PCMS Blog

Posts for: March, 2019

By Tom Greidanus, MD, PCMS President 2018-2019

Following the PCMS symposium on wellness and other reading I’d done on the topic, it became clear to me that I am at high risk for burnout. You may share some of my personal risk factors: I do shift work, am in the field of emergency medicine, take work home with me as medical director, am in a private practice, am a mid-career physician, and feel frustrated with cumbersome computerized physician order entry (CPOE).

I was interested to see a recent article by the AMA that says we – physicians feeling burned out or at risk of burnout – need to, among other things, identify organizational and health care system factors that increase risk of distress for health care professionals. The AMA offers an open-access platform – STEPS Forward – that provides more than 50 modules with actionable, expert-driven strategies and insights supported by practical resources and tools. I urge you to reach out to your loved ones, colleagues or PCMS if you’re feeling overwhelmed. You are not alone. To access the AMA’s STEPS Forward modules, click here.


Jim Lovell was the first person to fly into space four times. He is one of only three people to fly to the moon twice. He and his crew saved what would have otherwise been a disastrous Apollo 13 mission and guided the ship and crew safely back to earth.

He is quoted as stating “there are people who make things happen, there are people who watch things happen, and there are people who wonder what happened. To be successful, you need to be a person who makes things happen.”

To quote from our CMS board of directors’ packet for our upcoming meeting:

“The 2018 election cycle outcomes put health care front and center: The governor has pledged universal coverage and saving people money on health care. He is working with a willing legislative branch. Scope of practice expansions (midlevel providers including NPs, PAs and CRNAs) are potentially viable.

Voters and policymakers increasingly identify the rising costs of health care and health insurance as a critical problem. Rising costs continue to squeeze personal pay raises, businesses spending on growth, and public-sector funding on key Colorado issues like roads/transportation, education and jobs. Colorado hospitals are the current targets for the media, the Polis Administration, and many in the legislature over increased costs, excessive profits and high administrative overhead.

The Denver Metro Chamber of Commerce (DMCC) and other chambers/business coalitions will help drive efforts to contain costs via future legislation, regulation and voluntary efforts, marking the first time in decades that many chambers have meaningfully engaged on health care issues. These efforts will occur whether or not there is consensus on solutions by other stakeholders.”

The business community will be more than happy to tell physicians what to do if we do not speak up.

If physicians want to avoid being a part of the “wondering what happened” group, I strongly advise you to get involved and to have a voice in what is occurring. Please get involved with Pueblo County Medical Society (PCMS) or CMS. We are working to strongly position ourselves to be involved in these discussions but will struggle to do it without your help. PCMS has recently met with Rep. Daneya Esgar, will be meeting with Sen. Leroy Garcia, and has sent a congratulatory letter to the newly elected mayor of Pueblo, Nick Gradisar. To help, come to our meetings (our next one is Tuesday, March 26, 2019, at 5:30 p.m.; RSVP to [email protected]). Invite those who are not members to join. Participate in Central Line. More than anything, become involved with the process of making decisions at some level. Thank you for all the wonderful work you do and we hope to see you at our next meeting!