MARCH 2020 CORONAVIRUS UPDATE: STAY INFORMED, … · in Parkinson’s disease and gait disorders,...

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E MARCH 2020 CORONAVIRUS UPDATE: STAY INFORMED, RESOURCES AVAILABLE With the rapid spread of the novel coronavirus (COVID-19), it’s crucial to stay informed about the latest guidelines so that you, your families, employees and patients are protected. Baptist Health continues to follow guidelines from the Centers for Disease Control and Prevention (CDC). You should know: N 95 respirators and personal protective equipment (PPE) are available for those providing direct patient care and for cases that require specialized respiratory protection. We must conserve our supply and only those who require protection should use it. Currently, only the Department of Health can test for COVID-19. A screening tool has been sent to all medical staff. More accessible testing is anticipated soon. Quest has advertised that it will start testing March 9, pending Department of Health acknowledgement. If you have been in contact with someone who is either suspected to have, or confirmed to have, COVID-19 or you are returning from travel to China, South Korea, Italy, Iran or Japan (countries included in the Level 3 & 2 Travel Health Notice, per the CDC), you must stay home and call Baptist Health’s Occupational Health Office immediately at 786-596-2345. Changes to the process may take place according to CDC and/or State Department recommendations so watch for continued communication from Baptist Health. Remember that HIPAA law requires that we not discuss patients outside of patient care. Baptist Health’s Emergency Preparedness team has updated PPE courses and is conducting training. Online information via BHU is also available. Our online caregivers are also prepared to follow the appropriate CDC protocols and most recent processes in place for COVID-19. Baptist Health Care On Demand providers, available 24/7, can answer patients’ questions, evaluate risk and provide support to relieve symptoms. For a limited time, online urgent care visits are available to the community for a discounted rate of $20 (a savings of $40 off regular rates). Use Code CARE19. MICHAEL MCDERMOTT, M.D., HEADS MIAMI NEUROSCIENCE INSTITUTE Michael McDermott, M.D., a pioneer in stereotactic neurosurgery and Gamma Knife radiosurgery for complex brain tumors, has joined Baptist Health as chief medical executive of Miami Neuroscience Institute. Dr. McDermott is an expert in rare cases, emerging neurosurgical techniques and cutting-edge research, treating a wide variety of neurological problems including meningiomas, hydrocephalus, cancers and central nervous system infections, and tumors of the skull base and spinal cord. Most recently, Dr. McDermott was co-director of the Gamma Knife Radiosurgery Program at the University of California San Francisco (UCSF), ranked third in the nation by U.S. News & World Report in neurology and neurosurgery. Additionally, he served as vice chair of Clinical Programs, professor of Neurological Surgery and Residency Program director, and was the Wolfe Family Endowed Professor in Meningioma Research at UCSF. “We’re very excited to have Dr. McDermott

Transcript of MARCH 2020 CORONAVIRUS UPDATE: STAY INFORMED, … · in Parkinson’s disease and gait disorders,...

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MARCH 2020

CORONAVIRUS UPDATE: STAY INFORMED, RESOURCES AVAILABLE With the rapid spread of the novel coronavirus (COVID-19), it’s crucial to stay informed about the latest guidelines so that you, your families, employees and patients are protected. Baptist Health continues to follow guidelines from the Centers for Disease Control and Prevention (CDC). You should know:

• N 95 respirators and personal protective equipment (PPE) are available for those providing direct patient care and for cases that require specialized respiratory protection. We must conserve our supply and only those who require protection should use it.

• Currently, only the Department of Health can test for COVID-19. A screening tool has been sent to all medical staff. More accessible testing is anticipated soon. Quest has advertised that it will start testing March 9, pending Department of Health acknowledgement.

• If you have been in contact with someone who is either suspected to have, or confirmed to have, COVID-19 or you are returning from travel to China, South Korea, Italy, Iran or Japan (countries included in the Level 3 & 2 Travel Health Notice, per the CDC), you must stay home and call Baptist Health’s Occupational Health Office immediately at 786-596-2345. Changes to the process may take place according to CDC and/or State Department recommendations so watch for continued communication from Baptist Health.

• Remember that HIPAA law requires that we not discuss patients outside of patient care. • Baptist Health’s Emergency Preparedness team has updated PPE courses and is conducting training.

Online information via BHU is also available. • Our online caregivers are also prepared to follow the appropriate CDC protocols and most recent

processes in place for COVID-19. Baptist Health Care On Demand providers, available 24/7, can answer patients’ questions, evaluate risk and provide support to relieve symptoms. For a limited time, online urgent care visits are available to the community for a discounted rate of $20 (a savings of $40 off regular rates). Use Code CARE19.

MICHAEL MCDERMOTT, M.D., HEADS MIAMI NEUROSCIENCE INSTITUTE Michael McDermott, M.D., a pioneer in stereotactic neurosurgery and Gamma Knife radiosurgery for complex brain tumors, has joined Baptist Health as chief medical executive of Miami Neuroscience

Institute. Dr. McDermott is an expert in rare cases, emerging neurosurgical techniques and cutting-edge research, treating a wide variety of neurological problems including meningiomas, hydrocephalus, cancers and central nervous system infections, and tumors of the skull base and spinal cord. Most recently, Dr. McDermott was co-director of the Gamma Knife Radiosurgery Program at the University of California San Francisco (UCSF), ranked third in the nation by U.S. News & World Report in neurology and neurosurgery. Additionally, he served as vice chair of Clinical Programs, professor of Neurological Surgery and Residency Program director, and was the Wolfe Family

Endowed Professor in Meningioma Research at UCSF. “We’re very excited to have Dr. McDermott

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heading our talented team,” said Jack Ziffer, Ph.D., M.D., Baptist Health executive vice president, chief clinical officer and chief medical executive. “With him at the helm of our program, we will continue to advance our national leadership in the treatment of brain, spine and nervous system conditions.” For the first several months at Baptist Health, Dr. McDermott will focus on working with clinical and administrative leadership to build infrastructure for the program and set the stage for growth. Dr. McDermott is a graduate of the University of Toronto Medical School and completed an internship at St. Michaels Hospital in Toronto. He completed a neurosurgical residency at the University of British Columbia, followed by a neuro-oncology fellowship at UCSF. He has been recognized with numerous honors, including the Bittner Award and the Journal of Neuro-Oncology Award from the American Association of Neurological Surgeons. He has published extensively in peer-reviewed medical journals and has led groundbreaking clinical trials. JOSEPH MCGINN JR., M.D., IS NEW CHIEF OF CARDIAC SURGERY AT MIAMI CARDIAC & VASCULAR INSTITUTE Renowned cardiac surgeon Joseph McGinn Jr., M.D., has joined Miami Cardiac & Vascular Institute as chief of cardiac surgery. His creation of a minimally invasive approach to coronary artery bypass grafting

― minimally invasive direct coronary artery bypass, or MIDCAB ― has led to its broad adoption, largely replacing the older, traditional large chest incision required for CABG. Dr. McGinn was most recently the Francis Robicsek, M.D., Ph.D., Endowed Chair of Cardiovascular and Thoracic Surgery and professor of Cardiovascular and Thoracic Surgery at Atrium Healthcare, Charlotte, N.C. He received his medical degree from State University of New York Downstate Medical Center College of Medicine in Brooklyn, where he also completed an internship and a general surgery residency, serving as chief

resident of general surgery. He then completed an additional residency, in cardiothoracic surgery, at Long Island Jewish Medical Center in Hyde Park, N.Y., serving as chief resident of cardiothoracic surgery. He has been medical director of the Heart Institute of New York, and chair of the Department of Surgery at Staten Island University Hospital. Dr. McGinn is also actively involved in research, working on aortic heart valve, atrial fibrillation and graft patency outcome trials, among others. He has received numerous honors, including being named to Irish America Healthcare and Life Sciences 50, a Certificate of Special Congressional Recognition and the Catholic Charities Bishop’s Humanitarian Award. He is widely published and has lectured internationally. “Dr. McGinn is an excellent addition to our innovative program at Miami Cardiac & Vascular Institute,” said Jack Ziffer, Ph.D., M.D., Baptist Health executive vice president, chief clinical officer and chief medical executive. “He will help grow our cardiac surgery program so that we can offer patients the best and most sophisticated options for their care.” NATIONAL DOCTORS DAY: WE SALUTE YOU According to 2017 U.S. Census data, there are more than 880,000 physicians and medical scientists living in the country. On March 30, we recognize the medical staff throughout Baptist Health and the unique contributions you’ve made to us and your patients. Watch for information at your entity about special Doctors Day celebrations. CARDIO-ONCOLOGY PROGRAM OFFERS SPECIALTY SERVICES TO CANCER PATIENTS With more people surviving cancer and living longer thanks to advances in treatment, there’s a need for programs that address the side effects that may come down the road. Cancer survivors are at a greater risk for cardiovascular problems, including arrhythmias, coronary artery disease, heart disease and heart failure. Miami Cardiac & Vascular Institute and Miami Cancer Institute have teamed up to provide care focused on cardiovascular health during and after cancer treatment. Led by Alvaro Gomez, M.D., interventional cardiologist, Socrates Kakoulides, M.D., medical director of Miami Cardiac & Vascular Institute’s Ambulatory Diagnostic Center, and Paula Montana De La Cadena, M.D., experts in the Cardio-

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Oncology Program will provide a comprehensive consultation and evaluation of a patient. Candidates for the program include:

• Patients with existing cardiovascular issues who have newly diagnosed cancer. • Patients with cardiac side effects from traditional cancer therapies and medications. • Cancer survivors who need screening and treatment for cardiovascular issues that may or may not

be related to their treatment. Appointments may be made by calling 786-204-4200. DEERFIELD BEACH URGENT CARE MOVING TO DOWNTOWN BOCA Deerfield Beach Urgent Care will move to the existing Boca Raton Urgent Care, just six miles away. The last day of business for the Deerfield Beach location will be Feb. 29. To better serve customers, hours at the Boca Raton Urgent Care are being extended, with services provided from 8 a.m. to 8 p.m. daily. The Marcus Neuroscience Institute will move into the Deerfield Beach space in the near future to help meet the greater demand for neurology services in the area. Currently, the Institute houses a satellite office within the building where Drs. Thomas Hammond and Marc Swerdloff see patients. Dr. Hammond specializes in Parkinson’s disease and gait disorders, and Dr. Swerdloff is an expert in the treatment of migraines and the rare, chronic autoimmune neuromuscular disease myasthenia gravis. Ultimately, the Deerfield Beach community will have access to Marcus Neuroscience Institute without having to travel to the Boca Raton Regional Hospital campus. With the new space, the Institute aims to house more physicians and offer additional services. BREAST CANCER GENETICS AND PREVENTION CLINIC NOW SEEING PATIENTS As part of Miami Cancer Institute’s ongoing effort to prevent cancer, the Breast Cancer Genetics and Prevention Clinic has opened. Focused on those at high risk for developing breast cancer, the Clinic will work with patients who have an identified genetic mutation that predisposes them to cancer or a strong family history of breast cancer, and young women who have previous radiation exposure and other issues that benefit from monitoring and/or appropriate prevention measures. The weekly Clinic is headed by Jane Mendez, M.D., surgical oncologist, along with Ana Sandoval Leon, M.D., medical oncologist, and Arelis Martir-Negron, M.D., medical geneticist, as well as a team of genetic counselors and advanced practice providers. “Sometimes people discover they have a genetic mutation that may put them at risk for cancer. They don’t know what it means or what the next step may be,” Dr. Mendez said. “Here, everyone will receive a personalized risk assessment based on what they bring to the table, and we will discuss the recommendations. For one patient, that may mean watching and waiting or making lifestyle modifications; for another, it may mean going on chemoprevention medications; and for another, it may warrant removal of the ovaries or breasts. We will discuss all the options thoroughly so that the patient can choose the best course of action.” Patients may be self-referred, come through their primary care physician/gynecologist or a specialist or be referred by the Institute’s genetic screening department. Appointments may be made by calling 786-596-2000. MINIMALLY INVASIVE PROCEDURE “RESHAPES” THE HEART A congestive heart failure patient at Miami Cardiac & Vascular Institute became the first in Florida and in the Atlantic Southeast to undergo a less invasive ventricular enhancement (LIVE) to “reshape” his heart by reducing the size of the left ventricle. The 71-year-old man, whose prognosis was poor without the procedure, is part of a clinical trial expedited by the FDA. The Institute is one of about 20 centers nationwide recruiting patients for the trial. “This procedure isolates the scar tissue and basically creates a new and healthy left ventricular cavity that contracts normally,” said Ramon Quesada, M.D., medical director of Structural Heart and Complex Percutaneous Coronary Intervention. He and Niberto Moreno, M.D., emeritus chief of cardiothoracic surgery, led the Institute’s LIVE team. During the procedure, the patient’s left ventricle was reduced in size by more than one-third. His ejection fraction rose to 35 percent

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and is still improving, Dr. Quesada said. “This procedure is a real game-changer,” he said. “We now can give an option to patients who would otherwise be condemned to chronic, congestive heart failure.” BAPTIST HEALTH AND ADVANCED RECOVERY SYSTEMS ANNOUNCE PARTNERSHIP In an effort to increase access to addiction treatment in South Florida, Baptist Health has partnered with Advanced Recovery Systems, an integrated behavioral healthcare management company, to provide three new drug and alcohol treatment centers in Lake Worth and Miami. These centers, called The Recovery Village at Baptist Health, offer inpatient and outpatient care to adults who struggle with drug and alcohol addiction and co-occurring mental health conditions. The scope of services includes psychiatry, individual/group therapy, residential, medication management and outpatient detox. These centers are part of Advanced Recovery Systems’ nationwide network of accredited rehab centers and accept most private insurance with private pay rates available. Providing evidence-based, comprehensive treatment for substance use disorders continues to be a priority for Baptist Health and, together with Advanced Recovery Systems, will make high-quality rehab accessible in the region. To learn more about The Recovery Village at Baptist Health, call 855-389-4055 or visit FloridaRehab.com. NEW LUNG PROCEDURE PERFORMED AT SOUTH MIAMI HOSPITAL Physicians at South Miami Hospital became the first in the county to perform a recently approved FDA procedure for a patient with chronic emphysema. The 70-year-old male received the new Zephyr endobronchial valve in a minimally invasive procedure. He had no complications and was walking around the ICU hours after surgery. The valve permits one-way air movement, closed during inhalation to prevent air flow to the diseased area of the lung and opened during exhalation. The patient suffered from hyperinflated lungs, often experienced by people with COPD. “He was maximized on medical therapy and was suffering from depression and anxiety because he had trouble breathing at rest,” said Michael Hernandez, M.D., a pulmonologist affiliated with the hospital’s Lung Health Program. Previously the alternative for patients with this condition was a very risky surgery that carried up to a 60 percent complication rate over three months, Dr. Hernandez said. NEW FROM CME: 2019 NOVEL CORONAVIRUS COURSE As the 2019 Novel Coronavirus (COVID-19) continues to spread across the globe, infectious disease experts are grappling to educate healthcare professionals and the public about the deadly virus. Baptist Health’s Continuing Medical Education program has posted an online Coronavirus course featuring Aileen Marty, M.D., director of FIU’s Health Travel Medication Program. The course provides information on emerging respiratory viruses, COVID-19 in particular, and discusses the transmission, as well as the prevention and treatment, of the virus. Click here for information or to take the course. (1 Cat. 1) BAPTIST HEALTHTALK: PODCAST WEEDS THROUGH HEALTH NEWS CLUTTER There’s a lot of confusing and conflicting health information available to consumers these days. To help

weed through the clutter, there’s Baptist HealthTalk, a weekly podcast moderated by Jonathan Fialkow, M.D., deputy medical director and chief of cardiology at Miami Cardiac & Vascular Institute. Dr. Fialkow interviews experts from Baptist Health on a wide variety of topics from heart health to the common cold to vaping. “We are reviewing the kinds of questions I and others have and providing clarity for our listeners,” Dr. Fialkow said. In 15-to-20-minute episodes, the podcast debunks health

myths and gets to practical information to help listeners improve their health and wellness. You can access Baptist HealthTalk on your computer or smartphone via Apple Podcasts and Google Podcasts or wherever you get your podcasts.

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EXPERTS CONVENE AT IMMUNOTHERAPY SUMMIT OF THE AMERICAS More than 150 physicians and other healthcare providers from throughout Florida, the United States and Latin America, gathered in Coconut Grove in January to attend the Inaugural Miami Cancer Institute Summit of the Americas on Immunotherapies for Hematologic Malignancies. The Summit featured experts

from the Institute as well as Memorial Sloan Kettering Cancer Center, Dana-Farber Cancer Institute, MD Anderson Cancer Center, University of Chicago, University of Pennsylvania and Florida International University, who discussed the most recent advances in the treatment of leukemia, lymphoma, multiple myeloma and stem cell transplantation by novel immunotherapies and treatment combinations. “The caliber of our faculty was outstanding and the conference’s overarching approach, incorporating all of the malignancies, rather than focusing on one disease, made it unique,” said Guenther Koehne, M.D., Ph.D., course director and deputy

director and chief of Stem Cell Transplantation, Hematologic Oncology and Benign Hematology at the Institute. “To be successful in attacking cancer, we cannot stay within our silos. We must take a more comprehensive view.” Dr. Koehne also presented his groundbreaking work on allogeneic stem cell transplantation involving the technique he developed to manipulate donor cells in the Institute’s Stem Cell Processing & Immunotherapy Laboratory. Dr. Koehne is the principal investigator of a recently FDA-approved clinical trial ― A Phase II Trial of CD34+ Enriched Transplants from HLA-Compatible Related or Unrelated Donors for Treatment of Patients with Hematologic Malignancies ― using manipulated donor cells to treat those with acute myeloid and lymphoblastic leukemia and chronic myeloid leukemia. The study continues his work that has had promising results in diminishing the often-deadly graft-versus host disease complication of transplantation. Since allogeneic transplants began in the 1970s, survival rates have increased significantly and new techniques, like Dr. Koehne’s, have made it possible for many more patients, especially elderly patients who previously would not have been considered for transplantation, to receive the treatment. Photo above left: Bo Boulenger, executive vice president and COO of Baptist Health, left; Arturo Fridman, M.D., medical director of Continuing Medical Education, center; and Dr. Koehne. ISET CONTINUES TO ADVANCE FIELD AND BRING INNOVATION TO INDUSTRY For more than 30 years, the International Symposium on Endovascular Therapy (ISET), has continued to bring the latest advances in the field to clinicians and industry experts throughout the U.S. and abroad. ISET 2020, Jan. 22-25, was no exception. “The symposium was a great success, with participants from 48 states and more than 30 countries,” said Barry Katzen, M.D., founder and chief medical executive of Miami Cardiac & Vascular Institute and creator of ISET. “Comments from attendees were outstanding and the Institute again projected a level of excellence in clinical care and medical education that remains a national standard.” The use of live cases, pioneered by the Institute, allowed practicing physicians to see and interact with those performing new procedures. The program covered the broad landscape of endovascular therapy, from aortic occlusive and aneurysm disease to critical limb ischemia. Course directors from Miami Cardiac & Vascular Institute included James Benenati, M.D., Ripal Gandhi, M.D., Adam Geronemus, M.D., Barry Katzen, M.D., Kenia Lynn, P.A., Constantino Peña, M.D., Alex Powell, M.D., and Ramon Quesada, M.D. Other expert course directors were Daniel Clair, M.D., William Gray, M.D., Jihad Mustapha, M.D., and Richard Neville, M.D.

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The 32nd International Symposium on Endovascular Therapy (ISET) brought interventional radiologists, vascular surgeons, interventional cardiologists, other specialists and industry experts together to discuss emerging new technologies and the latest data. ISET 2021 will be held Jan. 17-20 in Hollywood, Fla. Photo credit: Pierce Harman Photography for HMP/ISET. HEAD & NECK CANCER SYMPOSIUM: LEARN THE LATEST From what’s new in head and neck surgery to radioprotection for radiation therapy and potentially malignant oral disorders, the 9th annual Head & Neck Cancer Symposium will provide information about the most recent advances in the prevention, diagnosis and treatment of head and neck cancer. The symposium, April 25, 8 a.m.-2 p.m. in the first-floor café at Miami Cancer Institute, will also feature hot topics such as immunotherapy, HPV-related cancers, thyroid cancer and proton therapy. Symposium directors are Geoffrey Young, M.D., and Guilherme Rabinowits, M.D. For information, click here. (4.75 Cat. 1) BAPTIST HEALTH INTERNATIONAL UPDATE Baptist Health International participated in a number of events recently. At the Monthly Oncology Videoconference for oncologists throughout the Caribbean, Latin America and other parts of the world, Marco Ruiz, M.D., spoke on “Novel Treatment Strategies for Hematologic Malignancies in HIV Infected Patients.” At the Monthly Medical Videoconference Lecture for fourth-year medical students, professors and physicians transmitted to medical schools and hospitals in the Bahamas, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala and Mexico, Felipe De Los Rios, M.D., spoke on “Swiftly Navigating Treatment Options in Acute Stroke.” In the news recently: Michael Chuong, M.D. (The Tribune – Bahamas – The Cancer Centre of the Bahamas radiation oncology specialty clinics); and Juan Carlos Suarez, M.D. (El Periόdico – Guatemala – robotic surgery for hip and knee replacements). In other news, Galed Hakim, M.D., has been named assistant vice president of International Healthcare Partnerships and Insurance Development. Dr. Hakim joined International in 2013 as director of International Healthcare Partnerships. He fostered international healthcare alliances with medical associations and physicians

around the globe, and educated and assisted international physicians, hospitals and patients in accessing Baptist Health South Florida. With more than 20 years in the industry, he has developed key strategies to reduce hospital readmissions and maximize the quality of care of patients during hospitalization and post-discharge. Dr. Hakim is associate professor at Florida International University, Robert Stempel School of Public Health and Social Work, where he teaches healthcare quality and leadership. His new role encompasses nurturing existing international

partnerships, identifying and developing international strategic alliances with hospitals and insurance companies, participating in international conferences and other aspects of departmental operations.

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EVENTS A WIN, THANKS TO MIAMI ORTHOPEDICS & SPORTS MEDICINE INSTITUTE Participants of two world-class Miami sporting events recently stayed healthy, thanks in part to physicians, clinicians and staff from Miami Orthopedics & Sports Medicine Institute. At Super Bowl LIV, John Uribe, M.D., chief medical executive at the Institute and head team physician for the Miami Dolphins, Michael Swartzon, M.D., and Gautam Yagnik, M.D., provided assistance to both teams in the Feb. 2 game. At the Feb. 9, 2020 Life Time Miami Marathon and Half Marathon, some 20,000 walkers and runners took to the streets of Miami. Thomas San Giovanni, M.D., and Michael Swartzon, M.D., co-medical directors, led the medical team collaboratively with Baptist Health and Life Time. Orthopedist Luis Rodriguez, M.D., Fellow Maria Kyriacou, M.D., and emergency physicians Robert Abello, M.D., and Lawrence Chen, M.D., also saw patients in the medical tents. Thank you to all the medical personnel who cared for the athletes. PRETERM BIRTH IS FOCUS OF OMAR PASALODOS, M.D., MEMORIAL LECTURE When women who are in true preterm labor are accurately identified in the healthcare setting, appropriate interventions can improve neonatal outcome. “Perterm Birth: New Concepts on Causes and Prevention” is the women’s healthcare focus of the Ninth Annual Omar Pasalodos, M.D., Memorial Lecture on Thursday, April 2, 5:30-7:30 p.m. at South Miami Hospital’s Victor E. Clarke Education Center. Presented in partnership by Florida International University’s Herbert Wertheim College of Medicine, the Health Foundation of South Florida and Baptist Health, the event honors the memory of Dr. Pasalodos and his dedication to women’s healthcare, community outreach and education. This year’s distinguished speaker, Charles Lockwood, M.D., is internationally known for his research and expertise in the prevention of preterm birth. Dr. Lockwood is the senior vice president of USF Health, dean of USF Health Morsani College of Medicine and professor of USF Health’s Departments of Obstetrics and Gynecology and College of Public Health. For information and to register, go to BaptistHealth.net/CME. The program begins at 6 p.m. Also available via live webcast. (1 Cat. 1) PREPARE TO FOCUS ON PRIMARY CARE IN NAPLES It’s time again to take an in-depth look at primary care. Attend the 19th annual Primary Care Focus Symposium July 10-12 at the Ritz-Carlton Naples. The symposium provides practical, evidence-based strategies to strengthen healthcare competencies and to address the most recent advances in the diagnosis, management and treatment of diabetes, atrial fibrillation, chronic kidney disease, osteoarthritis, benign breast disease and more. Symposium director is Agueda Hernandez, M.D., chief medical officer and designated institution official, Baptist Health Center for the Advancement of Learning. For information or to register, click here or call 786-596-2398. CLINICAL EDUCATOR’S CORNER: PRACTICING MEDICINE AT THE HIGHEST LEVEL Editor’s note: This article is provided by Suzanne Minor, M.D., assistant dean for Faculty Development of Florida International University’s Herbert Wertheim College of Medicine. What do physicians need in order to practice medicine at the highest level? A health professional wellness hierarchy was recently created based on Maslow’s hierarchy of needs. At the first level of the pyramid is “Basics,” which refers to the foundational needs of sleep, food, water, bathroom access, being free of depression, anxiety and substance use and having time and space to breastfeed. Level two is “Safety,” meaning that the physician and patients are physically safe and that the physician’s job is secure and the future predictable. The third level, “Respect,” includes mutual respect and inclusion, the respect of family time, and that processes and resources available are working, cultural violations are addressed and that bureaucracy, HER and IT demands do not hassle the physician. Fourth is “Appreciation.” The physician is appreciated, noticed and feels connected, and compensation reflects appreciation. The fifth and highest level of the pyramid is “Heal Patients and Contribute.” The physician has time, autonomy and resources to heal patients. There is time to think and contribute. To achieve this level, all of the other needs must be met. The individual physician can use

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this hierarchy to assess his or her own met and unmet needs, while the institution can use it to best meet the needs of the employed physician. This column was based on the recent publication: Shapiro DE, Duquette C, Abbott LM, Babineau T, Peart A, Haidet P. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Amer J Med. 2019;132(5);556-563. Please contact Dr. Minor at [email protected] with your comments. HONORS FOR BAPTIST HEALTH

• Baptist Health has been named one of the 2020 Fortune 100 Best Companies to Work For. This is the 20th time Baptist Health has been recognized on the list, and it was again ranked highest among the 100 Best Companies in terms of its percentage of minorities.

• For the 10th time, Baptist Health has been recognized as one of the 2020 World’s Most Ethical Companies by Ethisphere, a global leader in defining and advancing the standards of ethic business practices. In 2020, 132 organizations received the honor with Baptist Health being one of just 5 companies in the healthcare providers category.

• The Miami HEAT Sports Medicine Center has won The Outstanding Building of the Year (TOBY®) Award. The honor recognizes quality in commercial buildings and excellence in building management. Architects designed an efficient building using workflow suggestions from John Zvijac, M.D., and Keith Hechtman, M.D.

WELCOME, NEW PHYSICIANS Say hello to the newest physicians who have joined a Baptist Health entity: At Baptist Health Medical Group ― Sandra Chaparro, M.D. (cardiovascular disease); At Baptist Outpatient Services ― Ashley Bowles, DPM, Jason Gold, DPM, and Julio Ortiz, DPM, (podiatry); Francisco Calixto, M.D., Chadi Dahabra, M.D., and Alan Rosenberg, M.D. (anesthesiology); Thomas Lang, M.D. (obstetrics & gynecology); Andrew Rosenthal, M.D. (plastic surgery); and Carmen Valderrabano, M.D. (diagnostic radiology); At Homestead Hospital ― Carmen Valderrabano, M.D. (diagnostic radiology). SUBSCRIBE TO ELECTRONIC CME COMMUNICATIONS; ACCESS CALENDAR Note that you can access the full CME calendar at BaptstHealth.net/CME. To subscribe to electronic CME communications or update your existing subscription, visit BaptistHealth.net.StayInformed. In the news: Matthew Hall, M.D. (Today Show – Miami Cancer Institute surprises teen patient with Super Bowl tickets); Ceclia Belzarena, M.D. (CNN en Español – World Cancer Day); Aldo Ribeiros, M.D. (CNN en Español – why patients lie to their PCPs); Tarak Rambhatla, M.D. (Miami Herald – exercise and knowing your numbers; and Bustle – what a heart attack is like as a young woman); Alvaro Gomez, M.D. (Miami Herald – heart attacks in women); Ripal Gandhi, M.D., and Constantino Peña, M.D. (The ASCO Post – interventional oncology treatment of solid tumors); and Ashok Mittal, M.D. (Miami Herald – impact of a plant-based diet on heart health). Ripal Gandhi, M.D., and Govindarajan Narayanan, M.D., served on the faculty of Spectrum 2020 in Miami Beach. Dr. Gandhi spoke on “Y90 Dosimetry” and participated on the colorectal cancer tumor board at the conference. Dr. Narayanan spoke on “Overview of DEB-TACE Platforms: Are They All the Same?” “Does Locoregional Therapy Have a Role in EHE?” and “Road to the DIRECT Study.” Dr. Gandhi also spoke at the Miami Hepatic Oncology Symposium on “Radiomicrosphere Therapy Treatment Planning” and “Visceral/Hepatic Vascular Anatomy and Mapping for Yttrium-90 Radioembolization). In addition, he served

Physicians’ Spotlight

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as guest medical editor for the Interventional Oncology Issue of Endovascular Today. He was the author of “What’s New in Y-90?” and “Outpatient Interventional Oncology: Primum Non Nocere.” In the same issue, Dr. Gandhi, Dr. Narayanan, Horacio Asbun, M.D., Michael Chuong, M.D., and Filipe Kunzler, M.D., were authors of “Contemporary Management of Pancreatic Cancer.” Yvonne Johnson, M.D., has been elected second vice president of the Orange Bowl Committee. For 85 years, the Committee has been charged with generating tourism for South Florida for the annual Orange Bowl football game and events. Ann Podrasky, M.D., has been elected a Fellow of the American Institute of Ultrasound in Medicine. Max Polo, M.D., presented “Paradoxical Adipose Hyperplasia after Cryolipolysis” during the Body Contouring Panel of the Florida Plastic Surgery Forum in Palm Beach. After serving on the board of directors for the past five years, Dr. Polo was elected secretary of the Florida Society of Plastic Surgeons. Alan Seifer, M.D., recently returned from a week of volunteering at the Marsh Harbor Clinic as part of Abacos Disaster Relief. He reports that the Bahamian Health Ministry is in need of more physician volunteers from now until June. Contact Dr. Seifer at 305-439-2526 if you’d like to assist. Marcy Wasman, Ph.D., spoke on “Sleep and the Cancer Patient” at the Florida Psychological Association’s 2019 Statewide Convention” in Lake Mary, Fla. FEATURED CME CONFERENCES & SYMPOSIUMS Refer to the CME calendar in this issue for a complete list of March conferences. Most of the following conferences are also approved for CE credits for nurses and allied health professionals. Online registration and immediate access to conference details are available at the CME Portal, BaptistHealth.net/CME. Please register in advance online. For assistance, contact Continuing Medical Education at 786-596-2398 or [email protected]. Note: For dinner conferences, meals and registration begin 30 minutes prior to the time indicated.

• March 3 ― Interstitial Lung Disease Case Review Conference, 7:30-8:30 a.m., South Miami Hospital MCVI Conference Room. Medical staff members and employees only. (1 Cat. 1)

• March 4, 11, 18 and 25 ― Thoracic Oncology Tumor Board, 7:30-8:30 a.m., MCI Conference Room, 1N612, Radiation Oncology, and videoconferenced to South Miami Hospital 5th floor training room. (1 Cat. 1)

• March 9 ― Miami Cancer Institute – Multispecialty Grand Rounds: Update on Radiotherapy for Esophageal Cancer, 7:30-8:30 a.m., MCI Tumor Board Room, 3N110. (1 Cat. 1)

• March 12 ― Cardiovascular Conference Series: Diagnosis and Medical Management of Peripheral Arterial Disease, 12 noon-1 p.m., Baptist Hospital 5 MCVI and live webcast. (1 Cat. 1)

• March 20 ― Miami Cancer Institute – Radiation Oncology Grand Rounds – Proton Therapy for Bone and Soft Tissue Sarcomas, 12 noon-1 p.m., MCI Radiology Oncology Conference Room, 1N612. (1 Cat. 1)

• March 20 ― Conversations in Ethics – Organ Allocation: Who, What, Where? 12 noon-1 p.m., West Kendall Baptist Hospital Classrooms 4 & 5, videoconferenced to Baptist Hospital Classroom 5, Mariners Hospital Executive Conference Room, South Miami Hospital Classroom E and live webcast. (1 Cat. 1)

• March 27-29 ― Internal Medicine Conference, 17th Annual, Boca Raton Regional Hospital, Marriott Hotel. For details, contact Rana Dole at [email protected].

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• March 31 ― Miami Cancer Institute: Hematology Oncology Grand Rounds – Overcoming Resistance to Targeted Therapies in AML: IDH as a Therapeutic Paradigm, 8-9 a.m., MCI Tumor Board Room, 3N110. (1 Cat. 1)

CME ALERT! NEW EBCC COURSES Baptist Health offers a number of courses that address EBCC standardization efforts and explain new pathways. Visit EBCC.BaptistHealth.net for course details and to enroll.

• NEW ― Electrolyte Imbalances and Metabolic Disorders • NEW ― Anesthesia Guidelines and Preventing Kidney Injury

CERNER REFRESHER SESSIONS HELP YOU GET MORE FROM THE EMR Monthly Cerner Refresher Sessions, led by the Medical Informatics team, are held throughout the health system in the physicians’ lounges. March sessions will be held from 8:30 a.m. to 12 noon on:

• March 4 ― Baptist Hospital • March 9 ― Miami Cancer Institute • March 10 ― South Miami Hospital • March 11 ― Fishermen’s Community Hospital • March 12 ― Homestead Hospital • March 18 ― Doctors Hospital • March 24 ― West Kendall Baptist Hospital • March 26 ― Mariners Hospital

Walk-ins are welcome. Find more details at CernerCME.BaptistHealth.net. SAVE THE DATES FOR UPCOMING CONFERENCES AND SYMPOSIUMS

• April 25: Head and Neck Cancer Symposium, Ninth Annual, Miami Cancer Institute Café, first floor. HNCancerSymposium.BaptistHealth.net. (4.75 Cat. 1)

• June 6: State of the Science: Critical Care Symposium, Hilton Miami Dadeland. CriticalCare.BaptistHealth.net.

• July 10-12: Primary Care Focus Symposium, 19th Annual. Ritz-Carlton, Naples. PrimaryCareFocus.BaptistHealth.net.

• Oct. 29-30: Echocardiography and Structural Heart Symposium, Hilton Miami Airport. MiamiEcho.BaptistHealth.net.

For full details, go to CMESymposiums.BaptistHealth.net. ECHOCARDIOGRAPHY AND STRUCTURAL HEART SYMPOSIUM: LATEST ADVANCES Valvular heart disease and structural heart treatments have become more integral within cardiology practice as providers come to understand the use of nonsurgical/transcatheter therapy for diagnosis and treatment. The 28th Annual Echocardiography and Structural Heart Symposium, Oct. 29-30, formerly known as the Echocardiography Symposium, will include topics such as current guidelines for cardiac structure, cardiac function and hemodynamic assessment. In addition, internationally renowned faculty will address the latest developments, cutting-edge technologies and future directions of structural heart disease assessment and treatment options and advanced cardiac imaging (3D, Strain, CT, TEE) and valve repair approaches (TAVR, mitral valve repair devices, left atrial appendage occlusion devices, paravalvular closure and alcohol septal ablation). Treatment focus will be on aortic, mitral and tricuspid valves and interatrial septum valvular heart disease, as well as specific patient populations, including those with cancer, Afib, hypertrophic cardiomyopathy and more. Symposium directors are Elliot Elias, M.D., and Damian Chaupin, M.D. For more information, click here.

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Interstitial Lung Disease Review

Conference, 7:30-8:30 a.m., SMH Rm. (

Sports Medicine Conference Series, 7-8 a.m., DH Command Center, 1st Floor

(1 Cat. 1).

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March 27-29 Internal Medicine Conference, 17th Annual, Boca Raton Regional Hospital