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Chapter Newsletter, Spring 1999

From Our Northern Illinois Governor
Warren W. Furey, MD, FACP

About 90% of you paid your Chapter dues of $50.00 and I thank you.

We are having our Regional Meeting, October 8th and 9th at Hamburger University in Oak Brook. I ask you to please come out and see your money work and reap the benefits of your membership. Many thanks to John Butter for accepting the task of program director for the meeting and to Dan Vicencio for being our education liaison for CME credits. We are running our program with the help of Gary Martin, the President of the Midwest Chapter of the Society of General Internal Medicine, and I am excited to have our two organizations officially at the same table of learning and fellowship. Our College Rep is Charles Francis, MD, who is the President of Drew University in Los Angeles and a great representative for the underrepresented and underserved minority groups in health care.

"Of all the forms of inequality, injustice in health care is the most shocking and inhumane." Martin Luther King

We have screening for the primary care folks, Multiple Small Feedings of the Mind "The Facts and No Baloney" by Diane Altkorn, U of C, John Phair, NUMS, Robert Kushner, NUMS, and James Graumlich, Peoria. Two Professors in Actions - Stu Levine and Martin Tobin. Depression, the Questions We Need To Ask - Small Feedings for Mixed Up Minds - and representative health care problems from the Hispanic (Vivian Levy) and African-American (Paul Carryon) communities. I am very obviously courting the presence of African-Americans and Hispanic American doctors. I want you at my meeting. Come and meet Dr. Francis. He is a wonderful physician and person and I am honored to have him at our meeting.

Dinner for associates and medical students - if you attend the meeting - we will feed you. We want you there. I want you at my meeting. It is my last as Governor and you are our future. Please come to my meeting.

Eve Swiacki, Mother of Fellowships, from the Philadelphia office, will be on hand all day Friday for anyone who is interested, maybe a little shy?... to help you put it together. Women are 50% of our residents. Women have special circumstances and more home responsibilities. We want you as Fellows. Good on your resume is "I attended the Regional Meeting in 1999 and I attended the Annual Meeting in Philadelphia in 2000." There are four pathways to Fellowship and the major requirement is an ethical and professional interest in the practice of medicine and patients as our primary interest. If you are hard at work, respected by yourself, your patients and your peers, you meet my criteria and I want you as a Fellow. The four pathways are elsewhere in the letter and we can help you fit.

Subspecialist sisters and brothers, faculty members - I want you at my meeting too. I want the guys and gals in practice and I'd love to see some Department Chairs too. Rally your troops. There will be something for everyone and we need to stay together. We are all internists first and our patients and our young students and associates and beginning physicians and our happiness and satisfaction in our profession is our common goal. Please come, meet our elected representatives, let them hear our needs, be refreshed by our associates' clinical vignettes and learn and share your knowledge at the clinical sessions. I have made a promise like Dr. Berwick said I should do at the Annual Session in New Orleans. This will be our largest regional meeting ever and if it is and with your help it will be our best!

From our Downstate Governor
David Steward, MD, FACP

One of the privileges for a Governor is to participate in committee activity at the College, and with related organizations. I have been fortunate to play bit parts in two committees, each of which might be of interest.

One is the ACP-ASIM "Clinical Skills Subcommittee", which meets three or four times a year in Philadelphia. This subcommittee, chaired by Mike Ainsworth of Galveston, Texas, and supported by Pat Alguire at the College, is responsible for several important projects including the Learning Center and other clinical skills sessions at the ACP-ASIM Annual Session, and the new Clinical Skills Modules. The clinical skills sessions at the Annual Session focus on hard-to-master practical skills such as breast and pelvic exams, counseling for behavior change, and dermatologic procedures. These sessions use educational techniques other than lectures- standardized patients and demonstration/practice sessions, for example - and are designed to give the learner a hands-on experience. The popularity of these sessions has grown, and they will continue to play a big role at future meetings, perhaps including a special pre-session course.

The Clinical Skills Modules are self-contained educational packages that can be used at any CME program or ACP-ASIM Regional meeting. Each Module contains demonstration videotapes, equipment, supporting materials, and instructions to deliver a practical skills teaching session at a local CME program. To use the Module, a CME Program Organizer would obtain a Module and then enlist a local physician to serve as on-site instructor for the session. The first available Module covers office dermatologic procedures; others for pelvic exams and the musculoskeletal exam are on the way. For information about the Modules, please contact me or Patrick Alguire, MD, at the College.

My other assignment is to the American College of Cardiology/American Heart Association Committee that is developing new guidelines for the management of unstable angina. This group, which has met three times in the past year, is chaired by Eugene Braunwald, MD, and includes about twelve cardiologists and cardiac surgeons from across the country, plus "token" representatives from the ACP-ASIM and from emergency medicine and family medicine professional organizations. This is my first experience in a guideline-writing group, and I find the process enjoyable, challenging, and occasionally, troubling. There are several nationally-recognized experts around the table who firmly agree about many issues, but who at times strongly disagree about the findings of important studies, and who sometimes use the phrase "in my experience" to justify a guideline. The final product should be informative and useful for physicians, and, most importantly, should lead to better, more consistent care of patients.

Of local interest: Craig Backs, MD represented the Downstate Region at Capitol Hill Day in Washington, D.C. last month and had several meetings with Illinois legislators and their staff. Craig is knowledgeable and effective in communicating the concerns of practicing internists to such folks, and we appreciate his willingness to take on that role.

Sarah Rusch, MD, of Peoria, is chairing the committee that will oversee the nominations for the next Governor for the Downstate Region. As soon as the new individual is elected, he or she will assume the position of Governor-elect and can begin to take over the activities for our organization. If you are a Fellow in the College and interested in the position, or if you would like to nominate someone, please contact Sarah.

The Second Annual Internal Medicine and Geriatrics Symposium, co-sponsored by the Marion VA Hospital and the ACP-ASIM Illinois Downstate Region, was held in Marion, Illinois on June 3, 1999, and drew a crowd of more than 70 physicians. This year's session, organized by Raj Chadaga, MD was excellent, and we look forward to the Third Annual version next year. The next big event is the State Scientific Meeting at "Hamburger U" in suburban Chicago in early October, and we are all early anticipating the meeting (and the cuisine). I wonder if we can use the drive-thru? Hope to see a big contingent of Downstate folks at the meeting!

Minority Membership Enhancement Program
Sonja Boone, MD

The first annual program of the ACP-ASIM Membership Enhancement Committee was spearheaded by Sonja Boone, MD and was held at the Ritz-Carlton Hotel in Chicago on Saturday, May 8, 1999.

Vesna Skul, MD, FACP presented "ACP-ASIM Membership and the Road to Fellowship".

"Allergic Rhinitis and Asthma in Minority Patient Populations" was presented by Cheryl Lynn Walker, MD, MBA. The program was well received. There was a general consensus that future programs continue to emphasize medical problems of minorities.

Northern Illinois Associates

Steve Potts, DO
312-567-6070, s-potts@nwu.edu

Anne Dean, MD
708-763-1447, adean@luc.edu

Organization of Northern Illinois ACP-ASIM Associates is here. Anne Dean, MD, has volunteered to be the point person in this process. Ultimately the hope is to have each residency training program send a resident representative to the Associate Council meetings to be held every other month. These gatherings will be used to organize, educate and communicate with young physicians in training. Look for the first meeting to be held in August. We need an Associates Council in Illinois and a representative from Illinois to the National Council of Associates.

The Illinois Chapter of the American College of Physicians-American Society of Internal Medicine and the Midwest Chapter of the Society of General Internal Medicine

New Approaches to Prevention and Health Care
Friday, October 8th & Saturday, October 9th 1999
The Lodge at Mcdonald's Hamburger University
Oak Brook, Illinois

Program Director: John Butter MD

Friday, October 8, 1999

7:30 a.m. Registration/ Breakfast
8:30 Governors' Welcome
Warren Furey, MD
David Steward, MD
Gary Martin, MD
8:45 Overview Of Screening
Gary J. Martin, MD
9:45 Ultrafast CT Scan: Pros & Cons
Philip Greenland, MD
George Kondos, MD
10:15 Break
10:30 Cardiac Physical Exam Skill Development: Harvey/Infrared
George Kondos, MD
11:15 Small Feedings of the Mixed Up Mind
Jan Fawcett,MD
12:00 p.m. Lunch
Update from the ACP-ASIM Representative
Charles K. Francis, MD
1:15 The Facts (and No Baloney) Multiple Small Feedings of the Mind
A series of succinct answers to ten of the toughest common diagnostic and therapeutic challenges facing the practicing internist.
Diane L. Altkorn, MD
James Graumlich,MD
Robert Kushner, MD
John P. Phair, MD
3:00 Break
3:15 Underutilization of Health Care Services By Minorities
Charles K. Francis, MD
3:45 Neurocysticercosis in Little Village
Vivian Levy, MD
4:15 Problems Facing the Urban Internist in Managing Hypertension
Paul Carryon, MD
4:45 Associates' Vignette Presentations
5:15 Adjourn
5:30 Reception
6:30 Dinner
Laureate Awards
Brookens Award

 

Saturday, October 9, 1999

7:30 a.m. Continental Breakfast
8:30 The Professors in Action
Stuart Levin, MD
Martin Tobin MD
10:15 Break
10:30 Town Meeting: Help Launch Universal Health Coverage: National and State Initiatives
Moderator: Whitney Addington, MD
2:00 p.m. Concluding Remarks

Home State Stars at the Annual Session in New Orleans, April 1999

Our New President of the ACP-ASIM
Whitney Addington, MD

Our New Regent of the College
C. Anderson Hedberg, MD

The William C. Menninger Memorial Award
Jan Fawcett, MD
For Distinguished Contributions to the Science of Mental Health

National Research Poster Winner
Judit I. Pulai, MD
Associate, Ravenswood Hospital
"Donor Splice Mutation (664 + 1G->T) in Familial Hypobetalipoproteinemia with No Detectable APOB Truncation"

Our New Masters of the College
E. Stephen Kurtides, MD
James R. Webster, Jr. MD

Meet the Professor Session

  • John Scott, MD (Quincy, Illinois)
    Subject: Putting Violence Prevention Into Your Practice
  • Charles Von Gunten, MD (Chicago, Illinois)
    Subject: Management of Pulmonary & GI Symptoms at the End of Life

Moderators

  • Keith Block, MD (Evanston, Illinois)
    Nutrition and Complementary Medicine
  • Gerald M. Eisenberg, MD (Des Plaines, Illinois)
    Clinical Spectrum of Phospholipid Antibody Syndrome
  • William J. Elliott, MD (Chicago, Illinois)
    Update in Clinical Pharmacology and Therapeutics
  • Patrick Fahey, MD (Maywood, Illinois)
    Chest X-Rays for the Internist
  • Brian Olshansky, MD (Maywood, Illinois)
    Syncope: Neurologic or Cardiac?

Faculty

  • Robert A. Balk, MD (Chicago, Illinois)
    Director, Cricital Care Medicine: 1999 Precourse
  • Robert O. Bonow, MD (Chicago, Illinois)
    New Clinical Guidelines for the Diagnosis and Management of Patients with Cardiovascular Disease
  • R. Phillip Dellinger, MD (Chicago, Illinois)
    Critical Care Medicine: 1999 Precourse
  • Olufunmi F. Olopade, MD (Chicago, Illinois)
    Director, Workshop on Genetics in Clinical Cancer Care: Toward the Primary Prevention of Cancer

Distinguished Lectures

  • Norman Farnsworth, Ph.D. (Chicago, Illinois)
    ABC's of Herbal Medicine
  • Jan Fawcett, MD (Chicago, Illinois)
    Potential Contributions of Physicians to Suicide Prevention
  • Robert J. Kapicka, MD (Arlington Heights, Illinois)
    Presentations: Making Visuals

Update in General Internal Medicine

Diane Altkorn, MD (Chicago, Illinois)
Wendy S. Levinson, MD (Chicago, Illinois)
Keith Roach, MD (Chicago, Illinois)
Scott Stern, MD (Chicago, Illinois)

Panelists

  • Whitney Addington, MD (Chicago, Illinois)
    Access to Health Care: What is the Medical Profession's Responsibility?
  • Peter Angelos, Ph.D, MD (Chicago, Illinois)
    Professionalism in Medicine and Core Values
  • Ellen Mason, MD (Chicago, Illinois)
    Medical Complications of Pregnancy
  • John L. Skosey, MD (Berwyn, Illinois)
    Clinical Spectrum of Pospholipid Antibody Syndrome
  • Edward P. Sloan, MD (Chicago, Illinois)
    Emergency Medicine for the Internist: Part 4 - Difficult Seizures

Evergreen Awards - Not One But Two!!

It is quite unprecedented for a Chapter to win two Evergreen Awards in one year. The Council and Chapter extend their thanks to Dr. Steven Potts for all his work in submitting the applications for these awards.

Award Number 1: Advocacy
Illinois Health Care Initiative

Advocacy for our patients is central to our roles as physicians. We are our patient's advocates both at the bedside and in the public arena.. The Illinois Chapter chose to develop a program that would provide change in public legislative policy with regard to universal access to health care and at the same time be used as an opportunity to educate our council and membership on the process of legislative change. Our first goal was to educate our membership of the overall problem: Health care dollars that should be spent on patient care are being spent on advertising, referral forms, exorbitant executive salaries, profits for shareholders, and bureaucratic utilization regulations that risk quality and delay medical care.

The Governor's Council began a letter campaign and update in our Chapter Web Page asking members to write their state representatives to support the Bernardin Amendment to our state constitution for universal access to medical care. The process involved meeting with state assembly members, testifying before House Subcommittees and getting a referendum on the ballot for the fall elections. The Amendment passed the House Subcommittee, and hopefully will come before the House this next session. The referendum asked citizens in Cook county whether health care should be a right and whether they would support an amendment to the constitution that provides universal coverage for all citizens of our state. The referendum passed with 83% of those casting a yes vote.

Award Number 2: Education
Chief Resident Training Program

The training of medical residents is an important part of the Associate Program in the State of Illinois. For nine years we have provided a one-day training experience that addresses the needs of our chief residents. The program uses a problem-based learning format and small group discussion. The format compliments other national programs and provides an important opportunity for all Illinois Chief Medical Residents to come together. The use of small preceptor run group sessions in feedback and conflict resolution exercises has proved helpful in evaluating needed skills development and confidence building. In recent years, we have added programs in how to teach, and how to help the slower adult learner. The multiple and serious tasks of resident physician training demands further development of local experiences that contribute to the development and training of the most important members of our departments and training programs, our Chief Medical Residents.

Congratulations to All of Our New Fellows

Diane L. Altkorn, MD
Adrienne Burford-Foggs, MD
Abdul M. Choudhury, MBBS
Shahriar Dadkhah, MD
Stephen F. Deutsch, MD
Nancy C. Dolan, MD
Beatriz J. Edwards, MD
Darrien L. Gaston, MD
Alan D. Gilman, MD
Daniel R. Herdeman, MD
Robert J. Kapicka, MD
Frank J. Konicek, MD
Trevor W. Lissoos, MD
John A. LoGiudice, MD
James P. Monahan, MD
Luis S. Nasiff, MD
Jesse K. Park, MD
Ketan R. Patel, MD
Thomas J. Quinn, MD
Mohamed M. Salem, MBBch
Dean N. Silas, MD
Scott D. Stern, MD
Allan D. Tachauer, MD
Bruce A. Vesole, MD
Charles F. Von Gunten, MD
Charles R. Welford, MD
Mohammad Zahid, MD

ACP-ASIM Resolutions
Board of Regents April 24,1999

Resolutions Adopted:

1-S99 - The College will transmit to the ABIM its members concerns that Board recertification be clinically, relevant, of benefit to patients and physicians, and minimally burdensome for the candidate.

4-S99 - The College is to develop explicit guidelines for informing the electorate about candidates nominated for elected office.

5-S99 - The College will develop and maintain a compilation of states' CME requirements for physicians, and that local Chapter's will be encouraged to use this information in local program planning.

6-S99 - The College will urge delay in the implementation of HCFA's E and M documentation guidelines (already current policy).

7-S99 - The College should oppose performance-based contract for HCFA PRO's that create inappropriate incentives for identification of payment errors (Colorado's resolution reworded).

12-S99 - The College will encourage all medical schools to integrate geriatric education in the overall educational experience.

13-S99 - The College will seek legislation requiring health care organizations to provide adequate advance notice of formulary changes.

14-S99 - The College will recommend to appropriate bodies that Methadone be considered no differently than any other DEA Schedule II agent.

16-S99 - The College will encourage the study of the long-term impact of genetic engineering on the food supply and human health.

17-S99 - The College will enter into discussions with the Royal College of Physicians and Surgeons of Canada to approve MKSAP as an acceptable form of study credit for Internists.

18-S99 - The College will advocate to support the requirements that all Medicare carriers include the fee schedule for office laboratory tests in the "Enrollment Package and Physician Fee Schedule" for Medicare Part B each year.

20-S99 - The College will oppose the mandatory use of hospitalists. (Reaffirms current College policy)

Resolutions Recommended For Further Study:

3-S99 - The College will formally condemn the endorsement or sale for profit of non-prescription goods from physicians' offices.

8-S99 - The College will recognize the diversity of needs of Chapters.

10-S99 - The College will advocate for health care policies that insure access for integrated general medical and psychiatric services.

Resolutions Not Approved:

2-S99 - The College will investigate publishing a health magazine for the public. (Unlikely to be successful and too costly).

9-S99 - The College will pay for Regents to attend the BOG meetings (Felt to be too costly of College resources and Regents time).

11-S99 - The College will post minutes promptly on ACP-Online (Approved as part of BOG/BOR Task Force Recommendations)

15-S99 - The College will not create a PAC (Membership assessment underway)

19-S99 - The College will better educate the lay public and branches of government about the consequences of the for-profit nature of most HMOs in the United States (Unclear mission, high cost).

Reinventing Healthcare
James Webster, MD, MACP

Clearly the marketplace solution for healthcare is failing. Major players in the for-profit environment are leaving the field. This presents problems for patients as coverage options decrease and the number of uninsured increase, but also presents an opportunity to rebuild the system. It puts the burden squarely on us to present specific programs for dealing with issues of universal health insurance that will provide for continuity of care in stable integrated care programs with stable patient populations under stable insurance coverage. We must put forward proposals that deal with issues of funding, benefits for basic and essential healthcare and "clinical" care that is effective and efficient.

On Saturday, October 9,1999, at the Town Meeting session at our regional meeting help us launch Universal Health Coverage. We will discuss some of the specific issues listed below to help solve our healthcare crises:

  1. The funding dilemma, balancing revenue and expenditures in our era of finite resources.
  2. Applying current evidence to maximize quality effectiveness and efficiency of medical interventions.
  3. Determination of the ideal benefit package.
  4. Realistic strategies to implement a form of universal health insurance that will expand coverage to those currently without access.

We plan to do this with specific application to Illinois and the passage of the Bernardin Amendment. Obviously, many questions will be raised, especially answering those that suggest that such a measure would bankrupt the state. You'll be glad to know that there is evidence from studies in other states that such a program would initially be revenue neutral but would, in the long run save money. What we need is to find experts who can translate this into hard data for Illinois. We are already hard at work to identify and invite such individuals to come to Illinois and educate us. Our plan is to try and do this in a collaborative fashion with other organizations. This will allow us to not only spread the cost of the speakers but perhaps even more importantly, reach much larger audiences.

Universal Health Care Coverage: A Call to Action From America's Internists

The ACP-ASIM is the largest medical specialty organization to put health insurance coverage for all Americans at the top of its agenda. Dr. Whitney Addington, the president of the College, has both the responsibility and the opportunity to make universal coverage a public debate in the upcoming presidential elections. As Chair of the newly established Physicians Work Group on Universal Health Coverage, Dr. Addington took the lead in releasing the group's consensus statement on universal coverage to the public at a press conference in June. The consensus statement establishes three basic concepts for universal coverage:

  1. All Americans must have health care coverage.
  2. Health care coverage will contain a quality benefit package.
  3. Medical necessity determinations made under the benefit package should reflect generally accepted standards of medical practice, supported by outcomes-based evidence.

The groups involved are the AMA, AAFP, American Academy of Pediatrics, American College of Obstetrics and Gynecology American College of Emergency Physicians and American College of Surgeons.

Health Care Reform Committee

Dr. James Webster, MD, MACP, Chair, would love to have more members, fellows, associates, and medical students work with him. Dr. Webster can be contacted at j-webster@nwu.edu, 312-503-3087, or fax 312-503-5868. Information regarding committees, conferences, and legislative activities can be obtained by contacting the Illinois Ad Hoc Committee to Defend Health Care. Website: ILADHOC.org. (See opposite page Reinventing Healthcare.)

The Bernardin Amendment

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 the universal health care coverage that permits everyone in Illinois to obtain decent health care on a regular basis.

After the overwhelming mandate in Cook County endorsing the Amendment (83%) in Nov. 1998, voters in 17 suburban and rural downstate counties overwhelming supported the Amendment by an average of 71% in the elections in April 1999.

State Representative Mike Boland from East Moline has the support of 32 of his colleagues in the House. It is important now to get the rest of the legislators on board and work for bipartisan support.

The 28th Amendment

A national movement is beginning. Other states are discussing the Bernardin Amendment and expanding the right to health care. Plan to ask every candidate for public office next year, about his or her viewpoint on Universal Health Care Coverage. All citizens and other residents of the United States shall have equal access to basic and essential health care. (Annals of Internal Medicine, April 20, 1999, p. 692)

Leadership Day
Washington DC, May 26,1999

Rolf Gunnar, Craig Backs and I went to Capitol Hill May 25th and May 26th. We met in person with Congressman Danny Davis, Congresswomen Judy Biggert and Jan Schakowsky, and Senator Dick Durbin. Craig Backs met with Congressman John Shimkus. We met Michelle Spence in Hastert's office and Yardly M. Pollas-Kimble, the Legislative Director for Congressman Bobby Rush. This is the fourth year I have made this spring sojourn and I find this little Civics lesson quite inspirational.

The College prepared us to speak on eight issues:

  1. The first issue was making health insurance coverage available to all Americans with incomes up to 150% of federal poverty level as a "down payment" on universal coverage. Coverage would be made available by 1) extending Medicaid coverage to all persons with incomes up to 100% of poverty, 2) providing refundable tax credits for individuals with incomes between 100-150% of poverty, 3) increasing funding for Medicaid outreach and 4) providing temporary subsidies for people to purchase COBRA coverage when they lose their jobs. I was impressed with Congressman Danny Davis as he calculated how a tax credit for the uninsured would help someone with a $6.00/hour job.
  2. Confidentiality of electronic medical records.
  3. Patient protection legislation.
  4. Medicare restructuring. We oppose any premium support program that would have the effect of converting Medicare to a defined contribution program. What makes the current Medicare program so successful is that it guarantees that all elderly and disabled, regardless of health status or income, are entitled to the same set of benefits
  5. Funding for graduate education. We oppose removing funding for the direct cost of graduate medical education from the Medicare trust fund. My plea was that we have the best system of medical education in the world and please don't relegate it to appropriations and uncertainty.
  6. Pain management/End-of-Life Care.
  7. Collective bargaining. We support the intent of the Quality Health Care Coalition Act of 1999, House of Representative #1304, sponsored by Campbell and Conyers. The bill would create an antitrust exemption to allow physicians and other health care professionals to bargain collectively with a health plan or insurer. Our support is predicated on language in the bill to prohibit collective actions by physicians that would deny or limit service to patients and/or result in price fixing.
  8. Prevention of firearm injuries.

Everyone listened. It was apparent that our plea for universal health coverage was seen along party lines. I had the opportunity to quote Cardinal Bernardin and explain the Bernardin Amendment in virtually all offices. Capitol Hill day is something that I never look forward to because I hate to take the time away from practice. When I am there I am intimidated by the history and the power that is our government and yet I am always pleased that our Representatives are eager to hear our points of view and treat us with respect and I am always glad that I went. Warren W. Furey, MD

ACP-ASIM Membership/Fellowship

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

Associates: Associates are residents in internal medicine. They have benefits of members except for voting and holding office. Dues $104.

Members: Members are board eligible or board certified internists. Members vote but do not hold office. Dues:$200 8 or < yrs. post-graduate & $328 9 or more yrs. Benefits include Ann. Int. Med., many other publications, insurance programs, etc.

Fellows: Fellows are board certified and hold office. There are many members eligible for advancement or qualify for direct fellowship. Candidates may apply under a combination of four pathways. Basic Requirements:

  1. Be certified by the ABIM, Osteopathic Board of Internal Medicine, or the College of Physicians and Surgeons of Canada.
  2. Have been a member in practice or in an academic position for 2 years;
  3. Have an active medical license if in clinical practice;
  4. Have confined professional activity to internal medicine or subspecialty;
  5. Be proposed and seconded by two Fellows/Masters with reference to character, ethics, and medical activities;
  6. Be endorsed by the College Governor of his/her region.

Pathway 1: Skill in written medical communication. The Subcommittee considers 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 epidemiological 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 is usually required, but by themselves are not adequate. Exceptional candidates with outstanding scholarly and/or teaching and/or community and ACP-ASIM activities may qualify even without fulfilling the MKSAP, subspecialty certification or recertification requirement.

Pathway 3: Active membership in the College for at least 10 years. Participation in College programs, 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 10 years may qualify by combining Pathways 1 and/or 2 with 3.

Pathway 4: Distinguished professional activity in teaching, patient care, 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.

If you want to be an Associate, Member, Fellow or a Medical Student Member, please mail us your name and address. An application will be sent.

Northern Illinois Chapter will be moving the office to a new central location

332 S. Michigan Avenue, Suite 525, Chicago Illinois, 60604
Governor: Warren W. Furey,MD, FACP
Mail: ACP-ASIM 332 S. Michigan, Chicago, IL 60604
w-furey@nwu.edu, FAX: 312-328-7737

Downstate Illinois Chapter
Governor: David Steward, MD,FACP
Mail: ACP-ASIM, PO Box 19230, Springfield, IL 62794
d-steward@siumed.edu, FAX: 217-524-8156

Save the Date

Midwest Meeting of the Society of General Internal Medicine
Chicago
September 17-18, 1999

Mark Your Calender

The 26th Annual Associates Meeting
Wednesday, October 6, 1999
University of Illinois
College of Medicine at Chicago