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© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
Richard M. Dupee, MD, FACP, Governor
Dear Massachusetts ACP Members and Fellows,
What a year! Internal medicine and its subspecialties are in the
direct path of momentous changes, some of which are needed, but
many of which have provoked significant concerns for our patients
and our profession.
Although we expect to see the demise of the SGR formula next
year, it will likely be replaced with a formula of reimbursement
for services rendered based on quality measures that must be met.
This will require that we as internists will need to team up with
systems that can give us the information that we will need in order
to meet those quality measures.
Although Massachusetts residents are less affected by the
Affordable Care Act, aka "ObamaCare," sticker shock is
spreading, ignited by the realization that even the lowest-level
ObamaCare plan is higher cost on average than pre-ObamaCare plans.
And we will see a rise in numbers of patients with much higher
deductibles than ever seen before. We must thus be prepared for
significant changes to our cash flow. Furthermore, there will be
another influx of patients who are eligible for Medicaid, and yet
even now, there are significant numbers of internists and family
physicians who are not accepting Medicaid. So, waiting times and
access will become major issues.
This new program is so big and complex, and has so many moving
parts, and was built on so many assumptions that may or may not
hold true, and deals with so many people with so many policies, it
has created much anxiety, and in many cases, inconvenience.
And we have all been surprised to hear that people seeking
insurance on the ObamaCare exchanges are finding that some plans
limit access to some of the best-ranked hospitals and cancer
centers in the country.
Nonetheless, we all agree that as internists, we want to see
that all of our citizens have access to medical care, no matter the
ability to pay for it. The big question is whether or not the
Affordable Care Act, which is clearly unaffordable for many, will
turn out to be the answer.
Indeed, in 1974, John Kerry, then Massachusetts senator, said
this: "Covering the uninsured might be desirable for other
reasons, but health-care costs would be driven out of sight once
the government began subsidizing another large group of Americans
to over consume."
Wherever the ACA lands, it is up to all of us, as internists and
subspecialists, to do all that we can to provide excellent care,
but at less cost:
From Medical Professionalism in the New Millennium: A Physician
Charter (ABIM-F, ACP-F, EFIM)
"While meeting the needs of individual patients, physicians are
required to provide health care that is based on the wise and
cost-effective management of limited clinical resources."
"The physician's professional responsibility for appropriate
allocation of resources requires scrupulous avoidance of
superfluous tests and procedures. The provision of unnecessary
services not only exposes one's patients to avoidable harm and
expense but also diminishes the resources available for
From American College of Physicians Ethics Manual (6th
"Physicians have a responsibility to practice effective and
efficient health care and to use health care resources responsibly.
Parsimonious care that utilizes the most efficient means to
effectively diagnose a condition and treat a patient respects the
need to use resources wisely and to help ensure that resources are
When the 2014 annual ACP meeting takes place in Orlando, I will
be signing off as your Governor. It has been a wonderful,
fulfilling, and deeply rewarding 4 years. I have been blessed with
one of the best jobs I could ever imagine, and I am grateful that
you have given me the honor of representing you both here in
Massachusetts, as well as at the national level.
During my term as your Governor, we had several major
accomplishments, all of which have led to an increased interest and
enthusiasm for membership in our Massachusetts chapter. We executed
a very successful strategic plan that resulted in over seven new
working committees with active member involvement. With the
formation of a vibrant Early Career Physicians Council, led by Dr.
Phoebe Cushman, we have been able to energize our young
Massachusetts physicians in getting involved with ACP, both locally
and at the national level. All of these efforts on the part of the
governor's council have resulted in growth of membership,
especially our Resident and Fellow members, which grew over 9%! And
finally, we are now heavily involved in working with student
leaders at our medical schools to formalize a council of students,
thus increasing interest not only in MAACP, but also in the
specialty of internal medicine as well.
Each year, with the enthusiasm, dedication, and hard work of our
council members, we have won the national ACP Chapter Excellence
Award, and we have submitted resolutions that were implemented by
the Board of Regents. Further, our chapter has worked closely with
the Massachusetts Medical Society on state issues that affect
I want to thank my council members, who have been so supportive
in our efforts over these past 4 years, and a special thanks to
Lynda Layer, without whom I would never have been able to succeed
in this role.
Come spring, please welcome your new Governor, and my very good
friend, George Abraham. I have worked with George
very closely over these past years, and his dedication to MAACP is
already legendary. We are all very lucky to have him lead us for
the next 4 years!
MA ACP had over 130 abstract submissions from medical students
and residents. From these submissions, 81 medical students and
residents were invited to present their posters during two poster
sessions on Saturday, October 12, 2013 at the Massachusetts Medical
Society in Waltham. At Poster Day, the winning Clinical Vignette
and runner up and the winning Research and runner up poster
presenters were invited to give an oral presentation at the MA
Chapter Annual Scientific Meeting on November 2, 2013. In addition,
44 posters were selected to present at the Annual Scientific
Meeting. Listed below are the Oral Presentation/Poster Winners,
Runners Up and Honorable Mention Posters.
Fahad Edrees, MD, Saint Vincent Hospital -
Late Onset Carbamoyl Phosphate Synthetase 1 Deficiency
Ashmeet Bhatia, MD, North Shore Medical Center - She Taught
me "Poems" Syndrome
Chung Kuang Chen, MD, Metrowest Medical Center
- Rare Gastric Gastrinoma in MEN type 1
Ka Yeon Lee, MD, Metrowest Medical Center -
From Cardiology to Oncology: A case of Double-hit B-cell
Lymphoma masquerading as Acute Gastroenteritis and
William Gordon, MD, Massachusetts General
Hospital - Introduction of an electronic tool ("MedHistory")
improves inpatient medication review
Tomasz Stryjewski, MD, Harvard University -
Effect of Massachusetts Health Reform on Chronic Disease
Rachel Kohn, MD, Massachusetts General Hospital
- The "exported" liver transplant candidate: A reflection of
geographic inequity in liver allocation
Atul Palkar, MD, Saint Vincent Hospital - A
COPD Management Program: Can It Make a Difference?
Sharon Li, University of Massachusetts Medical
School - Swallowing-induced Tachyarrhythmia
The Clinical Vignette, Research and Student winners will travel
to the Internal Medicine 2014 meeting in Orlando to represent the
The Annual Scientific Meeting was an excellent education and
networking opportunity for the over 145 physicians in attendance.
The morning started with our traditional clinical topics including
Geriatrics and Infectious Disease. These sessions were followed by
a presentation by Bob Doherty, ACP senior vice
president, governmental affairs and public policy on "What
Physicians and Patients Can Expect from Health Reform over the Next
Five Year." The Early Career Physicians Council presented a
Panel Discussion on "Dilemmas in Providing High-Value Care:
Case Discussions" moderated by council member Dr.
The afternoon included the oral presentations by the winning
poster presenters that will go on to represent Massachusetts at
Internal Medicine 2014 in the Poster Competition and a Town Hall
Meeting entitled "the Future of the General Internist - Positioning
Ourselves for Success."
To start the day, the medical students attended a Residency
Panel Discussion and members were invited to participate in a
Mentoring Collaborative Breakfast hosted by the Early Career
The day ended with the ever popular Medical Jeopardy which had
10 programs competing to represent Massachusetts in Doctor's
Dilemma in Orlando, FL. St. Vincent Hospital was triumphant for the
fourth straight year.
Visit us on Facebook for more
photos from the Annual Meeting.
Dr. James Hennessey leads a table discussion on
"Balancing clinical and administrative roles in medicine"
during the Mentoring Collaborative Breakfast
Attendees enjoying the 2013 MA ACP Annual Scientific Meeting
Dr. Dupee congratulates the Clinical Vignette
Poster Winner Dr. Fahad Edrees.
Town Hall Meeting: Panelists, Bob Doherty, Allan Goroll,
MD and Nancy Ridenour, PhD, RN, APRN;
Moderator: Richard Dupee, MD (left to right)
2013 Laureate Award Winner
Robert Fishman, DO, FACP accepts the 2013
Dr. Daniel Blumenthal is an Internal Medicine
Resident at Massachusetts General Hospital. Dr. Blumenthal has been
part of the Governor's Council and Chapter Annual Scientific
Planning Committee for the past two years and has organized the
Abstract and Poster competition each year.
Student Leadership Award Presented to Xibei
Jia, Tufts University Medical School Loni
Rogers, Tufts University Medical School
Young Leadership Award to Larissa Lucas, MD
Dr. Larissa Lucas completed residency training
in Internal Medicine at Cambridge Health Alliance where Dr. Lucas
practiced primary care for some years after training. Dr. Lucas
continues to be an Instructor in Medicine at Harvard Medical School
and Cambridge Health Alliance and is a staff physician at Hospice
of the North Shore in Danvers, MA. She is also Senior Deputy Editor
of DynaMed, and EBM database at EBSCO Publishing in Ipswich, MA.
Dr. Lucas is an appointed member of the Board of Health for the
City of Salem. Areas of interest include evidence based medicine,
health IT, end of life care, and health care reform. Dr. Lucas has
been a member of the Governor's Council, helped to establish the
Early Career Physician Council and has served on the Annual Meeting
Planning committee for the past two years.
Saint Vincent Hospital's Jeopardy Team - Drs. Karthik
Gnanapandithan (Captain), Atul Palkar, Vinod
Chaubey, and Subhash Paudel - took on the
toughest residencies in the Commonwealth. In what was a finish not
seen in recent memory, the incredible SVHers left the other
finalists in negative numbers, so there was no wagering permitted
for the Final Jeopardy question. (It was then done "just for fun,"
and, of course, our team nailed it.) The team will join their
poster winners in a MAACP sponsored trip to Orlando, where they
will represent the Commonwealth at the national competition called
'Doctors' Dilemma'. This is the fourth year in a row that Saint
Vincent Hospital has won the competition.
Lahey Clinic, St. Vincent Hospital and Mt. Auburn Hospital
compete in the final round of Medical Jeopardy.
At the Annual Meeting on Saturday, November 2, 2013, the MA ACP
membership elected two new Governor's council members,
Vishal Tiwari, MD Hospitalist Physician, Bay State
Medical Center and Orlando Torres, MD, MS, FACP,
CPE, Medical Director at Baystate High Street Health
Center. Drs. Tiwari and Torres will join the council for the first
time at the next meeting in January. We look forward to their
Drs. Linda Habeeb, Tejas Patel & Ashish
Verma were appointed to the Governor's Council by our
incoming Governor, Dr. George Abraham. Dr. Abraham
will become the MA ACP Governor at the Internal Medicine 2014
meeting in Orlando in April.
MA ACP Governor Richard M. Dupee, MD, FACP and
Governor-elect George Abraham, MD, MPH, FACP
In addition, Dr. Natalie Pauli has joined the
Governor's Council as the new Co-Chair, along with Dr. Gene
Lambert, of the Early Career Physician Council.
For a complete list of MA ACP Governor's Council Members, please
visit the MA ACP
We would like to thank Drs. Phoebe Cushman and
Robert Jandl for their time, commitment to and
support of the MA Chapter as members of the MA ACP Governor's
Dr. Dupee recognized Dr. Phoebe Cushman during
the Annual Meeting luncheon for her time and commitment as the
Chair of the Early Career Physician Council.
The Massachusetts Council of Early Career Physicians enjoyed a
very successful and productive summer and fall. The council held
one CME dinner in September 2013 and organized two events in the
annual scientific meeting. The council also had some transitions in
regards to its members. Four of the old members with amazing
contributions, who had completed their two year terms, departed the
council and new members came on board. The first council meeting
with presence of the new members was held on October 10th,
In September 2013, the MA Council of Early Career Physicians
(MAECP) held a CME program entitled "Physicians and Social
Media: Keeping it Professional", in which a panel of expert
physicians Bradley Crotty, Don Dizon, and
Tara Lagu shared their insights on how social
media is transforming medicine, the risk and benefits of social
media for physicians and how they can potentially threaten medical
professionalism. It turned out to be an interactive event and was
very well received by early career physicians from different
Members of the MA Council of Early Career Physicians also had
active presence in the Massachusetts ACP annual scientific meeting
which was held in Massachusetts Medical Society on November 2nd,
2013. They hosted a "Mentoring Collaborative Breakfast",
which provided an opportunity for attendees to learn more about the
new MA ACP Mentoring Collaborative for members in all stages of
their career, and this essentially was a follow up to the earlier
kickoff event that was held in June 2013. The atmosphere of this
event was informal and provided an opportunity to meet other early
career physicians and to discuss ideas around finding mentorship in
different contexts and practice environments. Also, as part of the
Annual Scientific Meeting, MAECP presented the panel case
discussion "Dilemmas in Providing High Value Care". This
session featured panelist physicians Robert S. Janett,
Rajlakshmi Krishnamurthy, and Natalie
Pauli. This event was hugely successful and well attended;
lots of questions were asked which lead to an interactive
The Early Career Physician Council is currently planning
their 3rd annual Winter Social Event on Friday, January 31
2014. This event will be held at Sonsie on Newbury Street,
in Boston. This event is open to all early career physicians in
If you have ideas in regards to what would be a good future
event (CME or social event), aware of the needs in your place of
practice that you think early career physicians' council may be
able to address, want to get involved in the planning of the future
events or have a special interest in the prior programs hosted by
MAECP and want to inquire more about them, please contact our
Chapter Administrator Lynda Layer.
Natalie Pauli, MD - Co-ChairGene Lambert, MD - Co-ChairEbrahim Barkoudah - TreasurerPhoebe Cushman - Secretary & Immediate Past
ChairJennifer Joe, MD - Information Technology
DirectorAzadeh Nasseh, MD - Newsletter EditorNii Tetteh, MD and Liz Scheufele,
MD - Mentoring Collaborative DirectorsJames Colbert, MD
Aba Ewusi, MD
Tara Lagu, MD
Yousaf Shaikh, MD
Andrew Zimolzak, MD
The ECP Council would like to thank Drs. Joel Auslander,
Linda Habeeb, Larissa Lucas, Jason Luke, Milan Mathew, Tejas
Patel and Steven Van Dam for their
contributions to the success of the Council of Early Career
Physicians. You will be missed.
I am pleased to announce that our chapter is in receipt of the
2013 Chapter Excellence Award! The award recognizes chapters which
successfully meet the standards for managing a chapter. In order to
achieve the Chapter Excellence Award, chapters must meet all basic
criteria and seven optional criteria. Criteria include such
activities as formulating an effective Governor's Council and
committees, communicating frequently with membership, providing
educational opportunities, recruiting and advancing members and
celebrating membership through local awards. I would like to extend
a special thanks to those chapter members who assisted me in all of
these endeavors! For their hard work and dedication, we received
April 10-12, 2014
ACP Internal Medicine 2014, Orland, FL
Wednesday & Thursday, May 21-22, 2014
ACP Leadership Day on Capitol Hill, Washington, DC
Saturday, November 7, 2014
2014 Annual Scientific Meeting, Massachusetts Medical Society,
Jonathan L Bayuk, DO FACP
Hasan Bazari, MD, FACP
Jan Cerny, MD, PhD, FACP
Christine Cochrane, DO, FACP
Patricia W. Finn, MD, FACP
Rakshith Gadam, MBBS, FACP
Katherine T. Johnston, MD, FACP
Samir S. Kadada, MD, FACP
Ursula B. Kaiser, MD, FACP
Lewis M. Levy, MD, FACP
Shan Lu, MD, PhD, FACP
Jason J. Luke, MD, FACP
Lauren B. Meade, MD, FACP
Vandana Nagpal, MBBS, FACP
Wayne S. Saltsman, MD, PhD, FACP
David T. Scadden, MD, FACP
Paul Summergrad, MD, FACP
Gyongyi Szabo, MD, PhD, FACP
Aaron B. Waxman, MD, FACP
Check out the new Members and Resident
Happy Holidays from the
Massachusetts Chapter, American College of Physicians