Opinion

Editorial …………………………. 369
Gratitude
Deval (Reshma) Paranjpe, MD, MBA, FACS

Editorial …………………………..370
Finding my niche: A kind, well-shaven face
Anthony L. Kovatch, MD

Editorial …………………………..373
Rightly forgotten
Richard H. Daffner, MD, FACR

Perspective ……………………..376
Reducing disparities in musculoskeletal care: Focusing on bone and joint health
Anthony M. DiGioia III, MD
Gina Edwards
Angela DeVanney
Gigi Crowley

Perspective ……………………..378
A physician’s reflection on Roberto Clemente and his leadership legacy
Johanna Vidal-Phelan, MD, MBA, FAAP

Departments

Society News …………………..380
• Fit with Your Physician walk held
• ACMS Foundation awards medical student scholarship
• ACMS member assists with removal of prior auth code
• Pennsylvania Geriatrics Society – Western Division

Classifieds ………………………381
Activities & Accolades………382
Membership Benefits………..384

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October was National Cybersecurity Awareness Month, and government agencies and private cybersecurity companies alike offered tips to stay secure online. Cybersecurity awareness is particularly necessary in 2020: Ransomware attacks against health care providers and entities that support them have continued in full force after a 350% increase in the fourth quarter of 2019. Even the U.S. Department of Health and Human Services suffered a cyberattack in March. COVID has not slowed hackers and other cybercriminals. eResearch Technology, a company that sells software used in clinical trials – including trials for a vaccine for the coronavirus – suffered a ransomware attack in mid-September.

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Opinion

Editorial …………………………..329
Fall nourishment
Deval (Reshma) Paranjpe, MD, MBA,FACS

Editorial …………………………..331
Roentgen and the discovery that changed medicine
Richard H. Daffner, MD, FACR

Miller Time ………………………335
A Viral Ode
Scott Miller, MD, MA, FAAHPM

Editorial ………………………….336
Physicians in mourning: Grieving with purpose
Anna Evans Phillips, MD, MS

Editorial …………………………..338
Lost too soon: An ode to Micah Man
Andrea G. Witlin, DO, PhD

Perspective………………………340
The Donora Smog
Kristen Ann Ehrenberger, MD, PhD

Perspective………………………342
Reflections on physician wellness and the challenges of COVID
Lawrence R. John, MD

Articles

Membership Benefits ……….344
Society News …………………..346
• ACMS Foundation opens Pediatric Asthma Clinic
• Pittsburgh Ophthalmology Society

Activities & Accolades ……..348

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2020 October Buller

Physician recruiting can be expensive. Doing it wrong can be even more expensive, as a recent multimillion-dollar settlement illustrates.

When a group practice needs financial assistance to bring on an additional physician, hospitals may be willing to put up funds to protect the practice from incurring a loss as the new doctor becomes established in the community. Such recruitment agreements with hospitals are generally structured as monthly advances of the difference between the new physician’s collections and the cost of employing him or her, and treated as forgivable loans to the practice so long as the physician continues to practice in the hospital’s service area for a defined period.

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In Leadbitter, J. v. Keystone Anesthesia v. Petraglia1 (Leadbitter), the Pennsylvania Superior Court (Superior Court) further eroded the evidentiary privilege afforded by the Peer Review Protection Act (PRPA).2 Over the last several years, the protection offered to the proceedings and records of a review committee has been whittled down by a series of cases that are inapposite.

Statutory background. The Pennsylvania General Assembly’s goal in passing PRPA was “to serve the legitimate purpose of maintaining high professional standards in the medical practice for the protection of patients and the general public.” The General Assembly determined that “because of the expertise and level of skill required in the practice of medicine, the medical profession itself is in the best position to police its own activities.”

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Opinion

Editorial …………………………..234

The malady lingers on

Deval (Reshma) Paranjpe, MD, MBA, FACS

 

Editorial …………………………..238

Scientific misconduct

Richard H. Daffner, MD, FACR

 

Editorial ………………………….241

Reconnecting during COVID

Andrea G. Witlin, DO, PhD

 

Perspective ……………………..246

Telepsychiatry appointment adherence and productivity during COVID-19

Timothy Lesaca, MD

Pamela Pyle, AAS

 

Perspective ……………………..249

Reflections after 52 years

Richard L. Green, MD

 

Departments

 

Membership Benefits ……….244

Society News …………………..251

  • Pittsburgh Ophthalmology Society

Activities & Accolades ……..253

 

Articles

Materia Medica …………………254

Istradefylline (Nourianz®)

Samantha DeMarco, PharmD

Rachael Cardinal, PharmD, BCPS

Legal Summary ……………….256

Pennsylvania Superior Court decision: Further deterioration of the peer review privilege

Beth Anne Jackson, Esq.

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As medical practices and other workplaces begin to emerge from the closures and restrictions imposed in response to the COVID-19 pandemic, employers need to know what they can and cannot require of their employees. On March 21, 2020, the Equal Employment Opportunity Commission (EEOC) updated a 2009 publication that had been issued during the H1N1 influenza outbreaks to advise employers of their rights and responsibilities under federal employment laws. Further guidance was published on June 17, 2020, in the form of Technical Assistance Questions and Answers, and in a question-and-answer webinar published on the agency’s website. The EEOC publications address the impact of the Americans with Disabilities Act (ADA), the Rehabilitation Act, Title VII of the Civil Rights Act, the Age Discrimination in Employment Act (ADEA) and the Genetic Information Nondiscrimination Act (GINA).… Read more

Opinion  

Editorial …………………………..201

Nourishment: Pandemic edition
Deval (Reshma) Paranjpe, MD, MBA, FACS

Editorial …………………………..203
Gateway Medical Society celebrates new star – A history of supporting African American youth
Amelia A. Paré, MD, FACS

Editorial …………………………..207
12 essential leadership skills
Richard H. Daffner, MD, FACR

Editorial …………………………..214
Finding my niche: Residency and beyond
Andrea G. Witlin, DO, PhD

Perspective ……………………..215
COVID-19 masquerade
Wendy Palastro, MD

Departments
Membership Benefits ……….212
Society News …………………..218
Pittsburgh Ophthalmology Society
Activities & Accolades ……. 220
Community Notes ……………220

Articles
Materia Medica …………………222
Innovations in postmenopausal osteoporosis: Romosozumab (Evenity®)
Karen M. Fancher, PharmD, BCOP

Legal Report ……………………225
Avoid employment law violations when dealing with COVID-19
William H.

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Although physician offices were always classified as essential businesses under the Pennsylvania Emergency Closure Rules, and could always have remained open, many physician practices nevertheless opted to close the practices, reduce hours, or remain only open for emergency patients. Now that Pennsylvania is reopening to all businesses in stages, we thought it would be valuable to have a source of curated information specifically applicable to the reopening of physicians’ offices, similar to the COVID-19 Private Practice Checklist published by ACMS on March 19, 2020.

We believe the risk issues can be separated into four basic categories:

  1. Patient management
  2. Facility management
  3. Staff protection
  4. Patient consent forms and waivers

Patient management

The scheduling, management and testing of patients returning to the practice, and prioritizing their treatment based upon the severity of their medical conditions, will be one of the most challenging aspects of reopening the practice, if only because of your lack of actual control over patients’ conduct.

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Welcome to the second quarter of 2020! The coronavirus pandemic has changed the way physicians interact with their families, practice medicine and spend money. Perhaps you’ve been on the front lines in the critical care units. Perhaps you’ve been seeing patients by telemedicine or fielding lots of phone calls and trying to figure out how to get paid for what you do. Perhaps you’ve been isolating at home with not a lot to do, spending more time with family and doing some online CME. The question on your mind might be: When this pandemic ends, what position will I be in?

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