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Governor's Newsletter, Spring - 1999

ACP-ASIM National Meeting

The second meeting of the merged American College of Physicians and American Society of Internal Medicine was held in New Orleans, LA, April 22-25, 1999. Well over 6,000 individuals attended this meeting, the largest attendance ever at a college meeting.

While there were many superior educational and "fun" activities at this meeting, one of the highlights for the Wisconsin Chapter of the ACP-ASIM was the induction of 25 of our members to fellowship. Fellowship in the ACP-ASIM is an honor bestowed upon members who have shown superior achievement in the practice of internal medicine. Listed below are the 25 members who were inducted to ACP-ASIM fellowship.

David A. Cleveland, MD
Michael Dawson, MD
Edsel G. Doreza, MD
Kulwinder S. Dua, MD
Mark A. Gennis, MD
Virginia M. Gennis, MD
Roderick D. Koehler, MD
Benson T. Massey, MD
John K. McGuire, MD
William A. Morgan, MD
Ann Nattinger, MD
Carrie J. Nelson, MD
Jane L. Neumann, MD
Thomas P. Peller, MD
Jeffrey S. Postles, MD
Lisa C. Ramsay, MD
Ann K. Rosenthal, MD
Kayvon H. Safavi, MD
Meenaxi D. Shah, MD
Linnea J. Smith, MD
Jean M. Switala, MD
Mohammad Tinawi, MD
Jerome V. Van Ruiswyk, MD
Bennett S. Vogelman, MD
David E. Weissman, MD

Congratulations to all of you for your hard work and achievement. We hope you will continue to be an active member of the ACP-ASIM. We look forward to your involvement in our chapter and
national activities.

Advancement From Membership To Fellowship

Fellowship in the ACP-ASIM has been awarded to approximately 25% of our national membership.

"How do I advance from Membership to Fellowship?" is a question frequently asked by you, the ACP-ASIM members. While I realize we have printed this previously in our Newsletter, below, is a summary of the requirements and pathways that a candidate must fulfill and/or meet in order to become a Fellow of the College.


  • be certified by the American Board of Internal Medicine, the Royal College of Physicians and Surgeons of Canada or the American Osteopathic Board of Internal Medicine;
  • have been a member in good standing for two years in either ACP or ASIM and have held a position in practice or in academia for at least two years since completion of training;
  • have an active medical license in good standing (if in clinical practice);
  • have confined professional activity to internal medicine or a subspecialty of internal medicine;
  • be proposed and seconded with detailed letters of support from two current Masters or Fellows with reference to character, ethics and medical activities, and outlining professional contributions and accomplishments;
  • be endorsed by the appropriate ACP-ASIM Governor;
  • have shown continuing scholarship and professional accomplishments; and
  • document continuing professional activities, including teaching (both institutional and community-based); hospital committee work; public service and community activities; and participation in continuing medical education activities as both a student and teacher.


The College has established four Pathways that serve as guidelines to qualify for Fellowship. For each of the following pathways, the candidates must meet the basic requirements listed above.

Pathway 1: Members must have demonstrated skill in written medical communication.

Pathway 2: Members must have significant and continuing certification activities and/or teaching (both institutional and community-based), and/or community activities that indicate professional achievement and scholarship; they must have undergone recertification, or they must have participated in the Medical Knowledge Self-Assessment Program (MKSAP) with a passing score. In addition, subspecialty certification or certificates of special competence in adolescent medicine, critical care medicine, clinical cardiac electrophysiology, geriatrics, or sports medicine can qualify a candidate for this pathway, but are not adequate by themselves.

Pathway 3: Members must have been active members in ACP or ASIM for at least 10 years, with substantial participation in programs and activities, as well as demonstration of other professional accomplishments.

Note: Outstanding candidates who have been active Members for fewer than 10 years may qualify by combining Pathways 1 and/or 2 with Pathway 3.

Pathway 4: Members must have distinguished professional activity in teaching, patient care or professional service over many years.

Candidates must document each pathway; however, a candidate may be accepted without fulfilling one pathway if his/her work in other pathways is deemed outstanding by the Credentials Committee. For a complete copy of the "Requirements for Advancement from Membership to Fellowship" and/or an advancement to Fellowship proposal, contact your local College Governor or call ACP-ASIM Customer Service at (800) 523-1546, ext. 2600. The "Requirements for Advancement from Membership to Fellowship" can also be found on the College's web site at www.acponline.org/college/membership/required.htm.

Richard And Hinda Rosenthal Foundation Award Given To ACP-ASIM Wisconsin Chapter Member Dr. Linnea Smith

Dr. Smith practices medicine in Iquitos, a remote area of the Peruvian Amazon, providing modern health care to 5,000 to 10,000 patients who come to her via dugout canoes or by foot. Her one room clinic has grown impressively since she began taking care of patients in the region. Her Amazon Medical Project employs local residents, trains local medical personnel and educates anyone interested in family planning, community hygiene and health services.

For her recent innovative work in making a notable contribution to improving clinical care in the field of internal medicine, the Board of Regents has presented the first Richard and Hinda Rosenthal Foundation Award to Dr. Linnea J. Smith.

Receiving Dr. Smith's letters detailing her day-to-day practice is quite a humbling experience. The Wisconsin ACP-ASIM congratulates her on her courage and selflessness in the practice of internal medicine. Communication with Dr. Smith can be accomplished through her e-mail at amp@mail.midplains.net

Y2K Bug: Terminal Illness For Elderly Software?

For the past few months, Y2K articles have dominated the headlines. But according to the recent findings of the U.S. Senate Special Committee on the Year 2000 Technology Problems, health care professionals are the least prepared for dealing with the Y2K problems. In fact, the Committee found that most physicians' offices are unaware of the crippling affect that the Y2K bug can have on their practices.

Practice management software is a particular risk because its failure could disrupt practice operations, and vendors are not supplying Y2K retrofits for some older practice management software products. Practices owning such products are left with little choice but to purchase replacement systems, and the time remaining in which to accomplish such a complex selection and installation, is growing desperately short. Experts predict that by mid-year, vendor backlogs could develop that would push new installations into the year 2000.

As a result of these disturbing reports, the ACP-ASIM has stepped up its efforts to educate its members on how they can make their practices Y2K compliant before it's too late. The College has developed a comprehensive web site, which can be accessed from ACP-ASIM Online at www.acponline.org/y2k. This site includes staff-written articles on how to cope with the Y2K problem; guides, checklists, and educational opportunities to help evaluate, compare and select Y2K compliant software; and links to major outside web sites.

The College's Center for a Competitive Advantage (CAA) has two, free informational packets available to members through Customer Service, Selecting a Software System and Electronic Medical Records. Call Customer Service at (800) 523-1546, ext. 2600 or (215) 351-2600. Members can also call CCA at (800) 338-2746, ext. 4553, or the College's Medical Informatics Department (800) 523-1546, ext. 2572, for more information about Y2K compliance issues.

Other informative medical Y2K web sites include:

http://irm.cit.nih.gov/y2000/- the National Institutes of Health's (NIH) web site for medical schools and teaching hospitals; and

www.ama-assn.org/not-mo/y2k/help.htm- the AMA's web site.

Wisconsin Chapter Acp-Asim Receives Two Evergreen Awards

The ACP-ASIM Evergreen program is in its seventh year of recognizing chapters for their outstanding efforts and activities at the local level. Twenty-two nominations were received this year, detailing chapter initiatives that represent a full spectrum of programs and activities.

The award categories reflect the College's direction. They include Advocacy, Associates, Education/Communications, Medical Students, Membership Enhancement and Volunteerism/ Community Service.

The Wisconsin Chapter of the ACP-ASIM was fortunate to receive two Evergreen Awards. The first award was for an Associates program. In this program, we have been able to publish all of the Associates abstracts and vignettes presented at the yearly chapter meeting. This program has given the participants enthusiasm for presenting their work and the satisfaction of having it published. The second award was for the Reachout program developed by Dr. Rebecca Beyers at the University of Wisconsin Hospitals and Clinics. Through this program, a network of physicians has been established for medical student summer fellowships.

Congratulations to all who have participated or developed these programs. You have brought great honor to the Wisconsin ACP-ASIM Chapter.

Resident And Fellow Career Counseling Program

In a recent survey conducted by the American Medical Association, 22% of graduating internal medicine residents reported significant difficulty in finding a practice position; 12% received only one job offer; and 21% reported that the offered salary was lower than expected. While this study has been criticized for methodological flaws, including low response rates and reporting bias, the fact remains that physician career counseling has been neglected in an era of increasing need.

ACP-ASIM is stepping up to fill this need. The Departments of Education and Career Development and Advertising Services have collaborated to create an online resident and fellow career counseling program (www.acponline.org/careers). This program will be valuable to individual residents and fellows as they prepare to enter the job market during their last year of training, and to program directors and department heads wishing to create a career counseling curriculum for their trainees.

The Career Counseling web page consists of a series of articles that addresses tasks that need to be completed during the last training year, or presents data critical to making informed career decisions. The informational articles are organized along a time line, representing the last twelve months of training. The articles are presented on the time line at those points when the resident should be performing the task, or when the information is most likely to be useful in making career decisions. Regardless of when the article is presented on the time line, residents and fellows may select any article for review that catches their interest or fulfills a given need. Examples of available articles include Planning a Career Strategy; Types of Practices; Workforce Issues; Practice Data; Writing a Resume or Curriculum Vitae; Soliciting Letters of Recommendation; Tips for the First Interview; Malpractice Insurance; and others. Each month, a new task oriented or informational article is added to the time line, enriching the resource.

As an additional service, an e-mail contact form will be available to residents and fellows who have additional questions. The ACP-ASIM staff will answer the questions, or refer them on to other experts.

Governor's Note

Any comments or questions regarding this newsletter or other issues, please contact the Chapter Office at 600 Highland Avenue, H6/368, Madison, WI , 53792-3244 or call (608) 263-3457 or e-mail at fmg@medicine.wisc.edu