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Nebraska Governor's Newsletter January 2019

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Marvin J. Bittner, MD, FACP, ACP Governor

Marvin J. Bittner, MD, FACP, ACP Governor

 


Governor's Message

“College” in “American College of Physicians” can mean “educational opportunity”–and more.

Take a look at the ACP website: acponline.org. You'll certainly find lots of educational opportunities. In addition to meetings, ACP offers a wealth of online material. Wondering how you'll meet Nebraska's new opioid requirements for renewing your license? Some of the requirements may be met with courses that are available from the ACP online and free to members.

There's even more that ACP offers in the realm of education. Many of us in the Nebraska ACP chapter have significant professional commitments as medical educators. To meet expectations of our medical schools, many of us academicians are expected to demonstrate involvement in medical organizations and to provide evidence of presenting material at regional and national meetings. Involvement in ACP and its meetings can fulfill some of these obligations. Indeed, in planning our Nebraska meetings, our ACP chapter recognizes the value of having so many academicians in our membership. This is both a resource to provide up-to-date educational lectures for those who attend our meetings. This also is a way to give members with academic careers the opportunity to add “gave presentations at regional meetings” to their CVs.

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October Chapter Meetings: A New Twist!

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In 2019, our annual chapter meeting will look a bit different. First, on October 2-4, we will have a joint meeting with the South Dakota Chapter in Deadwood, South Dakota. Tom Tape, Micah Beachy and Jason Lambrecht are working with our colleagues in South Dakota to plan the meeting. Already, the program is looking very attractive. Please see the update from Tom Tape below.

For those who won't make it to South Dakota, we also have a meeting in Omaha planned for October. To be precise, mark Saturday, October 19 on your calendar. This will be an opportunity for students, residents, and fellows to present their work in a poster competition. In addition, we are planning an educational program. More information will follow as it becomes available.

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Report from Tom Tape:

The combined Nebraska and South Dakota planning committee has met twice and is assembling a diverse set of talks based primarily upon suggestions made by those who attended recent chapter meetings in both states. We anticipate covering about 15 topics in a variety of formats including Multiple Small Feedings of the Mind, traditional expert presentations, and interesting case reports. We also plan to have a Doctors' Dilemma (Jeopardy Style) game of medical knowledge and trivia.

The location in Deadwood, SD, is a fun vacation destination with lots to do for those who wish to tag along with you to the meeting. We are tentatively planning a program for significant others and family to visit near-by attractions while the meeting is in progress. My advice to those planning to attend is to drive there. There are many interesting places to visit along the way. When I attended a similar meeting in the Black Hills several years ago, I drove to near the Badlands National Park after work on the day before the meeting. I enjoyed a spectacular sunrise and morning hike in the park (see photos), and then easily drove to the meeting venue in time for the mid-afternoon session. Since the speed limit along I-90 in South Dakota is generally 80 mph, the drive does not take as long as one might think. The meeting is anticipated to start in mid-afternoon on Wednesday October 2 and end at lunch time on October 4.

I have attended several meetings with the South Dakota Chapter. They are a terrific group of internists and wonderful, friendly people to get to know. Many of them, including their Governor-Elect, have Nebraska ties. Please mark your calendars now. I look forward to seeing you there.

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Burnout Survey Results Available – Chapter Membership Shares Insights

As you may recall, our ACP chapter surveyed its members in Oct/Nov 2018 using a validated instrument to measure burnout – my sincere thanks to those of you that completed the survey. Results indicate our membership reports significant burnout in some areas, but a great deal of satisfaction in other aspects of their work. ACP has formed a multi-faceted approach to address these complex issues – we encourage you to review the Physician Well-being and Professional Satisfaction website to read more about ACP's ongoing commitment. Locally, our chapter has formed a Wellness Workgroup that is focused on digesting our results, communicating them to the membership, and building programming to address the identified needs.

See full details here, including our quantitative and qualitative results.

We welcome your direct input on issues of physician wellness and burnout; please send your ideas for promoting positive change to Shannon Boerner, MD, FACP. We will continue to communicate with you consistently via Governor's Newsletters and special communications, and welcome your feedback on our efforts.

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MKSAP online study hall begins January 8 for Big M members

Want to study and discuss MKSAP in a group? With ACP's MKSAP online study hall, you can join a study group–without leaving your home. Click here to learn more and register.

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Member News

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Congratulations to Lauren Nelson, MD FACP, on being elected to the ACP National Early Career Physician (ECP) Council. Lauren is a member of our Chapter's Governor's Advisory Council and Chair of our Chapter's ECP Council.

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We also want to recognize Bradley Pfeifer, Medical Student Member, on being elected to the ACP National Student Board. Bradley is also a member of our Chapter's Governor's Advisory Council.

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Awards Consideration

So many of our members are doing outstanding work, and thus deserve national recognition! Do you know someone who should be nominated for an award? National ACP has several awards with varying criteria. Here are a few examples:

John Phillips Memorial Award for Outstanding Work in Clinical Medicine

This award is bestowed for outstanding, lifetime work in clinical medicine which has been innovative and/or had a regional or national impact.

James D. Bruce Memorial Award for Distinguished Contributions in Preventive Medicine

This award is bestowed for distinguished contributions in preventive medicine. Preventive medicine shall be interpreted to include any subject bearing on the prevention of disease.

Ralph O. Claypoole Sr. Memorial Award for Devotion of a Career in Internal Medicine to the Care of Patients

The award is given to an outstanding practitioner of internal medicine who has devoted his or her career to the care of patients.

See a full list of National Awards here.

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Leadership Day 2018

by Dr. Jason Lambrecht

Our Nebraska ACP Chapter had a great ACP Leadership Day in 2018. It was a wonderful opportunity to speak to our Senators and Representatives to influence policy and network with other ACP members. Congressmen and women have long felt that in-person visits have the highest impact on them and personal stories help bring reality to a message. Our delegation included Chair Emeritus and previous Governor, Dr. Thomas Tape, medical student, Bradley Pfeifer from Creighton University and internists, Dr. Richard Seitz and myself, Dr. Jason Lambrecht.

We spent the first day learning how to negotiate on Capitol Hill. We heard from legislative panels and ACP lobbyist Bob Doherty. On the second day, Congressmen Peter Roskam from Illinois spoke before we headed to the capitol. While on Capitol Hill, we had a productive day and visited with Congressmen Fortenberry, Bacon and Smith and Senators, Fischer and Sasse. We focused our efforts on discussing the opioid epidemic, reducing prescription costs, reducing administrative burdens and GME funding. We asked for support of various bills including the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841) which standardizes electronic prior authorization for prescription drugs under Medicare Part D. We also discussed the importance of PDMPs (prescription drug monitoring programs) to improve data collection and integration into physician workflow. Cosponsoring the Improving Access to Medicare Coverage Act of 2017 (S. 568/H.R. 1421), which deems patients under observation as inpatients for the purpose of satisfying the Medicare 3-day inpatient stay requirement. Most Americans, 92% are in favor of the government negotiating drug prices. We focused our discussion on drug price transparency with the Drug Price Transparency in Communications Act (S. 2157) which would require drug companies to disclose the wholesale acquisition cost of an RX in direct to consumer advertising. Congress has appropriated 4.6 billion dollars to combat the opioid issue. We asked to continue support for programs like Cara 2.0. We rejected the idea of prescriptive practices for a 3-day limit of prescribing initial opioid prescriptions to ensure that doctors have appropriate flexibility to determine the proper duration.

ACP is leading the efforts against many fronts. ACP Leadership Day was an excellent opportunity for us to demonstrate to our national leaders that we want to be a part of the future of medicine. We are looking forward to seeing you at ACP Leadership Day 2019.

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.

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Advocacy in Action

A Neurosurgery resident with Nebraska ties has been selected as a White House Fellow. Check out the article here about Jeremy Hosein.

Are you acquainted with legislators or staff in Washington, DC? Or perhaps you have a relationship with other Nebraskans involved in legislation? If so, please share with the chairs of our Health & Public Policy Committee, Dr. Jason Lambrecht or Dr. Nancy Stewart and aid in Advocacy for ACP!

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Opportunity for Residents

Are you a Resident who is planning to attend the Internal Medicine Meeting in Philadelphia on April 10-13? Do you want to carry on Nebraska's success in Doctor's Dilemma? We're putting together a team of residents to represent Nebraska in the Doctor's Dilemma competition. If you will be at the meeting, please contact Cindy in the Chapter Office for more information.

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Upcoming Events

2019 NMA Annual Advocacy Breakfast
Tuesday, February 12, 2019 from 7:30 - 9:00 a.m.
Nebraska State Bar Association Conference Room
635 S 14th Street, Suite 130 (West side of the Capitol)
Lincoln, NE
*Please note change in location due to construction at the Capitol
Register here

MOMS Knowledge Bomb: Organ Donation
February 21, 2019
7:00 AM - 8:00 AM
MOMS Office - 7906 Davenport Street, Omaha, NE 68114
No Charge for Members; $15 for Non-members
Register Here

2019 Internal Medicine Meeting – Philadelphia, PA
April 11 - 13, 2019
Register before January 31 to receive discounted rates!
Click here to learn more

Leadership Day 2019 on Capitol Hill
May 14-15, 2019 in Washington, DC - Mandarin Oriental Hotel
Click here to learn more or contact Dr. Jason Lambrecht or Dr. Nancy Stewart if interested in attending.

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