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The focus of this newsletter is to encourage attendance at the
Internal Medicine 2013 ACP National Annual Meeting in San Francisco
and the Convocation for new Fellows, Masters, and awardees, the
Doctor's Dilemma™ competition, and the poster and abstracts
competitions. Another focus is to report on the January 2013 Nevada
chapter annual meeting in Las Vegas at the Las Vegas Simulation
The Nevada Chapter is planning to have two smaller 2014 Annual
Meetings: one in Las Vegas and one in Reno. This will be the first
ever ACP Annual Meeting in Reno, which I hope will occur on a
January 2014, Saturday morning, from perhaps 8 AM to 1 PM, with
breakfast included. We need volunteers from the Reno area for the
Northern Nevada Program and Planning Committee. Please contact
Dr. Warren Evins, Nevada Governor, or
Susan Lynch, Executive Director.
I would also like to have a January 2014, Las Vegas meeting on a
Sunday morning at Touro University, with breakfast. We need members
to help with the Southern Nevada Program and Planning
The Chapter will continue to have resident and medical student
poster competitions in Northern and Southern Nevada. The Doctor's
Dilemma™ competition will also be continued, if there are
teams that want to participate.
The 2013 Internal Medicine Meeting will be held at the San
Francisco Convention Center on April 11 to 13, 2013 (Thursday
through Saturday). Pre-Session courses will be held on April 9 to
10 (Tuesday and Wednesday), as is the Spring Board of Governors
Meeting, which I and our Chapter's Executive Director Susan Lynch
will attend. There are many different tracks that one can attend or
follow at the IM meeting, ranging from field or specialty, to
Leadership Development and practice management talks, to specialty
topics. Waxman Clinical Skills Center sessions can also be
scheduled, if you sign up early enough at the IM meeting. Types of
sessions include Updates, Small Feedings on a few special topics,
Meet the Professor sessions, Award talks, PowerPoint presentation
slides on dermatologic lesions, imaging studies, urinalysis and
diagnostic testing topics, patient management, etc. topics.
The Convocation starts around 6:00 to 6:30 PM Thursday. New
Fellows are inducted, Awards and Masterships are conferred, and
visiting dignitaries are introduced. The new Fellows and Awardees
march in and march out of the Convocation in a processional.
The Nevada Chapter has entered a Doctor's Dilemma™ team
from Reno, the team that won the statewide playoffs, who will
compete in a tournament during the IM Meeting. The final round is
late on Saturday afternoon around 5:30 to 6:00 pm.
The Nevada Chapter has also entered two resident and two medical
student poster entrants, who were the first place winners in our
four statewide Poster Competition categories: Resident/Associate
Clinical Vignettes, Resident/Associate Research, Medical Student
Clinical Vignettes, and Medical Student Research. The first place
winners are 1) Associate Research: Dr. Kasaiah
Makam, Associate Clinical Vignette, Dr. Faisal
Siddiqui, Student Research, Krystle
Tuano, Student Clinical Vignette, Dalia
The Poster Competition involves making, displaying, and
presenting medical posters. The Abstract Competition is a separate
event that involves Resident/Associate presentations of a medical
PowerPoint slide clinical vignette or research project. Both events
occur throughout the IM meeting.
Another way to participate in the Poster or Abstract Competition
is to directly submit the abstract to the ACP, designated for
either the poster or abstract competition. Then these abstracts are
evaluated by Judges (I was one) and rated. About 15% of the
submitted poster abstracts submitters were invited to participate
at the ACP IM Meeting.
The combined Nevada - Colorado Reception, to honor our new
Fellows and to provide a social opportunity for Nevada physicians,
is scheduled to occur Friday, April 12, 2013, at 5:30 - 7:00 pm at
the ACP Headquarters Marriott Hotel, near the San Francisco
Convention Center. Some food and beverages will be served. Come
meet and greet other Chapter members and the new Fellows. Often the
Nevada attendees go out for dinner after the Chapter Reception.
The January 2013 Annual Meeting of the Nevada ACP Chapter had
several components. Dr. Molly Cooke, ACP
President-elect, came to Las Vegas on Thursday afternoon and met
with medical students, residents and medical school faculty on
Thursday and Friday at the two Las Vegas medical schools University
of Nevada School of Medicine (UNSOM) - Las Vegas and Touro
University and the two internal medicine residency programs at
UNSOM - Las Vegas and Touro University/Valley hospital medical
center. She presented Grand Rounds at UMC on Friday morning and
attended a dinner with the Chapter program's speakers and judges
Friday evening. Dr. Evins, Nevada Governor, escorted Dr. Cooke.
Bob Doherty, ACP Senior Vice President of
Government Affairs and Public Policy also gave a very informative
A Cardiovascular Diseases Self Evaluation Program - Maintenance
of Certification (SEP - MOC) presentation was licensed by the
Chapter from the American Board of Internal Medicine (ABIM) for a
single presentation, which occurred at UNSOM - Las Vegas on Friday
afternoon. The Chapter also presented a heart sound simulation
program, with several simulators and modules, at the Saturday
meeting at the Las Vegas Simulation Center, which was well
received. Several cardiologists taught and supervised the
Dr. George Sarka, Immediate Past Governor of
Southern California Region II conducted a Medical Bingo game with
cash prizes at the end of the Saturday program. The questions were
based on the scientific presentations at our meeting. This was our
Chapter's first ever Medical Bingo Contest and it was great!
Unfortunately, it was not very well attended.
The finals of the Poster Competition were held Saturday morning
at the Annual Meeting. Chief Judge George Sarka,
Judge Michael Bloch, and Judge Nicholas
Vogelzang officiated. The first place winners in each of
the four categories presented ten minute PowerPoint slide
presentations to a Plenary Session followed by a
question-and-answer session. The first, second, and third place
winners all received an ACP published medical book, purchased by
the Chapter. First place winners were invited to present their
posters at the San Francisco Internal Medicine 2013 Meeting, with
up to $1000 provided by the Chapter for expenses. Chapter first
place winners don't have to go through a pre-judging application
process in order to be able to present a poster at the National ACP
The winners were:
1) Associate Research:
1st place: Kasaiah Makam
2nd place: Keerthi Gadam
3rd place: Ruihong Luo
2) Student Research:
1st Place: Krystle Tuano
2nd place: Brooks Beal
3rd place: Kristi Jones
3) Associate Clinical Vignette:
1st place: Faisal Siddiqui
2nd place: Rajeswari Jayaraman
3rd place: Sunayana Reddy
4) Student Clinical Vignette:
1st place: Dalia Hawwass
2nd place: Marc Cerruti
3rd place: Zackary Johnson
A luncheon was held at midday followed by a Town Hall discussion
featuring ACP President-elect Molly Cooke, MD,
FACP; ACP Senior Vice President of Government Affairs and
Public Policy, Bob Doherty; Governor
Warren Evins, MD, PhD, FACP; Treasurer
Mitchell D Forman, D.O., FACP, FACR, FACOI; and
Sandy Wahi-Gururaj, MD, MPH, FACP, Program
Nicholas J. Vogelzang, MD, FACP received the
Chapter Laureate Award, a beautiful plaque and an engraved
medallion. Sohail U. Anjum, MD, FACP, FACC,
received the Chapter Volunteerism and Community Service Award, a
certificate, and a book published by the ACP Press signed by the
Exhibitors, sponsors, and grants have been declining markedly
over the past four years for our Chapter's Annual Meetings. This
meeting we had NO grants, NO sponsors, and only ONE exhibitor from
a pharmaceutical company.
Our meetings are quite expensive. Continuing Medical Education
(CME) credits and the Las Vegas Simulation Center rental were
purchased from UNSOM, for about $4000. Food cost about $5000,
including speakers and judges meals. We also covered travel and
hotel for the speakers and judges, and hotel and local
transportation costs for the out-of-town Poster Presenters and
Doctor's Dilemma™ competitors (WHO WERE CHAPTER MEMBERS, as
was required for participation in the competitions). Prizes for
Poster and Doctor's Dilemma™ winners (first, second, and
third places) was about $6000, not including judging costs. We also
had printing, mailing, signage, supply, SEP - MOC, and other costs.
So the meeting cost around $20,000 and the Chapter usually receives
around $22,000 to $24,000 in membership dues. Residents pay
significantly reduced dues and most retired and medical student
members paid no dues. The Chapter also pays for a very part-time
Executive Director, and receives a partial stipend to reimburse a
portion of our part-time Executive Directors expenses.
Despite our exceptional program, total meeting attendance was
down for the third year. The percentage of attendees staying to the
end of the program was up a little, probably due to the exciting
Medical Bingo program, but was still disappointing.
We are all perplexed as to the reason for this. Perhaps, it's
because we offer too many CME credits and have a meeting that is,
consequently, too long. I don't know!
The SEP - MOC program which we offered for free to all meeting
registrants costs the Chapter a one-time use licensing fee, but has
not been well attended either. The maximum attendance over the past
two years (cardiovascular diseases and gastrointestinal diseases -
GI) was only seven.
That's why I'm going to try to have a shorter, less expensive
program in 2014, both in Las Vegas at Touro University on a Sunday
morning and in Reno on a Saturday morning.
VMSN is a free, Las Vegas based federally certified clinic
offering primary care medical services to under-insured and
uninsured non indigent patients. VMSN is an ACP Nevada Chapter
designated Volunteerism project, that I participate in. Medical
personnel are covered for malpractice insurance under the Federal
Tort Claims Act, if they apply through VMSN.
More volunteers are needed. A few
primary care physicians are volunteers, but very few specialty and
subspecialty physician have volunteered. The clinic offers primary
care medical care, many laboratory services, many imaging studies,
and medications, often through the pharmaceutical manufacturers
(PAPs) Patient Assistance Programs (a paperwork intensive