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Congratulations to Our New Governor-Elect - Raminder Gill, MD, FACP

January 2016 Gordon L. Fung, MD, PhD, FACC, FASH, FACP, ACP Governor


Happy New Year!

ACP is always busy and keeping up with the latest is only a fraction of the activities ongoing. But it is important to take a step back and review some of our recent accomplishments and upcoming activities for the New Year 2016.

Northern California Abstract Competition

We were fortunate to host our abstract competition at the UCSF Mission Bay Conference Center in San Francisco - an outstanding competition with more than 200 attending the day's activities. A total of 186 posters were presented for judging - a big thank you to the many volunteer judges who year after year help us come up with winning abstract/posters. Congratulations to the following residents/students who placed first in the competition. They will all received a stipend to attend the 2016 IM Meeting in Washington D.C.

Residents:

Research - Jonathan Chen - Stanford Clinical Vignette - Stephanie Hsiao - California Pacific Med Center
Quality Improvement - Sneha Sundaram - California Pacific Med Center

Students:

Research - Kevin Junus - Touro
Clinical Vignette - Stanford

Doctors Dilemma Team

From Stanford - they are: Drs. Andre Kumar, Naomi Serling-Boyd, and George Leef

All California Chapter Meeting Update

We had an outstanding meeting though low in attendance high in quality! Winning abstract winners from all four regions of California were invited to present their posters at the meeting. We were honored to have Drs. Steven Weinberger and Patrick Alguire speak to our attendees along with Bob Doughtery with a Washington Update during our Awards Luncheon.

From Northern California the following awards were given:

2015 Laureate - Drs. Nora Goldschlager and Peter Rudd
2014 Laureate - Dr. Kathleen Kenny
2015 Volunteerism Award -Dr. Michael Lawson
2015 Distinguished Teacher/Mentorship Award - Drs. Terrie Mendelson and Selena Shah
2015 Lifetime Achievement Award - Dr. Edward A. Chow

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Congratulations to Our New Governor-Elect - Raminder Gill, MD, FACP

Dr. Gill will formally introduce himself to you in the next newsletter. Feel free to send him your congratulations. His current title is Governor-Elect Designee and will become a Governor-Elect at the April Meeting Internal Medicine 2016 in Washington DC.

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Are YOU Interested in Advancing to Fellowship?

To review the pathways for advancement to Fellowship, please visit www.acponline.org/facp. The overriding considerations for advancement are excellence in internal medicine, continued professional development, and a commitment to the profession and community. Please take a moment to review the pathways to determine which is most appropriate for you.

If you need more information about any of the requirements, or if you have questions about your eligibility or finding local sponsors, please contact ACP Fellowship Administrator at 800- 523-1546, ext. 2709, or via e-mail.

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ACA Open Enrollment for 2016 has Started! - Information

The open enrollment period for health insurance marketplace-based plans started November 1 and runs through January 31, 2016. We hope our chapters will help to get the word out about enrollment opportunities and educate their patients about community-based health insurance enrollment assistance.

The ACP has resources for physicians to help their patients enroll through the ACA marketplace. In addition, the Centers for Medicare & Medicaid Services (CMS) offers a fact sheet on its website about consumer-oriented changes to the healthcare.gov site and has also developed a pocket guide for physicians and other health care professionals that lists essential health benefits that must be covered by marketplace-based plans, preventive services that are covered at no cost, and important contact information.

Access the ACP resources for physicians

CMS factsheet on consumer-oriented changes to the healthcare.gov site is available.

The pocket guide for physicians and other health care professionals is available.

For more information.

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Call for Fall 2016 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 2015-2016 Priority Initiatives 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 2016 Board of Governors Meeting is March 21, 2016. 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 ACP's library of policies and recommendations. 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.

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New ACP Patient Education Materials

ACP has a wide variety of high quality patient education materials, including educational DVDs, self-management guides, and our new Patient FACTS series. The Patient FACTS series helps newly diagnosed patients and their caregivers increase their understanding of common health conditions.

These patient-tested resources were developed in partnership with physicians, using only credible, evidence-based research.

  • Many available free of charge
  • Many available in both English and Spanish
  • Easy to understand
  • Cover a wide variety of common health conditions like heart health, asthma, HIV, COPD, diabetes

To order these and ACP's other patient education materials contact Member and Customer Service at 800-523-1546 ext. 2600, or visit the website.

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DynaMed Plus: A New Benefit for ACP Members

We are excited to announce that ACP and EBSCO Health are collaborating to provide ACP members with free access to the most current, evidence-based clinical decision support tool - DynaMed Plus™ as a benefit of ACP membership.

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ACP Leadership Academy

The ACP Leadership Academy provides early career internists with the skills and knowledge necessary to become leaders in medicine.

The program includes formal live and online courses offered in partnership with the American Association for Physician Leadership, the nation's largest leadership training organization for physician leaders. Online courses are offered as self-study or faculty led and includes topics such as strategic thinking, financial decision-making, managing physician performance, marketing, ethics, quality management and more.

All courses are eligible for CME credit through the ACPE. They were selected to provide episodic leadership training for members who want to brush up on a specific content area or to earn credits toward the Certified Physician Executive (CPE), a nationally recognized leadership certificate from the ACPE. Credits may also roll into an advanced degree program from selected accredited universities. ACP members receive a 15% discount on approved courses.

In addition, the ACP Leadership Academy is currently accepting registrations for a series of FREE (non-CME) webinars on a variety of leadership topics.

Learn more about the ACP Leadership Academy and to register for the free webinars. If you have questions, please email.

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Maintenance of Certification (MOC) Exam Preparation Courses

As many of you are aware this issue of MOC with the ABIM has been the top priority of ACP leadership with multiple meetings and discussions over the year continuing into the foreseeable future. Although some changes are projected, these are the programs still in place to comply. Keep your eyes and ears open to the latest coming directly from national ACP and ABIM. If you have any input please feel free to contact me or Steve Weinberger or Patrick Alguire at ACP.

Prepare to pass the ABIM recertification exam by attending an ACP MOC Exam Prep course. Conveniently scheduled shortly before the ABIM MOC Exam, our courses fit any schedule.

ACP MOC Exam Prep Courses Dates & Locations

Location

Date

Course Info

Register

San Francisco

Aug 11-13, 2016

Learn More

Register Now


ACP's MOC review courses deliver more:

  • A 2- or 3-day review course that emphasizes clinical advances from the past 10 years
  • Interactive case-based studies taught by a team of expert clinician-educators
  • Tips on test-taking strategies
  • ACP IMBR Flashcards App ($99 Value)
  • Board Prep Guarantee*

Electronic Syllabus (E-Syllabus)

A comprehensive e-syllabus will be available for download prior to the start of each course. With the e-syllabus on your laptop or tablet you will have convenient electronic access to the course material before, during, and after the course.

Please Note: E-syllabi are full-color pdf files ranging from 800 to over 2000 pages, and are not intended for printing.

ACP MOC Exam Prep Courses are:

  • Discounted for ACP Members
  • Approved for AMA PRA Category 1 creditTM. Visit the individual course page for specific information.

*Board Prep Guarantee

If you do not pass the ABIM Certification or MOC Exam in internal medicine after attending an ACP Exam Prep Course, you may attend a live ACP Exam Prep Course within twelve months of your ABIM notification date, subject to space availability, and not pay the registration fee or you may receive access to a current Online ACP Exam Prep course recording. To qualify, email PGguarantee@acponline.org a copy of the ABIM notification letter of your test results with the option you are choosing.

Internal Medicine Board Review (IMBR) Courses

Prepare to pass the ABIM Board exam in internal medicine with an ACP IMBR Course.

Internal Medicine Board Review Courses Dates & Locations

Location

Date

More Info

Register

New Jersey June 1-5, 2016 Learn More Register Now
Chicago June 5-10, 2016 Learn More Register Now
San Antonio June 23-26, 2016 Learn More Register Now
Washington, DC July 11-15, 2016 Learn More Register Now
Seattle July 19-23, 2016 Learn More Register Now

ACP's IMBR courses provide:

  • A comprehensive review of internal medicine that is guided by the blueprint of the ABIM Board exam
  • Interactive case-based studies for an engaging learning experience
  • Tips on test-taking strategies to strengthen your confidence
  • Instruction by a team of expert clinician-educators
  • ACP IMBR Flashcards App ($99 Value)
  • Guaranteed to prepare you for the ABIM board exam*

*Board Prep Guarantee

If you do not pass the ABIM Certification or MOC Exam in internal medicine after attending an ACP Exam Prep Course, you may attend a live ACP Exam Prep Course within twelve months of your ABIM notification date, subject to space availability, and not pay the registration fee or you may receive access to a current Online ACP Exam Prep course recording. To qualify, email a copy of the ABIM notification letter of your test results with the option you are choosing.

Electronic Syllabus (E-Syllabus)

A comprehensive e-syllabus will be available for download prior to the start of each course. With the e-syllabus on your laptop or tablet you will have convenient electronic access to the course material before, during, and after the course.

Please Note: E-syllabi are full-color pdf files ranging from 800 to over 2000 pages, and are not intended for printing.

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Advocacy

With so much activity going on, this is another call for your active involvement. Please consider, if you have not already, becoming a member of Adovcates for Internal Medicine (AIM). This is the simplest way to start your involvement with support for the ACP and Internal Medicine's voice on the national stage. Support the ACP PAC, this is a very direct way to become involved and given that "all politics is local" there are many opportunities to get involved meeting with your legislators and forming relationships as a valuable resource to them and letting them understand IM issues. Next sign up and participate in Sacramento Cal ACP Jerry Tillis Legislative Day in February 2016. Contact Carmelina or me to let us know soon as funds are available to support travel and lodging on a first come first served basis. Also, National ACP Leadership Day 2016 will be combined with the Internal Medicine 2016 in Washington DC. Please contact Carmelina Raffeto or me as well to apply for support soon. Funds for support are also available. And reservations for hotels need to be reserved.

Below are the ACP advocacy priorities for 2026.

Dynamic Health Care Guide for Congress and the Media

The American College of Physicians (ACP) prepared this guide to serve as an ongoing resource for members of Congress and their staff, the news media, and other interested persons on the top health care issues affecting our members and their patients:

  • The guide is concise: distilling some of the most complex health care issues to be considered by the 114th Congress into two page summaries with additional resources for those interested in learning more.
  • The guide is dynamic: we will continue to update the content and the links for more information as circumstances change.
  • The guide is selective: we didn't include every health care issue that this Congress may address; only the ones that we believe will have the greatest impact on internal medicine physician specialists, and their patients, and of those, the ones where we believe that there is an imperative for Congress to act.
  • The guide strives to provide an accurate presentation of the issue and its impact on our members and their patients, yet framed in a way that reflects the College's views on each.

Although we are making the guide available in paper version, it will be most useful in digital form because it includes embedded URL links to other resources that will be frequently updated. If you're looking for a quick overview of the important issues, read our summary.

ACP's Six Most Important Health Care Issues

Medicare Sustainable Growth Rate/Physician Payment Reform

  • On April 16, 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015, which permanently repealed the Medicare SGR formula used to calculate physician payments. The new law establishes stable, positive payment updates while transitioning Medicare toward a "value-based" payment system.

The Medicare Primary Care Incentive Program

  • Congress authorized mandatory funding for the Primary Care Incentive Program from 2011 through 2015. Funding for this program is set to expire at the end of this year unless Congress authorizes additional funding to continue it after 2015.

Medicaid Primary Care Pay Parity

  • The pay parity program expired on December 31, 2014. Because the program was not extended, primary care physicians experience an average cut of 42 cents on the dollar for providing primary care services such as office visits for the treatment of chronic diseases like high blood pressure and diabetes to Medicaid patients.

Graduate Medical Education

  • The number of available residency training positions funded by Medicare has been capped at 1996 levels since the passage of the Balanced Budget Act of 1997. With sharply increasing numbers of allopathic and osteopathic medical students and looming physician workforce shortfalls, especially in primary care, the current "choke-point" in the physician supply chain is residency training. Several bills were introduced in both the House and Senate last Congress that would increase the number of Medicare-supported training positions with preference for primary care and general surgery.

Funding for Vital Federal Health Care Programs

  • Access to primary care services is an essential part of everyone's health care. Studies have shown that seeing a primary care physician regularly and having access to preventive services leads to better health outcomes and savings to the system. Independent studies show that the U.S. is facing a shortage of tens of thousands of primary care physicians, and millions of patients in many parts of the country already have poor access to primary care.

The Affordable Care Act

Open enrollment for the 2015 plan year for most people ended on Feb. 15, and the special tax season enrollment period (for the marketplaces operated by the federal government) ends on April 30. In Jan., the House approved changes to the employer mandate work hour definition; the Senate has yet to take it up, and the administration has stated that it would veto the change. The U.S. Supreme Court will issue a ruling in 2015 on the King v. Burwell case, which will decide whether the IRS is permitted to provide premium and cost-sharing financial assistance to individuals in states with a health insurance marketplace operated by the federal government.

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