Inside this Issue
• Doctor of the Day
• Welcome New Member
• Convention Details
The Official Publication of the Tennessee Osteopathic Medical Association
• Health Policy
All Aboard for Chattanooga!
Join us for the 2009 TOMA Convention
The executive board for 2009-11 will be elected
by the membership at TOMA’s annual business
meeting on Friday, June 5, 2008, at 1:00pm.
The meeting will take place in conjunction
with the 111th Annual Tennessee Osteopathic
Medical Convention and Scientific Seminar at
the Chattanooga Marriott. The following slate
of candidates has been selected by the current
executive board to join incoming president
Michael Miller, DO. Additional nominations for
all positions may also be taken from the floor
prior to voting.
President-Elect: Dr. Gabe Polk (Waynesboro)
Secretary-Treasurer: Dr. Paul G. Smith, Jr.
Vice President: Dr. Gina DeFranco
Delegate: Dr. Susan Raschal (Chattanooga)
Vice President: Dr. Michael Bernui
Delegate: Dr. Jeffrey Hamre (Clarksville)
Vice President: Dr. Jeffrey Mann (Paris)
Delegate: To Be Determined
Delegates: Dr. Paul G. Smith, Jr. (Cleveland),
Dr. Don Polk (Waynesboro),
Dr. Jeffrey Hamre (Clarksville) and
Dr. Barry Wagner (Crossville)
Alternate: Dr. Thomas Ely (Clarksville)
Alternate: Dr. Gabe Polk (Waynesboro)
There’s still time!
for TOMA Convention and
Earn up to
hours of CME!
Chattanooga pictures used in this newsletter are courtesy of www.chattanoogacvb.com
The Tennessee Osteopathic Medical Association
invites you to attend the 111th Annual Tennessee
Osteopathic Medical Convention on June 3-7,
2009. The Convention Committee has worked
diligently to provide an outstanding program
this year which includes a total of 34 hours of
CME submitted for the AOA’s approval. We are
also excited to return to Chattanooga where we
always seem to have our best meetings. This
year’s convention will be at the Marriott at the
Convention Center in downtown Chattanooga.
To book a room, call them at 800.841.1674 and
be sure to request the special TOMA rate.
another reason to join us in Chattanooga, State
Volunteer Mutual Insurance Company will be
conducting risk management seminars June
2-4 in the convention center connected to our
hotel. Attendees will receive a discount on their
insurance premiums. To register, visit them at
On Saturday, join your fellow colleagues for a
great evening of fun, food and entertainment at
our second annual Awards Dinner and Casino
Night! Dr. Barry Wagner will be honored
as our Osteopathic Physician of the Year as
participants try their luck against classic casino
Among the great lectures lined up this year is games. Winners will get the chance to bid on
“Pain Control for the Terminally Ill”, which mystery prizes.
counts towards Tennessee’s CME requirement
So take advantage of this great opportunity!
in prescribing habits. Don’t forget the ACLS
Make plans now to attend the 111th Annual
class on Wednesday, June 3. If you plan to
Tennessee Osteopathic Medical Convention
participate, please get your application in early
and Scientific Seminar.
so we can schedule the appropriate number
of instructors. And just in case you needed
618 Church St., Suite 220, Nashville TN 37219
Phone: 800.808.8662 Fax: 615.254.7047
E-mail: [email protected] • www.tomanet.org
Classified or Display Advertising:
Please contact Jeff Allen at 615.345.9550 or
TOMA News is published three times a year by
the Tennessee Osteopathic Medical Association,
618 Church St., Suite 220, Nashville, TN 37219;
615.250.7794; toll-free: 800.808.8662; fax:
615.254.7047; e-mail: [email protected]
Office hours: 9:00am–5:00pm CT, MondayFriday. TOMAnews is sent free of charge to all
TOMA Members in good standing. POSTMASTER:
Send address changes to 618 Church St., Suite
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Classified Advertising Rates – TOMA Members:
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Display ads are accepted at the editor’s
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The TOMA and TOMA News assume no
responsibility for material contained in
advertisements published, nor does publication
necessarily constitute endorsement by them.
TOMA reserves the right to edit content as it
sees fit. © 2009 TOMA.
Association (TOMA) works to ensure laws and
regulations promote the health and well-being
of Tennesseans and the Osteopathic Medical
EXECUTIVE BOARD FOR 2007-09
Robert Crook, D.O.
Central Division Delegate
Jeffery Hamre, D.O.
Michael Miller, D.O.
Western Division VP
Gabe Polk, D.O.
Paul G. Smith, Jr., D.O.
Jeffery Mann, D.O.
Immediate Past President
Karen Shepherd, D.O.
Robert Holston, D.O.
Senior Past President
Brenda Sowter, D.O.
East Division VP
Barry Wagner, D.O.
Gina DeFranco, D.O.
Central Division VP
Michael Bernui, D.O.
Paul G. Smith, Jr., D.O.
Board of Osteopathic
Don Polk, D.O.
Ray Stowers, D.O.
TOMA Members Make an Impact
at the State Capitol
The first session of the 106th Tennessee General
Assembly convened on January 13, 2009,
and TOMA members continue to make their
presence known at the State Capitol. As part of
the Doctor of the Day program, TOMA provides
osteopathic physicians one day a week during
every legislative session to provide medical
attention, help with prescription needs and
answer questions for House and Senate members
and their staffs. The program is a great way
to establish relationships with legislators and
enlighten policymakers about the osteopathic
medical profession. This year, TOMA is
providing physicians on Thursday mornings
from 8:30 to 11:30 AM.
[ 2 Spring 2009 TOMAnews ]
For the second year in a row, we were also
pleased to have students from the Lincoln
Memorial University – DeBusk College of
Osteopathic Medicine join with the Doctors of
the Day to make an even greater impact.
TOMA would like to thank the following
members who have volunteered to serve as
Doctor of the Day this year:
Doctors of the Day
Among the activities members could expect
while serving as Doctor of the Day:
• meeting with your state representative and senator
• tending to any medical needs of lawmakers and capitol staff
• mentoring to students from LMU-DCOM
• b eing introduced on the house and/or
Dr. Robert Holston on the floor of House of
Representatives with LMU-DCOM Students
Crystal Lenz and Becca Ranz
Dr. Robert Crook
Dr. Gina DeFranco
Dr. Daniel Hale
Dr. Jeff Hamre
Dr. Robert Holston
Dr. Craig Lenz
Dr. Jeff Mann
Dr. Michael Miller
Dr. Gabe Polk
Dr. Karen Shepherd
Dr. Jeff Mann (left) speaking with Sen. Roy Herron
Thomas Ely, D.O.
Michael Miller, D.O.
• press release from TOMA issued about your
service as Doctor of the Day
If any other members would like to participate
in Doctor of the Day, our final scheduled day,
May 28, is still available. Please contact the
TOMA office at 800.808.8662 or [email protected] to volunteer. Only with your help can
the osteopathic medical community be a force
for change in the halls of the Capitol.
New Incentives in Place to Promote e-Prescribing
During the next four years, Medicare will
provide incentive payments to eligible
professionals who are successful electronic
prescribers as defined by the Medicare
Improvement for Patients and Providers Act
(MIPPA). Eligible professionals will receive
2% incentive payments in 2009 and 2010; 1%
incentive payments in 2011 and 2012; and a
0.5% incentive payment in 2013.
This incentive plan underlines the growing
importance that is being placed on electronic
prescribing by the Centers for Medicare and
Medicaid Services (CMS). It also offers an
additional return on a practice’s investment
in e-prescribing beyond the significant
benefits this technology can provide. These
reating a safer, more secure and accurate
prescribing process for patients
nabling more cost-effective prescribing
decisions given access to formulary and
pharmacy benefit eligibility information at
the time of prescribing
• I mproving practice efficiency through
the ability to manage prescription
refill requests electronically. This can
significantly reduce the number of phone
calls and faxes associated with this process,
leaving more time for patient care or other
The American Osteopathic Association is
collaborating with TOMA to provide free
through a special program Web site: www.
By visiting www.GetRxConnected.org/AOA Implications for current users of
you will find:
• Information on the business case and social Prescribers that use applications to prepare
and send prescriptions to e-prescribing capable
case for e-prescribing.
pharmacies by computer generated fax should
• Tools to help you select a prescribing system, be aware that these prescriptions are not
including details on programs that can help eligible for the Medicare incentive payments.
you acquire this technology at a reduced rate
Prescriptions must be able to be transmitted to
or for free.
the computer at the pharmacy – if that pharmacy
• A free, personalized report that shows the is e-prescribing enabled. More than 75% of
e-prescribing services your existing practice the nation’s pharmacies process prescriptions
software may be certified for, plus a tool electronically. Further, prescribers must
you can use to request connectivity for be using technology that enables access to
these services by your technology vendor. formulary, pharmacy benefits eligibility and
This is especially important for practices medication history information at the time
that use EMR (Electronic Medical Record) of prescribing.
systems that may not yet provide all of their
customers with access to the e-prescribing Additionally, as of January 1, 2012, CMS will
functionality required to be eligible for the no longer permit part D prescriptions to be
Medicare Improvement for Patients and sent to pharmacies by computer generated fax.
Systems must be able to send prescriptions
Providers Act incentive payment.
directly to the pharmacy computer. If not, the
• An estimate of the value of the time prescription must be printed and handed to the
your practice spends annually managing patient or manually faxed.
prescription renewal requests by phone/fax
– time better spent on patient care or other Prescribers should also be aware that electronic
prescriptions are excluded from the October
1, 2008 CMS regulatory change that requires
• A listing of pharmacies in your area that can all written Medicaid prescriptions to be on a
exchange prescription information with your tamper resistant blank.
For current EMR users or for those looking
It is important for members to understand to acquire new e-prescribing technology,
the readiness of their practice to e-prescribe taking a few minutes and visiting www.
and steps needed to obtain access to full GetRxConnected.org/AOA will be time
e-prescribing functionality in order to well spent.
be eligible for the Medicare incentive
program as soon as possible to maximize
Medicare’s e-Prescribing Incentive
Program is Now Live.
Can Your Practice Take Advantage?
Visit www.GetRxConnected.org/AOA to find out.
Starting January 1, 2009, prescribers
that have adopted and use electronic
prescribing technology could take
advantage of a special e-prescribing
incentive program established through
the Medicare Improvements for Patients
and Providers Act of 2008, (MIPPA).
To help members assess their
e-prescribing readiness, AOA has
collaborated with the nation’s leading
medical societies to develop a special
resource site —
Site resources can help determine the
steps practices should take to acquire
and implement this technology.
Welcome New Member
Join us in welcoming our new member.
The following Member recently joined the
Tennessee Osteopathic Medical Association.
Jamie Kauffman, D.O.
Take the E-Prescribing Readiness Assessment at www.GetRxConnected.org/AOA
[ TOMAnews Spring 2009 3 ]
Visit www.tomanet.org for a complete convention program
The Tennessee Osteopathic Medical Association’s
111th Annual Osteopathic Medical Convention &
Scientific Seminar brings everyone together in
Chattanooga, TN! Gather with your colleagues,
family and friends as we discuss relevant medical
topics and cutting-edge technology!
RECEIVE UP TO 34 CME CREDITS
Pending credit approval by the AOA CCME, up to
34 hours of CME is available as follows: Friday–
Sunday registration will provide 20 hours of 1-A
CME credit (includes 1 hour of exhibit credit).
Thursday-Sunday registration will provide 26
hours of 1-A CME credit (includes another hour
of exhibit credit). An additonal 8 hours of 1-A
CME can be obtained by attending the ACLS
course on Wednesday.
111th Annual Tennessee Oste
June 3-7, 2009 at The M
Be sure to join us for the welcome reception in
the exhibit hall on Thursday evening as exhibitors
from across the U.S. will be available to show you
what is new and upcoming in the medical field.
CME is awarded for visiting the exhibitors.
1. ONLINE: www.tomanet.org
2. FAX: 615.254.7047 (credit card only)
3. MAIL: 618 Church Street, Suite 220
Nashville, TN 37219
4. ONSITE: Registration will be available at the
Marriott Chattanooga beginning
Call 800.808.8662 or go to www.tomanet.org to
receive a registration form.
The Marriott Chattanooga at the Convention
Center, 2 Carter Plaza, is located in downtown
Chattanooga and is on the complimentary shuttle
route that connects all of the major downtown
attractions and eateries to the hotel.
dvanced Cardiac Life Support
Course & Testing
[ 4 Spring 2009 TOMAnews ]
olutions for Sciatica, Hip & Back
Pain: Diagnosis and Treatment
of the Sacrum and Inominates Lecture & Lab
ervical and Lumbar - Lecture & Lab
Marriott Chattanooga at the Convention Center
2 Carter Plaza, Chattanooga, TN 37402
800.841.1674 • www.marriott.com/chadt
SPONSOR A STUDENT
TOMA is supporting the students of DeBusk
College of Osteopathic Medicine at Lincoln
Memorial University. For just $35, a contribution
can be made in your name to provide a
monogrammed white coat to a new osteopathic
medical student. Give the gift of a white coat!
Program Note: Attendees need to
obtain or read the text ACLS Provider
Manual (2005) for the course. Text
available at Laerdal Medical or
sing ‘PQRI’ to
ain Control fo
pdates of Pre
pdate in surg
• T he ethics of a
Gina DeFranco, D
Alvaro Valle, Mic
CME at its Best!
Pictures: Courtesy of Chattanooga Convention & Visitor’s Bureau
eopathic Medical Convention and Scientific Seminar
Marriott Chattanooga at the Convention Center
or Cancer Patients
for Athletes & New
gical management of
, Don Self
REGISTRATION FEES AT A GLANCE
eripheral Arterial Disease
• T he Wonderful World of Vaccines
nkle Ligament Injuries
houlder Exam and Common
houlder Exam and Common
Injuries - Lecture & Lab
Richard A. Moore
Michael J. Sampson
[ TOMAnews Spring 2009 5 ]
Martin R. Caldwell, D.O.
TOMA member in the Tennessee Army
Dr. Martin R. Caldwell died on Friday, April 3,
2009 at Soddy-Daisy Health Care Center. He
was a resident and physician in Soddy-Daisy
from 1953 until his retirement in 2000.
Gabe Polk, D.O., TOMA member and a Bottom left is a photo of Dr. Polk in his body
Major in the Tennessee Army National armor and gear, enroute to participate in a
Guard’s Medical Command, is currently humanitarian mission in a local Iraqi town.
serving his second tour of duty in Operation
Iraqi Freedom. During this deployment, Dr.
Polk is the Brigade Surgeon for the 287th
Sustainment Brigade (based in Kansas) and
is stationed at Camp Adder in Tallil, Iraq.
He was a dedicated, compassionate doctor
who cared for several generations of area
residents. Dr. Caldwell
delivered over 500
babies and often made
house calls to sick
patients. For many
years he gave free
physicals to SoddyDaisy
High School student
Martin Caldwell, DO athletes
attending physician at
many athletic events.
Dr. Caldwell was a longtime member of the
Tennessee Osteopathic Medical Association
and served as the organization’s president in
1967 and 1976. He was honored as TOMA’s
Osteopathic Physician of the Year in 1994. Dr.
Caldwell also chaired the Tennessee Board of
Osteopathic Medical Examiners for a number
In addition to acting as the medical officer
on the brigade commander’s staff, his other
responsibilities include providing patient care
at both the base’s Troop Medical Clinic and the
287th Medical Operations Clinic, participating
in humanitarian missions in the surrounding Dr. Polk examines the throat of an Iraqi
region, and serving as the base’s Medical boy who complained of upper respiratory
Review Officer. Dr. Polk hopes to complete symptoms.
his deployment and return to the States in
time to attend TOMA’s annual convention
Dr. Polk using a window as a makeshift light
source to evaluate an old x-ray brought to
them by the parent of an Iraqi child. In the
picture with Dr. Polk is First Lieutenant Jeff
Mincks, a Physician Assistant with whom he
He is survived by his wife, Evelyn, two
sons, a daughter, two brothers and
Health Policy Fellowship Applications Available
Applications are now available for the Health
Policy Fellowship Class of 2010. The Health
Policy Fellowship is designed for practicing
or teaching osteopathic physicians who are
preparing for leadership roles in the profession
and positions of influence in health policy,
as well as for individuals with a professional
connection to the osteopathic profession (for
example: directors of medical education,
hospital administrators, and executive directors
of state osteopathic associations).
The Health Policy Fellowship program
is offered by the New York Institute of
Technology/ New York College of Osteopathic
Medicine and Ohio University College of
Osteopathic Medicine through a collaboration
of colleges in the American Association of
Colleges of Osteopathic Medicine (AACOM);
the American Osteopathic Association (AOA);
and the government affairs offices of AACOM
and the AOA.
[ 6 Spring 2009 TOMAnews ]
The applicant pool is competitive. Participants
are selected on the basis of their academic
qualifications, leadership potential, and
commitment. To the extent possible, the
admissions committee attempts to include
candidates from all regions of the country and
a variety of specialties.
Over 145 osteopathic physicians and
professionals affiliated with the osteopathic
profession have completed the program since
its inception in 1994. Graduates join a cadre of
health policy experts from which the profession
can draw to staff committees and task forces
at the federal and state levels, to testify on
issues relevant to osteopathic medicine/
education, and to develop policy positions.
Three graduates currently sit on federal health
committees, and many more serve on state
health-related committees. Health Policy
Fellows have assumed leadership positions
in medical education, state osteopathic
associations, medical specialty organizations,
and in the AOA.
Fellows attend an intensive five-day academic
orientation before entering the regimen of
nine three-day weekend seminars including
the federal role and state roles in health
policy, federal advocacy, access to care for
the uninsured, vulnerable populations, rural
health, and the healthcare workforce. Seminars
are rotated among osteopathic colleges and the
Washington, D.C. area offices of the AOA and
AACOM. Between monthly seminars, Fellows For more information, call Nancy Cooper at
are expected to complete reading, research, 740.593.2017 or [email protected]
and writing assignments. Access the 20092010 schedule of seminars at http://iris.nyit.
Rural TOMA Physicians to Connect with Medical Libraries
The fact that physicians need access to
evidence based medicine (EBM) resources and
full text of articles referred to in those EBM
resources is accepted these days. But getting
access to articles can be difficult, making the
implementation of EBM overwhelming when
the physician is not affiliated with a medical
library. Still, since on average each patient
interaction generates one clinical question
that the physician is unable to answer, it is
important that access to clinical information be
a standard part of physicians’ practices.
For more information on this project, contact
Project Coordinator Sandy Oelschlegel at
865.305.6615 or the library of your choice
from the list below:
Participating Medical Libraries
Bobbi Kahan, Manager
Learning Resources Center
Johnson City Medical Center
400 N. State of Franklin Road
Johnson City, TN 37604
So how can the unaffiliated or rural physician [email protected]
get connected to the information resources
they need? Seven participating libraries will Sandy Oelschlegel, Director
provide education on the use of PubMed and Preston Medical Library
“LoansomeDoc” to TOMA physicians who are University of Tennessee Graduate School
currently not affiliated with a medical library. of Medicine
PubMed is a free resource on the internet made 1924 Alcoa Hwy., Drawer U-111
available through the U.S. National Library of Knoxville, TN 37920-6999
Medicine. It covers citations from MEDLINE 865.305.9525
and other life science journals as far back as [email protected]
1948. Loansome Doc is an online tool, located
within PubMed that helps the physician Rick Wallace, Assistant Director for Public
get the full text of articles they find from a Services
pre-determined medical library. The seven Quillen College of Medicine Library
participating libraries will also provide free ETSU, Box 70693
full text of articles when physicians submit the Johnson City, TN 37614
requests using the “LoansomeDoc” Tool.
Jan Haley, Manager
St. Thomas Hospital Library
4220 Harding Road
Nashville, TN 37205
Lisa Travis, Medical Librarian
Lon & Elizabeth Parr Reed Med. and Allied
Lincoln Memorial University
6965 Cumberland Gap Parkway
Harrogate, TN 37752
1.800.325.0900 ext. 7079
Linda Farmer , Learning Center Coordinator
Jackson-Madison County General Hospital
708 W. Forest Avenue
Jackson, TN 38301
Rachel Bohannon, Manager
Erlanger Health System
975 East Third St.
Chattanooga, TN 37403
Legislative Proposals Still Being Debated
As the 2009 legislative session heads into its
final weeks, TOMA has been closely following
a number of bills of interest to the osteopathic
community. The following are a few of the
legislative proposals that TOMA has been
working on in recent weeks:
House Bill 464 & Senate Bill 938
These bills would endow nurse practitioners
and physician assistants with the same
authority that a physician has to sign and return
to the funeral director a death certificate. This
increases an NP’s and PA’s scope of practice
by allowing NPs and PAs all over the state
to determine the date, location and cause of
a person’s death without the oversight of a
physician. TOMA remains firm in that the
scope of practice should be maintained at a
level commensurate with the experience and
clinical training of the clinician. In partnership
with the AOA, TOMA was been working to
keep this bill from becoming law.
House Bill 289 & Senate Bill 86
These identical proposals would make tort
liability reforms. Among their provisions, the
bills would replace the term, “medical
malpractice” with “health care liability action” and
revise provisions concerning damages, attorney
fees, and other matters in such actions.
House Bill 1654 & Senate Bill 1547
These companion bills relate to psychologists.
They would make doctoral clinical psychology
students in university-operated clinics eligible
for third-party reimbursement.
Senate Bill 1630
This proposal would increase naturopaths’
scope of practice by authorizing them to
dispense, administer, and prescribe drugs. It
also would authorize naturopaths to repair and
care for superficial lacerations and abrasions,
including removal of foreign bodies located
in the superficial tissues, and to use the title
“doctor of naturopathy.” TOMA opposes this
bill because it increases a naturopath’s scope
of practice without increasing their educational
requirements and misleads the public
by allowing naturopath’s to use the title
“doctor,” both of which pose significant risks
to patient safety.
Senate Bill 334
This bill extends the termination date of the
Board of Osteopathic Examination until June
30, 2015. Under the Tennessee Governmental
Entity Review Law, the Board was scheduled
to terminate on June 30, 2008. The bill was
passed out of the legislature and has been
signed into law by the governor.
TOMA encourages its members to get involved
in the legislative process. Please contact your
state representative and senator to let them
know where you stand on proposals that affect
osteopathic medicine in Tennessee. You can
reach your legislatures at www.legislature.
state.tn.us or by calling 1.800.449.8366.
[ TOMAnews Spring 2009 7 ]
TENNESSEE OSTEOPATHIC MEDICAL ASSOCIATION
618 Church Street, Suite 220
Nashville, TN 37219
Details on Pages 4-5
THE STRENGTH TO HEAL
and stand by those who stand up for me.
Learn the latest treatments and play an important role in the care of Soldiers and their Families. As a physician on the U.S.
Army Reserve Health Care Team, you’ll continue to practice in your community and serve when needed. You’ll work with the
most advanced technology and distinguish yourself while working with dedicated professionals. You’ll make a difference.
To learn more about the U.S. Army Reserve Health Care Team, call CPT Amy McIntosh at 877-371-3819, email
[email protected], or visit healthcare.goarmy.com/medical.
©2007. Paid for by the United States Army. All rights reserved.
PERMIT # 1446