Spring 2018
Vol 115.1


Study: NJ tough place to practice medicine

New Jersey is one of the least-accommodating states in which to practice medicine, according to a study by personal finance site WalletHub.


New Jersey ranked 48th in the opportunity and competition category, which includes wages, and 49th in the medical environment category, which weighs factors such as physicians assistants per capita and quality of public hospital system.


The state ranked dead last in total score, with the opportunity and competition category given a 70 percent weighting and medical environment carrying a 30 percent weighting.


South Dakota, Nebraska, Idaho Iowa and Minnesota had the highest overall scores. Massachusetts, District of Columbia, Hawaii, New York and Rhode Island were among the lowest.


Dr. Peter Carrazzone, president of the New Jersey Academy of Family Physicians and managing partner at Vanguard Medical Group, said 60 percent of primary care doctors trained in New Jersey leave the state because of low salaries. He added that medical school students graduate with an average of $190,000 in debt.


“The problem we have in New Jersey is that, unlike other states, we’re saturated with specialists,” Carrazzone said. “We have a much lower primary care-to-specialist ratio than Midwest states, and when you have more specialists than family doctors, you get disjointed care.


“That raises the cost of care because value-based care starts with primary care physicians,” he added. “Hospitals and medical groups can’t afford to pay doctors as much because the insurance companies are paying less and the model has run amok here. What it comes down to is that New Jersey still does not have a culture of empowering primary care doctors.”

This interactive map allows you to hover over each state to see its ranking; 1 is considered the best state for physicians, according to the analysis, and 51 is considered the worst. Source: WalletHub

Here are the top 10 best states for doctors in 2018, according to WalletHub:


1. South Dakota

2. Nebraska

3. Idaho

4. Iowa

5. Minnesota

6. Wisconsin

7. Kansas

8. Montana

9. North Dakota

10. Wyoming

Here are the 10 worst states for doctors in 2018, according to WalletHub:


42. Illinois

43. California

44. Maryland

45. Oregon

46. Massachusetts

47. Washington, D.C.

48. Hawaii

49. New York

50. Rhode Island

51. New Jersey

On Tuesday, January 16, 2018, Philip Dunton Murphy assumed office as the 56th Governor of New Jersey after a swearing in ceremony at the War Memorial in Trenton. Gov. Murphy was joined by his wife and four children for the ceremony, and his Inaugural Ball took place that evening at MetLife Stadium in East Rutherford.


Committing to a "stronger and fairer" state, Gov. Murphy said he will defy Washington's "all-out assault on New Jersey." Though there are many policy differences between his and outgoing Gov. Chris Christie's administrations, Gov. Murphy did give praise for Christie's signature initiative addressing the opioid crisis in New Jersey. "Your work to save lives from the epidemic of opioid addiction is a legacy worth applauding and continuing, and I intend to do so ," Gov. Murphy said.


NJAOPS was honored to be a part of the celebrations, as much of the Leadership was in attendance at the swearing in ceremony, as well as the Inaugural Ball. President Otto Sabando, DO, said, "On behalf of the New Jersey Association of Osteopathic Physicians and Surgeons, we congratulate New Jersey's 56th Governor, Phil Murphy, and look forward to working with his administration to create a stronger and fairer healthcare system for patients and physicians alike."


We wish Gov. Murphy success in his duties, and look forward to working with him and his administration to advance osteopathic medicine and the interests of our members.


Welcome Gov. Murphy!

NJAOPS Legislative Lobby Activity

NJAOPS continues to embark on educational outreach initiatives in an effort to help our physician communities throughout the State, as well as make a positive connections with future members. Along with our strategic partners, NJAOPS brings practical instruction to organizations and physicians, in order to assist in real-world situations, and highlight the scope and value of the services that NJAOPS can provide practicing physicians.


Friday, October 13th,  NJAOPS and Scott Silver from Fountainhead Advisors presented to the Resident Physicians Program at Overlook Hospital in Summit, New Jersey. The event provided an educational experience to the attending residents on how to manage their school debt while still investing in their future (essentially Finance 101). The program was very well received and we were asked to come back next month for another more in depth tutorial on personal finance.


"The residents in attendance expressed great interest in this type of programming," say NJAOPS Executive Director Tajma Kotoric. "Meeting them where they are at is the perfect model for making meaningful impact and addressing their needs. The information is invaluable for professionals at this stage of their careers, and NJAOPS has great partnerships that they can benefit from."


We encourage active NJAOPS members to consider similar training days at their facilities and organizations. Providing value is one our core value, and having the ability to connect one-on-one with students, residents and new physicians in practice gives us an opportunity to show what our organizations can do for them. If you would like to learn more - please contact Tajma Kotoric at tkotoric@njosteo.com.

Association Updates

In Memoriam

Donald J. Krpan, DO

Sadly, the osteopathic profession lost a treasured member with the passing of Donald J. Krpan, DO.  Dr. Krpan collapsed at his home early this morning and passed away in the hospital with family by his side.  A 1967 graduate of the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri, Dr. Krpan was one of the first DOs to receive a California license following the Supreme Court decision reauthorizing osteopathic licensure in the state.  He enjoyed a varied career ranging from service in the US Air Force to private practice in Arizona and California, Provost of Western University of Health Sciences and COMP Dean, and most recently Executive Director of and consultant to the Osteopathic Medical Board of California.  Dr. Krpan was generous with his resources and tirelessly volunteered his services.  He served as President of both the American Osteopathic Association and OPSC.  Dr. Krpan's booming personality and fiery passion for the osteopathic profession will be sorely missed.  A funeral mass for Dr. Krpan will be held next Friday, January 12 at 10:00 am at Santa Clara de Asis in Yorba Linda, immediately followed by a lunch reception at the Yorba Linda Country Club.  In lieu of flowers, the family asks that donations be made to the American Osteopathic Foundation, 142 East Ontario Street, Suite 1450, Chicago, IL  60611.


Alexander Schachter

The NJAOPS Community is saddened by the news of the passing of Alexander Schachter, DO, on January 6th, 2018. Mr. Schachter was the father of NJAOPS' Past-President Todd Schachter, DO, and served on the NJOEF's Board of Directors for many years.


Edward Wozniak, DO

We regret to inform you that the Edward Wozniak, DO, has passed away. Dr. Wozniak was an active member of not only our association, but with TriCounty Association of Osteopathic Physician's and Surgeons. Dr. Wozniak was also a recipient of NJAOPS' Special Service Award in honor of his 53- year career practicing osteopathic physician.


Member Spotlight: Robert Pedowitz, DO

Former NJAOPS President, interviewed by NJ 101.5 FM radio
host Bill Spadea about Flu Vaccinations in New Jersey

There have now been more than  14,000 confirmed diagnoses of the flu this year in New Jersey. In spite of that large number, doctors still believe the flu vaccine has been somewhat effective at preventing that number from being even higher.

Robert Pedowitz, DO, medical director for family practice at CentraState, called this flu season "very aggressive," and said it is "probably one of the worst on record at least in the last 10 years."

Pedowitz said it is better to get vaccinated, and vaccinated early. Those that have not been vaccinated yet still can as the season is expected to last at least another month.


As in previous years, Pedowitz said most patients receive a quadrivalent vaccine that treats two strains of influenza A and two strains of influenza B. He said one strain of the A form of the virus has been particularly aggressive. While this year's version of the vaccine was designed to target this particular strain, Pedowitz said there is reason to believe the strain mutated, which is contributing to more people getting sick.

"The vaccine, though it's correctly treating this strain, or preventing the strain from causing the flu in individuals who get the vaccine, it may not be as effective this particular year," he said. "Researchers are right now looking at what happened and how do we prevent that or fix that for future years."

While the ideal time to get vaccinated is usually as early as September, Pedowitz said people can still get the vaccine now. He said people are also helped if they get the shot every year, or at least most years, as it helps the body to build up immunity. The doctor said that is the "best strategy to preventing the flu or flu outbreaks."

The state Department of Health's latest numbers on the flu has more than 14,000 confirmed cases of flu across the state. Because that number is a snapshot, the actual number of people have been sick with the flu is many times larger.

While there have been only two confirmed deaths, Pedowitz said the number of infections alone should motivate people to get vaccinated.

"I think the public should know it's not that the flu shot isn't working, it's that sometimes the flu shot doesn't work as well as we would like it to be working."

With the vaccine treating four strains of virus simultaneously, Pedowitz said the shot "is working. Otherwise, we would see a lot more cases of the flu than we already have."

As the body gets acclimated to the vaccine, Pedowtiz said they might feel some symptoms but that is a sign the vaccine is working.

"You can't at all get the flu or any flu-like illness from the vaccine. The vaccine is safe," he said. "Anyone that has questions should talk to a medical provider about whether they should or shouldn't get it."


Association Headlines

E & F Committee and Board of Directors Meeting Updates

The NJAOPS Executive & Finance Committee, along with our Board of Directors, met at our Monmouth Junction headquarters on Wednesday, February 28th, 2018. Both groups are very pleased with the current financial stability of the association!


Not only are we seeing an increase of first time AROC registrants but we are also pleased to report that our association has been successful in recruiting osteopathic physicians who have never been members of our association. We are also witnessing more out-of-state osteopathic physicians who are becoming associate members.


NJAOPS' messaging on unifying the osteopathic profession seems to be effective. In addition to our success in recruiting new members, the excitement surrounding AROC 2018 has been intensifying. We are pleased to report that we currently have over 300 osteopathic physicians registered to date!


Please see important AROC Updates below - Our schedule also has been fulfilled and we will be republishing it soon. If you have not downloaded our AROC 2018 app just yet, we encourage you to do so! We will be giving away discounts towards AROC 2019's registration to the top three performers (the E&F Committee members nor the NJAOPS Staff can participate).


Providing education and NJAOPS promotion to CentraState

On Wednesday, December 13th, 2017,  we had our very first Morning CME Program at CentraState Medical Center. Our first program: Physician Burnout: Strategies and Solutions, presented by our Legal Counsel Gina Campanella, capitalized on an important and topical trend in the medical community. As hours increase, patients and regulations continue to increase - the daily workload and overall wellness for practicing physicians is compromised. Gina Campanella's presentation addressed some practical solutions to mitigate issues for doctors.  With over 28 physicians in attendance, the program was very well attended and we recieved great feedback on the quality of content, as well as the convenience of the early morning session during the workweek. We are very please with our new format - and already have our next scheduled morning CME lecture is at: January 10th, 2018 at 7:30am, CentraState's Auditorium at CentraState Medical Center in Freehold, NJ. We will announce the topic shortly - all NJAOPS members are welcome to attend!


The success of this program would not be possible without our dedicated partners at CentraState. We would like to thank NJAOPS' Past President, Rob Pedowitz, DO, CentraState's Chief Medical Officer and Vice President of Medical Affairs, Dr. Jack Dworkin and Dr. James Matera, Continuing Medical Education Director. We appreciate the opportunity to join efforts with your organization to provide quality education to physicians.


Wednesday Morning Seminar at CentreState: Medication Assisted Treatment (MAT)

On Wednesday, February 14, NJAOPS sponsored another Educational Event on the campus of CentraState Healthcare System in Freehold, NJ. This popular format (midweek morning starting at 7:30 am) has been beneficial to our physicians in the area, as it fits in well with their busy daily schedules. The event includes a light breakfast, along with an opportunity to gather and connect with colleagues while earning CME credit. This week's program was an Introduction to Medication Assisted Treatment (MAT), presented by Joseph Ranieri, DO, FASAM, FAAFP Medical Director at Seabrook; and frequent AROC faculty. We had a great turn out for this very important and interesting topic - and Dr. Ranieri was (as usual) extremely engaging and informative! This is always a great opportunity to meet and greet with our members, as well as promote NJAOPS to other interested attendees. Please stay tuned for our next announcement for an upcoming Wednesday Seminar!

© 2018 New Jersey Association of Osteopathic Physicians and Surgeons

The Journal is the official magazine of the New Jersey Association of Osteopathic Physicians and Surgeons (NJAOPS). NJAOPS is the sixth largest state affiliate of the American Osteopathic Association. NJAOPS represents the interests of more than 4,700 active osteopathic physicians, residents, interns and medical students. Founded in 1901, NJAOPS is one of the most active medical associations in New Jersey with 12 county societies.