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Governor's Newsletter

Spring 1997

Highlights from the 78th Annual Session

Philadelphia, PA
March 22-25, 1997

Below are several news releases From the Annual Session which I thought would be of interest to you.

ACP Reaches Membership Milestone—Medical Student is 100,000 Member

PHILADELPHIA—(March 22, 1997) The American College of Physicians (ACP) announced the enrollment of Thomas Davis, a fourth-year medical student, as its 100,000th member. The announcement was made during Opening Ceremony on March 22 at ACP's 78th Annual Session at the Pennsylvania Convention Center, where the meeting was held through March 25.

Popularity of Internal Medicine Residencies Continues to Rise

PHILADELPHIA—(March 19, 1997) Continuing interest among medical school graduates in primary care careers—particularly internal medicine—as revealed today by results of the National Residency Matching Program (NRMP) is good news for America's health, according to the American College of Physicians (ACP), an organization of 100,000 internal medicine physicians and students.

The NRMP matches graduating U.S. medical students with openings in accredited residency programs.

A total of 7,529 graduates of U.S. medical schools were matched with residency programs that will lead to careers in the three primary care specialties—internal medicine, pediatrics and family practice—an overall increase of 4% over 1996 numbers. The choice of internal medicine rose 5.1%, pediatrics 3.1% and family practice 2.8%.

Since 1993 the overall trend toward choosing a career in internal medicine has been steady and substantial. This year's results reflect a growth of 23.9% over the five-year period.


Physician Group Launches National Identity Campaign

PHILADELPHIA—(March 24, 1997) The nation's largest medical specialty organization, representing 100,000 doctors of internal medicine (internists) and medical students, today announced a nationwide educational initiative to help consumers answer a question the majority of Americans are unable to answer correctly: "What is an internist? "

Officials of the ACP, at a news conference, reported that the College will sponsor a three- year, $5 million dollar public relations and advertising campaign designed to educate consumers about why, when and how to seek the care of a doctor of internal medicine. But the daunting problem confronting ACP at the outset is that more than half of Americans don't know what an internist is or does, according to results from market research commissioned by the Philadelphia-based medical association.

"If people are going to be picking their doctors off of managed care lists, they need to have a better idea of what we do," said ACP Executive Vice President Walter J. McDonald, M.D.

Summarizing findings from a national telephone survey of adults between the ages of 40 and 65, McDonald reported that only one-fourth of the respondents correctly identified internists as specialists of internal medicine, and another quarter said that internists were 'interns' or 'just out of school.' Other frequent responses ranged from 'surgeons with primary care responsibility' to 'someone who works in a hospital.'

"You can bet that anyone who thinks the words 'internist' and 'intern' mean the same isn't likely to choose an internist as his or her primary care physician," McDonald said. "What we want to do is tell people what we are—experts in adult medicine trained to do 90 percent of what a patient needs. We focus on adult primary care—not pediatrics, not obstetrics, not surgery," he added.

"We need to promote internal medicine because our specialty offers not only the skills to provide effective primary care for adults, but also the subspecialty training that allows internists to function as consultants in challenging and complex medical situations," said ACP President Christine K. Cassell, M.D. Subspecialists are internists with additional training in cardiology, oncology, gastroenterology, pulmonology, rheumatology, nephrology, hematology, endocrinology, infectious diseases, and allergy and immunology.

The ACP public awareness campaign begins this spring and will include national advertising—magazines and cable television — brochures and other materials for College members to display in their offices, media interviews and a community speakers bureau.

One group that will benefit from the ACP program, according to McDonald, is the "40 Something" generation, whose medical needs are changing as they age and struggle to cope with stresses and pressures that typify life in the 90's.

"We want to alert 'Baby Boomers,' well into their 40s and 50s, that it's time to take better care of themselves, not only because they're older, but also in recognition that stresses caused by corporate downsizing, elderly parents, kids in college, and lots of other burdens are converging on them all at once with potential serious medical consequences," McDonald said.

"We hope that as a result of this program, consumers become more aware of our unique role as doctors for adults, and are better equipped to choose the primary care physician that's right for them," said Cassell.

**(Governor's note)

This is a very clever and much-needed ad campaign. Watch for it in some of the national magazines this spring and summer. The ads are clever and eye-catching. For instance, one ad shows a picture of the Cartwright family (of Bonanza fame) and states "If you grew up with this family—it's time to see an internist."


Minnesota Associates Strong at Annual Session

The following Minnesota residents were invited to display their posters at the 78th Annual Session of the ACP Meeting recently held in Philadelphia.

Clinical Vignette Award Winner:

Jan Stepanek, M.D.: "Bilateral Fungal Endophthalmitis Due to Embolization From A Mycotic Aortic Aneurysm After Coronary Artery Bypass-Grafting" (Mayo Clinic, Rochester, MN)

Clinical Vignette Award Finalists:

Stephen F. Baugh, M.D.: "Factor V R506Q (Leiden) Mutation—A Revolution in Thrombosis" (Mayo Clinic, Rochester, MN)

Adrian Vella, M.D.: "Unilateral Proptosis: An Unusual Presentation of Wegener's Granulomatosis" (Mayo Clinic, Rochester, MN)

Harini Chakkera, M.D.: "Acute Pancreatitis: An Infrequently Considered Complication of Campylobacter jejuni Enterocolitis" (HCMC, Mpls, MN)

Julia J. Liu, M.D.: "Creatine Kinase Release Post Hepatic Artery Embolization in Patients with Carcinoid Tumors" (Mayo Clinic, Rochester, MN)

Keiko Kimura, M.D.: "A Fatal Case of Swine Influenza Virus in an humuno- competent Host" (Mayo Clinic, Rochester, MN)

Valerian L. Fernandes, M.D.: "Thrombotic Microangiopathy: A Treatable Complication of the Antiphospholipid Syndrome" (Mayo Clinic, Rochester, MN)

Research Award Winner:

L. Salazar Bolding, M.D.: Catecholamine Response and Symptom Recognition During Hypoglycemia Following Successful Pancreas Transplantation. Diabetes, Endocrinology, and Metabolism (IJ of M, Mpls. MN)

Research Award Finalists:

Iftikhar J. Kullo, M.D.: "Enhanced Endothelium-Dependent Relaxations After Gene Transfer of Recombinant Endothelial Nitric Oxide Synthase to Rabbit Carotid Arteries" (Mayo Clinic, Rochester, MN)

Julia J. Liu, M.D.: "Prevention of Visual Sequelae in Methanol Poisoning" (Mayo Clinic, Rochester, MN)

Mike Hooten, M.D.: "Suicidal Ideation and the Brief Psychiatric Rating Scale as Predictors of Psychiatric Admission" (Mayo Clinic, Rochester, MN)

Mike Hooten, M.D.: "Differentiating Alzheimer's Disease and Frontotemporal Dementia: Receiver Operator Characteristic Curve Analysis of Five Bedside Rating Scales" (Mayo Clinic, Rochester, MN)


Virtual Annual Session 1997:

For those of you who were not able to make it to Philadelphia, you will be happy to know that there is a virtual annual session (handouts and session summaries) available from the recent annual meeting available to all ACP members.

Congratulations to New Fellows:

The following fellows were elected at the November 1996 ACP Credentials Subcommittee Meeting. Congratulations to all!

John B. Bundrick, M.D.
Patrick A. Burch, M.D.
David. A. Froehling, M.D.
Martha Grogan, M.D.
Alvin C. Holm, M.D.
Mary Jo Kasten, M.D.
Michael R. Keating, M.D.
Stephen L. Kopecky, M.D.
William F. Marshall, M.D.
Kulwant Singh Modi, M.D.
Jerrold L. Smith, M.D.

I am very anxious to advance many more people to fellowship during the time remaining in my governorship. Remember, there are four pathways and many of you who think you may not be qualified, probably are. Please contact the ACP membership office (800-523-1546 and ask for Membership Department) or me for further information and details.

News from the ACPW (American College of Physician Women):
By: Tanya Repka, M.D., F.A.C.P.

At the annual Women's Breakfast held at the 1996 Scientific Meeting, a proposal to have a meeting at the Aveda Spa was passed by an overwhelming majority. Due to spa scheduling availability, the retreat will be held this fall instead of spring. The outing/meeting will be supported in part by the Minnesota ACP. The retreat is planned for the Aveda Spa retreat in Osceola, Wisconsin, for Sunday October 12, 1997. Space is limited. If you have received a notice and are interested, please call me as soon as possible. If you have not received a notice and are interested, please call or e-mail me as there may still be an opening.

Also, mark your calendar today for the fall Women's Breakfast meeting which will be held as usual the first day of the state Scientific Meeting. We have an enthusiastic core of women that meet and we would like additional members (no fee, just fun) to join the group. Please join us, you won't regret it. Plus, you get the added bonus of a great meeting following the breakfast. If you have not attended the state meeting for a few years, you will be pleasantly surprised at the new format and the content of the meeting.

Tanya Repka, M.D., F.A.C.P.
Phone: 612-337-7129
e-mail: repka001@maroon.tc.umn.edu


Midwest SGIM Regional Meeting:

Karen Margolis, M.D., F.A.C.P. marched in the Fellowship Convocation Ceremony recently in Philadelphia. She asked me to remind you that the 14th Annual Midwest Regional Meeting of the Society of General Internal Medicine (SGIM) is scheduled to take place September 26-27, 1997, at the Drake Hotel in Chicago, IL. The meeting, held in conjunction with the Central Society for Clinical Research, offers a lively mix of scientific presentations and workshops. The meeting is targeted at generalist clinicians, educators, and researchers, and features a broad range of topics. The meeting schedule will be finalized in July. CME credit is available. Please direct inquiries to the regional President: Karen Margolis, M.D., F.A.C.P (phone 612-347-3306 and fax 612-904-4262).

Web Page Update:

Don Deye, M.D. (612-689-7857) and Peter Elkin, M.D. (507-284-8913) are in the process of organizing a web page for the Minnesota Chapter of the ACP. If there is any information which you would like to have on this page or any other links you would like to see us include, please contact one of these web page organizers in the near future.

Nominations Needed:

We are in the process of obtaining nominations for our next State Chapter ACP Governor. Although my term does not end until April 1999, there is a year of transition for the governor-elect. Therefore, nominations are now being entertained. Contact: Gerald Onstad, M.D., F.A.C.P., Nominations Chairperson (612-347-2977; FAX 612-904-4299) with your ideas or suggestions.

You may send your nominations for the next Minnesota ACP Governor to:

Gerald R. Onstad, M.D., F.A.C.P.
Hennepin County Medical Center
Department of Medicine
701 Park Avenue South
Minneapolis, MN 55415

We are also seeking Laureate Nominations for the 1997 State ACP Chapter Meeting. You can direct those nominations to me personally.

Send Laureate Nominations to:

Scott C. Litin, M.D., F.A.C.P.
Mayo Clinic
200 First Street, S.W.
Rochester, MN 55905

Contact Information

Heather E Gantzer, MD FACP, Governor, Minnesota Chapter

Chapter Staff:
Katherine Cairns, Executive Director
1043 Grand Ave. #215
St. Paul, MN 55105
Fax: 651-699-7798