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December 2011 LtCol Rechell Rodriguez, MD, FACP, ACP Governor

From the Governor

Dr. Rodriguez

As most of you know, it was a roller coaster ride with regards to whether we were going to have our annual meeting or not. The meeting did take place in San Antonio, TX from Nov 1-4, 2011. However, due to a new Army policy from April 2011 regarding meetings needing prior approval from the Secretary of the Army when a meeting is affiliated with non-federal entities such as the ACP and the Henry M. Jackson Foundation our meeting was unfortunately caught in the middle and did not meet approval about a week prior to our meeting. Army MEDCOM worked very hard to restructure the meeting as per the new regulations and our 5th combined Army and Air Force meeting was saved. The meeting was attended by over 400 Army & Air Force Internal Medicine residents, Internists and Subspecialists as well as some medical students. There were even a small number of Navy and Civilian physicians in the audience. Looking at the past 5 years, this was the largest attended meeting!

Col (Ret) George Meyer who is the Governor of the Northern California Chapter and a prior member of the Society of Air Force Physicians opened the meeting by giving the history of both the Air Force and the Army ACP chapters.

Drs. Meyer and Rodriguez
Col (Ret) George Meyer and Lt Col Rechell Rodriguez

The plenary lectures were excellent with experts talking about topics such as the evolving antibiotic resistance among common bacteria; treatment of type 2 diabetes mellitus using a rational approach based upon its pathophysiology; a real time update on critical care; genetics of breast and ovarian cancer assessing risk, screening, risk reduction and targeted therapy; ascites review; diastolic heart failure; update in acute kidney injury; and medical research in the military. To improve clinical procedural skills, the hands-on simulations session was again offered this year. A faculty development plenary on social media and medical education and an interactive ABIM Maintenance of Certification module on the Update of Office-based Medicine was offered using an audience response system which was well sought out by those who are close to recertifying.

Sim Workshop
On the Left, Maj Greg Austad leading the shoulder injection simulator with Maj Jeffrey Larochelle on the Right

We must give thanks to Miss Cyndi Perry at Army MEDCOM and MAJ Tom Zanders who are the two people who helped save our meeting. Ms. Perry worked endless hours the week prior to our meeting re-negotiating the hotel and other contracts, printed over 400 copies of a revised program last minute, and assisted at the registration desk every day. MAJ Tom Zanders expeditiously revised our program and submitted all the necessary paperwork to the appropriate departments to get meeting approval. Special thanks to this yearís meeting chairmen MAJ Tom Zanders of SAMMC and Maj (sel) Brian Neubauer who organized a truly outstanding meeting!!

Drs. Zander and Neubauer
MAJ Tom Zanders and Maj (Sel) Brian Neubauer

Thanks to our Air Force Moderators who helped coordinate excellent breakout sessions: Maj John Blair (Cardiology), Maj Lisa Strickland (Endocrinology), Maj Frances Jones (Gastroenterology), Col (sel) Erika Struble (Hematology/Oncology), LtCol Patrick Danaher (Infectious Diseases), Maj (sel) Brian Furukawa (General Medicine), Maj (sel) Ian Stewart (Nephrology), Maj Shawn French (Pulmonary/Critical Care), and Maj Himabindu Borra (Rheumatology).Thanks also to our Coordinators: Maj Diane Homeyer (Scientific Coordinator), Maj Temple Ratcliffe (Competitions Coordinator) and Maj Greg Austad (Simulation Coordinator). Our Air Force Doctors Dilemma Coordinators were: Capt Hugh Coke (KMC), Capt Josh Hamilton(WPAFB), and Capt Kelly Bristow (SAMMC).

Drs. Fewell and Bristow
Chief of Residents CPT Allyson Fewell and Capt Kelly Bristow (left to right)

The combined competitions featured the Army competing along with the Air Force Associates. The Associates Competitionsí Air Force winners were: Resident Research Podium Competition: Capt Steven Deas from Keesler Medical Center who received the Grollman Award.

Associates Award
Associates Award winners

Capt Deas from Keesler Medical
Capt Steven Deas from Keesler Medical Center received the Grollman Award

Resident Research Poster Competition: Capt Kelvin Bush from SAMMC.

Resident Research Poster winner
Capt Kelvin Bush from SAMMC won the Resident Research Poster Competition

Clinical Vignette Poster Competition: Capt Daniel Hatcher from Keesler Medical Center.

Clinical Vignette
First Place Clinical Vignette: Capt Daniel Hatcher

The Fellow Research Poster competition, otherwise known as the Sanford Award was won by Capt Erica Hill of SAMMC Rheumatology Fellowship Program.

Capt Erica Hillw
Capt Erica Hill of SAMMC won the Sanford Award

The team that won Doctor's Dilemma capturing the trophy hails from SAMMC (which is a combined Army and Air Force residency program): Capt Michelle Orme, Capt John Magulick and CPT Nicole Vietor. They will compete at Doctors Dilemma representing our chapter at the National ACP meeting in New Orleans, LA in April of 2012. Thanks to the podium judges this year who were Col (Ret) George Meyer, COL (Ret) Dan Battafarano and MAJ Michael Marte. Special thanks to our Air Force judges for the poster competitions: Maj Matthew Hann, Lt Col Matt Carroll, and Maj Jeff LaRochelle. The only program that was not able to be present was David Grant Medical Center, but we anticipate that they will hopefully be able to attend future meetings as their residency program continues to build up. We welcomed Justin Peacock, PhD, who is an Air Force HPSP student at the Mayo Clinic College of Medicine who is the Military representative for the Council of Student Members and is also serving on our Chapter Council.

Doctors Dilemma
Doctor's Dilemma winners

Thanks to LtCol Jan Allen, our Assignment Officer for attending and meeting with those interested in discussing future military assignments. Thanks to LtCol Donald Kowalewski our IM Consultant who helped secure and coordinate the central funding for the meeting. COL (Ret) William Browne was the recipient of our Malcolm C. Grow Memorial Lecture Award. He gave a very timely update on critical care and discussed how drotrecogin alfa is no longer available for use. Lt Col (Ret) Tom Sauerwein was the recipient of our Philip G. Keil Memorial Lecture Award who gave us the latest update on Diabetic Care in the Military Health System.

Thanks to our Awards Committee Chairperson Lt Col Michael Forgione. This year we were proud to present two Major General Archie Hoffman Governorís Awards. Maj Matthew Hann was the recipient of the MTF Award from Keesler Medical Center and Capt Donald Martin from RAF Lakenheath was the recipient of the Field award.

Maj Hann
Maj Matthew Hann is the recipient of the MTF Award

Unfortunately Capt Martin was not able to receive his award in person as he is currently deployed. Please welcome our new Fellows: Maj Misael Alonso, Lt Col Teresa Bisnett, Dr. Gordon James, Maj Adrian Letz, Maj Donald Martin, Col Jeffrey Medland, Maj Temple Ratcliffe, Dr. Michael Savona, and Maj Mark Vishnepolsky. We continue to encourage members to apply for the honor of fellowship in the ACP. Hopefully many of them will be able to march in the Convocation Ceremony at the national ACP meeting. Congratulations to all!

The Laureate Award is the highest level award that a ACP chapter can bestow upon any of its members. We honored one Laureate this year. This prestigious award was presented to Col (Ret) Richard Winn. Since we were not able to include his biography in our revised printed program I am including it in this newsletter. Dr. Winn is an excellent example of someone who has been involved in both Air Force and Army medicine. Please read his biography and you will be inspired.

Dr. Winn
Dr. Richard Winn, Air Force Chapter Laureate Awardee


2011 Air Force Chapter Laureate

Richard E. Winn, MD, FACP, FCCP, FIDSA Colonel (Ret), USAF, Medical Corps

Colonel (Ret) Richard E. Winn began his military career as a cadet at the United States Air Force Academy graduating with a B.S. in Biology in 1972. He obtained his MD from the University of Arizona College of Medicine in 1975. Colonel (Ret) Winn completed his Internship and Residency in Internal Medicine at David Grant Medical Center, Travis AFB, California in 1978. Dr. Winn then trained in Infectious Diseases at the University of Oregon Health Sciences Center and returned to Wilford Hall Medical Center as a Staff in Infectious Diseases in 1980. In 1984 he became the Chief of Infectious Diseases at Wilford Hall Medical Center, as well as appointed the Infectious Diseases Consultant to the USAF Surgeon General, a position he held until retirement. In 1988 Dr. Winn pursued training in Pulmonary Medicine and Critical Care at Fitzsimmons Army Medical Center, Aurora, Colorado and returned to David Grant USAF Medical Center as the Chief of Pulmonary and Critical Care, Director of the Medical Intensive Care Unit, and Associate Program Director for the Internal Medicine Residency in 1990. In 1992, Dr. Winn returned to Fitzsimmons Army Medical Center as a Staff in Infectious Diseases and Pulmonary Medicine and Critical Care, and retired from Active Duty service in 1995.

Many of Colonel (Ret) Winnís contributions to US Air Force have been as a physician educator and leader. In 1984, Dr. Winn was appointed the Program Director for the Infectious Diseases Fellowship training program at Wilford Hall Medical Center. He trained medical students, residents and fellows, and was recognized for his excellence in teaching. Dr. Winnís leadership was invaluable for establishing DOD policy in HIV, Japanese encephalitis vaccination, and hepatitis vaccination. He was also extremely active in the Society of Air Force Physicians, the precursor to the Air Force ACP Chapter. He moderated the Infectious Diseases Breakout Sessions from 1980-88, served as the Executive Secretary in 1984-85, and was on the Board of Governors from 1987-1990. Colonel (Ret) Winn was also instrumental in the establishment of the Air Force Infectious Diseases Society in 1985 and served as the inaugural President.

Dr. Winn is recognized as an expert in the fields of Infectious Diseases and Pulmonary Medicine/Critical Care and has authored over 60 peer-reviewed publications, 26 book chapters, and numerous abstracts and presentations at regional and national meetings. After leaving the military, Dr. Winn became the Director, Division of Pulmonary/Critical Care and the Program Director for the Pulmonary Diseases Fellowship at the Scott & White Clinic and Hospital in Temple, Texas, a position he held for 10 years. During his tenure he graduated over 20 fellows. He has performed both bench-top and clinical research in both Infectious Diseases and Pulmonary Medicine/Critical Care, and continues to publish and perform research in his current position as the James P. Courtney Endowed Chair of Medical Excellence at Texas Tech University Health Sciences Center where he is the Chief of Infectious Diseases. In his current job, he continues to teach and mentor medical students, residents, fellows and PhD candidates.

Colonel (Ret) Winn is a Fellow of the American College of Physicians, American College of Chest Physicians, and the Infectious Diseases Society of America. He is a Diplomate of the American Board of Internal Medicine (ABIM), ABIM subspecialty Infectious Diseases, ABIM subspecialty Pulmonary Medicine, ABIM subspecialty Critical Care, and the American Board of Emergency Medicine. He has been awarded numerous teaching honors and military awards including the Humanitarian Service Medal and Legion of Merit. Dr. Winn is also on the Board of Directors and the current Treasurer of the National Antique Oldsmobile Club.

Our chapter dues remain at $35 per year which is included in your annual ACP dues. As a reminder, please remember to pay your annual dues. Many of you have been inquiring how to get your CME credit for the meeting. Please go to the website.

If you do not already have an account you will need to register to create an account. Once you have an account, then you should be able to select the CME activity which should be Army/Air Force Concepts of Medicine Training Symposium, fill out the meeting evaluation form and then you should be able to get your CME and print out your certificate. Please give us your honest input about the meeting so that we can continue to make it the most beneficial for you.

Chapter Excellence

Last but not least, I am very pleased to inform you that our Chapter is the recipient of a 2011 Chapter Excellence Award. The last time our chapter received this award was in 2003!

This meeting continues to give us the opportunity to gather together with friends and colleagues, network and mentor our future physicians. We do not think it will be likely that there will be a Tri-Service ACP meeting in 2012 which we were hopeful for but with the new Army regulation in place it is not likely to happen. There may be a Combined Air Force and Navy ACP meeting for 2012. We are actively discussing this and will certainly keep you informed as we know more details. Our thoughts are with those who are currently in harmís way abroad and wish them a safe and happy holiday season and look forward to their return home. I wish all of you a very Happy New Year!

LtCol Rechell G. Rodriguez, MD, FACP
ACP Governor, Air Force Chapter


Call for Fall 2012 Board of Governors Resolutions

Are you concerned about a practice or clinical issue or have an idea you'd like to suggest? If so, you might consider submitting a resolution to your Governor or chapter council. Initiating a resolution provides ACP members an opportunity to focus attention at the ACP national level on a particular issue or topic that concerns them. Participating in the Board of Governors resolutions process provides the ACP grassroots member a voice and allows you to shape College policy that impacts the practice of internal medicine. When drafting a resolution, don't forget to consider how well it fits within ACP's Mission and Goals. In addition, be sure to use the College's Strategic Plan to guide you when proposing a resolution topic.

If effecting change interests you, the deadline for submitting new resolutions to be heard at the Fall 2012 Board of Governors Meeting is March 20, 2012. Members must submit resolutions to their Governor and/or chapter council. A resolution becomes a resolution of the chapter once the chapter council approves it.

Not sure how to begin drafting a resolution? Researching the College's position on an issue can give you a start. Visit the ACP Online homepage and click the "Advocacy" link in the right-hand, top margin to access ACP policy positions, read about recent ACP advocacy activities, or search the ACP's Public Policy Virtual Library (PPVL). Visit your chapter website, too, and click the link under "Advocacy" to access Electronic Resolutions System (ERS) where you can search past or proposed resolutions. A copy of the resolutions process is available on the ERS which furnishes more details on formatting resolutions, as well the process for submission, review, and approval.

Share your good idea with us. Draft a resolution.


Strengthen Our Chapter: Participate in ACPís Recruit-a-Colleague Chapter Rewards

The American College of Physicians and the US Air Force Chapter encourages all members to help strengthen the voice of internal medicine 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 recruited and a chance to win a trip to the annual Internal Medicine meeting. In addition, the RACC Program also provides rewards to the recruitersí chapters. 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 this specially coded application.

Go here to learn more.