NCMS BOD At-Large Candidate: Eugenie M. Komives, MD

Eugenie M. Komives, MD          

Specialty:  Family Medicine

Practice:  Duke Primary Care, Hillsborough, NC

Type of practice:  Hospital owned

Medical School:  Harvard University

Why I am seeking this position:  I have been extensively involved in the NCMS since 1992, serving on a wide variety of committees in that time. I have also served the NCMS Foundation as the Kanof Institute for Physician Leadership co-chair and as a faculty member. I believe passionately in the need for physicians and PAs to be involved in leading the changes going on in health care payment and delivery both here in North Carolina and nationally. I look forward to applying my years of experience as a practicing physician and leader in both the payer and accountable care organization worlds as we all navigate these changing times together.

The top three issues facing physicians and PAs in North Carolina today are:

(1) The transformation of payment systems from predominantly fee-for-service to value-based to include upside and downside risk for physicians and health systems puts increasing pressure on how physicians and PAs practice day-to-day. This is both an opportunity and a challenge for all of us. We need to be positioned to lead this change and not be a victim of it. The NCMS has a critical role to play in speaking for all practicing physicians and PAs in North Carolina, whether primary care or specialists, in how we collectively respond to this. We cannot be a house divided.

(2) We must be actively involved in our state government. We are seeing more frequent attempts to dictate how we practice and how we are paid. The NCMS has demonstrated the ability to work effectively at the state and national level to help craft these changes so that they do not adversely impact our ability to serve our patients and our communities. The NCMS board and all of its members are critical to providing input to our legislative liaisons, so they can successfully work on our behalf.

(3) Burnout is an issue that affects all of us. I do not believe that the solution is limited to each of us taking more time to exercise, meditate and rest (although these activities are healthy for all of us to do on a regular basis). The underlying problem of how practice environments are structured needs to be addressed. Fixing this will require convening stakeholders from health system leadership, practice leadership, and physician and PA leaders to try to respond creatively to the challenges that are putting this pressure on our practice environments.


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