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>aVABilMBDia*< Digitized by the Internet Archive 2016 in https://archive.org/details/delawaremedicalj6819medi DELAWARE MEDICAL JOURNAL Official Publication of the Medical Society of Delaware / VOLUME68 JANUARY1996 NUMBER 1 24 E The Francis A. Counlway Library ofMedicine Exchange Office 10 Shattuck Street Boston, MA 02115 Special Issue 206th Annual Meeting Medical Society ofDelaware 1789-1995 November 17-18, 1995 VNA Delivers High-risk Obstetrics, Neonatology, Pediatric Care and Smiles. At VNA, we are witnessing the birth ofa new generation in the health care industry. Home health care is a fast-growing member ofthis industry and our Specialty Care Services were created to grow with the changing needs ofpatients. Our highly specialized home care teams are ready to pick up where the hospital leaves off. Services include Obstetrics, Neonatology, Pediatrics, Oncology, HIV/AIDS, IV. Therapies VNA and Rehabilitation. is a high quality, low cost resource for your family. VNA By discovering Specialty Care Services, you can look forward to a brighter, healthy future. And surely that’s something that will VNA Visiting Nurse put a smile on your face. Call (302) 323-8200 for more Association [Delaware information. .we’re on call and listening 24 hours a day. of Delaware . COME HOME TO VNA SPECIALIZED HEALTH CARE HEAL THY PHYSICIAN, PROGRAM INSURANCE Many physicians’ Liability Division insurance pro- of Harry David grams suffer Zutz Insurance, all from multiple ofyour insurance fractures. needs can be Malpractice here; handled through a life insurance THI single source. there; workers’ compensation Centralization from someplace plays an important else; homeowners, role in the wisdom auto and the rest ofselecting MSDIS/ supplied by wiio.toQws? Zutz. It is not the only reason. ^ _ The Medical Society ofDelaware Now, thanks to the recent benefits as well! marketing and management agreement between the Medical Call MSDIS/Zutz/PLI at Society of Delaware Insurance 571-0986 and learn more on how Services and the Professional to heal your insurance program. Officers and Trustees ofthe Instructions to Authors Medical Society ofDelaware 1995 1996 - TheDelawareMedicalJournal(DMJ)isownedand published by the Medical Society ofDelaware as a medium of communication, education and expres- Officers sionforits members,andalsoforothers strivingfor DMJ excellence in medical practice. Articles in the Carol A. Tavani MD, President areintendedtobescientificandeducationalandare Paul E. Howard MD, President-Elect notintendedtoreflectstandardsofmedicalcare.All Stephen S. Grubbs MD, Vice President materialpublishedisundercopyright. Onreceiptof Martin G. Begley MD, Secretary material submitted for publication, a suitable re- Garth A. Koniver MD, Treasurer leaseform will be sentfor signature by all authors. Roger B. Thomas, Jr., MD, Speaker ofthe House Leslie W. Whitney MD, Vice Speaker ofthe House Scientificarticleson medical mattersare especially Michael J. Bradley DO, Past President welcomed, including case reports, clinical experi- ences, observations and information on matters relevant to medical practice. Other material may Trustees also be accepted if the editorial staff deems it of DMJ interest to readers. All submissions should Kent County MD include a briefsummary. Stephen G. Cooper MD Donald R. Doran Joseph F. Rubacky III DO IttheismsheilgvhelyswrietcloimDMmce/nsdteyldebtehfaotraeustuhbomristtfianmiglmiaarniuz-e scripts for consideration. New Castle County MD Michael A. Alexander DO All material for publication should be submitted Nicholas O. Biasotto MD eitherona3 1/2"computerdisketteinWordPerfect*^ William H. Duncan MD 6.0, or typed or printed out on good-quality paper Marciana D. Filippone MD (one side only, double-spaced, one-inch margins). Stephen S. Grubbs MD The ideal manuscriptlength is two to 12 pages. Up Joseph F. HackerMIDII to 12 references per manuscript will be accepted, Robert M. Jones ELemoilWy.J.RaPiesinsmaMnDMD eciatcehd.keTyheedfwoitrhmastupsehrosucrlidptfsolilnotwhethtaetxtuisnetdheionrtdheer MD Index Medicus. Authors are responsible for the Janice Tildon-Burton MD accuracy ofthe citations. Michael B. Vincent MD Stephen F. Wetherill Graphs, charts and black-and-white glossy photo- graphsareacceptedifimportanttotheunderstand- Sussex County HRiacrhrayrdA.HL.eShhmearnmMaInIDI MMDD iipinnedgciecosaf.ttiEhnaegcithtesxstnh,aobumuletd,hsnahuvomeubleadrl,naobatenledaxf“cfteioexpde.”dfAoonusrietposrabrfaaictvkee Frederick K. Toy legend shouldbe providedfor each. Do notwrite on the back, or scratch or mar them using paperclips. EEd.itWoary,nDeelMaawratrzeMMDedical Journal Do not mount them on cardboard. AMA Photos of patients should generally be taken in a Delegates MD way that obscures the patient’s identity. Photos in JStaempehsenP.S.MaGrrvueblbJsr.,MMDD ewvheirc,hmuasptatbieenatc’csomfapcaenimeudsbtybseigcnleedarrleylesaeseen,fohromws-. Stephen R. Permut All manuscripts are reviewed by the editor and all Resident Representative MD scientific articles are then sent for peer review by Scott P. Krall membersoftheEditorialBoardand/orotherappro- priate physicians. The usual processing time to Executive Staff publication is two to four months, though in some circumstances this may be longer or shorter. Mark A. Meister Sr., Executive Director Beverly Dieffenbach, Associate Executive Director Del Med Jrl, January 1996, Vol 68, No 1 VICE PRESIDENT MEDICAL AFEAIRS Kent General Hospital, Dover, Delaware, is the largest progressive health care providerin central and southern Delaware. With a211 -bed facility, ambulatorycarefacilityand outpatient rehabilitation center, we are a true community hospital that serves a population of 130,000. Since 1927 Kent General has excelled in providing excellence, We leadership and state-of-the-art medical care. have a desirable opportunity for a licensed, board-certified physician whose 1 0+ years of medical practice, highly respected clinical proficiency, impressive communication skills and proactive style reflect the ability to assure the provision of high quality patient care. A key member of the Executive Team, this position serves as liaison between KGH administration and Medical Staff. Reporting to the Executive Vice President/Chief Executive Officer, you will have re- sponsibilityforthe administration of clinical departments and hospital- based physicians, medical staff quality assurance, medical staff continuing education, participate in hospital-wide strategic planning, and medical staff development, including recruitment of practitioners. The position requires a seasoned physician with experience in hospital management. Broad knowledge of health care issues, including managed care, board certification and ability to step quickly into this challenging role. An attractive compensation/benefits package reflects your significant We contribution and solid credentials. are centrally located near Atlantic beach resortswith easyaccessto Philadelphia, Baltimoreand Washington, DC. For information about this position call 1 -800-949- DOCS. Forconsideration, forward resume to: Vice President, Human Resources, 640 S. State Street, Dover, DE 19901. FAX (302) 674- 7469. KENT GENERAL EOE Some Health Insurers Would Like You To Believe ThatAll Are Laboratories Alike... Both You and Your Patients Know This True. Isn't Some insurers will tellyou: They chose a lab because oflowerprice - yet they don't lower the price of their premiums to employers. In many cases total costs may be higher. That all laboratories are ofequal quality - then they select the laboratory and shift the burden of medical liability to the physician. Theypromiseequalorbetter laboratory convenienceandservicefor yourpatients - yet patients constantly complain that these laboratories give them poor service, less convenient hours, less accessible locations, and very slow turn- around time for their reports (even routine Pap smears). That the ethics ofthe laboratoryyou use does matter - yet they choose laboratories with a history of Medicare fraud. Pap smear scandals, etc. Let your insurers know all labs are not alike - it does matter to you and CLINICAL TESTING INC. ...BECAUSE QUALITY IS ESSENTIAL*