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Connecticut Governor's Newsletter July 2018

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Rebecca A. Andrews, MD, FACP, ACP Governor

Rebecca A. Andrews, MD, FACP, ACP Governor


Governor's Message

Dear Colleagues,

Many of you are probably preparing for the summer season ahead. For some that means a higher level of vigilance as new medical students and interns arrive. For others, there are vacations, summer heat affecting patients' health, and kids home from school. The rest of us are watching the world cup and I am hoping someone else is rooting for Uruguay! Just as there have been many upsets during the games, so is change afoot for our annual meeting, Medicare rules, and the approach to gender issues in medicine.

I provided an extensive update after the annual meeting, but there are always on going ACP activities at a local chapter and national level. Let's start with our exciting Annual Scientific Meeting that will be upon us near the start of the school year.

But first, if you do not yet know…our very own Rob McLean is the President-elect for the ACP. His term will begin next April. I feel honored that he will be with us at this year's annual meeting.


Rebecca Andrews



Save the Date! The 2018 Scientific Meeting is Right Around the Corner

Although October may seem far away, time flies and October 19th will be here before you know it. This year, for the first time, the meeting will take place at the Hartford Convention Center in Hartford, CT. This new venue offers many new opportunities – expanded space for the abstract competition, larger general meeting space, attractive areas for exhibitors, and with plenty of room to network. The Planning Committee has worked hard to bring you a meeting that will appeal to trainees, in-patient physicians, and out-patient physicians. Medical students as well as residents will be able to submit for the poster competition. Look for registration to open in early August. I look forward to seeing you at the meeting.



We Are Looking for Leaders Like You!

Are you a self-starter interested in developing educational opportunities, policy-setting at the state level, and collaborating with colleagues to address the professional needs of internists? Do you want more leadership experience to prepare you for future endeavors? Contact us to learn more and get involved!

Opportunities can range from one-time tasks to committee involvement or leadership roles and empower you to utilize your passion, expertise, and skills all while advancing the mission of ACP. I invite you to connect with our chapter.

We are looking for interested, committed, passionate leaders who are willing to contribute towards a vibrant and diverse chapter serving the needs of our members. The process is easy!

  • First, log into ACP Online to complete to chapter volunteer interest form. This will streamline the submission process by pre-populating your membership information.
  • Second, complete the interest form.
  • Third, we will follow-up with you directly within 2 weeks.

If you have questions, please don't hesitate to get in touch with me at

Click here for the Volunteer Interest Form -



Support Doctor's Dilemma – Become a member of the Question Development Committee

The Doctor's Dilemma® Question Development Committee launched earlier this year. This Committee writes and reviews questions for the national Doctor's Dilemma Competition held at the annual ACP Internal Medicine Meeting. Question writers work both individually and in collaborative teams. Each team is assigned to develop questions within the eleven knowledge areas of internal medicine. Committee members write four questions per month over four months. This is an excellent opportunity for physicians in academic medicine or with teaching experience to serve on a national committee. More information on the Doctor's Dilemma Question Development Committee, qualifications for volunteering, and an application can be found here.

Please contact Melanie Pizarro at or at 215-351-2697 with questions.

While this is for the national competition, we are always seeking input for the local Doctor's Dilemma® competition as well. Please contact Marilyn Katz at if interested.



ACP Calls for Policies that Better Support Women and their Families and Improve Health Outcomes

A new policy paper, approved by the Board of Regents and published in Annals of Internal Medicine, examines the unique challenges women face within the U.S. health care system and calls for policies to better support them. The paper addresses a wide range of issues, such as support for paid family and medical leave, recommendations on policies to reduce domestic violence, sexual abuse and harassment, and participation in clinical trials.

The paper also addresses access to coverage, including coverage for medically necessary reproductive services, and opposition to policies that would create barriers to their access to reproductive health services.



Did You Know You Can Earn CME Credits Today With DynaMed Plus®

DynaMed Plus provides a convenient means for obtaining CME credits. Simply sign in to your DynaMed Plus personal account or create one . As you read DynaMed Plus topics, the system tracks your activity and credits are added to your CME tab at the top of the DynaMed Plus page. When you are ready to submit, click the CME tab in the toolbar and the “Prepare for Submission” link. Certificates are stored for easy access.



Thinking About Implementing Ultrasound Training in Your Residency Program?

Developed with the American Institute of Ultrasound in Medicine (AIUM) and the Society for Ultrasound in Medical Education (SUSME), ACP is hosting an upcoming webinar entitled “A 3-Year Course: Implementation of POCUS Training within Internal Medicine Residency Programs” on Thursday, August 16, 2018, 1:00 PM – 2:00 PM EDT.

At the conclusion of this webinar participants should be able to understand the value of a longitudinal, residency-based POCUS training curriculum for Internal Medicine residents; the logistics of program implementation; and basic methods for resident and faculty training.

You can register here -



Medicare Advisory Committee

The Medicare Carrier Advisory Committee met late June and a number of topics of interest to internists were discussed.

  1. There are new biomarkers available for prostate cancer testing, which will be paid for once in the patient's lifetime. Criteria are indeterminate PSA (3-10) and no other relative indication or contraindication for prostate biopsy. .
  2. Medicare has a new card coming out nationwide and in Connecticut and our region in the next month. The Social Security number is been removed and it is a different number: a Medicare beneficiary indicator which will be in full effect January 2020.
  3. According to Medicare Matters document 10142 at Medicare University, there is new clarity about the contribution of students to the performance of billable services in an academic setting. They are now being allowed to document services in the medical record, but the teaching physician must verify in the record all the students documentations or findings.
  4. There are new ICD 10 codes, 435 changes including 247 new codes that should be effective October 1. If anyone is interested the references are Medicare Matters 10622
  5. They gave an interesting example of the current thinking on audits. Their current approach is to review providers who are outliers in the provision of particular services and then “educate them” as to the criteria to be used for future documentation and billing. It is unclear, but may reflect a move away from penalties and emphasize just education.

As always, I am looking for recommendations of colleagues to highlight for their achievements or for our local and national awards

Optimism is the faith that leads to achievement. Nothing can be done without hope and confidence. Helen Keller