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North Dakota Governor's Newsletter October 2019

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Fadel Nammour, MD, FACP, ACP Governor

Fadel Nammour, MD, FACP, ACP Governor


Message from the Governor

Fall has been busy for ND ACP chapter. I had the opportunity to attend the Board of Governors meeting in Tucson, Arizona at the end of September and connect with fellow governors from all over the states. We discussed a few resolutions that will make I.M. practice better and I had the chance to witness a presentation about the new ACP “vision” for healthcare. More to follow about the vision statement. We also reviewed the progress made in regards to E/M coding reforms and ABIM MOC improvement process.



Annual Scientific Meeting


As soon as I was back from Tucson, we had to prepare for our local meeting which was a great success thanks to all of those who helped organize it and those who actively participated in it.

This year we had a joint meeting with the North Dakota Medical Association in Fargo. We had great speakers and their presentations are available to all members below. We had a combined attendance of 53 registrants.

Dr. Wynne kicked off the meeting with “Breakfast with the Dean” and provided us with an overview of the current situation at the UND School of Medicine and Health Sciences, changes happening, and future plans.

We also had the chance to hear from Immediate Past President of AMA Dr. Barbara McAneney about the challenges facing physicians in the future of medicine and its impact on healthcare. Presentation

Tracy Vignes Kolb, JD reviewed the role of clinicians under the North Dakota medical marijuana law and discussed the risks and legal issues. Presentation

Dr. Andrew McLean, chair of the UND School of Medicine and Health Sciences Department of Psychiatry and Behavioral Health, provided an overview of the criteria used in diagnosing substance use disorders and the impact of misuse and substance use disorders on individual and population health. Presentation

Dr. Karol Kremens covered standard asthma treatment approach and discussed biologics bronchial thermoplasty and future therapies for moderate to severe asthma. Presentation

Dr. Paulina Kunecka reviewed signs and symptoms of stroke and patient's eligibility for intravenous injection of tissue plasminogen activator in acute ischemic stroke. Presentation

The meeting ended by a workshop on planning and publishing clinical and translational research presented by Dr. Marc Basson. He helped us understand what makes a good research and how to turn a good research project into a published manuscript. Dr. Basson is Director of DaCCoTA which is supported by the National Institute of General Medical Sciences of the National Institutes of Health. The role of this collaborative is to help “clinicians with diverse experience from across the region to develop unique and innovative means of combating cancer in North and South Dakota”. Presentation

During this meeting we also had the pleasure of presenting three awards to the people from our state who distinguished themselves as effective leaders, advocates and volunteers serving our communities and improving the health and the profession of medicine in the state of North Dakota. Thank you to Dr. James Brosseau for assisting with selection and presentation of these awards!


ACP Laureate Award: Dr. Joshua Wynne


ACP Volunteerism and Community Service Award: Sen Judy Lee


ACP Fostering Diversity in Medicine Award: Dr Robert Eelkema



Poster Competition and Doctor's Dilemma

We had a record number of abstract submissions for the poster competition which was held on October 3, 2019 at the Sanford Medical Center Fargo Boardroom. Thank you to all participants including our volunteer judges: Dr. Ron Ottenbacher, Dr. April Hess, Dr. Tze Shien Lo, Dr. Vishnu Parvathareddy, Dr. Raul Ruiz, Dr. Sunita Sharma, and Dr. Siddharth Singhal.

And the winners are….

ACP Research


Winner: Donald Hamm, MS2 - An A-Mu-zing Change: The Effects of Selective Mu Opioid Receptor Agonists on Endolysosome pH

Runner-up: Hayden Brodersen, MS2 - Association of Lipid Visit-to-Visit Variability with Mortality, Cerebrovascular and Metabolic Outcomes

ACP Resident Clinical Vignette


Winner: Vinita Vaidya MD - Peripheral T-Cell Lymphoma Masquerading as Acute Retroviral Syndrome

Runner-up: Shabnum Gupta, MD, MPH - Recovery of Coccidioides Immitis / posadasii from Blood Using the BacTALERT 3D Culture system

ACP Medical Student Clinical Vignette


Winner: Brett Johnson, MS4 - Up in Smoke: Acute Respiratory Distress Syndrome in an 18-Year-Old Secondary to E-Cigarette Use

Runner-up: Audrey Lane, MS3 - Management of Recurrent Pyogenic Cholangitis in patient with bile duct trifurcation

The first place winners are eligible to compete at the ACP Internal Medicine 2020 meeting in Los Angeles, CA on April 23-25, 2020.

Congratulations to all winners!


ACP Doctor's Dilemma is a medical jeopardy competition held each year at ACP's annual meeting. We had four teams of internal medicine and transitional year residents compete locally. The winning team will compete at the ACP Internal Medicine 2020 meeting in Los Angeles in April.

Team 1 – Spencer Campbell, David Malyuk, Logan Schmaltz

Team 2 – Emmanuel Fohle, Larae Beth, Regan Helbling, Umama Zareen

Team 3 – Erik Heitkamp, Kayla Estepp, Stephanie Melquist, Vinita Vaidya

Team 4 – Brian Born, Jacob Bermudez, and Jared Weinand

Congratulations to Team 3 and good luck at the competition in Los Angeles!



ACP Health Policy Internship Application Cycle Now Open

ACP is now accepting applications from medical students and residents for the Health Policy Internship Program. The ACP Health Policy Internship provides a multifaceted opportunity to learn about the legislative process, health policy, and advocacy in organized medicine.

We encourage medical students and residents to apply. The application closes on October 31, 2019. For more information about this program visit Health Policy Internship Program.



Upcoming events

National Internal Medicine Day on October 28

ACP has officially established National Internal Medicine Day, which will be celebrated on October 28 every year. This day recognizes internal medicine specialists and subspecialists who are united by a commitment to excellence and who make a difference in the lives of their patients every day.

Please help ACP share the news about National Internal Medicine Day with your colleagues and encourage them to celebrate internal medicine and internists by:

  • Flooding the internet with internal medicine pride: recognize a colleague, thank a mentor, or tell your story.
  • Using the official hashtags – #NationalInternalMedicineDay and #IMproud – in social media posts.
  • Joining the #NIMdayChat Twitter chat on October 28 co-hosted by ACP's Council of Early Career Physicians, Council of Resident/Fellow Members, and Council of Student Members.
  • Visiting for more ways to celebrate, including downloadable materials.
  • Following ACP on Twitter, Facebook, and Instagram for sharable social media content about National Internal Medicine Day, including social media frames for your profile picture on Facebook and Twitter.

ACP I Raise the Rates Immunization Program

We will join the First District Medical Society on November 19 where Dr. Paul Carson will be the program speaker. Dr. Carson will speak about “Vaccine Hesitancy and the Return of Vaccine Preventable Diseases”. This program will promote the ACP I Raise the Rates initiative which provides important resources as well as vaccine information to help physicians increase adult immunization in their practices. Please find more information here