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Governor's Newsletter, Winter 2001

Evelyn V. Hess, MD, MACP
Governor, Ohio Chapter

Governor's Column

Annual Scientific Meeting 2001 - Cincinnati

The Ohio Chapter Year 2000 Annual Scientific Meeting held October 13th and 14th was again, this year, a big success. The theme, "Medicine in the New Millennium," reflected the many aspects of this very informative, fast-paced and fun meeting so many things to do and so little time to partake of everything offered to the attendees. Masters, Fellows, Members, Associates, Medical Students and Allied Health Professionals attended.

The meeting took place at the brand new and beautiful Marriott Kingsgate Conference Center located on the University of Cincinnati campus.

The Registration Desk opened at 7:30 a.m. and Janet Matheson and her staff were kept very busy handling the 400+ attendees. Mandy Smyth, the Conference Coordinator, Joyce Foucht and Mary Davis provided the on-site assistance and did a great job.

Frank Nenna at the College Display table was also kept very busy talking with the attendees and handing out information about the advantages of ACP-ASIM membership.

The plenary session opened on Friday, Oct. 13th with Governor Hess welcoming all attendees.

Dr. Jonathan Todd Weber, Centers for Disease Control and Prevention, Atlanta, GA, gave a very informative presentation addressing problems with antibiotic usage. Dr. Ken Sherman, Director of Hepatology, University of Cincinnati Medical Center, also gave a very informative presentation regarding Hepatitis C. The Meet the Professor session followed with Dr. Eric Warm, University of Cincinnati Medical Center, acting as Moderator and Drs. William Gardner, Chair of the Department of Medicine, NEOUCOM and Evelyn Pintz, Vice Chair of Medicine at Ohio State University College of Medicine, as discussants.

Thursday evening and early Friday morning, 84 Associates and 22 Medical Students set up their poster presentations for viewing for the Clinical Vignette and Research competitions. Six Associates competed in the oral competition held at 3:45 p.m. Those who were not judging or presenting posters participated in the very popular interactive "Medical Mysteries" luncheon presentation given by Dr. James Bergin, our College Representative.

Simultaneous sessions were well attended. New, this year, were the Clinical Skills Modules: 1) Arthrocentesis and Joint Injection conducted by Dr. Tim Drehmer, Chief of the Division of Rheumatology at Wright State University School of Medicine and, 2) Women's Health - Pelvic Exam conducted by professional patients. Sessions were held at 1:30 p.m. and repeated at 2:30 p.m. All were full and there was a lot of enthusiasm for the two modules, which were sponsored by the national office in Philadelphia.

Other sessions in keeping with the program's theme were: Dr. LaCombe's lecture and workshop addressing Humanism and Ethics in the Practice of Medicine, Bob Doherty's Health and Public Policy Update and "Antibiotics When to Say Yes, How to Say No" co-presented by Drs. Weber and Tan, our former Governor from Akron.

Career workshops were again conducted for Associates and Medical Students and were well attended. Drs.Lean Coballoy, Director of Student Programs at UC and G. Patrick Eclair, Program Director, Mount Carmel Medical Center, Columbus, conducted career workshops for the Medical Students and Drs. Andy Thomas and Naemt Ali, both from OSU in Columbus conducted Associates Workshops regarding "Choosing a Fellowship" and "Finding a Job."

Dr. Michael LaCombe, physician-writer and Medical Director from August, Maine was the keynote speaker. Dr. LaCombe was happy to sign his books "On Being a Doctor I" and "On Being a Doctor 2" during the Friday afternoon reception and poster viewing.

A happy ending to a very busy day for all was the Awards Banquet, the highlight being Dr. Robert Hamilton, the Chapter's Vice President and Chief of Special Initiatives leading Governor Hess and her honorees through the banquet to their reserved places.

There were three Master Teacher Awards presented to Drs. Howard Part, Gregory Rouan, and Joseph Zarconi and two Laureate Awards presented to Drs. Steven Dumbauld and Richard Murray (posthumously). Everyone had a great time watching Dr. Ian Baird, Chair of the Associates Committee, call the winners of the Associates Clinical Vignette, Research Poster and oral competition to the podium to receive their awards. Dr. G. Patrick Ecklar followed by presenting the Medical Student awards.

The evening ended by all enjoying Dr. LaCombe's "Stories in Medicine."

Saturday, a little slower paced, opened with a town and business meeting with an open forum. Governor Hess, Bob Doherty and Dr. James Bergin fielded questions from the audience during the open forum. Dr. William Sodeman, physician-lawyer, then presented "Facilitating Informed Decision Making," another topic of great interest to Internists. Two popular MKSAP Reviews were then presented: 1) Pulmonary Medicine with Dr. James Finley, Veterans Administration Medical Center, Cleveland and Dr. Jeff Hammersley, Residency Program Director, MCO, Toledo; 2) Gastroenterology with Dr. Chris Barde, Veterans Administration Medical Center, Dayton and Dr. Stephen Martin, Division of Digestive Diseases, UC Medical Center.

Governor Hess and the Ohio Chapter wishes to thank Janet Matheson and her staff for another successful Annual Scientific Meeting.

Wonderful photographs were taken as can be seen from the examples in this Governor's Letter. A whole parade of photographs is now available on our website http://www.acponline.org/chapters/oh/index.html


1. Election Results: Our President Elect for 2001-02 is Sara E. Walker, MD, MACP, Harry S. Truman Memorial VA Research Hospital, Columbus, MO. There are three new Regents and their term will last from 2001-2004. They are: Jamie S. Barker, MD, FACP, Miami, FL; Joel S. Levine, MD, FACP, Denver, CO; and Isabel V. Hoverman, MD, FACP, Austin, TX. Their terms will become effective at the conclusion of the Business Meeting at the Annual Session on Saturday, March 31, 2001.

2. A total of 385 candidates will be elected to Fellowship at the March Annual meeting. There will be 18 from Ohio. We are delighted at this and the Governor would like to put in a plea to all internists who are members to consider applying for Fellowship. The next deadline is June 1, 2001. The requirements are as follows:

  • Be certified by the American Board of Internal Medicine, the Royal College of Physicians and Surgeons of Canada or the American Osteopathic Board of Internal Medicine;
  • Have been a member in good standing for two years in either ACP or ASIM and have held a position in practice or in academia for at least two years since completion of training;
  • Have an active medical license in good standing (if in clinical practice);
  • Have confined professional activity to internal medicine or a subspecialty of internal medicine;
  • Be proposed and seconded with detailed letters of support from two current Masters or Fellows with reference to character, ethics and medical activities, and outlining professional contributions and accomplishments;
  • Be endorsed by the appropriate ACP-ASIM Governor;
  • Have shown continuing scholarship and professional accomplishments; and document continuing professional activities, including teaching, both institutional and community-based; hospital committee work; public service and community activities; and participation in continuing medical education activities as both a student and a teacher.

The candidate must meet the above basic requirements. There are 4 pathways to Fellowship. For more information on pathways and the Advancement to Fellowship process, please visit the Ohio Chapter's Website at www.acponline.org/chapters/oh and click onto Advancement to Fellowship.


At the Board of Governors meeting in Seattle in September 2000, 11 resolutions were reviewed and eight were referred to the Board of Regents. The Board of Regents meeting in October 2000 took the following actions of which all Members should be aware.

Resolution 1-F00: Voting Privileges for Associates.

The BOR voted to adopt and refer this resolution to the Bylaws Committee or implementation.

Resolved, that the BOR amend the ACP-ASIM bylaws to permit Associates after two years of Associate membership to have the same voting privileges as afforded Members, Fellows and Masters.

Resolution 2-F00: Medicare Reimbursement for Oximetry.

The Board of Regents voted to adopt and refer this resolution to the Washington staff for implementation.

Resolved, that the BOR continue to urge HCFA to reinstate Medicare coverage for portable oxygen saturation testing done in physician offices.

Resolution 3-F00: Internal Medicine Preference for the RBRVS System for Fee-Schedule Reimbursement.

The BOR voted to refer this resolution to the Medical Services Committee for study and recommendation to the BOR regarding adoption. This resolution asks the BOR to advocate that private insurers use the Medicare RBRVS in determining payments to physicians; recommend any improvement in HCFA's payment policies as are needed to assure that the RBRVS as utilized by Medicate as well as private payers, is as accurate as possible; and recommend that private payers use a single dollar conversion factor with the RBRVS that is sufficient to assure fair and adequate payments to physicians.

Resolution 4-F00: Board of Governors Resolution Process.

The BOR voted to adopt and refer this resolution to the Membership Division Staff for implementation and report due back to the BOG regarding the evaluation of the outcome of this resolution.

Resolved, that the BOR and BOG along with the support of the appropriate College staff continue to re-evaluate the current BOG resolution process with the goal of reducing the time from action by the BOG to approval and implementation of resolutions.

Resolution 5-F00: Use of Medical Education Numbers in Continuing Medical Education.

The BOR voted to adopt and refer this resolution to the Health and Public Policy Committee as lead committee for implementation with input from the Education Committee.

Resolved, that the BOR oppose the use of Social Security account numbers as file identifiers by providers of continuing medical education, certification boards and similar entities, widely known and recommend that such policy be adopted by other organizations, e.g. AMA, national certification boards and similar entities.

Resolution 6-F00: Tobacco Use Prevention.

The BOR voted to adopt as amended and refer this resolution to the Membership Division Staff for implementation.

Resolved, that the BOR urge ACP-ASIM Governors to encourage their members to contribute their expertise to community and school programs aimed at preventing tobacco initiation and addiction.

Resolution 8-F00: Streamlining and Simplifying the Fellowship Application Process.

The BOR voted to adopt and refer this resolution to the Membership Division Staff for implementation.

Resolved, that the BOR request that the Membership Committee continue to investigate ways to simplify and streamline the application process for becoming a Fellow.

Resolution 11-F00: Negative Drug Formularies.

The BOR voted to refer this resolution to the Medical Services Committee for study and recommendation to the BOR regarding adoption. This resolution asks the BOR to encourage the deletion of drugs from Negative Drug Formularies for which there exist medically equivalent generic substitutes.


Chapter Volunteerism Award Program

The ACP-ASIM has a new program which is presented at the State level to Members who have made significant voluntary contributions in the area of medicine. So please be on the lookout for opportunities to promote the Volunteerism Award and be on the lookout for someone to nominate. You may have to flush out a well deserving but self-effacing individual whose efforts may not have come to your attention. A person who has had a Chapter Award could eventually be nominated for the National Oscar E. Edwards Memorial Award for Volunteerism and Community Service. Please let the Governor's Office know of possible candidates.

Ohio Chapter News

A number of Internists will be honored at the Convocation Ceremony during the ACP-ASIM Annual Session in March 2001. I am delighted to tell you that Chatrchai Watanakunakorn, MD, ACP from Youngstown, Ohio will be awarded a Mastership this year. Congratulations.

I am also very pleased to tell you that your Ohio Chapter was awarded a Chapter Management Award. I want to pay tribute here to my Assistant, Janet Matheson, for her excellent work. This is really all due to her.

Wanted: Future Chapter Leaders

Are you interested in getting more involved with your Chapter and sharpening your leadership skills? Do you aspire to hold an elected office in your Chapter (Governor, member of a National Committee) and/or advance to Fellowship? If you answered yes to these questions, then I need you for our newly created Chapter Leader Network.

Designed to lighten the workload of the Chapter Governor, make operations at the Chapter level more efficient and increase member involvement, the Chapter Leader Network will be composed of local "point people," who will chair the activities/initiatives of various areas, including Associates/Medical Student Activities, Community-Based Teaching, Credentials, Clinical Skills Modules, etc.

The network members will exchange information with specific College staff and initiate local activity when needed. A Chapter Leader Web site will be developed to facilitate communication between network members and staff.

So, if you want to be instrumental in improving the effectiveness of our Chapter, volunteer to be a member of this exciting new endeavor. For a complete listing of network areas and responsibilities, please contact me at hessev@email.uc.edu.


Attend the Annual Meeting of the ACP-ASIM which will be in Atlanta, Georgia, March 29-April 1, 2001. The meeting will highlight: 1) Discover the next generation of multiple small feedings of the mind, 2) the most recent breakthroughs at the Update Series, 3) Meet the Professor sessions, 4) interactive learning for the next Millennium, 5) many special College events and meetings of the many active committees of our organization. There will also be a special chapter get-together and cocktail party of the Ohio/Pennsylvania/ Delaware Chapters - all are invited. It will be held Saturday evening, March 31st from 6:00 to 8:00 p.m. at the Atlanta Hilton.

Please stop by and say hi to your 1st Place Ohio Chapter Abstract poster presenters who have entered the National Abstract Competition. They are:


  • 1st Place Research Oral Presentation (presenting as a poster):
    Barbara Hesse, MD - Cleveland Clinic Foundation
    Right Bundle Branch Block as an Independent Predictor of All-Cause Mortality - Report of 7073 Patients from a Single Center
  • 1st Place Clinical Vignette Oral Presentation (presenting as a poster):
    Deborah J. Woidtke, DO - Riverside Methodist Hospital, Columbus The Mouse that Died: A Case of Botulism

Medical Students:

  • 1st Place Research Poster Presentation:
    Delaney M. Smith - Ohio State University College of Medicine Alzheimer's Genotype and Personality in Healthy Subjects
  • 1st Place Clinical Vignette Competition
    Jon Walker - University of Cincinnati College of Medicine Acute Methemoglobinemia Secondary to Topical Benzocaine Spray

Ohio Chapter 2001 Annual Scientific Meeting

We now look forward to our Ohio Chapter Annual Scientific Meeting. This year it will be held in Cleveland at the Renaissance Hotel on Friday and Saturday, October 12 and 13, 2001. An exciting program is being arranged by our Program Chair, Dr. Barbara Messenger-Rapport from the Cleveland Clinic with her busy Committee. As you know, this will be the first time we have had a Chapter meeting in Cleveland and Northern Ohio and it would be wonderful to break all attendance records. I want to remind medical students and housestaff to start thinking about their posters and abstracts for presentation at this meeting. The deadline for receipt of abstracts will be June 1, 2001. See you all in Cleveland when we will also have the opportunity to hear from our Chapter's active committees and everything they have been doing on your behalf during this year.

You may access the Renaissance Hotel in downtown Cleveland by clicking onto the Renaissance Website: www.renaissancehotels.com


Please e-mail comments or suggestions about the Ohio Chapter website to Evelyn V. Hess, MD, MACP, MACR