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March 2014 Gregory W. Rouan, MD, FACP, ACP Governor

From the Governor

Dr. Rouan

Our vision is to define and provide value to our diverse membership of the Ohio ACP Chapter. Our members at least include generalists and subspecialists. Our constituencies include the entire continuum from medical student to resident to young physician to established and senior practitioners. You serve our patients in hospital or ambulatory settings and in teaching or non-teaching environments. Please browse our site and learn more about our Chapter.

In our recent January, 2014 E-Pulse newsletter we highlighted the calendar of events for 2014. We will reiterate those below along with providing more detail in regards to critical dates and timelines for our major activities.

Our Chapter’s leadership team now includes: Linda Ha, Chair Chapter Scientific Program Planning Committee; Michael Tan, Governor-elect designee and Chair of the Membership Committee; John Schroder, Chair of the Program Directors Committee; Moises Auron, Chair of the Young Physicians Committee; Joseph Myers, Chair of the Awards Committee, Craig Nielsen, Chair of the Associates Committee; Dennis Lunne and Hooman Varghai, co-Chairs of our Student Committee, Wayne Carlsen, Treasurer, and Dan Sullivan the Chair of the Health and Public Policy Committee. Also Doug Federman, Glenn Solomon, George Litman, and also Wayne Carlsen are members of our Finance Committee.

We will again be offering LEAD sessions as well as ABIM SEP sessions on Thursday. These additions to our meeting were very well received last fall and we plan to continue this tradition into the future.

Registration for our meeting will soon open, so please keep checking our website for news. We will send you a link in the next E-Pulse Newsletter.

Jan Wrassman, our Executive Director, and I would very much appreciate hearing from you in terms of any suggestions you may have for how the Ohio Chapter of the ACP might help make us better physicians and improve the quality of our professional lives and those of our patients. I would recommend that you contact either me directly or Jan Wrassman.


Membership Update

Dr. Michael Tan

We again had another year of excellent membership recruitment in our chapter. The ACP has begun a new Recruit-A-Colleague cycle. Current members who recruit new members are eligible for substantial annual dues reductions. Direct your colleagues to the website and encourage them to take advantage of the wealth of ACP products, services, and discounts.

The UCCOM Internal Medicine Club is once again one of the tops in the country in ACP student membership. They are 4th out of all MD/DO schools in the country with 69% of our students enrolled. Kudos to Dr. LeAnn Coberly and her colleauges.


Ohio Scientific Chapter Meeting, October 16-17, 2014

Dr. Linda Ha

Please be sure to add on October 16-17, 2014 to your calendars for our annual Ohio ACP Scientific Meeting to be held at the Greater Columbus Convention Center.

The Abstract Selection Committee is pleased to announce the link for online submissions for our Chapter meeting are open from February 1st through April 30th.

Please encourage your students and residents to submit early. We plan on increasing our accepted abstracts considerably this year as we again will have student presentations on Thursday the 16th and resident presentations on Friday the 17th.

Very importantly Dr. Tanveer Mir, chair-elect of the national board of regents will be attending and actively participating in our meeting.


News from the Awards Committee

Dr. Joseph Myers

Congratulations to our new Fellows. Those individuals are listed below. Please join us at the IM 2014 meeting in Orlando for the ceremony. Learn more about the meeting and registration and housing. Please email Joe.

Shikhar Agarwal, MD, MPH, FACP
Donald B. Albainy, MD, FACP
Anil Reddy Anumandla, MD, FACP
Mirna B. Ayache, MD, FACP
Jennifer L. Bolyard, MD, FACP
Thadeo G. Catacutan, MD, FACP
Asha Chakka, MBBS, FACP
Amit K. Chatterjee, MD, FACP
Maria C. Courser, MD, FACP
Aaron C. Hamilton, BA, MD, MBA, FACP
Nicholas P. Honda, II MD, FACP
Robert C. Kalayjian, MD, FACP
Aanchal Kapoor, MD, FACP
Dinkar Kaw, MD, FACP
Deepak Malhotra, MD, FACP
Barry S. McCorkle, MD, FACP
Seema A. Misbah, MD, FACP
Jared Moore, MD, FACP
Udayakumar Navaneethan, MD, FACP
Muhannad Samaan, MD, FACP
Sundeep Shenoy, MD, FACP
Mamta K. Singh, MD, FACP
Kyaw K. Soe, MD, FACP
Sakthiraj Subramanian, MD, FACP
George Thomas, MD, FACP


Internal Medicine 2014

Internal Medicine 2014 is being held Thursday, April 10th through Saturday, April 12th in Orlando, Florida. ACP has invited 156 elected Fellows from Ohio to walk in convocation. Congratulations to all!

If you are attending IM2014 please show your support for the following members who are competing in the abstract competition: Kelly Pacitti, DO, Riverside Methodist; Kim Morton, MD, Riverside Methodist; Claire Sullivan, MD, Case Medical Center and medical student Michelle Torbeck, UCCOM.

Our Doctors Dilemma team representing Ohio is from Fairview Hospital and includes Rohan Garje, MD, Vyshak Alva, MD, and Farayi Mbuvah, MD.

Please mark your calendar for the Ohio Alumni/Chapter Reception which will be held Friday, April 11th at 6:00 pm at the Hyatt Regency Orlando. This is a great opportunity to relax and visit with colleagues and friends from across the state as well as to celebrate our accomplishments from the past year.

We look forward to seeing you in Orlando!


2014 ACP Leadership Day

Daniel Sullivan, Chair of the Ohio Chapter Health and Public Policy Committee

Leadership Day 2014 will occur on May 21-22 in Washington DC on Capitol Hill. Please see the below information related to Leadership Day grants from the national ACP office. We encourage our members to consider applying for these. Please let Dr. Sullivan and Jan Wrassman know if your are interested in applying or even do so yourself.

Twenty-four grants of $750 each will be provided to Chapters to cover early career physician, resident/fellow, and medical student members’ expenses to attend Leadership Day 2014, being held May 21-22 in Washington, D.C. This program is funded by a grant provided by Pfizer to support advocacy development for young members. Eight grants are available for early career physician members, 8 grants are available for resident/fellow members, and 8 grants are available for medical student members.

The Guidelines for Awarding ACP Leadership Day Grants document contains information about the eligibility, criteria, and process for awarding the grants. To apply for a Leadership Day Grant, members must complete the application and submit it electronically by February 28, 2014. Each $750 grant will be given to the Chapter for the Governor to distribute.

For more information about ACP Leadership Day. If you have questions about the grant application process, please contact Patty Moore, Governance Relations Coordinator, or (800) 523-1546 ext. 2749.

Leadership Day 2014 - Chapter Action Plan

The 22nd annual Leadership Day on Capitol Hill will be held May 21-22 at the Westin Washington, DC City Center, 1400 M Street, NW, in Washington, D.C.

Leadership Day enables the College to increase its presence on Capitol Hill and bring our issues of concern to U.S. lawmakers. Participants will receive a comprehensive orientation and briefing on ACP’s top legislative priorities and have an opportunity to meet with legislators and their staff on Capitol Hill.

To help chapters promote, recruit and coordinate the participation of their delegations at Leadership Day, we have developed the Leadership Day Chapter Action Plan as a helpful tool.

Leadership Day is open to ACP members only and there is a $25 registration fee to attend. ACP medical students and Resident/Fellow in-training members are exempt from this charge.

Once again, all Leadership Day materials will be posted on the Leadership Day Web site and we will notify attendees when materials are posted. Upon arrival at Leadership Day, attendees will receive a Leadership Day packet/folder with various materials, including “leave behind” documents for congressional offices. This folder will only be made available on site at the registration desk on May 21-22.

Leadership Day 2014 will be held at a new location in 2014 - the Westin Washington, DC City Center. This hotel, although not in walking distance to the Capitol, is conveniently located near a metro station that will take you to Capitol Hill. We will provide you with directions on how to navigate the metro system. Attendees are also welcome to take a cab from the hotel to Capitol Hill at their own expense, should they be so inclined. Rooms are being held at the discounted rate of $299 per night to accommodate Leadership Day attendees. Hotel reservations can be made now. Please reference American College of Physicians Leadership Day group when making reservations to get the discounted rate if you call the hotel directly. The hotel reservation cut-off date is April 28, 2014.

We will have an exciting program and experience in store for you, including many educational briefings on the key policies you will be discussing with lawmakers as well as an opportunity for you to socialize with your colleagues. See a preview of our advocacy issues for 2014.

We are looking forward to seeing you in Washington, DC for Leadership Day 2014!


Ohio Chapter Member Accomplishments and Celebrations

Wayne Carlsen, D.O., FACOI, senior associate dean and associate professor of geriatric medicine/gerontology at the Ohio University Heritage College of Osteopathic Medicine, was sworn in as board chair for the National Board of Osteopathic Medical Examiners at its annual meeting in December.

Since 1989, Dr. Carlsen has held many roles with the NBOME, an organization that assesses competencies of osteopathic medical professionals, including serving on a variety of exam construction and item review committees. He has served on the NBOME Board of Directors since 2005 and was elected vice chair in December 2011.

As chairman, Dr. Carlsen will lead the NBOME governing body in working with the organization’s president and CEO, coordinating board committees, and planning and conducting two board meetings each year. He will also collaborate with NBOME senior staff and board officers to represent the association at meetings across the United States.

It is a career capstone for me to assume this leadership role for NBOME,” said Dr. Carlsen. “I look forward to being able to serve as chair for the next two years as we move forward to make key changes to our strategic plan, and reach out to work collaboratively with our partners and stakeholders to provide innovative assessment services to our customers.”

He was sworn in as board chair during NBOME’s annual meeting in Key Largo, Fla., by Immediate Past Chair Janice Knebl, D.O., MBA, professor of medicine and chief of the Division of Geriatrics/Department of Medicine at the Texas College of Osteopathic Medicine/University of North Texas Science Center at Fort Worth.

In addition to his role as senior associate dean and associate professor, Dr. Carlsen serves as the medical director of the Heritage College’s Community Health Programs and Area Health Education Center. Throughout his years as a practicing geriatrician, he has served as the medical director for several skilled nursing facilities across Ohio. Dr. Carlsen has been an Ohio University employee since 1993.


Congratulations to Moises Auron, MD, FAAP, FACP (CECP) for his appointment to ACP’s Coding and Payment Subcommittee. This committee advises the Medical Practice and Quality Committee on: (a) Medicare and other third-party payer policies to improve coverage, improve payment, and reduce practice hassles; (b) recommendations to other major entities that interface with Medicare and other third-party payers; (c) recommendations for improving coding and documentation of physician services; resources to help internists practice high-quality, cost-effective care; content for annual Internal Medicine meetings regarding Medicare and other third-party payers. Assist ACP's CPT advisor in reviewing proposed coding issues and policies from the CPT Editorial Panel and develop CPT and other coding proposals that advance the needs of internists, and function as a ACP's Specialty RVS Committee, as required by the RUC's guidelines for specialty societies.

Dr. Auron is finishing his current term on ACP’s Medical Practice and Quality Committee.


News from the National ACP in Philadelphia

Find below several very valuable updates and links that may be helpful in your professional lives:

(1) Please see a very important communication for Patrick Alguire, Senior VP for Education

If you obtained ABIM certification prior to 1990 and therefore hold a time-unlimited certificate that does not expire. Internists in this position are sometimes referred to as “grandfathered” because you have not been required to recertify with the ABIM every 10 years. We want to make sure you are aware of new ABIM requirements regarding Maintenance of Certification which may affect you. While the ABIM is communicating to ABIM-certified internists about their program changes, ACP has learned that the ABIM may not have current contact information for physicians with time-unlimited certification. Therefore, ACP wants to make sure you and other ACP members in your position know what the changes are.

ABIM Maintenance of Certification Changes:
  • Diplomates who received certifications that are valid indefinitely will remain certified (assuming you hold a current and valid license).
  • However, as of March 31, 2014, ABIM will begin reporting whether or not board-certified internists (including those with time-unlimited certification) are "Meeting MOC Requirements."

In order to be reported as Meeting MOC Requirements you must:

  1. Enroll in the ABIM MOC program by March 31, 2014 and pay an annual or 10-year fee to the ABIM. Contact the ABIM or by phone at 1-800-441-ABIM.
  2. Begin earning MOC points, with 2-year and 5-year milestones for points earned. There are many options for earning these points, including a number related to ACP educational activities. Learn more on the ACP website or the ABIM website
  3. Pass the MOC exam in your certification area by December 31, 2023. This is in addition to continuing to meet the point requirements of the MOC program (including the two- and five-year milestones).
  • If you do not complete the ABIM MOC program requirements, you will be reported as “Certified, not Meeting MOC Requirements.” You will NOT be reported as “Not Certified” for failing to meet MOC requirements.
What is ACP’s role vs. that of the ABIM?

ABIM is an independent organization and its certification programs adhere to common standards established by the American Board of Medical Specialties. ACP maintains a collaborative, collegial relationship with ABIM for the good of our members, and meets regularly with ABIM staff and governance leaders. However, ACP does not review, edit, comment or vote on certification or MOC requirements promulgated by the ABIM. Given our commitment to lifelong learning and high quality care, ACP strives to ensure that ACP members understand the requirements of Maintenance of Certification and have access to effective education to help them with certification and MOC requirements.

Patrick encourages us to contact the ABIM if you have not already received correspondence from them. You can contact the ABIM or by phone at 1-800-441-ABIM.

(2) Get Involved! Enhance Your Leadership Skills with ACP

(3) "When an Aging Colleague Seems Impaired" is a new ACP ethics case study that is available online for CME credit. This case study explores the physician's ethical obligation to address a colleague's (or one's own) impairment in order to protect the safety of patients and to assist the impaired physician.

Addressing apparent impairment in a colleague can be uncomfortable; however, the privilege of self-regulation that society affords the medical profession carries with it both a shared and an individual responsibility to ensure that members of the profession have the ability to practice with reasonable skill and safety. This case study, and other case studies in the professionalism case study series, is available on the College's website.

A series of free online cases and questions addressing high-value care is available to help clinicians weigh the benefits, harms, and costs of tests and treatment options for common conditions in order to improve health and eliminate waste.

Each topic can be completed in 30 to 60 minutes on a desktop, laptop, tablet or smartphone. These interactive cases offer clinicians the opportunity to earn free CME credits and ABIM Medical Knowledge (MOC) points.

The five topics are:

-Avoid Unnecessary Testing
-Use Emergency and Hospital Level Care Judiciously
-Improve Outcomes with Health Promotion and Disease Prevention
-Prescribe Medications Safely and Cost Effectively
-Overcome Barriers to High Value Care

To learn more about ACP's High Value Care initiative and access other helpful and free materials, visit the website.