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Summer 2013 Daniel B. Kimball, Jr., MD, FACP, Governor


Dr. Kimball

Greetings From Your Governor

Dear ACP Colleagues,

I hope all of you are having a wonderful spring and are looking forward to a beautiful summer with family and friends. Our PA Eastern Chapter has had a wonderful beginning to 2013 and I am looking forward to an exciting conclusion to our year as well. We held Internal Medicine Interest Group Dinners at Penn State Hershey Medical School in January and at TCMC in Scranton in February. It is always refreshing to hear the enthusiasm of these young students of medicine as they pursue their training. TCMC will graduate its first graduating class this year! In February I also had the opportunity to visit St. Luke’s Medical Center in Bethlehem and recognize and honor Dr. Fabio Dorville with the presentation of our Clinical Practice Award. Dr. Dorville has been a longtime practitioner and faculty member associated with the internal medicine training program at St. Luke’s.

As you will note later in the newsletter, we had another successful Health Policy Symposium meeting in March at the Temple University School of Medicine in conjunction with Dr. Darilyn Moyer and the Southeast Chapter. We were pleased to have students from Penn State and Commonwealth join us for that meeting. Later that month we had another strong SEP/MOC program at Penn State Hershey under the direction of two outstanding faculty members, Dr. Marc Shalaby from the University of Pennsylvania and Dr. Ted Bollard from Penn State Hershey. These two superb teachers have supported this program for many years and always present an outstanding meeting and continuously get rave reviews. We are exploring the idea of providing a similar session in the Philadelphia area with the support of Dr. Moyer, the current Governor, and Dr. Greg Kane, the Governor-elect for the Southeast Chapter.

Internal Medicine 2013, held in San Francisco in early April, was a rousing success with over 8,000 (a record) physicians in attendance. The BOG meeting discussed many important issues including a new policy paper on “Team Based Care,” which is under study and development by the Health and Public Policy Committee. The scientific sessions were outstanding, as always.

At the annual meeting emphasis was given to the national ACP agenda including patient engagement, high value care, the transition from PIER to Smart Medicine™ later this year, assisting members with MOC issues, ACA implementation in individual states, and international chapter expansion.

I had the pleasure of visiting the Pinnacle Health System Internal Medicine Residency Program in April and talking about our ACP. The Pinnacle program has agreed to begin sponsorship of our Resident Abstract and Jeopardy program in 2014. We look forward to our 2013 program at The Commonwealth Medical College on 9 November and thank them for their support of this very worthwhile program for a second year.

We held an “FACP Orientation Dinner” in King of Prussia in conjunction with the PA Southeast Chapter, to encourage eligible members to apply for Fellowship status. You will be hearing from the ACP national office this summer about the election for a new Governor for our region who will begin his or her service as Governor-elect in 2014 and Governor in 2015. We are blessed with many outstanding leaders in our chapter, and our nominating committee, under the leadership of Dr. Eileen Moser from Penn State Hershey, has recruited two outstanding candidates for this position.

Please be sure to vote when you are notified of the opportunity to do so. You have my profound thanks for what you do every day in providing care to our patients and their families. Please let me or John Derrickson know of any issues that you want us to discuss at the Governor’s Advisory Council, our Health and Public Policy Committee or at our BOG meeting this fall.

Dan Kimball, Governor, Eastern Region, PA-ACP
E-mail: drdankimball@gmail.com

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Have You Heard?

HIGHLY IMPORTANT INFORMATION:

  • Proposed CME rules changes: http://www.acponline.org/about_acp/chapters/pa/cms_rules.pdf
  • RAC resolutions: http://www.acponline.org/about_acp/chapters/pa/rac_res.pdf
  • The Eastern Region’s 2013 Poster Competition is November 9, 2013 Planning for the East’s annual abstract competition is underway. The annual poster and medical Jeopardy competition will again be held at The Commonwealth Medical College in Scranton. All residents and medical students who have provided the ACP with an e-mail address will receive information regarding the submission of abstracts and details regarding the poster and medical Jeopardy competitions. The Pennsylvania Chapter sponsors THREE regional abstract competitions offering residents and medical students an opportunity to compete with and meet their peers. In collaboration with program directors, an abstract on research, case study, or quality improvement based on their experience is submitted. The abstracts receive professional critiques and the best are selected to present a poster at the annual competition. Residents and students submitting abstracts must be members of the ACP.
  • ACP’s Special Interest Groups – an online forum for members only provides members with a place to engage in discussions, share ideas, and support one another professionally and personally. Join as many groups as you would like, then connect with ACP members from all over the world. Join at www.acponline.org/sigs
  • Because the SEP/MOC created record attendance this year, the Pennsylvania Chapter will sponsor TWO sessions during the coming year. The first will be held at Thomas Jefferson University Hospital on Feb. 1, 2014 and Hershey Medical Center will host the second on March 15, 2014. Details will be e-mailed to members.
  • The national ACP has officially voted to change the name of the Council of Young Physicians to Early Career Physicians, which is defined as within 16 years graduation from medical school. Your council will continue its effort to enhance the professional development of early career physicians.
  • There is no fee to become an ACP Medical Student Member. Join today

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Capitol Update by John Nikoloff

John Nikoloff

LEGISLATIVE UPDATE

Special Elections

House Democrats picked up two seats in special elections May 21 in Pittsburgh and York. After the elections, Republicans hold a 111-92 majority in the State House.

State Government

The month of June is always pressure packed when it comes to legislation, as the General Assembly must pass a balanced budget by June 30. Other major issues – this year including transportation funding, liquor reform, pension reform and Medicaid expansion become a part of the legislative wrangling.

The House Republican budget renews funding for several disease related programs in the Department of Health and funding for teaching hospitals that serve Medicaid patients. Senate Democrats have proposed their own budget that includes the costs of Medicaid expansion.

Acting Secretary of Health Michael Wolf, and the Governor’s nominee for Physician General Internist Carrie DeLone are continuing meetings with State Senators, as is his nominee for Secretary of Welfare, Beverly Mackereth. All require confirmation in the Senate before formally assuming these posts.

Health Care Legislation

Several health care related bills are moving through the legislative process, including several scope of practice bills impacting pharmacists, nurse practitioners, naturopaths and physicians' assistants. The PA-ACP has supported legislation to allow PAs to operate without daily oversight of records within a collaborative agreement or medical home team. At the same time, the College has come out in opposition to legislation to allow independent practice for advanced practice registered nurses, license naturopaths under the Board of Medicine, and allow pharmacists to provide immunizations for children.

Separate legislation to regulate tanning facilities and to implement the College has endorsed electronic prior approval processes for drugs for MA patients.

MA Expansion

PA-ACP continues to push the Commonwealth to support Medicaid expansion in the state under the Affordable Care Act, working with all four legislative caucuses, the Insurance Department, DPW and Governor’s Office. According to DPW an additional 643,000 Pennsylvania adults would qualify for Medicaid under expansion.

The state is in negotiations with the federal Department of Health and Human Services over issues involved with Medicaid expansion and its costs. A major issue is that the state levies a gross receipts tax on Medicaid managed care plans, and a tax on the net inpatient revenue of approximately 180 Pennsylvania health care facilities. Those two taxes yield approximately $1 billion annually, but HHS has not agreed to let Pennsylvania keep that tax. Without it, the cost for expansion would go up more than $2.5 billion in seven years along with loss of those revenues.

Another major issue is disposition of children now enrolled in the state’s Children’s Health Insurance Program (CHIP) - HHS is saying those children who fall under 139 percent of the federal poverty income guidelines would not still be allowed to remain in CHIP if the state were to expand its Medicaid. The state faces expanded costs and possible disruption of care with children moving between CHIP and MA on a monthly basis.

Federal Legislation Introduced

On May 23, Congressmen Joe Heck (NV-03) and Mike Fitzpatrick (PA-08) introduced H.R. 2165 to replace the Patient Protection and Affordable Care Act (PPACA) in the event of a full repeal of that bill. The legislation, the Ensuring Quality Health Care for All Americans Act, has been referred to Committee on Energy and Commerce.

The Heck/Fitzpatrick bill would keep in place the following provisions in the event of a full repeal of the health care law:

  • Provide individuals with pre-existing conditions the opportunity to purchase affordable health insurance coverage,
  • Give Americans, who currently have health insurance the guaranteed ability to renew policies that work best for them,
  • Place prohibitions on rescissions to ensure that patients who have paid their premiums can count on their policy coming through when they get sick,
  • Establish a limited grant program to give states the ability to work with insurers to develop targeted solutions to address the needs of high-risk populations, and
  • Give families flexibility by extending dependent coverage to age 26, with reasonable limitations to prevent abuse.

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Leadership Day

The 21st annual ACP Leadership Day on Capitol Hill was held May 21-22 at the new Liaison Hotel. Leadership Day assists the College to increase its presence on Capitol Hill and bring our issues to the attention of U.S. lawmakers. Again, we had a motivated and engaged delegation assisting in our advocacy efforts.

PA-ACP Delegation Region
Aditya Sharma, MD PAE
Amy Davis, DO PAS
Arnold Eiser, MD PAS
Darilyn Moyer, MD PAS
Gela Mchedlishvili, MD PAE
Greg Kane, MD PAS
James Walter, MD PAS
Jeffrey Jaeger, MD PAS
Larry Jones, MD PAE
Larry Ward, MD PAS
Ralph Schmeltz, MD PAW
Susan Borys, MD PAE
Students and Residents
Carolyn Wu PAS
David Lo PAW
Eric Jung PAE
Furqan Khattak, MD PAW
Gabriela Grinblat PAS
Harrison Kalodimos PAS
Jonathan Gotfried, MD PAS
Katherine Clark PAS
Kelly Kalovcak PAE
Kurt Hauber PAE
Michelle Matzko PAE
Preyanka Makadia PAS

The two-day event provided ACP members with advocacy and media training, an update on the College's priority legislative issues, briefings by members of Congress, administration officials, and key Capitol Hill staffers, and an opportunity to meet with our state's elected officials and their Legislative Director and Legislative Aides for Health.

2013 ACP Priority Issues

  • Support for programs that are critically important to ensuring a sufficient supply of physicians (particularly primary care internal medicine specialists and internal medicine subspecialties facing shortages)
  • Eliminating Medicare’s Sustainable Growth Rate (SGR) formula and transitioning to new value-based payment models
  • Replacing sequestration cuts and preventing future disruptions in funding for critical health care, by enacting fiscally—and socially—responsible alternatives that reduce unnecessary health care spending
  • Enacting meaningful medical liability reforms, including pilot testing of health court

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Dr. Arnold R. Eiser Recognized as Advocate for Internal Medicine

Dr. Eiser

Arnold R. Eiser, MD, FACP, Internal Medicine Residency Director and Vice-President Medical Education at Mercy Catholic Medical Center in Philadelphia, received ACP’s Special Recognition as an “Advocate for Internal Medicine” for 2013. In addition to chairing our HPPC, Dr. Eiser is Professor of Medicine and Associate Dean at Drexel University College of Medicine.

He was recognized for his exceptional efforts in support of ACP’s advocacy program. Recipients are selected based on the quality and quantity of responses to ACP’s Legislative Alerts and other federal grassroots advocacy initiatives. The Award was presented during the ACP Leadership Day Program in Washington, DC. Congratulations, Arnie!

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ACP 2013 Convocation

Dr. Dan Kimball (left), Governor of PA-ACP, Eastern Region greeted Eastern colleagues after Convocation

During the Convocation ceremony in San Francisco, 20 Pennsylvania physicians were inducted as ACP Fellows and recognized for their medical scholarship and achievement.

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Congratulations New Fellows!

We proudly announce the latest group of new Fellows in the Eastern Region.

Iftikhar Ahmad, MD, FACP, Bethlehem
Nadia K. Ali, MBBS, FACP, West Chester
Mark R. Speake, MD, FACP, Lewisburg
Matthew B. Behme, FACP, Newtown
Robert A. Gabbay, MD, FACP, Hershey
T. Raymond Foley, MD, FACP, Lancaster
Terrence P. Lenahan, MD, FACP, Scranton
Suresh G. Nair, MD, FACP, Allentown

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Einstein Wins ACP Medical Jeopardy National Championship, Again.

Our Medical Jeopardy team from Albert Einstein Medical Center in Philadelphia won the ACP national championship in San Francisco, beating 36 other teams over a three-day competition. Pictured above, from left, Matthew Behme, Chitra Punjabi, Rasmi Ramakrishnan, Praveen Ramakrishnan, Steven Sivak, Apostolos Perelas, Guillermo Garrido, Michael Goldfinger, Jedrzej Wykretowicz, Michaek Ngu, and Mildred Garcia.

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Fabio L. Dorville, MD, FACP Receives PA-ACP’s Clinical Practice Award

Dr. Dan Kimball (L), Governor, Eastern Region presented Dr. Fabio L. Dorville of Bethlehem the PA-ACP Clinical Practice Award for Exceptional Service in Internal Medicine during a special presentation at St. Luke’s Hospital in Bethlehem.

Dr. Dorville was honored for his more than 30 years of service on the faculty of the Residency Teaching Program at St. Luke’s Hospital in Bethlehem and his distinguished service to his patients, their families and the Bethlehem community.

The Clinical Practice Award is only presented to Fellows and Masters of the American College of Physicians who demonstrate 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.

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What Happens at IM 2013? A View from a Pennsylvania Student Leader

By Preyanka Makadia, Member, ACP’s Council of Student Members, and PCOM Fourth Year.

student leader

More than 8,000 physicians, residents and medical students gathered in San Francisco, California from April 10-13 for ACP’s IM 2013. As a first time attendee to this annual meeting and a representative on the national ACP Council of Student Members, I found it to be a rich learning and networking experience for physicians-in-training.

IM13 catered to students’ intellectual curiosity by offering a vast menu of sessions related to clinical medicine, medical education, health policy, and much more. The sessions I attended were informative and interactive, and I left each one learning something new. At the Herbert S. Waxman Clinical Skills Center, I was able to try my hands at procedures using some of the latest technology and simulations. The self-guided tutorials in cardiac murmurs and chest x-rays were also helpful for reinforcing diagnostic knowledge.

The ACP Council of Student Members hosted several events specifically for students. At Brush Up for the Boards and Stump the Professor, medical students of all levels were guided through clinical cases that contained high-yield information for Step 1 and 2. At the Mastering the Match session, a panel of program directors and students offered advice and tips for navigating the process to residency, and answered many students’ questions. Additionally, the Medical Student Mentoring Breakfast and the Medical Student and Resident Reception afforded students the opportunity to speak with residents, program directors, and practicing physicians from all over the country.

For the hundreds of students who attended Internal Medicine 13 in San Francisco this year, we left with an expanded professional network, important career advice, and practical experiences that will help us in school, on the patient floors and beyond.

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Congratulations National Poster Winners

We were honored to have 45 chapter members represent our chapter for the Associate and Medical Students Abstract Competition held during Internal Medicine 2013. For a listing of all national presenters, click the link below. http://www.acponline.org/about_acp/chapters/pa/member_accomp.htm

Kudos to the three Pennsylvania ACP National poster winners. Shailendra Singh, MD, a winner in the Associate Clinical Research category, Shakira J. Grant, MBBS also won in the Associate Clinical Research category, and Lolita S. Nidadavolu, a Medical Student Clinical Vignette Poster category winner.

Pictured below are four PAE presenters during the poster judging.


Ron Maag, MD Penn State-Hershey Medical Center


Julieta Gilson, MD, Reading Hospital and Medical Center


Sarah DeParis, MD and Joseph Armenia, MD
Reading Hospital and Medical Center


A Med Student’s Impression of ACP Annual Meeting


Ron Bogdasarian, MS2, TCMC Class of 2015 during his presentation at the ACP’s national poster competition.

I recommend that all medical students attend the ACP Annual Meeting (aka, IM13) at least once during their medical school career. The meeting is truly fun and educational. I presented my work, “N2 Disease in Non-Small Cell Lung Cancer: Trends in Demographics and Tumor Characteristics with Definitive Surgery and Post-Operative Radiation Therapy. Is Race a Factor?” I received helpful feedback. Later I attended quality lectures given by enthusiastic physicians, and I enjoyed meeting many talented peers. I also conversed with many physicians in social settings, at the conference, and throughout San Francisco. The open and honest advice I received during these encounters was priceless.

The ACP National Conference provides many opportunities to learn and grow, all of which will improve my abilities as a future physician. The lectures are memorable and based on highly relevant content. To produce and present research is the greatest way to understand the details of statistics and proper methods. To discuss the work with experienced judges reaffirms this education. The setting of San Francisco provides all visitors with exposure to a diverse group of progressive and forward thinking people and culture that blends “transplants” and locals. Most importantly, I met many physicians who deeply care about continuing medical education and passing on advice and knowledge so that future patients may benefit from the greatest care.

Thank you to the PA-ACP and Dr. Dan Kimball for your support. It was an honor to represent my school, The Commonwealth Medical College, at this wonderful meeting.

By: Ron Bogdasarian, MS2
TCMC Class of 2015

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Strengthen Our Chapter: Participate in ACP’s Recruit-a-Colleague Chapter Rewards Program!

The American College of Physicians and the Pennsylvania Chapter encourages all members to help strengthen our chapter by recommending ACP membership to colleagues. By joining the College, your colleagues will enrich their clinical knowledge and skills and have access to all of the ACP member benefits that you enjoy.

To thank you for your dedication to our organization, ACP offers incentives to members and their chapters that recruit new members through the Recruit-a-Colleague Chapter (RACC) Rewards Program.

As with the national Recruit-a-Colleague Program, the RACC Program rewards successful individual recruiters with dues credits for each new full Member or Physician Affiliate member recruited and a chance to win a trip to the annual Internal Medicine meeting. In addition, the RACC Program also provides rewards to the recruiters’ chapters, including funding for chapter activities and complimentary registrations to the annual Internal Medicine meeting.

The Recruit-a-Colleague Chapter Rewards Program runs annually from April 1 through March 15. To participate, simply forward to your colleagues the membership application found at www.acponline.org/racc. To qualify for the program, your name must be listed on the recruiter line of the application, and the form must include the code RACC.

The Pennsylvania Chapter thanks the following members for recruiting their colleagues.
Patrick C. Alguire, MD, FACP
Paul A. Bialas, MD, FACP
Charles Cutler, MD, FACP
Gloria T. Fioravanti, DO, FACP
Sivakoti N. Guda, MBBS, FACP
Oladoye Oludotun Kehinde, MBBS, FACP
Rebecca M. Maury, MD, FACP
Suzanne J. Templer, DO
Lawrence D. Ward, MD, MPH, FACP

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Welcome Aboard New Members!

The Eastern Region is happy to welcome 19 new members who joined the Chapter since our last newsletter. We are looking forward to meeting you and invite you to join us at the various events and programs planned for this year.

Amee Mehta, MD, Stroudsburg
Beni R Verma, MD, Bloomsburg
Cynthia Whitener, MD, Hershey
Francis W Grzywacz, MD, Warrington
Jarol Boan, MD, Lancaster
Kiran M Goli, MD, Allentown
Luke A Stefanile, MD, Montoursville
Neelkantha Amatya, MBBS, Reading
Nimesh Vesuwala, MD, Pottsville
Nwamaka Onuigho, MD, Hummelstown
Oluwakemi Fagbami, MBBS, Wyomissing
Paige E Van Wirt, MD, Riegelsville
Pauline Bridgeman, MD, Hershey
Ravinder S Dhatt, MD, Harrisburg
Reezwana Chowdhury, MD, Clarks Summit
Sagar Mehta, MD, Danville
Sherry L Soenen, MD, York
Sheryl Jones-Henderson, MD, Lancaster
Thomas Barry, MD, Bethlehem

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Announcement!

Who: All Eastern Region Resident and Student Members

What: Call for Abstracts! Categories are clinical vignettes, Quality improvement projects and clinical research projects.
Word limit is 250 excluding titles and author names.

When: Abstract submissions can be entered on the ACP Web site July 1 through August 1.

Where: Competition will be held at The Commonwealth Medical College in Scranton, PA

Date: Saturday, November 9, 2013

For additional information contact the PA Chapter office at 610-543-6880 or e-mail jd@pa-acp.org

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PA Chapter Calendar of Events

July 2013 – May 2014
Date Event Location
Sept 7 Council Meeting Harrisburg
Sept 11 Regional Program Directors Consortium Dinner Philadelphia
Oct 26 SE Poster & Medical Jeopardy Competition AEMC, Philadelphia
Nov 2 West Poster & Medical Jeopardy Competition Shadyside, Pittsburgh
Nov 9 East Poster & Medical Jeopardy Competition TCMC, Scranton
Dec 7 Medical Jeopardy State Finals Penn State/Hershey
Dec 7 Council Meeting Penn State/Hershey
Dec 7 Awards Dinner Hershey Country Club
Feb 1 SEP-MOC Jefferson, Philadelphia
Mar 15 SEP-MOC Hershey Medical Center
Mar TBA Student Health Policy Symposium Temple, Philadelphia
May 21-22 Leadership Day Washington, DC

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Contact Information

Eastern Region
Daniel B Kimball, Jr, MD, FACP, Governor

Southeastern Region
Gregory C. Kane, MD, FACP, Governor

Western Region
G. Alan Yeasted, MD, FACP

John Derrickson
Executive Director
Phone: 610-543-6880 or Toll-free: 800-846-7746
Fax: 610-543-6806
E-mail: jd@pa-acp.org

General chapter information/questions:
John Derrickson
jd@pa-acp.org

Chapter Office:
Jackie Franco
jf@pa-acp.org

VoterVoice:
votervoice@pa-acp.org

Chapter Events:
events@pa-acp.org