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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
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Banu E. Symington, MD, FACP, ACP Governor
ACP celebrated its centennial this month at the Internal
Medicine meeting in Boston, Massachusetts. Boston was the perfect
place for this celebration as it is rich in history itself. It was
a little cooler than Idaho this time of year, but not a lot and the
scenery in Boston made the trip worthwhile and enjoyable. The
keynote speaker was Former U.S. Senator and Democratic Senate
Majority Leader, Tom Daschle of South Dakota. Daschle has been an
outspoken advocate for President Obama's healthcare policies and
also co-authored a book in 2008 titled, "Critical: What We Can
Do About the Health-Care Crisis". Daschle spoke about how we
are now seeing the greatest transformation of healthcare our nation
has ever seen, healthcare costs, Medicaid expansion, the Affordable
Care Act, and keeping people healthy instead of waiting until
they're sick to help them.
Democratic Senate Majority Leader, Tom Daschle
A video was presented at the Board of Governors meeting
exploring ACP's 100 year history. Please watch the video.
Steve Weinberger, MD FACP, CEO and Executive
Vice President of the college presented ACP's strategic priorities
for 2015-16. Priorities include increasing member engagement,
helping ACP members experience greater fulfillment, value-based
payment and sound performance measures, and advocating for MOC
reform. Presentations during the BOG meeting included introductions
of new Regents and Governors as well as the new
Allison Ewing and Steven Spadt
presented an update on the redesign and rebuild of ACP online, and
Margaret Wells held a presentation on MKSAP. Wells
also introduced MKSAP 17 with its new offerings such as Virtual
Dx2, CME-offering product containing 400+ updated image-based MCQs
teaching interpretive skills and MKSAP flashcards.
Also happening at the Internal Medicine meeting, ACP's Quality
Improvement Network and Quality Connect held a reception to
celebrate accomplishments and to recognize ACP QI leaders from
around the country. Our Governor, Banu Symington, MD,
FACP received an award for her passionate advocacy for HPV
Our Governor, Banu Symington, MD, FACP, receiving award
They did it again! The Pennsylvania residents have won the
competition seven times now and this one makes the fourth year in a
row. The top four teams were the Albert Einstein Medical Center,
Walter Reed National Military Medical Center, the Cleveland Clinic,
and the University of Washington. The team won by one point by
answering this final question, "Migraines that occur with every
menstrual period"; the answer was: catamenial migraine.
Congratulations again to the Pennsylvania Chapter and the Einstein
docs, clearly a well-deserved name.
We held our second annual chapter dinner meeting in Boston with
special guest Sue Hingle, Immediate past Chair of
the Board of Governors, Regent, and Chair of the Education and
Publications Committee. Thank you to Sue for joining us! While our
first meeting in Florida was paid for through an ACP grant, this
meeting was paid for through increased chapter revenues. Members
from different parts of the state networked, discussed our recently
passed resolution, and discussed how to improve patient care.
Kelly Hess, the chapter Executive Director briefly
discussed our new Healthcare Improvement Committee in hopes of
soliciting member participation in this committee. If reader
members are interested in membership in this committee, please
contact Dr. Banu
Symington or Kelly Hess.
The Idaho Chapter sponsored Resolution 03-S15, a resolution that
asked the BOR to encourage member physicians to educate patients
and their teen aged relatives on the risks of distracted driving
using already available educational resources. Educational
materials are available from a number of places for download; try
the following links -
Distracted driving resources and Take action
against distraction. A video is also
available showing how fast an accident can happen.
This resolution was entirely in keeping with the ACPs positions
on improving patient's health through responsible use of seat
belts, bicycle and motorcycle helmets, smoking cessation, and gun
safety. According to the CDC, more than 9 people are killed every
day and more than one-thousand are injured from texting and driving
and other distractions. You can read more about these statistics.
The resolution should give physicians access to tools to address
this issue with patients in hopes of decreasing the number of
injuries and deaths.
Our initial intent with this resolution was to educate the
parents and grandparents of teens. Later we wanted to recruit the
parents and grandparents of newly licensed drivers who are part of
an internists practice to have them help educate the young drivers.
However, as the resolution was circulating and being discussed,
several publications suggested the adults might be worse offenders
than the teens. More information about this is available at:
Adults more likely to text and use phones while driving than
Middle-aged worse at texting while driving.
We are pleased to announce that this Idaho resolution met with
overwhelming support and was passed. This is now the second Idaho
resolution that has made its way through the BOG and BOR of the
ACP. We are well on our way to writing a third and will be asking
for your comments. To get more involved with the resolutions
process, contact Kelly
The Idaho Chapter had six physicians progress to fellowship this
year. Congratulations to our new fellows:
Tina Esther Bronner - BoiseJudith E. Csanky - FilerDan S. Fairman - KetchumErich W. Garland - Idaho FallsKatherine A. Matthews - BoiseElizabeth B. Olberding - Boise
Elizabeth Olberding, MD, FACP walked in Convocation
Amy D. Echelberger - Post FallsShanda L. Grooms - Boise
Congratulations to Banu Symington for becoming
part of the Executive Committee of the Board of Governors as Class
Representative for the Class of 2016. The 2016 class of Governors
enjoyed a dinner cruise on the Boston Harbor for their class get
Class dinner cruise
The ACP CENTER FOR QUALITY headed by Laura Lee Hall, PhD
partnered with the ACP Idaho Chapter, ACMEC, and St. Luke's Idaho
Health System to support a breakfast grand rounds on March 4, 2015
at St. Luke's in Boise. The speaker for the Grand Rounds was
national expert, Dr. Robert Hopkins. Dr. Hopkins is a Professor of
Internal Medicine and Pediatrics at University of Arkansas for
Medical Services College of Medicine. He is the Director of the
Division of General Internal Medicine, and is the Director of the
Med-Peds Residency Program. He is a member of the National Quality
Forum Immunization Measurement group, former member of ACP
Immunization Technical Advisory Committee, and is the program
director of ACP's immunization programs. He is also the immediate
past Governor for the Arkansas Chapter of ACP.
The grand rounds provided an update on recommended adult
immunizations and discussed strategies for patient education and
outreach within your practices. The program was approved by ABIM
for 20 MOC practice assessment (part IV) points. In addition,
participants gained CME and access to a host of online tools and
expert support for implementing immunizations into their practice.
This program was made possible by resources from a cooperative
agreement from the Centers for Disease Control and Prevention.
Idaho Chapter members also got together the night before grand
rounds for dinner and a presentation by Dr. Hopkins. This was a
wonderful opportunity for members to directly converse with Hopkins
and each other regarding vaccination issues. Hopkins discussed egg
allergies, different vaccinations, and how physicians claim to
speak to their patients about vaccinations but few patients
Hopkins' PowerPoint slides on human papillomavirus (HPV) were
titled, "HPV: I have good kids - they would never" indicating an
issue faced with parents when discussing the vaccine. Hopkins
stated physicians should never link the HPV vaccine and sex in
initial conversations but to refer to the vaccine as a cancer
prevention vaccine. For those of you who missed the talk and would
like to view the slides, email Kelly Hess and I will
forward them to you.
Hopkins Grand Rounds
The Idaho chapter has an exciting new committee underway. We
applied for chapter development funding and were approved for the
full amount to develop a "Healthcare Improvement
Committee". This novel concept can break new ground at ACP,
improve national healthcare, and improve the day-to-day work
environment for physicians.
The Healthcare Improvement Committee will collaborate on
challenges facing the national healthcare system and develop
programs, specific for Idaho, to address those issues. The
committee will develop "pilot programs" for their own areas or
practices, addressing problems and working together to measure
their success. The ultimate goal of these pilot programs is to
develop solutions that can be used on a national level (by starting
small at the state level) to improve the physician and patient
experience and deliver quality care. Because physicians know the
everyday problems, physicians should be able to determine solutions
to healthcare system issues.
We would like to find a committee chair and ten to fifteen
members to collaborate and begin working on how to coordinate
solutions. An example could be how to establish better
communication between PCP and specialist for sucessful referrals
and subsequent development of tools to address the issue such as
referral and response checklists or other resources deemed
appropriate. Another example could be Dr. Symington's project to
improve the health of the state of Idaho by increasing HPV
immunizations or even health care system waste reduction.
Once a group has been established, we plan to have a speaker
familiar with healthcare issues to get the meeting going and a
dinner in the Boise area. Future communications of the committee
should include general feedback from participants, program
maintenance issues, associated costs (if any), and viability.
Ideally, the committee should appoint one or two project
coordinators for reports of the programs success. A Skype account
for the Idaho Chapter will be available for periodic progress
meetings and email communication to project coordinators are needed
to ensure successful progression of committee goals.
Our chapter meetings have proven there are many ideas out there,
we need to put them into practice! Members have shown high interest
in this so please step forward. If you are interested in this new
chapter opportunity, please contact Kelly Hess.
Just a short mention of a May 11, 2015 article in the New Yorker
titled, "Overkill". H. Gilbert Welch, MD
is mentioned in this article and his thought-provoking comparisons
to cancer, turtles, birds, and rabbits. Gilbert Welch is the
Dartmouth Medical School professor who presented a very
entertaining and engaging talk at our meeting earlier this year in
article is about unnecessary medical care and the impact on
Another notable accomplishment since our last newsletter is the
repeal of the SGR. The U.S. Senate voted 92-8 to pass the Medicare
Access and CHIP Reauthorization Act (MACRA). This is a great
accomplishment for ACP and for Congress to finally end (instead of
patching again) Medicare SGR. MACRA introduces more predictable
annual payment updates and establishes a performance-based payment
structure, known as the Merit-based Incentive Payment System or
MIPS. To read more about this transition, go to: SGR Law Creates
Merit-based Incentive Payment System and Incentives for Alternative
Payment Model Participation
We are excited to announce a new texting tool to help practices'
stay up-to-date on important regulatory requirements and
opportunities. Physicians and practice managers can subscribe to
time-sensitive updates via their text messaging-enabled cell phone
and receive brief reminders about important deadlines and details
related to a variety of regulatory, payment, and delivery system
changes and requirements. Text alerts may also contain links to
both ACP-created and trusted external information and resources
that will help you to stay prepared. Access the full Physician
& Practice Timeline.
The Timeline includes: Physician Quality Reporting Program
(PQRS), Medicare and Medicaid EHR Incentive Programs (Meaningful
Use), Medicare Value-Based Payment (VBP) program, ICD-10, Open
Payments - the National Physician Payment Transparency Program
(Physician Payment Sunshine Act), Transitional Care Management
(TCM) codes, and New Chronic Care Management (CCM) code.
Get Started Now! To subscribe, just text ACPtimeline (no spaces)
to 313131 on your mobile phone. Text alerts are expected to be sent
about 1-2 times a month. Regular text message charges will apply,
cancel at any time. If you have questions about this new texting
tool, contact Sam Benton.
Stay tuned! Our next newsletter will have key medical highlights
from the Internal Medicine Meeting. Also, don't forget to visit the
Idaho Chapter Facebook