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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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April 11-13, 2019
Internal Medicine Meeting 2019
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Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
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Internal Medicine 2014 was held in Orlando, FL in April with 109
Minnesota internists and residents joining thousands of internists
from across the country. Minnesota physicians were well represented
among the speakers at many of the most popular talks and a team of
Mayo residents competed in the Doctor's Dilemma™.
Internal Medicine 2015 will celebrate ACP's Centennial
Anniversary. The meeting is scheduled for April 30 - May 2, 2015 in
Boston, MA. Fellowship applications are due by January 2, 2015 for
new Fellows to be able to participate in the historic 100th
Anniversary Convocation in Boston.
Hot topics at the spring Board of Governors meeting included
maintenance of certification and recertification, with a large
number of concerns raised about the burden of work to maintain
certification as new hurdles have been added. ACP is working on an
MOC Navigator to answer member questions and act as a guide to this
complex process. However ACP is also actively involved in talks
with ABIM urging them to make MOC more sensible and more
affordable. In addition, ACP Smart Medicine will be expanded; ways
to increase EHR quality and decrease the hassle factor of practice
are being explored; and the High Value Care initiative is moving
Minnesota physician Dr. Victor Montori spoke to
the Board of Governors on "Minimally Disruptive Medicine," the
concept that doctors should consider the burden on patients when
deciding on treatment/management options with patients in order to
avoid life disruptions (time, cost) that could decrease quality of
life substantially despite well-intended medical aims. His talk was
very well received.
New Fellows are invited to march in at the convocation within
the first two years of being elected to fellowship. ACP Fellowship
adds value to your professional life. It is a mark of distinction
from colleagues who recognize accomplishments and achievements over
and above the practice of medicine. Fellowship honors those
physicians who have made contributions to medicine, to their
community, or to ACP. The photo below highlights those new
Minnesota Fellows who were recognized at the 2014 Convocation.
My apologies that all Fellows did not get included in the photo
New Fellows at Convocation
The following new Minnesota Fellows of the American College of
Physicians were approved in the past six months:
Leadership Day was held May 21st and 22nd, in Washington, DC
with five Minnesota internists and medical students attending.
Visits to our congressmen and senators to advocate for extending
the Medicaid payment schedule with parity to Medicare rates past
the current January 2015 expiration date, expanding graduate
medical education funding and increasing the number of residency
positions, and other ACP priorities were included. Minnesota was
represented by five attendees including: Drs. Heather
Gantzer, John Bundrick, Mark Liebow, Tanya Repka, and
medical student Andrew Harrison.
Please remember to nominate your colleagues for an award. There
are many national awards as well as those listed below. The
deadline is July 1 for National Awards. The entire booklet which
explains requirements for each National ACP award may be found on
the ACP Web site.
The State/Chapter Award Nominations can be sent to Minnesota.ACP@gmail.com no
later than August 1, 2014. Please include a short informational bio
on the nominee and why you feel they are deserving of the award.
Minnesota award nominations are accepted for:
The annual Crayfish Boil held in Rochester on May 10 was hosted
by Dr. Jamie Newman and attended by medical
students of Mayo and of the University of Minnesota, as well as
Mayo internal medicine residents, faculty and the MN ACP Governor.
MN ACP continues to support the internal medicine interest groups
at the two medical schools in Minnesota, and the IMIG groups are
increasingly active an stimulating students' interest in internal
medicine as a career.
Your Governor's Council met on April 29, 2014 in Bloomington,
MN. Updates were provided by all committee chairs and by
representatives from each medical school and residency program. The
organization's bylaws are being updated and are being reviewed by
The ACP Board of Regents. The meeting also reviewed the objectives
set out by the MN-ACP Strategic Plan. The financial report and
budget for FY2015 were reviewed and approved. Membership outreach
plans were discussed as was an update on national and state
legislative issues. The remainder of the meeting focused on the
status and additional work to be done on the fall Scientific
The Minnesota legislature had a busy 2014 session that ended on
May 16. Highlights include: Medical marijuana may be used in some
forms for some patients. Doctors may sign the certification a
patient needs to buy marijuana if they have primary responsibility
for treating the patient's qualifying condition, which include
cancer (if the patient has severe pain, nausea, or wasting),
HIV/AIDS, Tourette's, ALS, seizures, severe and persistent spasms,
Crohn's disease, and terminal illnesses (if the patient has severe
pain, nausea, or wasting). We will not be prescribing marijuana.
Smoking is not permitted.
APRNs will be able to practice independently after working for a
year in an integrated practice that has physicians and
nurse-practitioners or PAs.
Significant limitations were put on e-cigarette use though the
Freedom to Breathe Act, which would have prohibited most indoor use
in public, was not extended to "vaping".
Peace officers and emergency responders will be allowed to carry
and administer naloxone if they have been given training by a
physician or other licensed prescriber. There is immunity from
liability to prescribers who provide the prescription and training.
There is also a "Good Samaritan" provision granting limited
criminal immunity to those who witness an overdose and call for
The Provider Peer Grouping program, which would have publicly
reported cost and quality data on hospitals and clinics, was ended.
However, the All-Payer Claims Database will continue collecting
information for research and policy-making.
Health licensing boards, including the Board of Medical
Practice, can summarily, if temporarily, suspend a practitioner's
practice license if the licensee presents risk of harm to a
A bill that would have kept active a personal injury case even
if the plaintiff died appeared ready to pass but hit a last-minute
roadblock and did not pass. This would have had an impact on
At the federal level, Senator Franken will
replace the retiring Senator Harkin as the
Democratic co-chair of the Rural Health Caucus.
Another SGR patch passed in March, this time for a year. Many
had hoped a definitive solution would occur this year because of
agreement of what the replacement would look like. However, the
House and Senate disagreed on how to pay for the budgetary cost of
the fix and so ended up with the patch. There will be a small
increase in Medicare fees as a result of the fix.
The Early Career Physicians Group (formerly the Young
Physicians), met for our second "Internal Medicine on Tap" at The
Local in Minneapolis the evening of March 4, 2014, with Amy
Holbrook, MD discussing "Navigating the Maze of
Recertification: What you actually need to know about the changes
to ABIM's MOC program". The next I.M. on Tap event will be at
6:30pm on Tuesday, September 9th at The Local, with Joel
Greenwald, MD, CFP discussing financial planning for early
career physicians. "I.M. on Tap" brings early career physicians
(internists within 16 years of graduating from medical school), and
senior residents together to discuss relevant topics, while
enjoying appetizers and beverages in a low-key environment. Any
questions or suggestions, please contact the Early Career
Physicians Chairwoman, Amy Holbrook, MD.
MMA is seeking an internist interested in serving on a
Prescription Drug Prior Authorization Work Group. The MMA work
group will identify, and recommend to the MMA Board of Trustees,
specific strategies for modifying the practice of prescription drug
prior authorization to support improved patient care and reduced
administration burdens for medical practices. Contact Minnesota.ACP@gmail.com by
July 11th if interested.
Annals of Internal Medicine released a new interactive
medical education tool designed to test physicians' decision-making
skills. Annals Virtual
Patients uses a unique "if this, then that" format, so each
learner goes down his or her own path through a complex clinical
simulation. Each simulation covers the examination, diagnosis, and
treatment of a virtual patient. Upon completion of each case,
physicians may earn Continuing Medical Education (CME) and
Maintenance of Certification (MOC) credits.
Annals Virtual Patients is uniquely formatted to allow
physicians to learn from mistakes as they proceed through the
simulations. Selecting a response prompts a detailed explanation of
the medical consequences based on the answer chosen. At the end of
each case, the physician is presented with a complete summary of
the clinical problem and solution.
The cases were developed by Annals of Internal Medicine
editors in collaboration with faculty of the Division of General
Internal Medicine at the University of Pittsburgh.
Whether for hand-offs or advice, ACP initiative offers aids for
In an effort to improve communication about specific patients
between doctors, subspecialists and hospitals, the American College
of Physicians has created a new "toolkit" to help coordinate
ACP unveiled the High
Value Care Coordination Toolkit in April, urging primary care
and specialty doctors to use its components to improve their
back-and-forth communication regarding patients.
The toolkit is intended to make sure that subspecialists get
accurate and appropriate information about patients referred to
them and that they pass back to primary care physicians the
information they need to monitor the care of their patients.
The toolkit includes five components:
Learn how to eliminate unnecessary healthcare costs while
improving patient outcomes with these interactive cases on
high value care. The 30- to 60-minute topics can be completed
on your desktop, laptop, tablet, or smart phone. Review the cases,
answer the associated multiple-choice questions, and read through
the critiques. You can also download the take-home tools to help
you incorporate HVC principles into your practice. The cases offer
free online CME and may fulfill risk management/patient safety CME
required by some states. They have also been approved by ABIM for
13 MOC medical knowledge points and patient safety credit.