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Chapter Newsletter - Spring 1998

From Our Northern Illinois Governor

Leadership Day on Capitol Hill - May 13, 1998

Serafino Garella was invited to go to Russia at the last minute and could not come, so Wayne Williamson and I headed for Washington DC on May 12th. We went directly into a training session when we arrived at the Washington Court Hotel.

The three major issues were to be:

  • Tobacco
    Keep it away from our youth, our African American youth, charge more, at least $5/pack, treat it as a drug, put strict limitations on usage in workplaces and restrict international abuse and much more;
  • Evaluation and Management Codes and Fraud
    In my terms, a History, Physical Exam, Evaluation, Diagnosis, Treatment Plan and Coding (coding is far too complex, too much time to be spent studying the guidelines) and if coded incorrectly is not fraud; this is abuse of me and my patient.
  • Quality Controls for Managed Care
    We heard from conservative Republican Congressman Charlie Norwood from Georgia, who sponsored a bill which addressed many of our concerns - the need for physician choice, the "reasonable person" ER visit, research funds to study quality guidelines, managed care liability/accountability. Norwood got a standing ovation for saying that insurance company bureaucrats should be liable for misjudgments.

Steve Roberts, CNN, ABC, and Professor of Media and Public Affairs at George Washington University, and "married above myself to Cokie Roberts" had superb insights as to how Capitol Hill works. He told an Al Gore story. When Al was three years old, Cokie's mom carried baby Al on her shoulder (both Cokie and Al were "congressional brats"), and a memorable photo was taken. Years later when Cokie's mom was named Ambassador to the Vatican, Vice President Al Gore was along for the trip, and was a horrible nuisance, wanting to jog all the time and slowed down the group. At the top of a particularly steep Vatican step, Cokie's mom turned to see the jogger, winded and barely able to make the top, and asked if he wanted to be carried again.

We also heard from Robert Berenson, MD, FACP, Director of Center for Health Plans and Providers (CHPP) in the Health Care Finance Administration (HCFA) who said E&M and Fraud were never intended by anyone to meet on the same track, but things like that happen. I think that he's a pretty good person.

We visited eight offices. Bobby Rush's, Susan Rosenblum agreed with all three of our positions, and Wayne Williamson looked for a Men's Room. Congressman Rush ushered him into his private facility, and Wayne and Bobby had a private few minutes. That was my first clue that Dr. Williamson is born to conversation, quick to answer, informed and polite.

Next was Senator Dick Durbin's office, where we spent twenty minutes with Dr. Anne Marie Murphy, Doctor of Genetics (and from Ireland, as revealed in the lilt of her pronunciations). Dick Durbin is a fierce tobacco foe, and agrees with all of our issues as did Jake Jones, speaking for Senator Carol Mosely Braun. Dr. Anne Marie Murphy recognized the ACP as "the good guys". "We believe them." She said that Dr. Jim Dove in Springfield and her boss, Senator Durbin, exchange letters and opinions regarding medical issues. While at Senator Mosely Braun's office, Wayne met Senator Durbin in the hall and talked politics and exchanged cards with him. We missed Charlie Dujon of Jesse Jackson Jr.'s office but left him our cards.

Wayne spied Congressman Danny Davis in the hall at Rayburn and held court with Congressman Davis and exchanged cards. At Congressman Rod Blagojevich's office, we met Deana Benos. We agreed on Tobacco. They are waiting to assess managed care bills, patients rights legislation, and E&M and Fraud.

Dr. Carlos Hamilton, a Texas Society of Internal Medicine Past President and Endocrinologist in Houston, and I spoke with Congressman Fawell for a good half hour. Fawell is a member of the Republican Task Force, chaired by Congressman Dennis Hastert, to look at managed care and quality. Dr. Hamilton is very good at educating legislators. We walked with Fawell as he went to the Capitol to cast a vote and then walked back on a beautiful sun drenched afternoon and stood on the street across from Rayburn, chatting until we had nothing more to say. Congressman Fawell is interested in small businesses forming groups or pools to collectively buy insurance. He sees this as one way to reduce the 42 million uninsured. I had been advised by Kathy Haddad of the ACP Staff that this was one of Congressman Fawell's issues, and we stressed that we hoped this would not amount to selecting well people with jobs, excluding the sick. He seemed to accept our viewpoint.

At 4:00pm, Dr. Hamilton, myself, Kathy Haddad and Mike Werner of the ACP Washington office met with Amy Jensen of Dennis Hastert's office and left our information. I didn't have cards, so I wrote out prescriptions for health care, tobacco regulation, managed care reform, and E&M and Fraud - no way! My history and physical exam and evaluation and coding may not be perfect, but surely not fraud! Dr. Hamilton knew the Texas experience under Governor George Bush to advocate for quality in man-aged care.

At Ronald Reagan National Airport, I enjoyed a sandwich at Friday's with "no smoking permitted anywhere", and I'm writing this on the plane. Talking to Congressman Fawell and to ACP staff, I did get in a little Bernardin Amendment and our 42 million uninsured and underinsured, and healthcare is a right that "stems from the sanctity of life and is necessary for the preservation of human dignity." Tomorrow I will see patients all day and I love seeing patients, and please everyone, write Hastert and Fawell and tell them we need managed care reform with quality guidelines, choice, reasonable ER access, liability for the insurance company actions and respect for the dignity of patients and the doctor-patient relationship. Next year Wayne Williamson will head up Leadership Day on Capitol Hill, and I want two or three or more young and interested physicians to attend with him. Please get involved and advocate our patients.

Ending Domestic Violence in our Community: Quincy, Ill., May 21, 1998

The Blessing Hospital in Quincy, Illinois, under the persistent and skilled leadership of John Scott, MD, FACP, sponsored an absolutely wonderful community conference on Domestic Violence Thursday evening, May 21, 1998. The panel was superb and included Kim Riordan, M.A., "Dynamics of Domestic Violence" and Carole Warshaw, M.D., "Health Care Implications and Identification, Intervention and Referrals" from Cook County Hospital, and Vickii Coffey, who told her very personal "A Survivor Story". Dr. Warshaw is a primary care internist, emergency room physician, and psychiatrist, triple boarded, and the guiding light to revealing and understanding and bringing this issue of domestic violence into our consciousness. Dr. Regina Kovach from Southern Illinois University School of Medicine gave a wonderful description of the innovative program given to the first and third year students at SIU on Domestic Violence.

Last fall Dr. Scott attended the domestic violence seminar given by Lee Francis, MD, FACP, in Chicago which our ACP chapter also sponsored. What made the Quincy program very special was the community participation. A panel included representatives from Quincy's resources against violence: Quanada- a wonderful shelter with twenty beds, Recovery Resources, SAPIS - helps young women who are victims of rape and incest - an Assistant States Attorney and a remarkably kind, insightful associate judge, the Honorable Chet Vahle, who urged everyone to do "just a little bit more to help their community - to go outside yourself to help". In the audience was a young female Illinois State trooper, the mayor of Quincy, many townspeople, nurses, physicians, and allied health professionals.

Congratulations to Dr. John Scott who clearly goes outside of himself to give just a little bit more back to his community. Dr. David Steward and I are pleased to have helped fund this effort.

From Our Downstate Governor

The Board of Governors 1998 spring meeting was held on March 31 and April 1, 1998, in San Diego just prior to the 79th Annual Session.

The meeting opened with a discussion and video presentation regarding the "Doctors for Adults" campaign now being conducted by the American College of Physicians. The video featured Andy Hedberg, who explained how successful this campaign had been in educating the public about what an internist is and what services s/he can provide. The College will continue to place magazine and television ads for the coming year, investing approximately $5 million in the project.

Andrew Weil, MD, and Deepak Chopra, MD, popular authors who have written about alternative medicine, then made presentations to the governors and regents. The presentations were well received but controversial, some governors were very supportive of the themes that these individuals presented while others felt that these non-scientific approaches did not deserve our attention. Our own biases notwithstanding, these methods are gaining increasing attention from the public. It was noted several times during the meeting that the American public is spending more out-of-pocket for alternative types of healthcare than they are for mainstream medicine.

The Board of Governors discussed and debated several resolutions, and finally passed five of them, as follows:

  • That the ACP help facilitate volunteer opportunities for delivery of medical services to underserved areas
  • That the ACP support the prohibition of landmines
  • That the ACP identify and promote to its members appropriate sources of training in quality assurance and utilization management
  • That the ACP evaluate the role of hospitalists in the provision of inpatient care;
  • That the ACP recommend that HCFA allow onsite attending physicians in resident clinics to provide both direct and supervised-resident patient care during a clinic session without being disqualified from using the HCFA primary care exemption rule.

Each of these resolutions was referred to the proper committee for continued follow-up.

The Board of Governors defeated a resolution that encouraged the ACP to identify a different name for the specialty. The term "Adult Medicine" has become increasingly popular among internists as a name for our specialty that more clearly describes what we do. Because of the success of the "Doctors for Adults" campaign in improving the public's understanding of what an internist does, and because many of our members are proud to identify themselves as internists, it was felt that it would not be advisable to change our specialty's name at this time.

In a major administrative project, the ACP staff has collated all resolutions ever approved by the Board of Governors, accepted by the Board of Regents, and distributed to committees for further follow-up. The current resolution process started in 1985, and some of the resolutions date to that time. As the ACP and ASIM merge, the process of originating, debating, and approving resolutions will become a more important part of the work of the governors. Many more resolutions will likely be considered in the future and accountability of the ACP for action on these resolutions will increase.

Important information about the ACP's activities related to the evaluation/management documentation guidelines from HCFA was presented and discussed. The complex new guidelines, related to how physicians must document their activities in order to justify payment continue to confuse, anger, and frustrate many physicians. Members may recall a letter from ACP President William Reynolds reviewing the situation and identifying actions that must be taken. In collaboration with the ASIM, the ACP has sent a strong message to the Secretary of Health and Human Services, Donna Shalala, and the HCFA administrator, Nancy-Ann Min-DeParle, to reconsider these guidelines and to delay their date of implementation. Major changes in these rules, if any, have not occurred and will be the subject of further deliberations. Important to this discussion is the College's assertion that these guidelines actually harm patient care, and will unnecessarily add to the nation's healthcare expenditure. An additional theme to the discussion was that, in fact, some physicians do not adequately document their services, and that documentation must improve, although the format suggested by the HCFA would not help accomplish this goal. More information will be provided to the members on an ongoing basis.

A major topic of discussion in previous meetings, as well as the current one, was the pending ACP-ASIM merger. The Board of Regents and Board of Governors once again voted in favor of this action, formalizing the decision to move ahead with this merger, which will be finally implemented on July 1, 1998. The main national organization will be a 501c(3) not-for-profit corporation; and many of the current ASIM's business activities will be conducted through a separate, related 501c(6) subsidiary. The governing structure of the new organization will be very similar to that of the College, and temporary appointments of additional Governors and Regents have been made for an interim period of time. It is likely that several new chapters or regions will be identified in the next year. One of the leaders of the Illinois Society of Internal Medicine, John Schneider, MD, FACP, of Chicago, has been identified as one of the temporary governors. The ACP has promised to provide sample bylaws for local chapters, and when these are available, further steps will be taken to merge Illinois chapters of the ACP with the Illinois Society of Internal Medicine. One of the most pressing issues will be establishing dues and the administrative structure for the new organization. National leadership of the ACP-ASIM seems confident that the ACP will be able to assume a much more aggressive and visible role in issues related to health policy and services to members, while at the same time, sustaining its' commitment to education, providing healthcare for all, and advancing our profession.

In the combined meeting, the Boards of Regents and Governors heard presentations from John Eisenberg, MD, the director for the Agency for Healthcare Policy and Research (AHCPR). This small federal agency supports research into the delivery and cost of healthcare, with special interest in studying patient outcomes. The combined Boards also heard from Charles R. Nelson, MD, from Gainesville, Florida, who is one of the originators of the National Association of Inpatient Physicians (NAIP). This group represents the growing "hospitalist" movement, and held its first meeting in San Diego in conjunction with the ACP meeting. The meeting reportedly drew 250 registrants, and Dr. Nelson noted that his mail list for the organization is now up to 1800. The relationship between the ACP and this group came under some discussion, with general but not unanimous support for the idea that it should be welcomed as a new priority in the ACP family of organizations.

At the convocation, twenty-one ACP members from the state of Illinois were inducted as Fellows in the College. We look forward to their continued participation in College activities.

On Friday night, April 4, 1998, ACP members, fellows, associates, and guests enjoyed a reception and cruise on the Lord Hornblower yacht. The weather reports were threatening, but the evening was perfect, and the event highlighted a terrific annual session in San Diego.

Next year's Annual Session will be held in New Orleans on April 22-25, 1999. Mark your calendars now!

I look forward to hearing from you, about the above or any other topics, at the following:

David Steward, MD
SIU School of Medicine
PO Box 19230
Springfield, IL 62794-1311
telephone: (217) 782-2596
fax: (217) 524-8156
email: dsteward@siumed.edu

Associates Corner

Congratulations to Chitra K. Raman, MD on winning a $1000.00 prize at the 1998 ACP Annual Meeting for her poster entitled, Thrombotic Thrombocytopenic Purpura associated with Ticlopidine. Dr. Raman, who is from the University of Chicago won first place at our 1997 Illinois Clinical Vignette Competition.

Important Dates:

1998 Chief Medical Resident Training Program
Wednesday, June 3, 1998
University of Chicago Gleacher Center
450 North Cityfront Plaza
Chicago, IL

1998 Fall ACP/ASIM Associates Scientific Meeting
Wednesday, October 21, 1998
Our 25TH Year

Hosted by Loyola University Medical School
Department of Medicine

Managed Care Resource Center

The ACP Managed Care Resource Center, as a member benefit, is ready to give you the latest information on managed care. Its staff provides personalized assistance in many ways:

  • creating tools such as bibliographies to point you in the right direction when conducting independent searches. A resource guide is in development as well as resource packets on capitation, industry trends, and patient education;
  • supplying current literature related to managed care, international health care trends, practice management and more;

To stay current, the Managed Care Resource Center monitors trends and legislation affecting internists in managed care. The Center also networks with other experts to share resources within the general medical information community.

Contact the Managed Care Resource Center at 1-800-523-1546 between 9am and 5pm Eastern time with your questions.

Our Web page can be accessed through the ACP's home page at www.acponline.org

Thank you David Liebovitz, MD, FACP for working with the College on our behalf. If you have any comments or suggestions regarding the web page or any of its' links, please contact Dr. Liebovitz at DML@uchicago.edu

Petition to the Illinois State Legislature

Benardin Amendment

Proposed Amendment to the Illinois State Constitution HJR CA 17 Article XIII, Section 9

"Health care is an essential safeguard of human life and dignity, and there is an obligation for the State of Illinois to ensure that every resident is able to realize this fundamental right. On or before May 31, 2002, the General Assembly by law shall enact a plan for universal health care coverage that permits everyone in Illinois to obtain decent health care on a regular basis."

In his 1995 pastoral letter, Sign of Hope, Cardinal Joseph Bernardin wrote, Health care is an essential safeguard of human life and dignity, and there is an obligation for society to ensure that every person be able to realize the right.

To be enacted into the Illinois Constitution, the Bernardin Amendment must receive approval by 60% of the votes of both houses of the General Assembly, and receive 60% of the votes in a general referendum.

The proposed amendment passed out of the House Health Subcommittee into the House of Representatives on March 19, 1998, but has been stalled in the House.

Please call, fax or send letters to your Representatives and Senators. Ask your legislators if they supported this amendment and how they will vote in the future.

E & M Guidelines
by C. A. Hedberg, MD, FACP

In 1997, guidelines for documenting E and M codes were published, following a long developmental process by the AMA and HCFA. Originally scheduled to be enforced in January of 1998, a delay was allowed until July of 1998.

Almost immediately, a perusal of the complicated 48-page document led to a major outcry by the generalist and specialist societies. The dissatisfaction was compounded by the threat that the guidelines, if not precisely followed, could lead to lack of payment to physicians, and even onerous fraud and abuse allegations. The complexity and lengthiness of this documentation process was demonstrated by informal studies which showed that a minimum of 5 minutes of documentation work was needed to comply with even a very short visit. Over a typical day's practice, up to 2 hours then would be co-opted, making the coding - documentation physician activity more time consuming and complicated than actual patient care decision making!

The ACP, warned early about the growing storm at the practitioner level, wisely formed a joint ACP-ASIM Work Group on the subject, chaired by Dr. Paul Speckart of California. This Work Group constructed a very perceptive set of suggestions which they submitted to the AMA, as did dozens of other specialty societies and thousands of individual doctors.

In response to the outcry, a fly-in was held in Chicago on April 27th for medical society, AMA and HCFA leaders to thoroughly air the problem. The ACP-ASIM was represented by Doctors Walter McDonald, Robert Copeland, Harold Sox, Alan Nelson and Mary Herald. A much streamlined set of guidelines was presented for consideration, and workshop discussions allowed lively input. HCFA participated with an acknowledgement that drastic changes were needed. The July deadline set for implementation was extended indefinitely, pending completion of these alterations.

The necessity that physicians provide clear documentation in an organized legible way, that is acceptable for following the course of the patient and communicating with other physicians and reviewers, was agreed to by all parties. Now, using suggestions from this meeting, the specialty societies, the ACP and other organizations with significant primary care membership, the CPT Editorial Panel and HCFA will expedite construction of a more workable coding-documentation system. This system should not be capable of being misused by fraud and abuse investigators, or deprive physicians of their rights, as humane and honest servants to their patients. The ACP office will be closely monitoring this situation, and keep all members informed during the coming months.

Update on the Status of Advanced Practice Nurse Legislation
by Ronald L. Ruecker, MD, MSM, FACP

Whitney W. Addington, FACP, in the most recent Newsletter, criticized Illinois' failure to pass a nurse practice act. As a member of the Illinois State Medical Society's Board of Trustees, I have participated in a great deal of activity in this area this year and would like to update the Chapter on current developments.

Illinois has an opportunity this year to pass a licensing act for Advanced Practice Registered Nurses (APRNs) that will increase access to healthcare while assuring every patient that a fully-trained and licensed physician is involved in his or her care. Illinois State Medical Society physicians have met extensively with representatives of the Illinois Nurses Association and legislators to forge agreement on a law that recognizes APRNs and the invaluable contributions they make to quality patient care practicing in collaborative relationships with physicians.

The key to making such a law work is to create within it meaningful standards for the collaborative relationships between doctors and APRNs. Agreement is emerging on three major standards that will make collaborative relationships meaningful: scope of practice, professional responsibility, and prescriptive authority.

  • Scope of practice: The services provided by an APRN should be services that the collaborating physician generally provides his or her patients in the normal course of medical practice. A certified midwife, for example, should collaborate with an OB/GYN or family physician who includes obstetrics in his or her practice;
  • Professional responsibility: Collaborative agreements should be designed to promote professional growth, not economic opportunity. Doctors and nurses have a responsibility to their patients to limit themselves to a depth of commitment and number of agreements that are manage- able, so that every individual patient gets the attention he or she deserves.
  • Prescriptive authority: The law should grant APRNs delegated prescriptive authority for Schedule III-V drugs within the bounds of the written collaborative agreement with a physician. Authority to prescribe Schedule II drugs should remain with physicians. A patient with a condition severe enough to warrant use of Schedule II drugs should be under a physician's direct care.

APRNs provide valuable and essential services to Illinois patients which are distinct from those provided by physicians, but are not a substitute for them. Patients are best served and most satisfied when doctors and APRNs work together in a collaborative and interactive practice.

True collaboration, as will be defined in the coming Illinois APRN licensing law, results in high quality, cost effective medical care. It has never been more important to be mindful of this principle than it is today, when cost-based interference in the doctor-patient relationship is an ever-growing fact of our professional lives.

We have a duty to protect our patients and attempt to guard the quality of care by assuring that providers of care have appropriate education, experience and expertise. Clearly, nurses working in collaboration with physicians are in a better position to provide quality care with oversight.

Welcome to the College
Members 1997 Pledge American College of Physicians Members 1997
Oussama Aasar, MD
Christine Acob, MD
Shakeel Ahmad, MD*
Farhana Ahmed, MBBS
Khadeer Ahmed, MD
Zafar Ahmed, MBBS
Rasheed Akhtar, MBBS
Nabil Al-Sharif, MBchB
Jawdat Alabbood, MD
Syed Ali, MBBS
Kieper Almeida, MD
Victoria Altree, MD
Esther Alva, MD
Jose Amorado, MD*
Kenneth Anaeme, MBBS
Mary Anderson, MD
Stephen Ang, MD*
Susan Arreola, MD
Waldo Arteaga, MD
Voula Asimacopoulos, MD
Hassan Azar, MD
David Baez, MD
Howard Baker, DO
Massarat Bala, MD
Alex Barboi, MD
Barbara Bialowolska-Romaniuk, MD
Kenneth Breger, MD
Clavel Bukiron, MD
Lucy Burciaga, MD
Benito Camacho, MD*
Jennifer Candel, MD
James Cantorna, MD
Paul Carryon, MD
Geffrey Cavallin, MD*
Naresh Chandan, DO*
Samina Chaudhry, MBBS
Valentine Chikwendu, MD
Chris Chon, MD
Nicholas Christakis, MD
Scott Clenkus, MD
Gregory Coleman, MD
Dina Darwish, MD
Luis DeVenecia, MD*
Naveen Devabhaktuni, MBBS*
Roberto Diaz, MD
Marc Dorfman, MD
Nanette Fabi, MD
Farah Fakouri, MD
Marlito Favila, MD*
Kathleen Finan, MD
Michael Fragen, MD
Sandhya Garg, MD
F W Germino, MD
Sefer Gezer, MD
Ehtesham Ghani, MD
Michael Glickman, MD
Michael Gomendoza, MD
Krishnarao Gorrepati, MD
Anjali Goyal, MD
James Grissom, MD
Boris Gurevich, MD
Irfin Hafiz, MD
Nasreen Hamidani, MD
Jeffrey Hamilton, MD
Tamouh Hamoud, MD
Peter Hart, MD
Wanda Hatter-Stewart, MD
Shahid Husain, MD
Cecilia Ibrahim, MD
Parveen Ikramuddin, MD
Kenneth Inoue, MD*
Sharon Irons, MD
Syed Jafri, MBBS
Harold Jaimes, MD
Andrzej Jasek, MD
Zafer Jawich, MD
Stephen Jennison, MD*
James John, MD
Srinivas Jujjavarapu, MD
Vijaya Jujjavarapu, MD
Iyad Jundi, MD
Steven Kalt, MD

* Downstate

I affirm my belief in the mission
of the American College of Physicians
To preserve and maintain
the highest traditions and precepts
of the our professional calling
And I solemnly declare
that I will conform to these ideals
to the utmost of my ability

I therefore reaffirm my dedication
to the practice of medicine
To act always in the best interests
of my patients
To respect the reputation and integrity
of my colleagues
To supplement my own judgment
with the counsel of others
when the occasion requires
To render assistance to my colleagues
in every way
To extend my professional aid
to the unfortunate
To increase my medical knowledge
and understanding by continuing study
by association with physicians
of the highest intellectual and
ethical standards
and by the free exchange
of information and experience
with all of my medical colleagues

I hereby pledge to uphold
the ethics of medicine as exemplified
by the standards and traditions
of this College

Fellowship 1997 Fellowship 1997
Safdar Ali, FACP
Terrence Barrett, FACP
Daniel Berland, FACP
Robert Blank, FACP
Susan Broy, FACP
Halina Brukner, FACP
David Burstein, FACP
Adrienne Burford-Foggs, FACP
William Cannon, FACP
David Charney, FACP
George Christopoulos, FACP
Bradley Clifford, FACP
Michael Cochran, FACP*
Mary Conti-Swiontoniowski, FACP
Phillip Cozzi, FACP
Ann DeClue, FACP
Daniele De Girolami, FACP
Stephen Deutsch, FACP
Eugene Dust, FACP*
Beatriz Edwards, FACP
Jerome Frankel, FACP
Robert Golden, FACP
Martin Gorbien, FACP
James Graumlich, FACP*
Robert Hirschtick, FACP
David Knudtson, FACP
Abraham Kocheril, FACP*
Vijay Kumar, FACP
Thomas Liao, FACP
Trevor Lissoos, FACP
Charles Lucore, FACP
Robert Maguire, FACP
Manuel Malicay, FACP
Robert McNutt, FACP
Catherine Meyer, FACP
Todd Newberger, FACP
Steven O'Marro, FACP*
Yagnesh Oza, FACP*
John Phair, FACP
Micheal Preodor, FACP
Thomas Quinn, FACP
Rosalind Ramsey-Goldman, FACP
Dean Silas, FACP
David Slagle, FACP*
Martin Tallman, FACP
Sushilkumar Tibrewala, FACP*
Arvydas Vanagunas, FACP
Dean Velis, FACP
Herbert Wiser, FACP*
Raja Zabaneh, FACP*
Mubashir Zahid, FACP*
Nadeem Kamran, MBBS*
Robert Kash, MD
Akbar Khan, MBBS
Aslam Khan, MD
Kamran Khan, MD*
Kevin Kilpatrick, MD
Duk Kim, MD*
Mary King, MD
James Koop, MD
Suresh Krishnamoorthy, MBBS
Rudolf Kumapley, MD
Jeffrey Liang, MD*
Levantha Litsey, MD
Parag Madhani, MD
Madhu Malhotra, MBBS
Sheila Maliekel, MBBS
Narain Mandhan, MD*
Shahid Masood, MD
Roger McClintock, MD*
Mary McMillan, MD
Marvin McMillen, MD
Renato Medrano, MD
Robert Meister, MD*
John Miah, MD*
Isaac Morcos, MD
James Morgan, MD
Gail Mullen, MD*
Prasanna Nair, MD*
Sudeep Nair, MD
Imran Nasir, MD
Emerito Natanawan, MD
Ikeadi Ndukwu, MD
Patricia Neyman, MD
Seema Nishat, MBBS
Maryannette Nora, MD
Ausencio Nunez, MD
Htoo Ohn, MBBS*
Mary Therese Pasciak, MD
Walter Plasencia, MD
Srikiran Pothamsetty, MD
Suresha Prabhakar, MBBS
Veena Prabhu, MD
Rajat Prakash, MD
Nicholas Pruc, DO
Leslie Ramirez, MD
Bernard Ramos, MD*
Sora Reddy, MBBS
Maria Reyes, MD
Jose Salazar, MD*
Oscar Sanchez, MD
Geoffrey Sebastian, MD
Bradley Shapiro, MD
Rekha Sharma, MBBS
Nidal Shawahin, MBBS*
Kyungran Shim, MD*
Prabhu Shivalingappa, MBBS
Mohammad Siddiqui, MD
Rahmawati Sih, MD
Sunil Sinha, MD*
Reid Sutton, MD*
Shakuntala Swaminathan, MBBS
Albert TanLim, MD*
Faisal Thaljeh, MD*
Kathleen Treanor-Armich, MD*
Charlton Trinidad, MD
Nina Tubilleja, MD
Daniel Vandenberg, MD
Andrew Varney, MD*
Rajiv Vasavada, MD
Cara Vasconcelles, MD*
Daniel Vicencio, MD
Lance Wallace, MD
Elisabeth Wallner, MD
Kenneth Wang, MD
Ida Washington, MD
Joel Weiner, MD
Than Win, MBBS
Darryl Woods, MD
Srinivasarao Yaganti, MD*
Andrew Zasada, MD*
Francisco Zornosa, MD



MEMBERShip/Fellowship Applications


Medical Students: Medical students do not pay membership dues or fees for the annual/local meetings.

Associates: Associates are residents in internal medicine programs. Associates have all the benefits of members except for the right to vote and hold office.

Members: Members are board eligible and board certified internists. Members have the right to vote but do not hold office.

Fellows: Fellows are board certified and in addition have shown personal integrity and professional accomplishment. They hold office. See Advancement to Fellowship.

Benefits of Membership:All dues paying members receive the Annals of Internal Medicine, ACP Journal Club, ACP Observer and enjoy special rates on ACP products as well as the Annual Session and MKSAP Review Courses. Other benefits include such programs as group insurance…


There are many ACP members in Illinois who are eligible for advancement to fellowship or qualify for direct fellowship appointment. A candidate may apply under one or a combination of four pathways.

Basic College Requirements: The candidate must:

  • be certified by the American Board of Internal Medicine, College of Physicians and Surgeons of Canada, or the American Osteopathic Board of Internal Medicine
  • have been a member in practice or in an academic position for 2 years
  • have an active medical license if in clinical practice
  • have confined professional activity to internal medicine or subspecialty
  • be proposed and seconded by two Fellows/Masters with reference to character, ethics, and medical activities
  • the proposer and seconder must write detailed letters of support
  • be endorsed by the appropriate College Governor

Pathway 1: Skill in written medical communication
The Subcommittee considers the following types of communication: articles, editorials and abstracts of scientific work published in peer review journals and medical books; published or unpublished case reports or expanded consultations with bibliographic references; letters to the editor; short review articles, written patient educational materials; health care paper presentations and lectures to organizations other than professional and academic societies; quality assurance evaluations; community epidemiologic surveys and reports; and written materials concerning the planning and evaluation of training programs.

Pathway 2: Continuing certification and/or teaching
Recertification, participation in MKSAP with a passing score, certificates of special competence, or subspecialty certification are usually required for this Pathway but by themselves are not adequate. Exceptional candidates with outstanding scholarly and/or teaching and/or community and American College of Physicians activities may qualify even without fulfilling the MKSAP or subspecialty certification or recertification requirement.

Pathway 3: Active membership in the College for at least ten years, participation in College programs
Active membership in the College for at least ten years, participation in College programs Such participation can be demonstrated by attendance at the College's Annual Sessions, scientific meetings, postgraduate courses and other meetings sponsored by the College or by universities, medical societies, and other medical organizations. Outstanding candidates who have been Members for less than ten years may qualify by combining Pathways 1 and/or 2 with 3.

Pathway 4: Distinguished professional activity in teaching, patient care, or professional service over many years
This category is designed for senior practitioners. The Subcommittee will give weight to substantial contributions to the professional education of other physicians, medical students, or allied health professionals through teaching, both institutional and community based, scientific presentations, or the organization of scientific or clinical training programs on a continuing basis.

Committee Membership 7/96-7/98

Committee Membership Insert

We wish to thank everyone who served us well on committees this past two years. The committees are being restructured and new members will be appointed to serve from 7/98-7/00. If you are interested in serving, please print and return the attached insert. If you served in the past and are interested in continuing, please notify us. Indicate your choices by numbering 1,2,3 in order of preference with 1 being your first choice.

Mark Your Calendar

Illinois ACP/ASIM Chapter Meeting
Renaissance Springfield Hotel
701 E. Adams Street • Springfield, IL 62701
October 23 & 24, 1998

Council Members 7/96 to 7/98

Whitney Addington, MD, FACP (312) 942-8389
Cynthia Boyd MD, FACP (312) 942-5496
John Brill, MD (312) 930-0999
Marion Brooks, MD, FACP (708) 216-3315
William Cannon, MD (708) 216-3356
Ray Curry, MD, FACP (312) 908-7252
Patrick Fahey, MD, FACP (708) 216-3315
James Foody, MD, FACP (773) 704-5570
Lawrence Frohman, MD, FACP (312) 996-7700
Eric Gall, MD, FACP (847) 578-3291
Serafino Garella, MD, FACP (773) 955-4101
William Gradishar, MD, FACP (312) 908-9412
Michael Greenberg, MD, FACP (847) 634-3778
Stephanie Gregory, MD, FACP (312) 942-5982
Rolf Gunnar, MD, MACP (708) 795-2400
Ashutosh Gupta, MD, FACP (773) 947-2289
C. Anderson Hedberg, MD, FACP (312) 226-1162
Holly Humphrey, MD, FACP (773) 702-1455
E. Stephen Kurtides, MD, FACP (847) 570-2510
Lewis Landsberg, MD, FACP (312) 908-8205
Stuart Levin, MD, MACP (312) 942-6000
David Liebovitz, MD (773) 702-4146
Armand Littman, MD, MACP
Melvin Lopata, MD, FACP (312) 996-7700
Joan Mullan, MD (312) 944-6677
Steve Potts, DO, FACP (312) 567-2333
Brendan Reilly, MD, FACP (312) 633-5438
Carlotta Rinke, MD, FACP (630) 369-3861
Janet Riddle, MD (312) 955-8126
Arthur Rossof, MD, FACP (708) 795-0300
John Schneider, MD, FACP (773) 702-6840
John Sheagren, MD, FACP (773) 296-7084
Lori Siegel, MD, FACP (847) 578-3297
James Sipkins, MD (312) 503-6000
John Skosey, MD, FACP (708) 795-3400
Vesna Skul, MD, FACP (312) 551-1301
Patrick Tosetti, MD (708) 216-5033
Mark Valliere, MD, FACP (309) 757-9230
James Webster, MD, FACP (312) 503-8269
Wayne Williamson, MD, FACP (312) 226-1162
Quentin Young, MD, MACP (773) 493-8212