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The
Martha's Vineyard Times is a weekly publication.
July 28 - August 3, 2005 Edition
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Two
family doctors will end Island practices
July 28, 2005
By Nelson Sigelman
Marthas Vineyard is about to lose two well-known and respected
Island family doctors.
Dr. William Tsikitas and Dr. Ilene Klein have announced they will
leave their practices and the Vineyard this fall. Although new doctors
are already scheduled to take their places, the departures are certain
to be felt within the intimate confines of the Vineyard community.
In a letter to her patients dated June 27, Dr. Klein, who practiced
with Dr. Henry Nieder as a member of Vineyard Family Medicine, said
her decision to leave is based solely on personal and family considerations.
It is not based on my relationship with Vineyard Family Medicine
or Marthas Vineyard Hospital, both of which have been, and continue
to remain, deeply rewarding, she wrote.
In her letter, Dr. Klein assured her patients that they would not
be without a doctor. She said that Dr. Julia Stunkel, a family physician
whose practice comprises pediatric and adult medicine, would be joining
Vineyard Family Medicine in mid-September.
In addition to her medical practice, Dr. Kline has been an energetic
member of several Island boards and forums concerned with the quality
of care on Marthas Vineyard.
In a telephone conversation with The Times, Dr. Klein said that although
her immediate departure plans are uncertain she would maintain her
commitments as a working member of the Dukes County health council
until her appointment expires at the end of the year.
Dr. Klein was instrumental in the receipt of a rural health network
development planning grant that will be used to fund an outside look
at how best to rshape health care services on the Island. She said
she would continue to be involved with that effort.
In a letter to the patients of Dr. Tsikitas, dated July 14, Dr. Beth
McDonald, who practices with Dr. Tsikitas as part of Vineyard Sound
Medicine, wrote, After much deliberation, Dr. Tsikitas has decided
to leave the Island due to health concerns of his close family.
Dr. McDonald said that Dr. Gail OBrien, an experienced internist
from Rhode Island Hospital, will join the practice immediately, and
another physician is expected to join in November.
Dr. MacDonald also said that she is expecting her first child in late
October and will take a three-month maternity leave.
In a separate letter to patients dated July 18, Dr. Tsikitas said
he had made the decision to leave the Island after a long and
difficult deliberation due to the health concerns of family
and the need to be closer to health facilities and relatives.
After assuring his patients that everything possible would be done
to provide a smooth transition he wrote, It is of course going
to be difficult for me to say goodbye to you after all the years that
I have been fortunate enough to know you and take part in your health
care. I have tried and I hope, fulfilled your expectations of a personal
physician.
In a telephone conversation with The Times, Dr. Tsikitas said that
it would be very hard to leave the Vineyard after 14 years. it
is a tight knit and very caring community and I dont think there
are many like that, he said. I will certainly always remember
my experience here.
Mr. Tsikitas also had words of praise for the hospital and its efforts
to maintain his practice and a commitment to recruit more primary
care doctors.
On an Island where getting an appointment with a family physician
can be more daunting than making a ferry reservation, providing primary
care coverage is a concern for health care leaders.
Although the practices of Dr. Tsikitas and Dr. Klein are located at
the Marthas Vineyard Hospital, Vineyard Sound Medicine and Vineyard
Family Medicine are private practices, which use rented office space
and are responsible all their own appointments and billing.
Unlike Dr. Klein and Dr. Tsikitas, their replacements, Dr. Stunkel
and Dr. OBrien, will be hospital employees. Tim Walsh, hospital
chief executive officer, said the hospitals decision to hire
new doctors is based on the hurdles and costs associated with starting
a new private practice on the Vineyard.
It is just much too hard, said Mr. Walsh. Hiring
doctors is the only way to get them here in a hurry.
He said working for the hospital will alleviate some of the paperwork
and office management issues doctors face in private practice. He
said the difficulty in getting and keeping primary care doctors requires
a new model that is not based on establishing private practices. Mr.
Walsh said he expects to add two more doctors later this fall. u |
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