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December 2012 Richard M. Dupee, MD, FACP, AGSF, Governor


Governor’s Message

Richard M. Dupee, MD, FACP, Governor

Dr. Dupee

From the Trenches

Dear Massachusetts ACP Colleagues,

It has been another tumultuous year in medicine, as the states and Congress wrestle with attempts to reign in the cost of medical care, and as increasingly more programs are initiated as part of the “Affordable Care Act.” Here in Massachusetts, a bill was passed in an attempt to curtail medical expenses, with what likely will include global payments, based on quality measures. As my council has consistently stood for reasonable and timely payment in such contracts, we have submitted two resolutions to ACP that protects the financial integrity of all physicians involved in such contracts (see below). The resolutions were reviewed by the ACP Board of Governors at their fall meeting and were referred to the HPPC (Health and Public Policy Committee) for further review. Stay tuned!

This year’s annual scientific meeting was again an astounding success, with a mix of academics, politics, and the usual fun with “Medical Jeopardy.” Congratulations again to the team from St. Vincent’s, who will head to San Francisco this spring to compete in the ACP competition at the Annual Meeting.

Steve Weinberger, CEO of the College, and leaders from five professional organizations wrote an opinion piece in the New England Journal of Medicine last month discussing the issue of legislative interference with the physician-patient relationship. It touches on several issues we governors have discussed at the BOG, including fracking and the Florida gun law

A recent article in JAMA discusses some of the challenges and next steps in the Choosing Wisely initiative. The authors encourage us to think about how to actually reduce utilization of low value services and discuss the possibility of high patient co-pays as one approach, albeit an approach with considerable complexity.

As we wade through the next few years of significant changes in our profession, ACP stands firmly in your corner. I invite you all to get involved in shaping the next decade of care.

Finally, a quote from our Washington office, and Bob Doherty: “Isn't it time for the country to come together to try to make the Affordable Care Act work, including fixing things that are wrong with it, rather than rooting for (and even trying to facilitate) its failure in delivering on the promise of accessible, affordable health insurance for all?

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Resolutions Submitted for the ACP Board of Governors – Fall 2012

Resolution 4-F12. Recognizing and Endorsing Priorities for Primary Care Payment and Practice Reform

(Sponsor: Massachusetts Chapter)

WHEREAS, there is a need for health care payment reform in a system that has been shown to be unsustainable, and consequently there are now numerous models of payment that are being considered, both at state and national levels, including the creation of accountable care organizations and alternative quality contracts; and

WHEREAS, there is a national trend for improved access and reduced cost of care, primary care physicians will assume responsibility for improving access and reducing costs; and

WHEREAS, putting forward the following policy positions are essential to achieving health care reform and require urgent revitalization and prioritization; and

WHEREAS, ACP is committed to improving the quality of health care and reducing costs of care to make it more affordable for more people; and

WHEREAS, ACP is committed to the maintenance of adequate reimbursement for the care provided by primary care physicians, the foundation of our health care delivery system; therefore be it

RESOLVED, that the Board of Regents recognizes and endorses these priorities for primary care payment and practice reform:

  1. There must be a new net investment (of money and other resources) in primary care practices to enable their transformation to high performance entities that incorporate the principles of the patient-centered medical home; the investment needs to be prospective.
  2. Payment to primary care practices and its professionals should be sufficient to enable and incent achievement of desired primary care outcomes and reflect the actual value created; it should not be based on existing RVU determinations (which undervalue primary care services), though RVU-based payment may remain relevant for some specialty and procedural providers.
  3. Payment for primary care should transition from fee-for-service to increasing degrees of bundled, comprehensive, or capitated payment over time and be complemented by performance-based, practice reinvestment/bonus payment for achieving desired goals in quality, patient centeredness, and efficiency as practices transform and develop the capacity to manage performance risk.
  4. Any bundled, global, or performance-based payment for primary care must be robustly risk-adjusted, taking into account not only demographic and clinical factors, but also psychosocial determinants.
  5. Payment reform for primary care should be offered uniformly across payers.
  6. Performance metrics and standards used for payment must be scientifically validated, evidence-based, clinically meaningful, and vetted by practices before being implemented.
  7. Loan forgiveness and other recruitment and retention incentives should be built into payment reform measures for primary care
  8. Liability reform must accompany payment and practice reform for primary care. Reform should include but not be limited to:
    • expert-panel pre-review of claims with a majority of panel members being practicing, same-specialty experts.
    • no opt-out for claims deemed of low merit.
    • a prejudgment interest rate equal to the national annual inflation rate or a similar statistic.
    • safe-harbor provisions against law suits for practice of evidence-based medicine.
    • cooling- off period with opportunity for non-admissible apology and communication between parties.
  9. Primary care physicians and practices participating in an ACO or other integrated, risk-sharing care network must:
    • a) occupy at least 50% of seats on the organization’s board when its performance metrics and goals are heavily weighted towards primary care outcomes
    • .
    • b) choose and approve the mode of payment for primary care and have oversight authority for its implementation and ongoing operation.
    • c) participate in the design, selection, implementation, and analysis of performance metrics.
    • d) specify and be provided in timely fashion the systems, collaborations, and data necessary to fulfill their responsibilities within the organization.
  10. Practices that choose not to join a formal ACO structure yet commit to and achieve its overall goals of high-value, patient-centered, coordinated care should not be penalized for remaining outside the ACO and should be able to interact with its participants in the delivery of care.
Resolution 5-F12. Recognizing and Endorsing Priorities for Subspecialty Payment and Practice Reform

(Sponsor: Massachusetts Chapter)

WHEREAS, numerous models of payment reform are being considered both at the state and national levels, including the creation of accountable care organizations and alternative quality contracts; and

WHEREAS, there is a national trend toward putting together systems to provide comprehensive care; and

WHEREAS, a particular group of internal medicine subspecialists – the “non-interventional” fields such as endocrinology, infectious diseases, hematology and oncology do not derive their livelihood primarily through the performance of procedures, but rather add value with depth of expertise in complex medical problems supported primarily by evaluation and management (E&M) codes like primary care, in contrast to our colleagues in interventional cardiology and gastroenterology; and

WHEREAS, the “non-interventional” medical specialists provide longitudinal and coordinated care to complex patients with chronic diseases such as diabetes, chronic renal failure, cancer, and chronic hepatitis; and

WHEREAS, the care of these patients is highly complex and expensive requiring extensive specialist time and skill to optimize patient outcomes with thoughtful use of resources; and

WHEREAS, many of these medical problems require not only an advanced depth of training and experience but also require complex treatments where there is a thin margin between treatment efficacy and toxicity, which results in a time consuming process of frequent testing, follow-up, medication adjustment, as well as conferring with infusion pharmacists, home nurses, and other physician specialists in dedicated patient conferences for both physicians and their professional staff; and

WHEREAS, ACP is committed to improving quality of care and reducing costs of care to make it more affordable to more people; and

WHEREAS, ACP is committed to the maintenance of adequate reimbursement for care to specialists who provide highly complex cognitive services and coordination of care; therefore be it

RESOLVED, that the Board of Regents recognizes and endorses these priorities for subspecialty payment and practice reform:

  1. There must be a new net investment (of money and other resources) in subspecialty internal medicine practices to enable their transformation to high performance entities; the investment needs to be prospective.
  2. Payment to subspecialty Internal Medicine practices and its professionals should be sufficient to enable and incent achievement of desired subspecialist outcomes and reflect the actual value created; it should not be based on the recently discounted spectrum of E&M codes authorized for use by medical subspecialists as currently existing RVU determinations undervalue cognitive subspecialist services. It is likely however that RVU-based payment may remain relevant for some specialty and procedural services.
  3. Payment for subspecialists work should transition from fee-for-service to increasing degrees of bundled, comprehensive, or capitated payment over time and be complemented by performance-based, practice reinvestment/bonus payment for achieving focused goals in quality, patient centeredness, and efficiency as practices transform and develop the capacity to manage performance risk.
  4. Any bundled, global, or performance-based payment for subspecialists must be robustly risk-adjusted, taking into account not only demographic and clinical factors, but also psychosocial determinants and the added expertise required to provide high quality subspecialty care.
  5. Payment reform for subspecialists should be offered uniformly across payers.
  6. Performance metrics and standards used for payment must be scientifically validated, evidence-based, clinically meaningful, limited to the actual care provided by the subspecialist and vetted by practices before being implemented.
  7. Loan forgiveness and other recruitment and retention incentives should be built into payment reform measures for non-interventional subspecialists who work in medically underserved urban and rural areas and/or focus on priority public health conditions.
  8. Liability reform must accompany payment and practice reform for subspecialists. Reform should include but not be limited to:
    • expert-panel pre-review of claims with a majority of panel members being practicing, same-specialty experts.
    • no opt-out for claims deemed of low merit.
    • a prejudgment interest rate equal to the national annual inflation rate or a similar statistic.
    • safe-harbor provisions against law suits for practice of evidence-based medicine.
    • cooling-off period with opportunity for non-admissible apology and communication between parties.
  9. Subspecialist physicians and practices participating in an ACO or other integrated, risk-sharing care network must:
    • occupy at least 25% of seats on the organization’s board when its performance metrics and goals are heavily weighted towards subspecialist outcomes.
    • choose and approve the mode of payment for subspecialist and have oversight authority for its implementation and ongoing operation.
    • participate in the design, selection, implementation, and analysis of performance metrics.
    • specify and be provided in timely fashion the systems, collaborations, and data necessary to fulfill their responsibilities within the organization.
  10. Practices that choose not to join a formal ACO structure yet commit to and achieve its overall goals of high-value, patient-centered, coordinated care should not be penalized for remaining outside the ACO and should be able to interact with its participants in the delivery of care.
  11. The value of end-of-life planning discussions with their inherent complexity and team-approach must be recognized and reimbursed as part of a bundled-payment model.

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New Governor-Elect Designee

Drs. Abraham and Dupee
Dr. George Abraham (Governor-elect designee and Dr. Richard Dupee (Governor)

I am thrilled to announce that the next Governor of the Massachusetts ACP Council is Dr. George Abraham. Dr. Abraham is Associate Professor of Medicine at the University of Massachusetts Medical School, President of the Medical Staff and Associate Chief of Medicine at Saint Vincent Hospital, and also Adjunct Professor of Medicine at the Massachusetts College of Pharmacy and Health Sciences and a valued member of my council. I look forward to working with him in his role as Governor-elect over the next year to provide a seamless transition in leadership in April 2014. Join me in congratulating Dr. Abraham!

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MA ACP Poster Day

October 27, 2012

MA ACP had a record 133 abstract submissions from medical students and residents. The resident winners of the abstract competition were invited to give oral presentations at the Annual Scientific Meeting on Saturday, November 3. From the 133 submissions, 90 medical students and residents were invited to present their posters during two poster sessions on Saturday, October 27, 2012 at the MetroWest Medical Center in Framingham. At Poster Day, 20 posters were selected as winners and honorable mention awards and were invited to present at the Annual Scientific Meeting. The Oral Presentation Winners, selected during the abstract competition, will represent Massachusetts at the national Internal Medicine 2013 meeting in San Francisco. Listed below are the Oral Presentation Winners and the Poster Winners.

Abstract Competition Winners - Oral Presentations

Predictors of Relapse in Clostridium difficile Associated Diarrhea (CDAD) (Research) Jagriti Upadhyay, MD, Saint Vincent Hospital

A Suffocating Bleed (Clinical Vignette) Jorge Alejandro Velez Garza, MD, Baystate Medical Center

Associate Poster Winner – Clinical Vignette

(1) Primary Inferior Vena Cava Sarcoma - The Trojan Horse Sandeep Somalaraju, MD, Saint Vincent Hospital

Associate Poster – Honorable Mention – Clinical Vignette (2) When Tube Feeds Result in Weight Loss Mohammed Albugeaey, MD, Baystate Medical Center / Tufts School of Medicine

Purpura fulminans After a Dog Bite: A Case of Capnocytophaga Canimorsus George Anesi, MD, Massachusetts General Hospital

(3) TB Or Not TB Suryateja Chaturvedula, MD, Saint Vincent Hospital

Dose Dependent Cerebellar Ataxia from Amiodarone and Mexiletine Xin Li, MD, Saint Vincent Hospital

(4) Sporadic Creutzfeldt-Jakob Disease Dahlia Banerji, MD, Saint Vincent Hospital

(5) Calcium Channel Blocker – A Novel Therapeutic Approach Ashmeet Bhatia, MD, North Shore Medical Center

(6) Esomeprazole-induced Hypomagnesemia, Parathyroid Hormone Resistance and Tetany Dhivya Sundaramurthy, MD, Baystate Medical Center/Tufts University

Associate Poster Winner - Research

(7) The “16 Hour Rule”: a Giant Step, But in Which Direction? Yem Abulhamayel, MD, Saint Vincent Hospital

Associate Poster – Honorable Mention - Research

(8) The Impact of Mental Health Conditions on Warfarin Therapy Outcomes Helen Paradise, MD, Boston Medical Center

(9) Relationship of Positive Blood Cultures to Length of Hospitalization and Resource Utilization Gautam Kalyatanda, MD, Saint Vincent Hospital

(10) A Resident-led Effort to Improve Resident Handoffs through a Multi-faceted Intervention Marjory Bravard, MD, Massachusetts General Hospital

(11) Improving Metabolic Monitoring for Patients on Antipsychotic Medications: A Quality Project Involving Departments of Family Medicine, Internal Medicine, and Psychiatry Nadine Palermo, MD, Cambridge Health Alliance

(12) Predictors of Percutaneous Coronary Intervention in Patients Undergoing Elective Cardiac Catheterization for Chronic Ischemic Heart Disease Auras Atreya, MD, Baystate Medical Center/ Tufts University

(13) Norovirus Outbreak in Suburban Massachusetts Felipe Barbosa, MD, Metrowest Medical Center

Student Poster Winner – Clinical Vignette

(14) A case of TTP Presenting as Cortical Blindness to “I can’t see”… a Late Presentation of Thrombotic Thrombocytopenic Purpura Jason Hine, Tufts University

Student Poster - Honorable Mention - Research

(15) Chronic Disease Care at the IMA Crimson Care Collaborative: a Study of Bridge-To-Care Patients with Hypertension Paige Qin, Harvard Medical School

(16) Implementation of Value-Based Insurance Design for Commercial Insurers Shaan-Chirag GandhI, Harvard Medical School

Student Poster – Honorable Mention – Clinical Vignette

(17) A Rare Disorder Induced by Trimethoprim-Sulfamethoxazole Patricia A. Pringle, University of Massachusetts

(18) Takotsubo Cardiomyopathy in the Setting of Status Asthmaticus Brian Carney, Tufts University

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Annual Scientific Meeting

November 3, 2012

The Annual Scientific Meeting was an excellent education and networking opportunity for the over 175 physicians in attendance. The morning started with our traditional clinical topics including Idiopathic Pulmonary Fibrosis, Women’s Health: Updates in Breast and Cervical Cancer Screening and Men’s Health: Early Detection of Prostate Cancer. These sessions were followed by a program on Lessons Learned Post-Disaster and Recovery in Haiti and Concurrent Sessions on Medicine in the Media and Non-Traditional Careers.

The afternoon including the oral presentations by the winning abstract authors that will go on to represent Massachusetts at Internal Medicine 2013 in the Poster Competition and a Town Hall Meeting entitled “Massachusetts Health Care 2013: Hospitals, Physicians and Patients. There was also a Residency Panel Discussion for our medical students. And the crown jewel of the meeting is always, the ever-popular, ever-competitive, Medical Jeopardy.

Drs. Gulla, Kowalczyk, and Dupee
Rick Gulla, MMS, Richard Dupee and Liz Kowalczyk, Boston Globe “Medicine in the Media” Session

Residency Director Panel
Eric Flint, MD, Jane Lochrie, MD, Hasan Bazari, MD and Moderator Stuart Mushlin, MD Residency Director Discussion Panel for Medical Students

Town Hall Meeting
Kevin Tabb, MD, Jon Kingsdale, PhD and Erik Wexler, MBA Town Hall Meeting - Massachusetts Health Care 2013: Hospitals, Physicians and Patients

Visit us on Facebook at www.facebook.com/MassachusettsACP for more photos from the Annual Meeting

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MA ACP Annual Membership Meeting and Awards Presentation

Dr. Richard Dupee presented the following awards at the Annual Lunch.

2012 Laureate Award Winner, Joel H. Popkin, MD, FACP, Saint Vincent Hospital

Dr. Popkin - Laureate Winner
Dr. Popkin accepts the 2012 Laureate Award

Resident Leadership Award

Dr. Tiffany Groover is an Internal Medicine Resident at Boston Medical Center. Dr. Groover has been part of the Governor’s Council and Chapter Annual Scientific Planning Committee for the past two years and has organized the Medical Jeopardy competition each year. Dr. Groover was also chosen for the ACP Health Policy Associate Intern in 2012. This internship represents a unique opportunity for one Associate and one Medical Student Member to develop legislative knowledge and advocacy skills by working directly with the College’s Washington, D.C., staff and participating in ACP’s annual Leadership Day.

Dr. Tiffany Groover
Dr. Tiffany Groover accepts the Resident Leadership Award

Student Leadership Award

Stephanie Stapleton is a 4th year medical student at Boston University – Stephanie couldn’t be here due to an away rotation in Chicago. Stephanie stepped in at the last minute last year to assist with the annual meeting; she organized the Residency Fair and assisted with the Student Abstract/Poster Competition.

Young Leadership Award

Dr. Milan Mathew is a Hospitalist with MetroWest Medical Center and is a member of the new MA ACP Early Career Council. Milan was instrumental in getting the MA Chapter on Facebook. In addition Dr. Mathew was one of our volunteer judges of the Resident and Student abstract and poster competition. We appreciate Milan’s continuing support of the Massachusetts Chapter.

Dr.  Milan Mathew
Dr. Milan Mathew (right) accepts the Young Leadership Award

Young Leadership Award

Dr. Tejas Patel is an internist with St. Elizabeth’s Hospital and is the Treasurer of the MA ACP Early Career Council. As treasurer he took it upon himself to apply for chapter development funds for our chapter. The chapter was awarded $1,500 from national ACP to assist with membership recruitment and the Early Career Physician CME program. Dr. Patel also served as a volunteer judge in our Resident and Student abstract and poster competition.

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Medical Jeopardy

Medical Jeopardy Team
Medical Jeopardy Team from Saint Vincent Hospital (left to right): Karthik Gnanapandithan, Dhaval Shah, Vinod Chaubey, Praveen Sudhindra, and Team Coach, Joel Popkin

In another tight fought, nail-biting competition, the Saint Vincent Hospital Jeopardy Team, as returning two-time champions, blasted through an array of Massachusetts’ best teaching programs. Their players – Drs. Praveen Sudhindra (Captain), Dhaval Shah, Karthik Gnanapandithan, and Vinod Chaubey, performed at a simply astonishing level of knowledge and speed. For their efforts they will for the third year in a row travel to the Internal Medicine 2013 meeting in San Francisco, supported by MA ACP, to compete in April.

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Welcome to our Newest Governor’s Council Members

At the Annual Meeting on Saturday, November 3, 2012, the MA ACP membership elected two new Governor’s council members, Dr. Thomas Higgins from Baystate Medical Center and Dr. Andrew Jorgensen from Cambridge Health Alliance. Drs Higgins and Jorgensen will join the council for the first time at the next meeting in January. We look forward to their active participation! For a complete list of MA ACP Governor’s Council Members, please visit the MA ACP website.

Outgoing Council Members

We would like to thank Drs. Jeremy Abramson, Geneve Allison, Joel Auslander, James Richter and Christopher Shanahan for their time, commitment to and support of the MA Chapter as members of the MA ACP Governor’s Council.

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Early Career Physicians’ Corner*

The Massachusetts Chapter’s Council of Early Career Physicians has enjoyed a successful and productive fall quarter. The council held a CME program entitled “A Medical Malpractice Primer, What You Should Know” and attracted 40 participating early career physicians. They also held a panel discussion, moderated by Dr. Larissa Lucas, during the 2012 Annual Scientific Meeting on “Non-Traditional Careers” which was hugely successful and ran over time with lots of questions despite it being held just before lunch!

The Early Career Physician Council is currently planning their Winter Social Event at the Met Bar on Friday, January 25, 2013. This is a repeat of the very successful first social event held last January. See the MA ACP website at http://www.acponline.org/about_acp/chapters/ma/ for more information.

If you are interested in joining the Council of Early Career Physicians, please contact Chairperson Dr. Phoebe Cushman at phoebecushman@gmail.com.

The Council also created the Massachusetts Chapter’s Facebook page -- thanks to all those who contributed posts and photos to help keep the page current. The Council’s goal is to continue to develop the page, so that it may be utilized effectively by the Massachusetts Chapter as a whole.

*According to ACP, a “young physician” or “early career physician” is defined as a physician member of ACP who is within sixteen years of graduating medical school and who is not currently in residency or fellowship.

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2012 Chapter Excellence Award

I am pleased to announce that our chapter is in receipt of the 2012 Chapter Excellence Award! The award recognizes chapters which successfully meet the standards for managing a chapter. In order to achieve the Chapter Excellence Award, chapters must meet all basic criteria and seven optional criteria. Criteria include such activities as formulating an effective Governor’s Council and committees, communicating frequently with membership, providing educational opportunities, recruiting and advancing members and celebrating membership through local awards. I would like to extend a special thanks to those chapter members who assisted me in all of these endeavors! For their hard work and dedication, we received this award.

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Mark Your Calendar

April 11-13, 2013
ACP Internal Medicine 2013, San Francisco, CA

Tuesday & Wednesday, May 21-22, 2013 (new date for 2012)
ACP Leadership Day on Capitol Hill, Washington, DC

Saturday, November 2, 2013
2012 Annual Scientific Meeting, Massachusetts Medical Society, Waltham, MA

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ACP Announces Awardees for 2012 from Massachusetts

Congratulations!

Fatima C. Stanford, MD, Boston, MA, 2012 Recipient of the Joseph E. Johnson Leadership Award

Joseph E. Johnson Leadership Award

Award Established: 2003

In honor of: The late Dr. Joseph E. Johnson III, former ACP Governor, Regent, Treasurer, Interim Executive Vice President, and Senior Vice President for Membership.

The award recognizes an Associate member of the College who has demonstrated qualities that exemplify the College’s mission “to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine.” For each year considered, nominees must be Associates as of June 30th of that year. Nominees may have outstanding achievements in any of a wide variety of areas, including leadership, medical practice, research, teaching, publications, advocacy, and/or volunteerism.

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Congratulations to the New Fellows of the MA Chapter

Fellows:

David M. Brabeck, MD, FACP
Christine L. Bryson, DO, FACP
Alexander R. Carbo, MD, FACP
Elisa I. Choi, MD, FACP
Bradley H. Crotty, MD, FACP
Carolyn M. D'Ambrosio, MD, FACP
Henry J. Feldman, MD, FACP
Chi-Cheng Huang, MD, FACP
William Joel Lawton, MD, FACP
Albert M. Loerinc, MD, FACP
Larissa J. Lucas, MD, FACP
Erin L. Malone, MD, FACP
Francisco M. Marty, MD, FACP
Arun Mukherjee, MD, FACP
Michael F. Murray, MD, FACP
Muthoka L. Mutinga, MD, FACP
Jeffrey E. Silver, MD, FACP
Linda Rebecca Spanagel, MD, FACP
Gitanjali Srivastava, MD, FACP
Armand Tanase, MD, FACP
Venu Madhav Velagapudi, MD, FACP

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Welcome to the New Members and Associates of the MA Chapter

Members:

Bijay Acharya, MD
Neil Ahluwalia, MD
Irma A. Alarcon, MD
Khalid A. Alkimawi, MD
Lisa Battaglia, MD
Evan R. Berg, MD
Rebecca A. Berman, MD
Rafael Bloise, MD
Magdalena Boelsterl, MD
Daniel Bohl, MD
Jonathan Z. Bortinger, MD
Andrea B. Braun, MD, PhD
Ari Brettman, MD
O'Neil A. Britton, MD
Juan Carlos Cardet, MD
Renata Cardoso, MD
Curtis R. Chong, MD PhD
Imola Daniel, MD
Carole Demosthene, MD
Dimitar Zhelyazkov Dimitrov, MD
Michelle L. Dossett, MD, PhD
Pracha Eamranond, MD
Ann Eapen, MD
Ana M. Espila Navarro, MBBS
Grace Farris, MD
Candace H. Feldman, MD, MPH
Arkadiy Finn, MD
Esteban Franco Garcia, MD
Douglas S. Fritz, MD
Carolyn M. Fruci, MD, PhD
Dakshin Gangadharamurthy, MD
Miguel A. Giannoni Delgado, MD
Jill Goldman, MD
Jason W. Griffith, MD, PhD
Krishna S. Gunturu, MBBS
Suraj Gupta, MD
Spencer Haller, MD
Julian J. Harris, MD, MBA, MSc
Katie Hawthorne, MD
Alireza Hosseinnezhad, MD
James C. Hudspeth, MD
Iliana S. Hurtado Rendon, MD
Su Hutchinson, MD
Sachin H. Jain, MD
Marisa Beth Jupiter, MD
Thomas P. Kaegi, MD
Joseph Edward Kaye, MD
Paymon Kayhani, MD
Kenneth L. Kehl, MD
Laila Khalid, MBBS
Martin Krsak, MD
Gina R. Kruse, MD
Bhavna Lall, MD
Brittany Lee, MD
Wooseung Lee, MD
Deborah Leong, MD
Amy R. Lo, MD
Alejandra V. Marin Ruiz, MD
Kerry Lynn Massman, MD
Ruth E. Medina Gutierrez, MD
Judith A. Melin, MD
Eli Miloslavsky, MD
Maria C. Monge, MD
Charles A. Morris, MD
Roopashree Muralidhar, MD
Meagan K. Murphy, MD
Deepak Palakshappa, MD
Rajesh R. Panjabi, MD
Sonali Paul, MD
Peter M. Pillitteri, MD
Krishna P. Reddy, MD
Kassem Safa, MD
Yarima S. Santiago, MD
Benjamin L. Schlechter, MD
Andrew M. Schutzbank, MD
Joanna E. Schwartz, MD
Shwetha Sequeira, MD
Saurabh Sethi, MBBS
Akram Shaar, MD
Saif Shafiq, MD
Sonakshi Sharma, MBBS
Biljana Simikic, DO
Sarita Singh, MD
Robert Spencer, MD
Hector Tamez Aguilar, MD, MPH
Jesse Theisen-Toupal, MD
Harry J. Thomas, MD
Praveen Kumar Tumula, MD
Jenica N. Upshaw, MD
Xiaodan Wang, MD
Diana M. Winston, MD
Douglas E. Wright, MD, PhD
Alysse Gaill Wurcel, MD
Qiaoxin Yang, MBBS
Wei Yang, MD
Hanady Zainah
Daniel J. Zanchetti, MD

Associates:

Aaron Aday, MD
Ahmed Al Hammadi, MBBS, MD
Abdulmajeed Albarrak, MD
Ali H. Alsayed Hussain, MD
Laura M. Amorese, MD
Sindhu M. Arjun, MD
Konstantinos N. Aronis, MD
Ambalavanan Arunachalam, MBBS
Karuppiah Arunachalam, MBBS
April Atiba
Sushma Kumari Basa, MD
Tinzar Basein, MD
Dev Basu, MD, MBBS
Michael C. Bennett, MD
Behdad Besharatian, MD
Ashmeet Bhatia, MD
Daniel M. Blumenthal, MD
Amy Bodnarchuk, MD
Jovan T. Boseovski, MD
Bryn A. Boslett, MD
Ross M. Boyce, MD
Adam C. Brady, MBBCH
Marjory A .Bravard, MD
Melody L. Brewer, MD
Judith Briant
John Brooling, MD
Andrew M. Brunner, MD
Andreea M. Bujor, MD
Kristin Burke, MD
Patricio W. Cabral Sr, MD
Dana M. Carne, MD
Rodrigo Cerda, MD
Justin J. Chan, MD
Vinod K. Chaubey, MD
Samarth S. Chittargi
Neha Chopra, MD
Camille Clarke
Mougnyan Cox, MD
Gerard Daly
Ralph M. DeBiasi III, MD
Amit Desai, MD
Ramprakash Devadoss, MD
Nicholas C. Devito, MD
Catherine E. Dodds, MD
Anar A. Dossumbekova, MD, PhD
Krzysztof Drzymalski, MD
Teodora Dumitrescu, MD
Katie R. Famous, MD PhD
Amy L. Fitzpatrick, MD
Daniel J. Friedman, MD
Julie C. Fu, MD
Taraka Vijay Gadiraju, MD
Karuna Ganesh, MB, Bchir, PhD
Michal Ganz
Neha Garg, MBBS, MD
Laurie Gashin, MD
Brian M. Gaudino, MD
Yin Ge, MD
Gautam George, MBBS
Lauren G. Gilstrap, MD
Rebecca Glassman, MD
Bilal Gondal, MD, MBBCH
Jagathi Deepthi Govindu, MD
Rajat Goyal
Maria A. Han, MD
Rachel Hathaway
Michelle E. Hauser, MD
Amanda Herzog
Holly Hieb, MD
Brett J. Hiendlmayr
John H. Holden, MD
Jessica Hurst, MD
Omar M. Hussein, MBBCh
Susan Inonog, MD
Aftab Iqbal, MBBS
Oniyinye I. Iweala, MD PhD
Sunny Jain, MD, MBBS
Salmaan A. Jawaid, MD
Kathryn A. M. Jobbins, DO
Saurabh Joshi, MD
Sheheryar K. Kabraji, MBCHB
Arvind Kalyan Sundaram, MBBS
Norifumi Kamo, MD
Nirmal J. Kaur, MD
Daniel A. Kelmenson, MD
Emily A. Kendall, MD
Shrinkhala Khanna, MD
Amit Vikram Khera, MD
Sneha Kilari
Eun-Jeong Kim, MD
Eimear Kitt
Kimiyoshi J. Kobayashi, MD
Christine Konya, MD
Ganesh Kulkarni, MD
Rizwan A. Kundi, MD
Manikya Kuriti
Aliya Laeeq, MD
Swapnil S. Lanjewar, MD
Kelly B. Lauter, MD PhD
Xiuning Le, MD, PhD
Helen Lee, MD
Ka Yeon Lee, MD
Xin Li, DO
Joshua M. Liao
Adam Licurse, MD
Besiana Liti, DO
Kah Poh Loh, MBBCh
Paula Lueras, MD
Anil Kumar Madadi, MD
Syed S. Mahmood, MD
Katherine Mahon, MD
Akindele Majekodunmi, MD
Lakshmi Sowjanya Mallela, MD
Jagmeet Mangat, MD
Patrick Manning, MD
Jeffrey D. Marshall, MD
Yunis M. Mayasi, MD
Eli McKenna-Weiss, MD
Radha S. Mehta, MD
Jianmin Meng, MD, PhD
Suprav Mishra, MD
Saki Miwa, MD
Lauren D. Moore, MD
Maura E. Munoz, MD
Erin C. Murphy, MD
Kenta Nakamura, MD
Luke Neilans, MD
Sai Aparna Nelakanti, MD
Rita Nguyen, MD
Pho Nguyen
Edmond K. Obeng-Gyimah, MD
Young-Ki Paik, MD
Helen T. Paradise, MD
Molly Leah Paras, MD
Jason A. Paruthi, MD
Amy S. Pasternack, MD
Krunal Patel, MD
Bhanu K. Patibandla, MD
Subhash Paudel, MBBS
Antonio L. Perez, MD MBA
Andre L. Pitanga Bastos De Souza, MD
Greg Radin
Leena T. Rahmat, MBBchB
Kenneth Ralto, MD
Rungwasee Rattanavich, MD
Vernon A. Rayford, MD
Erich J. Renner, MD
Julia Reznik, MD
Ricardo D. Ribeiro Sr, MD
Surbhi Rohatgi, MBBS
Suzanne Saindon, DO
Jason R. Sanders, MD
Sara R. Schoenfeld, MD
Arjun Sekar
Vijairam Selvaraj, MD
Neil N. Shah, MD
Manisha Shakya Siddhi
Meghan E. Shea, MD
Sana Siddique, MBBS
Vanessa Rocio Solar, MD
Neyvis Taboada, MD
Justin Taylor
Polakit Teekakirikul, MD
Gayathri Thampatty
Panagiotis Trilianos, MD
Natallia F. Tsesliukevich, MD
Vasileia Varvarigou, MD
Shreekant Vasudhev, MD
Amar Vedamurthy, MBBS
Jorge Alejandro Velez Garza, MD
Michael T. Voisine, DO
Jessica A. Volk, MD
Ojas H. Vyas, MD
Zachary S. Wallace, MD
Ana Weil, MD
Stephen Weinberger, MD
Devina Willard, MD
Anna R. Wolfson, MD
Adrian Wong, MD
James L. Young, MD
Zachary A. Zator
Hassan Ziud
Hijab Zubairi, MD

Happy Holidays from the Massachusetts Chapter, ACP!

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Contact Information

George M. Abraham, MD, MPH, FACP,
Governor, Massachusetts Chapter

Lynda Layer, CAE
Executive Director
Ph: 781-434-7317
E-mail: llayer@mms.org