Important Message for DEA-Registered Practitioners

As you may be aware, the new MATE law requires DEA-registered practitioners who are renewing their license or any first-time registrants to complete eight hours of training on the treatment and management of patients with opioid or other substance use disorders. 

The University of Virginia is pleased to provide an 8-hour training course that meets these requirements to Virginia-based providers at no cost.  This course, titled “Substance Misuse and Opioid Use Disorders – A National Problem: An Interprofessional Solution” will be available beginning July 31 on the UVA Continuing Education website at CMEVillage.com.  Participants may complete some or all of the eight (8) modules, based on their interests and needs.  Credit will be awarded based on participation, with one content hour per module.

This course is designed for Physicians, Advanced Practice Providers, Nurses, Psychologists, Social Workers, Pharmacists and other healthcare professionals who care for patients with substance abuse disorders.  

For more information on this course, including accreditation details and the MATE law requirements, please review the attached announcement for the course or contact [email protected]

Melina Davis, MSV’s CEO and EVP, Honored with Virginia Business Women in Leadership Award

via Virginia Business

Throughout her 35-year career, Melina Davis says that her favorite — and greatest — challenge has been learning to understand people’s motivations and goals.

“Whether we are in a family room or a boardroom, women have to command a leadership position to make sure progress continues,” she says. “Creative solutioning is a superpower for most women I know.”

Davis has imparted this wisdom to dozens of men and women she has mentored over the years while leading MSV, the professional association representing more than 30,000 physicians, residents, medical students, physician assistants (PAs) and PA students across Virginia.

“While it is important to be real about your capabilities and gaps as you learn and grow, it is imperative that we trust in ourselves and know we can figure elements out along the way and work with a team to fill in gaps we personally may not have,” she says. “Embrace your confidence, ladies, and be bolder.”

Previously serving as CEO of the American Lung Association of the Atlantic Coast, Davis also founded PlanG Holdings Inc., a consumer platform that allows people to donate to causes including schools, churches and charities.

She also serves on the media business Fast Company’s executive board and the American Medical Association’s Advocacy Resource Center’s executive committee. Additionally, she’s vice chair of the Virginia Credit Union and is governance chair for the Virginia Commonwealth University School of Business Foundation’s board.

Congratulations to Melina and to the 2023 class of Virginia Business Women in Leadership Award winners. Read more about them all here.

Money Matters: Unlocking Financial Literacy as a Medical Student or Resident

Written by MSV’s Partner, 1752 Financial

Embarking on a journey in medicine is exciting, but it also means facing unique financial challenges. As a medical student or resident, it’s essential to develop some financial know-how to handle your money wisely.

This post dives into three high-level key aspects of financial literacy: budgeting, insurance, and retirement planning. By grasping these concepts, you’ll be on your way to building a solid financial foundation for a successful future.

Related: Watch the Money 101 Webinar

Budgeting for Medical Students and Residents

Budgeting is the secret sauce to financial stability. As a medical student or resident, keep these budgeting tips in mind:

  1. Know Your Income and Expenses: Figure out how much money you have coming in every month from income, scholarships, grants, part-time gigs, etc. Then, identify your essential expenses like tuition, rent, utilities, and groceries. Tack on your less essential expenses like gym memberships and dining out, and you’ll have a good baseline for your budget. There are budgeting-specific apps, but a Google Spreadsheet is also a simple way to keep track of your monthly budget.
  2. Create an Emergency Fund: An emergency fund is money you set aside for unexpected expenses, like unanticipated illness or injury. Start by saving whatever you can, while working your way up to a fully funded emergency fund that can cover three to six full months of your expenses.
  3. Tackle Your Debt: Med school and residency often mean hefty student loans. Develop a plan to manage your debt responsibly. Look into income-driven repayment plans, loan forgiveness programs, or refinancing options to ease the burden over time. Many people have success with Dave Ramsey’s Debt Snowball for organizing and paying off debts from multiple sources.

Insurance

Insurance acts as a safety net, protecting you from unexpected financial hurdles. As a resident or medical student insurance is particularly important. Consider the following insurance types:

  1. Malpractice Insurance: Medical malpractice insurance shields you in case of a lawsuit related to medical negligence. It is often provided by the group or hospital that employs you, but you may need to seek out coverage if it’s not offered or you open your own practice.
  2. Disability Insurance: For residents, your ability to earn an income is one of your most important assets. Disability insurance pays you if you’re unable to work due to illness or injury. Residents should be looking for own-occupation coverage that protects you in your specific specialty, and a policy that moves with you if you change jobs. Many doctors have group coverage as an option from their employer and choose to add on an individual policy to fill in the gaps of the group coverage.
  3. Life Insurance: Life insurance provides essential protection if anyone relies on your income. Term coverage is the least expensive the younger you are, and can help your family pay their mortgage and expenses should you ever pass away.

Retirement Planning

Starting early with retirement planning offers significant benefits. Consider the following:

  1. Employer-Sponsored Plans: A 401(k) is a benefit that’s sponsored by your employer. The money you save is taken out of your paycheck and then invested within the retirement plan. Because the money is typically contributed before taxes are taken out, it can lower your current taxable income. Contribute at least the amount that your employer will match and increase your contributions as your income allows.
  2. Individual Retirement Accounts (IRAs): Traditional IRAs are retirement plans that allow your money to grow, tax-deferred, until you reach retirement age. They are similar to a 401(k), but they are not sponsored by your employer and have more flexibility in where your money is invested. Everyone can open a traditional IRA and there are yearly contribution limits. If you have a 401(k) from an old employer, you can often roll it over to an IRA to have better consolidation and control over the account.

Financial Literacy for Medical Students and Residents

By understanding budgeting, insurance, and retirement planning, you can build a strong financial foundation. The beginning of your career is a perfect time to take the time to learn about these topics, seek advice from financial professionals when needed, and make informed decisions that align with your financial goals. With a solid financial footing, you can focus on your medical career with confidence, knowing that you’re also setting yourself up for a prosperous financial future in the medical field.

If you have any questions about financial planning while in residency or medical school, don’t hesitate to contact the MSV or 1752 Financial. We specialize in helping medical professionals navigate their unique financial situations and can help equip you with tools necessary to make informed financial decisions that align with your long-term goals.

Virginia Medicaid PDL/CCF and 90-Day Supply List Changes, FDA Approval of OTC Naloxone, and DUR Board Approved Drug SAs

Medicaid Memo | July 6, 2023

The purpose of this memorandum is to notify providers about updates to the Virginia Medicaid’s fee-for-service (FFS) Preferred Drug List (PDL) Program, 90-day supply list, naloxone FDA approval status, and drug service authorization (SA) requirements for drugs reviewed by the Department’s Pharmacy and Therapeutics Committee (P&T) and the Drug Utilization Review (DUR) Board.

See the full memo here, or download the PDF here.

Davis to speak on much-needed support for overburdened healthcare providers

Via chqdaily | by Deborah Trefts


During the worst of the COVID-19 pandemic, photos and videos circulated that revealed how healthcare workers were heroically striving to save lives, yet inadequately protected and stretched far beyond their capacities.

The pandemic has had a profound effect on the essential healthcare providers who have survived. The nurses, physician assistants, doctors, emergency medical technicians have endured, despite repeated exposure to a highly infectious disease — and to death and dying — during exceedingly long work shifts over an exceptionally prolonged period of time.

It is no surprise then that an epidemic of burnout and suicides has been plaguing healthcare professionals who not only risked their own lives, but also those of family members and friends, in order to treat and care for COVID-19 patients. They did so despite not having previously known most, if not all, of the patients under their care.

Thanks to the Medical Society of Virginia — headed by CEO and Executive Vice President Melina Davis — there is a way through this national epidemic, and she is keen to share it.

At 3 p.m. Saturday at the Hall of Philosophy, Davis will open the Chautauqua Women’s Club’s 2023 Contemporary Issues Forum series with “How to Save a Life: Leading the Revolution to Fix Our Broken Healthcare System.”

“Problems are solvable,” she said. “The first key is identifying what they are and bringing smart people to the table, which is what we did.”

Davis did not awaken one morning brimming with problem-solving savvy. She has honed this skill by immersing herself in foreign cultures; listening to, learning from and appreciating experienced mentors; taking calculated risks; and moving forward after inevitable moments of failure.

“I’m an embassy brat,” she said. “I grew up all over, but … Richmond (Virginia) is where I have lived the longest.” Based in Australia from ages 2 to 7, she moved with her parents to Washington, D.C. At 17, she accompanied her family to southeast Asia, including Thailand and Japan, for 20 months.

“I went over to Asia in a bubble and I came back with a soap box,” Davis said, “especially regarding women; it started me on a social impact bent.”

It was there that she “realized that while there are stark challenges negatively affecting people all around us, there are also solutions somewhere else that can be applied or designed by the willing, innovative and passionate.” Davis has been guided and motivated by this conviction ever since.

College came next. Her mother hailed from South Carolina, and she enrolled at the University of South Carolina while her parents continued to travel. Until she was 24, she visited them overseas.

“Thank goodness I had a good roommate and her family almost adopted me; the same of the dean of students,” Davis said. “I was so lucky. I always felt I had a couple of homes to go to.”

Academically, the University of South Carolina was a good fit for Davis because it was “building one of the most important programs for social work in the country.” She majored in international studies.

Professionally, the university afforded her the experience of leading a large organization. When she was just 19 and 20, she served as president of the Carolina Program Union.

The CPU focused on student issues and entertainment, and worked with the student government. She said she managed a budget of $1 million, chose the bands and speakers that came to campus, and learned how to use a computer.

Davis sought to “push and challenge” students by presenting them with engaging and timely issues and speakers. She met so many leaders – including Henry Kissinger and Sam Nunn – that she cannot name all of them.

“It was a great experience to be at every table,” she said.

Graduating a semester early, Davis moved to Northern Virginia, where her family had settled after returning from abroad. Although she tried to pursue a master’s in international development at American University, when her new husband got a job in Florida she moved there with him.

“I worked for United Way of Pinellas County, covering (St. Petersburg) and Tampa,” Davis said. “I met the most dynamic woman from Rhode Island, who taught me to fundraise. There are so many issues in the United States and I learned how United Way was trying to tackle them. There was a business mindset. … I was lucky to spend a lot of time with CEOs. This boss took me to their meetings.”

Consequently, Davis became “very good at raising money” and “learned to engage people where they were.”

After United Way in Richmond, Virginia – which was larger than that of Pinellas County – recruited her, she and her husband moved there in 1996. Eventually Davis became the head of marketing, and in 2000 she earned her Master of Business Administration at Virginia Commonwealth University.

“I could see where so many solutions could be applied … by design,” Davis said. “I believe that there is this beautiful, perfect space between smart business and harnessing people’s passion, (where you can) make a difference faster.”

Armed with her MBA and invaluable on-the-job experience, she has been “looking for solutions across the fence, between business and not-for-profits, and across different industries, and hopping back and forth between business and nonprofits” ever since.

“I care about finding solutions,” Davis said. “The nonprofit realm gave me a belief in the idea that nothing is impossible, whereas business people … have trouble getting out of their box. We swing for the fences.”

Interested in “testing (her) theories,” Davis “jumped over to run the National Multiple Sclerosis Society of Central Virginia.” She said that during her five-year tenure there, she tripled its revenue and doubled its membership.

“What an incredible organization doing terrific work; they know what they’re doing,” she said.

Recruited as the CEO of a newly established union of three struggling state organizations – the American Lung Association of the Atlantic Coast – she sought to “turn them around.”

When there was an opportunity to leave the ALA and move forward on an idea for a startup in the “microfinance space for fundraising for not-for-profits,” Davis co-founded PlanG Holdings.

Through PlanG’s unique platform – built on the “loyalty model” – nonprofits could use the internet and marketing to link major corporate brands with specific nonprofits that people care about.

“For example, if someone spends $100 at The Gap, it will give $5 to a nonprofit, such as my daughter’s school or the Girl Scouts,” Davis said.

Within six to nine months, about $7 million was raised from a diverse group of corporations.

“It was exciting; I learned a ton; I made a lot of mistakes; and I found that it took nine to 12 months to sell a company on the idea,” she said. “So, I ended up selling the platform, which was good, but I’m afraid I didn’t become a millionaire.”

“Failure teaches you a lot,” Davis said. “Make your mistakes small and make them fast. It requires a great deal of resiliency. You have to pick yourself up. Entrepreneurs are no joke.

“I know I wouldn’t be (at the Medical Society of Virginia) without PlanG,” she continued. “(Do) risk-taking with smart, risky moments. Try to go bold, but do it smartly, with good people around (you, and with) entrepreneurial spirit and innovation.”

At MSV, which Davis said is a combination of a for-profit, a non-profit and a holding company, she has tried to “get the most juice toward the mission.”

Recognizing an urgent need to protect and care for healthcare professionals confronting burnout and suicides of epidemic proportions triggered by the pandemic, she employed strategic visioning and collaborative approaches that led to the creation of a life-saving program in Virginia called SafeHaven™.

Now more than ever before, over the arc of one’s lifetime, the well-being of virtually everyone’s overall health — and that of their family and community — is substantially enhanced by the well-being of healthcare providers near and far.

If not for reasons of compassion and fairness, then for reasons of self-interest, “one good turn deserves another.” Throughout each day of the global COVID-19 crisis, many good turns have been done by healthcare professionals despite their suffering from ongoing pandemic-related pressures and haunting memories.

During her talk, Davis will point Chautauquans to SafeHaven’s unique program of reciprocity. Although it is designed primarily for the benefit of healthcare providers, its success is also a boon for their patients and communities.

2023 Substance Use and Mental Health Services Administration Training

The M. Foscue Brock Institute for Community and Global Health at EVMS, the Virginia Department of Behavioral Health and Developmental Services, and the Substance Abuse and Mental Health Services Administration invite you to attend the 2023 Substance Abuse and Mental Health Services Administration Training: Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants.

Register now for the event on Tuesday, July 11, 2023 at 8:30 A.M. in Richmond, Virginia.

ADA’s Effective Communication Requirements in Healthcare Settings – Informational Meeting

To help frontline staff in healthcare settings understand ADA requirements, the DOJ is hosting an online informational meeting for the public, including healthcare personnel:

ADA’s Effective Communication Requirements in Healthcare Settings
Tuesday, June 6, 2023 | 1 PM – 4PM ET
Register Now

On Friday, April 14, 2023, The United States Attorney’s Office for the Eastern District of Virginia sent a Dear Colleagues Letter to remind healthcare providers of the rules surrounding the Americans with Disabilities Act (ADA), and encouraging Virginia agencies, healthcare providers, and partners to familiarize themselves with the legal requirements. Pursuant to the ADA, healthcare providers are required to ensure that communication with people with disabilities is as effective as communication with people without disabilities.

Register for this meeting to learn steps healthcare providers can take to comply with the ADA’s effective communication requirements.

Act F.A.S.T. If You Suspect a Stroke

BY Kerstin Bettermann, MD
Our blog this month is written for you to share with your patients. For details about MSV’s free Stroke Smart educational materials for your practice, read the last section of the blog.

Every 40 seconds in the U.S. someone has a stroke — and every 3.5 minutes someone dies of stroke. It’s the 5th leading cause of death in the U.S., and a leading cause of serious long-term disability. But do you know how to identify whether you or someone you know may be having a stroke? Recognizing a stroke is critical to treatment – that’s where F.A.S.T comes in. Every minute counts!

The sooner emergency treatment begins, the better the chances for recovery and survival. In fact, the therapeutics that work best can be given only if the stroke is diagnosed and treatment begins within 4.5 hours of the first symptoms. And getting the earliest treatment possible can make a big difference in reducing the risk of disability. That’s why the Centers for Disease Control and Prevention (CDC) created F.A.S.T. to help people easily remember what’s most important about recognizing a stroke, so you can act quickly and call 9-1-1 as soon as possible.

F.A.S.T.

F: FACE

Ask the person to smile. Does one side of the face droop?

A: ARMS

Ask the person to raise both arms. Does one arm drift downward?

S: SPEECH

Ask the person to repeat a simple phrase. Is their speech slurred or can they not express themselves or understand?

T: TIME

If any of these signs are present, call 9-1-1 right away.

Stroke Risks and Symptoms

Certain things can increase stroke risk, including age, gender, race or ethnicity, medical conditions, and family history. As we age, the risk for stroke goes up. Though strokes can happen at any age, the risk doubles every 10 years after age 55. Strokes are more common in women than men, and women are more likely than men to die from stroke no matter their age. People who are Black, Hispanic, American Indian, and Native Alaskan are more likely to have a stroke than non-Hispanic Whites or Asians, and Blacks are more likely to die from stroke than Whites. Finally, high blood pressure is a major risk factor for stroke. Other medical conditions that increase stroke risk include high cholesterol, heart disease, diabetes, obesity, sickle cell disease, and using tobacco products. This list does not include everything, so if you have questions about these and other risk factors like medications or lifestyle choices and behaviors, see a doctor to get detailed information.

Though the CDC’s F.A.S.T. is a memorable and helpful tool to remember how to recognize stroke, it doesn’t tell the full story. Let’s take a closer look at stroke symptoms which include the sudden onset of:

  1. Numbness or weakness in the face, arm, or leg, especially on one side of the body
  2. Confusion, including trouble speaking or understanding speech
  3. Trouble seeing from one or both eyes
  4. Dizziness, problems with balance or coordination, and trouble walking
  5. Headache, especially a severe one that comes on suddenly

A stroke is a medical emergency. Even if the symptoms go away, it’s important to call 9-1-1 to get help and get that person to the hospital — fast.

Physicians: Get Free Stroke Materials from MSV

Great news! MSV has free stroke materials available for Virginia medical professionals to share with patients to help them “Be Stroke Smart.” Stroke Smart posters, magnets, and wallet cards are all available for your practice. View the materials on MSV’s Stroke Smart page, then click the link to request your materials — in English or Spanish — at no charge.

To offer Stroke Smart, the MSV Foundation partnered with the Virginia Department of Health and the Virginia Stroke Systems Task Force, with funding through the CDC Paul Coverdell National Acute Stroke Program.


The information contained in this blog is for educational purposes only and does not constitute health care advice.

SafeHaven™ Releases Film in Support of Healthcare Providers Facing Stress and Burnout

SafeHaven released a film today in support of physicians and clinicians who need a safe space to seek help for burnout without fear of repercussions. The Medical Society of Virginia’s SafeHaven program launched in 2020 as an innovative solution to support healthcare providers’ well-being.

“No one was supporting our clinicians for burnout. We believed by eliminating fear, their number one reason for not asking for help, we could save lives,” said Medical Society of Virginia’s CEO and EVP Melina Davis.

“Through our conversations with our members and stakeholders, we learned quickly how much physicians, PAs, and the entire healthcare team needed SafeHaven,” said Davis. “This film is a public service announcement for us to raise awareness with other clinicians, healthcare systems, our legislators and the public about the importance of healthcare workers caring for their mental health. SafeHaven is here to make it easier for them to get the access they need to behavioral health resources.”

SafeHaven offers assistance through VITAL WorkLife’s Clinician Well-Being Resources, a comprehensive solution that includes peer coaching, behavioral health resources and work-life balance resources to support well-being for physicians, PAs, nurses, and pharmacists; as well as medical, nursing, PA, and pharmacy students. Over 6,500 clinicians have participated in the SafeHaven program and multiple states are now introducing legislation similar to what has passed in Virginia and Michigan. Additionally, national associations such as the American Society of Clinical Oncology (ASCO), are fully supportive of SafeHaven and are offering it to their members.

Since its inception, SafeHaven has seen a 47% utilization rate, far exceeding the traditional Employee Assistance Programs proving the demand for a protected assistance program.

SafeHaven is the first program of its kind in the nation. It is continuing to grow across Virginia and the United States. View the full film on the SafeHaven website. For more information email us at [email protected] and visit www.SafeHavenHealth.org.

HRSA’s National Maternal Mental Health Hotline

HRSA recently celebrated the first anniversary of the National Maternal Mental Health Hotline. Since its launch on Mother’s Day 2022, the Hotline’s professional counselors have provided emotional support, resources, and referrals to almost 12,000 pregnant and postpartum individuals who struggled with mental health concerns, and their loved ones.

HRSA is introducing an updated toll-free number for the Hotline: 1-833-TLC-MAMA (1-833-852-6262). The former number (1-833-9-HELP-4-MOMS or 1-833-943-5746) will continue to work for another year.

The National Maternal Mental Health Hotline is for pregnant and postpartum individuals and their loved ones to get the help and resources they need when they need it:

  • Provides 24/7, free, confidential emotional support, resources, and referrals before, during, and after pregnancy
  • Accessible by phone or text

Available in English and Spanish and offers interpreter services in more than 60 languages.

Read the full press release.

Learn more about the National Maternal Mental Health Hotline at the upcoming Maternal Mental Health Month webinar:

Thursday, May 18 from 12-1 pm ET
Register Here

Dawn Levinson (HRSA) will highlight the National Maternal Mental Health Hotline and two Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees in Illinois and Minnesota share how they are addressing maternal mental health in their communities.

This webinar is part of a series hosted by HRSA’s Office of Intergovernmental and External Affairs to highlight HRSA programs and resources to improve maternal health and well-being across the lifespan.