a law so that as of November 5, 2014, veterans with VA benefits are able to use a new "Veterans Choice Card" to receive those hard-earned rewards from civilian providers under a number of different circumstances--if they live 40 or more miles away from a VA center that offers the ser- vices needed or if they would have to wait more than 30 days for an appointment, for example. treat them more effectively. Parks suggests asking patients directly whether they have served in the military. If they say yes, probe a little further: "Tell me a little bit about that. Where have you been? How long did you serve?" Learning about a patient's military service at the beginning of your physician-patient relationship can help save time and guess- work throughout the treatment process, he says. ly exhaustive list of things to ask for a history and physical. Among those questions, one we are not taught to ask is about service in the military. I would be a standard part of the social history," Parks says. "Ninety percent of the time, the answer is no, and the ques- tion takes less than five seconds. But for about 4.8 percent of New Jersey residents, the answer can give insight into the patient and the patient history." for providing culturally competent, patient-centered care to veterans and military service personnel: "What are some of the risks you were exposed to, and how did you respond to that? Was there anything you were exposed to that you are worried about today?" Dr. Like explains. include a discussion of an individual's strengths and resilience, as well as the opportunities and positives experi- enced as a result of their military service." then get to the issues and find help. "It is a way of being wel- coming, receptive to sharing concerns, and empathizing," she adds. "We have to walk in their boots--to be as empathetic as we can, without having been on the battlefield." legitimization for what the veterans are feeling and experi- encing, agrees Evelyn L. Lewis, MD, MA, FAAFP, chief medical officer of the Steptoe Group, vice president of the American Academy of Family Physicians Foundation, and center) with Steptoe Group team members (left to right) Linda Harris, lead facilitator; Ron Koshes, MD, lead facility/subject matter expert; Ronald J. Steptoe, CMR, chair, and CEO; Evelyn L. Lewis, MD, MA, chief medical officer; and Robert C. Like, MD, MS. I M S O O O F |