The Recent Exodus of Nevada ACGME* Graduates

The State of Nevada is currently facing a severe physician shortage. In a 2017 report by the AAMC (American Association of Medical Colleges), Nevada ranked 49th in the Nation for active physicians by degree type per 100,000 population (1), and 47th in the Nation overall for physicians per 100,000 population. Specifically, the AAMC report ranked Nevada 48th in primary care physicians per capita. Because many Nevadans lack access to necessary healthcare, the importance of increasing the supply of physicians has been a focus in recent years.

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Josh MacEachern
Las Vegas Medical Students Cast Their First Vote at the Nevada State Medical Association

The 80th Annual Nevada State Medical Association (NSMA) Meeting took place this past weekend, remembering the victims of last year’s October 1st massacre at Route 91 Harvest Festival and featuring CME presentations, healthcare policy topics, and other interesting discussions. For the first time, CCMS medical student delegates could vote and deliberate on Nevada’s healthcare policies.

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The New Opioid Prescribing Law (AB474)

Well, it’s been over eight months since the new opioid law went into effect, and I think it’s safe to say that the dust has settled to some extent. Most practitioners have a good understanding of the reasoning behind the law, and the intent of the laws in an effort to battle the opioid crisis. Unfortunately, however, when the new law took effect January 1st, many prescribers were taken by surprise due to the numerous procedural changes that the new law required. Uncertainty about the law created significant confusion and heightened anxiety for those who prescribe controlled substances.

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How do you measure a year?

My, how our city and the Clark County Medical Society has changed over the past year. On 1 October, a madman with an arsenal unleashed on a country music festival and many of you rushed to local hospitals, donned surgical gowns, gloves and masks and jumped in ready and willing to help save lives, even to help perform procedures or assist in ways you hadn’t done since residencies.

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Preparing for a Pandemic - Then and Now

One hundred years ago another wave of the deadly 1918 flu pandemic was peaking in the United States. This second highly fatal wave struck between September and November and was responsible for most of the deaths attributed to the pandemic. It was also during this time that the New York City Board of Health added flu to its list of reportable diseases and required all cases of influenza be isolated at home or in a city hospital.

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Dedication and Commitment.

We see stories about physicians all the time. Occasionally we find one that truly stands out.

Humans of New York started as a photoblog and book of street portraits. It was created by photographer Brandon Stanton. It has a tremendous social media following. In May of 2016 it ran a photograph and one paragraph story on Dr. Michael P. La Quaglia, Chief Pediatric Surgeon at Memorial Sloan-Kettering Cancer Center.

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We are here for our physicians.

In July, the Clark County Medical Society (CCMS) received the American Association of Medical Society Executives (AAMSE) Profiles of Excellence President’s Award in recognition of the society’s outstanding work on educating their members about new opioid laws in Nevada. As Executive Director of CCMS, it was my honor to accept this award on behalf of this incredible organization. It is our job to help doctors do their job and provide quality health care to their patients, our community, and I would like to extend a heartfelt thank you to the many physicians of CCMS who made this program possible. There is still more work to be done, and rest assured we are still working on this important issue.

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A Year in Review

Well, this is it! My last monthly article as my Presidential term comes to an end.

I can tell you that it has been an incredibly difficult and rewarding year. I’m happy that I did it, however, I am also glad that it is only a one-year term.

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