September 17, 2021
Celebrating the Profession of Medicine and Honoring Two Esteemed Physicians
After being postponed several times due to the pandemic, the Celebration Awards Dinner was held on Tuesday, September 14. It was a wonderful evening celebrating the profession of medicine and honoring our two award recipients, Dr. Sergio Ginaldi and Dr. David Saint.
Dr. Sergio Ginaldi
Dr. David Saint
Prior to Dr. Ginaldi's passing last year, the Capital Medical Society was able to film a very special tribute to Dr. Ginaldi. This video was shared at the Celebration Awards Dinner: https://vimeo.com/446710773/308b1e22f3.

We will publish photos from the event in the November Cap Scan.

News coverage of the event:

FEATURED ADVERTISER: The Doctors Company
CMS MEMBER FALL PICNIC
CMS Member Fall Picnic
Alfred B. Maclay Gardens State Park Pavilion/Playground
Saturday, October 16, 2021 - 11:00 AM to 1:00 PM



Florida Minimum Wage Increases 9/30/21
On September 30th, the minimum wage in Florida increases from $8.65 per hour to $10.00 per hour. If you haven't already, please plan to update your compensation packages accordingly.

The Florida Department of Economic Opportunity's minimum wage posters are not updated as of 9/17/21, but can be found here when they are. Updates expected soon.
Dr. Sam Ashoo Answers Your COVID-19 Questions
We get a lot of questions about COVID-19: what to do if you catch it, how the vaccine works, which treatments are safe, and so on. We asked Dr. Sam Ashoo, Emergency Medicine Physician here at TMH, 18 of the top questions you all have shared with us.


Source: Tallahassee Memorial HealthCare (TMH)
DeSantis Will 'Fight Like Hell' To Get Monoclonal Antibody Treatments From Feds
U.S. Department of Health and Human Services says it has taken control over distribution of the drugs. Gov. Ron DeSantis has been critical of the Biden administration over its COVID-19 mitigation strategies.
While Florida looks to round the corner on administering 100,000 monoclonal antibody treatments to people with COVID-19, Gov. Ron DeSantis pledged Thursday to “fight like hell” to continue receiving the treatments as the federal government this week took control over distribution of the drugs.

Source: Health News Florida
3,000 Health Care Workers In France Suspended For Not Getting COVID Shot
French law had set a Sept. 15 deadline for the country's 2.7 million health care workers to get vaccinated. The ones who didn't get a jab were suspended, the country's health minister says.
France's health minister has said that thousands of health care workers across the country have been suspended without pay for failing to get a required COVID-19 vaccine.


Source: Health News Florida
Inequities In Florida’s Vaccine Distribution Persist For Some
More than nine months after coronavirus vaccines were made available, inequities in Florida’s distribution process are still affecting some populations.


Source: Health News Florida
More Medical Boards Warn Against Spreading COVID Vax Falsehoods
Medical boards in the U.S. continue to voice their support for sanctioning physicians who spread falsehoods about the COVID-19 vaccines.

The American Board of Internal Medicine (ABIM), American Board of Family Medicine (ABFM) and American Board of Pediatrics (ABP) issued a joint statement Thursday supporting the Federation of State Medical Boards, which warned physicians in early August that their licenses could be taken away or otherwise sanctioned by state boards if they disseminated misinformation about the COVID vaccines.

Their statement follows a similar one from the American Board of Emergency Medicine issued in late August.


Source: MedPage Today
Feds Launch Investigation Into Florida's Student Mask Mandate Rules
The U.S. Education Department announced Friday that it is investigating Florida over its rules that block local schools districts from enacting student mask mandates.


Source: Health News Florida
Open Notes Shines Light on Errors in Patient Medical Records
With the April 5 implementation of the federal Information Blocking rule -- also known as "Open Notes" -- "actors" defined as any health provider (including physicians) must make 16 categories of electronic records available electronically to the patient upon request as soon as they're available, with more categories qualifying in the future.

Patients have had the right to access their medical records for nearly two decades, since specific HIPAA provisions took effect. Now that more medical records are in electronic format, the new Open Notes rule requires those reports to be accessible, too.

Some doctors still use the mail to send reports, or withhold them claiming they're the property of the practice. But the day is coming soon when far more patients will actively access those records via their patient portals.

When they do, many will actually read them, recognize all kinds of errors, and demand they be corrected.


Source: MedPage Today
Study Shows No Impact of COVID-19 Vaccination on Ovarian Function During Infertility Therapy
The unfounded fear that COVID-19 vaccination will affect fertility is proving to be very difficult to squash. For those who don’t know, it is largely the invention of Dr. Christiane Northrup, a retired OB/GYN. While she no longer has a medical license, she does have a long history of fabricating medical “information”.


Source: The Vajenda
Learn EM Newsletter - September 10, 2021
Meditation has been linked to a number of health benefits, including decreased anxiety and lower cardiovascular risk. But research on the potential benefits of meditation for patients with PTSD has been inconclusive. Veterans interested in meditation are advised to try different types to see which one is most helpful.
What about loving kindness meditation?
A VA study found that a 12-week course of loving kindness meditation was just as effective as one of VA’s front-line treatments – cognitive processing therapy (CPT) – for treating PTSD.



Source: VAntage Point
COVID FAQ VIDEOS
I had an opportunity to sit down with my hospital (Tallahassee Memorial HealthCare) and record answers to some frequently asked COVID-19 questions. Eighteen COVID-19 questions covering vaccines, pregnancy, delta, masks, ivermectin, and more… You can view all 18 videos on Learn EM here, or on You Tube here.



Source: Learn EM / Dr. Sam Ashoo
Loving kindness meditation proves effective for PTSD
This week brings two more COVID-19 educational resources. One highlighting a recent study from the CDC regarding COVID-19 hospitalizations in vaccinated and unvaccinated patients. The second is a set of images discussing the importance of FDA approval for medications.

I hope you find these helpful in discussions with family, friends, and patients.


Source: Learn EM / Dr. Sam Ashoo
Report of Actions From The 2021 House of Delegates and Updates
To view the full report of actions and updates from the 2021 Florida Medical Association Annual Meeting House of Delegates, click here.

Source: Florida Medical Association (FMA)
Top 16 Physician Base Salaries in 2021, Ranked by Specialty
As the demand for doctors cools down, the base salaries of many specialties have fallen.

The 2021 Review of Physician and Advanced Practitioner Recruiting Incentives produced by medical search giant Merritt Hawkins laid out the base salaries of a number of specialties. It found that many specialties decreased.

These rankings are based on the 2020-2021 average base salary or guaranteed income offered to physicians by recruiters that were included in the report. It does not include production bonuses or benefits.


Source: Medical Economics
How Doctors View Retirement
When do doctors retire, and what are they worried about in the future?


Source: Medical Economics
This Doctor Spread False Information About COVID. She Still Kept Her Medical License.
Last month, Dr. Simone Gold stood before a crowd at a conservative church in Thousand Oaks, Calif., and delivered a talk riddled with misinformation. She told people to avoid vaccination against the coronavirus. As an alternative, she pushed drugs that have not been proven effective at treating COVID-19 — drugs that she also offered to prescribe to the audience in exchange for $90 telehealth appointments.


Source: NPR
October Healthcare Coalitions Virtual Trainings
Below is a list of free virtual classes available for the month of October through the Florida Healthcare Coalitions. 
 
  • October 5 – Hospital Incident Command Systems (AWR-934-V7)
  • 2-hour class (10am to 12pm Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 8 – Healthcare Facility Preparedness (AWR-934-V8)
  • 1.25-hour class (10am to 11:15am Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 12 – Federal, State, and Local Roles in Medical Emergency Response (AWR-934-V5)
  • 1.25-hour class (10am to 11:15am Eastern)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
  • October 14 – Natural Disaster Awareness for Caregivers (AWR-308)
  • 4-hour class (12:30 to 4:30pm Eastern)
  • Provider – National Disaster Preparedness Training Center (Hawaii)
  • Flyer - must use unique code to register
 
  • October 19 – Hurricane Awareness (AWR-343)
  • 4-hour class (12:30 to 4:30pm Eastern)
  • Provider – National Disaster Preparedness Training Center (Hawaii)
  • Flyer - must use unique code to register
 
  • October 25 & 26 – Healthcare Sector Emergency Preparedness I (AWR-336)
  • 8-hour class (12:30 to 4:30pm Eastern, each day)
  • Provider – Center for Domestic Preparedness (Anniston, AL)
  • Flyer - must use unique code to register
 
Source: Big Bend Healthcare Coalition
Leadership Opportunities at the Capital Medical Society
The Capital Medical Society will be able to continue to navigate in the COVID-19 and post-COVID-19 eras. We have faced challenges before and there will be more in the future, but we can count on strong physician leadership to guide us. I know that the CMS will continue to make a major difference in shaping the future of healthcare in this community and in the State of Florida.
 
The Capital Medical Society Nominating Committee will be convening in the coming months to consider nominations for the CMS Board of Governors and for the CMS FMA Delegation. If you are interested in being considered for nomination to the CMS Board of Governors or to serve as a CMS FMA Delegate, please complete the form (https://capmed.org/wp-content/uploads/2021/08/2021-Succession-Planning-Questionnaire.pdf) and mail to Pam Irwin at:
 
Capital Medical Society
1204 Miccosukee Road
Tallahassee, FL 32308
 
Best,
Pam Irwin
Executive Director
Capital Medical Society
Florida E-Prescribing
Electronic Prescribing Requirements (Florida Board of Medicine)
House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. The effective date is January 1, 2020. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier.

Florida ePrescribing Clearinghouse (Agency for Healthcare Administration)
The purpose of the Florida ePrescribing Clearinghouse is to provide information that contributes to the promotion and implementation of electronic prescribing by health care practitioners, health care facilities, and pharmacies in order to prevent prescription drug abuse, improve patient safety, and reduce unnecessary prescriptions. This Clearinghouse contains information on the advantages, processes, products, rules, and laws of ePrescribing as well as Florida ePrescribing reports.
Discounted Event Tickets at the Donald L. Tucker Civic Center
Capital Medical Society members can receive a discount on certain events at the Donald L. Tucker Civic Center by using our promo code "CMS". The newest event is:

September 28-29, 2021
 
Members can receive the discount a few different ways:
  1. Click the show link above and enter the promo code "CMS"
2. Call 850-645-0747 to purchase over the phone and mention the promo code "CMS"
Save the Date for Upcoming CMS Meetings/Events
Talk to me, Goose.
We all need co-pilots. That's why the Capital Medical Society Foundation Physician Wellness Program is here for its members. The CMSF has teamed up with four wonderful resources who will help you fly - confidentially and autonomously. Your first six wellness coaching visits are at no cost to you. None. Nada. No identifying information. Nothing except peace of mind. Seriously. Pick up the phone and call any of the resources noted below. Telehealth options available.

Special thanks to MagMutual Foundation and others who are helping the CMSF fund this program.
 
Local Wellness Coaching Resources:
  • Paul Deitchman, Ph.D. - 850-878-3571
  • Tracey Morse, Ph.D. - 850-556-7944
  • Debra Weaver, Ph.D. - 850-942-5585
  • Stephen Wright, Ph.D. - 850-222-3045

C. Vincent Dix, Ph.D. has announced his retirement effective March 31, 2021. We appreciate the services Dr. Dix has provided to local physicians since the inception of the Capital Medical Society Foundation's Physician Wellness Program in 2017.

To view Physician Wellness resources, click here.

The Elephant in the Doctors' Lounge - With roughly 156 million Americans fully vaccinated for COVID-19, physicians are seeing signs of relief on the horizon. That relief can't come soon enough. The initial energy and adrenaline that drove physicians to treat their acutely ill patients in the early months of the pandemic have been replaced by fatigue, burnout, and post-traumatic stress disorder (PTSD). It's time to talk -- and to act -- so these feelings of struggle don't drive more of our colleagues into a mental health emergency.
Source: MedPage Today
CME Resources
Wolfson - Free CME Webinar - 1 CME Credit Opportunity
Updates to the NIH Asthma Management Guidelines
Join Dr. David Schaeffer as he discusses what you need to know to successfully manage your asthmatic patients, including a review of the updated 2020 stepwise approach for asthma management in children.

Wolfson Pediatric CME Webinars - 5.5 CME Credit Opportunity
Wolfson Children’s Hospital is proud to provide Continuing Medical Education opportunities to our partners and referring providers by offering monthly virtual CME sessions at no cost. If you have missed any of our previously offered live webinars and still wish to obtain CME credit for them, we have provided 4 recorded webinars for a total of 5.5 CME credits possible. Please follow the instructions below in order to take advantage of this opportunity!
 
1.      Open the flyer and choose which education session you would like to watch.
2.      Click the link in the attachment for the desired education session.
3.      Watch the webinar.
4.      Follow the instructions included in the video description to complete the required survey and input the associated activity code.
*Please note, if you are licensed outside of the state of Florida, you must contact the CME office at Kimberly.Branham-Nelson@bmcjax.com to request an official transcript of your participation.

Easy to use web portal makes it easy to find courses and track credits. Accredited activities for over 30 medical specialties; Over 100 active courses at any given time; Activity accreditations include ACCME, ANCC, AANP, ACPE, and more; Content is always current, and always free.

Free 1-hour online CME opportunity!
University of Florida's Department of Epidemiology
Raising awareness for Alzheimer's disease and increasing screening for cognitive impairment. This CME has a focus on primary care physicians but is applicable to all physicians who may encounter patients with cognitive impairments.

On-Demand CME by The Doctors Company
Diagnostic error continues to be a top patient safety concern, a global burden, and cause patient harm from treatment delay, testing, or misdiagnosis. “Prevention of Diagnostic Error in Primary Care” is an on-demand CME activity that features patient safety expert Jeffrey A. Gold, MD, professor of medicine, vice chair for quality and safety, for the department of medicine at the Oregon Health and Science University. This program highlights major contributing factors of diagnostic error along with the diagnostic process of care framework with additional focus on strategies to mitigate risk of patient harm in the primary care setting.

On-Demand CME by The Doctors Company
1.25 AMA PRA Category 1 Credits™
Explore the challenges and risks associated with telehealth. Concerns regarding privacy, security, licensure, and technology that might instigate a malpractice claim are discussed.
Looking for Some Non-CME Credit Learning Opportunities?
TMH has a library of past CME courses for viewing on their MDnews page: https://www.tmh.org/mdnews/education. The recent CMEs cohosted by CMS and TMH may be found there or by opening: https://youtu.be/HJ50ZsIe2fc and https://www.youtube.com/watch?v=TjgnCn77HSc&t=5s.
Opportunity to Support the 2022 CMS Membership Directory
The Capital Medical Society will publish its 2022 Membership Directory early next year. It will be distributed to all members. We have once again contracted with a company called E&M Consulting to produce the directory. E&M will be contacting our members over the next few months about advertising opportunities in the directory. E&M will manage all the ad sales, creative design, and formatting of the publication for us. This is a very professional group with experience in publishing association directories. If you have any questions or would like to advertise, please contact Rob Schmidt with E&M at 850-347-8182, 800-572-0011, or rob@emconsultinginc.com. Information on the available advertising opportunities can be viewed here or can also be viewed online at https://www.emconsultinginc.com/adreservation/cms/. Please be responsive and help support this directory. Remember, it will include our entire medical community.  
 
CMS will provide the content - including photos of our members. If you have an updated photo - please send it to us!
 
Please feel free to call us if you have any questions - and thank you for your support!
 
Sincerely,
The CMS Staff
(850) 877-9018
ABIM Extends Maintenance of Certification Requirement Deadlines Through 2022
Board-certified physicians are getting another extension on the deadline to maintain their internal medicine credentials.

In light of the COVID-19 pandemic, the American Board of Internal Medicine (ABIM) once again extended the Maintenance of Certification (MOC) requirements through December 2022.


Source: Fierce Healthcare
Coronavirus - Information, Updates, Resources
Updates and Resources

Maguire Medical Library - Florida State University College of Medicine: Coronavirus Disease 2019 (COVID-19): Basic & Current Information

The State-Level COVID-19 profile for Florida. This data is collected from medical facilities in one of two system HHS protect or National Healthcare Safety Network  
 and the White House Coronavirus Task Force analyzes and distributes the report.
   
The New England Journal of Medicine - A collection of articles and other resources on the Coronavirus outbreak, including clinical reports, management guidelines, and commentary
 
Epidemiological and Clinical Resources For The COVID-19 Pandemic
 
CDC Healthcare Supply of Personal Protective Equipment
 
CDC Guidance for People at Higher Risk for COVID-19 Complications
 
CDC PPE Poster
 
CDC Guidance for Travelers from Countries with Widespread Sustained (ongoing) Transmission Arriving in the United States
 
CDC Communication Resources
 
NETEC coronavirus page includes PPE validation checklists and video resource, in addition to many others:
 
 
From the Florida Medical Association: Coronavirus Educational Resource Center

Vaccine Updates


 
See the latest state Department of Health data summarizing the number of people in Florida who have either received their first dose of the COVID-19 vaccine or completed the vaccine series (FMA) 
 
 (Florida Department of Health in Leon County)
 
(Florida Department of Health in Leon County) 
 
 
(Centers for Disease Control and Prevention)
 
 
COVID-19 Pandemic Planning FAQ (dated 11/19/2020) includes important information regarding procurement and handling of costs for vaccine administration. (FEMA) 
 
What Happens Once There is a COVID-19 Vaccine? Key Challenges to Vaccinating America (12/3/2020) - VIDEO or SLIDES (Kaiser Family Foundation) 

Reporting for Health Care Providers and Laboratories

 
 
 
 
Notable recent additions to CDC guidance include more detailed infection prevention and control recommendations for health care settings: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/infection-control.html.

Please continue to closely monitor the CDC novel coronavirus website for situation and guidance updates. https://www.cdc.gov/coronavirus/2019-nCoV/index.html.

If you have any patients who meet the person under investigation criteria, please contact the Florida Department of Health in Leon County Epidemiology Program at 850-404-6299.
 
Epidemiology and Disease Control Program
Florida Department of Health in Leon County
2965 Municipal Way
Tallahassee, FL 32304
Office Number: (850) 404-6299 
Confidential Fax: (850) 921-9855
Rx for Miracles
Florida RX Card has created a new program and resource card to help Children's Miracle Network children and families in need. This card will work just as Florida Rx Card, helping people save on their prescription medications. 

The flyer explains the program and can be used to share/download the app.
Informed Webinar Series: Understanding the CMS Proposed Rule: Reducing Provider and Patient Burden by Improving Prior Authorization Processes
On December 11, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would improve the electronic exchange of healthcare data among payers, providers, and patients. If finalized, the CMS rule would streamline processes related to prior authorization with the goal of reducing the burden on providers and patients. Medicaid, CHIP (Children's Health Insurance Program), and QHP (Qualified Health Plan) payers would be required to build and implement FHIR-enabled APIs that could:
 
  • Allow providers to know, in advance, what documentation would be needed for each different payer. 
  • Streamline the documentation process. 
  • Enable providers to send prior authorization requests (and receive responses electronically) directly from the provider's EHR or other practice management system.
 
PAP Machine Donations Needed!
A PAP (Positive Airway Pressure) machine is an electronic respiratory ventilation device used to treat obstructive sleep apnea. Capital Medical Society Foundation, Inc.'s We Care Network program assists low-income, uninsured adults, whose income is at or below 150% of the Federal Poverty Level, with obtaining these potentially life-saving medical devices, when prescribed by a pulmonologist. Thanks to our partners at Desloge Home Oxygen and Medical Equipment, Inc., we are able to provide refurbished CPAP, AutoPAP, and BPAP machines for eligible We Care Network patients in Leon, Gadsden, Jefferson, and Wakulla Counties. We Care Network also accepts unused, unopened supplies for PAP machines, such as masks, nasal cannulas, and tubing. We Care Network coordinates over $8,000,000 in donated specialty medical and dental care annually.
 
Machine donations can be dropped off at Capital Medical Society Foundation's office at 1204 Miccosukee Road, Tallahassee, FL 32308. Donations to Capital Medical Society Foundation are tax-deductible within IRS guidelines Federal Tax I.D. #: 59-2104510. For additional information, please call 942-5215 or email dbixler@capmed.org.
You Can Support the CMS Foundation! Sign Up and Shop Today on AmazonSmile!
For eligible purchases at AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the purchase price to the Capital Medical Society Foundation! 
 
Click here to access AmazonSmile and support the CMS Foundation today!
Check Out the Latest CMS Member Benefits