At the close of this year’s AAFP Congress of Delegates, TAFP’s Lloyd Van Winkle, MD, announced his intention to run for AAFP President-elect in 2015. Van Winkle has just completed his second year of a three-year term on the AAFP Board of Directors.
Van Winkle has practiced family medicine in rural Castroville, Texas, for almost 30 years. He is the medical director and CEO of United Physicians of San Antonio ACO. He is a clinical associate professor in the Department of Family Medicine at the University of Texas Health Science Center in San Antonio and he is the health officer for Castroville and La Coste. He has served as medical director of the Medina Valley Emergency Medical Service for more than 25 years. He is an aviation medical examiner and a quality reviewer for Texas Medical Foundation Health Quality Institute, and he provides expert testimony for Texas Medical Liability Trust, defending family physicians in medical malpractice litigation.more
Thank you for registering for the 2014 Primary Care Summit in Houston. TAFP is looking forward to seeing you at this year’s event.
Registration opens as scheduled on Friday, Oct. 17, at 6:15 a.m., in the 3rd floor foyer. The conference begins Friday morning at 7 a.m. with our CME breakfast lecture.
During 2013, 119 women were killed in Texas by their male intimate partner, according to the Texas Council on Family Violence. This included 21 women who had previously taken steps to leave their violent relationships, and 55 children who were present for and watched their mothers die.
Not only is October Domestic Violence Awareness Month, but Oct. 8, 2014, was designated as Health Cares About Domestic Violence Day, educating health care professionals about the importance of screening for domestic abuse. I spent the day at a meeting of the Task Force on Domestic Violence listening to three survivors speak about their experiences with family violence. Established by House Bill 2620 in the 83rd Texas Legislature, the task force is charged with researching the impact of domestic violence on mothers’ mortality and health, and infants’ mortality, health, and development.more
posted 9.12.14, updated 10.2.14
Pharmaceuticals containing hydrocodone will be reclassified from Schedule III to Schedule II as of Oct. 6, 2014. The Drug Enforcement Administration published the final rule making the change in the Federal Register in August. The change is intended to curb abuse of hydrocodone, but it will require some changes in the way physicians and pharmacists handle these prescriptions. After the reclassification:
- Prescriptions for hydrocodone combinations cannot be faxed or called in to a pharmacy; instead they must be written on the official Schedule II prescription form issued by the Department of Public Safety, or they may be submitted electronically directly to the pharmacy;
- Hydrocodone prescriptions cannot be refilled; they will require a new prescription for each order; and
- Physicians will not be able to delegate authority to prescribe hydrocodone combinations to nurse practitioners and physician assistants outside of hospital or hospice settings.
By Clare Hawkins, M.D., M.Sc.
TAFP President, 2013-2014
Electronic opportunities to connect with friends, family, and colleagues abound. I can communicate very quickly with people I know and people I don’t know. I can broadcast ideas by blogging and I can post photos or see others’ photos in many ways. This is both exciting and frightening. Who am I reaching? Who knows these details about me?
As a family physician most of my contact is with individual patients or their families, essentially one on one. Therefore these new opportunities are not familiar to my normal social intercourse. I’m so used to confidentiality and preserving my professional image that in my middle age, I find myself uncomfortable reaching out.more
By Lloyd Van Winkle, M.D.
It used to be that when I had a patient whose health was declining and he or she was nearing the end of life, I would direct the patient to hospice care.
Hospice would take responsibility for the patient’s care, and I would receive updates by phone. I might go by and see the patient once or twice. Ultimately, I would be notified that the patient had died, and I would call the family to offer my condolences.more
By Lamia Kadir, M.D.
Private practice, Austin
As our patients head to the beach for their final flirt with summer, let’s remind ourselves that melanoma is on the march. The incidence of melanoma of the skin, the most commonly fatal form of skin cancer, is increasing faster than any other potentially preventable cancer in the United States.
Remembering risk factorsmore
Major risk factors necessitate a full body skin exam and teaching of the thorough skin self exam by a family physician or dermatologist.
On behalf of the Texas Academy of Family Physicians staff, thank you for registering for the 65th Annual Session and Scientific Assembly! We have an eventful conference planned for you and we look forward to seeing you in San Antonio.
Please visit the TAFP registration desk to pick up your materials including your CME syllabus, registration packet, and official program, which includes schedules, maps, and other information about the conference.
TAFP Mobile Appmore
Download TAFP’s new year-round app to use on your smart phone, tablet, or computer. Search TAFP in your app store or Play Store and install the app for free, or simply go to https://events.crowdcompass.com/tafp. The app has all schedules, faculty information, maps, CME handouts, and special events at the touch of a finger. Once inside the app, click the 65th Annual Session and Scientific Assembly logo to access materials for your time in San Antonio.
By Clare Hawkins, M.D., M.Sc.
TAFP President, 2013-2014
Do you ever think that your day is going slowly? Do the mundane features of patient care make you feel slow? Or perhaps, by contrast, you feel it is going too fast, like that proverbial hamster on the treadmill.
My treadmill involves dealing with difficult patients, paperwork requests, and the idiosyncrasies of the electronic health record. In spite of the speed, however, I don’t always feel efficient. Even when I feel I can complete a patient encounter quickly, this does not feel like a triumph. The speed comes at the expense of a lack of connection with the patient, or less fulfilment with medicine than I had expected.more
By Janet Hurley, M.D.
It’s time for boldness in family medicine. As I turned to hug Jim Martin, M.D., at the last TAFP C. Frank Webber Lectureship, I was touched by his heartfelt concern. He and other dedicated leaders before me have endeavored to set the stage for family medicine to have its time in the spotlight. Yet many family physicians do not seem willing to demonstrate the leadership skills or “fire in the belly” during this pivotal time of health care change.
In the past, family physicians were seen as feeder mechanisms for the procedural and hospital cash machine. We were disrespected in the academic centers and our value was minimized by payers and the Relative Value Scale Update Committee. Specialists desired our referrals for lucrative procedures that are reimbursed under an inflated fee-for-service price. The hospitals have been hiring family physicians to ensure referral sources to their admission beds, imaging centers, and operating rooms. But the day of reckoning is coming for that payment methodology.more