LUGPA Resident Newsletter - December 2021 
Integrated Practices | Comprehensive Care
December 2021
     

LUGPA 2022 Urology Resident Summit and Job Fair 

April 1-2, 2022
Marriott Marquis, New York, NY

LUGPA’s Urology Resident Summit and Job Fair is an essential professional education and networking opportunity for physicians in residency and those completing their final year in residency.

This FREE program is dedicated to supporting PGY2, 3, 4 and 5 urology residents during their transition to full-time practice. The Urology Resident Summit and Job Fair covers the latest insights and crucial topics on various practice settings, vetting employment contracts and important questions to ask when interviewing. The program offers residents an opportunity to personally engage with key urology leaders from some of the largest independent urology practices in the country. LUGPA practices will be available in the exhibit area to discuss current opportunities at their practice. 

Residents will be provided a stipend to cover airfare/travel and hotel expenses. 

Forward this information to any Urology Residents you may know.  The event agenda and registration link will be coming in January 2022. Check this page for updates.  

Please note that LUGPA will require all participants to upload a vaccination card at the time of registration.

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PRACTITIONER SPOTLIGHT: 
Jason Poteet, MD

     
      Dr. Poteet 

Dr. Jason R. Poteet is a urologist in Fort Worth, Texas and is affiliated with multiple hospitals in the area, including Texas Health Arlington Memorial Hospital and Medical City Arlington. A native Texan, Dr. Poteet grew up in Temple, Texas. He earned his undergraduate degree at Baylor University in Waco, Texas, and completed his medical degree at the University of Texas Medical Branch School of Medicine in Galveston. He completed his residency at Louisiana State University Health Sciences in Shreveport.

Dr. Poteet’s love of medicine began very young watching his father, an internal medicine physician. “Being in the room with him, watching 30 years of experience in action and the way patients responded to him was powerful,” he says. Drawn to the surgical side of medicine, Dr. Poteet originally considered cardiology or general surgery but changed his mind after a rotation in urology.

When he is not caring for patients, Dr. Poteet lives in Aledo with his wife and three young children. He enjoys hunting, fishing, and spending time at a ranch that’s been in the Poteet family for five generations.

In this video interview, Dr. Poteet talks about the freedom he enjoys practicing as an independent urologist, he gives advice to residents, and examines his father's influence on his career as a physician.  

Watch LUGPA's full interview with Dr. Poteet here.  


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OPINION
Value-Based Care with Innovative Tech Boosts Revenue and Efficiency: Specialists, Work Smarter – Not Harder
Adam Kern, MD  

Specialist physicians, who generate significant proportions of net healthcare
economic activity in the United States, dramatically trail behind their primary
care colleagues in the utilization of Value-Based Care (VBC).

Industry stakeholders, principally in the primary care world, have begun to innovate in the creation of Value-Based Care (VBC) strategies. VBC fundamentally aims to reward organizations for providing high-value comprehensive care at lower costs, often achieved via Accountable Care Organization participation, advanced payment models, risk-based payor contracting, and a variety of other instruments, all of which are designed to allow clinicians to work smarter, rather than harder.

VBC does not imply a total shift away from fee-for-service (FFS), rather it is a holistic term encompassing some types of FFS not exclusively driven by clinical volume alone. The most effective VBC strategies leverage new care delivery structures alongside emergent technologies in digital health and analytics, properly utilize advanced practice midlevel providers, and are reimbursed under the rubric of VBC payment models.

Many of these strategies have been proven effective in primary care clinical settings. Why then is it that volume based FFS payment structures are most entrenched within the surgical specialties, and payors have yet to ascertained how to effectively engage specialists within VBC?

More Doesn’t Always Mean Better When It Comes to Healthcare.

While the healthcare sector represents an increasingly large proportion of the national GDP, the urological workforce faces the burgeoning storm clouds of decreasing reimbursement, projected shortfalls in the number of trained urologists, industry-leading reported physician burnout rates, and operational challenges stemming from shifts away from traditional venues of care. Furthermore, recent CMS rules have accelerated the need to foster increased healthcare quality while containing high cost.

All of these converging challenges lay bare the intrinsic limitation of a traditional FFS model which is solely reliant upon the finite volume of services rendered. Quite simply, a strategy of ramping up clinical volume ad infinitum to make up for these headwinds is doomed to fail in the long term.

Most importantly, historically high reimbursements for specialists and high specialist satisfaction until now have never incentivized their own participation. A young urologist entering practice in 2022 must recognize that the operational challenges we all continue to face will only increase, and adoption of new strategies will be the only way to prosper in coming decades while maintaining physician satisfaction.

-  Adam Kern, MD

     
     

Adam Kern, MD
Director, Pediatric Urology
Chesapeake Urology Associates
Annapolis, MD

Dr. Adam Kern is one of the foremost fellowship-trained pediatric urologists in the Mid-Atlantic region. He serves as Director of Pediatric Urology at Chesapeake Urology and leads the practice’s pediatric urology program. Dr. Kern’s practice focus includes outpatient surgery, minimally-invasive and endoscopic surgery, perinatal urology and classic inpatient pediatric urology. Dr. Kern also has an interest in a comprehensive multidisciplinary approach to pediatric voiding.

Dr. Adam Kern earned his Doctor of Medicine degree from the University of Chicago, Pritzker School of Medicine, during which time he was awarded a Howard Hughes Medical Institute research fellowship at the National Institutes of Health. He went on to complete his general surgery internship at the Johns Hopkins Hospital and his urological surgery residency training at the James Buchanan Brady Urological Institute at the Johns Hopkins Hospital. He then completed an additional two-year fellowship in pediatric urological surgery at the Children’s Medical Center at the University of Texas Southwestern Medical Center in Dallas.

Dr. Kern is a member of the American Urological Association, the Society of Pediatric Urology, the Large Urology Group Practice Association, and is an elected member of the Arnold P. Gold Humanism in Medicine Honor Society.


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Dr. Miller Receives Resident Award  

     
     

      Dr. Miller (left) accepts the Resident Clinical Innovation Award
from LUGPA Forward Chair Tim A. Richardson, MD, at the 2021
LUGPA Annual Meeting.

David T. Miller, MD was recently presented with LUGPA Forward's 2021 Resident Clinical Innovation Award for his project, Decreasing Traumatic Foley Insertions: Implementation of a Standard Process of Coude Catheter Insertion

Traumatic foley catheterization leads to patient morbidity and increased healthcare costs. To address this issue, Dr. Miller and his colleagues developed and implemented a coude catheter education program for operating room nurses to standardize the usage of a coude catheter for male patients.

"As a direct result of our project 
there was a significant decrease in the rate of traumatic catheterizations of male patients seen at our institution," said Dr. Miller, a urology resident at the University of Pittsburgh Medical Center (UPMC) in Pittsburgh, PA. "We also reported significant cost savings as a direct result of decreasing the rate of traumatic catheterizations." 

Be on the lookout! The application for the 2022 Resident Clinical Innovation Award will be available soon. 

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Ask The Experts, LUGPA Q&A

     
      Tim Richardson, MD
Urologist, Wichita Urology
Wichita, Kansas
Biography

At Wichita Urology, Dr. Tim Richardson is the Advanced Prostate Cancer champion, and serves as co-director of clinical trials and director of the Xofigo infusion program. Dr. Richardson attended medical school at The University of Kansas from 1998-2002. He completed his urological surgery residency at The University of Nebraska Medical Center, 2002-2008. He is a partner at Wichita Urology, board-certified by the ABU and is a member of the AUA, AACU and SUO-CTC. He currently serves as Chair of LUGPA Forward and is on the LUGPA Membership committee.

ANONYMOUS: Is there appeal for women to have more of a salaried or shared compensation model rather than complete productivity-based compensation model?

TIM RICHARDSON, MD: Thanks for your question. I would say the answer to this question is YES, however not just for women urologists. Many urologists entering into independent practice today desire an employed position as opposed to a partnered position. Some are looking to avoid certain responsibilities that come with becoming a partner in a practice (i.e., board meetings, investment in equipment or real estate, or other managerial duties), and may have more job satisfaction by being an employed urologist in the practice much like they would if employed by a hospital. This is somewhat of a change from generations past, but independent urology practices have adapted well to this in offering more than just the "old fashioned” partnership tract to new hires. Most independent groups I have spoken with across the country are open to this type of new hire tract or already have one in place.

Get your pressing questions answers by Dr. Richardson in the next issue of Inroads!

Young residents are urged to ask their pressing questions to Dr. Richardson, MD pertaining to variety of subjects. Send your questions to [email protected] with the subject “Resident Newsletter, Ask the Experts Q&A” and answers will be published in the March 2022 issue of Inroads.

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Enjoying this newsletter? Forward it to other urology residents to let them know about all LUGPA has to offer. 

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See Who is Hiring in LUGPA's Career Center

     
       

LUGPA's Career Center website is a place where urology residents can post their resumes, apply for jobs and get job alerts.

The site also features: 

Career Coaching - Coming from a variety of professional backgrounds, LUGPA's Career Center offers certified coaches that have the experience, training, and expertise needed to help you achieve your career goals.

Resume Writing - LUGPA's Career Center offers experts who are ready to critique your existing resume or help you craft a document that gets you noticed.

Reference Checking - Get your references checked, confidentially and professionally so you can be confident your past employers are helping, not hurting, your candidacy.


Visit the Career Center now: careers.lugpa.org

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