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2019... A LOOK AHEAD...2019... A LOOK AHEAD...2019... A LOOK



         Cover Story:  A Message from David N. Kenigsberg, M.D.,

         President, Broward County Medical Association 2018-2019                                                               South Florida's

                                                                                                                                   Monthly
         Continued from page 1               36 years old, he was appointed physician   the practice of medicine is the most
          In the more than 10 years I have been   to the Court of Saladin and also became   rewarding career that one can pursue, I do   Healthcare Newspaper

        in practice, I have witnessed many dra-  Head of the Jewish community.    understand that there are obstacles and
        matic changes:                         In regards to physician burn out,   many things to complain about in               PO Box 812708
          1. The requirement for physicians to   Maimonedes recognized it as an issue for   Medicine these days, as well. However, I   Boca Raton, FL 33481-2708
        transition to EMRs, then HL7 compliant   himself:                        also believe that we can look to these chal-  Phone: (561) 368-6950

        EMRs, forcing doctors to spend lots of   A typical day’s work as follows: “My   lenges as road blocks or we can look to
        money and resulting in hours sitting in   duties to the Sultan are very heavy. I am   them as opportunities. If we want to begin   Website:
        front of a computer screen/a barrier   obliged to visit him every day, early in   a process of improvement, you must get
        between us and our patients          the morning; and even if nothing unusu-  involved. And getting involved at the   www.southfloridahospitalnews.com


          2. The annual reduction and bundling   al happens, I do not return to Fostat until   county level is truly grassroots and gives
        of our reimbursement                 the afternoon. Then I am fatigued and   everyone of us the ability to affect change   CHARLES FELIX
          3. The passage and implementation of   hungry. I find the ante-chambers filled   locally.                               CAROL FELIX
        the Affordable Care Act aka Obamacare   with people ... I converse with and pre-  Secondly, I would like to re-establish the   Publishers
        and its resultant high deductible plans    scribe for them while lying down from   physician as “the physician” not as a
          4. A movement away from private    sheer fatigue, and when night falls I am   provider and as the leader of the health-  NANCY LAMMIE
        practice and toward physician employ-  so exhausted that I can scarcely speak.”   care delivery team. Words are powerful. I   Editor

        ment models by hospitals, insurance    So, many of you have asked, what do I   encourage each of you to correct anyone    JUDY GRAMM
        companies and other corporations     propose that we do about these chal-  who you interact with moving forward     Editorial Manager & Webmaster
          5. The renaming of physicians as   lenges and obstacles that we face togeth-  and insist that they refer to you as Doctor
        “Providers” while naming of nurses as   er as physicians? What are my goals and   or Physician or even Surgeon, but not   JMC GRAPHICS
        “Doctors”                            what is my agenda for change as the   allow yourself to be called “provider.”        Art/Production
          6. Constant scope of practice expansion   BCMA President? In other words how   However, regardless of who you want to   lammienancy@aol.com
        threats like pharmacists who want to diag-  can we affect change together locally?   attribute the quote to, Voltaire, Churchill   412-835-5796
        nose illness and recommend treatment, for   First off, we need to increase physician   or Peter Parker’s Uncle Ben (I thought my
        example                              involvement and membership in organ-  friend Stewart Slomowitz would enjoy the   CONTRIBUTING WRITERS
          7. The pill mill debacle and its repercus-  ized medicine in general and in the   Spiderman comment), I truly believe that   Daniel Casciato
        sions felt to this day with the eFORCE   BCMA, in specific. There are currently   “with great power comes great responsibil-  Barbara Fallon
        mandate                              almost 3,800 physicians in Broward   ity”. We as physicians have the ability to       Vanessa Orr
          8. Designer drugs ravaging our popula-  County, about 1,000 are members of the   be able to improve and affect positive heal-  Lois Thomson
        tion, with our county gaining national   BCMA. For us to remain relevant, for us   ing in our patients, advocate for our
        notoriety for the FLAKKA epidemic    to have a voice, for us to have the prover-  patients, and do right by them. We must
          9. Medical (and recreational) marijuana   bial seat at the table, we need to increase   accept this responsibility and assume our
        legalization                         membership and physician involvement.   roles at the top of the healthcare hierarchy.   LOOK FOR OUR
          Lurking on the horizon is the confusing   I have to mention that in the past year,   Finally, I believe we need to do a better
        alphabet soup of the new payment model   under Dr. Pevsner’s reign, I have seen   job to address physician burnout and sui-  NEXT ISSUE
        acronyms: MACRA, MIPS, Advanced      that female physician involvement has   cide and promote healthy habits and      IN FEBRUARY
        Payment Models                       increased significantly. I would like to   lifestyles in our patients. As many of you
          All of these occurrences and changes,   continue that momentum and see mem-  know, I am on a health kick by doing    TO REACH US
        many of them occurring within the past   bership and involvement grow.    cross-fit over the past two years and more         FOR
        few years, have changed the face of medi-  In addition, I would like to organize   recently complying with a healthier diet.
        cine considerably and have introduced   Broward physicians to get involved in   Medice, cura te ipsum, mā-ˈdē-kā ˌku̇r-ä-  ADVERTISING
        challenges to all of us who practice. They   local politics as they relate to the practice   ˌtā-ˈip-ˌsu̇m, a proverb used from the time   OR EDITORIAL
        interfere with the traditional patient-  of medicine in the county, in conjunction   of Greek playwright Aeschylus, ES KUH   Call (561) 368-6950
        physician interaction and have resulted   with the BCMA. I encourage our physi-  LUS, meaning physician, first heal thyself,
        in an increased incidence of physician   cians to participate in the PAC. The   is more important now than ever before.     or e-mail
        burnout and physician suicide, both of   BCMA sends delegates to the FMA meet-  We as physicians need to practice what we   carol@southfloridahospitalnews.com

        which are at all-time highs.         ing annually, the experience is eye-open-  preach and be mentally and physically
          Interestingly, physician burnout and   ing and demonstrates that physicians   healthy to be the best we can be for our
        fatigue are not new phenomena. An oft-  from different back grounds, different   patients.

        quoted phrase from the Book of       parts of the state,  different specialties   I know I took the BCMA oath before,   SUBSCRIPTIONS
        Ecclesiastes  (written  by  Shlomo   share many commonalities, like dedica-  but I will add to that words from the       One Year $45
        Hamaelach -- King Solomon) sums this   tion to our patients and to our profession.   Maimonedean Oath that should be words
        up nicely: “Ain chadash tachat ha    It would be wonderful to see some new   of guidance and inspiration for all of us   Two Years $70
        shemesh,” which means “There’s nothing   faces at the FMA meeting, in addition to   moving forward:                    Three Years $85
        new under the sun.”                  our veterans. I would tell those of us who   O God, let my mind be ever clear and
          As many of you who know me know    have yet to attend, that your individual   enlightened…For great and noble are
        that I consider Moshe Ben Maimon aka   voice can be heard and you can make a dif-  those scientific judgements that serve the   To subscribe,
        Moses Maimonides to be one of the most   ference, but only if you participate.   purpose of preserving the health and lives   call (561) 368-6950
        influential Jewish scholars of all time. He   In order to increase physician involve-  of Thy creatures. Give me the strength, the   or subscribe online at
        was born in Cordova Spain in 1135.   ment in the BCMA, we need to do a better   will, and the opportunity to amplify my
        Until his family fled to Fez in 1159,   job of showcasing the benefits of joining   knowledge more and more. I prepare   southfloridahospitalnews.com.
        because of religious persecution,    the BCMA. Doctors often ask why should   myself now for my calling. Stand Thou by    ____________

        Maimonides was a pupil of the philoso-  I join? Why do you participate? What is   me in this great task, so that it may prosper.

        pher–physician Averroes (1126–98).   the benefit in joining? Is it worth the time                                    All rights reserved. Reproduction
        From Morocco the family moved on to   commitment?                                                                    in whole or part without written
        Egypt where he practiced medicine to   Despite the fact that I believe, and I trust   Dr. David N. Kenigsberg can be reached   permission prohibited. Copyright © 2019.
        support his family. In 1170, when he was   that many of you feel the same way, that   at dkenigsberg@flahrs.com.


                                     Coming Next Month...
                                                                                                                            Don’t forget to include
                         • Annual Salute to Cardiology • Cardiology/Heart Health Month/Profiles • Education Update       South Florida Hospital News
                                • The Prospect of Malpractice Reform • Malpractice Products & Challenges
                                                                                                                             & Healthcare Report
                                For advertising information call Charles Felix at 561-368-6950                              in your Marketing Plans
                                       or email charles@southfloridahospitalnews.com
                                                                                                                        Call Charles at 561-368-6950 for a Media Kit

        South Florida Hospital News                                                              southfloridahospitalnews.com                                                          January 2019                          15
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