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May 2012


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ACP Internal Medicine 2012 Highlights
New Orleans, Louisiana

Internal Medicine 2012, ACP's premier annual meeting, was held in New Orleans, Louisiana from April 19-21, 2012 and had an attendance of over 6,400 physicians. The event featured more than 260 workshops, lectures, panel discussions, and interactive courses for doctors of internal medicine and its subspecialties.

At the Convocation ceremony on April 19, over 500 physicians were inducted as ACP Fellows and recognized for their medical scholarship and achievement. Individuals and organizations were presented with twenty awards in recognition of their contributions to the science and practice of medicine. Nearly fifty Masterships were presented, and the College bestowed Honorary Fellowships to eleven Presidents of International Internal Medicine Societies.

Following the ceremony, members, friends, and families gathered at the annual ACP International Reception that included over 300 international internal medicine leaders and attendees along with ACP leaders. During the reception, Virginia L. Hood, MBBS, MPH, MACP, ACP President, gave a few words to welcome everyone.

ACP was honored to host presidents and representatives of internal medicine societies from around the world. The international delegates were part of the stage party in the Convocation ceremony. They also participated in ACP’s 6th Annual International Forum, entitled “High-Value, Cost-Efficient Management of Chronic Non-Communicable Diseases”. The Forum provided an opportunity for ACP leaders and the presidents and special representatives from international internal medicine societies to discuss this important topic that crosses national boundaries and affects the health care of people around the world.

On Saturday, April 21, new ACP officers started their terms. David L. Bronson, MD, FACP, of Cleveland, OH, became the 2012-2013 ACP President; Phyllis A. Guze, MD, FACP, of Los Angeles, CA, became the 2012-2013 Chair of the Board of Regents; Molly Cooke, MD, FACP, of San Francisco, CA, became the ACP President-elect; and Charles Cutler, MD, FACP, of Norristown, PA, became the Chair-elect of the Board of Regents.

Internal Medicine 2013 will be held April 11-13, 2013 in San Francisco, CA. For more information, please visit: http://im2013.acponline.org/.

Honorary Fellows

Honorary Fellows at Convocation

Left to right, back row: Dr. Norbert Lingling D. Uy, President, Philippine College of Physicians; Dr. Ernesto Alcantar Luna, President, Mexican College of Internal Medicine; Dr. Margus Lember, President, Estonian Society of Internal Medicine; Dr. Jean-Michael Gaspoz, President, Swiss Society of Internal Medicine; Dr. David Alejandro Yaxcal, President, Latin American Society of Internal Medicine (SOLAMI); Dr. Alan Ng Wei Keong, President, College of Physicians of Singapore; Dr. Sandhya Kamath, President, Association of Physicians of India.

Left to right, front row: Dr. Javier Garcia Alegria, President, Spanish Society of Internal Medicine; Dr. Maria Cristina Jimenez Bazzano, President, Paraguayan Society of Internal Medicine, Dr. Virginia Hood, 2011-12 ACP President; Dr. Yul Ejnes, 2011-12 Chair, ACP Board of Regents; Dr. Joachim Mossner, President, German Society of Internal Medicine; Dr. Haim Bitterman, President, Israel Association of Internal Medicine.

Special Representatives

Special Representatives at Convocation

Left to right, back row: Dr. Louis Hugo Francescutti, President, Royal College of Physicians and Surgeons of Canada; Dr. Pei-Ming Yang, President, Taiwan Society of Internal Medicine; Dr. Youming Li, President-Elect, Chinese Society of Internal Medicine; Dr. Erdal Akalin, Past President, Turkish Society of Internal Medicine; Unknown; Dr. Kammant Phanthumchinda, President, Royal College of Physicians of Thailand; Dr. Rolando Vasquez, Secretary General, Peruvian Society of Internal Medicine.

Left to right, front row: Dr. Ian Anderson, President, Royal College of Physicians and Surgeons of Glasglow; Dr. Guillermo Acuna, President, Chilean Society of Internal Medicine; Dr. Aru Sudoyo, President, Indonesian Society of Internal Medicine; Dr. Virginia Hood, 2011-12 ACP President; Dr. Yul Ejnes, 2011-12 Chair, ACP Board of Regents; Dr. Hans-Peter Kohler, Secretary General, International Society of Internal Medicine; Dr. William Hall, President, International Society of Internal Medicine; Dr. Miguel Angel Falasco, President, Buenos Aires Society of Internal Medicine.


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Photos from Internal Medicine 2012

ACP Internal Medicine 2012
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New International Masters and Awardees

The following international physicians were awarded Mastership at Internal Medicine 2012.

Masters (MACP) comprise a small group of highly distinguished physicians who have achieved recognition in medicine by exhibiting a preeminence in practice or medical research, holding positions of high honor, or making significant contributions to medical science or the art of medicine. Mastership is considered a special class of membership. However, Masters are selected confidentially by the Awards Committee from among Fellows and are not self-nominated. More information regarding awards is available at http://www.acponline.org/awards. Nomination materials are due by July 1, 2012.

Dr. Aljurf

Mahmoud Aljurf, MBBS, MACP
Riyadh, Saudi Arabia












Dr. Hidalgo

Jorge L. Hidalgo Sr., MD, MACP
Belize City, Belize












Dr. Jacobs

Peter Jacobs, MD, MACP
Cape Town, South Africa














Dr. Ueno

Fumiaki Ueno, MD, MACP
Kamakura, Kanagawa, Japan












Richard and Hinda Rosenthal Award Winner

Dr. Wolff

Marcelo J. Wolff, MD, FACP
Santiago, Chile















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ACP Leaders on the Road: South Africa

Yul Ejnes, MD, MACP

In early April, I represented ACP at the “International Conference of College and Academy Presidents and Masters” in Cape Town, sponsored by The Colleges of Medicine of South Africa. Leaders from medical organizations in many specialties attended the conference. Most were from Africa and Asia, but there were also representatives from the United Kingdom, Ireland, Australia, and Canada. Unlike ACP, which focuses on education, most of the Colleges represented at the meeting are also certifying bodies. Some are also involved with postgraduate education.

Left to right: Dr. Tan Kok Chai (Master, Academy of Medicine of Singapore), Dr. Louis Francescutti (President, Royal College of Physicians and Surgeons of Canada), Dr. Olasurubomi K. Ogedengbe (President, West African College of Surgeons), Dr. L. D. Britt (Immediate Past President, American College of Surgeons).

Among the topics that we discussed were recertification, medical litigation, and medical migration. Many of the challenges that the other organizations face are similar to those that we face in the US. In most of the other countries represented at this conference, recertification does not involve an examination. It is based on continuous professional development (CPD) that is primarily CME based. The challenge has been to get physicians to participate in CPD, as well as making certain that the recertification process does not interfere with the physician’s workflow. Medical litigation is a problem in most of the countries. Some are using “no fault” processes to make the system fairer and more efficient.

I found the discussion of medical migration, or “brain drain,” very interesting. All of the African and Asian countries represented at the conference face loss of medical graduates to Europe and North America. We discussed the implications of this phenomenon and possible solutions. While medical migration creates workforce issues and is costly to the countries that educate and then lose new doctors, the participants agreed that the right of a physician to decide where he or she will live and practice must be respected. We agreed to continue this dialogue among the organizations to continue the exchange of ideas and work towards solutions to some of the problems that we discussed.

Following the meeting, I had a chance to spend a couple of days traveling around the Cape Peninsula and Western Cape area, and enjoyed the beautiful natural attractions, historic sites, friendly residents, and excellent restaurants. I also found time for a safari and a visit to the area’s well-known wine producing region.

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ACP Leaders on the Road: Japan

Fred Ralston, Jr., MD, MACP

Dr. Ralston (back row, center) poses with members of the ACP Japan Chapter Board

Recently, I had the privilege of representing the College at the Japan Chapter meeting. The meeting was held April 14, 2012 at Kyoto University in Kyoto, Japan. Last year the ACP Japan Chapter conference was canceled due to the Great East Japan Earthquake. This year’s meeting was special not only because it occurred after a two-year interval but also because it is the first time that the chapter has had a meeting independently of the Japanese Society of Internal Medicine (JSIM). The number of members in the Japan Chapter has been increasing significantly. Next year for the first time they will meet totally independently at a separate time and location from JSIM.

The morning session began with a Western Style Case Discussion presented by the Associates and Medical Students. The Young Physicians Committee followed with an Evidence-Based Medicine style Journal Club. The Women’s Committee presented a lively discussion on “Work-life balance with competitive career.”

The afternoon included many lively sessions. Dr. Fumiaki Ueno received the 2012 Japan Chapter Laureate Award and gave a spirited talk on “Return to Forever in Internal Medicine.”

Past Governor Kiyoshi Kurokawa gave a poignant talk on “Uncertain Times Ahead.” Dr. Kurokawa has been recently appointed to chair the Independent Task Force to investigate the Fukushima Nuclear Disaster.

Dr. Kobayashi presents Eve Swiacki with the Sakura Award

ACP Japan Chapter Governor Shotai Kobayashi presented the Sakura Award of Excellence to Eve Swiacki who is known and loved by many ACP members throughout the world. Eve recently retired as head of the ACP International Office and was honored for her contributions in the development of the ACP Japan Chapter. She and her husband were able to travel to the meeting to receive the award in person.

The weather cooperated by delaying the cherry blossoms and allowing them to be in full glory at the time of the meeting. It was a wonderful conference filled with excited members gathering in the ancient imperial capital of Japan.

The ACP is alive and well in Japan!

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Update Your Knowledge with MKSAP 16 Q & A

A 78-year-old man comes for a routine annual physical examination. The patient feels well. He is accompanied by his wife, who is concerned about his hearing. The review of systems is normal, and the patient states that he does not have any difficulty hearing.

Which of the following is the best way to screen this patient for hearing impairment?

A. Administer the Screening Hearing Handicap Inventory
B. Perform the Weber and Rinne tests
C. Perform the whispered-voice test
D. Refer for audiometric testing
E. No further evaluation is needed

Click here for the answer and critique.

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Future Worldwide Internal Medicine Meetings

14º Congreso Internacional de Medicina Interna del Hospital de Clínicas, Buenos Aires
(14th Internal Medicine Congress of the Hospital de Clinicas)
August 14-17, 2012
Sheraton Buenos Aires Hotel, Argentina

Attendees can choose from 10 simultaneous scientific sessions given by prominent local and international physicians. It is an excellent opportunity to get updated on a variety of topics and enjoy the beautiful city of Buenos Aires.

If you are planning on being at the Congress, please stop by the American College of Physicians’ exhibit booth.

For more information, please visit the congress website:
www.congresoclinicas.com.ar

A complete list of other Future Worldwide Internal Medicine Meetings is available here.

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Highlights from ACP Internist and
ACP Hospitalist

ACP Internist May 2012

  • Drugs come up short for doctors, patients
    Drug shortages, especially among injectables and cancer medications, have left physicians and patients alike wondering where their next doses will come from. Even simple antibiotics have become scarce commodities.

  • Programs start early to promote health careers
    Rural facilities are recruiting their next generation of doctors early—from high school. They're offering paid, entry-level jobs to immerse the youngest scholars in a health care environment with the hope they'll pursue careers in the field.

  • Bed bug infestations can bring itchy, stressed patients
    A surge in bed bug infestations leads internists to look for warning signs: not just rashes, but recent travel, confirmation by an exterminator, and bullous reactions.

  • Undiagnosed diseases program tries to crack the tough cases
    When a condition stumps the experts, the experts turn to a center of last resort, the federal Undiagnosed Diseases Program at the National Institutes of Health. Medical teams take a “big picture” view and a fresh eye to pick up on what may have been missed.

ACP Hospitalist April 2012


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College Corner

Renew Your ACP Membership for 2012-13

ACP's membership year runs from July 1 to June 30 each year. Renew your membership today to ensure the continuation of your ACP benefits.

Please note that if you currently receive print copies of ACP journals, you may elect to access them only online. This option --- available exclusively to our international members -- will lower your annual dues and provides a significant tax savings for members in Canada. You will be able to select an online-only membership when you renew.

New ACP Chapter in Colombia

On April 16, 2012, ACP's Board of Regents approved a proposal to establish a chapter in Colombia, South America effective July 1, 2012. This is the 14th ACP international chapter. The Colombia Association of Internal Medicine was instrumental in working with ACP to recruit a sufficient number of new members to qualify for chapter status. We congratulate them on this achievement.

ACP Master to chair task force on Japanese nuclear disaster

Kiyoshi Kurokawa, MD, MACP, former Governor for the ACP Japan chapter, was recently designated to chair an independent task force to investigate the Fukushima nuclear disaster. The 10-member task force is commissioned by the National Parliament of Japan.

ACP Honors outstanding chapter activities with John Tooker Evergreen Awards

At this year’s Internal Medicine Meeting, ACP presented six John Tooker Evergreen Awards and four Special Recognition Awards to honor chapters that created new programs that strengthened the chapter and increased member communication and involvement. Two of those chapters awarded Special Recognition were International chapters. Here is a brief description of the International chapter efforts.

Central America for How to Increase Revenue and Membership
Through improvements to planning their chapter meeting and expanding the number of exhibitors, the Central America Chapter generated over $30,000 in revenue, increased meeting attendance by over 50%, and have received extremely positive feedback from members.

Saudi Arabia for Etiquette-Based Medicine
Under the Governor’s leadership, a team of attending physicians, residents, nurses, and others collaborated to produce a booklet and additional handouts on etiquette-based medicine, which have been distributed to hospitals across the country.

We celebrate all the chapters who submitted nominations, illustrating great programs and activities that actively engaged our members in advocacy, educational opportunities, and other College activities.

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MKSAP 15 Answer & Critique

Answer: C, Perform the whispered-voice test

Educational Objective: Screen for hearing impairment in an elderly patient.

Critique: Screening for hearing loss is important in elderly persons because hearing impairment is prevalent but frequently underdiagnosed in this population. In addition, significant hearing loss is still possible despite a patient’s denial of having trouble hearing. A recent systematic review evaluated the accuracy and precision of office clinical maneuvers for diagnosing hearing impairment. The whispered-voice test is a quick and easy assessment tool that has the best test characteristics among the office maneuvers. This test assesses the ability to hear a whispered voice with the examiner standing behind the patient 2 feet from the patient’s ear while occluding and simultaneously rubbing the opposite external auditory canal and whispering three numbers or letters. Using a battery-powered handheld audioscope is an acceptable alternative screening modality.

The systematic review also found that the Screening Hearing Handicap Inventory and the Weber and Rinne tests did not perform as well as the whispered-voice test in detecting hearing impairment.

Referring patients for formal audiometry, although the gold standard for evaluating hearing loss, is expensive and time consuming. It is also unnecessary to do routinely, since a normal result on the whispered-voice test effectively rules out significant hearing loss.

Key Point: Elderly persons should be screened for hearing impairment with the whispered-voice test or the handheld audioscopy, even if they deny having a hearing problem.

Bibliography:

Bagai A, Thavendiranathan P, Detsky AS. Does this patient have hearing impairment? JAMA. 2006;295(4):416-428. [PMID:16434632] - See PubMed

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Internal Medicine Meeting Early Registration Discount

Internal Medicine Meeting Early Registration Discount

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Are You Using ACP Smart Medicine®?

Are You Using ACP Smart Medicine?

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