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February 2012 Warren H. Evins, MD, PhD, FACP, Governor


Governor's Letter

You are receiving this Newsletter because you are a member of the ACP Nevada Chapter. The Newsletter has been written and edited by Governor Warren H. Evins, MD, PhD, FACP. There will be another Newsletter before the April 2012 ACP Annual Meeting at New Orleans.

The Chapter still needs volunteers, especially for the Membership committee, as Advancement to Fellowship mentors, the Women Physician’s Council, Newsletter editors and contributors, and so forth. If you have previously volunteered and not been contacted, please excuse my ineptness and respond again to wevins@yahoo.com or 702-458-2362. Thanks.

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Mitchell D. Forman, DO, FACR, FACOI, FACP, ACP Nevada Chapter Laureate Award

January 2012

No person was ever honoured for what he received. Honour has been the reward for what he gave.
-Calvin Coolidge

Laureate Award

The Laureate Award honors those Fellows or Masters of the College who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, or research, and in service to their community, their Chapter, and the American College of Physicians.

The recipient of this award shall bear the title Laureate of the Nevada Chapter. This award shall be presented at the Annual Scientific Meeting. The awardee should accept the recognition in person, unless excused by the Governor. The awardee is to be nominated by a process that may originate from the Awards Committee or from any member of the Chapter. The nomination must document the attributes and accomplishments of the nominee. The awardees shall be senior physicians and Fellows or Masters of long-standing, with acknowledged excellence and peer approval in the field of internal medicine. In addition, the awardees should have served the Chapter with distinction. Exceptional circumstances may modify these requirements.

It is with distinct pleasure that this year the Nevada Chapter of the American College of Physicians presents the Laureate Award to Mitchell D. Forman, DO, FACR, FACOI, FACP. Dr. Forman is a long-standing and loyal supporter of the College, has rendered distinguished service to the Chapter, and has upheld the high ideals and professional standards for which the College is known.

We salute and honor him!

Mitchell D. Forman, DO, FACR, FACOI, FACP is the 2012 Nevada Chapter Laureate Award Winner. Dr. Forman is the founding Dean of the Touro University - Nevada College of Osteopathic Medicine (now the largest Medical School in Nevada with over 550 medical students), an outstanding community leader, a pre-eminent and pioneering Dean, an excellent, dedicated, internationally known Rheumatologist, an inspiring and innovative teacher, an award winning internist, and a stalwart supporter of our Chapter.

Dr. Forman has many volunteer activities including the medical societies serving as 2010-2011 President of the Clark County Medical Society and current Secretary of the Nevada State Medical Association, as the Nevada ACP Chapter Treasurer, and serving on the many committees, boards, and commissions.. He has presented many medical, ethics, administrative, and leadership lectures and has admirable professionalism, high community regard, ethical behavior, and knowledge. He travels frequently giving hundreds of educational lectures throughout the world.

Prior to becoming Dean, Dr. Forman was active in clinical research with numerous competitive research grants, presentations at US and international meetings, and publications in peer reviewed journals. He served on the editorial boards of two journals.

Dr. Forman has received many honors, including physician of the year from his county, state, and national medical associations, as best doctor and best teacher, as a community service volunteer, and as a noted educator. He is active in many national medical organizations and is a Fellow of four Colleges. He serves as a member of the National Board of Medical Examiners for osteopathic physicians and surgeons, evaluator for the American Osteopathic Association Commission on College Accreditation, on the Ethics committee of the American College of Osteopathic Internists, and on several Nevada State governor appointed committees and commissions. Dr. Forman chairs the professional development and continuing education department of all three Touro University Colleges of Osteopathic Medicine – New York, California, and Nevada. He oversees and approves the quality of accredited CME courses by all these institutions.

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Theodore B. Berndt, MD, FACP, FACC ACP Nevada Chapter Community Service and Volunteerism Awardee

Born in Argentina during the Peron era, Dr. Ted Berndt came to the United States as a child when his Lutheran minister father was called home to Wisconsin. Having left a brother behind, the family could seldom gather together after that move but managed to communicate often in 3 different languages.

Graduating Phi Beta Kappa with a Bachelor of Science degree from the University of Wisconsin, he went on to receive his M.D. from the University of Wisconsin as well, graduating Alpha Omega Alpha. After an internship in Cleveland, he returned to the University of Wisconsin to complete both his internal medicine residency and cardiology fellowship. After serving for two years as a Major in the United States Army, Dr. Berndt went on to do additional advanced interventional fellowship training in cardiology at Stanford.

After a few years of practice in Marrero, Louisiana, Dr. Berndt came to Nevada and became the first cardiologist in the State to perform percutaneous transluminal coronary angioplasties (PTCA). He was also the first cardiologist in Northern Nevada to become a Fellow of the Society of Angiographers and Interventionists (FSCAI). He currently serves as the Medical Director of the ECG and Echocardiography Labs at St. Mary’s Regional Medical Center in Reno and has previously served as Chief of Cardiology at Washoe Medical Center. Dr. Berndt has published extensively in multiple peer-reviewed journals.

If such an extensive academic and clinical life is not enough, Dr. Berndt began volunteering early in his career and quickly became a trusted resource and sought out mentor in many areas of medicine. He has served continuously on the Board of Directors of Washoe Health System and the Renown organization since 1991 and was elected to the Washoe Medical Center Board of Governors in 1988. He is a former Governor of the American College of Cardiology and a past President of the Nevada Heart Association. Most recently, Dr. Berndt has volunteered his time as a member of the Nevada State Board of Medical Examiners and was just named the Board’s Vice-President.

In recognition of a lifetime of tireless work and community service dedicated to the betterment of medicine and quality care for both patients and physicians, we are delighted to award Dr. Theodore B. Berndt the 2012 ACP Nevada Chapter’s Volunteer and Community Service award.

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Chapter Excellence Award Winner

We are pleased to announce that our Nevada Chapter is the recipient of a 2011 Chapter Excellence Award. The Award recognizes those chapters that excel in reaching the standards for managing a chapter, such as communicating to members, instituting Medical Students' and Associates' activities, and advancing and recruiting members. A Chapter Excellence certificate was awarded to Warren H. Evins, MD, PhD, FACP, Chapter Governor at the 2012 Annual Chapter meeting Luncheon and Award ceremonies. David L. Bronson, MD, FACP, ACP National President-Elect presented the Award.

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Nevada Chapter 2012 Annual Meeting

The ACP Nevada Chapter held its 2012 Annual Meeting at the Clinical Simulation Center of Las Vegas, 1001 Shadow Lane on Saturday, January 14, 2012. A spectacular program was organized by Sandhya Wahi-Guraraj, MD, MPH, Program Chair and Internal Medicine Residency Program Director at UNSOM Las Vegas. It was jointly sponsored with UMC (University Medical Center of Southern Nevada) and the University of Nevada School of Medicine.

The program had several new innovations not previously seen at our Annual Meetings. There were lectures of varying lengths from 25 to 90 minutes. There were large group lectures and two small group workshops. The workshops included three events occurring simultaneously. The Associates’ and Medical Students’ state-wide finals Poster Competition was judged and available for Annual Session attendees to review.

The top two entrants in each Poster category were selected by the Judges to present a ten minute PowerPoint slide presentation, followed by a short question and answer session. The presentations and answers were also judged. The first, second, and third place winners then were announced, introduced and given awards.

A Self-Evaluation Program (SEP) was purchased from the American Board of Internal Medicine (ABIM) and presented to attendees in both Workshops I and II. Attendance at both workshop sessions was required. This SEP was accredited by the ABIM for up to 10 AMA Category 1 CME credits and for Maintenance of Certification (MOC) in Internal medicine recertification. Tarek Ammar, MD, Assistant Professor, Department of Internal Medicine-Las Vegas, Division of Gastroenterology, UNSOM-Las Vegas and Noel Fajardo, MD, Section Chief of Gastroenterology, VA Southern Nevada Healthcare System presented the Gastroenterology program.

Dean Mitchell Forman, DO, FACR, FACOI, FACP of Touro University Nevada and Weldon (Don) Havins, MD, FACS,JD, LLM presented an Ethics interactive discussion with audio-video vignettes, which was well received.

A panel presentation with seven speaker/discussants (a radiation oncologist was added after the program went to press) covered the areas of prostate and breast cancer screenings. An advancement to Fellowship slide presentation described the pathways to ACP Fellowship. Please contact the Chapter Governor if you are interested in Fellowship advancement mentoring.

During Workshop I Doina Kulick, MD, Associate Professor, UNSOM-Reno discussed practical strategies in the office management of obesity and T. Brian Callister, MD, FHM, FACP, Associate Professor of Medicine at UNSOM-Reno and President of our Chapter’s Northern Nevada District and Michael Bloch, MD, FACP, FASH, FVM, Associate Professor, UNSOM-Reno reviewed their top 10 or 11 journal articles from 2011.

ACP President-Elect David L. Bronson, MD, FACP, presented two talks, one as the representative of the College and one on Chronic Disease management, pay for performance, public reporting, and professionalism. ACP Senior Vice President for Government Affairs and Public Policy Bob Doherty imparted his usual excellent Washington update.

During the Luncheon, awards were presented to Mitchell D. Forman, DO. FACR, FACOI, FACP, Chapter Treasurer as Chapter Laureate and Theodore B. Berndt, MD, FACC, FACP as Chapter Community Service and Volunteerism Awardee. The Nevada Chapter also received a Chapter Excellence Award. A Town Hall meeting occurred involving discussions with Chapter officers, attendees, and the National officers Dr. Bronson and Mr. Doherty.

Workshop II had two notable innovations. A Doctor’s Dilemma™ Jeopardy style medical quiz contest took place involving five teams from the Internal Medicine Residency programs of the University of Nevada, Las Vegas and Reno. The winner will attend the ACP National competition at New Orleans in April 2012.

Our Chapter was able to use the facilities of the Simulation Center of Las Vegas to provide hands on practice in knee and shoulder arthrocentesis. The Simulation Center provided non-human models and supplies. Three rheumatologists discussed indications, contra-indications, technique, and when to refer. Ewa Olech, MD, Associate Professor of Medicine and Section Chief, Division of Rheumatology and Elham Taherian, MD, Assistant Professor Division of Rheumatology UNSOM-Las Vegas and Mitchell D. Forman, DO, FACR, FACOI, FACP of Touro University Nevada were the faculty.

About 130 attendees registered for the Chapter Annual Meeting, but only about 85 to 90 actually attended. The food was very good. There were six exhibitors. A Drawing for Door Prizes occurred at the end of the meeting. Prize contributors included CVS pharmacy, Jason’s Deli, the Chapter, and some of the exhibitors. There were enough prizes and a limited number of program attendees still present, who had visited the exhibitors’ booths, so that everyone present for the drawing won a prize.

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Doctor’s Dilemma™

For the first time ever, five teams of Associate members competed for the ACP Nevada Chapter State title in a Doctor’s Dilemma™ team competition at the Chapter Annual Meeting. There was a sizeable audience present. The Chief Residents’ Council organized and ran the competition, with the Las Vegas IM program’s chiefs (Nischala Nannapaneni, MBBS, Nicole L. Davey-Ranasinghe, MD, and Nirmal T. Sunkara, MBBS), acting as emcee, scorers, and judges, with the assistance of Sandhya Wahi-Gururaj, MD, MPH, and Jennifer M. Hagen, MD, FACP, the Las Vegas and Reno IM residency program Directors.

There were four teams from the IM residency program at the University of Nevada School of Medicine (UNSOM)-Las Vegas. They first competed for the top two teams to face the team from IM residency program at the UNSOM-Reno. Touro University-Nevada/Valley Hospital IM residency program did not enter a team.

The winners for Doctor’s Dilemma™ for the Nevada Chapter are Jitendra Adepu, MBBS, Sudheer Polisetty, MBBS, and Ranjit Makar, MBBS, from the Las Vegas program. They will represent our Chapter at the National competition, which will be held during IM 2012, the ACP Annual meeting, in New Orleans. Our Chapter and UNSOM are sharing the winners’ travel expenses.

Here are the 5 teams that participated in the competition:

  1. Faisal Siddiqui MD, Hima Pitta MBBS, and Rajvir Basraon MBBS– Team from Reno.
  2. Naveen Gopal, MBBS, Subodh Devabhaktuni MBBS and Muhammad Akbar MBBS
  3. Sudheer Polisetty MBBS, Ranjit Makar MBBS and Jitendra Adepu MBBS
  4. Srinath Sundararajan MBBS, Mahendran Jayaraj, MBBS and Pinak Shah MBBS
  5. Ahmed Sagaslli MD, Suleiman Omar MD and Abdalla Oun MD

The National competition will start Thursday, April 19, 2012, at the New Orleans Morial Convention Center and continue through Saturday. The final competition will be at 6:30 pm on Saturday April 21, 2012. Last year, when I attended the finals, four teams were competing. I’m sure that the UNSOM Las Vegas team would be delighted if you visited their event(s).

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Northern Nevada Regional Associates’ and Medical Students’ Poster Competitions

The Northern Nevada Regionals were held Friday, November 18, 2011, in Reno. Judges for the Northern Nevada competition were David J. Howard, MD, the new Associate Residency Program Director in Reno (as a last minute substitute), Theodore M. Berndt, MD, FACP, President of the Nevada State Board of Medical Examiners and 2012 ACP Nevada Chapter Community Service and Volunteerism Awardee, and William M. O’Neill, Jr., MD, FACP. Warren H. Evins, MD, PhD, FACP, the ACP Nevada Chapter Governor was scheduled to be a judge, but was unable to get to Reno. This was the day of the big fire causing many people to evacuate their homes. A snow storm was scheduled to occur that day. But the Cannon Reno-Tahoe airport was closed most of the day due to high winds gusting around 70 mph.

There were three competition categories: Associate Clinical Vignette, Associate Research, and combined medical student clinical vignette/research. Up to three winners in each category advanced to the state-wide competition which was held during the 2012 Annual Chapter meeting on Saturday, January 14, 2012, at the Clinical Simulation Center of Las Vegas. There were nine Associate Clinical Vignette entrants, one entrant in Associate Research, and one Medical Student Clinical Vignette.

Advancing to the state-wide competition were Drs. Rajvir Basraon, Paul Hayward, and Dinadelle B. Viola in the Associate Clinical Vignette category and Dr. Shien Hu in the Associate Research category. The sole medical student research entrant Milad Motarjemi, MS also advanced to the state-wide competition.

The following Poster competition entrants competed in the event:

Associate Clinical Vignette category:
  1. Chronic Q Fever as a Cause of Endocarditis and GlomerulonephritisRajvir Basraon, MD
  2. Broken Heart Syndrome Presenting as Broken Liver SyndromeUsha R. Emani, MD
  3. Obstructive Fibrinous Tracheal pseudomembrane: A Potentially Fatal Complication of Endotracheal Intubation Paul Hayward, MD
  4. Splenic infarction in chronic relapsing alcoholic pancreatitis – A case report Anu Michael, MD
  5. A rare case of IRIS related Cryptococcoma mimicking as brain mass in HIV-Positive patient with a high CD4 countHimabindu Pitta, MD
  6. Intrathoracic caecal perforation leading to pneumothoraxFaisal Siddiqui, MD
  7. AIDS patient with secondary neurosyphilis presenting with nonreactive FTA – ABS: A Case StudyDinadelle B. Viola MD
  8. A Stiff DanceWalter Yuen, DO
Associate Research category:
  1. Multidisciplinary approach as best practice for the treatment of obesity patientsShien Hu, MD
Medical Student combined Clinical Vignette and Research category:
  1. Testing the predictions of a simplified model of thin filament regulation: activating motility through kinetic inhibitionMilad Motarjemi, UNSOM MD/PhD student)– Research

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Southern Nevada Regional Associates’ and Medical Students’ Poster Competitions

The Southern Nevada Regional Associates’ and Medical Students’ Poster Competitions were held Thursday, November 3, 2012, in Las Vegas. Warren H. Evins, MD, PhD, FACP, ACP Nevada Chapter Governor and Adjunct Professor of Internal Medicine, Touro University-Nevada, Nicolas J. Vogelzang, MD, FACP, Clinical Professor, UNSOM, and Ewa Olech, MD, Associate Professor and Section Chief, Division of Rheumatology, UNSOM Las Vegas were the judges of the Southern Nevada competition.

There were three competition categories: Associate Clinical Vignette, Associate Research, and combined medical student clinical vignette/research. Up to three winners in each category advanced to the state-wide competition which was held during the 2012 Annual Chapter meeting on Saturday, January 14, 2012, at the Clinical Simulation Center of Las Vegas. There were 14 Associate Clinical Vignette entrants, 3 entrants in Associate Research, and one Medical Student Clinical Vignette.

Advancing to the state-wide competition were Drs. Ranjit Makar, Don Leo Pepito, and Pinak Shah in the Associate Clinical Vignette category and Drs. Ramesh Keerthi Gadam, Mahendran Jayaraj, and Fuzhan Parhizgar in the Associate Research category. The sole medical student clinical vignette entrant Deepa N. Nanayakkara, MS, also advanced to the state-wide competition.

The following Poster competition entrants competed in the event:

Associate Clinical Vignette category:
  1. A Rare Cause of Renovascular Hypertension,Muhammad Akbar, MBBS
  2. Anemia of acute onset – A case of Piperacillin – Tazobactam induced hemolytic anemia in a patient with Cystic Fibrosis, Shivannand Bomman, MD
  3. Amphetamine – associated small bowel ischemia, Altaf Dawood, MD
  4. A dreadful complication of intravenous drug abuse, Subodh Devabhaktuni, MD
  5. Bilateral Renal Artery Aneurysms and Hypertension – Does Size Really Matter?, Trung Huynh, MD
  6. Hyperacute T Waves (HATWs): An Early Sign of Acute ST Elevation Myocardial Infarction Nisharahmed Kherada, MD
  7. A Case Report on Melioidosis Causing Penetrating Aortic Ulcer, Janame J. Kottey, MD
  8. Diet Pill Cardiomyopathy, Ranjit Makar, MD
  9. Cryoglobulin-associated medium vessel vasculitis presenting as gangrene of distal extremities, Don Leo Pepito, MD
  10. WPW Syndrome: An Association with MELAS, Pinak Shah, MD
  11. Cytopenias- Magnifying Beyond the Microscope! Srinath Sundararajan, MD
  12. Ascites in Pregnancy: from Erythema Nodosum to Peritoneal Coccidioidomycosis, Jason Suszko, MD
  13. Incidental Papillary Thyroid Cancer in Grave’s Disease, Abhijeet Yadav, MD
  14. Anemia of acute onset – A case of Piperacillin-Tazobactam induced hemolytic anemia in a patient with cystic fibrosis, Shivanand BommaShivashanker, MD
Associate Research category:
  1. Can it wait until the morning?: Do Blood Culture Gram Stain Reports Provided After Hours Have Clinical Utility? Ramesh Keerthi Gadam, MD
  2. Incidence of Ischemic Colitis in Desert region – A study using Nationwide Inpatient Sample, a Healthcare Cost and Utilization Project database., Mahendran Jayaraj, MD
  3. Soluble Transferrin Receptor: A True Indicator of the Need for Iron Supplementation in Anemic Patients, Fuzhan Parhizgar, MD
Medical Student combined Clinical Vignette and Research category:
  1. A Case of Osteonecrosis in a Patient Treated with Glucocorticoids for Systemic Lupus Erythematosus, Deepa D. Nanayakkara, MS – Clinical Vignette

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The Associates’ and Medical Students' State Finals Poster Competitions

For the first time the ACP Nevada Chapter held two regional poster competitions. The Northern Nevada Regionals were held Friday, November 18, 2011, in Reno, and Southern Nevada Regionals were held Thursday, November 3, 2012, in Las Vegas. ACP associate members from the three internal medicine training programs in Nevada (UNSOM-Las Vegas, UNSOM-Reno, and Touro University Nevada/Valley Hospital) were invited to participate. And medical students from UNSOM and Touro were also invited.

There were three competition categories: Associate Clinical Vignette, Associate Research, and combined medical student clinical vignette/research. Two winners in each category advanced to the state-wide competition which was held during the 2012 Annual Chapter meeting on Saturday, January 14, 2012, at the Clinical Simulation Center of Las Vegas.

Chief Judge Ana Maria Lopez, MD, MPH, FACP, ACP Arizona Chapter Governor, Associate Dean and Professor at the University of Arizona, Tucson, T. Brian Callister, MD, FHM, FACP, ACP Northern Nevada District President and Associate Professor at UNSOM-Reno, Eugene L. Speck, MD, PhD, FIDSA, FACP, immediate past ACP Nevada Chapter Governor and Clinical Professor at UNSOM-Las Vegas officiated at this event. Alan Greenberg, MD, FACP, was the Chair of the Poster competition committee.

The first place winners of the three competition categories received a medical book, entry into the ACP National Poster competition in New Orleans, and up to $1000.00 from the Chapter for expenses to attend the New Orleans IM 2012 ACP Annual meeting and Poster competitions. The 1st place Associate Clinical Vignette winner is Dinadelle B. Viola, MD, from UNSOM-Reno, the 1st place Associate Research winner is Ramesh Keerthi Gadam, MD, from UNSOM-Las Vegas, and the 1st place winner for the Student combined categories is Milad Motarjemi, MS from UNSOM-Reno.

Receiving medical books were the second and third place winners: Associates Clinical Vignettes second place Ranjit Makar, MD UNSOM-Las Vegas and third place Paul Hayward, MD, UNSOM-Reno; Associates Research second place Shien Hu, MD UNSOM-Reno and third place Fuzhan Parhizgar, MD UNSOM-Las Vegas. In the medical student combined clinical vignette category Deepa D. Nanayakkara, MS, won second place.

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