»Tulsa Medicine. a newsletter for the medical community

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1 »Tulsa Medicine a newsletter for the medical community Physicians Advancing Health Care Peter Aran, M.D., Tulsa County Medical Society President & Stephen Paulson, M.D., Tulsa Surgical Society President Invite you and your spouse/guest to Washington Update Monday, May 2, 2016 Guest Speaker Congressman James Bridenstine 624 Kitchen & Catering, 624 S Boston 6:00 p.m. Reservations Required, dinner will be provided for those who RSVP. Telephone Fax: tcms@tcmsok.org This program is generously sponsored by Fax: tcms@tcmsok.org Follow us on Facebook History of Medicine In Tulsa County The first comprehensive History of the Practice of Medicine In Tulsa County is scheduled for a December 2016 publication. This will be a handsome, well illustrated account of our medical community beginning with the first known physicians in the Tulsa area continuing to the present. Ginnie Graham of the Tulsa World has completed the first six of a planned 12 chapter volume which will be reviewed by a select committee of doctors to ensure accuracy and thoroughness. If you have information or pictures for our book, please send them to publisher John Compton at the TCMS office 5315 S. Lewis Ave Tulsa, OK or jlc1020@gmail.com. A unique feature of this book will be the inclusion of a Legacy chapter to give current practitioners and groups an opportunity to include their own practice history to share with family and friends. Let John know right away if you would like to meet with him to discuss being part of this chapter: call TCMS at or jlc1020@gmail.com.

2 PRESIDENT S LETTER MEDICAL EDUCATION UPDATE: OUR FUTURE PARTNERS, FUTURE PHYSICIANS OF OUR PATIENTS AND OUR FAMILIES DISCLAIMER: Since we all have so much to read and seemingly too many e mails to read and answer we want to make it easier on you the reader. So here are reasons NOT to read this article: 1. My practice has no need for partners now and for 10 years. 2. My group s average age is not over 45 years old. 3. I am not concerned about the training of the medical students, residents, and fellows despite understanding that they will eventually be caring for many of my patients. 4. I am not concerned about the training of doctors who may eventually be the caregivers for my family and myself. 5. It is not my fault and I really don t care that Oklahoma is one of the 4 lowest states in the country in terms of physicians per 1000 people. If you are concerned about any of these however please read on. On March 18, 2016 the allopathic residency match occurred. Remember that day? Good news for those of us in Oklahoma. All of the OU Tulsa School of Community Medicine 4th year students matched for a residency slot. OSU students participated in both the osteopathic and allopathic matches and all students matched in a residency. For OU-Oklahoma City all of their residents matched. Why is that worth mentioning you ask? Because over the last 3 years 3100 students graduated from US medical schools and had no place to go to do their residency. Can you even imagine how they and their families felt on Match Day? Although 11 new medical schools opened since the year 2000 there have been no new residency slots created. So the rationale behind expanding medical school enrollment to treat the national physician shortage is thwarted by the bottleneck in the graduate medical education phase of the medical education journey. One state, Missouri, had a number of its medical school graduates left without residencies so Governor Nixon and the legislature enacted a law calling for a new type of caregiver called the Assistant Physician. They would be paid the same as a recently graduated Physician Assistant and they would also be under the supervision of a physician as they cared for patients and gained more medical experience. They would be called Doctor but wouldn t have independent medication ordering privileges. Because of a number of medical education and patient care issues related to supervision and quality of care only a few other states have entertained this as a solution. Something else happened this past week in regard to residency training and the match. Representative Kathy Castor of Florida introduced a bill, HR 4774, in Washington to increase the number of residency slots nationally by 10%. This year 17,057 of the 18,187 students opened an envelope Friday with the good news about the next step in their training-1130 did not match. What can we do in this regard? Please contact your senators and congressmen asking them to support this legislation. What else can we do? In Oklahoma the Tulsa County Medical Society and the Oklahoma State Medical Association are actively working to set up mentoring opportunities matching medical students and residents with practicing physicians who can offer them advice and guidance regarding medical career decisions. If you are able to attend the next Tulsa County Medical Society meeting on April 6, 2016 at the Warren Doubletree we will talk more about this initiative. Another important interaction with these aspiring physicians is that of accepting them for a month s elective either as a senior medical student or resident (2nd year or above). They would be able to see how you care for patients day in and day out and you would have 4 weeks of interactions and you couldn t ask for a better way to possibly find a future partner who would fit with your group. A few of us are getting older you know and so are our patients, which means more comorbidities and health issues every decade of life over age 50. Also more patients will have access to healthcare as they get health insurance such that we will all be busier. With all of that in mind it is critical that we keep these doctors in Oklahoma or if they leave to complete their training that their experiences with all of us be so good that they would jump at the option of coming back to practice here.

3 At the national level the American Medical Association has been a leader in issues of medical education for decades. They are actively working to increase congressional support for more residency spots. But many of you may not know that medical education is one of three strategic concerns for the AMA over the next decade. (The other two are improved care of chronic diseases and physician practice sustainability.) Three years ago the AMA made the decision to encourage medical education innovations. This program, called Accelerating Change in Medical Education (ACE), received applications from more than 100 medical schools. After a very competitive selection process 11 were awarded million dollar grants and they have met with such success that in phase II of ACE another 20 schools were funded. These schools and their student representative meet on a regular basis in an attempt to share the lessons learned and barriers encountered as they work on ways to improve the learning of our future physicians. I would encourage you to go to their website You will be impressed and amazed at what is happening in this program. Both of Tulsa s medical schools are considering competing for phase III grants and we will keep you updated on that. So please consider being part of the solution for the physician manpower problem by doing the following 3 things: 1. Contacting your elected representatives to support federal funding for more residency slots. 2. Consider taking on a resident or 4th year medical student for an elective month in your specialty. 3. Sign up to be a career mentor for medical students and residents. ( tcms@tcmsok.org) SCHOLARSHIP FUND RECEIVING APPLICATIONS FOR MEDICAL STUDENT ASSISTANCE AWARDS The Scholarship Fund of Tulsa County Medical Society Foundation is now receiving applications for its program of education assistance awards for medical students. To be eligible, an applicant must (1) be enrolled in OU College of Medicine at the Tulsa or Oklahoma City campus or OSU College of Osteopathic Medicine, and (2) be in their sophomore, junior or senior year. The deadline to receive applications is Friday, July 1, The scholarship application is available at The awards are cash grants which do not have to be repaid. The awards focus on student s demonstrated community service and leadership activities. The TCMS Foundation awards $32,000 for the academic year and to date, since inception of the program in 1965, a total of $1,224, has been awarded to 1263 medical students. For questions about the scholarship awards contact Mona Whitmire at or mona@tcmsok.org. New Members Heather B. Martin, MD, Obstetrics and Gynecology, Contemporary Women Specialists, 6565 S. Yale Ave Ste 610 (74136). (918) Pre-Med: University of Tulsa, ; University of Oklahoma Health Sciences Center, Medical Education: University of Oklahoma, Residency: Baylor University Medical Center-Dallas, Obstetrics and Gynecology, and University of Oklahoma-Tulsa, Obstetrics and Gynecology, Yen D. Tran, MD, Obstetrics and Gynecology, Contemporary Women Specialists, 6565 S. Yale Ave Ste 610 (74136). (918) Pre-Med: Dartmouth College, Hanover, New Hampshire, Medical Education: University of Oklahoma, Oklahoma City, OK, Internship and Residency: University of Kansas, Wichita, Obstetrics and Gynecology,

4 Tulsa County Medical Society 5315 South Lewis Avenue Tulsa OK ADDRESS SERVICE REQUESTED PRSRT STD U.S. Postage PAID Permit No. 418 Tulsa, OK Tulsa Medicine REGISTER NOW 19 th annual Primary Care Update May 3-7, 2016 Earn up to AMA PRA Category 1 Credits TM The Irwin H. Brown Office of Continuing Professional #APCU2016 The University of Oklahoma is an equal opportunity institution. CONTINUING PROFESSIONAL DEVELOPMENT Early-Bird RATES Register by 4/11/2016 PRE-CONFERENCE 15 th Geriatric Medicine Update May 2, 2016

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