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Washoe County Medical Society
Reed Dopf President

We’re Your Seat at the Table

NSMA and WCMS represent you before, during and after the Legislature meets. We ensure that Nevada’s physicians have a seat at the table when regulatory boards, committees and the legislators meet to discuss the practice of medicine and delivery of health care. Being a member gives you an extra boost in that you can share your opinions as priorities are being set. Our voice could be louder and clout greater if each one would one recruit one member this year.

Our 2019 priorities were established through the NSMA House of Delegates and Catherine O’Mara’s many long hours at meetings representing NMSA and our county societies.

2019 Priorities: We are working to:

Opioid Law Refinement: Revise the law to keep certain patient protections in place, enhance clinical judgment, allow multiple practitioners to more easily provide patient care and reduce workflow burdens.

Medicaid: Ensure access to care under for all patients including Medicaid patients. This includes Medicaid reimbursement and reducing administrative burdens for physicians participating in Medicaid.

Surprise Lapse in Coverage for Emergency Services: Fight for fair payment for physicians who provide services to patients in emergency settings.

Tort Reform: Address challenges to Keep our Doctors in Nevada (KODIN), including the caps for non-economic damages.

Maternal Mortality Review Panel: Establish a Maternal Mortality Review Panel to study causes of maternal mortality that result in identifying best practices.

Insurance Issues: Reduce regulatory burdens such as prior authorization, step therapy and other insurance policies that may negatively impact patients.

Mandatory E-Prescribing: Oppose mandates without appropriate exemptions and flexibility to ensure that physician practices can modernize without penalty.

Highlights of 2017 Successes

2016-2017 Regulatory Successes

  • Defeated a dental board regulation authorizing dentists and dental hygienists to administer botulinum toxin (“Botox”) and dermal filers.
  • Defeated a Board of Health regulation requiring all providers of care to report actual or suspected cancer to the Cancer Registry or face a $25,000 fine.
  • Lobbied to pass a new regulation allowing physician prescribers to delegate the transmission of an electronic prescription to a designated agent such as an RN, MA or scribe.
  • Negotiated a Board of Medical Examiner’s regulation providing common sense guidelines for physician oversight of a medical assistant.

2017 Legislative Successes

  • Secured Governor’s veto of an insurance bill banning balance billing and capping fees for out of network health care services to the insurer’s economic advantage.
  • Negotiated with the Governor’s office to ensure new opioid legislation preserves clinical judgment and avoids draconian prescribing caps found in other states.
    Improved a collaborative pharmacy bill ensuring that physician’s oversight and clinical judgment directs the patient care and clarifying in Nevada law that pharmacists do not diagnose.
  • Secured provision to reduce to three days the time a pharmacist must notify an ordering physician of the substitution of any interchangeable biosimilar.
  • Negotiated a common-sense revision to a proposed partnership bill allowing physicians and psychologists to form partnerships and still protects the tenets of Nevada’s implied prohibition of the corporate practice of medicine.
  • Defeated a measure criminalizing and prohibiting a physician from performing a procedure deemed to reassign the anatomical sex of a patient, including relocating the urethral meatus, unless the child assented to the procedure.
  • Removed physicians from a bill assessing a “provider tax” on all physicians to leverage monies for Medicaid funding.
  • Supported legislation requiring regular review and adequacy of Medicaid payment rates.
  • Secured Governor’s veto of a bill allowing any Nevadan to purchase Medicaid without limitation.
  • Protected patients from unskilled application of botulinum toxin (“Botox”) by limiting licensed professionals who may administer and requiring administration in medical facilities only.
  • Protected Ambulatory Surgical Centers from attempts to force certain procedures into hospitals.
  • Negotiated the reduction of proposed mandatory CME for suicide prevention from 3 CME units every two years to 2 CME units every four years.
  • Worked with Board of Medical Examiners to authorize them to take possession of records due to physician death or another incapacitation.
  • Supported a bill to place burden of supplying medical records on custodian of records instead of every physician who had seen the patient and reduced related penalty.

To support our advocacy, renew your membership, recruit a member and make sure you legislative updates by emailing



Reflections from the Dean

In December, we celebrated the close of one of the most extraordinary years in the history of the University of Nevada, Reno School of Medicine. UNR Med emerged as a “new” school, but one with a 50-year history and a tradition of educating health care professionals and scientists who go on to serve the community, the state and the world.
In 2018, we continued to be deeply engaged with our community. We formed many new partnerships that led to several new and impactful programs. We put building blocks in place to expand our clinical services, our teaching network and research opportunities.
As we begin our new year, I reflect on a few highlights from 2018 that were transformative to our school and communities we serve:

  1. UNR Med, in partnership with Renown Health, launched the first Physician Assistant Studies Program in the Nevada System of Higher Education, a program that will help address the critical need for more health care clinicians in Nevada. The first class of 24 students began instruction in July 2018 and will graduate work-force ready in August 2020.
  2. UNR Med’s new department of OB/GYN opened a Women’s Health Center, an outpatient clinic on the University campus providing obstetrical, gynecological and midwifery care to women in Reno and northern Nevada.
  3. In collaboration with community health care partners, UNR Med launched a Reno-based Department of Surgery to keep pace with the increasing level of student interest in surgical careers. The department’s programs provide medical students with enhanced hospital and clinic-based education at Renown Health, the VA Sierra Nevada Health Care System and offices of outstanding northern Nevada-based surgical groups.
  4. In partnership with Nevada Health Centers, UNR Med started a new Elko Family Residency Program, expanding the school’s rural campus and commitment to providing high-quality health care to rural Nevadans. The program has four residents and will expand to six residents in July, serving primary care needs of patients in Elko and the surrounding area.
  5. We kicked off a yearlong 50th anniversary celebration, which will culminate with a Golden Gala celebration on Saturday, March 16. In addition to a yearlong celebration of events, we unveiled a 50th anniversary website reflecting the developments and achievements of the School of Medicine since its establishment. I encourage you to tour the website to learn more about UNR Med’s anniversary, including a historic timeline, oral histories and upcoming events.

I extend my deepest thanks to our faculty and staff members, learners, campus colleagues, community faculty members, community health care partners and the community for helping make our many successes possible.

2019 President's Speech

We have some great momentum that I’m lucky to have inherited. Ron has led with energy and enthusiasm. His friendliness makes people comfortable, then he dazzles with a new MBA to seal the deal. Yes, Dr. Swanger completed his MBA in 2018, as our society president, exceptional radiologist and full time father of four boys. Quite a bar to set.

My family is here this evening. My beautiful partner Marcio Decker, my lovely mother Gloria, sister Cara, my best friends Dr. Brandi and Mr. Anthony Kindig, wise counselor Aaron Fricke, my mentor Dr. Steven Phillips…so many others. You make life rich, the reason for all the hard work.

I’ll add my thanks to Ron’s in recognizing our 2018 board and committees for their contribution to our momentum. I especially want to thank Sherrie Hald and Hardeep Dhindsa as they complete their terms. It has been a pleasure serving with you.

Welcome to our incoming board members Bayo Curry-Winchell, Tom Christensen, Christine Lajeunesse and Ali Nairizi. Your energy, guidance and expertise will be wonderful additions in 2019.

This year, we will continue to increase the educational and networking opportunities for our members and their colleagues—our prospects. We plan to hold four large member events, including the popular Bartley Ranch family picnic. In February we’re starting monthly happy hours at the Renaissance in the Shore Room. These will be informal gatherings with a focus on promoting WCMS to our non-member colleagues.

We will further engage our core members, in collaboration with our student and resident physicians. Maintaining momentum from 2018, when we added board positions for medical student and resident physicians. Their perspectives are invaluable, their input is key in helping to establish goals for future society endeavors. Last year, were able to have two student delegates participate in the NSMA House of Delegates. Thank you, Dr. Morgan and the team at Sierra Neurosurgery for providing generous financial support to make that happen. One of our guest columnists in the Communicator is Anita Savell, a second-year medical student, sharing her journey through undergraduate medical education. Her musings bring back fond memories for all of us. We will continue to use these collaborations with the School of Medicine and other professional organizations to increase our CME offerings in 2019.

We will soon share details of our corporate dues package, an idea brought forward under Ron’s leadership and key to obtaining membership fees from our largest partner groups. But I ask that we take from this room a commitment for each of us to bring one new member this year. The endorsement of a peer is far more valuable than any ad, email or brochure that may cross your desk. So, I challenge each of you to bring in a member and help that person get engaged.

Reed Dopf President
Reed Dopf President with Dog

Good Evening Ladies, Gentlemen and Honored Guests!

Thank you all for coming tonight to celebrate another year of collaborative community healthcare. The Washoe County Medical Society has long partnered with local organizations and will continue to work closely with the healthcare leaders in our community. This past year we continued the tradition of meeting with the leadership of each of the major hospitals in our community, adding the VA this year. We strengthened our partnership with UNR at our 2nd annual Bartley Ranch Family Picnic to help the Women and Children’s Center of the Sierra. We also had more opportunities for physician social engagement than any previous years, including the Eddy downtown where several UNR medical students joined in the festivities.

Despite all the progress this year, there is still much work left to be done. WCMS debuted its re-vitalized website, which looks amazing. But the database, a critical tool for the success of the society, has been slower to launch. In the near future you can expect to receive an e-mail notifying you of your personal database. Please take the 10 minutes or so to update and fill in any incomplete information. This will allow you to receive important text message reminders the day of CMEs, social networking events, and critical political action updates directly related to your own district.

Finally, I would like to greatly thank my immediate past president and friend Andy Pasternack, IV, for all his help this year. I also must express my sincere appreciation to the officers, board of directors, committee chairs and members who volunteer their time to help our organization succeed. A heartfelt thank you to Mary Ann and Wendy for an amazing job this past year. Thanks to my partners at Reno Diagnostic Centers. Lastly, I would like to thank the most important person in my life, my wife, Diane. She is so much smarter than me and has sacrificed her career for the benefit of my career and our family.

Thank You and Good Luck Reed!

WCMS Swanger Past President and Dopf President

Highlights of the 2018 Mid-term Election: NSMA prepares for the 2019 Legislative Session

By Catherine M. O’Mara, JD

Call it a blue wave, call it a pink wave, there is no question that the November 6 mid-term election shifted the nature of policy-making in Nevada. Citing healthcare as a primary concern, Nevada voters elected record numbers of Democrats and women in races for both federal and state office. Expect to see healthcare a key topic in Carson City come February.

For the first time in state history, Nevada will send a Congressional delegation to Washington D.C. that includes more women than men. Democratic Congresswoman Jacky Rosen defeated Republican Incumbent Dean Heller joining Senator Catherine Cortez-Masto as Nevada’s second-ever female Senator. Nevada retained Dina Tinus in CD1, elected Susie Lee to CD3, and re-elected (after a defeat in 2014) Steven Horsford to CD4, all Democrats. Nevada elected only one Republican to the Congressional delegation, Mark Amodei representing CD2.

Statewide, Steve Sisolak won the race for Governor, becoming the first Democrat to take the highest state office for the first time since 1999. Democrats also won every constitutional office except Secretary of State, held by Barbara Cegavske. Democrats earned a super-majority in the Assembly winning 29 seats to the Republicans’ 13 and picked up 2 seats in the Senate, just narrowly, by 28 votes, failing to turn a third Senate seat necessary to achieve a super-majority in the Senate and a veto-proof Legislature.1 In the Senate, Democrats hold a 13-8 advantage over Republicans.

Nevada sends a female majority (22 of 42) to the Assembly. In the non-partisan races for Nevada Supreme Court, voters retained Lidia Stiglich and elected two additional women, Elissa Cadish and Abbi Silver, creating a female majority on the state’s highest court for the first time in state history.
Three vacancies will need to be filled by county commissions. In Assembly District 36, notorious Republican Dennis Hof, who died during the pendency of his campaign defeated Democrat Lesia Romanov. The county commissions of Nye, Clark, and Lincoln will soon appoint a Republican to that seat. But look to Democrats to fill two Senate seats vacated by Tick Segerblom and Aaron Ford. Segerblom won his race to the Clark County Commission and Ford was elected Attorney General.2

Preparation for 2019 Session

We expect 2019 to a healthcare legislative session. Since the close of last session and with the guidance of our contract lobbying team, the Perkins Company, NSMA’s Government Affairs Commission (“GAC”) has been preparing our policy agenda. In February, the GAC will reform into our Legislative Core Group and will meet most Mondays through the session.

NSMA’s key policy objectives for the next session include refining the opioid law and improving public health through the establishment of a Maternal Mortality review. During the interim NSMA participated in working groups on Medicaid buy-in proposal and legislation that seeks to ban the practice of balance billing. Governor-elect Sisolak has stated that he will sign legislation that bans balance-billing, and NSMA will continue to fight for a fair resolution for patients and physicians that encourages contracting and protects access to care. We are prepared to engage in legislation challenging tort reform, pertaining to scope of practice, mandatory electronic prescribing, drug prices, funding for GME and Medicaid, and insurance issues including covered benefits, step therapy and prior authorizations, among many others.

We expect several tough fights and we encourage you to join us in our efforts by providing input on matters impacting your practice and please challenge your colleagues to join as members of WCMS/NSMA. Plan to join us in Carson City for Nevada Physician’s Day at the Legislature, Monday, February 25, 2018 in Carson City. Keep reading the WMCS Newsletter and watch for NSMA electronic updates on policy proposals impacting physicians. To get more involved and ensure you are receiving our updates, please contact NSMA today.

With healthcare playing a huge role in the outcome of the 2018 mid-term election, we expect insurance affordability and access to care to be at the forefront of debate both nationally and in Nevada. Whether we are working to advance patient and physician-friendly legislation or playing defense against policy proposals that seek to undermine patient care, NSMA will continue to advocate for you, our physician member!

1Republican Keith Pickard narrowly won Senate District 20 by 28 votes. At the time of writing, Julie Pazina has officially requested a recount.
2Notably, Ford’s victory makes him the first African American to win a statewide race in Nevada.

Governor-Elect Steve Sisolak (D)

Governor-Elect Steve Sisolak (D)


Senator Kelvin Atkinson (D)Majority Leader

Senator Kelvin Atkinson (D)Majority Leader


Assemblyman Jason Frierson (D)Speaker

Assemblyman Jason Frierson (D)Speaker

A Heartfelt Thank You

As I write this brief article, Thanksgiving is just a few days away and the chaos of the holidays is right around the corner. This time of year always gives rise to reflection about the past year and I ask your indulgence to take off my attorney hat for a moment and diverge from offering words of legal insight in this article and instead offer words of thanks.

I have the privilege in my professional life to represent an array of individuals who have dedicated their careers to health care. This has allowed me the opportunity to observe the amazing commitment and devotion of these wonderful people to the patients that they care for.

In this era of ever-changing legal regulations, reduced reimbursements and a seemly never-ending array of new challenges to the practice of medicine, the physicians and other healthcare providers I encounter in both my professional and personal life continue to provide the best patient care possible. At the same time the medical profession often seems to bear the brunt of any frustration with healthcare harbored by the public or governmental entities. While these challenges appear daunting, I am increasingly amazed by the tenacity and passion of my health care clients to their chosen profession and the patients they serve.

As we come to the close of a year in which family and friends, myself included, have experienced the highs and ultimate lows that can be experienced in arena of healthcare, I would like to offer a heartfelt thank you for all that you do and continue to do, day in and day out, for your patients; the care you provide is appreciated far more than you may know.

I wish you all a very happy holiday season.

Ms. Beggs, principal of the Law Offices of Lyn E. Beggs, PLLC, focuses her practice primarily on assisting clients with administrative and professional licensing board matters in addition to representing healthcare providers on a variety of issues. Ms. Beggs may be reached at 775-432-1918 or at This article does not constitute legal advice and should not be considered a substitute for retaining counsel for advisement in legal matter.

One Student’s Journey

It was very cold up on Mt. Rose. As the cold seeped through my boots I quickly realized I needed more socks, but it was a welcome feeling—sometimes we medical students forget what the outside world feels like! While we don’t get out much, some of medical school’s most valuable lessons are learned outside the classroom and immersed in the community.

Volunteering allows us to have balance in our curriculum, helping ground us and reminding us of what we are working so hard for.

Throughout medical school, I have been fortunate to volunteer with the Nevada Cancer Coalition’s Sun Smart Nevada program. Sun Smart Nevada is now in its fourth year of outreach to schools and the community. This year I have been fortunate to represent the program at the American Cancer Society’s Relay for Life, at local elementary schools, up at the slopes on Mt. Rose, and at the Dragon Boat Races. And those are just a handful of the events at which Sun Smart Nevada has educated Nevadans on sun safety and skin cancer prevention.

One of the most inspiring parts of Sun Smart Nevada is the outreach at K-12 schools. The program has a fun and interactive presentation that highlights the 5 S’s of Sun Safety: Slip, Slop, Slap, Seek, and Slide. And the students actually remember the presentation! At a recent community event two middle school students came to our booth to get a few UV activated bracelets and they were proud to tell me the 5 S’s they learned months before in an assembly.

I am so excited to volunteer with a program that is educating the community. Here’s hoping the work the Sun Smart Nevada program does now keeps people healthy and out of my office years down the road.

Physician Well-Being and the Regenerative Power of Caring

In 1948, Life magazine published what has become an iconic and, for many, nostalgic photographic essay depicting the life and work of Dr. Ernest Ceriani, a Colorado general practitioner.

Among the 38 photographs is one of Dr. Ceriani attempting to save the eye of a 2-year-old girl who was kicked by a horse, another of him carrying an 85-year-old man to the operating room to amputate a gangrenous leg and another showing him holding a newly delivered infant.

His expressive face shows anguish, anxiety, uncertainty, exhaustion—and triumph. Nowhere in the article does the word “burnout” appear.

The photographs of Dr. Ceriani document the seemingly unimaginable stress and loneliness of his job, but there is no evidence of the depersonalization, loss of job satisfaction or inability to care that characterizes the current reports of physician burnout.

On the contrary, Dr. Ceriani’s face shows the compassion, dedication and engagement that physicians have traditionally associated with the practice of medicine. He appears to be certain about both the obligations and rewards of his covenant with his community and patients.

Physicians could do little for patients in 1948 compared to modern day, but what they could do provided a deep sense of professional obligation and satisfaction.

Seventy years later, that obligation and satisfaction appear to be in peril, based on a crescendo of reports of the high level of burnout, discouragement and career dissatisfaction experienced by today’s physicians. The rates of medical student and resident depression have increased to epidemic levels. A high level of stigma precludes appropriate access to mental health care, and the high risk of suicide among students, residents and physicians casts a pall over the entire profession.

How have the well-being, the morale, the very core of physician professionalism deteriorated to such a low point among so many physicians? While one of the defining features of burnout is the loss of the ability to care, it might be better to examine the opposite logic: Are the barriers to the ability to care a fundamental cause of physician burnout?

Tired doctor sitting alone in hospital floor near windowIn earlier days, perhaps in 1948, physicians better understood their caring role and coped with the stresses of that role through a deeply personal, reciprocal relationship with their patients. That caring relationship has been lost for many physicians in the current system of fragmented, rushed, dysfunctional, digitized, corporatized and costly medical care—a system that prizes efficiency over relationships, profits over common good and volume over value.

The practice of medicine has always been demanding and exhausting, and it always will be. It is the loss of the ability to care and the buffering of stress and exhaustion that comes from caring deeply for and improving the quality of life of patients that have led to the current crisis of dissatisfaction and lack of well-being among many physicians. It is the ability to engage in reciprocal relationships, in which the fundamental act of caring is regenerative, affirming, and deeply soul satisfying, that was present in 1948 and is increasingly missing in 2018.

The U.S. health care system is often said to be the best in the world. Health care professionals in the United States do indeed provide some of the most extraordinary medical care, bordering on miraculous at times, but they also function in one of the poorest-performing systems compared with other developed countries. The U.S. system is characterized by highly variable quality and access, wasteful and expensive tests and treatments, poor communication and coordination, dissatisfied patients and high cost. Such a system also causes a deep level of dissatisfaction and misery in one of the main sectors of its workforce—physicians—because it markedly inhibits and impairs their ability to care.

Why? The biotechnological explosion of the last few decades is at one and the same time the source of health care miracles and the cause of the inability of physicians to care. It is not the extraordinary technology that is the cause of this loss, but its commercialization and monetization that have wreaked havoc on the health care system’s fundamental values.

The current system is the consequence of the mistaken belief that health care is most appropriately managed like other parts of the U.S. economy—as a market-driven, competitive enterprise. A major consequence of a market-driven system is the loss of the system’s ability to provide coordinated, comprehensive, patient-centered care, with declining opportunities for physicians to engage in reciprocal, caring relationships with patients.

The literature on physician burnout lists many potential causes, all of which detract from the ability to care.

The list is long, including risk- and productivity-based reimbursement strategies, the frustrations and time demands of electronic medical records, nonclinical clerical duties, patient requests that are influenced by direct-to-consumer advertising, work-hour restrictions that are not accompanied by new approaches to teamwork, and a lack of mentoring and support for trainees.

What all these features of the current health care system have in common—and the list could be much longer—is their detraction from and disruption of nurturing, satisfying, supportive and caring relationships with patients.

Physicians have a deep professional obligation to contribute to the resolution of these fundamental flaws that detract from clinical quality and patient satisfaction. We have an obligation to contribute to the restoration of a system that is based on fundamental values of quality and caring, in return for which physician well-being will be restored.

Physicians in 2018 are the proverbial “canary in the coal mine.” While the canary may be sick, it is the mine that is toxic. Caring for the sick canary is compassionate, but likely futile until there is fresh air in the mine. The current system has made it nearly impossible for most physicians to care as deeply and to give of themselves as they wish. Only by restoring their ability to care will physicians restore their health and their professional souls.

Riding the Blue Wave

Healthcare on the Legislative Docket We need to rally as one strong voice

The elections are over and now the real work begins, the collective work of the WCMS Government Affairs Commission (GAC), CCMS GAC, and NSMA GAC in conjunction with local and state PACs accurately assessed the outcomes of the elections with contributions and endorsements in all but one race throughout the state. For the first time in twenty years we have a Democrat Governor, Senate and House with Keith Pickard’s seat being contested possibly yielding a supermajority, although doubtfully needed.

We wholly expect this year to be another major healthcare session, as they all are now. Last session a bill passed, but ultimately vetoed by Governor Sandoval, that would have been very unfavorable to physicians seeking payment for services rendered provided to patients out of network (balance billing). This exact bill, virtually verbatim, has already been submitted as a bill draft request (BDR) for this session.

The leadership of WCMS and CCMS who are actively involved in the executive leadership of the NSMA have been meeting monthly with executive leaders of the Nevada Hospital Association (NHA) for over a year as part of a joint NSMA/NHA Balance Billing Task Force defining collaborative principles, attending legislative working groups and educating legislators about the linkage to network adequacy and contractual implications, reviewing model bill drafts and creating our own draft language, and strengthening ties for other important future collaborations.

Speaking of which, another serious threat facing healthcare providers in Nevada is tort reform. While most of us view this as a constant nagging concern, please be warned. The threat is now real. It might not come up until next session, but this will be part of the blue wave agenda. It is public record that the Nevada trial lawyer PAC gave large contributions to Governor-elect Sisolak’s campaign, among many other prominent government leaders. So, my friends, Keep Our Doctors In Nevada (KODIN) will almost certainly be challenged.

Sorry for the doom and gloom, but fear drives action and I am pleading with you to act. If you have read this far, then you are interested in the future of the practice of medicine in Nevada. Here is my plea. Make it your goal to recruit just one new member this year, maybe someone new to your practice, new to the hospital lounge, new referrer you discuss cases with, someone you think would like the stimulation and engagement. If not for political purposes, then for social gatherings and friendship, and if that doesn’t work use guilt. How could they not want to support their colleagues, people they depend upon every day, people they take themselves and their loved ones to see when they are sick? We need numbers. Sure, we need money, but more importantly we need to show unity. We need to be able to sit at the table and say we are here representing over three quarters of the physicians and this will not work. For anyone who nay-says the organization, please let them know that AB474, the Governor’s opioid law, was slated to be much more restrictive and that through the very hard work of our leaders was made workable. Furthermore, it has been sculpted in regulations and is set for revisions to be made more reasonable to physician practice patterns and workflow. This unfortunate, but necessary societal checkpoint, has been developed with input from our leadership. If we were not at the table, it would have been much, much worse. Just look to some of the other states in our Union (Kentucky limits opioids to a three-day supply) If we do not grow in number, demonstrate collective unity in public healthcare policy, then medicine and our patients in Nevada will suffer.

Sierra Neurosurgery Group’s Delegate Scholarship

Sierra Neurosurgery Group has established a special scholarship fund to support WCMS’ student and resident delegates to the NSMA annual meeting. The scholarships are awarded to University of Nevada Reno Scholl of Medicine student and resident to cover their registration and travel costs.

This sponsorship is aimed at enriching mentorship and the need for medicine and public health advocacy. The first recipients attended the NSMA Annual Meeting held Sept. 28-30 in Henderson. The recipients are: Neha Agrawal, student delegate, Class of 2021; Alex Cabrera, student alternate delegate, Class of 2021, and Chris Clifford, resident delegate, Class of 2018.

Sierra Neurosurgery Group embraces the mission of WCMS that quality care is essential for all Nevadans.