Newsletter XXIV January 2002
Clark County demonstrates need for local public health laboratory
Give Me Shelter: Using Nevada Spendthrift Trusts To Protect Assets in a Litigious World
President’s Message – Our Profession in Crisis
Clark County Medical Society New Members for November 2001
Applicants To Go Before Credentialing Committee
Synopses of Laws for Physician-Required Reporting
Clark County Health District Disease Statistics – November 2001
The recent bioterrorist events
involving anthrax sparked concern throughout the nation,
and at the local level demonstrated the need for a public health laboratory in
While it was being confirmed that
anthrax spores were being sent through the mail on the east coast,
In response to the calls from the
public the Health District worked with the Las Vegas Metropolitan Police
Department and other agencies to develop a protocol for responding to anthrax
related phone calls. As a result of this protocol health district personnel
assisted Metro with the staffing of their non-emergency line,
“The logistics of having to
appropriately package and ship a large number of samples possibly contaminated
with anthrax to the state laboratory in Reno for rapid, definitive analysis
proved formidable and expensive,” said Dr. Donald Kwalick,
chief health officer for the health district.
Currently, over 70 percent of
Nevadans live in
A local laboratory would have the
capability to test for a range of biological agents including anthrax,
smallpox, plague, hantavirus,
and tularemia in the event of a bioterrorist attack. Moreover, a laboratory
could also provide vital services needed on a routine basis, such as idetifying tuberculosis, giardia,
entamoeba, cryptosporidium,
legionella and lyme
disease. Having such an analytical capability during past cryptosporidium
and legionella outbreaks in
Senator Harry Reid has been
instrumental in helping
This year’s first CCMS Delegates meeting will be Tuesday,
January 15 at
Howard Roitman, Esq.
Do you want a trust that protects
your assets from them creditors? What if
this trust also specifically protected your assets from court orders,
attachments and garnishments? This may
sound like the holy grail of asset protection planning, but it is here now and
can be done “onshore” - legitimately!
For a long time Americans have been
going offshore to create such structures for the benefit of their families, and
to protect themselves from creditors.
However, these arrangements are expensive, involve small countries with
uncertain laws in far away places, and create tax hassles and liabilities as
well. The protection once available only offshore is now available onshore
courtesy of the state of
The
To create a
For those of you who demand
complete control over your assets and resist discretion in an independent
trustee, there are ways to give you control of trust assets notwithstanding the
requirement discussed above. This
challenge can be dealt with using tiered entities. One technique is to contribute the assets of
a trust to a Nevada Limited Liability Company (LLC), and appoint yourself sole manager.
This structure gives you complete control of the assets. You can then administer the activities of the
trust and make investment decisions in conjunction with your advisors, and pay
yourself a "salary," at your discretion, for the services provided to
the LLC. All of this can be done without
the involvement of the independent trustee. There are few restrictions on the
investment choices a client can make in a properly planned structure. This strategy may also allow the use of
discounting to reduce estate taxes. The only limitation on the protection of
assets transferred to a spendthrift trust is that related to the law of
fraudulent conveyances.
Fraudulent conveyance rules prevent
the transfer of assets to hinder, delay or defraud creditors. Will a transfer
to a
The first step in
protecting your assets from future creditors and lawsuits is the careful
crafting of a proper
Howard Roitman, SHIRINIAN & ROITMAN, 8921 West Sahara Avenue,
Suite A, Las Vegas, Nevada 89117
[Ex. Dir. Note: Spendthrift Trusts which allow the creator or
settlor of the trust to also be the
or a beneficiary of the trust are relatively new in the law. About six years ago
NRS 166 SPENDTHRIFT TRUSTS
§ 166.025. Applicability
of chapter; requirement of trustee if settlor is
beneficiary of trust.
2. If the settler [creator] is a beneficiary of
the trust, at least one trustee of a spendthrift trust must be:
(a) A natural person who resides and has his
domicile in this state;
(b) A [
(c) A [
CREATION OF SPENDTHRIFT
TRUSTS
§ 166.040. Writing required;
competency of settlor.
1. Any person competent by law to execute a will
or deed may, by writing only, duly executed, by will, conveyance or other
writing, create a spendthrift trust in real, personal or mixed property for the
benefit of:
(a) A person other than the settlor;
(b) The settlor if
the writing is irrevocable, does not require that any part of the income or
principal of the trust be distributed to the settlor,
and was not intended to hinder, delay or defraud known creditors; or
(c) Both the settlor
and another person if the writing meets the requirements of paragraph (b).
PRINCIPLES GOVERNING
CONSTRUCTION
§ 166.080. Beneficiaries
to be named.
The beneficiary or
beneficiaries of such trust shall be named or clearly referred to in the
writing. No spouse, former spouse, child or dependent shall be a beneficiary
unless named or clearly referred to as a beneficiary
in the writing.
§ 166.090. Provision
for support.
1. Provision for the beneficiary will be for the
support, education, maintenance and benefit of the beneficiary alone, and
without reference to or limitation by his needs, station in life, or mode of
life, or the needs of any other person, whether dependent upon him or not.
§ 166.100. Income.
Provision for the beneficiary
will extend to all of the income from the trust estate, devoted for that
purpose by the creator of the trust, without exception or deduction, other than
for:
1. Costs or fees regularly
earned, paid or incurred by the trustee for administration of or protection of
the trust estate;
2. Taxes on the same; or
3. Taxes on the interest of
the beneficiary thereof.
§ 166.110. Discretion
of trustee.
1. In all cases where the creator of a
spendthrift trust shall indicate the sum to be applied for or paid to the
beneficiary or shall make the application or payment of sums or further sums
for or to the beneficiary discretionary with the trustee, or shall make the
amount thereof discretionary with the trustee, or shall give the trustee
discretion to pay all or any part of the income to any one or more of the
beneficiaries, such discretionary power shall be absolute, whether any valid
provision for the accumulation of income is made or not and whether it relates
to the income from real or personal property.
2. Such discretion shall never be interfered
with for any consideration of the needs, station in life or mode of life of the
beneficiary, or for uncertainty, or on any pretext whatever.
§ 166.120. Restraints
on alienation.
4. The trustee of a spendthrift trust is
required to disregard and defeat every assignment or other act, voluntary or
involuntary, that is attempted contrary to the provisions of this chapter.
§ 166.130. Legal
estate of beneficiary in corpus.
A beneficiary of a
spendthrift trust has no legal estate in the capital, principal or corpus of
the trust estate unless under the terms of the trust he or one deriving title
from him is entitled to have it conveyed or transferred to him immediately or
after a term of years or after a life, and in the meantime the income from the
corpus is not to be paid to him or any other beneficiary.
MISCELLANEOUS PROVISIONS
§ 166.170. Limitation
of actions with respect to transfer of property to trust.
A person may not bring an
action with respect to a transfer of property to a spendthrift trust:
1. If he is a creditor when
the transfer is made, unless the action is commenced within:
(a) Two years after the
transfer is made; or
(b) Six months after he
discovers or reasonably should have discovered the transfer, whichever is later.
2. If he becomes a creditor
after the transfer is made, unless the action is commenced within 2 years after
the transfer is made.
Raj Chanderraj, M.D.,
2001-2002 CCMS President
This past summer, we were all given
the shocking news by St. Paul Insurance Company (the major carrier for most of
the members of the medical society) that our rates for medical liability
coverage were going to go up by nearly 70 percent. We were also told that they
were not going to renew coverage for general surgeons, ER physicians, and ob-gyns. This news did not seem to arouse the passions of the
physicians not involved in those specialties. Now that the carrier has
announced that they will not renew any physician’s policy, we are all in the
same boat.
Medical liability coverage is in a
crisis. Historically, a similar crisis was seen in the mid-seventies when jury
awards rose significantly. This led to an increase in rates but also triggered
the introduction of tort reform in certain states like
To bring about tort reform, or
whatever name we choose to call it, is not easy. The trial lawyers are gearing
up to raise $4 million to fight this in the next legislative session. We will
need to raise a similar amount to have a fighting chance to counter their
efforts. We all need to focus on this singular issue that will allow us to practice
decent medicine without the fear of economic consequences. Every one of us has
to contribute to this campaign.
The Medical Society is conducting a symposium on medical liability coverage on January 23rd at the Sunrise Hospital Auditorium. We are inviting people from the insurance commissioner’s office, insurance companies, hospital associations, trial lawyers and several important people from the industry to participate. This will be a forum to unite all of us to focus on the issue and formulate a general plan to get tort reform accomplished. We need all of you to participate, express your concerns, frustrations, and become part of the solution to the problem. Only when we act can we expect to see results. Please help to spread the word around and invite your colleagues who are not members of the medical society to join us and make this a success.
The following referrals were provided to CCMS members in the fourth quarter of 2001 (through December 15)
|
Specialty |
Referrals |
|
Allergy |
2 |
|
Anesthesiology |
1 |
|
Cardiology |
9 |
|
Cardiovascular Surgery |
2 |
|
|
1 |
|
Dermatology |
8 |
|
Diagnostic Radiology |
0 |
|
Ear, Nose & Throat |
0 |
|
Emergency Medicine |
0 |
|
Endocrinology |
1 |
|
Family Practice |
42 |
|
Gastroenterology |
8 |
|
General Surgery |
0 |
|
Geriatrics |
1 |
|
Gynecology |
2 |
|
Hematology |
1 |
|
Infectious Medicine |
1 |
|
Internal Medicine |
31 |
|
Nephrology |
1 |
|
Neurology |
11 |
|
Neurosurgery |
2 |
|
Ob-Gyn |
15 |
|
Oncology |
7 |
|
Ophthalmology |
10 |
|
Oral/Maxillofacial Surg. |
1 |
|
Orthopaedic Surgery |
12 |
|
Pain Management |
3 |
|
Pathology |
1 |
|
Pediatrics |
18 |
|
Ped. Endocrinology |
0 |
|
Ped. Neurology |
0 |
|
Ped. Surgery |
2 |
|
Physical Med/Rehab |
4 |
|
Plastic Surgery |
18 |
|
Preventative Medicine |
1 |
|
Psychiatry |
23 |
|
Pulmonology |
6 |
|
Radiology |
0 |
|
Rheumatology |
5 |
|
Urology |
2 |
|
Vascular Surgery |
0 |
|
Totals |
252 |
Weldon (Don) Havins,
M.D., J.D., CCMS Executive Director/CEO and Special Counsel
Sometime in November, the Nevada
Board of Medical Examiners posted their current (October) newsletter on their
website: www.state.nv.us/medical. Licensee physicians
should have also received the newsletter mailing. Perhaps the most important issue addressed is
that of prescribing controlled substances to other physician’s patients while
“on-call.” The hospice physicians’ concern regarding prescribing controlled
substances without having seen the patient was addressed. The newsletter states, “[p]hysicians have raised concern that if they prescribe pain
medication for a patient while on call over the weekend without a physical
exam, they could be subject to discipline. This is not the case. As long as a
medical record exists and an evaluation has been done on the patient as part of
established care, these regulations do not suggest that each and every time a
medication is prescribed a new evaluation must occur.”
One can infer from this that as
long as the on-call physician knows that a medical record exists, and an
evaluation has been done on the other physician’s patient, the on-call
physician may refill or prescribe controlled substances to treat the patient’s
pain without fear of licensure sanctions.
The newsletter continues, “[t]he
same is true of hospice care. The board knows that it is not feasible or
practical to do a physical exam each time a hospice patient receives a
controlled substance for pain medication. Again, it is important that a medical
record with an evaluation of the patient exists and is referred to when
managing pain control.” Thus, one could
infer that hospice physicians, practicing consistent with their national
standard of care, will not be subject to licensure discipline actions.
The newsletter states, “[t]he board
has never disciplined a physician in the state of Nevada for prescribing pain
medication, unless it has been for engaging in the process of actually selling
medications.” This should allay
physician anxiety more than any other statement in the newsletter. Needless to say (I’ll say it anyway),
licensee physicians must not “sell” prescriptions for controlled
substances. Doing so subjects the
physician to licensure discipline and, perhaps, to criminal sanctions. Lastly, the newsletter states the regulations
are primarily designed for guiding the use of chronic pain control medications.
Virtually every clinician would agree that these guidelines should apply to chronic
pain management, not short-term acute pain management.
At the September 8, 2001 meeting of
the Board of Medical Examiners, the Board unanimously voted to deny the request
of the Nevada State Medical Association to eliminate regulation NAC 630.230(1)(m)
which reads: a “person who is licensed as a physician or physician assistant
shall not engage in the practice of writing prescriptions for controlled
substances to treat acute pain or chronic pain in a manner that deviates from
the guidelines set forth in the Model Guidelines for the Use of Controlled
Substances for the Treatment of Pain adopted by reference in NAC 630.187.”(emphasis added) The
guidelines set forth within the FSMB’s Model
Guidelines are found in Section II of that document. Guideline number one states, “when evaluating
the use of controlled substances for pain control: [a] complete history and
physical examination must be conducted and documented in the medical
record.” (emphasis
added) While it appears clear from the newsletter that the BME does not intend
to enforce this regulation, the regulation nevertheless remains in
The BME membership is composed of six excellent, clinical physicians and three prominent public members. The three public members are from the fields of education, banking and academia. As important, they are all very intelligent, fine, and caring professionals. Their consideration and attention to the concerns of their licensees in this matter are greatly appreciated. When the board members’ intent is manifest in the literal wording of their regulations, there should be no confusion regarding the meaning of the regulations and very little or no exposure to their (mis)use by others.
James Atkinson, MD, General Surgery,
Robert Baker, MD, Cardiovascular Disease,
James Balodimas, MD, Diagnostic
Radiology, 270 E. Flamingo #233, Las Vegas, NV 89109
Oscar Batugal, MD, Internal
Medicine, 2020 Goldring #202, Las Vegas, NV 89106
Gregory Bryan, MD, Internal Medicine, 1000 S. Torrey Pines #F,
Kathleen Cansler, MD, Internal
Medicine,
Richard Chen, MD, Cardiology,
Ralph Conti, MD, Pediatrics, 6301 Mountain
Ronald Costin, MD, Preventive
Aerospace Medicine, 1604 Night Wind Dr., Las Vegas, NV 89117
Aaron Daluiski, MD, Orthopaedic Surgery, 3131 La Canada St. #140, Las Vegas, NV
89109
Maria Desquitado-Tabora, MD, Pediatrics,
Randall Foster, MD, Psychiatry,
Catherine Ghanem, MD, Emergency
Medicine, 2915 W. Charleston Blvd. #10, Las Vegas, NV 89102
David Ginsburg, MD, Neurology, 3131
La Canada #232, Las Vegas, NV 89109
Mark Glyman, MD, DDS, Oral Maxillofacial Surgery,
Steven Glyman, MD, Neurology, 3131
La Canada #232, Las Vegas, NV 89109
Li Yee Guo, MD, Internal Medicine,
8801 W. Sahara Ave. #250, Las Vegas, NV 89117
Robert Gutierrez, MD, Orthopaedic
Surgery, 3150 N. Tenaya Way #400, Las Vegas, NV 89128
Ramy Hanna, MD, Orthopaedic Surgery, 3131 La
Wendell Hatch, MD, Diagnostic Radiology, 2020 Palomino Lane
#100, Las Vegas, NV 89106
Stuart Hoffman, MD, General Surgery,
Vicki Hom, MD, Pediatrics, 4570
Eastern Ave.,
Farrukh Iqbal,
MD, Endocrinology, 105 N. Pecos #114, Henderson, NV 89074
Craig Iwamoto, MD, General Surgery, 1111 Shadow Lane, Las
Vegas, NV 89102
Michael Jacobs, MD, Internal Medicine, 901 Rancho Lane #205,
Las Vegas, NV 89106
Mike Jeong, DO, Internal Medicine,
Richard Jones, MD, Family Practice, 4040 S. Eastern Ave.
#240,
David Kaplan, DO, Orthopaedics, 4415
W. Flamingo,
Michael Karagiozis, DO, Family
Practice,
Thomas Kelly, MD, Ophthalmology,
Steven Kolker,
MD, Pathology,
Kim Lamotte-Malone, MD, Pediatrics,
283 N.
Eva Liang, MD, Ophthalmology, 7181
Cascade Valley Ct. #102, Las Vegas, NV 89128
Eddy Hsin-Ih Luh,
MD, General Surgery, 3100 W. Charleston Blvd., Ste. 204, Las Vegas, NV 89102
Arturo Marchand, MD, Cardiovascular
Disease, 4275 Burnham,
Robert Morse, DO, Cardiology,
Todd Murry, MD, Pathology,
Mohammed Najmi, MD, Internal
Medicine,
Richard Naylor, DO, Orthopaedics,
Van Nguyen, MD, Diagnostic Radiology, 2020 Palomino Lane
#100, Las Vegas, NV 89106
Elmer Palitang, MD, Infectious
Disease,
Neil Phillips, DO, Pediatrics, 6301 Mountain
Gary Podhaisky,
MD, Pediatrics,
Michael Prater, MD, Anesthesiology, 2080 E. Flamingo Rd.
#309, Las Vegas, NV 89119
Carolyn Price, MD, Family Practice, 222 S. Rainbow #115,
Amir Qureshi,
MD, Infectious Disease,
Rajy Rouweyha,
MD, Ophthalmology,
John Schaeffer, DO, Neurology, 3131 La
Sheldon Schore, DO, Family
Practice,
Tapan Shah, MD, Ophthalmology,
Randal Shelin, MD, Diagnostic
Radiology, 2020 Palamino Ln.
#100, Las Vegas, NV 89106
Angela Shoho, MD, Internal
Medicine, 10001 S. Eastern #101, Henderson, NV 89057
John Simpson, MD, Internal Medicine, 7201 W. Lake Mead #450,
Las Vegas, NV 89128
Vincent Siragusa, MD, Cardiology, 1681
E. Flamingo #1, Las Vegas, NV 89119
Keith Soderberg, MD, Otolaryngology,
Camilo Tabora,
Jr., MD, Internal Medicine,
Joseph Tangredi, MD, Otolaryngology,
2300 S. Rancho #215,
Jason M. Tarno, DO, Family
Practice,
Cynthia Teh, MD, Internal Medicine,
9410
Robert J. Troell, MD, Otolaryngology,
Lisa Underwood, MD, Gynecology, 653 Town Center #500, Las
Vegas, NV 89144
Thomas Vater, DO, Orthopaedic Surgery, 600 S. Rancho #107,
Michael Verni, MD, Urology,
Jonathan Weinstein, MD, Ob-Gyn, 8480
S. Eastern, Ste. F,
Carrie Wijesinghe, MD, Pediatrics,
283 N.
C.
If you have any pertinent information about the following
membership candidates, please contact: Clark
Walter Kidwell, MD – Anesthesiology
Joanne Leovy, MD – Family Practice
Dennis Moore, II, MD – Pediatrics
Craig Nakamura, MD – Pediatric Pulmonology
William Steinkohl, MD – Urology
Jason Zommick, MD – Urology
The Nevada Administrative Code Chapter 441A requires reports
of several diseases, food-borne illness outbreaks and extraordinary occurrences
of illness be made to the local Health Authority. The purpose of disease
reporting is to recognize trends in diseases of public health importance and to
intervene in outbreak or epidemic situations. The system is founded upon the
clinical recognition or suspicion of these diseases by physicians, nurses, and
other health professionals. In addition, anyone having knowledge of a case(s)
of a communicable disease is required to report. Failure to report is a
misdemeanor and may be subject to an administrative fine of $1,000 for each
violation. Following are selected
synopses of the statues:
Incidence Reporting
A physician who knows of, or provides services to, a person
who has or is suspected of having a communicable disease must report that fact
to the health authority (District Health Officer or his designee, or if none,
the State Health Officer or his designee) and in the manner required by the
State Board of Health. A "suspected
case" means a person who, based on clinical signs and symptoms or on
laboratory evidence, is considered by a health care provider (physician, nurse,
or physician's assistant) to possibly have:
1. Food-borne
botulism;
2. Diphtheria;
3. Extraordinary
occurrence of illness;
4. Measles;
5. Plague
6. Rabies (human or
animal)
7. Rubella; or
8. Tuberculosis,
or is considered to be part of a
food-borne disease outbreak. If a physician is in charge of a medical facility
knows of or suspects the presence of a communicable disease within the
facility, the physician must notify the proper health authority.
NRS 441A.150, NRS 441A.190; NAC 441A.110,
441A.180.
Report Requirements -
Urgent
The urgent reporting requirements include of a case,
suspected case, or carrier of animal rabies, or an animal bite by a
rabies-susceptible animal, and:
(1) Cases must be
reported to the health authority:
(a) Within 24 hours
after identifying the case, suspected case, or carrier; or
(b) During the
regular business hours of the health authority on the first working day
following the identification of the case, suspected case, or carrier.
(2) Upon discovering
a case having:
(a) An animal bite by
a rabies-susceptible animal;
(b) Food-borne
botulism;
(c) Extraordinary
occurrence of illness;
(d) Meningococcal disease;
(e) Plague;
(f) Rabies; or
(3) Upon discovering
a suspected case considered possibly to have:
(a) Food-borne
botulism;
(b) Extraordinary
occurrence of illness;
(c) Plague; or
(d) Rabies,
or that is part of a food-borne
outbreak.
COMMUNICABLE DISEASES
A communicable disease is considered to be any of the
diseases listed in the Clark County Health District's Disease Statistics. A
full listing can be found in the Nevada Statutes at NAC 441A.040.
SEXUALLY TRANSMITTED
DISEASES
Sexually transmitted disease means any bacterial, viral,
fungal, or parasitic disease which may be transmitted through sexual contact.
These diseases are also reflected in the Clark County Health District's Disease
Statistics.
Patient Instruction - Prevention and Treatment
A physician who provides treatment to a person who has a
sexually transmitted disease shall instruct him in the methods of preventing
the spread of the disease and any necessity for systematic and prolonged
treatment. NRS
441A.270, 202.240.
Ensuring Adequate Treatment
A physician who determines that a person has a sexually
transmitted disease should encourage that person to submit to medical
treatment. In cases where the infected
person does not submit to treatment or does not complete the prescribed course
of therapy, the physician must notify the health authority (District Health
Officer or his designee, or if none, the State Health Officer or his
designee). The health authority is then
responsible for taking action to ensure that the person receives adequate
treatment for the disease. NRS 441A.280.
Consent for Treatment of Minors
A licensed physician, clinic, or local/State Health Officer
is not required to obtain a consent or authorization from a parent(s) or legal
guardian for examination and treatment of any minor who is suspected of being
infected or is actually infected with a sexually transmitted disease. NRS 129.060.
TUBERCULOSIS
Reporting Requirements
A physician must notify the health authority within 24 hours
of discovery of any case having active tuberculosis or any suspected case
considered to have active tuberculosis who fails to submit to medical treatment
or who discontinues or fails to complete an effective course of medical
treatment. "Active tuberculosis" is defined as unhealed pathological
changes in the tissues of the body demonstrated by the recovery of tubercle
bacilli from the tissues. NAC 441A.015, 441A.350.
Treatment of Patient for Control Measures
Under NRS 441A.210, regarding persons whom depend solely on
prayer for healing, a
person with tuberculosis or suspected of having tuberculosis can only be
discharged from medical supervision after a determination by the health
authority that the person is cured.
ENFORCEMENT
Grounds for Prosecution
Any physician or medical facility that willfully fails,
neglects, or refuses to comply with any regulation of the State Board of Health
in relation to the reporting of a communicable disease is guilty of a
misdemeanor and may be subject to a fine of $1,000 for each violation. If an individual has a communicable disease
and fails to:
(a) Comply with any
regulation of the Board relating to the control of a communicable disease;
(b) Comply with any provision of chapter Nevada Revised
Statute (NRS) 441A
(c) Submit to approved treatment or examination required or
authorized by NRS 441A;
(d) Provide any
information required by NRS 441A; or
(e) Perform any duty
required under NRS 441A,
the person may be prosecuted by the
district attorney in the county where the violation occurred. may be warned by a court of competent jurisdiction.
CONFIDENTIALITY
Communication within the doctor patient relationship is
"confidential" and must not be disclosed to third persons other than:
1. Those present to further the interest of the patient in
the consultation, examination or interview;
2. Persons reasonably necessary for the transmission of the
communication; or
9. Persons who are participating in the diagnosis and
treatment under the direction of the doctor, including members of the patient's
family.
The patient has the privilege to refuse to disclose and to prevent any other person from disclosing confidential communications among himself, his doctor or persons who are participating in the diagnosis or treatment under the doctor's direction. NRS 49.215, 49.225.
Cardiovascular
Consultants 691-9154
Courses also approved for nursing CEUs.
Preregistration required.
1/5 - “Artificial Reproductive Technology, Ethical Issues
and the Law,” 8:30 a.m., 2 hours (which includes 2 hours of Medical Ethics and
2 hours of CLE credits including 2 credits in Legal Ethics)
1/12 - “Bioterrorism Preparedness 101: Awareness, Preparedness
& Surveillance,”
1/19 - “Physician Reporting, Patient Consent, and Updates on
the Medical Practice Act,”
2/9 - “Developing a Compliance Program to Avoid Inadvertent
Incidents of Healthcare Fraud and Abuse in the Medical Practice,”
Southwest Medical
Associates 242-7731
Some courses also approved for nursing CEUs.
Various dates through January - “Bioterrorism 101:
Bioterrorism Preparedness, Awareness and Surveillance for Medical
Professionals,” Lunch and Learn, 2 hours
1/10 - “Obstructive Airway Disease,”
2/14 - “Endemic and Emerging Infections of the Desert and
Intermountain West,”
1/11 - Pediatric Pathology Conference,
1/11 - Adult CME,
1/18 - PDGR,
1/18 - Adult CME,
1/25 - PDGR,
1/25 - Adult CME,
UMC 383-2604
1/10 - “Multiple Myeloma,”
1/11 - “Bioterrorism Preparedness
101: Awareness, Preparedness & Surveillance,”
1/18 - “Sepsis - New
Insights & New Outlooks,”
1/24 - “Hodgkins Disease,”
1/25 - “Health Effects of Exposure to Environmental Tobacco
Smoke,”
1/8 - “Current ACLS Guidelines for V-Tach
and V-Fib,”
1/22 - “Oncologic Emergencies for
the Primary Care Physician,”
2/12 - “Community Acquired Pneumonias,”
2/26 - “Cancer of the Prostrate for the Primary Care
Physician,”
*Special Note: CCMS members can receive free CME courses on the internet with World Medical Leaders.
DISEASE
|
CASES REPORTED |
YEAR TO DATE |
||
|
|
Nov. 2000 |
Nov. 2001 |
2000 |
2001 |
VACCINE
PREVENTABLE DISEASES
|
||||
|
DIPTHERIA |
0 |
0 |
0 |
0 |
|
HAEMOPHILUS
INFLUENZA (invasive) |
1 |
0 |
3 |
3 |
|
HEPATITIS A |
13 |
0 |
61 |
44 |
|
HEPATITIS B |
5 |
2 |
37 |
32 |
|
INFLUENZA |
0 |
0 |
15 |
28 |
|
MEASLES |
0 |
0 |
5 |
1 |