January 2012
Governor's Corner
Call for Fall 2012 Board of Governors Resolutions
Washington State Advocacy Update
WSMA Legislative Summit
Federal Health Policy Update
Leadership Day in Washington DC
2011 Annual Meeting Recap
Council Elections
2011 Chapter Awards
2012 Associate and Student Competitions
Women in Medicine
Membership Committee News
Recruit-a-Colleague Program
Nurses, Physician Assistants, And Others Now Can Join ACP as Affiliate Members
Osler Club Report
Mentorship Brunch for Medical Students
Mentors Needed!
Council of Young Physicians
Welcome New Members
Congratulations New Fellows
Update on Internal Medicine
Medicaid Will No Longer Cover Non-Emergent ED Visits (WSMA Jan 5, 2012)
Medical Home Builder - ACP Practice Solutions
ACP in South East Washington Celebrates 10th Anniversary of What's New in Medicine 2011
2012 Calendar of Events

Contact Us

Carrie A. Horwitch MD, MPH, FACP


Email Me 


Jan Larsen

Chapter Executive
Email Me 

2033 6th Ave Ste 1100

Seattle, WA 98121

Ph: 206.956.3643

F: 206.441.5863


Governor's Corner 

Carrie A. Horwitch, MD, MPH, FACP


Happy 2012 to everyone!  Looking back at 2011, there were some highlights and clearly some low times.


We had a fantastic annual ACP chapter meeting. Over 350 people attended the meeting this past year- the largest ever. We were lucky to have Dr. Fred Ralston, the immediate past president of ACP, speak on health care reform. The historical presentation of health care changes over the decades was fascinating. We also had wonderful speakers updating us on topics as varied as geriatric care and diabetes management. The associates were ever-present throughout our meeting, with both oral and poster presentations, as well as a breakout session designed especially for their needs. We also had medical student poster presentations and judging for the first time. Our two precourses on pain management and hospital medicine were great successes.  Our two co-chairs Drs. Tara Nysoe and Doug Paauw and their committee did a wonderful job.

Congratulations to our 2011 Award winners: Dr. Roger Bush, Laureate award; Dr. Judy Benson, Internist of the Year; Dr. Henry Mroch, Golden Apple award; Dr. Robert Coffey, Community Service award.  See the article on the 2011 Awards below for more information on each of these individuals.

The Women in Medicine group had several successful events this past year and have started "Dim Sum Around the Sound (and Beyond)."

The Council of Young Physicians had two great events dealing with legal issues as they relate to electronic medical records and documentation. Look for their upcoming event on financial planning.

Advocacy: We had ten people come to Washington DC last year and advocate for our patients and their well-being as it relates to health care. See below for more opportunities to be involved. ACP continues to strive for improvements in health care access, delivery and payment.  The High Value Cost Conscious Care is one initiative that can have ongoing benefits to our patients, our communities and our nation.

Low Times
Failure of the Super Committee to come to any agreement on payment changes for our health care system.  It does appear that partisan politics is more important than the health and well-being of our patients. Please continue to write your legislators and senators to tell them how their inaction is impacting your practice and patient population.

Dr. Don Berwick having to step down from CMS due to lack of confirmation from Congress was another failure of our legislators. Dr. Berwick did amazing work for the two short years he was in that position. A true leader in the area of health care reform, delivery and innovation. He will be missed but will surely continue to work for the benefit of our profession and patients.

Budget cuts: Need I say more. State budget cuts have continued to whittle away some of the safety net programs for our most disadvantaged.  In addition, these cuts have also made it necessary for our state legislators to come up with ways to reduce costs to the system. One of these, not paying for non-urgent ED visits for Medicaid patients, is an example of putting cost control above other practices to make a difference. If you want to be more involved, please see below for the WSMA Legislative Summit.

Looking ahead to 2012, let us hope for more wisdom from our national and state leaders. I hope they can put aside politics and their own agenda to focus on the real issues of our country.  Our Washington ACP chapter will continue to bring you great CME activities, committee activities from WIM, CYP, Associates, health policy and more.  As always I welcome your input, and if you would like to organize an event in your area (this is especially geared for those communities outside of Seattle) please contact me and we will make it happen.

To all of you I am wishing you a healthy, fulfilled and exciting new year.
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 the 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
Washington State Advocacy Update

By Genevieve Pagalilauan MD FACP

There are potential changes in the proposed budget that will change the practice of medicine drastically for internists in the state of Washington.  With a two billion dollar budget deficit yet to be resolved, this upcoming legislative session starting January 9 will be high stakes for health care.  On the table for being cut are the Basic Health Program ($44.5 M), Disability Lifeline ($89.6 M), modifying payment structures to critical access hospitals ($27.2 M), cuts to grants supporting charity care at Harborview and University of Washington Medical Center ($26.5 M), and creating a Medicaid generics-only drug formulary ($19.5 M). These are the biggest health care proposed line items on Governor Gregoire's budget.  However, in her draft budgets she included more gruesome additions such as freezing all Medicaid prescription coverage for 12-18 months.  Frankly in comparison, it makes the substitution to a generics only drug formulary seem kind and gentle.

For those of us who care for the underserved, these budget cuts will be devastating.  I strongly urge each of us to call and lobby our state representative and senator.  Give a voice to all your patients who will be dangerously affected by these changes.  Because these are such big ticket items which results in significant cost savings I predict the majority will go through in these trying times.  I suspect we will be more influential if go after some of the lower cost line items, and tell compelling stories about their value.  Some examples of such issues are interpreter services ($5.4 M), and public health including HIV prevention and outreach ($6.6 M).  The cheapest bang for the buck is saving emergency services, health education centers, and the funding for coverage of malpractice for greater than 600 providers who give care to 78,000 patients (all for $739K).  I find it particularly distressing that tens of thousands of patients will lose access to care while we simultaneously cut the ability of physicians to serve them in a volunteer capacity.

Please don't JUST be reading this piece.  Become energized!  Stand up for your patients.  I guarantee you that with these budgetary woes, teachers, police, firefighters, prison guards and more are telling their compelling stories, trying to scratch for a piece of a very tiny pie.


Interested members are encourage to participate in a Health Policy Committee conference call on February 9 from 7 to 8 pm. To join the call dial 1-866-628-8620. When prompted for the passcode, enter 894015, followed by the # sign.      

WSMA Legislative Summit

Gubernatorial candidates Jay Inslee and Rob McKenna are confirmed speakers at this year's WSMA Legislative Summit in Olympia. With the financial crisis our state is facing, its impact on patients and physicians, and the coming change in the governor's office, this is a pivotal event you won't want to miss.

The Summit program begins with coffee and continental breakfast at 7:30 am and wraps up after a luncheon briefing. Attendees will then be bused to the Hill, where you meet with your representatives and will receive a presentation by Insurance Commissioner Mike Kreidler.  The day wraps up by mid-afternoon.

Legislators need to see you in person. While the professional staff at WSMA in Olympia does an excellent job, physicians are needed to deliver your messages to your local representatives and senator. The WSMA office will make appointments for you, and it will provide you with the necessary briefing materials.   
Go to the www.wsma.org to review the conference agenda (click on the meeting logo on the homepage). Register today for the 2012 WSMA Legislative Summit, Monday, January 23, 2012 at the Red Lion Hotel in Olympia.

Please also email Jan Larsen at jal@wsma.org if you have signed up for the meeting.  We will try to arrange carpooling to Olympia or meet at the breakfast before the events begin.
Federal Health Policy Update

By Bruce C. Smith, MD FACP

Medicare Payments:  Congress passed a two-month extension of the 2011 Medicare payment rates just before Christmas.  A House-Senate conference committee will begin negotiations in January on a longer-term extension bill.  Without further action a 27.4% cut in Medicare payments will become effective in late February based on Medicare's Sustainable Growth Rate (SGR) formula.  All estimates are that Congress will again act to prevent this cut, but details are far from certain.  ACP continues to work tirelessly to urge Congress to enact a permanent solution that stabilizes Medicare payments and allows transition to better payment models.  More details are available at the Advocacy section of ACP Online.

Federal Deficit:  The Congressional "Supercommittee" failed to come to an agreement by their November 23rd deadline, triggering $1.2 trillion in across-the-board budget cuts starting in 2013.  Medicaid, CHIP, Social Security, and some other programs are off the table, but Medicare is slated for a 2% reduction in total spending ($137 billion).  There are many lingering questions as to timing and logistics and equally, many predictions of changes to the bill before cuts are effective, but this is the current law of the land.

The Affordable Care Act (ACA):  The Supreme Court will hear arguments in March, 2012 regarding the constitutionality of the individual mandate requirement in the ACA and other issues.  A court opinion is expected by June.  Many possible outcomes have been predicted ranging from full support to full repeal.  For now implementation is proceeding as provided in the original bill.

2012 election 
Speculations include:
*    U.S. House of Representatives-currently Republican control, GOP will likely retain majority
*    Boehner, Ryan, Camp, Upton still key players
*    Congresswoman Cathy McMorris Rogers in leadership an key health committee roles
*    U.S. Senate-currently Democratic control, likely to flip to GOP
*    Senator Hatch (UT) would be Chair of Senate Finance Committee (a key health committee)
*    Senator Murray's leadership roles still important

ACP Key Contact Program:  If you don't speak up for Internal Medicine, who will?
ACP's continued success on Capitol Hill greatly depends upon year-round grassroots support from the College's more than 7,000 Key Contacts.  Key Contacts e-mail, call, and meet with their members of Congress on issues of importance to medical students, internists and their patients, and report the results back to ACP.

To enroll as a Key Contact, ACP members are not required to have existing relationships with their members of Congress. ACP gives them the tools necessary to develop and maintain relationships. The program is open to all membership categories.

Click here to enroll in the Key Contact Program  

Leadership Day in Washington DC

The 20th annual ACP Leadership Day on Capitol Hill will be held June 6 and 7, 2012 in Washington, D.C.  For more information log on to http://capwiz.com/acponline/home/LD

If you are a Washington ACP chapter member and interested in being included in the chapter's delegation that will be participating in Leadership Day 2012, contact Jan Larsen at jal@wsma.org and let her know.  We especially want to encourage our associate and student members to participate in this important activity. Please submit your request no later than March 1, 2012.

Leadership Day enables the College to increase its presence on Capitol Hill and bring our issues to the attention of U.S. lawmakers. We are counting on a motivated and engaged delegation to assist in our advocacy efforts.
The two day event will provide ACP members with advocacy and/or 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 your state's elected officials. 
2011 Annual Meeting Recap
By Tara Nysoe MD FACP and Doug Paauw MD MACP
Co-Chairs 2012 WA Chapter Annual Meeting

The annual scientific meeting of the Washington chapter of the American College of Physicians took place November 3-5 at the Bell Harbor Conference Center in Seattle. The meeting was the most well-attended to date for our chapter, no doubt due to the high-yield curriculum as well as the line-up of dynamic and outstanding speakers.  A broad range of topics were covered that are relevant to both clinic-based internists and hospitalists, including important updates in internal medicine and hands-on break-out sessions. Additionally, a hospitalist precourse and a pain-management precourse took place the afternoon before the main meeting.

Dr. Fred Ralston, immediate past-president of ACP, was the keynote speaker during the Friday lunch and discussed issues in health care delivery.

Save the Date for 2012
Plans are already underway for the November 2012 meeting, which will be held November 1-3 at the Bell Harbor Conference Center in Seattle. Two precourses will again be offered on the first afternoon, including a hospitalist precourse and a sports medicine/musculoskeletal precourse. The co-chairs of the meeting are Dr. Lisa Chiou, internal medicine hospitalist at Providence Regional Medical Center Everett, and Dr. Christopher Knight, internist at University of Washington. Please mark your calendars now for this meeting; registration materials will be available later in the year. We hope to see you there!
Council Elections

The results of the chapter elections were announced at the Annual business Meeting on November 4, 2011.

Congratulations to the following newly elected members of the chapter's Executive Council:  PJ Peterson MD FACP, Longview and Carletta Vanderbilt MD FACP, Bellingham.  Reelected to serve additional terms were Treasurer, Rebecca Ruud MD FACP, Mercer Island; and Councilors, Matt Hollon MD MPH FACP, Spokane; Kemi Nakabayashi MD FACP, Seattle; and Sandeep Sachdeva MD FACP, Seattle.  

It is with great thanks that we say goodbye to the following members retiring off of the Executive Council for their years of service to the chapter:  Hugh Maloney MD FACP, Tara Nysoe MD FACP, and Michael Geist MD FACP.
2011 Chapter Awards
By Paul Smith MD FACP, Chapter Awards Chair

Annually the Washington ACP honors internists for their contributions to patient care, community service, and education. The following 2011 awards were presented in November at the Washington ACP Annual Scientific Meeting.

Laureate Award
The recipient of the 2011 Laureate Award from the Washington Chapter of the ACP is Roger Bush, MD FACP. Dr. Bush is the former Internal Medicine program director at Virginia Mason Medical Center. He is currently busy with many local and national activities that show his love of medical education, his pursuit of innovation in the field of internal medicine and his leadership skills as an active participant on several national committee.
Dr. Bush has particular interest in demonstrating the strategic pairing of medical education and quality improvement. In addition to regional and national association presentations, this message has taken Dr. Bush as a visiting professor to several medical schools and hospital systems.

(Laureate Award Recipient Roger Bush MD FACP, pictured with Joyce Wipf MD FACP

He is active in the American College of Physicians, Association of Program Directors in Internal Medicine, American Board of Internal Medicine, Physicians for a National Health Plan, and Society for Hospital Medicine. He has been Regional Chair for the Society of General Internal Medicine. Academically, Dr. Bush is an Associate Clinical Professor in the Department of Medicine at the University of Washington, and is particularly proud to have helped Virginia Mason become a core site of the UW Internal Medicine 3rd year clerkship.

Dr. Bush completed 6.5 years on the Residency Review Committee for Internal Medicine in 2009, appointed by ACP. During this term, he chaired the Educational Innovation Project subcommittee. He serves on the ACGME/ABIM Competency Milestones Writing Group.

He serves on the test-writing committee for the American Board of Internal Medicine Self Education Program, and on the workgroup for the Primary Palliative Care Practice Improvement Module.

Since January 2011, he has served as an ACP appointee on the Board of Commissioners of the Joint Commission, where he is a member of the Standards and Survey Procedures committee, and the Achieving High Reliability in Healthcare Special Interest Work Group.
Dr. Bush is regarded by his colleagues as an outstanding physician and teacher, mentor and leader, with important contributions regionally and nationally. His multi-faceted career shows exceptional dedication, service and leadership in medical education and clinical medicine.

Internist of the Year
Each year the chapter seeks to honor a community-based internist considered to be a role model by his or her peers, who possess excellent clinical skills, dedication to patients, enthusiasm for medical practice leadership, and the ability to balance between professional and personal interests that we can all strive to emulate.  This year's recipient of the Internist of the Year Award goes to Judy A. Benson MD FACP, Spokane.
Subsequent to traditional private practice, Dr. Benson assumed a growing teaching role in the core internal medicine faculty, then directing a transitional-year residency program, and currently as the director of the IM residency program through a period of growth and a shifting structure in the regional medical community.  She has not only contributed with integrity in each of these leadership roles, she has also nurtured and helped to cultivate other physicians, young and old, into further meaningful contributions beyond patient practice. (Internist of the Year, Judy A. Benson MD FACP, pictured with Awards Chair, Paul Smith MD FACP)

Golden Apple Award
With this award, the chapter honors volunteer teachers who have made a substantial contribution to the education of medical or other health profession students in his or her community.  This year's Golden Apple Award recipient is Henry Mroch MD, Spokane. 

From his first days as a resident to fellow, and now a practicing nephrologist at Kidney Care Spokane, Dr. Mroch has made teaching students and residents a routine in his practice. His joy of teaching is palpable. With paper and pen in hand, Dr. Mroch diagrams his way to getting his learners to understand. His method makes the most complex of topics accessible and memorable.

(Golden Apple Award Recipient, Henry Mroch MD, pictured with Matt Hollon MD FACP)


Community Service Award
In recognition of an internist or group of internists who have an exceptionally positive impact on their community through volunteer activities. The recipient of this year's Community Service Award is Robert L. Coffey MD, Mount Vernon.

Dr. Coffey has volunteered as a high school math and science teacher/tutor while practicing pulmonary medicine in Skagit Valley. Now retired, he continues to volunteer teaching DO students at Skagit Valley hospital for internal medicine rotations.  He is a school board member for the Mount Vernon School District.

(Community Service Award Recipient, Robert L. Coffey MD, pictured with Awards Chair, Paul Smith MD FACP)


Outstanding Student in Internal Medicine
The recipient of the 2011Washington Chapter ACP Outstanding Medical Student Award was presented to Jehan Budek at the Washington chapter meeting in November. Jehan is applying for residencies in Internal Medicine with a career goal of academic General Internal Medicine. She has excelled throughout her medical school career. She was elected to Alpha Omega Alpha in April and serves as the secretary for the UW AOA chapter. Jehan has superb clinical skills, a deep medical knowledge base, and is a warm, caring person. We believe she has great potential to be a future leader in the field of Internal Medicine.
2012 Associate and Student Competitions

By Christopher Knight MD FACP & Melissa (Moe) Hagman MD FACP   

Associate competitions at the 2011 chapter meeting included oral presentations, poster presentations, and the always popular Jeopardy match.  We were lucky to have the opportunity to learn from our Associate colleagues.  Dr. Julie Silverman (UWMC) won the oral presentation competition. For her efforts, Dr. Silverman won a trip to the National ACP meeting in New Orleans April 2012.  Dr. Beverly  Mielke (UWMC) won the poster competition and an award of $750 towards her choice of ACP educational materials and/or products. 


(Associate Competition Winner, Julie Silverman, pictured with Linda Bavisotto MD FACP)

In the Medical Jeopardy competition, all four Associate teams performed well. The final Jeopardy question reminded those in attendance that right-sided ECGs are best used to diagnose right-sided myocardial infarctions (not posterior myocardial infarctions). Some confusion over the correct answer to this question, however, led to no clear winner.  As a result, one member from each of the Associate teams will work together to represent Washington state at the National ACP Doctors Dilemma competition in New Orleans April 2012. The Washington team members are: Drs. Aparna Padmaraju (Spokane), Pamela Meyers (MAMC), Kavita Chawla (VMMC), and Scott James (UWMC).


This year's competitions also included a medical student poster judging. Taking home first place and a $250 award for ACP educational materials and/or products, was Nick Welter.

Women in Medicine
By Linda Bavisotto MD FACP, WIM Committee Chair

The WIM interest group took advantage of the large group of attendees at the annual chapter scientific meeting in November to hold an informal dinner Friday, November 4, as well as the WIM interest group breakfast break-out session on Saturday, November 5, where Dr. Linda Bavisotto and chapter Governor Dr. Carrie Horwitch led a discussion on Women Physicians and Leadership: Changing the Face of Medicine. 

This past autumn we also enjoyed the start-up of an ongoing series of informal gatherings to enjoy conversation and dim sum, which have been well-attended. The first one on October 1 was held at New Hong Kong restaurant in Seattle's International District, and the second on December 3 was held at Top Gun Seafood Restaurant in Bellevue.  We are planning a spring event around the topic of career re-entry for physicians who take short or longer leaves of absence from work, with details and date to be announced.

Dim Sum Around the Sound
The WIM interest group will continue to meet the first Saturday of every other month (even numbered months) at various dim sum restaurants around Puget Sound for informal no-host gatherings, a great opportunity for conversation, networking, and enjoying some delicious small bites. The upcoming dates and locations listed below are also posted on the chapter website. Save the dates, and plan to join us.

February 4 - Imperial Garden Seafood Restaurant in the Great Wall Mall, Kent - 10 AM

April 7 - Zen Garden Restaurant, Mill Creek - 10 AM

June 2 -
Macky's Dim Sum and BBQ, Issaquah - 10 AM

Please RSVP your interest to attend any of these events to Kemi Nakabayashi (kemin@pacmed.org), to facilitate reserving tables in advance.  If you would like to receive email reminders of upcoming WIM events, please mention your location and send your email address to Linda Bavisotto at (PortaClinica@gmail.com), and we will add you to the list.
Membership Committee News
By Kemi Nakabayashi MD FACP

Happy New Year!  I would like to thank Drs Tara Nysoe and Mike Geist for their participation on the council and outreach to members and hospitalists in Snohomish county and in Bellingham.  Saleem Memom and Sandeep Sachdeva remain on our council and will continue to work to enrich our hospitalist members through ACP benefits.  Please give our council members support and ideas for events throughout the state and let your colleagues know that we are striving to increase the value of ACP membership with different programs and events. 

In addition, applying for fellowship in ACP is more streamlined through the online application from the ACP website
If you need additional information or assistance in identifying fellows in Washington to provide the supporting letters, please feel free to contact me as part of my role as your chapter membership chairperson.  Fellowship applications successfully processed this year will allow for participation in the convocation ceremony at Internal Medicine 2013 which will be back on the west coast in San Francisco.

Here's to another fulfilling year!
Recruit-a-Colleague Program

Recommend ACP Membership to your colleagues and earn a significant discount on your membership dues or even free membership. Help strengthen the voice of internal medicine - recommend ACP Membership to your colleagues!

The need for a strong voice to speak on behalf of medicine and, in particular, internal medicine has never been greater than it is today. It is critically important that we unify to address the specific needs of our medical specialty. There are advocacy efforts to champion, practice management issues to simplify, and a time-honored profession to foster. There is strength in numbers. Together, we can change the direction of internal medicine.

Ask your colleagues to join ACP today. To thank you for your time and effort, we offer the following recruitment program. Between now and March 15, 2012:

*    Recruit one colleague and receive a $100 credit toward your 2012-13 annual dues
*    Recruit two colleagues and receive a $200 credit toward your 2012-13 annual dues
*    Recruit three colleagues and receive a $300 credit toward your 2012-13 annual dues
*    Recruit four colleagues and enjoy free annual dues in 2012-13

Plus, for every Member recruited within the promotional period, you will receive an entry into a grand-prize drawing for a trip to Internal Medicine 2013 in San Francisco, California that includes registration, airfare (up to $500), and four days of hotel accommodations.

To be considered a "recruited" Member, your colleague must:
*    Be a nonmember who is eligible for the "full" ACP Member category and pay $100 or more in dues.
*    Submit a Membership application, along with his or her dues payment, between April 1, 2011 and March 15, 2012.
*    Write your name in the recruiter box on the top of the Membership application.**

Send a recruitment e-mail to a colleague today, or download and print an application to personally deliver.

You may also request a Membership Inquiry Kit from Customer Service at 800-523-1546, ext. 2600, (M-F 9 a.m. - 5 p.m. ET).

It is the collective effort that makes a difference. Call on the support of your colleagues today.
Nurses, Physician Assistants, And Others Now Can Join ACP as Affiliate Members

ACP has expanded its domestic Affiliate membership category to include a variety of allied health professionals, such as physician assistants; nurse practitioners and other advanced practice nurses; registered nurses; pharmacists and doctors of pharmacy; and clinical psychologists.

The College has long been supportive of patient-centered care delivered in a team-based environment. Allied health professionals that work with internal medicine physicians can benefit from the College's resources and increased collaboration with ACP's physician members.

ACP Non-Physician Affiliate members have online access to a variety of benefits, including Annals of Internal Medicine®, featuring In the Clinic® and ACP Journal Club® access to the College's practice management and quality improvement tools, and, the Physicians' Information and Education Resource (PIER) ®. In addition, they receive discounts on many of the College's products and services, such as Internal Medicine 2012 and MKSAP 15®.

Non-Physician Affiliate members do not have voting privileges, and will not be able to hold office or become a Fellow in the College. Dues for the Non-Physician Affiliates are $119.

To learn more, or to share this opportunity with allied health professionals in your office, visit www.acponline.org/npaffiliates.
Osler Club Report
By Russell Berg, Osler Club Chair

The Fall Quarter was a busy one for the Osler Club! Our first program was "Internal Medicine Specialist Panel: The Physician-Patient Relationship," held November 9th. Our panelists included Drs. Carey Farquar (Infectious Disease), Karen Stout (Cardiology), Paul Smith (Outpatient Internist), Lupe Salazar (Oncology), and Andrew Luks (Pulmonology - Critical Care).  Approximately 60 medical students attended and enjoyed dinner courtesy of the WA-ACP. Thank you!

Our students attended the annual WA-ACP Scientific Meeting, and participated in the first Medical Student Poster Competition.  The following students presented posters: Anthony Guynes, Kendra Coonse, Isis Smith, Jasleen Tiwana, Joshua Gulvin, Kelsey Wertzler, Simran Kang, Russell Berg, Seth Stratton, Nick Welter, Daniel Bushyhead, Patrick Sanger, Krasimira Mikhova, Wade See, Nicholas Vaudreuil, Amrit Lamba, and Michelle Christopher. Congratulations to first prize winner Nick Welter and runner up Daniel Bushyhead! Also a special thanks to Jan Larsen and Dr. Carrie Horwitch for help organizing the student poster session and judges Drs.Genevieve Pagalilauan, Angel Platas, Ki Shin and Michael Soung.

Finally, Dr. Kemi Nakabayashi organized another great "Dim Sum Around the Sound" event on December 3 for the Women in Medicine Group at Top Gun Seafood in Bellevue. Students Caitlin Allen and Liz Clark attended and chatted with Drs. Ellen Cosgrove, Deepthi Mani, Lisa Plymate, Monica Yepes Rios, Susan Marcolina, Nellie Nanda, Kemi Nakabayashi and Jasmin Zhai. Thank you Kemi, and we look forward to organizing another Dim Sum Around the Sound for the Winter Quarter!
Mentorship Brunch for Medical Students

by Russell Berg and Kemi Nakabayashi, MD, FACP


Due to the appeal of the Dim Sum Around the Sound events, we have organized a mentorship brunch dedicated to all interested medical students on Saturday morning, February 18, 2012  at 10 a.m. at the New Hong Kong Restaurant in the Pacific Rim Center building, 900 South Jackson Street in Seattle. (Telephone 206-223-7999)  Free parking is available.  The chapter will subsidize the cost of student meals. Physicians in practice are encouraged to join the brunch. Please RSVP to Kemi Nakabayashi, MD, FACP at kemin@pacmed.org if you wish to attend.

Mentors Needed!

Have you wanted to be more involved but felt that your time is limited?  Here is a way for you to stay in touch with the UW School of Medicine and help our ACP chapter.  Medical students, residents, and fellows often appreciate the opportunity to ask questions and hear about life after training.  If you are interested and willing to chat by telephone or e-mail with our associate members, please let us know.  The first opportunity for willing mentors will be to join us at the Mentorship Brunch for Medical Students on Saturday morning, February 18.  Physician couples are particularly welcome to attend the brunch as mentors (and bring your kids) for a family opportunity.  Please contact Kemi Nakabayashi, MD, FACP at kemin@pacmed.org if you are interested in attending the brunch. You may also contact any council member, so that we can provide your name and your preferred contact information to associates who wish to be matched with a mentor. 

Council of Young Physicians
by Viral Shah MD FACP

Time flies by fast. It has been almost two years since your Council of Young Physician came into existence. My term as its President comes to an end. It is my pleasure to announce that Dr. Lili Yao will lead your Council as its next President. Dr. Yao is a primary care physician at MultiCare in Tacoma.

Your Council plans to host a dinner symposium on "Building Wealth for Young Physicians". This will be a presentation and Q&A on personal financial planning. As young physicians, we see a significant increase in our income upon graduating from residency/fellowship. With this seminar, we hope to provide you with information that will enable you to make informed decisions with the available financial resources and to improve future financial stability. This event will take place in March or April. The exact date and venue are under consideration. The nature of the presentation will be educational without commercial bias. If you'd like a specific topic covered, please email your question / topic to Jan Larsen at jal@wsma.org and we will consider it for inclusion in the talk.

On behalf of the Council, I would like to thank Dr. Carrie Horwitch for her continued support. I would also like to thank Drs. Tara Nysoe and Romil Wadhawan for their enthusiasm and hard work in support of your Council.

I wish you the best for a Happy and Prosperous New Year!
Welcome New Members

We are pleased to welcome the following new members since November 2011.

Ranu Choudhary, MD, Bellevue
Lauren A Crowley, MD, Seattle
Dhananjay Deo, MD, Kennewick
Patrick Z Desgranges, MD PhD, Seattle
Christopher D Giedt, MD, Nordland
Jennifer Hines, MD, Issaquah
Shilpa Jog, MD, Everett
Midori K Larrabee, MD, Woodinville
Ken P Lee, MD, Olympia
Young H Lee, MD, Tacoma
Amy S Martens, DO, Richland
Qayyum Nazar, Kennewick
Johnathan Nguyen, Bellingham
Gemma C O'Keeffe, MD, Nordland
Jennifer G Poole, DO, Seattle
David H Ramenofsky, MD, Seattle
Joel Peter M Tan, MD, Gig Harbor
Young J Whang, MD, Lakewood
Jeanie C Yoon, MD, Seattle
Congratulations New Fellows

We are pleased to announce the new Fellows in Washington Chapter since November 2011.

Jason F Eintracht, MD, Seattle
Michael F Mena, MD, Seattle
Rudolph A Rodriguez, MD, Seattle
Romil Wadhawan, MBBS, Lacey
Update on Internal Medicine - Register Now!
by Matt Hollon, MD MPH FACP, HollonM@intmedspokane.org

Earlier this year the executive council of our Washington State ACP chapter made the historic decision to reach out to our colleagues in Eastern Washington by partnering with the Spokane Society of Internal Medicine (SSIM) and becoming the lead sponsor for SSIM's 2012 annual meeting.  The 63rd annual Update in Internal Medicine will be held at the Spokane Convention Center on February 24-25, 2012.  Mark your calendars!

In becoming lead sponsor of the SSIM meeting the Washington Chapter of ACP will have a new and notable presence for members and internists across our state from the renowned annual chapter meeting in November in Seattle to the SSIM meeting in Spokane in February. Most notably, ACP members will be offered discounted registration to the SSIM meeting.  For further details of the meeting please see the SSIM website http://www.spokanesocietyim.org/ and the attached brochure for registration.

If attending the SSIM meeting don't miss the ACP interest breakfast on Saturday morning.  We will provide an update on ACP activities regionally and nationally and offer a short session on advancing to fellowship in the College.

All in all, the SSIM meeting will be an amazing opportunity for both hospital-based and office-based internists, as well as other specialists and primary care providers to hear updates on a broad range of areas relevant to the care of the adult patient and receive up to 12 Category I AMA PRA credits.  And since the long-range weather forecast is for another La Nina winter (lots of snow in the Northwest) for those traveling to Spokane, consider making an extended weekend out of it (meeting ends midday Saturday) by visiting one of the five major ski areas (Schweitzer Mt., Silver Mt., 490 North, Mt. Spokane, Lookout Pass) within a 2 hour drive from downtown Spokane.
Medicaid Will No Longer Cover Non-Emergent ED Visits (WSMA Jan 5, 2012)

At the end of December, Washington's Health Care Authority announced that effective April 1, 2012, Medicaid will not pay for any non-emergent visits. The issue of concern is what criteria the HCA will now use to determine a non-emergent visit. Taking this step, the HCA believes it will be acting on existing authority, treating this decision as a utilization management issue, and as such does not need to submit a state plan or go through rule making to proceed.
WSMA continues discussions with our partners (WSHA, WA-ACEP, WCAAP, WC-ACP and WAFP) on this issue. The WSMA remains committed to finding a more reasonable solution.

New Patient Brochure May Help: The WSMA has a new patient brochure that helps guide patients when deciding where to seek care. Created in conjunction with the hospital association, the brochure describes the differences between the care offered at your doctor's office, urgent care clinics and hospital emergency rooms, and when you should consider visiting each. To order copies of this brochure for your office, contact Justin Dale at the WSMA Seattle office at 206.441.9762, 1.800.552.0612 or jod@wsma.org.
Medical Home Builder - ACP Practice Solutions

The ACP Medical Home Builder (MHB) tool provides affordable, accessible, online guidance to help identify opportunities for practice improvements and, if desired, prepare your practice for recognition as a Patient-Centered Medical Home (PCMH).

Designed for all practices, ACP's Medical Home Builder will help:
*    Improve office efficiency
*    Increase patient satisfaction
*    Optimize patient care
*    Develop policies and procedures with downloadable forms
*    Prepare for PCMH accreditation or recognition

Click here for a link to the brochure.
ACP in South East Washington Celebrates 10th Anniversary of What's New in Medicine 2011

WNIM Conference

ACP Fellows Dinner at What's New In Medicine Meeting, September 9 & 10, Tri-Cities, WA. Current and future fellows of the American College of Physicians in the Tri-Cities area.


In May 4, 2002, the Southeast ACP-ASIM district, in coordination with the Benton County Medical Society held its first continuing educational conference at the Tri-City Coliseum, Founders Club in Kennewick, Washington. The theme was "What's New in Medicine, 2002."

Dr. David Dale, then WC-ACP governor, helped spearhead the meeting and met briefly with the organizers of the meeting: Roderick Coler, Teresita Clair De Jesus, Stephen Ewer, James Newman , Luzcel Tuazon, and Jimmy Chua (Coordinator for the SE Washington ACP-ASIM). There were 76 participants, 8 topics, and 10 speakers that comprised the first conference in Southeast ACP-ASIM district.  

From then on, the ACP in South East Washington have been holding Annual CME courses and grew in members, fellows (FACP) and participation in the college activities.

With the encouragement of ACP, the theme of What's New in Medicine became the name of the new 501c3 organization, forming from the initial South East Washington ACP in 2008.  Each annual CME meeting also features a FACP evening, where future FACP candidates are presented to the chapter governor, and the FACP candidates present a short speech to the ACP Washington Governor, family members, and current FACP Fellows.

Nine years later, the What's New In Medicine conference has grown to 330 participants, 24 topics, and 19 speakers.

The picture includes committee members:  Fadi Akoum, Fareed Arif, Melissa Baughman, Maqsood Bhatti, Somprak Boonpongmanee, Jimmy Chua, Marlene Chua, Dany Ghannam, Heather Hill, Larry Jecha, Wassim Khawandi, Ernesto Madarang, Asif Malik, Flint Orr, Muthulakshmi Ramesh, Evelyn Rubin, Noda Torres, Kishore Varada and Nalini Vassa. (Not in Picture, Lynne Allen, Ellen Ang, Jennifer Aquino, Roderick Coler, Garret De Castro, Sandeep Joshi, Hani Murad, Obioma Onuorah, Jason Paslean, Quinn Smith and Feyi Ward)
2012 Calendar of Events

Jan 23           WSMA Legislative Summit, Olympia
Feb 24 & 25   SSIM Update on Internal Medicine, Spokane
Apr 19 - 21     ACP Internal Medicine 2012, New Orleans, LA
June 6 & 7     ACP Leadership Day, Washington D.C.
Sept 7 & 8     What's New in Medicine, Tri-Cities
Nov 1 -3         WC-ACP Annual Scientific Meeting, Seattle
The Washington Chapter regularly sends messages about its programs and services of interest to members. The Chapter has contracted with Constant Contact to facilitate this service. ACP respects your privacy and will not sell or lease, or share your email address with any organization except for the purpose of communicating with members about Chapter business.

This email was sent to jspahr@acponline.org by jal@wsma.org |  
Washington State Medical Association | 2033 6th Ave Ste 1100 | Seattle | WA | 98121