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August 2011 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 click here to browse our site and learn more about our Chapter.

In keeping with Yogi Berra’s advice, “If you don’t know where are going, you may end up somewhere else,” we have developed a strategic plan for our Chapter and were recently notified that it has been approved and funded by the national ACP office for a chapter development award. This is quite an accomplishment. Congrats to all involved especially Michael Tan. Read more below about the “SUPER” strategy.

We transitioned the Governor’s office to the southwest corner of the state as we have mentioned in our monthly new E-Pulse newsletters. Our past successes are in large part based upon our Chapter’s leadership team. Those at least include: Linda Ha, the Chair Chapter Scientific Program Planning Committee, Michael Tan, the Chair of the Membership Committee, John Schroder, the Chair of the Program Directors Committee, Moises Auron, the Chair of the Young Physicians Committee, Joseph Myers, the Chair of the Awards Committee, and Arlene Fedorchack, the Chair of the Health and Public Policy Committee. You will hear from several of these individuals in this newsletter.

We would like to hear any suggestions you have for how the Ohio Chapter of the ACP that 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 our Executive Director Jan Wrassman (jwrassman@fuse.net) now that we have moved the Chapter headquarters to Cincinnati.

We hope to soon have a robust budget and financials in place to support our mission. This task is hoped to be accomplished by mid-November after our Chapter meeting. At that point we should have a sense of our major expenditures and thereby have a basis by which to do so. We will then be able to plan for continued innovations for the upcoming year for our Chapter initiatives. Our finance committee will be busy on this project over the next several months.

Very importantly please reserve the date, Friday, October 14, 2011 on your calendars for the Ohio ACP fall Scientific Chapter Meeting at the Columbus Convention Center. Arrive on Thursday and enjoy the Doctor’s Dilemma, a competition among our Chapter’s residency programs that allows the top program to represent our state at the National ACP Meeting in New Orleans.

Dr. Linda Ha has done an absolutely remarkable job organizing this meeting. When you see her at the meeting please introduce yourself and thank her for all of her hard work. You will enjoy the content of the meeting along with interacting with your colleagues from throughout the state.

Kim Jordan and Cindy Ledford have lined up superb and high quality abstracts from students and residents from throughout the state. Please be sure to volunteer to judge those or at least enjoy reading those and talking with the students and residents.

If you are able to arrive Thursday or wish to spend the night after the meeting on Friday we have a block of rooms reserved for you at a bargain rate. Those are going fast so (click here to reserve your room at Hyatt Hotel connected to the Convention Center) or call 614-280-3008.

Please visit our Chapter photo gallery on the website for photos at IM 2011 and our Chapter recognition site regarding the accomplishments of our members.

Please remember to register online for upcoming Ohio ACP Chapter Meeting. As mentioned above please see highlights of the meeting by Dr. Linda Ha later in this newsletter.

Gregory Rouan, MD, FACP


Ohio ACP “SUPER” Strategy

The Ohio Chapter will has begun an intense membership campaign in April 2011 which will concentrate on reaching out to generalists, hospitalists, subspecialists, and residents in both community and academic settings in addition to medical students to encourage them to become ACP members by demonstrating the value-added nature of ACP membership to each of these constituencies. Our Ohio ACP “SUPER” strategy acronym is based upon our Statewide Value-added Approach to Enhance Membership. Such has resulted in an amazing number of new resident and student members along with an unprecedented number of members being promoted to fellowship.

This entire project is expected to be focused on the professional needs of the potential member and also to be “user friendly” and beneficial to the current ACP leader that may be soliciting the potential member. An example of the latter include providing newly elected Fellows, program directors, and committee/GAC leadership with templates of emails that are formatted to the constituency that is being solicited for membership. Some of these tools currently exist on the ACP website but we intend to update those and develop others. Moreover this strategy would use the current ACP Recruit a Colleague (RAC) process.

The model for leaders in the Chapter who are involved in the SUPER strategy will be deployed in a spoke-hub model in which members of the Governor’s Advisory Council (GAC) and Membership Committee will be assigned a specific area of the state to oversee. I am collaborating with at least the previously established leadership to include the Chair of the Chair of the Program Directors Committee (John Schroder), Chair of the Young Physicians Committee (Moises Auron), at least five Governor’s Advisory Council (GAC) members, and other identified leaders representing the central, northeast, northwest, southeast, and southwest sectors of our state.


News and Opportunities from the National ACP Office

Should you be interested in developing your practice into a Patient Centered Medical Home consider using ACP’s new Medical Home Builder.

ACP is accepting applications for the College's Health Policy Internship for Associate and Medical Student Members. This Internship represents a unique opportunity for one Associate and one Medical Student Member to develop legislative knowledge and advocacy skills by working directly with the College’s Washington, D.C., staff and participating in ACP’s annual Leadership Day. The internship will last for 4 weeks starting May 1, 2012. The deadline for applications is September 12, 2011. More information. Or you can contact Renee Butkus Manager, Health Policy directly at 202-261-4555.


2011 ACP Leadership Day Report

by Dr. Arlene Fedorchak

We were very proud to have one of the largest contingencies this year representing Ohio at LD 2011. Our group included Paula Lafranconi, Helen Koselka, Dan Sullivan, Moises Auron, David Dunbar, Mark Mayer, Greg Rouan, Anu Mital, Purvi Parikh, Kristin Gaffney, Shivani Jindal, Hardeep Phull, and Ruchi Bhatia and myself representing the Cleveland, Youngstown, Columbus and Cincinnati areas. Our speakers were Bob Doherty who discussed the Washington landscape and ACP’s priority issues and Dr. Mary Wakefield, the Administrator, of the Health Resources and Services Administration (HRSA). She focused on the outlook for the primary care workforce and other specialties facing shortages. This was followed by panel discussions on care coordination models and the new Center for Medicare and Medicaid Innovation. We were also updated on the outlook for health legislation in the 112th Congress.

Congratulations to Mark Mayer and Dan Sullivan! Mark was presented with the 2011 Key Contact of the Year Award. He has worked tirelessly for many years particularly in the area of workforce programs including the preservation and funding of the National Health Service Corps and training programs in primary care medicine. Dan received the ACP Services PAC Distinguished Service Award. He is an avid communicator and has been very active as a Key Contact. Thank you Mark and Dan for your service!

On Wednesday, May 25, our group walked Capitol Hill and met with some of the key Ohio representatives or their aides including Representatives LaTourette, Austria, Jordan, Schmidt, Chabot, Boehner, Latta, and Kucinich. We also discussed the issues with Senator Brown’s and Senator Portman.’s staff. Priorities focused mainly on eliminating the Medicare Sustainable Growth Rate and transitioning to a better payment system, preserving and protecting key discretionary workforce programs, and supporting the implementation of some key mandatory programs that were enacted under the ACA such as the Medicare Primary Care Incentive Program and the Center for Medicare and Medicaid Innovation (CMMI).

For more information on how you can become more involved with healthcare issues and next year’s Leadership Day please go to acponline.org and click on the Advocacy link.

Leadership Day Award
Dr. Mayer receiving his Leadership Day Award from David Fleming, President of the ACP Board of Governors

Anu Mital, MD, Purvi Parikh, MD., Rep, Mark Mayer, MD, Shivani Jindal, MD, Moises Auron, MD

Delegation 2
Greg Rouan, MD, FACP (Governor), Anu Mital, M.D. Kristin Gaffney, DO Rob Portman, Arlene Fedorchek, MD, Helen Koselka, MD, and Hardeep Phull, MD

Member of Congress
Anu Mital, MD, Ruchi Bhatia MD, Member of Congress Jean Schmidt, Helen Koselka, Paula Lafranconi,MD, Greg Rouan, MD, FACP


Ohio Scientific Chapter Meeting, October 13-14, 2011

by Dr. Linda Ha

This year’s theme for the Ohio ACP Scientific Session 2011 (“Internal Medicine: Making Sense of it All”) reflects the dynamic nature of medicine that all clinicians face day-to-day and over the last year. Whether it is a new drug or changes in health care reforms, it is a challenge to stay updated and know how it applies to a busy practice. This year, we have selected several key areas and topics that we believe will meet the educational needs of our clinicians. Furthermore, we also recognize the on-going need to accommodate for our community office-based clinicians by providing a half-day selected educational program at a reduced rate.

For our Associates and students members, we are excited to have Doctors Dilemma in Columbus on October 13th with the winning team representing Ohio ACP at the 2012 National ACP in New Orleans.

This year’s meeting will be held at the Greater Columbus Convention Center October 13-14th and offers a total of 9.5 CME hours.

Dr. Frank Michota from the Cleveland Clinic Foundation will provide the “Update in Anticoagulation” as novel drugs and indications are being introduced this past year.

Hospitalist medicine continues to provide a vital part of patient care, and we have invited Dr. Peter Nock from Granville, OH and Dr. Christopher Whinney from the Cleveland Clinic Foundation to speak on the latest advancements.

Women’s Health Update will be presented by Dr. Priscilla Bresler along with Dr. Nelson Watts. Dr. Bresler brings her expertise and work from the Ohio State Medical Center, one of the leading organizations recognized by the NIH for research in the Women’s Health Initiative, and Dr. Watts will emphasize his expertise in Osteoporosis from the University of Cincinnati.

The “Obama Death Panel” discussion resulted in much confusion and fear for patients and their families. It is key for all of us to be knowledgeable about the facts when discussing end-of –life issues with their physicians. We’ve put together a panel of three Palliative/Hospice specialists to discuss “End of Life: Making the Tough Decision” as it pertains to adult, pediatrics and chronic hemodialysis patients. Dr. Robert Crook is the Medical Director of Hospice/Palliative care in Fort Wayne, IN., Dr. Catherine Kelly-Langen is the Co-Director of Pediatric Palliative Care Fellowship at the Haslinger Family Pediatric Care Center at Akron’s Childrens Hospital, and Dr. Rina Gayomali is dual-board certified practicing Nephrologist and Palliate Care from Summa Health Systems.

Dr. Joseph Myers will moderate the Awards Luncheon recognizing the achievements of our members for their service and dedication to the Chapter.

The Associates and Students Poster Competition immediately following the luncheon is our opportunity to promote the academic and research accomplishments of our residency programs.

The afternoon sessions are specifically targeted towards our community office-based clinicians who may only be able to attend an abbreviate day. Clinicians can select from the following four afternoon “Breakout Sessions.” Dr. Paul LeCat from Akron General Medical Center will provide a hands-on session with “Bedside Diagnosis: Cardiac Auscultation.” Dr. Patrick Eklar will expand upon the application of the “Medical Home-Putting into Practice.” The Executive Director of the Ohio State Board of Pharmacy, Mr. William Winsley, will update clinicians on current and new laws.

The afternoon continues with Dr. Jean Elwing from the University of Cincinnati highlighting Pulmonary Hypertension (“Common Presentation of Uncommon Diseases”). Dr. Andrea Sikon from the Cleveland Clinic Foundation will provide us with a “Review of Top Primary Care Literature.”

A panel of our local and national experts will hopefully clarify the ever-dynamic changes of health care reforms (“Talk Soup: Making Sense of Health Care Jargon.”) Dr. Arlene Fedorchak is the Chairperson of the Ohio ACP Health and Public Policy Committee and brings much insight to the local and state level. She will moderate the panel comprising of Dr. David Bronson, our ACP Regent; Dr. Pat Ecklar, Ohio ACP Medical Home representative; Dr. Mark Mayer, immediate-past Ohio ACP Governor; and Mr. Jeff Smith, Director of Government Relations and Leadership from Ohio State Medical Association.

Test your medical knowledge with “Meet the Professor” as Dr. Eric Warm from the University of Cincinnati queries our expert panel. Our National ACP Regent, Dr. Bronson will speak on the topic of “Fostering Excellence Internal Medicine 2011.”

A Town Hall meeting will include representatives from our state legislature. This will provide an opportunity for us to hear directly from our legislators and to give them direct feedback about what we are experiencing every day in our practice settings.

Our Ohio ACP Governor, Dr. Gregory Rouan, and immediate past Ohio ACP Governor, will host a session dedicated to those interested in Advancement of ACP Fellowship.

We hope you will be able to join us as we try to “Make Sense of It All.” Click here to register.

Chapter Meeting Agenda

Where: Greater Columbus Convention Center
When: Thursday, October 13, 2011

  • Doctor’s Dilemma 1-5pm

Friday, October 14, 2011
Ohio ACP Chapter Annual Scientific Meeting

Young Physicians Networking Breakfast
Updates for:

  • Anticoagulation
  • Women’s Health
  • Hospitalists

End of Life: Making the Tough Decision
Breakout Sessions

  • Bedside Diagnosis: Cardiac Auscultation
  • Medical Home: Putting into Practice
  • Ohio Pharmacy Board Update
  • Advancement to Fellowship

Abstract Competition (Students, Associates)
Pulmonary Hypertension: Common Presentation of Uncommon Diseases
Talk Soup: Making Sense of Health Care Jargon
Review of Top Primary Care Literature
Meet the Professor
Public Policy and Advocacy
Town Hall


News from the Awards Committee

by Dr. Joseph Myers

Our committee wanted to update you on the Chapter’s activities thus far this year.

We have identified two physicians to receive the Laureate Award Medal for 2011:

  • Ralph A. Gianella, MD, FACP, the University of Cincinnati Hospitals and the University of Cincinnati College of Medicine, Cincinnati, Ohio
  • Frank C. von Maluski, MD, FACP, the Miami Valley Hospital and the Wright State University Boonshoft School of Medicine, Dayton, Ohio

And also one physician to receive the Master Teacher Award for 2011:

  • Thomas P. Marnejon, DO, FACP, the St. Elizabeth Health Center, Youngstown, Ohio and the Northeast Ohio Medical University, Rootstown, Ohio

Several physicians’ credentials have been submitted to the national ACP Fellowship Committee and approved for direct advancement to Fellowship in the American College of Physicians. Others have submitted their credentials for elected advancement to Fellowship by the regular and usual process and are expected to receive approval in this manner.

For the first time ever at the October State Meeting in Columbus, “Abstract Excellence Awards” (Gold, Silver, and Bronze Award Recognition) will be presented to the Internal Medicine Residency Programs with the highest percentage of associate (resident) abstracts accepted for presentation at the state abstract competition.

The Awards Committee is also in process of developing similar “Abstract Excellence Awards” for Ohio medical schools for the student abstract competition beginning in 2012.


Membership Update

by Dr. Michael Tan

Ohio ACP leads in Chapter Recruitment of new Members for the past 2 years

Help us recruit new members. Direct prospective new Members to the online Membership Application. Also ask them to note that you recruited them as there are benefits directly to you for doing so – read on!

The Ohio Chapter-ACP has traditionally enjoyed a strong membership. To help boost our membership, the Chapter is embarking on an ambitious plan dubbed “SUPER” for Statewide Value-added Approach to Enhance Membership. With cooperation from the National ACP office and programs, the Chapter hopes to increase our total membership and encourage participation in Chapter Programs. The strength of the Chapter is dependent on strong participating members. The Governor’s Advisory Council (GAC) and Membership Committee will be working members statewide to encourage new membership by emphasizing the benefits of membership relative to physicians at different levels of career. On top of collegiality and journals, the chapter would like to emphasize benefits such as discounts on ACP merchandise and meetings, MOC support and MOC credits through MKSAP, access to Key Contacts, opportunities to advance to Fellowship, participation on Chapter committees, and opportunities to earn a LEAD certificate through ACP programs. Remember too, that as part of the Recruit-a-Colleague-Chapter (RACC) program, for each new member a current member recruits, the recruiter will receive $100 dues credit for the upcoming year. If you have colleagues interested in joining ACP, refer them to the online application. If you are interested in large-scale recruiting and need assistance with materials, slides, or logistics items, contact our chapter office.

Michael Tan, MD, FACP, Chair of Ohio Chapter Membership Committee, Member of ACP National Membership Committee


Dr. Weinberger on Discovery Channel

Steven Weinberger, MD, FACP, will appear in a Discovery Channel CME series that begins airing on Saturday, August 20. "Comparative Effectiveness Research: Plans, Promises, and Pitfalls" is designed to educate health care workers about what comparative effectiveness research is and its potential impact on them and their patients, and the evolving work on study design, interpretation, and future research needs with a particular focus on areas that would most directly affect physicians. Check your local listings for the exact air time.