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Governor's Newsletter, Fall 1999

From Your Governor

"....it was the best of times, it was the worst of times"

In many ways it is the best of times for Utah's ACP-ASIM. We have much to feel good about. Our chapter thrives. The evidence: a strong scientific meeting that highlighted a key current theme: emerging antibiotic resistance; and that offered innovative workshops to enhance the meetings' relevance for practicing internists; active associates and medical students with energy and idealism - witness the volunteer work of Jonathan Castillo, MS and Harry Rosado-Santos, MD; and an upcoming election for Governor. The incoming Governor is fortunate to have so many Utah internists who are willing to serve - even though the demands of practice and personal lives are great. I know this is true because I have been the beneficiary of this wonderful commitment for the past four years. I cannot say thank you often enough so here I go again - thank you for your support.

Sincerely,

C. Gregory Elliott, MD, FACP
Governor, Utah Chapter, ACP-ASIM

Introducing the Candidates

The Nominating Committee (Jeff Anderson, MD, FACP, Chair; C. DuWayne Schmidt, MD, FACP; and Gregory Schwitzer, MD, FACP) has identified two candidates for Governor-elect for the ACP-ASIM Utah Chapter. Lisa Kuwahara, MD, FACP and Martin Gregory, MD, FACP seek to represent and lead our organization. The Utah Chapter is fortunate to be able to choose between two individuals, each well qualified to serve the membership.

In the spirit of the ACP-ASIM's new nomination and election guidelines for the electorate, this newsletter offers a brief biographical sketch and vision statement from each candidate.

Martin C. Gregory, MD, FACP

After receiving my medical degree from the University of Oxford, I completed residency in London, Oxford, and Paris, and a fellowship in Nephrology in Oxford. I have practiced Internal Medicine and Nephrology in Cape Town, Auckland, London and for the past eighteen years at the University of Utah. My principal interests have been in patient care and student and housestaff education, although I have found time for a continued but meager thread of research in hereditary kidney disease.

Over the past fifteen years, I have been actively involved in the Utah Chapter of the ACP-ASIM, most recently as Program Director of the Annual Scientific Meeting for three years.

In an era of increasing precision of medical diagnosis and effectiveness of treatment, many parts of the country have seen a paradoxical erosion of confidence in the medical profession and an increasing readiness for the populace to consult alternative practitioners and to resort to unproven therapies. The Utah Chapter of the ACP-ASIM has taken a leading role in defining the pivotal role of internists in providing quality health care. I envisage major roles for the Utah Chapter in patient education, preventive health, and improved patient-physician communication, which will further strengthen the confidence that Utahns justly accord to their internists.

Lisa K. Kuwahara, MD, FACP

I received my medical degree from the University of Minnesota and completed a residency in Internal Medicine at Abbott Northwestern Hospital in Minneapolis. Since then I have been in private practice in Salt Lake City with an emphasis on primary care.

I have always had a keen interest in medical education and have been significantly involved in the residency program at LDS Hospital serving as the assistant program director for several years. I continue to run a regular case conference as well as precept an ambulatory care rotation for both residents and medical students.

I have been an active participant in the Utah Chapter of the ACP-ASIM as the chair person for the Associates Committee for five years. The Associates program expanded markedly during this time and was recognized with an Evergreen Award. I have been attending the Utah Chapter Scientific Meeting and the Annual Session regularly for many years.

In the practice of medicine there are ever increasing pressures that threaten to destroy our sense of professionalism. Involvement in the ACP-ASIM at both the chapter and national level is one of our best defenses against the erosion of our professional values. It fosters a sense of collegiality, promotes a scholarly approach to patient care and reminds us of our responsibility in the area health care policy. The Utah Chapter of ACP-ASIM has enjoyed unprecedented vigor over the past several years. As Governor-elect I will endeavor to maintain that momentum to ensure that our chapter continues to strengthen us as internists and help us all to become better physicians.

Chapter Leadership

At the annual scientific meeting the Utah Chapter ACP-ASIM honored outgoing committee chairs - Michael Battistone, MD (Medical Students); Margaret Hecht, MD, FACP (Membership); Steve Horton, MD (Associates); Steve Lewis, MD (Awards); Molly Mooers, MD, FACP (Health & Public Policy); and Brent Muhlestein, MD, FACP (Program) - who have each served the ACP-ASIM and the Utah Chapter with distinction; and their efforts are appreciated.

For the coming year (1999-2000) the Utah Chapter ACP-ASIM leadership includes:

  • Governor: C. Gregory Elliott, MD, FACP
  • Scientific Program Committee: Steve Towner, MD, Chair; Barry Stults, MD; Cecelia Low, MD; and Glen Biddulph, MD [Plan and organize the annual Utah Chapter ACP-ASIM scientific meeting.]
  • Awards Committee: Darrell Hensleigh, MD, Chair; Jenny Fox, MD; and Kurt Besch, MD [Identify candidates for chapter laureate, volunteer medical service, and chapter service awards.]
  • Membership Committee: Beth Hanlon, MD, FACP, Chair; Hanadi Farrukh, MD, FACP; and Steph Silas, MD [Encourage membership and advancement to fellowship; and assure member services.]
  • Health and Public Policy Committee: Kenneth Buchi, MD, FACP, Chair; Kevin McCusker, MD, FACP; Roy Gandolphi, MD, FACP; and Scott Ulmer, MD [Advocate on behalf of internal medicine patients with respect to issues of health and public policy.]
  • Associates Committee: Scott Stevens, MD, Chair; and Kurt Besch, MD [Organize activities for Associates.]
  • Medical Students Committee: Michael Battistone, MD, Chair; Jim Williams, MD, FACP; Kurt Besch, MD; Glen Biddulph, MD; Jenny Fox, MD; Cecelia Low, MD; and Scott Ulmer, MD [Introduce internal medicine as a career choice for medical students.]

Chapter Activities

Annual Scientific Meeting

The annual scientific meeting was held Friday, September 17th at the Snowbird Resort. The program committee provided an excellent program, including timely presentations on antimicrobial resistance (Merle Sande, MD, MACP); current approach to diagnosing anemia (George Rodgers, MD); end of life care (Donna Sweet, MD, FACP); management of asthma (Wayne Samuelson, MD) and osteoarthritis (Jim Williams, MD, FACP). Each of these presentations offered a cutting edge perspective for common problems that confront primary care physicians daily. The afternoon workshops engaged participants directly; and allowed internists to hone their skills in three of six areas. These workshops were enormously popular. They represented an innovation by the Program Committee that is likely to be repeated and expanded in coming years.

Participants in the annual meeting had an opportunity to share their concerns directly with a senior leader of the ACP-ASIM, Robert Gibbons, MD, FACP, Regent. Dr. Gibbons served as the official college representative and was an active participant in the scientific meeting. In addition Dr. Gibbons offered an overview of college issues and activities during the business luncheon. He emphasized that the PAC, although approved by the Board of Governors, has not been implemented by the Board of Regents pending more grass roots feedback. Attendees were given an opportunity to express their view of this issue.

Associates Poster Competition

Judges for the annual associates poster competition awarded first prize to Kurt Besch, MD, for his study, "Strategy to Reduce Antibiotic Utilization for Acute Bronchitis in Otherwise Healthy Adults." Annette Bosworth, MD, received first prize in the case report competition for her poster, "Anemia Caused by a Massive Pinworm Infection."

Health and Public Policy

The Health and Public Policy Committee remains active on behalf of internal medicine at the state and national levels. At the state level the Utah ACP-ASIM Health & Public Policy Committee met and reviewed resolutions before the Utah State Medical Association. Representatives of Utah ACP-ASIM H&PP attended the House of Delegates meeting and supported our positions on key issues. At the national level, ACP-ASIM advocates universal access to health care (Project 2000) and strong legislation for patient rights (Patient Bill of Rights). The national leadership also has made much progress to eliminate language targeting MD's in the "Who Pays You Pay" campaign against fraud and abuse initiated by the Office of the Inspector General. Also at the national level, the college has been most fortunate to retain Alan Nelson, MD, FACP, as a consultant for issues of H&PP, even as Alan officially enters retirement.

Awards

Thomas Caine, MD, FACP - received the Utah Chapter ACP-ASIM 1999 Laureate Award. Dr. Caine was honored for his many years of distinguished service to patients and his profession.

Harry Rosado-Santos, MD - received the Utah Chapter ACP-ASIM volunteer medical service award. Dr. Rosado-Santos led a team of Utah medical students who provided medical care to Nicaraguans, following the devastation of hurricane Mitch. Other members of our chapter, Michael Battistone, MD, and Jonathan and Heidi Castillo (MS3), were active in this effort.

Scott Stevens, MD - received the annual C. DuWayne Schmidt chapter service award. Dr. Stevens served the chapter at many levels, his efforts in organizing and leading the annual associates meeting as well as organizing other activities for students and residents garnered the award. Dr. Stevens now serves at the Fourth Street Clinic where he provides medical care for many underserved members of our community, and he provides medical students with an excellent educational experience.

Membership

The Membership Committee wishes to identify candidates for membership and advancement to fellowship. Please help by identifying colleagues who should be members or be advanced to fellowship. Four pathways exist for advancement to fellowship. They are:

  1. The candidate must meet basic College requirements with an emphasis on demonstrated skill in written medical communication.
  2. The candidate must meet basic College requirements with an emphasis on significant and continuing certification activities and/or teaching, both institutional and community-based, and/or community activities that indicate professional achievement and scholarship. Recertification; participation in MKSAP with a passing score; certificates of special competence in adolescent medicine, critical care medicine, clinical cardiac electrophyisology, geriatrics, and sports medicine; or sub-specialty certification are usually required for this pathway, but by themselves are not adequate.
  3. The candidate must meet basic College requirements with an emphasis on active membership in the College for at least 10 years, with substantial participation in College programs and activities as well as demonstration of other professional accomplishments.
  4. The candidate must meet basic College requirements with an emphasis on distinguished professional activity in teaching, patient care, or professional service over many years.

In Memoriam

Wallis L. Craddock, MD, FACP

Wallace Craddock died August 20, 1999. Wallace was a devoted Fellow of the Utah Chapter ACP-ASIM. He became a Fellow in 1956, and he served the Utah Chapter in many capacities, perhaps most notably as the unofficial photographer and historian of the chapter. Wallace was truly a fine physician and a fine human being who exemplified the highest traditions of the College.