Bulletin of the Mahoning County Medical Society

35 Pages·1996·31.1 MB·English

by  The Mahoning County Medical Society

The Medical-Dental Bureau provides the Physician
and Dental community with much needed office
services. Since we understand your needs, we provide
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Services provided:
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• Targeted to the needs of the Medical community.
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• Fee based on collection.
For complete details please telephone your
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901 Home Savings & Loan Bldg.
275 Federal Plaza West
Youngstown, Ohio 44503
(330) 744·4040
Judy Bloomberg, Manager
NT Y MEDICAL SOCIETY VOL. 66 NO.4 SUMMER 1996
BULLETIN

Table of Contents
Editor's Page .................. .... .................... .................... ........ 4

President's Page ........ ......... ........... ...................................... 6

MCMSA .................................................... ......................... 8

NEOUCOM ................ ............................ ....................... .. 10

On The Cover ................................................................. 14

MCMSA New Members .................................................. 18

AMA ........... ......... .. ............ .... ..... ... ............. ......... .... ........ 20

State Medical Board ......................................................... 22

A Look Back ............ ............ ............................................ 26

Antitrust Relief .................. .............................................. 28

Can You
The Difference?
MRI'S VS. CLOSED MRI'S

The Bulletin reserves the right to edit all contributions
for clarity and length, as well as to reject any material
submitted, including advertisements.
Subscription rate of $20.00 per year is included in MCMS dues. Correspondence
and changes of address should be mailed to the above address.
COUNCIL
:s agree the technology That's why at AdvancedlRadiology,
Officers

and closed MRI's is only Board Certified and University Trained
CHANDER M. KOHLI, MD President

le when it comes to the professionals read our patients' MRI's. CHRIS A. KNIGHT, MD President-Elec t

DOUGLAS M. GOLDSMITH, 00 Sec retary/Treasurer

~e. And that clearly makes a difference. DANIEL W. HANDEL, MD Immediate Past Presidellt

AMA Alternate Delegate

Iso agree that the
Want to know more about the safety. Daniel W. Handel, MD

Ig the image is as
convenience and quality of our open OSMA Delegates

nage itself. DENISE L. BOBOVNYIK, MD ANAND G. GARG, MD

MRI's? Call us today.
DANIEL W. HANDEL, MD CHANDER M. KOHLI, MD

CHRIS A. KNIGHT, MD L. KEVIN NASH, MD

OSMA Alternate Delegates
CHESTER A. AMEDIA, MD RICHARD J MARINA, MD

THOMAS J TRAIKOFF, DO LYN E. YAKUBOV, MD

lanced Radiology
Mell1bers-at-Large
THOMAS E. ALBA'\I, MD JENIFER R. LLOYD, DO

RONALD A. RHODES , MD MARC S. SAUNDERS, 00

JANARDAN T. TALLAM, MD

•ALeader In Imaging Innovation • Editor of Bulletin
SERGl: L A. ERZURUM, MD
FOUNDATION TRUSTEES

5500 Market St. (old Rt. 82) • Howland, OH 44484
RASHID A. ABDU, MD DAVID]. DUNCH, MD

130-856-XRAY(9729) -or-1-800-998-4MRI(674) NORTON I. GERMAN, MD STEVEN M. KALAVSKY, MD

PRA13HUDAS LAKHANI, MD C. CONNER WHITE, MD

Executive Director
ELEANOR PERSHING
BULLETIN BULLETIN 3
From the Desk of the Editor
Dear Colleagues,

LEASE LET ME EXPRESS MY DEEPEST SYMPA­
THIES TO THOSE ABOUT TO READ MY IN­
tics and our deplorable status as physiciam.
To consult with SOl
AUGURAL EDITORIAL FOR THIS JOURNAL. these articles are necessary, but while r~. '
Please forgive my tortuous prose, poor grammar and disorga­ them I have experienced severe, throb In£ h~ concernec
aches, especially in both temples. As a nellr
nized thoughts. Those who know me at St. Elizabeth's will gist, I know that severe, new-onset hra,lJ
financial r
not be surprised at my rambling. For those who can be dangerous to your health. Therd"
do not know me, [ will introduce myself. I have refuse to write even a single word about hl
to Key Your Key PI
been a staff neurologist at St. Elizabeth's for thir­ care reform, politics, etc.
teen years. [am a native of Youngstown and a I propose a different approach...somell
heads a team of pr
YSU graduate. we need more desperately than tbe lateHI
Confessions are also in order. [accepted of Medicare cuts from Congress. I propu't: d
this job as co-editor with Dr. Erzurum with re­ mor column", that is, a listing of tbe latN who can help you,
luctance. I admit that I "volunteered" for this best jokes. Many of my colleague. Jr
position only after much physical, verbal and Elizabeth's feel that [ am an expert in jnk financial goals witl
emotional abuse from our leader, Dr. Chandler fact, they say [ am a joke. But, I won't r;1I
Kohli. I refused on numerous occasions, but self on the shoulder. Hopefully, lVith your I precision. Call Patt
when Chan finally pinned me to the ground and I can get a list of jokes for this column. II
stuck bamboo shoots up my fingernails, I had hear any good ones, please let me know~ .-\ at [phone]
no choice but to accept. end of this artick (which, thank goodm.>.
I really struggled for topics to write about be soon) you will find my telephone mnn you'll be very plea~
in this article. First, I planned to use Dr. Dave fax number and mailing address. There u '
Pichette's previous editorials, since he thought be many jokes circulating at St. Elizabeth her prognosis.
no one ever read them. I was just going to sub­ unfortunately there is not a lot of humor ,11'
stitute my name and picture for his. But, Dave institution these days. I don't know rhe ,
decided he would have to charge me for the ar­ tion at Western Reserve, but I suspect it
We know
ticles, citing health care reform and decreasing same. By the way, lawyer jokes are prcl~1T
income, so I dropped that idea. If I get desperate, I am also consid~n
medical profeSSional
Then, I decided to pursue a different course. gossip column. So, if you hear any juicy I,
I don't know about you, but I am really tired of or slander about local hospital admini~trJI
reading articles about health care reform, poli- politicians or judges, please feel frel' tll l~:
financial needs
know. I prom ise I will not let the truth anJ
interfere with my responsihle reporting.
Donald] Tamulonis, Jr., MD Finally, if I get really desperate, [ will like the dorsum of
preciate your send ing me news about a!(re r
taurant or a recommended movie, book ,,[ our metacarpus.
As a last re,ort, [ can even resurrecr E'
Hamilton's "Around Town" from the VinJ
Again, thanks for hearing with Ill\:. J
be writing to you.
Don,dd]. Tlmulonis, Jr., M.D.

1340 Belm or Avenue

Youngstown, OH 44504

[phone]

Fax: [phone]

Key. For a new America.5M
4
or
~agues,
(PRESS MY DEEPEST SYMPA­
.E ABOUT TO READ MY IN­ tics and our deplorable status as physician~. To consult with someone truly
:JRIAL FOR THIS JOURNAL. these articles are necessary, but while n:a,h
them I have experienced severe, throhbing I concerned with your
prose, poor grammar and disorga­
aches, especi:.111y in borh temples. As a nelll·
) know me at St. Elizabeth's will gist, I know that severe, new-onset hCJll.I.I financial health, come
urprised at my rambling. For those who can be dangerous to your health. Therdll'
~now me, I will introduce myself. I have refuse to write even a single word about he.l! to Key. Your Key Private Banker
t51ff neurologist at St. Elizabeth's for thir­ care reform, politics, etc.
lrs. I am a native of Youngstown and a I propose a different approach...snmctlll heads a team of professionals,
:lduate. we need morc desperately than the latl'~t nt'
n.fessions are also in order. I accepted ofMedicare cuts from Congress. I propn~\: ,\"1
who can help you achieve your
as co-editor with Dr. Erzurum with re­ mor column", that is, a listing of the Iatl.'~t
e. I admit that I "volunteered" for this best jokes, Many of my colleague, .\
financial goals with surgical
l only after much physical, verbal and Elizabeth's fed that I am an expert in Jole
lal abuse from our leader, Dr. Chandler fact, they say I am a joke. But, I lVon't 1',11 I
precision, Call Patty Brozik
I refused on numerous occasions, but self on the shoulder. Hopefully, with your
han finally pinned me to the ground and I can get a list of jokes for this column, II
at [phone]. We think
3.mboo shoots up my fingerna ils, I had hear any good one.", please let me know! :\t
ce but to accept. end of this article (which, thank goodne .. ,
:ally struggled for topics to write about be soon) you will find my telephone nunt you'll be ve ry pleased with
micle. First, I planned to use Dr. Dave fax number and mailing address. There \N.I
e's previous editorials, since he thought be many jokes circulating at St. Elizahcth\. her prognosis.
ever read them. I was just going to sub­ unfortunately there is not a lot of humor.1t tI
ny name and picture for his. But, Dave institution these days. I don't kno\\ Ihl.' ,"
he would have to charge me for the ar­ tion at Western Reserve, hut I suspect il i We know
iting health care reform and decreasing same. By the way, lawyer jokes arc prd i.'rr<,1
, so I dropped that idc,\. If I get desperate, I am also considl'nn medical professionals'
en, I decided to pursue a different course. gossip column. So, if you hear any juiu' 1I11
know about you, but I am really tited of or slander about local hospital admil1l~tf.ll
articles about health care reform, poll- politicians or judges, please fec! free til kl financial needs
know. I promise I will not let the truth an.1 1
interfere with Illy respnllsihle reporting.
Donald J. Tamulonis , J1., MD like the dorsum of
Finally, if I get really desperate, I will
preciate your sending me news about" [.'Tcil
our metacarpus.
taurant or a recommended movie, ho()k r
III
As a last resort, I can even resurrCCI brl
Hamilton's "Around Town" from the Vm,/Il'
Again, thanks fo r hearing with 1llL'.
be writing to you.
J.
Donald Tamulonis, Jr., M.D.
1340 Belmont Avenue
Youngstown, OJ-! 44504
[phone]

Fax: (DO) 746-7436

Key. For a new America:"

Jb BULLETIN 5
B ULLETIN
Personalized rehabilitatio
President's Page
for all wall(s of Ii]
Patient Drain
LL OF US HAVE EXPERIENCED THE LOSS OF
A PATIENT TO ANOTHER PHYSICIAN. THIS OUTPATIENT THERA
the ease of p(lticnt self-referral throu)(h "
EXPERIENCE CAN ELICIT VARIOUS EMO­ ads providing toll-free numbers.
Out-of-town care is not al\\"al" II:
tions, ranging from relief to indignation, but often it leaves us
patient's best interest. Over the year~, nLI
Physical Therapy, Occupational Therapy, Sp
wondering "What happened ?". Perhaps we will never know, my patients, friends and acqu,linranc, '
or car to find out, why the patient sought care voiced their disappointment in seekin~ I
Massage Therapy and Therapeutic Ac
out of town. Many patients now<1days are medical care outside of the communit\. T
fiercely independent and well read. However, complaints include Ion'" wairs, lack of har. 1
the need for educatinn the community with re­ examinations, feelings ofdissatisf,Ktiol' \
gard to the excellent health care 8.vailable in physician, feeling lost in the system, ami'
the Mahoning County IS paramount. rushed throuah in an impersonalll'ay. , 'I c

Patient drain from our community occurs the inconvenience of travel distance i
,n Carrington South Rehabilitation Health Ca
for various reasons. I do not refer to the patients disadvantage to tlw patient ,md his 1:ll1lh

that we all (appropriately) refer to tertiary care Some tertiary care centers ,[0 not .t(,
850 E. Midlothian Blvd • Youngstown, OH
centers. Id ally, these patients return to us fm tients who have been injured in :lCcidl'lll,.

all other health care need .. My concern is th(lt snn,c patients who go out of town for (,
(330) 788-4022
many patients are \cavino when the care they me lical or surgical care are surpriseJ ro tin

need can easily be provided here in their own they encounter physician rcsist,HKc in r

community. accepted for follow-up care after thel f'
.
In my opinion, a primary reason pati nrs especially when the ph sic ian believ ~
hl
[e8.ve is lack of knowledge on the parr of the have done as well or herrer for thar pall,"

patient, his significant advisors, or h is primJry orh ~r case the [ arient or family may I,
YOUNGSTOWN ASSOCIATES IN RA
care physician. Perhaps the PCP r fer the pa­ barras,ed by having w ask for help II'h'II'

tient out of rown because ht' is not aware rnat ha e not gone as expecteJ uf town. e lil]'

HITCHCOCK X-RAY CRESTWOOD
the: ncccs~ary services are aV'lilable here. Per­ of care docs L1f~ r.

haps the patient chooses to go out of town at In my experience, altl'l1ts :IIT
kl! GENESIS BREAST CENTER
the suggestion of bmi!y or frienels, again with­ being cared for by pi YSiCl(l\lS who knlll\

out proper guidance. These scenarios for pa· and thl:ir f:'lmilie ·. It i. helpfullVhcn IL,
HITCHCOCK CAT SCAN
tient drain are certainly further encouraged by and their special ists know one another Ir I

closely togerher nn a dndy ha~is.
Diagnostic X-Ray Low-Dose MammogJ
\Xlith the pre enl ()\lttnclru!l1 in hc.illt

Ultrasound Nuclear Medicine
there are fe er cht)ice:. f'lr patients ill,,11

Chander H. Kohli , MD cians. Perhaps we .! oule! m,lke som\' \'~r
Cat Scan
forts, when appropriate, til protect .'ur r

hasc. The lea~[ we can dn is to l(CJ1111111

t' mpt C" car' or the memhers 01 tlur,
HITCHCOCK X-RAY CRESTWOOL
nity. We em do rhi' not .mll' h)
11.11:
7250 West Blvd. 25 N. Canfield­
knowlc gc ,m t:xperrise, hut abo by,,,:,,

cati~ wirh un "' <l norht: r ~ I rbt \\'~ Ii
Boardman, Oh 44512 Austintown, 0
what is vallahl and can pro i,ie Ill"l!

[phone] (330) 793-.
when ~Ippropriate.
E. Angtuaco, M.D. T. Cohen, M.D. A. Hafiz
B.N. Krishna-Setty, M.D. A. Lipari, D.O. K. Pre
V. Raval, M.D. M. Stein, M.D, S. Weiss, ~
6
Personalized rehabilitation services

• for all wall(s of life.

lain
EXPERIENCED THE LOSS OF
ANOTHER PHYSICIAN. THIS
the ease of patient self-referral through I~h
:AN ELICIT VARIOUS EMO­
ad~ providing roll-free nllmher~.
indignation, but often It leaves us Out-of-town Girl' is not ,1I w8Y> in
p<ltient's best interest. Over the years, 1ll.1Ii
?". Perhaps we will never know, my patients, friend~ and acqu<1intann" h Physical Therapy, Occupational Therapy, Speech Therapy

:0 find out, why the patient sought care v()iced their disappointment in seekin~ WI
town. Many patients nowadays arc medical care outside of the cOlnmuni ry. T1 Massage Therapy and Therapeutic Aquatics

independent and well read. However, complaints lI1clucle long "',1 its, bck ofh;111
:l for educating the community with rc­ examinations, feelings ofdiss;JtisLKtilln II'llh­
the excellent h ealth carl' avail3ble in physician, feeling lost in the system, :md ~
l.oning County is paramo unt, rushed through in an impersonal way. UI I. _'ll
lent drain from our community occurs the inconvenience of travel dist;mc,' I~ ,1111 Carrington South Rehabilitation Health Care Center
) US reasons. I do not refer to the patieDts disadvantage to the patient and his fmT1lh
all (appropriately) refer to tertiary carC' Some tertiary care cC'nters do not JUl'll 850 E. Midlothian Blvd • Youngstown, OH 44502
Ideally, these patients return to us for ticnts who have heen injured in ;lcciciel1!', t
r health care needs, My concern i~ th;lt some patients whn go nllt of tClwn f,lT Inut (330) 788-4022

atients are lcav1l1g when the care they medical or surgical care Me surprised tllllll.lU
111 easily be provided here [n their uwn they encounter physici:m re,istance iI. j.
n ity, accepted for follow-up care :lfter they rc't'
my opinion, <l primary rc"lson patients especially when the physlci;m hclievl;:;' hl' c'
, b c.k of knowledge on the part uf the have done as well or better for that p,m.'1lI
• hi~ Significant advisors, or his primary other cases the patient m family 111;1) tn:1 YOUNGSTOWN ASSOCIATES IN RADIOLOGY

ysic.ian. Perhaps the PCP refers the pa­ barrassed by having to ask for help whrn 11,
It of town bCGlLIse he is not aW8re rJ1at h8ve not gone as expe~ted of town. ( :nnw,
:essary ~ervices ;:Ire avaiIablc here, Per­ of c<'Ire does suffer, HITCHCOCK X-RAY CRESTWOOD X-RAY

.e patient chooses to go out nf town <It In my experienct:, p;lnenl S .Ire l'l'ltl GENESIS BREAST CENTER

ges[ion of family or friends, again with­ being cared for hy phY~IC1<lm who k 111 1\\ ,
'per guidance, These sCt'narios for pa­ ,md their families. !t IS hdpflll lVhcll th. if HITCHCOCK CAT SCAN

-ain are certainly fUrLher encouraged by and their specialists know nne anothcr ,m,1
closely together on a d:.Iily basIS, Diagnostic X-Ray Low-Dose Mammography

With the present' conundrum in ht"llIiI
there are fewt:r chuicl,;~ f()!" patients ,111.11 Ultrasound Nuclear Medicine

Chancler H. Kohli, MD
cians, Perhaps wt: ~htlll ld make som,; \'\1 Cat Scan

forts, when apprnpricltc. 10 protect llill i
base. The lea:.t we Cdn dl) is tl) gem!l"
tempt to care fm the rtlcmhers ()fOllr ,"(: HITCHCOCK X-RAY CRESTWOOD X-RAY
nity. We can do thiS not ()nly hy ,h,lfIll
7250 West Blvd. 25 N. Canfield-Niles Rd.
knowledge and expertise, hut also h lPnl!T
'ating With one an"thcr su 1h<1l we 'Ili I Boardman, Oh 44512 Austintown, Oh 44515
what is avatlable and car; pn)vl,lL IULll ' I'l
[phone] [phone]
when approrriate.
E. Angtuaco, M.D. T. Cohen, M.D. A. Hafiz, M.D.
B.N. Krishna-Setty, M.D. A. Lipari, D. O. K. Prasad, M.D.
I (, ')
, \ P \ d;'---;, \) V. Raval, M.D. M. Stein, M.D. S. Weiss, M.D.
1'\
/<JI)6 BULLETIN 7
B VLLETIK
AMA ANNUAL MEETING
A Report From The AMA

Annual Meeting 1996

Ea
N JUNE I ATIENDED MY FIRST ANNUAL MEET­
Ea
ING AS AN ALTERNATE DELEGATE TO THE
sty
AMA HOUSE OF DELEGATES HELD IN CHI­ fourth-year medical student member. Thl ;
lot will ask each member to identify on tht cll{
cago. At the opening session of the House, there were 430
lot one specialty society to represent him, r Or
delegates seated. The Ohio Delegation has 13 delegates with
in the AMA/Federation House of Delegru[
a like number of alternate delegates. Our Ohio the next year. an<
Delegation is very ably chaired by Dr. Ted Castle The number of delegates or alternat era
of Cleveland. Several weeks prior to the an­ egates allocated to a specialty society will t
WI
nual meeting, the Ohio Delegation met to re­ the basis of one delegate and one altern,ll
view all 104 reports and 210 resolutions that egate for each 2,000 AMA members or 1' :1
were to be brought up before the AMA House of 2,000 AMA members who seleer that
of Delegates. This preconvention meeting was ticular specialty society on the annual
an absolute necessity to help prepare myself and This will hold true for the first three yr;t!' 66\l
other members of the Delegation to adequately ginning in 1997. Starting in the fou rth
Boar
represent our fellow physicians from the state of specialty society delegate allocation will
21/
Ohio. the basis of one for each 1,000 members or
The annual AMA meeting dealt with a tion thereof. Each specialty societY C,11
wide array of issues involving social economics, the House wi II be allocated at least one ddt
science, medical education, public health and This balloting process will begin in the til
the structure of organized medicine, including 1996 and will serve as the basis for tllt" '
CONFUSED WITH MEDICARE RBRVS~
future representational issues in the House of delegate allocation.
Delegates. Another issue discussed dealt with C' ~Jn CALL PROFESSIONAL MANAGEMENT ASSOCIi
The House also considered a subsequent re­ ing and testing of pregnant women for Hl\ 1
port of the Federation study that offered far­ House of De lega tes passed a resolution til " .
MEDICAL BILLING
reaching changes in the structure and operation AMA support the position that there ,hl'lIl SER~
of the various levels within organized medicine. mandatory HIV testing of all pregnant II)'
As a result of this Federation report, once a year and newborns, with counse:ling and recllmn • Computerized Billing & Account Reportin
the AMA will send a specialty representation dations for appropriate treatment. Thr H • Processing of Patient Bills & Inquiries
"ballot" to each AMA physician member and aIso adopted a Board ofTrustees report Oil U • Electric Claims Submissions
datary testing ofsemen donors using e~taHI
Daniel W. Handel, MD • Office Practice Management
CDC, FDA and ASRM guidelines.
The House of Delegates also disclI" • Medical Collection Dept.
issue of physician-assisted suicide, and II if\:
ered a Board report and four resolution, "0 - Over 20 Years Experience In Medical Billin~
issue. In essence, the delegates voteJ 'r
firm the existing policies that are in oPP' r BILLING • FREE CONSULTATION TO INDIVIDU AL & GF
to physician-assisted suicide. The call il.r.
tionaI activities on the part of the AII1.~. .
Professional Management Associates, Inc.
,IS initiating an educational campaign [(l U
palliative treatment and care decisi(]n~ "I
standard of care for meeting the need, '
726-1031

tients at the end of life; improving th,· 'il
of care for patients at the end of life; JnJ
THE FINANCIAL CENTER
ing with local, state and special medical ~
1280 Boardman-Canfield Rd., Youngstown, OH
L
8
BULLETIN BULLETIN
NG
The AMA
From
eeting 1996
Each patient is unique.

) MY FIRST ANNUAL MEET
Each one has special objectives and life,

lNATE DELEGATE TO THE
style requirements. Tohelp achieve

)ELEGATES HELD IN CHI­ fourth-year medical student member. Thi~ h
these goals, JvUdwest Prosthetic
­
lot will ask each member to identify on the h
)n of the House, there were 430
lot one specialty society to represent him or Orthotic Center combines experience

Delegation has 13 delegates with in the AMA/Federation House of Delegil[~' I and state of the an materials to custom

1mber of alternate delegates. Our Ohio the next year.
on is very ably chaired by Dr. Ted Castle The number of delegates or alternat~ ,k. craft eachindividual appliance.

~land. Several weeks prior to the an­ egates allocated to a specialty society will hI.' When you want perfonnance...

:eting, the Ohio Delegation met to re­ the basis of one delegate and one alternatt: J
L/5d1
104 reports and 210 resolutions that egate for each 2,000 AMA members or rortl
Midwest Prosthetic­
be brought up before the AMA House of 2,000 AMA members who select that p,
Orthotic Center
:ates. This preconvention meeting was ticular specialty society on the annual [.,,111
ute necessity to help prepare myself and This will hold true for the first three yeur~. ~ 661".(1 Sooth Ave.Swte 8 18}4 S, Lincoln Ave.
embers of the Delegation to adequately ginning in 1997. Starting in the fourth \ romiman. OH 44512 Salem,OH 44460
Lt our fellow physicians from the state of specialty society delegate allocation will he, 216/726-6124 216/332-0050
the basis of one for each 1,000 members "l ira..:
~ annual AMA meeting dealt with a tion thereof. Each specialty society sea({~J
ay of issues involving social economics, the House will be allocated at least one dJl'C'
medical education, public health and This balloting process will begin in the i.11
cture of organized medicine, including 1996 and will serve as the basis for the I'" ­ CONFUSED WITH MEDICARE RBRVS?

cpresentational issues in the House of delegate allocation.
CALL PROFESSIONAL MANAGEMENT ASSOCIATES, INC.

~s. Another issue discussed dealt with m Ull
n
~ House also considered a subsequent re­ ing and testing of pregnant women for HI\'.
the Federation study that offered far­ House of Delegates passed a resolution th.1t t MEDICAL BILLING SERVICE

~ changes in the structure and operation AMA support the position that thert~ shnulJ
nious levels within organized medicine. mandatory HIV testing of all pregnant ,,'''llLt
• Computerized Billing & Account Reporting
Jlt of this Federation report, once a year and newborns, with counseling and rCCOI11I\l\'
A will send a specialty representation dations for appropriate treatment. The I {, • Processing of Patient Bills & Inquiries
to each AMA physician member and also adopted a Board of Trustees report nn m • Electric Claims Submissions
Daniel W. Handel , MD datory testing of semen donors using estilr.h~. • Office Practice Management
CDC, FDA and ASRM guidelines.
• Medical Collection Dept.
The House of Delegates also discmwd r
issue of physician-assisted suicide, and (lin
ered a Board report and four resolutiom •l it t ~ Over 20 Years Experience In Medical Billing ~
issue. In essence, the delegates voted 11'
firm the existing policies that are in oppHn BILLING· FREE CONSULTATION TO INDIVIDUAL & GROUP PRACTICES
to physician-assisted suicide. The call [(II .,.1
tional activities on the part of the AMA.
'II Professional Management Associates, Inc.
as initiating an educational campaign t., tn.1
palliative treatment and care decisions Oll r:
standard of care for meeting the needs ••1 I 726-1031

tients at the end of life; improving the "11l.111'
of care for patients at the end of life; and \\"! THE FINANCIAL CENTER
ing with local, state and special medical ""ue
JMt{~1 W!Io~vfl~ftl7]
1280 Boardman-Canfield Rd., Youngstown, OH 44512
BULLI,'Th BULLETIN 9
NEOUCOM
Professional
Construction begins on NEOUCOM's
Center for Studies of Clinical Performance
Decisions.
IMULATED" PATIENTS, PHYSICIAN RAT
­
ERS, STATE OFFICIALS AND COMMU­

It is an important decision
NITY MEMBERS WERE ON HAND FOR

as to who will administer
of Medical Examiners is considering u~in '
the ground-breaking ceremony to start construction of the

your insurance needs. Let
Center for the simulated patient ponion,
Center for Studies of Clinical Performance at the North­
Step II examination, one of three ster-! Stillson and Donahay make
eastern Ohio Universities College (If Medicine
sary for rhysieallicensure. that decision easier for you
( EOUCOM). The facility will hous simulated
As Blacklow told those gathered 1,IT to make.
physician officcs, which will be used for the in­
ground hreaking, "The current str<ltl'gil fll'
struction and evaluation of clinical and diag­ USMLE, the national licensiog exam, c.JIl
We are professionals, locally
nostic skills of medical tudents and residents. the continuing development of standar!
owned and operated with over
The construction of the Center i~ a mile­ patients with a tar..get for implemcntatioll.11
60 years in the Mahoning Valley;
stone for the ollege. Meclical eclucators nation­ turn of the millennium. Their implellll:m '
wide have Ji 'covered that a very ffici nt way plans envision close liaison between thej , endorsed by the Mahoning County
to teach and ev,~luate clinical and diagnostic and asses "me.nt programs at 'chonl, I Medical SOCiety for over
ski lls is by using "standardized, simulated pa­ N EOUCOM to provide the h<lclbone II 40 years.
tients"- pellple who are trained to act as pa­ administration."
Blacklow then cit.ed a letter NEOL
Call us... It could be the most
received from Daniel Klass, director ofrhc'
important professional decision you make.
dardized Patient Project for the NBME:" 1.
plan ' mature, it is more rhan just enc"ur,
to see well-planned executed pmgrmn 'lih
Life, Disability and other Health Insurant
as evidence: thar . t ndardized patient fIl ':
are becoming an integral part of the CUIIIl:
the modern med icaI school. You sh Ii
I
pleased and proud to be in the v,1l1gU,Hd,'1
activity."
The enter will include 16 parienl x
~tiIlson
nation room, assembled around (\ centrdl \
ing area, space or adjoininu offic ,Ill.
"SirTl1I/Lltcd" patie11t and phys ician m ters took /)art in rhe 2,rutmd-breaking rooms, seminar rooms and storage SIW'
ceremon fur NE UCOM's Center for Sruclies of Clinical Performance. diovisual equipment (television GlmeJ I ,"
~~'l~pay
phones and speakers linked to tell'vi II
tients with well-defined symptoms and condi­ tors, videotape recording and pbyl' .~
tions-in a simulated office. etting. Physician­ chines) and computers will he in 11llleJ II
raters then mCCIsure the student's performance patient a s ssment roorn. to f:lCiliratc t'\',lll,
Clccording to standHrdizeJ criteria. of ,tudent clinical competency.
"Primary care physicians spend a great deal The Center will be used not onI r,,'
John Fouse • Lloyd Peck
of their tiITll' with pari nr in the clinical s't­ and ass'ss clinical ,kill () El Cl . ~ III
tinq," explains Ro bert Blacklo w, M.D., cal students and affill<lted r>'idenr" hut it
NEOU JO M president and dean. "The abo he Llsed by faculty, stud nts ,mel rn lll"
physi ian's ability (() Clccumrely assess a patient's other m dieal schools in the reginl) 1;lr ,1l
condition and needs is one nf the mnst impor­ assessment , stcll1cbrclized r atlent trdin~r .
tam a peets of diHgnos i~." sho 5, faculty development program, nrI,l!
Be(;.ausc of EOU M's high-quality stan­ nical assistance or advi 'ory services.
Bank One Building • 30 North Main
dardized pat.ient program, the National Board
Poland, OH 44514 • Phone: (330) 757
10
BeLLEW";
BULLETIN
Professional
.n begins on NEOUCOM's
Studies of Clinical Performance Decisions.
PATIENTS, PHYSICIAN RAT­
OFFICIALS AND COMMU­
It is an important decision
ERS WERE ON HAND FOR
as to who will administer
of Medical Examiners is considering li',i ll~ .
tony to start construction of the your insurance needs. Let
Center for the simulate.d patient porri(11l ,.1
ical Performance at the North­ Step II examination. one of three srcr' 11 Stillson and Donahay make
hio Universities College of Medicine sary for phys ical licensu re. that decision easier for you
OM). The facility will house simulated As Blacklow told those gathered hiT to make.
n offices, which will be used for the in­ ground breaking, "The current stratcgil 1" 1.11
1 and evaluation of clinical and Jiag­ USMLE, the national licensing exam, ( ;til We are professionals, locally
(ills of medical students and resident,. the continuing dcvelopment of sranJ;lr,h
owned and operated with over
: construction of the Center is a mile­ patienrs with a wrgct for illlplementatillll l'
60 years in the Mahoning Valley;
. the College. Medical educa[()rs n<ltion­ turn of the millcnnium. T heir implcmcnr.
endorsed by the Mahoning County
V I.: discovered that ~l very efficient way plans envision dose liaison be[\vcen the '\,
I and evaluate clinical and diagnostic and assessment program, at , c1w l.1 Medical Society for over
by using "stanJardized, simulated pa­ NEOUCOM to provide the backhotl,· t .., 40 years.
-people who arc trained to act as pa­ admInistration."
Blacklow then cited a letter NEl ~L t CaB us... It could be the most
received from Daniel Klass, director of,hl" ...·
important professional decision you make.
dardized Patient Project for the N 8M/:: ".
plans mature, it is more thlll just l'11l: I'ur.1
to set' well-planned executed program-Iih I' Life, Disability and other Health Insurance
as evidence that standardized patH:m m,!!
are becoming an inrel2rHI part of the CII IlilT'
the modern med ical schoo \. You sillH'!
pleased and proud to be in the vangu.lr,l,ll
activity. " Stillson
The C enter will include 16 p,ltit-nt
nation rooms assemhled ,lr()lInd a celltr.11
ing area, space for adj oining offices. 111'
rooms, seminar rooms and storage ,pal
1 raters took j)arr in the ,gl'mmd-bn:akil1g ~Donahay
:er for Sl1l(lie.~ of Clinical Pelj·ormance. diovisual equipment (televi:.; ion 0111lern'.1l
phones and speakers linked to te!c\,i. .i, "; I'
ith well-defined symptoms and condi­
tors, videotClpe recording and plad 'li
n a simulated office ~etting. Physician­
chines) and computers will he in~tnl k,1 II AGENCY, INC.
Il.:n measure the student's performance
patient asse~sment rouln~ tn f,Kilitatl" L"
Ig to standardized criteria.
of student c1inicRI competency.
Imary care physicians ~pend a great deal
T he Center will he Ilsed lint nld~ hit John Fouse • Lloyd Peck
time with patient!> in the clinical set­
and assess clinical skills of NEOUCl'\l l
'xplains Robert S. BIClcklow, M.D.,
cal students and affiliated re~ident~, \'111 It
M president and dean. "T he also be used by fa n dry, students cl1\d n·,d,II
n's 8hility to accurately assess a patiem's other medical schools in the region h,r'l
Ifl unci nceJs is 01\(' of the most irnpor­ assessments, standardized p<ltient tr. tiI w
cos of diagnnsis." shops, faculty development progr,llm ,Ill,) I
::lust: ofNEOUCOM's high-quality stan­ nical assistance or advisory servicl'". Bank One Building • 30 North Main Street

I paricllt program, the Narional Board
Poland, OH 44514 • Phone: [phone]

BULLETli'i ;.Iii BULLETIN 11