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Texas Medicine: You mentioned fed- eral interference in medicine.


A veteran leader


His upcoming year as TMA president is the latest leadership role in organized medicine for Stephen L. Brotherton, MD. A past president of the Tarrant County Medical Society, he


was speaker of the TMA House of Delegates for four years and vice speaker for three years. He also served on the TMA Board of Trustees and chaired the TMA Council on Health Services Or- ganizations. His service on the Board of Trustees included mem- bership on subcommittees on grants to physicians affected by Hurricane Rita in 2005 and Hurricane Ike in 2008, chairing the latter. He also is a member of the AMA Council on Ethical and Judicial Affairs. Dr. Brotherton was one of the first to advocate for an athletic


trainer to assist dance companies and implemented a program for Fort Worth’s Casa Mañana Theatre dancers in 1988. He is now the company physician for the Texas Ballet Theater and the Metroplex Classic Ballet. Besides his role as senior orthopedic consultant to Texas Christian University (TCU) athletics, he also is medical director of the Fort Worth Stock Show and Rodeo. He operated a clinic at a homeless shelter for 12 years and now spends his free time volunteering at a free medical clinic at Cor- nerstone Community Center in Fort Worth. A graduate of TCU and The University of Texas Southwest- ern Medical School, Dr. Brotherton completed an orthopedic surgery residency at Emory University and Affiliated Hospitals in Atlanta in 1987. He is a diplomate of the American Board of Orthopedic Surgery and a fellow in the American Academy of Orthopedic Surgery. His areas of emphasis are sports medicine, dance and performance medicine, foot and ankle, and lower extremity joint replacement. He teaches at TCU, the University of North Texas Health Science Center at Fort Worth, and the Fort Worth Affiliated Hospitals Orthopedic Residency Program. He has been lead author on published and/or presented papers on such topics as bilateral knee replacements, uncemented hip replacements, spine fusions, and amputations in diabetics. The American Academy of Family Physicians recognized him


for his teaching in 2002, and the JPS Health Network orthope- dic residency program in Fort Worth named him Educator of the Year in 2004.


Dr. Brotherton: Health care is local, and it’s best managed locally. The more centralized it gets, the worse we do with it. As much as we can keep the feds and other centralized groups out of our hair and let us take care of people the way we know how, the better we’re going to like it. Is that something we can ac- complish? I don’t know, but that doesn’t mean you don’t try.


Texas Medicine: How do you try? What do you do?


Dr. Brotherton: Push back at every step, and try to be as vocal as you can. Look at the Surgical Care Improvement Project. They have now figured out that if you do exactly what they say on deep vein thrombosis prophylaxis, you do not lower DVT rates. And if you follow ex- actly what they say about DVT prophy- laxis, your infection rate goes up by 50 percent. Thank you, federal government. Or the Preventive Services Task Force recommendation that healthy men not receive PSA screening for prostate can- cer. There’s not a urologist or cancer specialist on the panel. Do we not think urologists care about their patients and they’re not going to be attuned to what that patient wants? You put the feds in charge, and they’re going to screw it up. They’re going to do it every time.


Texas Medicine: Why is primary care important to you?


Dr. Brotherton: Because it’s the bul- wark of our profession, and at least in this state it’s not going to wither and die on my watch. We’ve got to do what we can to make sure people have a medical home, and it needs to be with someone who’s able to practice primary care and make a living at it.


Texas Medicine: How can primary care be saved?


Dr. Brotherton: It’s got to be done at the state legislative level. It can be loan repayment programs; it can be a bunch


8 TEXAS MEDICINE May 2013


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