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Nebraska Governor's Newsletter February 2018

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Marvin J. Bittner, MD, FACP, ACP Governor

Marvin J. Bittner, MD, FACP, ACP Governor


Governor's Message

PechaKucha™, Fire Hoses, and the ACP

-Marvin Bittner, MD FACP

“PechaKucha™,” I suspect, doesn't mean anything to most of you. I was in the same boat a year ago.

“Drinking from a fire hose,” on the other hand, is a phrase many of us have encountered. I heard it used to describe the first two years of medical school. Coping with the deluge of facts that inundate medical students is, some say, like “drinking from a fire hose.”

Trouble is, the deluge of medical information doesn't slow to a trickle when you are handed your diploma. How are we ever going to keep up with the continuing torrent of medical information?

The American College of Physicians offers many ways to continue our medical education. MKSAP is the best known. There's even more, of course.

That's where PechaKucha™ comes in. I encountered it at last year's ACP Internal Medicine Meeting in San Diego.

PechaKucha™ is a trademarked term for a lecture style. Its origins are found among architects in Japan. They had a problem: architects who would drone on, seemingly without end, showing slide, after slide, after slide.

Their solution was PechaKucha™, which is Japanese for “chit chat” or “chatter.” It has been described as “Get to the PowerPoint in 20 slides. Then sit the hell down.” More explicitly, “you show 20 images, each for 20 seconds. The images advance automatically, and you talk along to the images.” It is a rigidly limited lecture format. The Internal Medicine meeting used this variation:

  1. 5-minute limit. At the podium, a gong was available to terminate any talk that went too long.
  2. 15, and only 15 slides.
  3. Automatic slide changing every 20 seconds.

Result: a carefully chosen, focused topic, concisely and clearly presented. I attended a PechaKucha™ session on iron-deficiency anemia. The lecturer had described insights into the physiology of iron absorption, the impact on dosing, clinical data, and a new dosing scheme.

At our annual meeting of the Nebraska ACP chapter this fall, we plan to include a variant of PechaKucha™. I don't expect we will provide a gong to stop longwinded speakers. We won't be as rigid. I do expect, however: focused subject, short duration, clarity, insight, and effectiveness.

Has our Program Committee already reached out to you and asked you to present a short lecture? If so, please consider the request. This can be a great opportunity to share an insight that fascinates you. If our Program Committee hasn't reached out to you yet, please get in touch with me ( or Kris Rahm (, our Executive Director. If you have a topic or know a colleague who could give a great presentation, please let us know.

And, of course, please mark your calendar for Friday, October 26 and Saturday, October 27. It's a non-football weekend for the Huskers, and it's your chance to network with colleagues at our annual meeting. This is a time you can learn from our variation on PechaKucha™—and more!



Health and Public Policy Update 2017-2018

-Nancy Stewart, MD & Jason Lambrecht, MD

On Tuesday, January 23, the NMA hosted their annual Advocacy Breakfast with senators, legislative staffers, physicians, residents, students, and several Nebraska ACP members also in attendance. There were over 50 physician attendees and 20 student members from both Creighton University and University Nebraska Medical Center. This was a great opportunity to develop relationships with Nebraska policymakers and advocate for our patients.

Looking ahead, ACP Leadership Day 2018 is May 22-23 in Washington D.C. We would like to invite anyone who is interested in healthcare policy to get involved and attend. This is a wonderful opportunity to speak to our Senators and Representatives to influence policy, network with other ACP members, and see our government in action. By attending ACP Leadership Day, one can also gain training on advocacy skills, get updated on the latest ACP legislative priorities, and attend the Nebraska Breakfast-the oldest ongoing (70+ years) state gathering of constituents on Capitol Hill. We are looking forward to seeing you at ACP Leadership Day 2018.

You Can Attend Leadership Day in May 2018

If you are looking for a chance to influence policy and speak directly to our state's senators and representative, then Leadership Day is just for you! There are many benefits to attending this two-day Washington, DC, event:

  • Updates and orientation on the latest ACP legislative priorities
  • Training on advocacy skills
  • Networking with NE colleagues, internists from across the nation, and ACP leadership

Contact Kris Rahm for more information and join us in DC in 2018.



Chapter Excellence

Nebraska Chapter Receives 2017 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 ten 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.



NE ACP Calendar of Events

  • NE Governor's Advisory Council Meeting – April 11 – 6:00 pm
  • Spring Board of Governors – April 17-18 (New Orleans, LA)
  • IM 2018 – April 19-21 (New Orleans, LA)
  • SD, IA, NE & KS Combined Chapter Reception – April 20 (New Orleans, LA)
  • Leadership Day – May 22-23 (Washington, DC)
  • NE ACP Annual Scientific Meeting – October 26-27 (Omaha, NE)
  • Regional ACP Meeting (SD, ND, NE, WY in Deadwood, SD) – October 2-4, 2019



New Members

William Abrahams, MD
Kerry McDonald, MD
Mohamad Alhajhusain, MD
John Duch, MD
Siva Madineedi, MD



New Fellows

Renee L Young, MD FACP
Alan R Erickson, MD FACP
Matthew Lunning, DO FACP
Venkata Andukuri, MD FACP
Krishna Gundabolu, MBBS MD FACP
Brian J Keegan, MD FACP