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November 2013 Richard G. Lane, MD, FACP, ACP Governor


From the Governor

Dr. Lane

Greetings from your not so new Governor of six months. This is my first newsletter to update you on three major events, Leadership Day, Strategic Plan, and Annual Meeting, which have occurred during my first half year as your Governor as well as some updates on College activities.

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2013 Leadership Day on Capitol Hill

Each year national ACP hosts an opportunity in our nation’s capitol to visit with our legislators. This year the Tennessee Chapter was well represented by seven of your colleagues. We had three veterans, Dr. Catherine Womack, a general internist from Memphis involved in resident teaching as well as being our official photographer, Dr Robert Vegors, a geriatrician in private practice with the Jackson Clinic in Jackson, TN and chair of our Health and Public Policy Committee, and myself. In addition we had Dr. John Sherrill, a general internist from Crossville who brought his daughter Elizabeth, a premed student at U.T.-Knoxville in the process of applying to medical school, and two women medical students from MeHarry, Ms. Ayee Azah and Lakeisha Summers.

For those not familiar, the format of this two day meeting includes an advocacy workshop the morning of the first day which teaches some of the basics in meeting and talking with you legislator or in most cases their health care staffer. The afternoon session is an update on the Washington landscape, what priorities ACP would like addressed during the legislative meetings, and where we are on legislation of most interest to our members such as SGR and workforce issues. The following day starts early with a briefing from members of Congress with a short Q&A. We were fortunate enough to have two physician legislators talk: Rep. Ami Bera, M.D., FACP (D-CA) an internist and fellow of the college and Rep. Joe Heck, M.D. (R-NV), an emergency room physician. They provided some insight on the physician caucus in Congress. This was followed by a full day of visits to your legislators.

Ms. Wilma Cooley, our executive director, did a great job setting up appointments for us. We even got to attend Tennessee Tuesday, a breakfast session with Sen. Bob Corker and Lamar Alexander May 21 day 1. On Wednesday May 22, day 2 we visited in teams with the following legislators or their staffers: Sen.Lamar Alexander, Rep. Diane Black, Rep. Steve Cohen, Rep. Stephen Fincher, Rep. Phil Roe, Rep. Jim Cooper, and Rep. Marsha Blackburn.

ACP does a great job sending all registrants background material on issues of interest and in addition an outline of the priorities, talking points on these priorities, and what we are asking our legislators to do for ACP in regards to these priorities. Although ACP is working on many issues they limited the priorities to a few most important which I have listed below:

ACP’s Key Priorities (May 21-22, 2013)

Eliminate Medicare’s SGR Formula: Transition to Better payment Systems
Ensure Full Funding of Essential Health Programs
Authorize and Fund a National Pilot of No-fault Health Courts
Reform and Sustain GME Financing: Re-align GME with Workforce Needs

ACP also provided “leave behinds” which we provide to our legislators after we have met with them that includes summaries or position statements from ACP with information supporting our priorities and recommendations how to achieve these priorities.

Leadership 2014 will be Wednesday, May 21 and Thursday May 22. Our State Chapter provides a stipend to offset expenses for the trip. If you have an interest in participating in this legislative opportunity please contact Ms. Wilma Cooley, our executive administrator or myself.

Leadership 1

C. Womack, R. Lane, J. Sherrill, E. Sherrill, R. Vegors, L. Summers, A. Azah

Leadership 2

Catherine Womack, Robert Vegors, Richard Lane - Capitol Mural

Leadership 3

Catherine Womack, Ayee Azah, Robert Vegors - Capitol

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Strategic Plan for Tennessee Chapter of the American College of Physicians 2013-2017

During my Governor-elect training sessions in 2012, I heard about some of the state chapters holding formal strategic planning retreats. Since I am further along in my medical career than most of our membership I felt it might be a good idea to proceed with developing a strategic plan to be sure I understood the priorities of our active members. I discussed this with Dr. Ken Olive, our immediate past governor, and we added this to the agenda of our fall 2012 annual council meeting. The concept was embraced by the council and funding for a facilitator and meeting retreat was approved from the budget. A steering committee to search for a facilitator was formed and Keith M. Sturges, Ph.D. was chosen. He is actually spouse to Dr. Yasmine Ali, chair of our early career physicians section and was familiar with TNACP. He interviewed Drs Olive and myself, Ms Wilma Cooley our executive director, council members and sent out preliminary surveys to a representative sample of associates, early career physicians and other active members to help develop the framework for the retreat. The retreat was held the weekend of Friday through Sunday April 26-28, shortly after I advanced to Governor in the spring of 2013 at Montgomery Bell State Park. There was excellent attendance from almost the entire council. Over the summer the facilitator, the executive director and I refined the initial plan developed at the retreat. It went through several iterations including a phone conference with the council as a whole. The final plan was presented for discussion and approval by the council at our fall council meeting October 17, 2013. The plan is now in its implementation phase and will be revisited at future council meetings to be sure objectives and actions set out by the strategic goals are being accomplished. Below is the plan and it will be added to our website.

TNACP Strategic Plan Summary
Organizational Identity

Mission of the American College of Physicians: “To enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine.”

Purpose of TNACP: to “further the objectives and purposes of the ACP.”

Vision

  • TNACP is the best resource for internal medicine-pertinent education for internists and patients; it is a trusted source of information.
  • TNACP has a recognized advocacy component.
  • TNACP communicates effectively, using an appropriate format, and at an ideal frequency with members and prospective members.
  • At least 50% of internists in TN are members of TNACP.
  • TNACP has strategic partnerships with VU, LMU, extender groups, and subspecialty organizations.
  • TNACP does not have a money crunch. Return on Investment for students and residents is optimal.
  • TNACP is mindful of education and practice of cost conscious care

Strategic Goals

TNACP strategic planning focuses on four strategic goals and associated strategies:

  1. Strategic Goal 1: TNACP will have an effective system of communication that is equipped to gauge and respond to member needs
    • Strategy 1: understand and respond to member needs
    • Strategy 2: diversify methods of communication with members
  2. Strategic Goal 2: TNACP will optimize its market penetration
    • Strategy 1: determine priority target market
    • Strategy 2: develop and share a coherent message
  3. Strategic Goal 3: TNACP will partner with other institutions and organizations
    • Strategy 1: build and leverage relationships with universities to improve TNACP’s visibility and reputation in the state
    • Strategy 2: partner with other physician associations to reduce redundancy and maximize impact of shared issues
    • Strategy 3: build relationships with extenders
  4. Strategic Goal 4: TNACP will be the recognized professional organization of choice for TN internists
    • Strategy 1: be transparent organizationally
    • Strategy 2: assist TN internists at all levels
Group at work

Full group at work

The group

The Group - Keith Sturges, Facilitator - 3rd from left

At the Lake

Reena Kuriacose, Daphne Norwood, and Richard Lane at the lake

Governors at the lake

Drs. Ken Olive, Fred Ralston, and Richard Lane

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TNACP Annual Scientific Session, October 18-19, 2013

Our annual scientific session was held this year at the Franklin Cool Springs Marriott, Sonal Gupta, MD, FACP and her minions did a wonderful job organizing a quality group of speakers presenting on a central theme of metabolic syndrome. Day 1 began with a keynote address on the “Epidemic of Obesity” in Tennessee by David Reagan, MD, PhD, the Chief Medical Officer for the Tennessee Department of Health and ended with our ACP college representative, Steve Weinberger, MD, FACP executive vice president and chief executive officer giving the “College Update 2013: ACP High Value, Initiative” followed by the Town Hall Meeting. The latter is an open forum with attendees directing questions to leadership on various issues. In addition to Dr. Weinberger, Drs. Fred Ralston, past ACP President; Ken Olive, past TNACP Governor; and Richard Lane, current Governor participated. The day was interspersed by presentations on lipid management, pre-diabetes, kidney disease, transitions of care, viewing of the associates’ poster presentations, and visiting with program sponsors. In the early afternoon were various workshops including one on motivational interviewing.

One of the highlights of the meeting is the awards presentations. Dr. Ken Olive was presented the Laureate Award by Dr. Fred Ralston and Dr. Donald E. Robinson of Cleveland, Tennessee was presented the Volunteer and Community Service Award by Dr. David Anderson, one of his fellow internists. It was also announced that at the upcoming national ACP meeting in 2014 Dr. Jim Lewis will receive his Mastership from the College and Dr. Ryan Mire will receive the MacDonald Award for an outstanding early career physician. Late afternoon the associates participated in Doctor’s Dilemma with the team from Meharry winning. They along with winners of poster and case presentations will be sponsored to the national ACP meeting in April 2014.

The evening event at Puckett’s Boat House in downtown Franklin included a first place award in the 2013 TNACP Narrative Medicine contest to Dr. Phil Bertram of Cookeville, Tennessee for his essay entitled “Sweet Baby”. Also, as a first for TNACP Narrative Medicine the winning entry will be published in Tennessee Medicine (monthly publication of the Tennessee Medical Association). The second day of the annual session included the introduction of ACP resources, Smart Medicine and Tools available from the Annals of Internal Medicine, detailed elsewhere in this newsletter. This was followed by awards to the residents. The morning wrapped up with presentations on sleep apnea, fatty liver, and obesity management. A special feature of our recent annual meetings has been a standalone ABIM SEP post course for 4 AMA credit hours. This qualifies participants in two ABIM SEP modules. This year’s presentations were on hospital based medicine and office based medicine presented by Drs. Jim Lewis and Catherine Clark.

Next year’s program committee will be chaired by Steven M. Hegedus, MD, FACP. Although the date and hotel have not been decided, the plan will be to hold it again in Franklin, Tennessee in mid-October.

Volunteerism

Community - Volunteerism, D. Robinson and D. Anderson

Laureate Award

Dr. Olive presented Laureate Award by Dr. Ralston

Drs. Towns, Bertram, and Wali

Drs. Alex Towns, Phil Bertram, and Barry Wali

Chapter Award

Drs. Olive and Lane preesent the State Chapter Award

Drs. Laura Spraberry and Jim Lewis

Drs. Laura Spraberry and Jim Lewis

Residents

Residents

Drs. Steve Hegedus and Richard Lane

Drs. Steve Hegedus and Richard Lane

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2013 Chapter Excellence Award

I am pleased to announce that our chapter is in receipt of the 2013 Chapter Excellence Award! The award recognizes chapters which successfully meet the standards for managing a chapter. In order to achieve the Chapter Excellence Award, chapters must meet all basic criteria and seven optional criteria. Criteria include such activities as formulating an effective Governor’s Council and committees, communicating frequently with membership, providing educational opportunities, recruiting and advancing members and celebrating membership through local awards. I would like to extend a special thanks to those chapter members who assisted me in all of these endeavors! For their hard work and dedication, we received this award.

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Congratulations to New Fellows!

Haythem Adada, MD, FACP of Jonesboro – 9/1/13
Clement Aluyi, MBBS, FACP of Antioch – 9/1/13
Olawumi O. Ayo Akatue, MD, FACP of La Vergne – 7/1/13
Mandeep Singh Bakshi, MD, MBBS, FACP – Greeneville – 7/1/13
Neesha N. Choma, MD, FACP of Nashville – 9/1/13
Ruhul A. Choudhury, MD, FACP of Jellico – 7/1/13
Hadi E. El Bazouni, MD, FACP of Johnson City – 9/1/13
Mary Nell Ford, MD, FACP of Memphis – 7/1/13
Richard S. Gusso, MD, FACP of Apison – 7/1/13
Yemane B. Hadgu, MD, FACP of Brentwood – 7/1/13
Ibrahim Nakhoul, MD, FACP of Kingsport – 7/1/13
Wael E. Shams, MBchB, FACP of Johnson City – 9/1/13
Jeffrey A. Summers, MD, FACP of Kingsport – 7/1/13
Christopher H. Trabue, MD, FACP of Nashville – 7/1/13
Benton M. Wheeler, MD, FACP of Memphis – 7/1/13

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Update from the Board of Governors in Savannah

At the recent Board of Governors meeting this September a new resource for internists was introduced called Smart Medicine. A video introducing Smart Medicine was presented at our Annual State Meeting in October. The American College of Physicians has released ACP Smart Medicine,a web-based clinical decision support tool developed specifically for internal medicine physicians containing 500 modules that provide guidance and information on a broad range of diseases and conditions.

Integrated with content from Annals of Internal Medicine, ACP JournalWise, and ACP’s clinical practice guidelines with a display that automatically adjusts to desktops, smartphones, and tablets, the clinical recommendations in ACP Smart Medicine are evidence-based and rated based on the quality of the underlying evidence. Information is continually updated through triggered updates with new, relevant content and guidelines. Additionally, ACP High Value Care recommendations identify care activities that offer little benefit to patients.

ACP Smart Medicine also offers easy access to submit for CME credit. Physicians can select modules from the list of content areas they have reviewed, answer a question, and submit for CME credit.

ACP Smart Medicine is available as a free benefit to ACP members and can be purchased by non-members.

Christine Laine, Editor in Chief of The Annals of Internal Medicine also provided an update on the many tools available in the online version of the College’s journal, including Virtual Diagnosis, In the Clinic, Tools for Patient Care, Consult Guys, and Journal Wise. Visit the journals website.

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

The American College of Physicians and the Tennessee 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 a membership application. 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.

Thank you for your help in strengthening our chapter!

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TNACP Leadership

If you are interested in taking a more active role in your Chapter please consider submitting your name to myself or Ms. Wilma Cooley for submission to the nominations committee. Positions are coming open on the Governor’s Council which is a four year appointment. There are also opportunities to serve on several of our committees including the Scientific Program and Education Committee, Membership Committee from the west Tennessee region and health and Public Policy Committee. Our goal is to have a representative presence on the Council and Committees that reflects the demographics of our membership. Thank you for your willingness to volunteer your time and expertise.

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Contact Information

Richard G. Lane, MD, FACP,
Governor, Tennessee Chapter

Renee Arnott
Executive Director
Ph: 615-460-1657
E-mail: renee.arnott@tnmed.org