Abortion News, Telehealth, Preceptors and Bylaws
Abortion News, Telehealth, Preceptors and Bylaws

Abortion Rights in Question

Following the 5-4 Supreme Court ruling that declined to block a Texas law banning abortions performed after six weeks of pregnancy, we are sharing a story from Scientific American on the topic.
Regardless of your opinion, we think you will find the article informative.
Scientific American Article

Paying it Forward ...

By Dr. Dan Brzusek
Dear fellow physicians and members of KCMS,
PNWU Osteopathic Medical School needs preceptorships for our third fourth-year medical students.

Why do we need preceptors?

  • Physicians are under more pressure for production in the clinic environment.
  • There is a known need for expansion of the physician workforce, specifically in rural and underserved areas.
  • Physicians are the only people who can train physicians.
  • Physicians are more likely to practice in the same areas they trained.
  • Community-based training models are necessary to meet this need.
  • Strategies different from large university settings are needed to be successful in community training models.
What is Community Training?
  • Physicians open their practices to trainees.
  • Students carry more responsibility to direct their learning opportunities.
  • Physicians act as mentors, not the professor.
  • Physicians can learn to work with students without significant extra time.
  • When students are incorporated into the daily workflow, they can save time.
  • The model of how clinical learning takes place has changed because of outside forces (government regulations and funding, EHR’s, third-party payors).

Community vs University Training

Community Model
  • The preceptor is a mentor.
  • Volunteer or a small stipend.
  • Learning occurs when opportunities arise.
  • Just in time learning.
  • Student-directed learning with the course syllabus to guide.

University Model
  • The preceptor is a professor.
  • Salaried for the position.
  • Learning occurs on a set schedule.
  • Significant time in structured didactics.
  • Institutional directed learning.

    Please consider becoming a preceptor and add to the education of our future physicians.  Please contact me with any concerns or questions.

    Daniel Brzusek DO
    Regional liaison for PNWU

Telehealth - Interested? 

Survey Results

Our recent telehealth survey provided KCMS with your insights about telehealth. Whether looking for work options beyond your private practice, moving exclusively to telehealth, continuing as an employed doctor and you want to supplement your income, or retired docs looking to re-engage, here are your survey results: 
#1 Do you provide telehealth services? If so, how? 
  • Physicians are providing telehealth by using platforms like doxy.me, bywinona.com, doctor.com. Practicing docs are also using telehealth to provide telehealth to patients that have moved out of state due to grandfathered policies during the pandemic.
  • Employers are providing platforms for telehealth.
  • Private practitioners are using telehealth in a variety of ways:
    • Using it nearly 100% of the time.
    • Connecting with patients via Zoom, FaceTime, independent free platforms, and others have hired an outside company to help.
    • Teamed up with small out-of-state hospitals to provide telehealth from WA state.
    • Psychiatry allows physicians to see all patients via video or phone.
  • Some retired docs are using telehealth personally, but have not reinstated their licenses to provide care to supplement their incomes although they are interested ...
#2  Do you provide Synchronous, Asynchronous, and/or video telehealth?
Most of the respondents provided synchronous telehealth with or without video. Asynchronous telehealth is when a patient leaves a message of what the problem is and the doctor responds when they are available. Many online telehealth platforms (him, Rory, Roman, Winona, Curology) provide this opportunity for doctors to provide Rx. for only a limited number of products. Physicians get paid for each patient they 'see.'
#3  Do you provide telehealth in other states too?
Only a few of our respondents are licensed to provide telehealth in other states. This is a missed opportunity. Practicing and newly retired doctors can provide telehealth in many states to offset their salaries. Some states even 'share' licenses for telehealth.
#4   What changes or regulations might provide for better telehealth experiences?
  • Better, more uniform, reimbursement for telehealth  (same as in-person pricing).
  • Provide independent malpractice insurance that allows physicians to work across state lines so they don't need to get insurance for part-time telehealth work.
  • Ensure ongoing telehealth benefits for patients - their benefits won't be restricted after Covid emergency allowances are scheduled to end. 
  • Allow out-of-state patients to have telehealth visits.
  • Completely open availability of telehealth in all states.
  • Create a national medical license. Remove state restrictions on telehealth. Allow physicians to provide telehealth across state lines post-pandemic which will increase accessibility. Licensing could be determined by the doctor's location, not the patients.

#5  Are you looking for telehealth opportunities to offset your income? 
There were quite a few physicians that were interested in supplementing their income by providing some telehealth services. KCMS is putting together a flyer to provide you with information about how to get started including retired doctors. Please let us know if there are specific concerns or considerations.
#6  Do retired doctors work in telehealth to offset retirement incomes?
There are some that are enjoying the opportunity to work again. KCMS will provide specific opportunities in our summary paper and the upcoming conference.
#7  If you are working in telehealth outside of your contract, does your employer require approval?
Many employed physician contracts require approval if the work is outside of their system, and many will take a % of your outside earnings.
#8  Any additional information you'd like to share? (Selected quotes)
  • Most of the doctors wanted more information in the form of a conference, training flyer, and/or an opportunity to learn from others already engaged in telemedicine.
  • "Patients LOVE telehealth and that it works very well in the mental health world as they can see patients in rural areas that would otherwise not have access to care."
  • "There are significant challenges to establishing and maintaining rapport via video. Rapport is the basis for all medical practice, though it is often taken for granted... "
  • "There is a missed opportunity for patients to control their own health records and share them with telehealth docs outside of their system."
  • "KCMS helped me start by providing me with headsets and cameras - thank you!"
  • "Totally retired and my license and insurance lapsed. Those are likely required to provide telehealth services, correct?" Yes, KCMS will address that at the conference.
  • "Telehealth consults for KC docs were a real plus during Covid. Now docs are drawing back citing legal and liability concerns -- (which is) a real negative to care in distant or remote communities."
Next steps:
I. KCMS will provide you with a flyer with the next steps on how to transition to telehealth as a way to supplement your income, or even as a full-time telehealth physician. 
II. KCMS is organizing a CME to educate physicians about how to transition to telehealth and also things to be leary of. 

WSMA Bylaw Change 

and the 

Impacts On County Medical Societies

MEMBERS (Retired and Active), please consider joining us VIRTUALLY for the
WSMA ANNUAL HOUSE OF DELEGATES,  September 25 & 26th, 2021.
WSMA will be voting to change its bylaws which will reduce the number of delegates (and votes) for all county medical societies by 50%. If the bylaw change is approved, KCMS will have its delegate's seats reduced from 54 to 27.
KCMS needs to have a full contingency of KCMS Delegates at the meeting on
Sunday, September 26th to vote down this bylaw change. Won't you join us?
Please, RSVP to Salem at sadisu@kcmsociety.org

Comment Period for WSMA Resolutions

Please click below to view all of the resolutions from county medical societies from around WA state. You can also comment on each one.
Resolutions for 2021 WSMA HOD
The first rules workshop was held on August 18th to discuss the requirements of, and create draft rule language related to, a Senate Bill that is aimed at integrating international medical graduates into WA state's healthcare delivery system.
The WMC is asking for comments on the draft to the following email: medical.rules@wmc.wa.gov  by OCTOBER 8TH. 

LINK TO: SB 6551 International Medical Students

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