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Governor's Newsletter
December 2000/January 2001

Michael Grossman, MD, FACP
Governor, Arizona Chapter

Fall Meeting a Success

The fall/winter Chapter Scientific Meeting was held at the Hilton Scottsdale Resort and Villas over the first weekend in November. The turnout was exceptional and included record numbers of Associates and medical students.

Reviewing the highlights, the meeting can be divided into several distinct sessions. The opening event was held Friday night with a wine and cheese reception and a well attended discussion on medical errors and how to prevent them. Scott Gorman, MD, FACP, presented the data from the IOM report and discussed various aspects. Bernard Rosof, MD, FACP, our Regent representative, expounded on these areas and added some hospital practice data. Dr. Rosof served as a member of the IOM.

The Saturday session led off with a discussion of women's health issues, led by Dr. Ana Maria Lopez. Osteoporosis was actually covered in depth by Dr. Michael Maricic the following day. Dr. Robert Sterrett presented a very scholarly approach to radiologic diagnosis and three clinical correlates of community acquired pneumonias.

There were several presentations on evidence based medicine. Valerie Reyna, PhD and Lloyd Farrel, MD, MPH, FACP, presented a mini-course on the application of statistical and epidemiological tools for literature analysis. Dr. Tousif Pasha presented a clear approach to cost-benefit analysis. These two major areas have significant importance in clinical decisions and effective interventions. Medical diagnostic and interventional decisions are being based on these techniques.

Saturday was capped by a profound presentation on the subject of domestic violence. Dr. Linda Chambliss presented compelling information which was highly regarded by all in attendance.

The Sunday meeting began with Dr. Maricic, followed by Dr. Palumbo, who gave an overview on Lipid management.

At the Saturday luncheon meeting, Dr. Rosof presented an update on College activities. During that time he addressed the issue of recertification and the College's relationship in this process with the ABIM. It is clear that there are many opinions as to the intent and process necessary for recertification and Dr. Rosof serves on a committee of ACP-ASIM and ABIM members working on these issues. Questions arose from those requiring the process in this year the appropriate pathway was not clear. Questions should be directed to the ABIM in Philadelphia at 800-441-2246.

The remainder of the program was dedicated to the Associates for the Clinical Vignette Competition and the final viewing for the Poster Competition. The level of academic excellence and sophistication increases each year. Visitors included Dr. Lewis Braverman, Head Section of Endocrinology at Boston University, who was highly impressed at the level of accomplishment exhibited.

The residents were present in record numbers at our November Scientific Meeting. We were impressed by the quality of the poster presentations and the judges were hard pressed to make their selections. This year four of the six teaching programs participated in the poster competition. We are hoping for 100% participation next year.

The winner of the poster competition was:

Sheila Sudhakar, MD
The Opportunistic GI Bleed
Maricopa Medical Center

The clinical vignette presentations were outstanding. All of the programs were well represented by these sophisticated works. The final winner chosen was:

Adriane Budavari, MD
Xanthomas in a Young Woman with Normal Cholesterol Levels
Mayo Clinic Scottsdale

The top selected vignette and poster presenters will be sponsored by the Chapter to attend the national competition at Annual Session in Atlanta, Georgia, in March 2001.

At the Sunday morning Governor's Council meeting, the Council unanimously agreed to present a new Chapter Recognition Award in the name of Morton Fuchs, MD, who served the Chapter as Governor from 1994 to 1997. This award will be presented for the best poster entry by a PGY1. The first recipient of this award went to:

Jason Bellak, MD
Tacrolimus-Induced Neurotoxicity in a Liver Transplant Patient
Mayo Clinic Scottsdale

New Master

Congratulations to Pasquale Palumbo, MD of Mayo Clinic, on being named a Master of the ACP-ASIM.

New Fellows

Congratulations to the new Fellows in our Chapter
elected in July 2000:

Norman R. Epstein, Tucson
Mark I. Feldman, Tucson
Nilda R. Neyra, Tempe

Community Based Teaching

In August, we met with the four medical students who participated in our CBT program this past summer. As always, it was so interesting to hear their thoughts on medicine after spending a month with their mentor. This program would not be possible without the willingness of the preceptors who participated.

Thank you to Drs. Michael O'Connor (Cottonwood), William Merrell (Prescott), Steve Savoia (Whiteriver/Cibecue), and Elizabeth Harding (Chinle).

Become an ACP-ASIM Key Congressional Contact

After hearing on the evening news about a proposed change to Medicare or a problem in the healthcare system, have you ever wanted to put your two cents in on the issues? Do you care how legislation coming through Congress affects your patients and the practice of internal medicine? Is one of your friends, family members, patients, church members or civic organization members a legislator?

If you answered "yes" to one of these questions, you would make a valuable addition to the ACP-ASIM Key Congressional Contact Program. Recruiting new Key Contacts is an ongoing process but it will be especially important when the elections are over and the new members of the 107th Congress are selected.

The College offers a Grassroots Hotline that Key Contacts can call to hear a legislative update and be matched-with and patched-through to their members of Congress at no cost. The Grassroots Hotline number is 1-888-218-7770.

ACP-ASIM also offers the Legislative Action Center (LAC) website, which allows ACP-ASIM members to view the most current ACP-ASIM Legislative Alerts, find out who their legislators are, and send an e-mail, compose a letter or a fax to their members of Congress. It provides the status of key legislative issues of concern to ACP-ASIM, Congress' schedule, and tips on communicating with legislators. The Legislative Action Center can be accessed through the Where We Stand section of ACP-ASIM Online, or at http://congress.nw.dc.us/acp/.

If you would like to be updated on the legislation affecting internists and their patients and are interested in corresponding with your legislators a few times a year on these issues, contact Jenn Jenkins at 800-338-2746, ext. 4536, and join the College's Key Contact Program.

ACP-ASIM 2001 Annual Session

The ACP-ASIM 2001 Annual Session will be held in Atlanta, Georgia, March 29-April 1. Pre-convention courses as always will be available. Register Today.

For further information about Annual Session, you may call 800-523-1546, ext. 2600, or visit the Annual Session 2001 information page at www.acponline.org/cme/as/2001/index.html.

If you are able to attend the Annual Session, be sure to attend our Chapter reception to be held on Friday, March 30, at the Atlanta Marriott Marquis Hotel in the Thames Room (Lobby Level), from 6 to 8 p.m. For further information regarding the Chapter reception, please contact Dorie Anne Ory at (520)324-2095.

MKSAP 12 Part A and Prep for Board EnhancementNow Available

The first section of MKSAP 12, the newly-revised version of the leading internal medicine self-assessment program, is now available. Part A of MKSAP 12 covers Gastroenterology and Hepatology, Endocinology and Metabolism, Infectious Disease Medicine, and Rheumatology. Answers and critiques are also included for Part A (a maximum of 40.)

Additional parts will be released over the next year, with Part B scheduled for January 18, 2001, Part C for April 25, 2001, and Performance Interpretation Guidelines with Norm Tables for December 21, 2001.

The print version of MKSAP Prep for Boards is now available, and the CD-ROM version will be available shortly. MKSAP Prep for Boards is a major enhancement of MKSAP 12 available at an extra charge of $99 that can help residents prepare for the ABIM certification examination. Please note that those interested in buying MKSAP Prep for Boards must first buy the MKSAP 12 program.

To order, contact Customer Service at 800-523-1546, ext. 2600, or visit theACP-ASIM Online Catalog athttp://www.acponline.org/catalog/index.html.

Governor Contact Information

Michael Grossman, MD, FACP
Phoenix Area Medical Education Consortium
4001 North 3rd Street, Suite 405
Phoenix, AZ 85012-2065

Phone: (602) 631-6551
E-mail: mgrossma@u.arizona.edu