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Introduction

Dr. Lopez

It is once again a pleasure to provide an update on the activities the American College of Physicians and our Louisiana Chapter. During 2011-2012, the national ACP is focusing its efforts and resources on four priorities:

  • To be the premier synthesizer and distributor of education and information, with a focus on cutting-edge electronic (and mobile) delivery platforms for clinical content and promoting high value cost conscious care.
  • To be the professional home for all internists (specialists, subspecialists and hospitalists) offering membership benefits that address the unique needs of key groups and that facilitate connections within segments and increase engagement with ACP.
  • To define and communicate the unique value of internal medicine, emphasizing the distinctive role of internists as providers of patient-centered, complex, high-quality and evidence-based care, with the goal of helping internists use their positions to improve patient care and advance professionalism; and to improve attitudes about internal medicine as a career.
  • To support changes in the U.S. health care system that improve patient care, improve health and promote cost conscious care, through continued advocacy for reform, and provision of resources to help transform medical practice and support new models of care-delivery, such as team-based care and accountability for outcomes.

This newsletter highlights information for the Internal Medicine 2012 meeting which will be held in New Orleans from April 19-21, 2012 and the annual Mississippi-Louisiana ACP Scientific Meeting which will be held September 6-8, 2012, at the Grand Hotel in Point Clear Alabama. Angie Johnson, MD, FACP will provide an update on the Council of Young Physicians and Steven B. Deitelzweig, MD, MMM, FACP, SFHM will discuss efforts by the ACP to promote Hospital Medicine both locally and nationally. David Borne, MD, FACP, will discuss the LA ACP’s visit to Washington, D.C. for the ACP’s Annual Leadership Day. I look forward to seeing everyone in New Orleans in April 2012 and wish all of you a safe, healthy and happy 2012!

Fred A. Lopez, MD, FACP
ACP Governor, Louisiana Chapter

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Louisiana Associates Meeting 2012

The Ochsner Internal Medicine program in New Orleans will host the annual Louisiana ACP Associates Meeting on Thursday, January 26th, 2012. The popular Master Clinician round table discussion of unknown cases will be included in the program as well as oral and poster presentations. For further details, please contact Lee Engel, Louisiana ACP Associates liaison, at

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Mississippi-Louisiana Chapters Scientific Meeting 2012

MS/LA Scientific Meeting 2012
September 6-8, 2012
Grand Hotel Marriott Resort, Golf Club & Spa
A Resort on the Robert Trent Jones Golf Trail
One Grand Boulevard, Point Clear, Alabama 36564
(251) 928-9201 – (800) 544-9933 – www.marriottgrand.com

Mark your calendars and make your plans for September 6-8, 2012 to attend the 2012 MS LA Scientific Meeting. The Grand Hotel Marriott offers 36 holes of championship golf and clubhouse, 20,000 sq. ft. European Spa, Fitness Center, 8 rubico-surfaced tennis courts (4 lighted), feature pool, indoor pool, whirlpool, sauna, bicycle rental, marina, sailboats, charter yachts, wave runners (seasonal), fishing, horseback riding, nature trails, jogging paths, children’s playground, children activity programs, beach volleyball, croquette, horseshoes, putting green, art exhibit, guided Horticultural and Historical Tours of the property, Grand Hotel Museum and the historical Confederate Rest Cemetery.

The MS chapter is looking forward to hosting the meeting in 2012. Our educational committee chairman, Dr. Calvin Thigpen, has begun inviting speakers and Steve Weinberger, MD, FACP, Executive Vice President and CEO, ACP, Philadelphia, PA, has accepted.

The 2012 meeting will have a Laureate Emeritus dinner hosted by both the Louisiana and Mississippi Laureates on Saturday night, September 8th. All Laureates, spouses/guest from both chapters are invited to participate.

For additional information contact Nancy Youngblood, Executive Director, MS Chapter ACP.

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Internal Medicine 2012

New Orleans plays host to ACP's annual scientific meeting from April 19-21, 2012, at the New Orleans Convention Center. Choose from over 250 sessions providing comprehensive coverage of internal medicine, its subspecialties, and issues in practice management and healthcare policy. Join your colleagues throughout the internal medicine community at this exceptional experience. Information including registration, course finder, guest program, and travel/housing materials can be accessed at here.

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Hospital Medicine and the ACP

Steven B. Deitelzweig, MD, MMM, FACP, SFHM

I appreciate the opportunity to contribute to this newsletter and highlight ACPs interest in promoting Hospital Medicine and hospitalists. I remain very committed to foster communication, provide excellent educational material and facilitate collaboration amongst our hospitalists in Louisiana and the Gulf South.

You should know that next year’s ACP Annual Session is in New Orleans (April 2012) which includes a 47-topic Hospital Medicine Track and a full day pre-course focused on inpatient management. Topics will range from clinical and quality issues in medical practice, hospitalist practice policy concerns, implementation of quality improvement projects, sharing best practices in transitions of care to many other elements relevant to hospitalists. April is my favorite time of year in New Orleans. During your down time from the conference, there are plenty of activities from dining, tours of this historic city, and festivals like Jazz Fest and the French Quarter Festival to experience.

With the ACP focusing on internists who primarily practice in the inpatient setting, they understand the need for us to provide “high value, cost-conscious care”. To address the challenge of health care reform and the enormous need to control ever-increasing costs of health care delivery, the ACP is embarking on a major “high value, cost-conscious care” initiative, aimed at minimizing overuse and misuse of care, particularly diagnostic testing. The idea is not to ration care (which implies limiting care that is clinically indicated), but rather to provide rational care (which includes eliminating care that is not clinically indicated and commonly either overused or misused).

We have requested the speakers to include coverage of appropriate, evidence-based care, stressing the need to eliminate overuse or misuse of diagnostic or therapeutic options that add to cost without providing value.

In Louisiana, I am interested in hearing from you and would encourage you to share your thoughts about the various aspects of educational material you feel are needed to handle our new challenges in the years ahead.

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ACP Announces New Fellows

Fellowship is an honor achieved by those recognized by their peers for personal integrity, superior competence in internal medicine, professional accomplishment, and demonstrated scholarship. It may be achieved by either advancement from ACP Membership or, in exceptional cases, by direct election. Honorary Fellowships are granted to presidents or their equivalents of medical societies abroad who attend ACP’s annual Internal Medicine meeting.

Fellows are authorized to use the letters FACP (Fellow of the American College of Physicians) in connection with their professional activities for as long as their membership remains current. They have the right to vote, hold office, and sponsor applicants for Membership and Fellowship. Fellows are inducted at a Convocation ceremony held during ACP’s annual Internal Medicine meeting. The Louisiana ACP is proud to recognize members who were elected to fellowship in the last 6 months.

The following three members of the Louisiana Chapter of the ACP have been recently named Fellow: Tina M. Benoit-Clark, MD, FACP (Lafayette, LA); Lonn E. Guidry, MD, FACP (Lafayette, LA); and Anthony J. Stuart, MD, FACP (Shreveport, LA).

Congratulations on this well-deserved recognition.

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ACP Council of Young Physicians Update

Angie Johnson, MD, FACP Southern Region Representative

It is a busy and exciting time for the ACP Council of Young Physicians. Activities we are currently working on include the continued organization and support of more Chapter-level young physician councils (CCYPs) in states across the country. It is our hope that these state chapters can further engage young physicians to grow personally and professionally. Members of the Council serve as representatives on various ACP committees at the national level, bringing the young physician perspective to these groups. The CYP is also assisting with the development of products and services geared toward young members of ACP, including the Pocket Guide to Preventative Services, the Young Physicians Practice Management Survival Handbook, and expansion of leadership skill programming. The Council sponsors several sessions each year, at the annual IM meeting and participates in networking and mentorship activities, as well as Associate and Student member poster/abstract competition judging. This upcoming year will be most exciting with IM 2012 being held in New Orleans! As one of the Southern Region representatives on the Council of Young Physicians, I look forward to furthering the interests and needs of young ACP members and engaging participation from more members at the local and state levels. I also look forward to actively working with the Louisiana residency programs in helping our Associate members see the benefits of continuing their membership and participation in ACP.

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Leadership Day 2011

David Borne, MD, FACP

The American College of Physicians Louisiana Chapter displayed state wide representation at this year’s ACP Leadership Day aka “Storm the Hill” in Washington D.C. on May 24 and 25, 2011. Phillip N. Madonia, MD from Shreveport, Angela Johnson, MD from Baton Rouge, Ryan Estaris, LSU medical student from Kenner, and David M. Borne, MD, FACP from New Orleans represented Louisiana during the annual event.

Over 370 internists and medical students brought the College’s Advocacy views to Capitol Hill. With an opportunity to meet with individual Louisiana legislators and their staff, Drs. Madonia, Johnson, Borne, and Estaris brought Louisiana’s primary care views to Washington. Numerous Senators and House members appreciated hearing from constituents in person and it was a great chance to develop long term relationships.

Here is more detailed information . At the end of the legislative advocacy session, all the veteran ACP Leadership Day attendees encouraged everyone not to stop advocacy efforts for our patients.

Leadership Day
The Louisiana Delegation on Leadership Day, 2011

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Medical Student Perspectives

How to Create a Low-Budget Medical School Survival Toolkit on Your iPhone: Essential iPhone Apps for Medical Students

An article in the July 2011 Impact Newsletter for medical students was written by Ryan Estaris of the LA ACP Chapter. He is a member of the Council of Student Members, Southern Region Representative.

Medical Student Perspectives: How to Create a Low-Budget Medical School Survival Toolkit on Your iPhone: Essential iPhone Apps for Medical Students

Are you interested in making medical school a little easier? Would you like to use some of the best medical iPhone apps? Here are some of the most essential iPhone apps for medical students on a tight budget. The methods of searching for these apps included limiting to English language-based apps, limiting to apps under $1.00, sorting by app popularity, and selecting apps with potential benefit to medical students. Below are some of the most essential iPhone apps for medical students.

ACP Doctor's Dilemma™ Mobile is based on the popular American College of Physicians (ACP) national Jeopardy-like medical quiz competition held each year at the annual Internal Medicine Meeting. New categories and questions are created each month to extend the app’s replay value. Well-timed study breaks are important, and this app can be a good break to challenge yourself or a friend to a game of medical knowledge. Cost: Free

Check out the other mobile apps that ACP offers.

Dropbox is a way to instantly sync your documents on your school computer, home computer, friend’s computer, and iPhone. You no longer need to carry a USB drive or e-mail yourself files when you have this app. Review your notes or PowerPoint lectures directly on your iPhone. You first start with 2 free GB of memory, but you can increase the online storage to 8 free GB. Cost: Free

EMS Tracker is made specifically for Emergency Medical Technicians, but this app can be modified to your needs. The home screen records the time while seeing a patient. This screen can also be modified to suit your own medical provider situation. The second screen holds a place for your patient’s vital signs (blood pressure, respiratory rate, oxygen saturation, body temperature, and blood glucose level). The event list screen provides a summary of all the information you recorded while working-up your patient. Cost: Free

If you do not speak Spanish or do not have a Spanish translator on-site, then use the Med-Spanish app. It provides helpful translations of English medical phrases to Espańol. For some phrases Med-Spanish can produce a pre-recorded Spanish message to communicate with your patients. Besides general introductions, Med-Spanish provides English to Spanish phrases that facilitate obtaining medical histories and physical exams. It can also be used as a quick resource if your school offers a Medical Spanish elective. Cost: Free

MedCalc is probably one of the most versatile medical apps on the iPhone. This is the only app that is going cost you money in this toolkit, but it is well worth the investment. It is still cheaper than most pocket medical reference books. MedCalc gives you easy access to complicated formulas. Along with having the capabilities to calculate an A-a O2 gradient, the Henderson-Hasselbach equation, and sensitivity/specificity, MedCalc also includes other features such as a dermatome map, a Snellen eye chart, several unit conversions, and more than 150 calculations/utilities. Cost: $0.99

For more validated medical information download Medical Reference. This application by the University of Maryland Medical Center provides information on symptoms, injury, disease, surgery, nutrition, special topics, poison, and medical tests. Cost: Free

Medscape is a medical information app you can use if your iPhone is unable to connect to the internet. You also have the option to download more than 40,000 clinical reference articles directly into your phone. This is a WebMD app that can be used for point-of-care service that includes information on procedures and protocols. Just like another popular app Epocrates, Medscape provides drug information including dosing, indications, drug interactions, adverse effects, contraindications, and mechanism of action. This can be a useful program while studying for pharmacology or while you are working in the hospital. Cost: Free

The Neuromind app provides a listing of neurological scores and assessment tools, but you probably will not use most these resources unless you are a neurology or neurosurgery resident. However, click on the “Other” tab, and you can view convenient images to assist you with your neuroanatomy courses or to better demonstrate neurological information to some of your patients. Cost: Free

Wikipedia is a staple resource for many students. Wikipedia is a multilingual, web-based, free-content encyclopedia. Download this app for convenient access to this supplemental learning tool to any medical education. However, since Wikipedia content is continuously being created and updated, be aware that some content can contain misinformation. Cost: Free

Disclaimer: The list does not necessarily constitute endorsement by ACP and/or CSM for any of the following products. The following is not a comprehensive list of all apps appropriate for medical students. The accuracy and reliability of each app has not been evaluated. All medical information should be independently verified through consulting a licensed health care provider. All information regarding the apps including description, availability and price is subject to change without notice.

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The ACP Foundation

Please make sure to access the ACP Foundation website. This site contains many tools to help patients manage their health (diabetes, COPD, flu, weight loss, inhaler use, low back pain, HIV, smoking, gout, etc). Following is an excerpt from the website describing the Foundation’s mission and goals.

The ACP Foundation, incorporated in 1999, supports the mission of ACP and strives to improve health communication by addressing the problem of low health literacy.

Mission

To enhance the quality and effectiveness of health care by fostering communication among patients, their physicians and other health care professionals.

Goals

I. Advance health communication and outcomes by creating and implementing patient-centered and systems-oriented health literacy programs
II. Promote health communication and health literacy research and programs that allow patients to be active participants in understanding, managing, and improving their health
III. Convene health care stakeholders to encourage collaboration and mutual accountability to catalyze action to improve health outcomes
IV. Develop and maintain appropriate and ethical relationships with external funders
V. Secure funding for ACP programs, products, and services

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Aligning GME Policy with the Nation’s Health Care Needs

A position paper on this important topic was recently released by the American College of Physicians.

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Share & Converse in Online Member Forums

You asked. We listened. ACP is pleased to introduce Special Interest Groups, an online forum for members only.

Share: Experiences and questions.
Inform: Creative solutions and ideas.
Gather: Virtual meeting place with like-minded physicians.
Member-Driven: Groups of interest fueled by ACP members.
Private: Secure physician online community.
Free: Benefit of membership.
Simple: Sign up to connect with ACP peers now.
Groups include: Hospital Medicine, Small Practice, Work/Life Balance, ACOs/New Practice Models, Emerging Technology and Physician Educators.

You may access the groups here.

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