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December 2013 Eileen Barrett, MD, MPH, FACP, ACP Governor


From the Governor

I hope this note finds you well and enjoying a happy and healthy holiday season! I am writing after having attended a wonderfully successful Chapter Scientific Meeting in October, a highly productive and collegial chapter strategic planning meeting, and while looking forward to a collaboration with ACPNet with a free CME program this February. We’ve also started planning our 2014 Chapter Scientific Meeting, tentatively planned for November 7-8th at the Sheraton Uptown. Chapter President Julio Munoz, MD, FACP, is our Program Chair again, and under his guidance I am looking forward already to a great meeting. We are so far preparing to provide clinical lectures, a health policy update, increased networking opportunities, and resources for Maintenance of Certification (MOC).

Speaking of MOC, perhaps like you, when I received mail from the ABIM, I was filled with trepidation and soon heard my colleagues felt the same. Many of you know what I’m referring to: the notification about significant changes to MOC that will start on January 1, 2014. Beginning then, ABIM will report two credentials for board-certified internists: “Board Certified” and “Meeting MOC Requirements.” The ABIM MOC requirements vary slightly depending on when your current internal medicine or subspecialty certification expires and if you have not yet done so, please go to the ABIM website today to review what you’ll need to do to maintain your certification. There are links there to guide you in great detail on what to do based on when you recertify (if at all), your degree of clinical activity or inactivity, and if you have more than one board certification. Having reviewed this, you’ll see that the changes are designed to engage us in educational activities on a continuous basis. I know there are (valid) concerns about now being required to complete MOC activities every two years and the time commitment this entails, but I’m sure we can all agree clinical information changes too rapidly for us to brush up only every ten years.

The ACP national agenda includes collaborating with the ABIM on Maintenance of Certification so that it is meaningful and user-friendly; continued advocacy for practice including keeping you updated on the ACA; a new position paper on reducing prescription drug abuse; support for the recently passed bipartisan budget that provides respite from the most draconian of funding cuts caused by sequestration while continuing to push for restoration of critical healthcare workforce and public health programs; and advocacy for repeal and replacement of the Sustainable Growth Rate (SGR) formula and adoption of measures to reward excellence in clinical care and practice in primary care. It’s important that each chapter’s Governor conveys ACP’s national agenda to the chapters and what’s important to the membership to ACP leadership. I’d like to do the same for our chapter. In that spirit, I hope you feel welcome to contact with me questions, feedback, and concerns.

Sincerely,

Eileen Barrett, MD, MPH, FACP
Internist/Hospitalist, Gallup
Governor, NM Chapter of the ACP

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Recognizing Excellence

Our chapter is honored to include so many individuals who are committed to internal medicine, our patients, and our colleagues. In 2013, we recognized three of them:

George Comerci, MD, FACP - Chapter Laureate
Cynthia Arndell, MD, FACP - Volunteerism and Community Service Award
Richard Hoffman, MD, MPH, FACP – Excellence in Teaching Award

Learn more about their many accomplishments, and join us in offering our congratulations, admiration, and gratitude.

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Comings and Goings

Each year, approximately half of our Councilors' terms expire. New councilors joining us for two year terms include Boudinot Atterbury, MD, FACP, of Santa Fe, Dana Fotieo, MD, FACP, of Albuquerque, Manish Pandya, MBBS, of Farmington, and Patrick Rendon, MD, of Albuquerque. Rush Pierce, MD, MPH, FACP, of Albuquerque, and Heather Brislen, MD, of Albuquerque, continued their service to the council and were re-elected as ‘at-large’ councilors. Julio Munoz, MD, FACP, of Carlsbad, was elected President. After a successful nomination to the council at-large, Boud Atterbury, MD, FACP, of Santa Fe, was also elected Secretary.

We are grateful that Allen Adolphe, MD, PhD, FACP, Waseem Khawaja, MD, FACEP, FACP, FACPE, Lesley Mansfield, MD, FACP, Diana Noya, MD, FACP, and Ellen Yee, MD, MPH, FACP served on the Council and we miss them now that they have stepped down. We appreciate their service and wish them each all the best in their future endeavors. Rich Hoffman, MD, MPH, FACP, was nominated and elected to the council, but additional commitments have arisen which preclude him from serving his term; we wish him the best.

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Save the Date!

The NM ACP Chapter is partnering with ACPNet on a free CME program to be offered February 7-8th in Santa Fe. This program will focus on updates in diabetes care coordination, immunizations, increasing patient engagement, PQRS, MOC, and Value Based Purchasing. Stay tuned for more details!

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Resident Programs

As in year’s past, the 2013 Scientific Meeting included a resident oral vignette and poster competition. Unlike in years past, there were more than 25 poster entries! Congratulations to Alisha Parada, MD, and Allen Adolphe, MD, PhD, FACP, who helped coordinate these competitions. The winner of the resident oral vignette competition was:

Mariam Salas, MBBcH, who presented a fascinating case of "Hyperglycemic Hemichorea Hemiballismus." Dr Salas will be competing at Internal Medicine in April 2014 in Orlando, Florida.

The winners of the resident poster competition were:

1st place: Lida Fatemi, DO - "A VIP in the ICU"
2nd place: Roshny George, MD - "Renal Sarcoidosis Presenting as Acute Interstitial Nephritis with Steroid-Induced Recovery"
3rd (tie) Kavitha Ganta, MD - "Hyperglycemic Crisis Unmasking Nephrogenic Diabetes Insipidus" and Richard Vestal, MD (chief resident, in collaboration with second year resident Tammy Berry, MD) "Methamphetamine Associated Decompression Hematuria"

Doctor’s Dilemma/Medical Jeopardy will be held at the University later this winter; the winners will compete at Internal Medicine in April 2014 in Orlando, so interested residents should start forming teams now!

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Internal Medicine Interest Group

Our chapter has been lucky to have the dedication and talent of Elizabeth Rodriguez, out-going President of the Internal Medicine Interest Group. She, along with out-going Vice President Brandon Aday, out-going Treasurer Amy Clement, and out-going Secretary Lauren Coleman, have been phenomenally successful at coordinating events for UNM students. The most recent report of their activities is below:

A delicious combination of lunch and Critical Care Internal Specialists was served up a few weeks ago. Thanks to the generous contribution of the ACP we, the Internal Medicine Interest Group, were able to provide a Taj Mahal lunch. The line went all the way around the room, with attendance of about 60 first and second year medical students. After introductions, several questions were asked of the group of doctors, especially about the training involved in their specialties. We had representatives from pulmonary critical care, the general internal medicine hospital division and a resident, totaling 7 doctors. Lunch was a great success and many students thanked us for having the event. The next group function will be a lunchtime infectious disease case review for the second years. Again and are very appreciative of ACP’s support.

We extend our welcome to the incoming officers, and the chapter looks forward to supporting their work:

Tomas Cordova- President
Jessica Zimmerberg-Helms- Vice President
Mario Pardo-Friedman- Treasurer
Daphne Olson- Secretary

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Hospitalist Committee: The NM Patient Safety Task Force

In January, the Leapfrog Group released its 2012 national report on hospital patient safety. New Mexico ranked last (50 of 50 states). In response, the New Mexico ACP Chapter convened and sponsored a working group to address this issue. This group consists of 20 hospitalists, medical directors, patient safety officers, nurses and residents from across the state, and have participated in monthly conference calls since May. They decided to focus on developing a state-wide form to facilitate transfer of clinical information to providers who receive patients at Skilled Nursing Facilities (SNFs) from New Mexico hospitals. The group has reviewed current forms used across the state and surveyed SNF Medical Directors. The group drafted and approved a one-page state-wide transfer form which is now being tested. If you have interest in joining this group, contact Rush Pierce.

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Early Career Physicians Committee

The Early Career Physicians Committee co-sponsored a breakfast during the October Scientific Meeting, you may read a report from that meeting. These Committees are seeking input from our members on ways that we can be of assistance. Please contact them if you are interested in taking part in any collaboratives. Contact ECP Committee: Brianna Cowan, MD, Heather Brislen, MD. Contact Hospitalist Committee: Rush Pierce, MD, FACP.

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Diversity Committee

Cindy Arndell, MD, FACP, and Justina Trott, MD, FACP, moderated a Diversity and Disparities breakfast during the October Scientific Meeting.

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Rewarding the Best Care: Transitional Care Codes

The new Physician Fee Schedule includes transition care management (TCM) codes that allow for reimbursement of the non-face-to-face care provided when patients transition from an acute care setting back into the community. Two new codes will be used to pay for all services that up until now were done but not reimbursed.

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Member Benefit Spotlight

Earn ABIM MOC Points with ACP

ACP offers a variety of ABIM recertification resources to help you earn both ABIM Maintenance of Certification (MOC) points and CME credits through the same educational program. Many know that completing MKSAP question will count toward MOC, but there are many other resources for you.

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Photo Gallery

Chapter Laureate winner

George Comerci, MD, FACP - Chapter Laureate

Volunteerism and Community Service Award winner

Cynthia Arndell, MD, FACP - Volunteerism and Community Service Award

Diversity Breakfast

Diversity Breakfast

Early Career Physicians Breakfast

Early Career Physicians Breakfast

Drs. Munoz and Iralu

Drs. Munoz and Iralu

Teaching Award

Richard Hoffman, MD, MPH, FACP – Excellence in Teaching Award

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Contact Information

Eileen Barrett, MD, MPH, FACP
Governor, New Mexico Chapter

Sylvia Burns
Chapter Administrative Assistant
PO Box 56936, Albuquerque, NM 87187
Office: 505-962-0358
Fax: 505-962-9221
E-mail: nmacp@msn.com