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Governor's Newsletter, Summer 1999

Governor's Message

Richard Whiting, MD, FACP, FACC

Since this is our first newsletter, Dr. Lovinger and I would like to make a few general comments. First, we very gratefully acknowledge the hard work of many members and a superb lineage of Governors that have made the Missouri Chapter very solid and poised for future growth. We are, in deed, fortunate to have had help and counsel from Members, Fellows and Masters throughout Missouri. We definitely need active participation in our Chapter and in the College.

Communications become therefore, critically important and we plan to maintain a high level of information exchange by way of this newsletter, periodic mailings, e-mail and our Chapter website. We encourage letters (R. B. Whiting, MD, St. Mary's Health Center, 6420 Clayton Road, St. Louis, Missouri 63117), phone calls (314-768-8887) and e-mail (richard.whiting@medcast.com).

In addition, there are always several excellent forums for exchange of professional material and ideas that also provide opportunities for communication - the Annual College Meeting; regional educational programs in local communities around Missouri; Council Meetings; and of course, our own Fall Meeting, which this year will take place at Tan-Tar-A Resort, Osage Beach, September 10-12, 1999.

This is your Chapter, make it better by being active and encouraging Internists around the state to join us if they are not already members.

Missouri to Receive Award

The Missouri Chapter has been selected to receive the 1999 Chapter Management Award. Dr. Coy Fitch, immediate past Governor of Missouri, recently received a congratulatory letter from the College as a result of his excellent leadership.

Annual Session a Great Success

The 1999 Annual Session of the ACP-ASIM was held in New Orleans, Louisiana from April 22nd through April 25th. The "Crescent City" lived up to its name as a fun and accessible site for a meeting. The huge Ernest N. Morial Convention Center - which stretches almost one mile along the banks of the Mississippi River - accommodated over 6,000 internists attending 250 different lectures and seminars on internal medicine and its specialties.

Dozens of Missouri physicians and medical students were in attendance - including 18 new Fellows of the College. They marched in academic regalia at the Thursday night convocation, led by Governor Coy Fitch, Governor-Elect Richard Whiting and Transitional Governor Warren Lovinger. Dr. Carl Strauss, Kansas City, was honored as Missouri's 1998 Laureate Award recipient. At the Annual Business Meeting on Saturday, April 24th, Dr. Fitch officially passed the role of Governor to Dr. Whiting who is beginning his four year term. Dr. Lovinger will continue serving as Missouri's Transitional Governor until fall 2000.

As the 1999 ACP-ASIM Annual Session concluded, plans were already well underway for next year's event to be held in Philadelphia, Pennsylvania, April 13-16, 2000. We hope to see you there!

ACP-ASIM Regents and Governors Meet

New Orleans, Louisiana was the site of the spring meeting of the Regents and Governors of ACP-ASIM. This meeting, held April 19th through April 21st, 1999, preceded the organization's Annual Session. Twenty-four Regents of the College and 115 Governors, Governors-elect and Transitional Governors were present for this unique mix of business, fellowship and education. Attendees from Missouri included: Regent Sara Walker, Columbia; Governor Coy Fitch, St. Louis; Governor-Elect Richard Whiting, St. Louis; Transitional Governor Warren Lovinger, Nevada; and Missouri Chapter Executive Director Patrick Mills.

The meeting's "hot topics" included the possibility of establishing a Political Action Committee (PAC) for the newly combined organization. A final vote on this issue will be taken by the Board of Regents in February, 2000.

The BOR/BOG meeting concluded with an address by outgoing ACP-ASIM President, Dr. Harold Sox, and with the distribution of various chapter awards. The Missouri Chapter was recognized for the excellence of our organization and leadership in last year's merger of the ACP and the ASIM.

Member Receives Two-Year Fellowship

David Fleming, MD, FACP, of Moberly, recently received a two-year Fellowship in Medical Ethics and Health Policy at Georgetown University, Washington, DC. Dr. Fleming has been a regular and very active member of the Missouri Chapter. We await his return with in-depth knowledge and experience to strengthen the many ethical facets of medicine within Missouri. We wish him well.

IM Review Held

The 1999 Internal Medicine Review for Primary Care Physicians held in Cape Girardeau, Missouri on March 27th was superb and very well attended. This is a fine example of an activity our Chapter intends to foster - regional meetings. A special thank you to Sara Aydt, MD, FACP for this excellent program.

Leadership Day Representation

Carl Strauss, MD, FACP, Kansas City, represented the Missouri Chapter ACP-ASIM, May 25-26 during Leadership Day on the Hill in Washington, DC. Dr. Strauss discussed issues of importance for our patients, medicine in general and the College with Congressional members and their aides.

Missouri Regional Meeting, September 10th

On Friday, September 10, 1999, the Missouri Regional Meeting will commence with a full day of very practical Cardiovascular Medicine, provided by nationally recognized, excellent speakers.

Saturday will include presentation topics of Neurology and Infectious Disease. There will be reports from College activities and from medicine at the national level, from two unusually qualified presenters: David Gullen, MD, FACP, Chair of the Board of Regents, and Alan Nelson, MD, FACP, Associate Executive Vice President, ACP-ASIM, Washington, DC. Saturday afternoon and evening will be free time to allow attendees to enjoy the lake, golf, and other outdoor activities with family and friends.

Sunday morning will provide an entirely new program here in Missouri, as it will deal with the humane aspects of medical practice, such as doctor-patient relationships, sensitivity, the art of listening to the patient, the primacy of the patient, and the return of care to the term health care. The program will end at noon and thus, in total this Regional Meeting will be worth more than 12 hours of Category 1 CME credit.

This program will provide education in a delightful setting and a collegial atmosphere. The flyer for this program will be mailed soon. I encourage everyone to look it over and very strongly consider joining us this year.

Advancement from Membership to Fellowship

Fellowship in the ACP-ASIM has been awarded to approximately 25% of our national membership.

"How do I advance from Membership to Fellowship?" is a question frequently asked by you, the ACP-ASIM members. Below, is a summary of the requirements and pathways that a candidate must fulfill and/or meet in order to become a Fellow of the College.


  • be certified by the American Board of Internal Medicine, the Royal College of Physicians and Surgeons of Canada or the American Osteopathic Board of Internal Medicine;
  • have been a member in good standing for two years in either ACP or ASIM and have held a position in practice or in academia for at least two years since completion of training;
  • have an active medical license in good standing (if in clinical practice);
  • have confined professional activity to internal medicine or a subspecialty of internal medicine;
  • be proposed and seconded with detailed letters of support from two current Masters or Fellows with reference to character, ethics and medical activities, and outlining professional contributions and accomplishments;
  • be endorsed by the appropriate ACP-ASIM Governor;
  • have shown continuing scholarship and professional accomplishments; and
  • document continuing professional activities, including teaching (both institutional and community-based); hospital committee work; public service and community activities; and participation in continuing medical education activities as both a student and teacher.


The College has established four Pathways that serve as guidelines to qualify for Fellowship. For each of the following pathways, the candidates must meet the basic requirements listed above.

Pathway 1: Members must have demonstrated skill in written medical communication.

Pathway 2: Members must have significant and continuing certification activities and/or teaching (both institutional and community-based), and/or community activities that indicate professional achievement and scholarship; they must have undergone recertification, or they must have participated in the Medical Knowledge Self-Assessment Program (MKSAP) with a passing score. In addition, subspecialty certification or certificates of special competence in adolescent medicine, critical care medicine, clinical cardiac electrophysiology, geriatrics, or sports medicine can qualify a candidate for this path way, but are not adequate by themselves.

Pathway 3: Members must have been active members in ACP or ASIM for at least 10 years, with substantial participation in programs and activities, as well as demonstration of other professional accomplishments.

Note: Outstanding candidates who have been active Members for fewer than 10 years may qualify by combining Pathways 1 and/or 2 with Pathway 3.

Pathway 4: Members must have distinguished professional activity in teaching, patient care or professional service over many years.

Candidates must document each pathway; however, a candidate may be accepted without fulfilling one pathway if his/her work in other pathways is deemed outstanding by the Credentials Committee. For a complete copy of the "Requirements for Advancement from Membership to Fellowship" and/or an advancement to Fellowship proposal, contact your local College Governor or call ACP-ASIM Customer Service at (800) 523-1546, ext. 2600. The Requirements can also be found on the College's web site.

Food for Thought

"Pick battles big enough to matter, small enough to win."

For more information regarding the Missouri ACP-ASIM, please contact:

Administrative Executive Secretarial Office
Patrick Mills, Executive Director
113 Madison Street, PO Box 1028
Jefferson City, MO 65102
Tel.: (573) 636-3366; Fax: (573) 636-8552; e-mail: pmills@sprintmail.com

Governor of Missouri ACP-ASIM
Richard B. Whiting, MD, FACP, FACC
St. Mary's Health Center
6420 Clayton Road
St. Louis, MO 63117
Tel.: (314) 768-8778; Fax: (314) 768-7101; e-mail: richard.whiting@medcast.com