege of seeing their commitment and enthusiasm firsthand when I attended our 3rd Annual Physicians-in-Training (PIT) Leadership Conference at The University of Tennessee Health Science Center (UTHSC) in Memphis, Tennessee. Our PIT leaders, in conjunction with SMA leaders and staff, put together a perfect blend of leadership development, scholarly activities, mentoring, and fun. 

First off, I would like to offer a very special thank you to UTHSC College of Medicine Executive Dean Dr. Scott Strome and Dr. G. Nicholas Verne, Chair of the UTHSC Department of Medicine, SMA President-Elect Dr. Christopher Jackson, and the incredible staff at UT for allowing us use of their incredible facility to host this event. The weekend featured abstract sessions as well as several faculty presentations:

  • “Ask Me Anything” with Dr. Steven Baldwin, Editor-in-Chief of the Southern Medical Journal 
  • “Primary Care and Urgent Care Synergy: Pieces of a Puzzle” presented by Dr. James "Bernie" Short
  • “Proactive Medicine in a Reactive World” presented by SMA President Dr. Lawrence "Lee" Carter
  • “The Audacity to Lead: My Journey in Academic Medicine” presented by Dr. Christopher Jackson

Complementing the conference’s educational offerings were social events and networking opportunities that allowed attendees the chance to get to know each other or reconnect. 

In addition to our wonderful hosts and faculty, I am grateful for the support of our conference sponsors and exhibitors – Irontribe Fitness, SMA Services Inc., The University of Tennessee Health Science Center, and ZeaHealth. They each contributed significantly to the success of this event.

As I reflect on this year’s meeting and look ahead to 2024’s conference, I am honored to work with such passionate medical students, residents, and fellows who are hard working, thoughtful, and dedicated when it comes to their careers and taking care of people. These individuals are clearly leaders who will be making a future impact in all our lives. I'm proud to be associated with their development and I hope you will become a part of their journey as well. 

No matter where you are on your career path, you are part of the SMA Family of Medicine and I encourage you to get involved if you haven’t already.

If you are a physician-in-training

If you would like to support SMA’s physicians-in-training

Images from 2022 ASA and SMArtBowl

March 9, 2023 // Randy Glick

The 2022 Annual Scientific Assembly was held at the Black Fox Lodge in Gatlinburg, TN. Here are the images from the 3-day event, which included the First Annual Physicians-In-Traning SMArtBowl Competition.

Dr. Donna Breen Continues Her Support of Tomorrow’s Physicians

March 2, 2023 // Randy Glick

The Southern Medical Association would like to extend its sincerest gratitude to Dr. Donna Breen for her continued support of educating tomorrow’s physicians with her recent $5,000 donation to SMA’s Research & Education Endowment Fund. 

Dr. Breen, who last year donated $10,000 to the Fund while serving as SMA President, spoke of this passion during her Presidential address and encouraged others within SMA to also invest in SMA. “We can be a benefactor to the up-and-coming doctors,” she said. “This would be our legacy.” 

An SMA member since 1984, Dr. Breen presented at Association meetings as a resident and experienced firsthand the dedication and inclusion of the SMA mentors and leaders who helped guide her journey in becoming the physician she is today. “Everyone was very generous in helping,” she said. In addition, even while attending her first SMA meeting, Dr. Breen was immediately  impressed by the quality of presentations, the spirit of congeniality, and the stress-free learning atmosphere. “SMA is an organization where everyone has equal time, every question has equal value, and everyone has the right to understand the concepts that are being presented," she noted. “No question or thirst for knowledge is too little and everyone is included in the quest for medical knowledge and skills in the healing arts.”

Through generous donations such as those made by Dr. Breen and others who share a commitment to learning, SMA is able to continue its longstanding tradition of educating future generations of physicians and providing financial support through scholarships, research presentation awards, and travel stipends. 

Please donate to SMA’s Research & Education Endowment or contact Randy Glick, SMA Executive Director, at (800) 423-4992 for additional information.

SMA ASA 2023 Save-the-Date

February 13, 2023 // Randy Glick

Stay up to date with all the News about this year's Annual Scientific Assembly! Click the graphic below to see it all!

Doctors’ Day Give90 Campaign

February 13, 2023 // Randy Glick

GIVE90...it's every Member sharing this mission with Family, Friends, Patients and Colleagues...Giving Over and Beyond by just $90 this year...the difference it could make in the journey of young medical school students and residents...it would change the world.

What better way to Honor the Physicians in Your Life than by Giving 90 to help ensure that your kids, grandkids and family will have Southern-minded, Patient-centric Doctors who have their best interest in mind?

It's a pretty simple concept.

According to recent AMA numbers, the Physician Deficit in the South will exceed 100,ooo by 2030.

With barriers multiplying every day; more red tape, politics and fabricated narratives meant to serve the almighty dollar, the world of medicine and healthcare is facing, not only a physician shortage, but a LEADERSHIP shortage.

For the ones called to be physicians, there are very few programs along the way that are designed to help them stay-course for when the option to give up or quit seems inevitable.

That's the SMA Mission.

The Education-based MEMBERSHIP of SMA provides SCHOLARSHIPS for financial support, RELATIONSHIPS for mental support, FELLOWSHIP for social support and MENTORSHIPS for educational support.

And it's all funded by your STEWARDSHIP.

We are a 501(c)(3A) Non-Profit organization. Every penny we receive from donations goes to fund medical student scholarships and programs designed to improve patient care, and combat physician burnout through apolitical, multidisciplinary physician education. We seek to unite healthcare professionals at every level of medicine.

We would greatly appreciate your help.

If you would consider donating to the Give90 Initiative of SMA, please share this link with anyone you think would do the same.

We are so grateful. The Physicians of Tomorrow Will Be Too.

Thank you.

Doctors’ Day 2023

February 13, 2023 // Randy Glick

NATIONAL DOCTORS' DAY IS MARCH 30

Remember to say thanks to your doctors!

Join SMA as we GIVE90 as we celebrate 90 years since members of the Southern Medical Association began observing this "Day to Honor Physicians".
SUPPORTING THE PHYSICIANS OF TOMORROW, TODAY.
SMA STORE DOCDAY (1)

Celebrate 90 Years of Celebrating Doctors with Southern Medical Association!

Observed by the Southern Medical Association since March 30, 1930, Doctors’ Day was officially designated “National Doctors’ Day”, by signed resolution of President George H. Bush on October 30, 1990.

The very idea of Doctors' Day was created by members of the Southern Medical Association Barrow County, GA Alliance in an effort to bring recognition and express thanks to the leaders in their fields of medicine: Physicians.

February 2023 CME Webinar

February 9, 2023 // Randy Glick

Management of Hypertension : Time for Increased Patient Involvement

Donald DiPette, MD, FACP, FAHA

REGISTER HERE

This webinar will focus on delineating patient-related barriers, addressing these barriers, and increasing the involvement of the patient in the management and treatment of their hypertension. The importance of educating the patient on the critical role that hypertension plays in cardiovascular morbidity and mortality and that lowering the blood pressure decreases this enhanced morbidity and mortality will be addressed. Novel modalities to increase the involvement of the patient as part of the “team” will be discussed. Such modalities include using a simple and standardized pharmacologic protocol in the treatment of hypertension once diagnosed and the critical importance of including teaching the protocol and its titration steps to the patient. Such modalities to be discussed will enhance the patient’s knowledge of the hypertensive process and a “team-based” treatment approach that increases the patient’s involvement. Such an approach will address patient-related barriers and lead to an increase in hypertension control rate at individual and population levels and will be effective across a wide range of demographics such as race, ethnicity, age, socioeconomic, and geographic.

SMA Members Approve Changes to Bylaws

January 4, 2023 // Randy Glick

The SMA membership recently voted on and approved changes to the Association’s Bylaws; these changes addressed:

  • International Membership: Approval is required by the SMA Board of Directors
  • Committee Name Change: Membership Committee to Outreach Committee
  • Committee Member Approval: Calls to Committee are no longer necessary to be considered for appointment
  • Creation of the Awards and Scholarships Committee: This Committee will oversee policies and procedures related to awards and scholarships
  • Revisions to the Creation of Ad Hoc Committees: These Committees may be created by the SMA Board of Directors

“As an association, it is important to regularly review our Bylaws to ensure we are operating at an optimal level of efficiency and providing the best service possible to our members,” said SMA Executive Director Randy Glick. “We appreciate our membership taking the time to review and approve the proposed changes and believe these revisions will result in improved operations and member offerings."

To view the Resolution, click here.

Veritas Medical Real Estate Advisors

January 4, 2023 // Randy Glick

The Practice Is Always a Tenant

Many medical practices assume that owning their real estate is something to be aspired to, while in reality, owning the property where a medical practice sees patients may not always be the best option.  When weighing out leasing versus owning, it is important to look at the occupancy cost of leasing regardless of the ownership of the physical building.  There are plenty of instances where leasing creates not only a more flexible arrangement, but leasing may also be the better financial decision as well.  In any event, the practice itself should never be the purchasing entity of a real estate asset.  The practice needs to always be a tenant through a lease that is signed with a separate building ownership.

When searching for real estate, the practice must do so with the intent of taking care of “practice needs” as the first and most important priority. Ownership should be a lesser priority.  Once the appropriate location is determined, the practice will need to be prepared to sign a lease agreement with whomever the owner is, regardless if members of the practice also own the building.  If there is an ownership opportunity available, the owners of the practice will want to run a pro forma to assess the value of being an owner of the building.  The pro forma helps determine what the cost of occupancy (rent plus expenses) needs to be to create a viable purchase opportunity.  The cost of occupancy that is in the practice lease has to be a fair market value rent and not a “boosted” rent to justify the purchase of the asset. 

In purchasing the real estate, a separate building ownership is typically in the form of a limited liability company (LLC).  This LLC will own 100% of the building with the physicians having the option to own portions of the LLC or the entire LLC.  The cleanest way in which to set up the LLC is when the owners of the practice acquire the same percentage of ownership in the real estate LLC, however this set up is not mandatory.  As the practice moves forward, a buy/sell provision can be incorporated to accommodate any make up of ownership that is not equal.  Buy/sell provisions can be found within the Operating Agreement and the provision will exist with or without equal ownership.  Having a good buy/sell provision in the beginning of a new acquisition may prove to save partners from unnecessary emotional hardship when partners need to move in and out of the LLC.  The management and control of the LLC is also very flexible and can be drafted in the operating agreement to give control elements to an LLC manager even if they are not 51% owners of the LLC.        

Most medical building acquisitions involve properties that are either non-medical buildings needing to be converted to medical, or existing medical buildings that require a good amount of work to accommodate the new practice needs.  If a fair market deal is achievable and maintained, there are some notable advantages of being an owner occupant.  Among these advantages is the ability to include turn-key tenant improvements in the budget, financing the improvements over 20-25 years which may render financial benefits, possibly limit up-front cash, and keep the occupancy cost lower for the tenant.

The bottom line is that it is imperative that the practice is not unnecessarily weighed down by a high cost of real estate.  The practice must focus on the lease agreement, making sure the terms match the practice’s monthly budget as well as availability of cash for tenant improvements. The golden rule will always prevail – the practice is always the tenant. 

Veritas Medical Real Estate Advisors
www.veritasmre.com

on Mentoring: Mary Thomas

December 12, 2022 // Randy Glick

DR MARY L. THOMAS and DR. CHRISTOPHER JACKSON

Dr. Jackson and Dr. Thomas started their mentoring relationship in 2020 while Dr. Thomas was a 2nd year resident at UTHSC Internal Medicine.  Unlike many of either of their previous mentoring arrangements, they quickly determined that addressing impostorism, sponsorship, and clinician educator development were key areas of focus for them. Looking over these past 2 years, they reflect on why this mentoring relationship has been so mutually beneficial. 

 

Mentoring is remarkably interesting to think about. While there are components that are common among effective mentor-mentee relationships, no one relationship is the same. The key is establishing the mentee’s needs early on by making this topic an intentional point of discussion. For example, some mentees may be looking for career advice while others need research advice. While reflecting on our mentor-mentee relationship, we determined the three key components that have made our mentor-mentee relationship highly effective: navigating impostorism, the importance of sponsorship, and personalizing your mentorship approach. 

Unfortunately, for many in medicine impostorism is a well-kept secret. People with impostorism may think, “I only got that promotion by accident, not because of my qualifications.”  Combating these feelings in mentees poses a significant challenge but is crucial to their professional identity formation. Additionally, showering your mentee with praise may not be enough to wash that self-doubt down the drain. Instead, consider providing both encouragement and opportunities for them to prove their qualifications to themselves.  

Sponsorship is an underutilized approach to extending the positive impacts of mentoring. Multiple studies demonstrate that underrepresented individuals in medicine are over-mentored and under-sponsored. If we consider mentoring as the mechanism to help mentees see what discussions happen at the table, it is also important as mentors to use our influence and positions to sponsor mentees for opportunities that they would not be able to access otherwise. As mentors, we should make a concerted effort to involve our mentees in invited talks we give, manuscripts we are asked to write, and organizations in which we have leadership roles. With sponsorship, mentees see the full extent of how their skills can meaningfully impact the lives of others and their professional development. Moreover, sponsorship becomes the opportunity to help undo the negative impacts of impostorism on our mentees.  

Personalizing the mentor-mentee approach is essential for the relationship to have bi-directional benefits. Recognizing that mentorship is not a one-size-fits-all approach is paramount as many of us have felt the impact of mentor-mentee relationships designed with someone else in mind. When I meet with mentees for the first time, I clarify that my goal is for them to become the best personal and professional versions of themselves, not a replica of me. Take the time to learn their personal and professional goals and use that to help them make a roadmap for success. As the relationship matures, do not be afraid to share parts of your journey as a mentor when you had similar concerns to your mentee. This reflective practice helps humanize the mentor to the mentee and provides a foundation for the mentor-mentee relationship to become more unique and worthwhile.  

As mentors and mentees, intentionality with the mentoring relationship you create is paramount to it being successful. High-value mentoring requires a shift in perspective to consider the mentor's unique skills to the mentees' unique needs. Addressing impostorism, prioritizing sponsorship, and embracing individuality in mentorship are three lessons we learned that took our mentoring relationship to the next level. 

Posted in: Physicians-in-Training

SMA Increases Support for ASA and PIT Leadership Conferences

December 10, 2022 // Randy Glick

With a mission to “Improve quality of patient care through multidisciplinary, interprofessional education”, the Southern Medical Association has always believed in fostering the professional development and growth of its young physicians and physicians in training. During her 2021-2022 term as SMA President, Dr. Donna Breen set forth an initiative to increase funding for awards, scholarships, and membership to further promote the education and support of future generations of physicians.

With the recent passage of an SMA Board resolution, the annual budget for SMA’s Annual Scientific Assembly (ASA) and for the Physicians-in-Training (PIT) Leadership Conference was increased to $153,000. Drawn from SMA’s Research and Education Endowment Fund, these funds will allow for additional opportunities at these events and for the Association.

 “SMA understands that the young physicians and physicians-in-training are not only the future of our Association, but they are also the future of medicine,” SMA Executive Director Randy Glick said. “With the increase in these funds, we will be better able to invest heavily in these future leaders, as well as in our meetings as they are the engine that drives membership and sponsorship which are necessary for future growth.”

For SMA’s Annual Scientific Assembly, the resolution provides $100,000 in support of the meeting itself and $18,600 allocated toward scholarships and monetary competition awards presented at the Assembly. This resolution also provides $25,000 in support of the Physicians-In-Training Leadership Conference and $9,400 in competition awards to be given at this meeting.

If you would like to contribute to SMA’s Research and Education Endowment Fund, please visit: https://sma.org/donation/. Your tax-deductible donation will continue the legacy of supporting today’s young physicians becoming tomorrow’s healthcare leaders and innovators.

Posted in: Annual Scientific AssemblyPhysicians-in-Training

Dec CME Webinar

December 1, 2022 // Randy Glick
null

HOW TO PREPARE A MANUSCRIPT FOR PUBLICATION - Dr. Steven Baldwin

CLICK HERE TO REGISTER FOR THIS SPECIAL LUNCHTIME CME - Dec 14, 2022 at Noon CST!

Join Southern Medical Journal Editor-in–Chief as he discusses areas of consideration prior to submitting a manuscript, the differences among types of submissions, as well as the steps necessary to submit a manuscript. Dr. Baldwin will also provide information regarding the peer review process once a manuscript has been submitted.

Posted in: SMJSpecial Feature

The Best Way to Take Charge of Your Healthcare

September 21, 2022 // Randy Glick

The healthcare industry of the United States is a $3.5 trillion industry that has been growing for decades. It's a system with which all Americans need to be familiar, especially as the number of people living longer and the number of people living with chronic diseases increase.

In order to take charge of your own healthcare, you need to advocate for yourself and understand your rights as an individual. You should also have a good understanding of how to care for your own health and well-being.


Take Charge of Your Health

Diet and exercise are the two main aspects of a healthy lifestyle. Most of us know what we have to do, like eat more fruits and vegetables, stay away from refined sugars and processed foods, drink more water, and get 30 minutes of exercise every day.

The hardest part is getting started, and the second hardest part is staying motivated. But the good news is that there are plenty of apps and tools to help with just that.

My Fitness Pal is a great calorie counter with thousands of foods in its database. It takes you less than 5 minutes a day to track your diet and exercise, meaning it’s a quick habit to get into.

Fitbit is good for tracking your steps and day-to-day activity. You can use it to log the food you eat via its barcode scanner and see your meal history at a glance. Water intake and sleeping patterns can also be tracked.

MyNetDiary is not a free app, but you may find that it’s worth the investment. You set a weight goal and the app analyzes your diary, calculates the targets you’ve set, and provides you with personalized advice and diet tips.

 
Keep Track of Your Health

Keeping track of your medical records is important for many reasons. It allows you to know what medications you are taking, what diseases you have been diagnosed with, if there are any side effects that you need to be aware of, your health status, and allergies. It's also important to know when you have a new doctor, nurse practitioner, or physician assistant so that you can update your records accordingly.

Keeping track of your medical records is also important because it helps prevent identity theft and health insurance fraud.

Many people are not aware of the importance of keeping a paper copy of their medical records as a backup in case you or someone close to you gets sick. This includes doctors’ notes, prescriptions, lab results, and insurance papers. Securely store these documents in a fireproof document safe with a combination lock that only you and a trusted family member or colleague can open.  

But you’ll also want to store them online so you can access them from anywhere. Instead of using many files, you can utilize a PDF merging tool to keep all your documents in one file, which will cut time on having to find a document. A PDF merger could be used to combine PDF files so that you can move PDF pages to keep your medical records in the right order.

 
Get a Second Opinion

You might be hesitant to seek a second opinion from your doctor. However, it may be important to secure one in some circumstances, such as the diagnosis of a new significant medical condition or the recommendation of an elective surgery or other major intervention. The process of getting a second opinion can be intimidating, but it can help the patient and family be more confident in selecting a treatment plan.

Reach out to your insurance carrier for a list of providers in your network that specialize in the area you’re concerned about. Avoid potential conflicts of interest by not requesting a second opinion from a colleague or partner of the physician who provided the “first opinion”.

 

Understand How to Get Insured

If you’re not covered with an employer plan and are not eligible for Medicaid or Medicare, you can and are, in fact, required to be covered with the Patient Protection and Affordable Care Act. Use this link to see if you qualify for coverage under the PPACA.

 
An Informed and Assertive Advocate

You are your best and most important health care advocate. By understanding how to protect your health, keep track of your records, and receive affordable health insurance, you can make sure you’re never in the dark about the most important part of your life, your health and well-being.

If for any reason, you cannot fill the role of the informed and assertive health care advocate, seek out a trusted relative or friend who is willing and able to take on this responsibility for you, including accompanying you to your health care visits.

The Southern Medical Association is an organization whose mission is to support the well-being of its communities. If they don't have the answer to your health concern, they probably know someone who does. It's about their patients. It's about family. And, as they state, “Nothing is more important than that."

October 2022 CME Webinar

September 14, 2022 // Randy Glick

Common Tendinopathies: Trigger Finger, de Quervain and Tennis Elbow...and a Few Less Common Ones

David Netscher, MD and Christine Yin, MD

"Tendinitis" is probably more correctly termed tendinopathy. It may occur from friction within a constricted tunnel such as trigger finger or de Quervain disorder or it may occur at an enthesis (point of bone attachment of muscle or tendon) such as tennis elbow. There are also true inflammatory conditions that may present so acutely as to mimic an infection. Tendinopathies are very common and may present to the pediatrician or geriatrician alike. Obstetricians may encounter de Quervain patients in young nursing mothers, while sports medicine physicians and orthopedists frequently encounter tennis elbow. Indeed, these disorders will present to family physicians, rheumatologists, and even emergency physicians.

The webinar will discuss the pathology, presentation, and diagnosis of these common disorders. Many will be treated nonoperatively and best evidence for treatment practices will be provided. On occasion, surgical treatment is required.

Perspective on Childhood Cancer

September 1, 2022 // Randy Glick

Editor’s Note: September is Childhood Cancer Awareness Month, and SMA's Jennifer Price had the opportunity to speak with one mother who is honoring her daughter’s life and legacy by giving back and raising awareness about pediatric cancer.

How It Began

When her daughter Elaine was diagnosed with metastatic alveolar rhabdomyosarcoma, Laura Roberts found herself in a position parents neither envy nor envision. “Cancer was the furthest thing from my mind,” Laura recalls. “I told Elaine, ‘This will be a year out of your life and then you will be as good as new.’” Laura chronicled Elaine’s journey that began in fall 2014 after the 15-year-old, fun-loving teenager and member of the Thompson High School (Alabaster, AL) Tennis Team complained of foot pain. When the first X-rays came back negative, a diagnosis of tendonitis was given and Elaine, feeling better, played through the spring 2015 tennis season. The pain returned, during which time more negative X-rays led to an MRI and the diagnosis of rhabdomyosarcoma in May 2015.

In the days following the diagnosis, the family researched hospitals that could best treat Elaine. “We had Children’s of Alabama and UAB (University of Alabama at Birmingham) close by, but we also consulted MD Anderson in Houston, and Children’s Hospital in Boston,” Laura said. Upon learning that Children’s of Alabama utilized the same protocols of chemotherapy and radiation as those in Houston and Boston, the decision was made to stay close to home. “It’s what Elaine wanted and we had our family and friends, our support here,” she added. “That made it much easier.” And so did Elaine’s medical team at Children’s. “The love and compassion these doctors, nurses, and staff showed her were wonderful,” Laura said. “They loved her.”

Finding Comfort in Faith, Family, and Friends

Throughout Elaine’s treatment, which initially yielded encouraging results, Laura, who purposely chose not to consult “Dr. Google” regarding statistics and prognoses, always maintained her strong composure for Elaine. “Her attitude was paramount,” she said. “I was the cheerleader, plus I kept her focused on school work and other future things like when she was going to return to tennis. I kept her mind on getting well.”

When anxiety and doubt would cloud Laura’s mind, she made sure to take some time for herself. “If I cried, it was normally in the shower. If Elaine viewed me as doubting that she would make a full recovery then she might [have the same doubts],” Laura recalled. “If I felt anxious I would sometimes go outside with the dogs and call a family member or a friend to vent. I had to be talked off the ledge a couple of times, and I ate a lot of Cheetos!” Even with some old-fashioned comfort food, Laura found her greatest solace in God. “The main thing I did when I felt very anxious was go to my Bible,” she said. “He will and did provide a peace that passes all understanding.” It is this serenity that allowed Laura to be calmer and to continue in a productive way that was helpful to Elaine. “She wanted me 90% of the time and I had to be strong and able to be there for her,” Laura said. “Jesus was the best decompressor I had.”

As Laura took care of Elaine, family and friends rallied around them, never leaving their side. “God truly provided for us with a spectacular support system,” Laura said. “It’s pretty amazing how people from all seasons of my life came to our aid to help us in any and every way they could.” These included her family who “was right in the trenches with me the entire time”; her “incredibly supportive” boss, colleagues, and owner of the company; her church family; and the Thompson Tennis Team, coaches, and parents. Laura’s Auburn University sorority sisters also stepped in, making sure that when Elaine was placed in hospice care, they were there to help by sitting with her and pushing the pain pump button at the appropriate time throughout the night, which allowed Elaine to sleep pain free and Laura to get some much needed rest. “They did something for me that I can never repay,” Laura shared. “Without them, I never would have made it through.” Laura also found strength through the kindness of strangers via Elaine’s CaringBridge website. “People who read our updates were encouraging, and some of these people I didn’t even know,” Laura recalled. “There were people all over Alabama and the entire country praying for us.”

Unfortunately, by January 2016, Elaine’s treatment protocol was no longer effective and the cancer was spreading. Because she was now only 16 years old, she wasn’t eligible for adult clinical trials. “There were no trials going on that Elaine could participate in and the chemo drugs she had been taking were developed decades ago. We really didn’t have anything out there to try,” said Laura. Sadly, Elaine’s battle ended February 6, 2016, six weeks after her father Brent passed away unexpectedly. But, Elaine’s story doesn’t end there…a new chapter was beginning.

A New Chapter…The Elaine Roberts Foundation

Shortly after her daughter’s passing, Laura established the Elaine Roberts Foundation with the purpose of educating people about pediatric cancer and to raise money for research to cure childhood cancers. “Elaine’s outcome is not what we wanted, but the cancer was ugly, rare, and aggressive,” she said. “We need better treatments for this particular type of cancer and other pediatric cancers. Some are very beatable, but we need all cancers to be cured.” It is the desire for no other families to suffer the loss she did, as well as a determination to fund research that will ultimately lead to a cure that drive Laura in her dedication and devotion to the Foundation. “The reality is my daughter lost her life,” she said. “But through that, I have seen how much people want to help; they may not know just how.” Through the Foundation, those wanting to help can do so by simply visiting the Foundation website and finding a way – whether through a variety of fundraising and volunteer opportunities or a monetary contribution – to “rid the world of rhabdo and ALL childhood cancers”.

SMA Menu