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November 2011 Gregory W. Rouan, MD, FACP, ACP Governor

From the Governor

Dr. Rouan

What an absolutely remarkable 2011 Chapter Meeting! Several people commented to me that the week prior to the meeting must have just been incredibly busy and time consuming. On the contrary, I merely got out of the way. The Ohio Chapter Leadership to include Dr. Linda Ha our chair of the Scientific Program Committee, Jan Wrassman our Executive Director, Dr. Kim Jordan, Chair of the Associates Abstract Selection Committee, Dr. Cynthia Ledford, Chair of the Medical Students Abstract Selection Committee, Dr. Michael Tan, Chair of our Membership Committee, Dr. Joseph Myers, Chair of the Awards Committee, Dr. Moises Auron, Chair of the Council of Young Physicians, Drs. Kim Bates and Craig Neilson, Co-chairs of Doctors Dilemma, and many, many others stepped up and did an absolutely remarkable job of organizing and carrying out a most successful meeting.

As you will read below several innovations occurred during our meeting this year. Those at least included adding our Doctor’s Dilemma competition to the Thursday afternoon prior to the meeting. The attendees were able to stay connected as they were provided with internet access as part of their meeting registration and so too Twitter about their observations in real time.

Next year’s meeting is scheduled on October 11th and 12th again in Columbus. We have learned a lot already from your feedback and comments. Those will impact the planning of our next meeting. I can already assure you that you will want to consider putting this one on your calendar now. There will be continued innovation, an absolutely great line-up of speakers, and many well established aspects of our Chapter meeting.

Gregory W. Rouan, MD, FACP
Governor, ACP Ohio Chapter

Overview of the Ohio Chapter 2011 Meeting

On behalf of our Ohio ACP Governor, Dr. Greg Rouan, and the Scientific Committee members, I would like to thank all of those in attendance to this year’s Scientific Session in Columbus. The success of our meeting would not have been possible without the support of our invited speakers, who not only brought their unique experience to cutting-edge medicine but also highlighted the rich talents of our professional colleagues here in Ohio. This year, our speakers represented the Cleveland Clinic Foundation, Granville Ohio, University of Cincinnati, Summa Health Systems, Akron Children’s Hospital/Haslinger Family Pediatric Palliative Care Center, Akron General Medical Center, Ohio State University/Center for Women’s Health, Fort Wayne Indiana, and Mount Carmel Health Systems. Representatives from the Ohio State Medical Association (OSMA), Ohio Pharmacy Board, and Ohio Department of Health (ODH) presented current legislative changes affecting our clinical practices. We were also privileged to have the President-elect of the American College of Physician (ACP), Dr. David Bronson, speak on the important issues of national ACP while enlightening us with his clinical problem-solving skills at the “Meet the Professor” session.

The 2011 Scientific Session also allowed us the opportunity to introduce several innovative ideas while maintaining some rich traditions. Thank you to Dr. Kimberly Bates and Dr. Craig Nielsen for successfully bringing Doctors Dilemma to Columbus for the first time. Under the direction of the Chair of the Awards Committee, Dr. Joseph Myers, the Ohio Chapter presented the inaugural “Excellence in Residency Program Abstract Submission/Acceptance” awards to the top three residency program for their contribution to the Associates abstract competition. We had the highest number of associates and students’ abstract submission this year with all 22 Ohio training programs participation. We would like to acknowledge the Program Directors and their faculties for their support and encouragement of residents and students in this pursuit of excellence. Thank you to the Chair of Associates Abstract Committee, Dr. Kim Jordan, and the Chair of Students Abstract Committee, Dr. Cynthia Ledford, for continuing to make the Poster Competition a highlight of our Scientific meeting. Finally, thanks to Dr. Moises Auron, we introduced Twitter to our meeting this year and was able to reach over 4,000 people.

Check out the Photo Gallery of the 2011 Ohio Chapter Meeting.

We welcome your feedback and looking forwarding to seeing you in Columbus 2012.

Linda Ha, D.O., FACP
Chair, Ohio ACP Scientific Session Committee 2011


Advancement to Fellowship Workshop

An Advancement to ACP Fellowship Workshop, given by your Governor, Greg Rouan, and me during the October 14 Ohio ACP Meeting, attracted 20 individuals at all ends of the career spectrum. Considerable excitement was generated by the attendees. Several have followed up already, and some are poised to get their fellowship applications in.

Mark Mayer, MD< FACP, Past Governor, Ohio Chapter


Awards Summary – Ohio ACP Chapter Meeting 2011

The Ohio Chapter Laureate Awards were presented to Ralph A. Gianella, MD, FACP (University of Cincinnati Hospitals and University of Cincinnati College of Medicine) and to Frank C. von Maluski, MD, FACP (Miami Valley Hospital and Wright State University Boonshoft School of Medicine). The Ohio Chapter Master Teacher Award was presented to Thomas P. Marnejon, DO, FACP (St. Elizabeth Health Center and Northeast Ohio Medical University). Prior Laureate and Master Teacher Award winners in attendance at the meeting were recognized and honored by coming to the podium and assisting in the presentation of the 2011 Awards to the winners.

Awards for the highest percentage of resident abstracts accepted for presentation at the 2011 Ohio ACP Meeting were presented as follows: Gold Medal Award to the University of Cincinnati Hospitals and College of Medicine Program, Cincinnati, Ohio; Silver Medal Award to the Riverside Methodist Hospitals Program, Columbus, Ohio; and Bronze Medal Award to Western Reserve Health Education/Northside Medical Center Program, Youngstown, Ohio.

Joe Myers, MD, FACP


Doctors Dilemma

We had another exciting Doctors Dilemma competition this year. 14 Residency Programs participated in the friendly, yet competitive, medical jeopardy competition. Two Elimination Rounds of 7 residency teams were followed by a Final Jeopardy Round featuring the top 3 teams from each elimination round. The Cleveland Clinic residency program had the top score in the first elimination round and Fairview hospital residency program had the top score in the second elimination round (Fairview was the two-time defending Ohio doctors dilemma champions). But at the end of the day, the University of Cincinnati walked away with the trophy but betting all their money on the final jeopardy question and coming up big. The University of Cincinnati will represent the state of Ohio at the National Doctors Dilemma competition at Internal Medicine 2012 in New Orleans. Based on the success the event this year we plan to have Doctors Dilemma again at the Annual Ohio ACP meeting in Columbus on 10/11/12. (It is never to let to mark your Calendar). Congratulations again to U. of Cincinnati and we wish them all the best in New Orleans.

Craig Nielsen, MD, FACP and Kim Bates, MD, FACP



The Ohio Chapter enjoyed a busy and successful Annual Meeting. Attendance was strong amongst associates and members alike. Of particular significance was participation by the Ohio Department of Health at our Town Hall meeting. There was free exchange of concerns and ideas with respect to the PCMH model; Chapter attendees and ODH representation were glad to have this exchange to encourage collaboration. This type of interaction between our Chapter and government helps add to the value of your membership. In the coming months, the Chapter will be working with residency leaders throughout the state to encourage Associates to join ACP and strengthen our membership. As always, members are encouraged to invite non-member colleagues to join. And remember, Members who recruit new Members will be eligible for dues reduction for the next year.

Michael J. Tan, MD, FACP, FIDSA, Chair, Membership Committee


Clinical and Research Abstracts

Total Submitted Abstracts:
208 Associates: 194 vignettes, 14 research
77 Med Students: 72 vignettes, 5 research

Total Accepted Abstracts: (required pre-judge score of at least 70/100 to qualify - each abstract was blinded and scored by 3 judges)
106 Associates: 98 vignettes, 8 research
50 Med Students: 45 vignettes, 5 research

With regard to associate attendance- 106 invited, 12 did not present -- of the 12 -- 4 were from CCF, 2 from Huron, 1 Western Reserve, 1 SUMMA, 1 UC, 1 Toledo, 1 Fairview, 1 Northside Medical Center


Associate Winners Clinical Vignette Category

1st Place:

#40 Kanchan Landge, St Vincent Mercy Medical Center: Central Nervous System Vasculopathy- an uncommon manifestation of Epstein-Barr virus

2nd Place:

# 38 Vishnu Komari, Canton Medical Education Foundation: Micoraerophilic Streptococcus Cerebellar Abscess in an Immunocompetent Individual

3rd Place:

# 91 Kenneth VanDyke, Riverside Methodist Hospital: An Unusual Cause of Tenosynovitis in a Healthy Male


#52 Emily Myers, SUMMA Health System: Life-Threatening Respiratory Pasteurellosis in Three Pet Owners Providing Palliative Care to their Dying Pets


#77 Ryan Spilman, Riverside Methodist Hospital: Primary Malignant Melanoma of the Esophagus and New Papillary Thyroid Cancer in a Patient with Renal CA


Associate Research Winners

1st Place:

# 105 Yun Xia, St. Elizabeth Health Center: Gout Risk Factors and Treatment Among Chronic Kidney disease Patients: a Hospital Based Cross Sectional Study

2nd Place:

# 102 Neda Hashemi-Sadraei, Cleveland Clinic Foundation: Elevated Glucose Levels and Survival in Elderly Patients with Newly Diagnosed Glioblastoma

Both the clinical vignette and research 1st place winners will be invited to represent the Ohio Chapter at the National Competition in New Orleans in April 2012. Both received $100.00 cash prize, but will also receive additional funding to support their attendance. Second place winners received cash prize of $75.00, and 3rd place winner received cash prize of $50.00. All winning poster presenters and merit awards received a ribbon.

Kim Jordan, MD FACP, Chair Abstract Selection Committee


Innovation by the Council of Young Physicians at the Ohio ACP 2011 meeting

The CYP presented at the networking breakfast with Associate members and Young Physicians a LEAD conference by Dr. Susan Williams. It emphasized the process toward obtaining the LEAD certificate and shared with the attendees the leadership education opportunities at ACP.

In order to enhance the meeting outreach, a unique Twitter identifier (hashtag) was created (#acpoh11). Our members were encouraged to send their questions, learning points, comments, etc., identifying their tweets with the hashtag. This yielded in a total of 50 tweets reaching 4,518 people; subsequent re-tweeting by highly followed users yielded in a total exposure of 39,059 impressions. We plan to use the hashtag #acpoh12 for next year's meeting.

Tweetreach is a tool that allows you to assess the impact of communication though Twitter of any given event. The hashtag allows you to identify all the tweets related to the meeting. I want to share with you the impact we had through this activity. See the screenshot.

This is an activity that can enhance the academic value of the meeting beyond the state boundaries and could be used by others for their chapter meetings.

Moises Auron, MD, FACP Chair, Council of Young Physicians