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Best wishes to the members of the ACP Maryland Chapter! This
annual newsletter provides an update on all the variety of
activities and accomplishments of our distinguished chapter. I am
pleased to report that our chapter is doing well and was recently
honored with several national awards. Though we can be proud of
these accomplishments, our overall goal is always to help you meet
your professional needs.
The ACP constantly aims to develop innovative tools and enhance
its resources on behalf of its members. However, members are often
not aware of its comprehensive resources and how to use them in
real time. Here are some electronic tools available to all members,
listed in three broad categories:
Eventually, CME credit will be available through Smart Medicine
as well. I saw a demonstration of this product and was very
impressed; it competes well with Up-To-Date. I think you will find
it to be an important benefit of your membership.
To learn more about any of these innovative tools, you may wish
to review a video presented
by Dr. Christine Laine, Editor-in-Chief of the
Annals of Internal Medicine.
The above information helps to answer the question, "What
does the ACP do for me?" I always find this an ethereal
question, with different answers for each of us. I view the ACP as
a motor vehicle, helping to transport each of us to where we want
to go. There are a lot of fancy bells and whistles, as well as
select knobs and switches that are useful only to a portion of our
membership. Regularly, there are new innovations and updates, fresh
off the assembly line. However, the purpose remains the same - to
move each of us forward along our personal paths to better serve
our patients and the public good. Like a personalized vehicle, the
ACP needs drivers. It will not automatically take you to your
desired destination. You need to jump into the driver's seat,
fasten your seatbelt, and give the vehicle direction and energy.
Your active engagement is critical to the functioning and general
welfare of the ACP.
You may find this metaphor tedious by now, so I will give you
examples of how some members of our chapter have actively
participated with the ACP:
Victor R. Felipa, MD FACP practiced primary
care for over thirty years in Cumberland, Maryland. He has been an
active member of the chapter and the chapter's Council,
representing members from western Maryland. He would regularly make
the trek to our quarterly Council meetings, mentor medical
students, organize educational programs in his area, and serve as a
voice for the ACP for his community. Even after he retired, he
volunteered to provide medical care in rural Peru, his native
Ali Afrookteh, MD FACP practices primary care
in Frederick, Maryland. He also serves an active member of the
chapter's Council and is the Co-Chair of our annual scientific
meeting. His invaluable input has informed the content of our
annual highly regarded educational meeting. He regularly attends
Leadership Day and advocates on behalf of the needs of his patients
to national legislators.
Saba Sheikh, MD FACP practices primary care in
Columbia, Maryland. She serves as the Chapter's representative to
MedChi and keeps the Council abreast of the local legislative
issues relevant to our members. She is an active member of our
Health and Public Policy Committee, and provides an articulate and
persuasive voice at Leadership Day. Though she thoroughly
understands the plight of the general internist in Maryland, she
advocates for all physicians, their patients, and the public health
Finally, Janaki Deepak, MD FACP is a member of
the full-time Pulmonary Critical Care faculty at University of
Maryland Medical Center. She seems to spend most of her time,
however, organizing jeopardy competitions and writing jeopardy
questions for our chapter's residents and students. As the chair of
the chapter's International Medical Graduate Committee, she
organized several well-received events on behalf of International
Medical Graduates and Young Career Physicians. Her efforts were
directly responsible for our chapter winning an Evergreen Award in
2012 from the ACP. The ACP invited her to the 2013 national meeting
in San Francisco to speak with other governors about the needs and
interests of the International Medical Graduate.
I can certainly add dozens if not hundreds more to this list of
highly engaged Maryland members, all of whom are equally as
impressive and passionate about working with the ACP. What is
remarkable is that, when we try to thank them for their time and
efforts, they uniformly reply that it took little time and hardly
any effort. Upon deeper probing, it seems that the dictum, you get
back more than what you give, rings true. This may not hold for all
organizations, but it seems to be consistently true for the ACP. I
have tried to understand why this is, and I arrived at the
conclusion that it is because the service mission and altruistic
values of ACP are closely aligned with the mission and values of
our individual members. Despite how demanding and time-consuming
their day jobs are, I have never failed to be impressed with the
commitment that our members dedicate to projects and initiatives
that serve to benefit our patients, trainees, and communities.
Perhaps that is the inherent nature of our members and our unique
I began this newsletter by extolling the virtues of all the
tools available through your membership in the ACP. In the end,
though, the most important and unique resource of the ACP is its
members. Your talents, commitment, and passion are truly
commendable and, for me, inspiring. So go ahead and kick the tires,
look under the hood, and get out on the open road with the new ACP.
What you will find most important in your travels, however, are the
collegial relationships that you build with like-minded drivers, a
renewed sense of purpose and direction, and more gas in your tank
than when you set out on your journey.
The national CECP is active in many areas to help support the
CECP community. As you know, we have changed our name formally from
the Council of Young Physicians to the Council of Early Career
Physicians. In addition, with a new chair in place, we are
beginning the year with a survey of local CECP chapter activity.
The goal is to identify processes to help lift participation at the
local level and to share best practices across regions. For
example, we learned that many chapters have local awards to
recognize physician leaders. These include the "Young Physician
Award" in 8 states. Furthermore, we are in the process of
restructuring the ACP leadership course to better meet the needs of
the ACP community. This is still in process and we look forward to
sharing more about this as possible."
Sanjay V. Desai, MD, FACP
Director Osler Medicine Training Program
Johns Hopkins School of Medicine
This year the Council of Early Career Medicine (ECM) is
celebrating its 8th year of operation in the Maryland Chapter.
Sapna Kuehl, MD, FACP, who has been the chair of
the committee since its inception, is stepping down from this role
and passing on the baton to Sanjay Desai, MD, FACP
and Maria Morales, MD who will co-chair the
committee. Dr. Kuehl's vision made the committee what it is today
and all her time and dedication are greatly appreciated; Dr. Kuehl
is not going far though as she continues to be a very active member
in many other areas of ACP.
This year the ECM is planning a series of local events and
initiatives that will address new and upcoming needs for early
career physicians. To start off the season with a bang, the Council
of Early Career Medicine's first workshop will be held on September
17th at Café Gia's at 410 S. High Street and the guest
speaker will be Dr. David B. Hellman, MD, MACP who
will tackle the topic of the changes on ABIM's Maintenance of
Certification (MOC) requirements which are going live in 2014. His
presentation is entitled: MOC: Yesterday, Today & Tomorrow. We
hope to have excellent attendance, and ask everyone to please join
us for this excellent meeting.
Maria del Pilar Morales, MD
Associate Program Director, Internal Medicine Residency, St. Agnes
Co-Chair Early Career Physician Council
One of the major activities of our Health & Public Policy
committee each year is to ensure that our members are in attendance
at Leadership Day on Capitol Hill. This is an opportunity for our
members to sit down with our Maryland Congressional delegation
and/or their legislative health staff to discuss issues that are
affecting how we practice medicine in Maryland and nationwide. This
year was again a resounding success with 18 members, residents, and
students in attendance at these meetings.
The first day of the event was devoted to ACP workshops and
presentations that provide insightful information into what issues
are on the "front-burner" for these visits. The next day was spent
on actually visiting with our Maryland delegation. Since, we were
fortunate to have 18 in attendance, we were able to divide up into
teams of 4 persons with a team leader who facilitated the
discussion at each Congressional office. Each member of the team
was then asked to discuss a specific area of concern and provide
examples from their own current work situation.
The following were our major areas of interest for 2013:
Please read the following by Andrew Yang, MD
Candidate, Class of 2014, The Johns Hopkins University School of
As a student, it is often too easy to lose myself in the hustle
of my studies and miss out on the big picture. Over a century ago,
the eminent German physician Rudolf Virchow wrote that 'physicians
are the natural attorneys of the poor, and social problems fall to
a large extent within their jurisdiction.' ACP Leadership Day
challenged me to explore the meaning of this phrase and to reflect
on my place as a budding clinician in an increasingly challenging
In an age of pressing fiscal constraints, it is vital for our
lawmakers to understand that all cuts are not created equal. As
healthcare professionals, we know that the consequences of removing
three pounds of flesh look vastly different if we are talking about
a malignant tumor on the one hand and the brain on the other. The
Federal sequester as it currently stands can exact a devastating
impact on how my generation practices medicine.
It was heartening to know that the seasoned physicians of the
ACP are committed to the future of American healthcare - and
exhilarating to have the opporunity to personally advocate on
behalf of my profession in the halls of power. After all, the
vitality of a nation is built on the health of its communities,
themselves dependent on the mental and physical wholeness of
individuals. This realization - that a physician's commitment to
patients is at heart a civic one - has revolutionized how I view
myself as a professional and as a member of my community.
We send our special thanks to this year's Maryland/DC Leadership
Day participants: Drs. Ali Afrookteh, Mary Newman, Saba
Sheikh, Holly Dahlman, Sanjay Desai, Audrey Corson, Alice Fuisz, R.
Dobin Chow, Michael Gold, Saeed Khan, Larry Klein, Jerry Meyer,
Rachel Jeanty, Mohit Poorva, Abera Woldesenbet (resident
member), and Eugene Shenderov, Andrew Yang, Abraham
Franklin, and Mary Denise Vaughn (student
members)! Without their taking time from their own very busy
schedules, this event would not be such a success for Maryland.
We hope that next year you might consider taking time off to
participate in this very special activity. See attached some of the
pictures which highlighted our Leadership Day.
Legislative Aide to Congressman John Sarbanes Dvora Lovinger
with Leadership Day Participants
Congratulations go to Eugene Shenderov who
represented our Maryland ACP as an intern in the ACP legislative
offices in DC. Thanks to Eugene for his devoted years of service as
co-Chair of our Student Committee from Johns Hopkins and we wish
him luck in his residency at Hopkins Bayview.
Steve Kravet who was named to the Maryland
Health Care Committee Health Information Exchange (HIE) Commission
and as the chair of our Health & Public Policy Committee.
Sanjay Desai, Program Director, at Johns
Hopkins who serves as a member of the national ACP Early Career
Physicians committee and Maria Morales, Associate Program Director
at St. Agnes, who will co-chair the Early Career Physician Council
with Dr. Desai.
Sapna Kuehl who received this year's C. Lockard
Conley Award for her outstanding activities in ensuring that
resident research and education is so well represented at St. Agnes
Hospital where she serves as Program Director and also in her role
as a leader and mentor of students and residents throughout the
Eric Howell who will serve as the President of
the Society of Hospital Medicine on a national level.
Janaki Deepak who was able to represent the
Maryland ACP International Medical Graduate Committee (IMG) group
at IM 2013 via her presentation at a Leadership workshop during the
Chief Residents Association of Baltimore (CRAB) both past and
present who were awarded an ACP Evergreen Award. When presenting
this award, the group noted that CRABs was an outstanding
initiative that demonstrated creativity and leadership in forming
more connections between resident/fellow members.
The MD ACP Volunteerism Committee has been in existence for a
number of years, and has highlighted several activities in our
community during that time. Recently, two new co-chairs,
Drs. Chiemene Liburd and Adriana
Andrade have agreed to be part of our MD ACP Chapter team.
The goals of this group are to disseminate information on volunteer
activities; support members who volunteer; encourage volunteerism
among our members; and highlight members who desire to improve the
health and well-being of others.
Dr. Liburd has been a member of a group that volunteers each
year in St. Thomas and provides services to residents who would not
otherwise have any type of medical care available to them. Dr.
Andrade has been very active in developing an outreach program for
the Latino community in the Baltimore metropolitan area. She has
worked with Drs. Alicia Arbaje, Sarah Polk and
Kathleen Page in forming HOLA- the Hopkins
Organization for Latino Awareness. The group has been able to
develop several different programs from community outreach to
assisting with providing scholarships, education and policy
leadership to the growing Latino community. Here is an article
describing their activities.
As of July 2, 2013, Johns Hopkins Medicine is creating a Center
of Excellence for Latino Health, to be based at Johns Hopkins
Bayview Medical Center. Formal operations will be in August and
Dr. Tina Cheng will serve as the Director of the
Center. The center will feature a myriad of health services
including medicine, pediatrics, gynecology and obstetrics, and
psychiatry. The initiative was made possible by a gift from the
Aaron and Lillie Straus Foundation with matching funds provided by
leaders of Johns Hopkins University School of Medicine. Here is
information about this new initiative.
(Both of these articles are courtesy of Johns Hopkins
As a member of the Maryland ACP, we would ask that you also make
us aware of your volunteering activities. We would be very pleased
to highlight some of these activities, and asked that you contact
Chiemene Liburd, MD,
FACP and Adriana Andrade, MD, MPH,
We look forward to hearing from you!
As medical students, residents, fellows, and practicing
physicians we spend our time learning medicine from textbooks,
researching new treatments at the bench, and practicing at the
bedside where we treat and counsel patients. For many of us the
political process occurring in Washington D.C. is at best a
secondary thought - a place we feel out of our comfort zone, away
from our habitat.
As an MD/PhD student, I definitely felt more at home at the bed
and bench side than on the Hill. For that reason, I feel fortunate
to have had a chance to participate in a month-long health policy
internship at the ACP's D.C. advocacy and governmental affairs
office in May 2013. This unique opportunity was made possible
through a resolution proposed by my predecessor on the Maryland ACP
council that the national office turned into a reality. The
internship allowed me to learn about the legislative process and
develop my advocacy skills. Attending congressional hearings,
coalition meetings, and briefings on new healthcare policies from
stakeholder private and governmental agencies allowed me to
understand current issues in health care policy. Accompanying ACP
D.C. staff on lobby visits, meeting with members of congress and
their aides, and holding a medical student/associate briefing at
ACP's Leadership Day events cultivated my advocacy abilities.
Eugene Shenderov, MSIV, and my co-intern Tracey Henry MD,
MPH, MS, PGY2 at the D.C. ACP Office
The experience made me realize that as doctors dedicated to
ensuring the best possible care for our patients, we all need to
understand the political process as it relates to our ability to
perform our occupation. In reality what happens in D.C. permeates
every aspect of medicine: funding for graduate medical education,
funding for essential health programs for the poor and uninsured
that determine an effective national health policy, funding for the
National Institutes of Health and the biomedical research it
supports, laws sustaining a broken medical liability system that
leads to defensive medicine and unsustainable health care costs,
and laws governing a broken payment system which at many levels
encourages procedural care over preventive care, further creating
an unsustainable health care model. Over the next few years, as the
Affordable Care Act is implemented with all its benefits and
shortcomings, we as a community have to step up and share our
vision for the optimal model of health care!
House Ways and Means Committee Health Sub-committee at which
ACP's Chair of the Board of Reagents Dr. Charles Cutler, MD, FACP,
gave testimony about reforming Medicare physician payment on May
From Left to Right: the author, Richard Trachtman, Bob Doherty,
Charles Cutler, Tracey Henry, and Jonni McCrann
At the ACP D.C. Office during ACP Leadership Day
From Left to Right: Dr. Dobbin Chow, Maryland ACP Governor; the
author; Dr. Mary Newman, former Maryland ACP Governor
In summary, I would like to paraphrase two memorable comments
given by two congressmen. First, it is our responsibility to
advocate on behalf of our patients. Otherwise, we are destined to
be helpless and throw objects and curses at the television when we
do not agree with laws proposed in Congress. Second, as physicians
across all specialties, we need to speak with one unified voice or
risk being seen as self-interested guilds. This would hamper our
ability to champion health care reforms that would lead to higher
quality lower cost care and a return to an environment that
promotes a healthier physician-patient interaction with less
bureaucracy and fewer defensive practices.
Eugene Shenderov, MD, PhD
Johns Hopkins University School of Medicine
Thanks to the generous support of the ACP, students at Johns
Hopkins were able to recently organize the 15th annual Community
Care Initiative (CCI) Health Screening fair. The fair, the largest
of its type in East Baltimore, took place at the Israel Baptist
Church on Chester Street, at the heart of a medically underserved
community. Residents of this community routinely face many of the
problems that blight urban populations - poverty, crime,
joblessness, and lack of access to resources. Despite the proximity
to a major medical institution, many of the residents are lacking
routine medical care, health insurance, and awareness of the many
modifiable factors negatively impacting their health.
In order to combat this situation, CCI partners with our
colleagues at the University of Maryland and other medical students
and health professionals in the area to provide health screening
and information. Our goals are to increase awareness of common
health problems, many of which are overrepresented in this
population, such as diabetes, cardiovascular disease, stroke, and
obesity, to educate the community about making choices that can
lead to a healthier life such proper diet, exercise, smoking and
drug cessation, and to connect those lacking insurance and basic
medical care with the resources available to them in the city. From
the medical student perspective, the fair provides an excellent
opportunity for us to practice our clinical and communication
skills, collaborate across institutions, and to work with and learn
from ACP physicians, all while giving back to the community.
In recent years we have provided basic health screening
including cardiovascular (BP, BMI, waist circumference), diabetes
(random glucose), and STI (HIV) and have now expanded to include
vision and dental screening. In addition to health screens, student
volunteers and professionals provide health information on more
than twenty topics including health literacy, cancer, asthma,
sickle cell disease, and domestic violence. Each attendee is
provided a booklet in which the results of their health screens are
recorded, providing an easy way for each attendee to keep track of
his or her data and to pass this on to health care providers.
Attendees are also given a bag of healthy groceries including fresh
fruits and vegetables. By partnering with organizations such as
Charm City Clinic, Health Care Access Maryland, Maryland Insurance
Administration, and Shepherd's Clinic, we are able to connect the
uninsured and those lacking a primary physician with the
appropriate resources. To incentivize participation at the fair, we
continuously raffle gift cards to local shops and groceries, with
attendees receiving additional chances to win for each health
screen or booth visited. Because a large percentage of attendees
bring children with them, we provide activities such as face
painting and balloon animals, as well as information on health
topics targeting families. A popular station focused on the high
number percentage of sugar in seemingly "healthy" and popular items
such as sports drinks, fruit juices, and breakfast cereals.
We are proud to be able to organize this health fair each year
and are grateful to the Maryland ACP for its continued support,
which encourages collaboration among students, sparks interest in
internal medicine, and greatly benefits an underserved community.
In the subsequent year, we hope to expand the fair to target a
larger population and to include additional screening such as basic
pulmonary function and dementia screening. This year's fair could
not have taken place without the significant contribution of many
students at Johns Hopkins including Amanda Sun
(CCI chair this year), Janet Choi, Abby Larson, David Li,
Lydia Powell, Jonathan Yeh, Robert Wardlow, as well as our
collaborators at the Johns Hopkins School of Nursing and Bloomberg
School of Public Health, University of Maryland Medical, Dental,
and Pharmacy schools, and the JHU Sight Savers group mentored by
Dr. Harry Quigley. We are especially indebted to
entire Maryland ACP, particularly Governor Dr. Dobbin Chow,
Dr. Stephanie Detterline, Dr. April Fitzgerald, and
Dr. Richard Williams who contributed resources,
helped to recruit students, and participated as physician mentors
at the fair.
Krishna Juluri, STUDENT CO-CHAIR, Hopkins University
We are very pleased that our Chief Residents Association of
Baltimore (CRAB) continues to be such an active and vibrant group.
The first meeting for 2013-2014 was held mid July and almost all 11
residency programs were able to send at least one representative to
attend and participate in CRAB activities for the upcoming year. We
thank Drs. Tahir Mehmood (Frankin Square),
Andrew Ofosu (Harbor Hospital), Panagis
Galiatsatos (Hopkins at Bayview) and Kristine
Yumul (Sinai/JHU) who volunteered to serve as co-chairs
for the upcoming year.
Plans are underway to host the 1st CRAB Grand Rounds on
Wednesday, August 28, 2013, 6:30 PM at the Baum Conference
Center at Harbor Hospital on the new Affordable Care Act
for 2014. This workshop is free of charge and is open to any
resident in the metropolitan area.
CRAB also plans to feature other activities including an
IMG/CRAB Potluck Dinner for early December that will celebrate food
from across the world, Student Dilemma, Doctors Dilemma, CRAB
presentations and events via the use of a Gmail group. Look for
additional details as the year progresses.
As you know, our very dedicated WIM chair, Dr. Claudia
Kroker, recently has moved to Virginia. She is very much
missed by our Women in Medicine group. However, we are delighted
that Drs. Nareesa Mohamed-Rajput, Christine D'Arbela &
Sapna Kuhel (in an advisory capacity) have agreed to take
on the activities of our women in medicine committee.
The newly formed group met in June and discussed several options
that they are hoping will interest both our women in medicine as
well as our younger population. They are planning on hosting
smaller groups either at their homes or in a very casual atmosphere
that would center on presentations on work life situations and
would also provide outlets for their families to take part in
during these workshops.
They are hoping to plan such an event for October. Look for
further details as the year progresses.
The Maryland ACP Hospitalist Committee held a joint meeting with
the Maryland Chapter of the Society of Hospital Medicine (SHM) on
June 12, 2103 at the Rusty Scupper in downtown Baltimore. The topic
focused on CRISP (the Chesapeake Regional Information System for
our Patients), Maryland's health information exchange. This portal
is a state and federally funded system that aims to connect
healthcare providers and services in a meaningful way to improve
communication. The meeting was engaging and interactive and was
well attended by members from both organizations. This new system
can be utilized to greatly improve communication between primary
care physicians, subspecialists and hospitalists. The Hospitalist
Committee is planning another joint meeting with the Maryland
Chapters of ACP, SHM and the Maryland Society of Hospital
Pharmacists on March 5, 2014. The topic is tentatively planned to
be on new anti-platelet and diabetic pharmaceutical agents and
their roles in the inpatient and outpatient realms.
Habicht, M.D., F.A.A.P., F.A.C.P.
Assistant Professor in Medicine and Pediatrics
Director, Med-Peds Residency Training Program
University of Maryland School of Medicine
Huzefa F. Bahrain, DO, FACP
Shalini Boyapati, MBBS, FACP
Priscilla Callahan-Lyon, MD, FACP
Christine D'Arbela, MD, FACP
Fer Eren, MD, FACP
Gary J. Kerkvliet, MD, FACP
Pothu Raju Nagabhyru, MD, FACP
Rita Rastogi Kalyani, MD, FACP
Ernestine A. Wright, MBchB, FACP
See below in "pictures" some of our recent Maryland activities
including: Leadership Day, Associates Meeting on May 16th which
included over 250 abstract submissions, Convocation in San
Francisco & CCI Fair hosted by our Student Committee.
Leadership Day Participants
Dobbin Chow, Sapna Kuehl (Conley Award Winner) & Richard
Williams at Mulholland-Mohler Associates Meeting
CRAB Co-chairs Saqib Baig, Vasu Balu & Nargiz
Muganlinskaya with Dobbin Chow
Presenters at Mulholland-Mohler Associates Meeting
Students "At Work" at CCI Fair
Stephanie Detterline & Student Worker at CCI
Students At Work at CCI Fair
Maryland Reception Attendees!
Maryland Fellows & Award Winners at Convocation
Ali Alfrookteh and his band playing at the
Audience at the reception