White is the new look for fall

sep me cover

On July 28, 2013, the University of Louisville welcomed the Class of 2017 medical students. As an annual contribution to each new generation of emerging physicians, the Greater Louisville Medical Society purchases the students’ first white coat. As President, it was my honor to congratulate the students on behalf of the Greater Louisville Medical Society. Here are my remarks from the podium.

share in an adventure gandolf

“I’m looking for someone to share in an adventure.”

Fans of the author J.R.R. Tolkein, will recognize this as the challenge Gandalf the wizard made to the hobbit, Bilbo Baggins. This is, among other things, an adventure.

I am honored to be here on behalf your medical society – The Greater Louisville Medical Society – to congratulate you on this milestone. At close to 4000 members, we are one of the largest in country. Our mission is to: promote medicine as art and science, advocate for the wellness of our community, and protect the patient – physician relationship.

Today is a big day for you and for us. Today is a milestone along the road that will lead to a your joining our ranks. Today you are not only putting on your white coats, but you are also becoming members of the Greater Louisville Medical Society. To help you stay connected you will have access to our mobile app, where you can get alerts, educational materials, and access information about your new GLMS colleagues. As sponsors of the White Coat Ceremony, your medical society colleagues are honored to provide: your first white coat, provide, your medical society pin, membership in the Greater Louisville Medical Society, professional photographic portrait of you in your new white coat. We are your colleagues, here to support you, and we welcome you.

The Greater Louisville Medical Society has strong ties to the University of Louisville. Most of our members either graduated from the University or did post-graduate training there. I am proud to call myself a graduate of the University of Louisville Medical School Class of 1985.

Back when I was in your shoes, we did not have a white coat ceremony. Back then they wouldn’t let us wear a white coat until third year, much less actually touch a living patient. I wish we could have had a ceremony like this. That is why I invited my own family to come today. This is a special day for you and for your family and friends who have supported you. To these special people in your life, I also offer my congratulations and my gratitude.

Gratitude, yes, because you have chosen a path that is not easy and does not compensate you materially for the years spent, the sacrifices, the risks – financial, physical, emotional. But it is indeed an adventure.

As I look out upon you I see a discovery. I see a cure. I see lives saved from disaster. I see longer, better, meaningful lives. I see a suicide prevented. I see a critically ill baby saved. I see an aneurysm removed. I see a heart murmur discovered. I see a cancer detected because you followed up on the red blood cells you saw in the urinalysis report.

I also see heartache, depression, fractured lives, and failures. It is all part of the path you have chosen to follow. You may not know all the reasons why you are sitting here today. I don’t think I knew. But every day, from this day forward you will be finding answers.

The white coat itself is significant. I remember the day I finally got mine. We walked around the medical complex and even went to eat lunch in one of the hospital cafeterias. In my 3rd year of medical school Dean Ganzel was my attending on rotation through Otolaryngology. On the last day she, so graciously, took her four medical students to lunch. We ate lunch at the Kentucky Center for the Arts in our white coats. The coat meant something. It said something to the world.

9403531070_63bc08e2e1_o

I have worn many white coats since them – short, long, in between – but whenever I put on the coat it still has meaning. It speaks. So I wondered what the message would be if instead of me, my white coat could says a few words. Well, my white coat and I discussed it and now, on behalf of my white coat, I offer this:

a white coat
I symbolize
the goals you hope
to realize

a white coat
my color’s pure
to show your values
will endure

a white coat
I will glisten
if you can try
to mostly listen

a white coat
in my presence
comfort, care and
convalescence

a white coat
wear this fashion
only if
you share my passion

a white coat
for my profession
put patients first
make no concession

a white coat
answer alarm
with answers that
first do no harm

a white coat
hear the calling
wear me when
you lift the falling

a white coat
my fabric must
be nothing but
a weave of trust

a white coat
ability
tailored with
humility

a white coat
a solemn oath
a way of life
or maybe both

a white coat
I’m going to
forever be
a part of you

Dean Ganzel, colleagues, friends and families, Mom, I thank you for this day. And to the class of 2017, I congratulate you and welcome you. For those who hear this calling there is no greater professional honor than to wear that white coat and hear the words, “That’s my doctor.”

Looking out at you, it is clear that I have found someone to share in an adventure.

Gandalf_the_White_returns

… and the white look is very becoming, I must say.

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This year’s White Coat Ceremony was held on July 27, 2014 and is the subject of current GLMS President, Dr. Bruce Scott’s September eVoice.

bruce evoice

 

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Continuity of Care

TourtheTower

On June 1, 2014 at Louisville’s historic and newly renovated Water Tower, the Greater Louisville Medical Society held its annual Presidents’ Celebration.

crowd at watertower

As outgoing president I had the honor of introducing Dr. Bruce Scott – my esteemed colleague and childhood friend – as our new President. I also thanked some of the many great folks who worked so hard to make this the most satisfying year of my professional life.

pat and bruce screen

Before I handed over the President’s gavel to Bruce and assumed my new role as Chair of the GLMS Board of Governors, I had this to say…

pat podium

A year ago, as your newly elected President, the last words I said on that stage were:

The Greater Louisville Medical Society is our organization, our tribe, our road to a place where medicine is both science and art, where our community enjoys wellness, and the sacred bond between our patients and us is secure. And my goal this year is to see us united.

murphy speech at pres celeb

It’s one year later, and our profession is under attack as never before. Physician burnout is an epidemic. This is why, more than ever, we must be united.

Back in the day, physicians were a more homogenous group. There were fewer specialists. We shared common values and common goals.

Now government, employers, specialties, patients, and family pull us in many directions. There is an ever-increasing burden for maintenance of board certifications and licensure. Each separate payer and practice facility requires its own credentialing. Medical liability risks keep mounting. The insatiable quest for quantifying quality with data points and benchmarks threatens to crush our creativity and mandate cookbook-style care. Rival non-physician tribes continuously grab pieces of what used to be our acknowledged scope of practice.

How do we respond? All too often by retreating to presumed “safe houses” provided by the one, two, three or more specialty societies each of us believes offers the most protection of our turf.

Got to survive, you know.

The irony is that these refuges are not safe at all. They are static. Stationary. It makes us benign targets for attack by all who would prefer a leaderless mechanized conveyor belt of universal one-size-fits-none healthcare. This sanctimonious deconstruction of our profession is done in homage and servitude to the inscrutable holy trinity of cost-effectiveness, quality, and value.

Survive?

Why not thrive!

Regardless of where your professional journey has led, you and I and our colleagues remain connected at our roots. We still share common values and must share common goals. We are physicians by education, oath, and calling.

And more…

We love our profession.

We love humanity.

And we love each other.

That is why we get up every day, put on our white coats, and go out to save the world.

Because it must be saved.

And we know…

We are the ones who must do it.

United.

gavel trophy

ANSWER THE CALL

WOLF CALL

Since tax season is upon us, and you may be feeling the wolf at your door, I thought it useful to take a look at the importance of RETURN ON INVESTMENT…

Balance-Scale

Value. 

There is value when benefit outweighs cost. 

I was hoping to sell you on the value of belonging to the Greater Louisville Medical Society, the Kentucky Medical Association, and the American Medical Association. I thought about listing the savings from members-only programs. Or maybe the marketing, career development, and educational benefits might have impressed you. Charity, advocacy, and research could have been extolled.

I thought about asking you to go online to the Texas Medical Association’s “ROI Calculator” and input your specifics.  I even thought about the It’s a Wonderful Life angle – depicting a world where these physician organizations never existed.

potter

But how can there be a list of each valued benefit if one does not know which benefits are most valued by each individual?

Then I realized something.  I know you.  I can see through your eyes, because I am like you.  At some branch in our medical family tree we are blood kin.

I know you do not want to be forced to follow cookbook recipes for efficiency or some computer software’s definition of quality. You want the freedom to relate to your patients as individuals – not as record numbers and diagnosis codes. You want to be compensated adequately and fairly. You want to answer to a higher calling than a checklist of outcome measures.  You want to practice the art and science of medicine.

You want to be what you studied all those years to be, what you risked your health to be, gave up your precious time with family to be, went into debt to be, lost countless hours of sleep to be, worked endless hours on-call to be, got bloody to be, risked getting sued to be, what the core of your being demands you to be.

Physician.

white coat standing

By the time you see this article, I will have had the honor of addressing the University of Louisville Medical School incoming freshman class. It is a tradition called the White Coat Ceremony.   To don the gleaming garment symbolizes to the world, “I am called to a noble and trusted order of healers.” Years later their journey will culminate with acceptance into our family.

But will our family have a home in which to welcome them?  Or will we be living in cookie-cutter communes – designed for us but not by us?

Your Greater Louisville Medical Society is a home built by physicians, for physicians – regardless of who pays the salaries, the benefits, or the dues.  It is a home where you can find comfort, support, and refuge.  It is a place to focus, strengthen, coordinate, collaborate, and advocate.  It gets to the heart of why we went into medicine – to use our gifts, through dedication and hard work, to improve the human condition. And the KMA and AMA are extensions of this home.

Think back to when you were happiest as a physician. It was probably when you did something that was completely selfless, without any concern that the benefit outweighed the cost, without consideration of a return on investment.

op smile

You delivered the breech baby, clamped the bleeding artery, discovered the tumor in time, followed up on the lab test that saved a life, comforted the dying patient or the grieving family.  In moments like these, when cost is irrelevant, you become the quintessence of your calling.

In The Call of the Wild, Jack London wrote:

There is an ecstasy that marks the summit of life, and beyond which life cannot rise. And such is the paradox of living, this ecstasy comes when one is most alive, and it comes as a complete forgetfulness that one is alive.

For us, this ecstasy comes when we invest in our calling, and it comes as a complete forgetfulness that there be a return on that investment.

doctor-whitecoat-615x311

We are physicians.

This is our core value.

Cost is irrelevant.

Answer the call.

eVoice pic

Note: This article was first published as the Greater Louisville Medical Society President’s eVoice, August 2013.

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James Patrick Murphy, MD, MMM is President of the Greater Louisville Medical Society 2013-14.  Dr. Murphy’s blog is The Painful Truth. He can be found on TWITTER  @jamespmurphymd.  His President’s eVoice and other communications & videos can be accessed at the Greater Louisville Medical Society website.

You Tweet Me! You Really Tweet Me!

sally-field-oscar

It’s Oscar season, so I thought it would be fun to take a look back at some of this year’s most memorable Twitter performances. The envelope please…

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Best Quote   http://goo.gl/jcHm5H

Confluential Truth ‏@jamespmurphymd  May 24

“…pay attention when your loved ones are speaking, as if it were the last time you might hear them.”

Mitch Albom, “Tuesdays with Morrie”

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Best Original Concept  pic.twitter.com/gzUs8hoOrx

Confluential Truth ‏@jamespmurphymd  Feb 15

our eyes met

how inspiring she is to me

we hugged

confluential truth http://goo.gl/jYzssi 

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Best Inspirational Tweet  pic.twitter.com/QElPmmk4Ef

Confluential Truth ‏@jamespmurphymd  Feb 10

I was a bit nervous much of the time. Now, dialing my cell phone, I was a bit nervous again. http://goo.gl/N235Ef 

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ht_jill_brzezinski-conley_paris_the_light_that_shines_sswm3_jt_130209_wmain

Best Supporting Tweet  pic.twitter.com/1lx2UyITx1

Confluential Truth ‏@jamespmurphymd  Feb 3

Tragedy, triumph, perseverance, and love @lauraungarcj chronicles Jill’s battle with cancer http://goo.gl/pxWopE 

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KEL ON SKI

Best Original Photo (tie) pic.twitter.com/Jzr4Bt0l8X

Confluential Truth ‏@jamespmurphymd  Dec 2

Interested in #pain? #Law? #Regulations? #Guidelines? I break down Indiana’s new pain rules at http://jamespmurphymd.com 

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journey for truth

Best Original Photo (tie) pic.twitter.com/poK2LTWHvQ

Confluential Truth ‏@jamespmurphymd  Jan 2

Searching for truth in 2014 https://jamespmurphymd.com/ 

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harmacy 2

Best Original Ironic Photo http://goo.gl/Vfp4Qt

Confluential Truth ‏@jamespmurphymd  Oct 6

National Substance Abuse Prevention Month 2013 http://wp.me/p3C62j-h 

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elf

Best Disturbing Photo pic.twitter.com/mxJoNI4jhN

Confluential Truth ‏@jamespmurphymd  Dec 20

You’ve ratted me out to Santa for the last time… the #shelf on the #elf

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Best Use of a Sports Metaphor  pic.twitter.com/fdGZaPU1Js

Confluential Truth ‏@jamespmurphymd  Jan 17

GLMS on a fast break to a healthier #Kentucky. But it’s not a slam dunk. We need your assist. http://goo.gl/2VBmJY 

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gravity small

Best Use of a Movie Reference  pic.twitter.com/6tyJNoprD4

Confluential Truth ‏@jamespmurphymd  Jan 18

Understand the #GRAVITY of the situation. Prescribers, take back your universe… with #OPIOID http://goo.gl/2dUZxI 

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ensemble

Best Ensemble Performance  pic.twitter.com/igkE0hia69

Confluential Truth ‏@jamespmurphymd  Feb 11

This #OPIOID thing didn’t just happen. Here’s to the people who gave us OPIOID… http://goo.gl/ABQdoM 

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Best Stunt in a Motion Picture http://goo.gl/RzvsNH

Confluential Truth ‏@jamespmurphymd  Oct 10

#NSAPM Day 10 How can you avoid being addicted to your pain meds? It helps if your doctor can juggle. I try it at: http://www.courier-journal.com/article/20120604/NEWS01/107100009 …

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Best Performance on a Local News Channel http://goo.gl/f8GEqn

Confluential Truth ‏@jamespmurphymd  Nov 26

Eric Flack’s #WAVE 3 Troubleshooter piece on #Concierge #Medicine was fair to both sides… and me. See for yourself: http://www.wave3.com/story/24064989/critics-fear-boutique-doctors …

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Best Performance on Public Television http://goo.gl/8m3L8X

Confluential Truth ‏@jamespmurphymd  Oct 15

Day 15 of #NationalSubstanceAbusePreventionMonth: Dr. Murphy talks pain and addiction with Dr. Wayne Tuckson on KET: http://www.ket.org/cgi-bin/cheetah/watch_video.pl?nola=KKHEA%20000902&altdir=&template= …

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Best Performance on Radio  http://goo.gl/w7D8vB

Confluential Truth ‏@jamespmurphymd  Jul 2

WED 7/3/13 @ 9 am – GLMS Pres Dr Murphy is on The Joe Elliott Show AM 970 WGTK  http://goo.gl/rNGHRx

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bleed red

Best Non-medical Tweet http://goo.gl/kBOE0q

Confluential Truth ‏@jamespmurphymd  Jun 16

Thanks Mike Rutherford for giving Louisville Medicine a spotlight. The Card Chronicle blog is witty & well written http://www.cardchronicle.com/2013/6/11/4420106/tuesday-evening-cardinal-news-and-notes …

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flag 2

Best Patriotic Tweet  http://goo.gl/dBL3gW

Confluential Truth ‏@jamespmurphymd  Nov 11

Veterans Day With J.P. Murphy http://wp.me/p3C62j-2d 

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Best Advocacy Tweet  http://goo.gl/zUSpU8

Confluential Truth ‏@jamespmurphymd  Nov 26

Be a Good Samaritan http://wp.me/p3C62j-32 

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Best Commentary  http://goo.gl/5zZ3Nj

Confluential Truth ‏@jamespmurphymd  Dec 21

Dr Gupta, Seriously? http://wp.me/p3C62j-52 

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ghost

Best Original Musical Score  pic.twitter.com/4mZO4uCm9W

Confluential Truth ‏@jamespmurphymd  Oct 25

Dear fiends, I mean FRIENDS… a painful ghost story, sure to raise your Halloween spirits http://vimeo.com/77715467 

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you tube dr pat

Best Original Song  pic.twitter.com/jgUWQJib0u

Confluential Truth ‏@jamespmurphymd  Feb 21

Take advantage of my craziness before they come and get me http://goo.gl/IZ0LXR 

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karen neck

Best Original Poem (tie)  http://goo.gl/On3oi1

Confluential Truth ‏@jamespmurphymd  Jan 29

to interlope to offer hope through some relief tiny solace enough to cope – an excerpt from “The Algiatrist” http://goo.gl/IIkvkp 

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white coat standing

Best Original Poem (tie)  http://goo.gl/aoJrfI

Confluential Truth ‏@jamespmurphymd  Dec 27

a white coat http://wp.me/p3C62j-5w 

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Best Adaptation – Written Word  http://goo.gl/KI8BRk

Confluential Truth ‏@jamespmurphymd  Dec 24

HOLIDAY POEM FROM GLMS PRESIDENT http://conta.cc/19eakKk  via #constantcontact

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zohydro

Best Adaptation – Written Word (Hon. Mention) pic.twitter.com/mJ5ZhMSWy6

Confluential Truth ‏@jamespmurphymd  17h

No bologna! My #ZOHYDRO thoughts appear on page 4 http://goo.gl/yNzheP  of Sunday’s C-J http://www.youtube.com/watch?v=rmPRHJd3uHI …

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who you are

SPECIAL AWARD

Best Pre-Twitter Era “Thought For The Day” pic.twitter.com/c1uwmXnpfk

Confluential Truth ‏@jamespmurphymd  Feb 4

Feb 4, ’79 and 19 year old me was learning how to define himself. How do you define yourself? http://goo.gl/itw7YU 

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And the award for BEST MOTION PICTURE goes to…

pat and silvie

http://goo.gl/06JerG

Confluential Truth ‏@jamespmurphymd  Jun 9

watch me get heckled 🙂 it’s a call to take charge of our future! please share it with your friends! http://vimeo.com/67679697 

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dr m at kma

I want to thank the Academy.

Leadership Louisville Comes to The Old Medical School

old school now

On January 7, 2014 the current Leadership Louisville class met at the Greater Louisville Medical Society Foundation’s “Old Medical School Building.” Here is a portion my welcome…

white coat

There is a lot of history in this room.

old_military at med school

The building was opened as a medical school in 1893 and has withstood The Great Depression, floods, two world wars, and the wrecking ball. It stands as a testament to the passion, resiliency and dedication of the medical profession. Today Leadership Louisville adds to that legacy.

Your director, Aaron Miller, asked me if I was “glad to be standing on this side of the podium” since I was a member of last year’s Leadership Louisville class.

“Sure,” I said. But I also enjoyed my time sitting in front of the podium in 2013. My days with Leadership Louisville were great. It was fantastic hanging out with dynamic people, focusing on topics relevant to the success of our city, making new friends outside of my medical cocoon, and taking a break from my cell phone to engage personally with diversely talented people.

So, why here? Why today?

In the last decade Louisville has shifted from an industrial to a service economy; with an emphasis on health care delivery. In fact, six of Louisville’s ten largest employers are in health care.

The Greater Louisville Medical Society is out in front of this transformation.

Our success is tied to our mission: “…to promote the art and science of medicine; to protect the patient-physician relationship; and to ensure the health of our community.” This journey is comprised of advocacy, education, creativity, mission work, public health, and philanthropy.  Our vehicle is our organization. Our structure is built by bonds of trust.  And our engine is fueled by our passion.

There are many illustrations of our commitment to this mission. These include the cutting-edgePulse of Surgery” program for students at the Louisville Science Center; the world-renowned Healing Place Addiction Recovery program; Supplies Over Seas, sending life-saving medical supplies and equipment to impoverished countries; and the OPIOID safe prescribing initiative, combatting prescription drug abuse. These and other efforts were born of GLMS member collaborations.

There is one program in particular of which you should take note – our “Wear the White Coat” internship program. Every year we team community leaders with physicians from various specialties and allow them to spend a day walking in the shoes of a physician. Later the group reconvenes in the very room you are in now to share. We physicians learn as much from our “interns” as they learn from us. At the end, everyone feels connected, hopeful and inspired.  Each of you will be invited this year.

old school postcard

So, there is a lot of history in this room. But there is a lot of future too.

Thanks for being here and being a part of that future.

 me and business with the residents

James Patrick Murphy, MD, MMM is President of the Greater Louisville Medical Society, Medical Director of Murphy Pain Center, and Assistant Clinical Professor at the University of Louisville School of Medicine. He is an alumnus of the Leadership Louisville Class of 2013. On his application to Leadership Louisville, he answered the question: “What is the best kept secret about Louisville?” with The Greater Louisville Medical Society. If you are reading this, hopefully it is not a secret any longer.

a white coat

caring hands copy 2

a white coat
I symbolize
the goals you hope
to realize

a white coat
my color’s pure
to show your values
will endure

a white coat
I will glisten
if you can try
to mostly listen

a white coat
in my presence
comfort, care and
convalescence

a white coat
wear this fashion
only if
you share my passion

a white coat
for my profession
put patients first
make no concession

a white coat
answer alarm
with answers that
first do no harm

a white coat
hear the calling
wear me when
you lift the falling

a white coat
my fabric must
be nothing but
a weave of trust

a white coat
ability
tailored with
humility

a white coat
a solemn oath
a way of life
or maybe both

a white coat
I’m going to
forever be
a part of you

 

James Patrick Murphy, MD
July 28, 2013

white coat standing

On July 28, 2013, the University of Louisville welcomed the Class of 2017 medical students. As an annual contribution to each new generation of emerging physicians, the Greater Louisville Medical Society purchases the students’ first white coat. It was my honor to congratulate the students on behalf of the Greater Louisville Medical Society. I composed the poem, “a white coat,” for the occasion and read it aloud for the first time at the White Coat Ceremony (Louisville Medicine, Sept 2013, pp. 20-22).

https://www.glms.org/Content/User/Documents/Publications/LouisvilleMedicineSeptember2013.pdf