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Kentucky Governor's Newsletter May 2016
In this Issue:
- From Governor's Desk... Apps That Can Kill
- Help Reduce Kentucky's Lung Cancer Burden—Free CME
- MOC Reformation….At Last!
- Leadership Day on Capitol Hill
- Hold the Date – Kentucky Chapter Meeting 2016!
- New Members
- New Fellows
- Contact Information
Phillip F. Bressoud, MD, FACP, ACP Governor
From Governor's Desk... Apps That Can Kill
Going through my emails this week, I came across an article in ConsultantLive regarding Android blood pressure apps that are useless. In fact, they are dangerous and can kill. I checked the iPhone App Store and I found many of the same apps found on the Google Android site. Please caution your patients who monitor their blood pressure that these apps really can't measure your blood pressure or anything else.
As far back as 2010 there have been dubious android apps that claimed to treat acne using the flash on the patient's phone. Eventually the FTC fined the developers and the programs were removed. More recently an android app called “Instant Blood Pressure” purported to measure the patient's blood pressure by using the smartphone's camera and microphone. Instant Blood Pressure was also removed.
If you go to Google Play today, there are still multiple apps which still claim to measure blood pressure, heart rate, glucose and even lipids. One app called iCare Health Monitor claims to measure blood pressure, heart rate, blood lipids, blood oxygen, vision, colorblindness, hearing, lung capacity, breath rate and a psychological index using an android smart phone without any peripherals. Perhaps McCoy beamed us back a tricorder from the future.
Users who left comments claim that the monitor “does exactly what is says in the description”. Perhaps more terrifying is the one consumer who said she was uninstalling the “sensor” because the phone was getting too hot. Of course, there never was any sensor.
Please caution your patients regarding the use of apps to measure anything unless it is FDA approved to do so. In the meantime, there is an excellent resource at iMedicalApps which is run by a physician. The site can help you research a specific app or help you determine which apps you can comfortably recommend.
Help Reduce Kentucky's Lung Cancer Burden—Free CME
Lung cancer takes a staggering toll on Kentucky, which has the highest incidence rate and a mortality rate that is nearly 50 percent higher than the national average. New best practices are recommended for primary care providers (PCPs) that could help reduce the state's lung cancer burden. If you're looking for a QA or QI program for your practice this would be a good one.
The Kentucky Cancer Program at the University of Louisville is offering both one-on-one continuing medical education (CME) office visits and an online CME course (lungcancerinkentucky.org), developed as part of the Kentucky LEADS Collaborative. Last year, representing our ACP chapter, I co-chaired the task force that made recommendations for this educational effort.
The task force recommended that PCPs adopt some best practices to improve care of lung cancer patients and those at risk for the cancer. The resulting CME offerings suggest improvements across the continuum of care. Both cover topics to help PCPs:
- Find lung cancer at an early stage with screening recommendations.
- Have more impact on smoking behavior in less time.
- Have better “Shared Decision Making” discussions.
- Enhance continuity of care.
- Better address patient survivorship needs.
To arrange a one-on-one CME visit by a cancer education specialist in your office (5 to 15 minutes) and receive a free toolkit, call (502) 852-6318 or email.
The engaging, interactive online course is available here and includes animated scenarios and printable practice tools. The course, approved for CME credit, takes about an hour to complete, with another hour of optional content.
The Kentucky LEADS (Lung cancer Education, Awareness, Detection, and Survivorship) Collaborative is a partnership of University of Louisville, University of Kentucky, and Lung Cancer Alliance. For more information about Kentucky LEADS Collaborative, click here.
MOC Reformation….At Last!
More frequent open book MOC assessments utilizing your own computer from the convenience of your office or home are coming soon under a new American Board of Internal Medicine during the ACP Internal Medicine 2016 meeting.
For anyone whose certificate expires before January 2018, you will still need to take the current examination.
If your certificate expires after January 2018, you can choose the new option where you take smaller, open book examinations from your home or office. You may take the new home based examinations no more frequently than every 12 months. Physicians also will be able to participate in crafting assessments based on their actual practice experience, and the ABIM is saying that if your “perform well enough” we can test out of the long 10-year exam. Exactly how this would work is a little fuzzy at this point.
If you really like the all or none option however, the board is going to continue to the option of the 10-year exam. The shorter assessment may be available to some internal medicine subspecialties in beginning in 2018.
Leadership Day on Capitol Hill
The ACP's annual advocacy day known as Leadership Day was held May 4 during the Internal Medicine 2016 meeting in Washington, DC. The Kentucky Chapter met with our Senators' and Representatives' congressional office staff regarding key issues and legislation effecting your practice of medicine. Congress was out of session so we were unable to meet with the Members themselves. In general, all offices regardless of political affiliations were very receptive to our concerns and clearly have been hearing similar issues from a variety of medical groups.
Key issues that were discussed with each office were:
- Appreciation for the elimination of Medicare's Sustainable Growth Rate (SGR)
- Improving payment, eliminating cost-sharing, and reducing regulatory barriers to chronic care management.
- Simplifying EHR meaningful use requirements
- Making telemedicine regulations less burdensome so as to make more available
- Addressing the opioid abuse including expanding the role of mental health in primary care. Legislation from the House and Senate will be meeting to iron out the final bill over the summer.
- Graduate Medical Education funding
Hold the Date – Kentucky Chapter Meeting 2016!
The Kentucky Chapter Meeting will be held again at the Lexington Marriott Griffin Gate on Wednesday Oct 5, 2016. We are planning a new format with our poster session and MOC Update in Infectious Diseases in the morning, followed by our awards luncheon and didactic sessions with new MOC offerings in the afternoon. We hope to see you there!
Ahmad Lutfi Alazzeh, MD
Ihab Almagdub, MD
Soumit K. Basu, MD, PhD
Ryan R Brown, MD
Luyen Cao MD
Shirley J. Cardona
Julian Glenn Gabbard, MD
Sajjad Haider, MD
Hugh H. Loeffler, MD
Nicholas C. O’Dell, MD
Chitra Raghavan, MD
Khurram Rashid, MD
Tadarro L. Richardson, MD
Jens Rosenau, MD
Mohammad Fateh Shahzad, MBBS
Suman Shekar, MD
Jeffrey L. Yates, MD, PhD
Asad D. Fraser, MD, FACP
Ana Rowena A Overley, MD, FACP
Chandler H. Park, MD, FACP
Manuel S. Villareal, MD, FACP
Angela K. Webb, MD, FACP
Phillip F. Bressoud, MD, FACP
401 East Chestnut Street Suite #110
Louisville, KY 40202