DEA Alert Highlights New Scam Letters and Calls Targeting Medical Practitioners

via The American Medical Association

Dear Registrant, 

The Drug Enforcement Administration (DEA) is warning registrants of new fraud schemes in which scammers impersonate DEA personnel and notify registrants that they are under investigation, presumably in an attempt to obtain personal information. 

DEA has recently received reports of false letters and phone calls being used to contact both DEA registrants and non-registrants. It is not the DEA’s practice to call registrants regarding investigative matters.  

If you are contacted by a person purporting to work for DEA and stating that you are under investigation, please report the incident to the FBI at www.ic3.gov. You may also wish to submit the incident to the Federal Trade Commission, which takes reports at ReportFraud.ftc.gov and shares information with more than 3,000 law enforcement agencies. For any victims who have given personally identifiable information like a Social Security number or DEA registration number to a scammer, go to www.identitytheft.gov to learn how to protect against identity theft. Reporting these scams will help authorities find, arrest, and stop the criminals engaged in this fraud. 

As a reminder, DEA personnel will never contact registrants or members of the public to demand money or any other form of payment, will never request personal or sensitive information, and will only notify people of a legitimate investigation or legal action in person or by official letter. In fact, federal law enforcement officers are prohibited from demanding cash or gift cards from a member of the public. 

The best deterrence against these bad actors is awareness and caution.

Joaquin Falcon, MLIS

Director, Federation Relations

Federation of Medicine

Specialty and Service Society

4 Big Ways Medical Students Benefit from Membership with MSV

 

By Chris Fleury, Membership & Advocacy Specialist

When entering medical school, your first few weeks of orientation are packed with lectures and activities from the dozens of clubs and organizations you’ve been invited to join; each with a unique value proposition and list of benefits.  Most clubs are clearly understood from their title such as the pediatric student interest group, yoga club, and women in medicine.  You know what you’re signing up for.

Then you come across The Medical Society of Virginia (MSV), and its joint membership package with The American Medical Association (AMA), which falls into the category of organized medicine.  You’ve probably heard of AMA in the news while reading how physicians were managing the COVID-19 pandemic. But what does becoming a member of MSV and AMA mean?  And how can you take advantage of your membership to strengthen your medical school career?

The AMA represents physicians, medical students and patients on a national scope, lobbying Congress, while the MSV represents physicians, medical students, and patients on a state scope, lobbying the Virginia General Assembly. The MSV and AMA are both led by their members: physicians, PAs, residents, and medical students. All policies, advocacy efforts, and organizational goals are debated and voted on by members – and medical students have a powerful voice and vote!

As a medical student member, you can take advantage of a combined membership with MSV and AMA for the duration of your medical school career.  You get to decide how you’ll use your membership.  Regardless of how engaged you become, the fact that you’re a member makes an impact on MSV and AMA’s advocacy work.  More members equal greater influence in achieving important goals such as increasing access to care for our most vulnerable populations, or ensuring physicians can do what’s best for their patients without legislators or regulators dictating how care should be provided.

Crafting Policy

Virginia medical students have been successful in crafting state and national policy through authoring resolutions. Several examples include:

  • AMA – New policy opposing the practice of spread pricing from pharmacy benefit managers
  • MSV – New policy to reduce stigma through modernizing the accessibility sign
  • MSV – New policy supporting the addition of STOP THE BLEED training in medical schools

Access to Healthcare Influencers

Attending MSV and AMA meetings and events grants you with direct access to healthcare influencers and legislators.

  • MSV and AMA hold lobby days for you to meet with your state legislators in Richmond, Virginia (MSV) and federal legislators in DC (AMA)
  • Past speakers and attendees that students have met with at AMA and MSV conferences include leaders such as: national specialty society presidents, The Surgeon General, The Governor of Virginia, Virginia’s Health Commissioner and CEOs and Chief Medical Officers of hospitals and health tech companies.

Leadership Positions

Medical Student Members are given the opportunity to hold leadership positions through MSV and AMA. The leadership opportunities include:

  • Leading your school’s AMA/MSV chapter
  • Serving on a state or national medical student section (MSS) committee:
    • MSV has standing committees on advocacy, community outreach, and member engagement
    • AMA has committees focusing on topics such as bioethics and humanities, economics and quality in medicine, and minority issues. Take a look at the full list of AMA medical student standing committees
  • Leading the MSV MSS on the MSS Executive Committee
  • Joining AMA MSS’s Region 6 Leadership Board, leading medical students from VA, DC, MD, NJ, and PA
  • Representing medical students on one of MSV’s Boards: MSV Board of Directors, MSV Foundation Board of Directors, or MSV Political Action Committee Board of Directors

Connect with Physicians

Woven throughout all MSV and AMA events and leadership opportunities is the opportunity to connect with passionate physicians and mentors seeking to positively impact healthcare at your school, throughout Virginia, and throughout the nation. The friendships and professional relationships formed will have a lasting impact!  The community powerfully galvanizes around doing what is right for patients and physicians.

You’ve earned the opportunity to join the hundreds of thousands of physicians and medical students who are members of AMA and MSV.  Take advantage of a joint MSV + AMA membership to support our efforts to make Virginia and America the best place to practice medicine and receive healthcare!

UPDATES ON MEASLES AND SYPHILIS IN VIRGINIA

via The Virginia Department of Health

Dear Colleague: 

Measles Updates

On June 5, 2025, the Virginia Department of Health reported the state’s third measles case of the year. Given the recent cases reported in Virginia and ongoing measles outbreaks in the United States please stay alert for measles.

With summer travel underway, this is a critical time for clinicians to emphasize the importance of preventing the spread of measles through routine vaccination (one dose at 12 through 15 months of age and another dose at four through six years of age or separated from the first dose by at least 28 days) and the importance of adequate vaccination before travel. Unvaccinated patients, including infants six through eleven months of age who will be traveling internationally, or to an outbreak setting, should receive one dose of MMR vaccine prior to travel. Infants who get one dose of MMR vaccine before their first birthday should still get two more doses after one year of age. Adults should be up to date on MMR vaccinations with either 1 or 2 doses (depending on risk factors) unless they have other evidence of presumptive immunity to measles, mumps, and rubella. One dose of MMR vaccine, or other evidence of immunity, is sufficient for most adults.

Healthcare providers can access the Virginia Immunization Information System (VIIS) to verify patient vaccination history or, if applicable, through their connection to VIIS from their Electronic Health Record system. Please note that VIIS will be migrating to a new system June 24. Please plan accordingly and ensure your staff have completed VIIS LMS training prior to June 22 to ensure continued access to VIIS. Healthcare providers can learn more here. Patients may also request their records by completing the Immunization Record Request Form.

It is critical that clinicians remain vigilant for cases of febrile rash that could be consistent with measles, particularly in unvaccinated persons. Consider measles in patients with fever and a generalized maculopapular rash who have recently traveled out of the country or to regions of the United States reporting measles outbreaks. Other symptoms include cough, coryza, or conjunctivitis.

If you suspect measles:

  • Isolate: Immediately isolate the patient in a single-patient airborne infection isolation room (AIIR) or in a private room with a closed door until an AIIR is available. Patients with suspected measles should not stay in the waiting room or other common areas of a healthcare facility.
  • Notify: Immediately notify your local health department to ensure rapid testing and investigation.
  • Test: Submit a nasopharyngeal (NP) swab in VTM for PCR testing and a blood specimen for serology testing at the Division of Consolidated Laboratory Services (DCLS) following instructions for specimen collection and handling. Test results are available in less than 24 hours.

Please visit VDH’s Measles Information for Healthcare Providers for more information about measles.

Syphilis Updates

Syphilis cases increased dramatically in Virginia and nationally in the past few years.  Virginia also observed significant increases in syphilis cases among women.  Syphilis infections during pregnancy can lead to babies born with congenital syphilis, including stillbirths and fetal deaths.  There were 35 cases of congenital syphilis in Virginia in 2024, an exceptionally high case count; there are 15 cases in 2025 year to date, on track to meet or exceed the total from 2024. Clinicians and allied health professionals represent our first line of defense in detecting syphilis. Please help us identify and reduce the spread of syphilis in Virginia.

  • In keeping with updated recommendations from the American College of Obstetricians and Gynecologists (ACOG), serologically screen all pregnant women at their first prenatal care visit, followed by universal rescreening early in the third trimester (28-32 weeks) and again at delivery, regardless of risk or where they live.
    • A recent study has shown that opt-out syphilis screening among pregnant women in an emergency department significantly increased syphilis screening rates and identified syphilis cases that might otherwise have been missed.
  • Screen for syphilis in all patients aged 15-44 years who are sexually active and living in a county with high incidence of syphilis, in keeping with CDC recommendationsto prevent cases of congenital syphilis.  For all other counties, continue to assess risk factors to recommend testing.  Test all symptomatic patients for syphilis, regardless of their risk factors or where they live.
  • Consider prescribing Doxycycline as post-exposure prophylaxis (DoxyPEP)for syphilis to patients for whom it is clinically indicated.  This biomedical intervention has been proven to significantly reduce rates of syphilis, as well as chlamydia and gonorrhea.
  • For additional information, visit the syphilis resource page for healthcare providers.

Thank you for your continued partnership in keeping Virginians safe and healthy.

Sincerely,

Karen Shelton, MD

State Health Commissioner

 

Telemedicine: 3 Emerging Trends to Know 

Telemedicine has been on a roll — and shows no signs of slowing down. What became possible with the telephone and even radios a century ago exploded in the 1990s with the arrival of the internet. Telemedicine blew up again in the 2010s when smartphones and broadband came on the scene, and most recently it accelerated during the COVID-19 pandemic. Despite some post-COVID cooldown, telemedicine’s trajectory is still pointing up, keeping pace with the lightning speed of technology advancements as well as shifts in the modern healthcare landscape as patients and providers focus in on where and how telemedicine has the most impact. 

While the future of telemedicine continues to unfold in exciting ways, there are some emerging trends in telemedicine on the immediate horizon that will have significant impacts on patient care and how providers like you are delivering that care. 

Emerging Trends in Telemedicine

  1. AI

AI is everywhere, so it’s no surprise it tops our list of trends. Coming off 2024’s AI expansion, 2025 is already delivering more of the same. More AI tools. More capability enhancements. And more upside for providers and patients alike, affecting operations, patient care, and patient outcomes.  

Virtual health assistants, powered by AI, screen patients without an office visit, saving the patient time and, for some, increasing the likelihood that a patient will seek interaction at all. This also saves time for providers and staff, who can then focus on other important areas like care plan development and patient care.  

AI is also empowering providers with predictive analytics for early disease detection as well as AI-guided decision support with evidence-based recommendations for diagnosis and treatment to optimize patient care. 

Generative AI in documentation and coding is significantly boosting administrative efficiency, by creating process improvements — like generating referrals and claim submissions — as well as increasing error reduction. 

Healthcare IT News interviewed one telehealth leader who projected “2025 will mark the moment when AI in healthcare transcends the hype cycle and demonstrates measurable value through practical applications that improve clinical workflows.” According to the article, specialty care delivery in particular will be transformed as AI-enabled virtual platforms mature into sophisticated remote presence systems. The result? Specialists will be able to reach patients across geographic boundaries in new ways, directly and via local care teams. 

  1. Wearables & RPM

Wearables and medical monitoring devices continue to grow in availability and sophistication, enabling providers to better leverage the technology to enhance the telemedicine experience by integrating remote patient monitoring (RPM). As confidence in patient data collected by wearables and remote devices increases, the better a patient’s condition can be monitored and analyzed, allowing for better identification of trends in addition to more timely interventions.  

Whether for chronic disease management like heart disease and diabetes, or simply checking vital signs during triage or consultations, improvements in telemedicine experiences leads to better patient care, patient engagement, and patient satisfaction, as well as the most important: patient outcomes. Especially for patients who are in remote locations, who are in underserved areas, or who cannot easily attend in-person visits, this trend delivers what could be game-changing access to the care these patients need.  

RPM is also foundational to hospital-at-home programs, allowing patients to remain or recover at home instead of in the hospital — a major impact for hospital staffing and operations. In addition, it’s fueling the rise of hybrid care models, combining in-person visits with telemedicine for more personalized, flexible patient care. 

  1. Cyber Threats

Where there’s data, there are cybercriminals ready to pounce. Unfortunately the healthcare industry is a major magnet for cyber threats, which are projected to continue escalating in 2025. Protecting patient data from bad actors is always top of mind, and developments in cybersecurity continually strive to keep up as technology and AI advance — along with criminal sophistication. Provider systems and networks, hosting platforms, and even monitoring devices that collect and transmit data are all vulnerable links in the telemedicine data chain. Data breaches, unauthorized access, and session hijacking are real risks.  

In January the Department of Health and Human Services Health Sector Cybersecurity Coordination Center released a report with recommendations for securing telehealth environments. Work with your IT experts and 3rd party providers to ensure your telemedicine systems and protocols are protected end to end. You can also consider cyber liability insurance coverage, which is something the MSV Insurance Agency provides. 

Webinar: Emerging Cancer Patterns among Asian American Populations

Please join the Brock Institute, in collaboration with Mount Sinai Center for Asian Equity and Professional Development and UCLA David Geffen School of Medicine for the 2025 Brock Institute Asian American Health Webinar!

Wednesday, May 7: 7:00 pm – 8:15 pm EST
Register Now

This year’s focus is “Emerging cancer patterns among Asian American populations”, and includes two speakers from University of California – San Francisco, Dr. Scarlett Gomez, PhD, MPH and Dr. Iona Cheng, PhD, MPH.

Objectives:

  1. Review current statistical measures and epidemiological factors regarding emerging cancer disparities, specifically lung cancer in females who have never smoked, and breast cancer.
  2. Explore preventive strategies for reducing risk of lung and breast cancers.
  3. Discuss current research efforts to address these patterns.

See the flyer for more information, or register here.

Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Macon and Joan Brock Virginia Health Sciences at Old Dominion University and Mount Sinai, UCLA. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
Macon and Joan Brock Virginia Health Sciences at Old Dominion University designates this live activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Build Stronger Patient Relationships: 3 Time-Smart Strategies

Enhancing Patient Care: 3 Time-Smart Ways to Build Stronger Patient Relationships

Why Building Stronger Patient Relationships Doesn’t Have to Take More Time

Limited time shouldn’t limit your ability to build stronger relationships with your patients. And it doesn’t have to.  

By following these 3 simple strategies you can improve your patient relationships without adding a heavy burden to your already-full schedule of appointments, follow-ups, meetings, to-dos, continuing education, practice responsibilities, and more…

  1. Improve Communication to Build Trust and Connection

Simple techniques to help patients feel heard, respected, and understood

Whether seeing patients in the office or via telehealth, good communication is foundational to building trust and making sure your patients feel heard, comfortable, and respected. Last month’s blog “Patient Communication: Best Practices for Building Trust and Rapport” outlined specific best-practice tips and non-verbal techniques to up-level your patient communications, including the American Medical Association’s R-E-S-P-E-C-T strategy. Invest the time to learn about these methods — whether you can spare 15 minutes or even carve out an hour or two to dive deeper when your schedule permits. When you put into practice what you learned with intention, the ROI will pay off almost immediately. Although this is a mostly one-and-done learning opportunity to build stronger patient relationships, revisiting what you learned and regularly brushing up your skills over time is not only smart but also recommended.

  1. Keep it Simple: Speak Your Patients’ Language

Clear, jargon-free communication builds stronger patient relationships

You went to medical school, but your patients didn’t. You know this, of course. But do you remind yourself of it when you’re talking to patients? Chances are most of your patients don’t understand what might feel basic to you. And they shouldn’t need a thesaurus or Google to help them translate what you tell them.

Tricks of the trade to keeping it simple are avoiding medical jargon and acronyms right off the bat, as these are a foreign language to most patients. A recent study revealed physicians who communicated without jargon were perceived as more caring/empathetic and approachable. In addition, just say “no” to big words and any vocabulary that’s not commonly used. Experts advise using plain language and straightforward, practical information to explain diagnoses, medications, procedures, and recommendations.

Pro tip: Don’t skip the detail — go beyond the WHAT to include the WHY to ensure your patients fully understand what they need to know. Like the strategy to improve communication to build stronger patient relationships, this is more of an investment in your intention and mindset than it is an investment of time in your schedule.

  1. Embrace Technology to Stay Connected and Accessible

Use patient-centric tech to enhance engagement and streamline care

Putting today’s patient-centric technologies in place — with the goal of building stronger relationships with your patients — admittedly requires research and implementation. But once up and running, you’ll realize the positive impact without a significant ongoing burden on your time. Today’s technology options can improve communication, streamline care, and foster stronger connections between you and your patients. From telehealth opportunities to patient portals to mobile health apps, what tools will help you help your patients? Is it efficiency they need? Or access? Consider your unique patient populations and what will not only be most useful for them, but also what they may be willing or able to manage.

For example, making telehealth an option for patients without reliable internet connection is not a benefit, but it could be a real advantage for a busy working parent who is already internet savvy. Not quite a set-it-and-forget-it strategy, adding technology will require ongoing system management as well as additional interaction from you or your staff — to develop telehealth procedures, or to respond to patient inquiries sent via a patient portal, for example. But over time adding technology will enhance more than it will distract, boosting accessibility, patient engagement, and patient satisfaction.

Stronger Relationships, Better Care — Without the Extra Time

Building stronger patient relationships doesn’t require a major overhaul of your schedule — just a shift in approach. By focusing on clear communication, simplifying the way you share information, and leveraging the right technology, you can deepen trust, improve outcomes, and make every patient interaction more meaningful. Small changes, when made with intention, can have a big impact on how your patients experience care.

Looking for more ways to enhance your connection with patients? Explore our resources or visit Patient Communication: Best Practices for Building Trust and Rapport for more.

Patient Communication: Best Practices for Building Trust

Why Better Communication Leads to Better Patient Outcomes

Good communication is foundational to every good relationship. For healthcare providers, patient communication best practices are essential to building trust and rapport with your patients.  

Good communication is a two-way street — and has a two-way benefit.  

For providers, it’s your responsibility to make a patient comfortable and ensure they feel heard, which encourages your patients to open up and share information that can be impactful to their care. Providers also need to be intentional in explaining diagnoses, recommendations, options, and care plans in a way a patient will understand and best respond to.  

On the other hand, when patients trust you, it increases the likelihood they will listen to you and your recommendations, and that they will feel safe asking questions. 

Google says there’s no shortage of communication strategies for healthcare providers. So let’s focus on some best-practice tips right here to help you refine and refresh your patient communications. 

Start with R-E-S-P-E-C-T: A Proven Communication Framework

Use the AMA’s patient-centered strategy to build trust and empathy

The American Medical Association (AMA) shares a comprehensive communication strategy for patient communication that would make Aretha Franklin proud. It’s based on the easy-to-remember acronym R-E-S-P-E-C-T, and can be found in its article “6 Simple Ways to Master Patient Communication.”  

Each piece of the R-E-S-P-E-C-T strategy is as follows: 

R: RAPPORT — To convey to patients the feeling of “we’re in this together,” listen carefully, give patients your full attention, and make good eye contact. Read on to learn more in the next section of this article: Best Practices: Non-Verbal Communication. 

E: EXPLAIN — Engage patients by encouraging them to explain more about their health, habits, and lives outside of the appointment. “Tell me more about…” is a successful approach. 

S: SHOW — Demonstrate collaborative thinking, especially when delivering constructive criticism. In other words, show you’re working with them rather than telling them what to do. 

P: PRACTICE — Practice makes progress, even if it’s not “perfect.” Ask your patients for feedback about your communication, and leverage your team’s insights to make communication adjustments — for yourself and throughout your practice — based on their experiences with patients as well. 

E: EMPATHY — Show your patients you genuinely care about them, which can be done with words as well as with non-verbal cues and body language. Additionally, take steps to be compassionate beyond the reason they’re seeing you. Consider their background, maybe this is their first surgery. Think about what else might be going on with them, like whether they are worried about missing work, if there was traffic on the way to the appointment, or if something or someone in their life is causing them stress. 

C: COLLABORATION — Interact with your patients in a spirit of partnership and you’ll increase the likelihood they’ll more positively respond to what you have say. Explain as many details about your decisions and recommendations as possible so your patients feel they’re a part of their own healthcare. 

T: TECHNOLOGY — Meet your patients where they are, technology-wise. Be careful not to overwhelm them with messages from too many sources. Also consider the technology you’re utilizing to ensure your communication best-practices like empathy and collaboration are still in focus. 

Best Practices: Non-verbal Communication that Builds Trust

How your body language can say more than your words

Though experts range on exact percentages, we can all agree that much of our communication is actually non-verbal. For providers, it’s important to remember patients will pick up on your non-verbal cues and respond accordingly.  

If you want to build trust and rapport with your patients, here are some non-verbal communication tips to keep in mind: 

  1. EYE LEVEL: For maximum trust, speak to your patients at their eye level or below, which makes them more comfortable. When you’re positioned above a patient’s eye level it can be interpreted as condescending.
  1. EYE CONTACT: Making direct eye contact shows your patient they have your attention. In her book “Attention Pays,” executive coach Neen James calls eye contact “listening with your eyes.” Even if you’re listening, your patient will not believe it unless you’re looking at them.
  1. MIRRORING: Mirroring a patient’s body language builds trust. When they lean in, you lean in. If their facial expression shows concern, show concern with yours. If they smile, you smile. This admittedly takes practice, and it’s easy to practice this outside the office as well.
  1. CROSSING: Crossing arms and legs is a no-go for open communication. Crossing can make you look stand-offish, closed-off, or judgmental. You pick up the same negative cues from your patients when they cross.
  1. NODDING: Another indicator of attention, nodding is an acknowledgement of what your patient is telling you. The nod says “I hear you.” Of course, it can also communicate agreement. According to communication and body language expert Vanessa Van Edwards, a slow triple nod will make the other person speak 3 to 4 times longer — a helpful strategy if you need a patient to share more detail.

Better Communication, Stronger Connections

Intentional, patient-centered communication builds more than just understanding — it builds trust, respect, and long-term relationships. By practicing clear verbal strategies like the R-E-S-P-E-C-T framework and being mindful of non-verbal cues, you can help your patients feel seen, heard, and supported.

Want more strategies to connect with your patients? Check out 3 Time-Smart Ways to Build Stronger Patient Relationships for practical tips you can put into action today.

Measles Updates for Virginia

via VDH

Dear Colleague:  

This letter provides important updates and reminders about measles.  

The Virginia Department of Health (VDH) recently reported that a confirmed case of measles travelled through Dulles International Airport (IAD) on March 5, 2025 while infectious. The confirmed case was a person who was returning from international travel. The Maryland Department of Health reported an additional exposure location in Maryland associated with this case. Anyone who might have been exposed to this case and is at risk of developing measles is asked to watch for symptoms until March 26, 2025.  

Virginia clinicians are asked to stay alert for measles given this recent exposure event and other ongoing measles outbreaks in the United States. These reminders are echoed in a recent Health Advisory from the Centers of Disease Prevention and Control (CDC). It is critical that clinicians remain vigilant for cases of febrile rash that could be consistent with measles, particularly in unvaccinated persons.   

Vaccination provides the best protection against measles. To prevent measles infection and spread, make sure that patients are up to date on recommended measles vaccines, especially before international travel, regardless of destination. With spring and summer travel approaching, this is a critical time for clinicians to emphasize the importance of preventing the spread of measles through vaccination. People six through eleven months of age who will be traveling internationally, or to an outbreak setting, should receive one dose of MMR vaccine prior to travel. Infants who get one dose of MMR vaccine before their first birthday should still get two more doses after one year of age (one dose at 12 through 15 months of age and another dose separated by at least 28 days).   

VDH Measles Recommendations for Providers  

Consider measles in patients with fever and a generalized maculopapular rash who have recently traveled out of the country or to regions of the United States reporting measles outbreaks. Other symptoms include cough, coryza, or conjunctivitis.   

If you suspect measles:   

  • Isolate: Immediately isolate the patient in a single-patient airborne infection isolation room (AIIR), or in a private room with a closed door until an AIIR is available. Patients with suspected measles should not stay in the waiting room or other common areas of a healthcare facility. 
  • Test: Submit a nasopharyngeal (NP) swab in VTM for PCR testing and a blood specimen for serology testing at the Division of Consolidated Laboratory Services (DCLS) following instructions for specimen collection and handling. Test results are available in less than 24 hours.

This is also an important time for all healthcare facilities to prepare and develop a plan for measles prevention and control. This plan should include considerations for: 

  • Timely screening and recognition of patients with measles-like illness, especially in unvaccinated or partially vaccinated patients.  
  • Implementation of effective Standard and Airborne Precautions including personal protective equipment for the staff (fit-tested N95 respirator) and source control (facemask) for the patient. 
  • Staff immunity awareness to ensure healthcare systems can rapidly retrieve employee’s immunization status in case of exposures and offer postexposure prophylaxis when indicated. The MMR vaccine is recommended to all healthcare workers who do not have documented evidence of measles immunity. 
  • Effective environmental cleaning and disinfection procedures. 
  • Preparedness to test for measles, including having clear instructions and necessary supplies for measles virus PCR and serology specimen collection and submission for testing at DCLS.

Please visit VDH’s Measles Information for Healthcare Providers for more information about measles.  

Thank you for your continued partnership in keeping Virginians safe and healthy.    

Sincerely,  

Karen Shelton, MD
State Health Commissioner 

Developing Leadership Skills for Healthcare’s Future — and Yours

Today there’s no shortage of leadership resources if you want to level-up your leadership game. From books and podcasts, to master classes and mentorship, there are literally thousands of options. 

We all understand leadership’s impact on team performance. Healthcare leadership adds another critically important layer: impact on patients. For physicians, this is where the rubber hits the proverbial road. Now more than ever, strong and strategic healthcare leadership is shaping the future of healthcare and making a significant impact on the quality of patient care.  

It’s no longer enough for physicians to be effective team leaders. The pace of change, challenge, and opportunity in healthcare requires physicians to step up into collaborative, future-focused leadership roles and activities that will redefine the healthcare landscape in both the short- and long-term. 

Essential Healthcare Leadership Skills

When building your leadership skills, where should you focus to maximize your impact not only on patient care and the healthcare landscape, but for your own career advancement as well? Start with these essential healthcare leadership skills. 

Adaptability is a mission-critical skill for today’s healthcare leader. Maintaining resilience, decisiveness, and focus amidst challenge and unpredictability is crucial to successfully weathering a storm — and developing future solutions. Leaders modeling this skill also help guide others through stressful situations, inspiring trust and giving them the reassurance and confidence they need to do their own jobs and make collaborative contributions to a team. Additionally, adaptability is foundational to a timely and consequential modern healthcare concern: managing mental health issues like stress and burnout, and helping others do the same.

Innovative thinking is the key to healthcare progress. Healthcare urgently needs innovative leaders who can leverage opportunities and address — and resolve — obstacles and complexities. An innovative mindset is built from a variety of skills, including creativity, problem-solving, strategic vision, and curiosity. Innovative healthcare leaders seek new solutions that challenge the status quo. According to a recent Northeastern University article titled Effective Leadership in Healthcare: 5 Essential Traits, healthcare leaders should be guiding healthcare in the direction they feel it should go, identifying things about healthcare that are in need of correction and guiding us toward solutions.

Collaboration is a game-changer for today’s healthcare leader. Thinking bigger and bringing more voices to the table is key to breaking down silos and making real improvements in patient care, research, regulation, legislation, insurance, and more. Change doesn’t happen in a vacuum, and meaningful change is the direct result of joining diverse and dynamic skills, experiences, opinions, and insights together to achieve a common goal.

How To Develop Healthcare Leadership Skills

As we mentioned at the start of this article, there are literally thousands of ways to strengthen and add to your own suite of leadership skills. Here’s a list of ways to jump-start your own progress: 

Personal: professional leadership coaching, networking, mentorship (being a mentor and/or being a mentee)

Hands-On: volunteering, committee participation, engaging in an issue or cause

Education: continuing education courses, seminars, conferences, workshops — the American Medical Association’s Ed Hub offers a variety of leadership CME courses

On Your Own: master classes, TED talks, books/audiobooks, podcasts, magazines, journals, social media — try Dr. Elsie Koh’s TEDxBrownU Talk A Doctor’s Guide to Leadership, or Dr. Carol Dweck’s TED Talk on growth mindset (mentioned by Koh) The Power of Believing You Can Improve (which has close to 17 million views!)

One final tip: Look to leaders in your own circle that you admire — in healthcare as well as outside of healthcare. Find out what strategies and resources they have used, and still use, to stay sharp and continue growing as leaders. Then follow their lead.

Executive Order Related to Gender Affirming Care

HDJ Advisory on this issue: Executive-Order-re-Gender-Affirming-Care.pdf

The Medical Society, as a 501C(6), provides this information for educational purposes only for its members and this information does not constitute legal advice.  Members are encouraged to seek the advice of their own counsel.

Overview

An Executive Order (EO) rejecting the practice of gender-affirming care for minors was issued on January 28, 2025. Protecting Children from Chemical and Surgical Mutilation, Exec. Order No. 14,187, 90 Fed. Reg. 8,771 (Jan. 28, 2025). The EO notes the United States will not “fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.”

The EO directs federal agencies to take immediate steps to ensure institutions receiving federal research or education grants end chemical and surgical interventions related to gender transition in individuals under nineteen years old. The targeted care includes chemical interventions such as hormone treatments and puberty blockers for the purpose of aiding with gender transition and surgical procedures aimed at altering an individual’s physical appearance to resemble that of the opposite gender.

Legal challenges to the EO have resulted in Temporary Restraining Orders (TROs) being issued by two separate federal courts with enforcement of the EO stayed until at least February 27, 2025.

Frequently Asked Questions

1. To whom does the EO apply? 

The EO directs the heads of agencies that provide research or educational grants to medical institutions to take immediate steps to ensure institutions receiving grants stop medication and surgical gender transitions of children under age 19. The EO does not specifically relate to institutions and practices that do not receive federal research or educational grants, but it does raise questions about potential private causes of action, investigations, and exclusion from federal programs.

2. Does the EO place an outright ban on gender-affirming care? 

No. The EO articulates a position that the US will not fund, propose, or support gender transition treatment and surgery for patients under age nineteen. While regulatory guidance is presumably forthcoming,  hospitals and providers could continue to provide these services but risk losing any/all federal grant money and potentially the ability to participate in Medicare, Medicaid, Tricare, and other federal programs.

3. Does the EO related to gender-affirming care for adults? 

The EO relates only to gender-affirming care for patients age nineteen and under.

4. Is there guidance from HHS or the Attorney General’s Office? 

The EO directs HHS and the AG’s office to evaluate and consider guidance and propose legislation on these matters. We anticipate additional documents will be forthcoming.

5. Is there ongoing litigation related to the EO? 

Yes. On February 5, 2025, several plaintiffs including PFLAG, Inc, a transgender advocacy group, filed suit in the United States District Court in Maryland seeking injunctive relief, asserting the EO violates constitutionally protected rights to free speech, due process, and equal protection as well as anti-discrimination laws, and exceeds executive authority. PFLAG, Inc. v. Trump, Civil Action No. 1:25-cv-00337. Briefing in the case is ongoing and a hearing is scheduled for today (D.C.M.D. 2025). On the afternoon of February 13, 2025, the Court granted Plaintiffs’ Motion for a TRO which prohibits HHS, NIH, and NSF from conditioning or withholding federal funding based on the fact that a healthcare entity performs gender affirming care to a patient under the age of nineteen. The TRO will be in effect for fourteen days. On February 7, 2025, the states of Washington, Minnesota and Oregon filed a federal suit with a group of doctors seeking a temporary restraining order on the basis that the EO violates patients’ constitutional rights. State of Washington v. Trump, Civil Action No. 2:25cv244 (W.D. Wa. 2025). On February 14, 2025, the Court granted Plaintiffs’ Motion for a TRO.

6. What type of care is addressed in the EO?

Chemical and surgical interventions related to gender transition in individuals under nineteen years old are addressed in the EO. Mental health services are not prohibited by the EO.

7. What is the status of gender-affirming care at hospitals in the Commonwealth?

VCU and UVA initially suspended gender affirming medications and surgical procedures for patients under 19 years old.  After a TRO went into effect on February 13, 2025, it is our understanding UVA has resumed the provision of those services. As of this morning, February 17, 2025, VCU is continuing to suspend care. This is a rapidly evolving area. See:

Transgender Youth Health Services | UVA Health Children’s

Transgender care | Children’s Hospital of Richmond at VCU