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Oregon Governor's Newsletter April 2018

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Marianne C. Parshley, MD, MACP, ACP Governor

Marianne C. Parshley, MD, MACP, ACP Governor

 


Governor's Message

Greetings, Happy New Year and welcome to spring!

I have spent some time this past six months as a consumer of healthcare, both as a patient and, more importantly, as an advocate and spokesperson for my parents. It has given me opportunity to reflect on a number of things.

First, how tremendously lucky most of us are to have both access to and to provide care through this amazing, excellent, innovative and high-tech health system. As I waited in the PAR for a minor procedure in October, I was very aware that in Puerto Rico they were still operating by flashlight in many places and relying on generators to operate the ventilators.

Working in Guatemala in January with a medical organization and seeing faces of patients and their family members come alive as patients were fitted for their first adaptable wheelchairs or watching a young mother's face as she saw her baby move on our portable ultrasound gave new meaning to joy in medicine.

And in the US, there are now millions of people insured, who less than 10 years ago had no access to healthcare because they had no insurance, and now we still can dream of a day when the volunteer weekend and evening clinics will no longer be needed.

Second, while escorting my parents through the healthcare system this fall, I was made aware of how complex, intricate, and multifaceted our system is, making it very difficult for exactly those most in need of services, to navigate without assistance. I have been pondering how we, as an organization, can help redesign the system and educate the general public to better serve our aging patients, families and neighbors. If you have ideas, or are moved to write a policy resolution, contact Adam Obley, Chair of the Health and Public Policy Committee or myself and we can work with you on writing one.

As a Chapter we have done very well in 2017-2018:

We have a new Master of the College: Elizabeth Eckstrom, MD, MACP, geriatrician, educator, patient, advocate. Mastership is awarded to physicians with the highest of excellence, contributions to the field of Internal Medicine and to the College through their scholarship, their education of younger physicians, through excellence in practice and contributions to the community.

Our Chapter Meeting, held November 2-4, in Salem, was again very successful. The scientific session speakers were fabulous, varied and much appreciated. Much thanks to Program Planning Chair, Sima Desai, MD, FACP and her entire team! And Lenny Mankin, MD, FACP, again, wowed us with another evening of Chapter Trivia Night. Our local Competition for residents and medical students saw a whopping 100+ poster presentations. The oral case presentations at the dinner event were all outstanding. Thanks to our Council of Residents & Fellows (CORF), Co-Chairs, Avi O’Glasser, MD, FACP and Alex Schafir, MD, FACP, and all the volunteer Judges who made the competition work so smoothly. Our Awards Committee, headed up by Chair, Anne Hirsch, MD, FACP, managed the nominations from our membership for a number of awards, and we celebrated physicians for their contributions to the Chapter, to ACP and to our community at Friday's luncheon. Two new features at the Chapter Meeting included a Sock Drive organized by Alina Pvlasky, MD, volunteer coordinator of the CORF, and a Silent Auction to support medical student winners traveling to Internal Medicine 2018 in New Orleans.

Congratulations to our Oregon Doctor's Dilemma Team!! They include Rebecca Corley, DO and Patricia Funk, DO, both from Legacy and Katy Wunderle, MD and Kimberly Chasteen, MD, both from OHSU. We wish them best of luck as they take on the Doctor's Dilemma Competition held at Internal Medicine 2018 in New Orleans.

Susan Thompson Hingle, MD, MACP, Chair, Board of Regents, has appointed the ACP Master Clinician Task Force. This task force is responsible for recommending to the BOR how ACP can help members create an identity of “master clinician” and be recognized within their community and the College. The charge of this task force is to define and set standards for an advanced skill set of the discipline, including history-gathering, communication and interpersonal skills, physical examination, and clinical reasoning skills that are essential in applying the knowledge base of internal medicine to the care of patients. These will create an identity of “master clinician.” Renee Dversdal, MD, FACP, has been appointed to this task force.

The national ACP Council of Early Career Physicians has appointed Avital O’Glasser, MD, FACP to serve as the representative for the Western Region.

Congratulations to our new Fellows of the College who have been elected to Fellowship for their contributions to internal medicine and their service to community and patients.

Preetivi Ellis, MD, FACP
Elana Fedor, MD, FACP
Mark Fischl, MD, FACP
Launa Gunderson, MD, FACP
Merrill Harris, MD, FACP
Marion Hodges, MD, FACP
Mari Kai, MD, FACP
Prajeesh Kandroth-Karerat, MBBS, FACP
Elizabeth Lahti, MD, FACP
Linda Lewis, MD, FACP
Elizabeth Liles, MD, FACP
Andrea Roast, MD, FACP
Targol Saedi, MD, FACP
Annabelle Sammis, MD, FACP
Steven Seres, MD, FACP
Carolyn Sites, MD, FACP

We rang the New Year in hope and celebration of what got accomplished in 2017. By all accounts of pundits, philosophers, policymakers, and politicians, 2017 was one interesting year and 2018 bids fair to equal it. In January, Oregonians passed Measure 101, preserving healthcare coverage for our most vulnerable neighbors. In February, events in Parkland, Florida shook the country as 17 students lost their lives, several as they held the doors to protect their classmates. In March, as a result, we saw 800,000 youth and supporters march yesterday in Washington and around 20,000 in Portland asking for an end to the gun violence which has become such a public health emergency in our country. ACP has been active in advocating for improved healthcare coverage and for more robust firearm legislation throughout this time and is working with those governing us in Washington to work on evidenced based approaches to these issues. See the article by Adam Obley, MD, about our Health & Public Policy Committee work we have done.

I highly recommend reading Bob Doherty's reflections on 2017 and ACP's contributions to the debate: http://advocacyblog.acponline.org/2018/01/what-did-acp-advocacy-achieve-in-year.html

And here are links to ACP's most recent firearm policy statement:

You can subscribe to Bob Doherty's blog https://www.acponline.org/advocacy/acp-advocate

Consider also joining ACP's Advocates in Internal Medicine (AiIM) network to keep posted on issues and advocacy work ACP is doing at the National level.

As a new Governor of an ACP Chapter, this last year was also one of learning, and I thought

I would share some of that, by answering some questions I keep hearing from internists around the state, members and non-members.

  1. ACP Structure and Governed
  2. ACP Policy – How We Make It and Where Does ACP Policy Originate?
  3. ACP Policy – How Do We Develop?

ACP Structure and Governed -

ACP is organized around chapters, such as ours, which roughly correspond to state and national boundaries, though some large chapters such as New York, Florida, California and Canada are divided into regions each with a governor, and chapters in some geographic areas, such as the Caribbean, may include several countries in one chapter.

Each chapter or region is headed by an elected Governor who works in partnership with an Executive Director and, often, a Governor's Advisory Council. Various volunteer committees help design programs and projects to serve our members from the annual Scientific meeting to health fairs, poster competitions and sponsored runs.

Chapter Governors are also chapter representatives on the national Board of Governors (BOG), an advisory body that discusses and makes policy recommendations to the Board of Regents (BOR) through our resolution process or through the work of national committees. Resolutions rise out of the various chapters to address issues of interest and importance to the needs and care of our patients and physicians.

The Board of Regents (BOR) is the governing and fiduciary body responsible for adopting policy as recommended by the BOG or national committees as well as governing the College as, in effect, ACP's board of directors. Once the BOR has adopted a policy paper or a resolution recommended by the BOG, that policy is then used by our Governmental Affairs folks and others to set direction and priorities for work done by the College.

ACP Policy: How We Make It

ACP is the largest specialty society in the world. With our 150,000 US and international members, we reflect a remarkable diversity of gender, race, ethnic and national origin, not to mention political and philosophical views. ACP strives to represent the breadth of views of:

  • Physicians in small private practices and large health systems, independent and hospital-owned, salaried and FFS, single and multi-specialty; in academic medical centers, in concierge and direct primary care, in the VA and in the armed forces; and every other type of practice setting arrangement.
  • Physicians who teach medical students and the medical students they teach.
  • Physicians in general IM, hospital medicine and every subspecialty of internal medicine.
  • Physicians and medical student members from every demographic category possible, by race, ethnicity, gender, gender identity, sexual orientation, and other personal characteristics.
  • U.S.-born and foreign-born physicians and medical student members, and Dreamers.
  • Members from every state and territory; urban, suburban, and rural; from GOP-leaning and Democratic-leaning states; from conservative to liberal-leaning communities, cultures and traditions. We represent members who are Democrats, Republicans and independents; who voted for President Trump, Hillary Clinton, Bernie Sanders, or Jill Stein.

This diversity is one of our greatest assets but also, when we create policy, a significant challenge at times.

On our recent State Health Policy Networking Webinar, Bob Doherty, ACP's Senior Vice President (Governmental Affairs and Public Policy) and Sue Hingle MD, MACP, Chair, Board of Regents, reviewed how ACP creates policy, including the very critical issue of how ACP identifies specific policy issues. I would encourage anyone who was unable to join the webinar to review the associated slide set. And, for Governors, to strongly consider discussing it with your Chapter in one of your upcoming newsletters or at a Chapter meeting.

A brief summary:

Where Does ACP Policy Originate?

A new ACP policy can emerge from many different places in ACP's structure. As the BOG, we are most familiar with the Resolutions process. Policy can also start with a strategic direction from the Board of Regents (BOR), from individual member communications (“does ACP have policy on X, Y, or Z?”), and members on our councils and policy committees. Finally, ACP staff identify gaps in policy that should be addressed, driven largely by the external political environment.

How Do We Develop Policy?

Short answer: by review and application of applicable evidence; and efforts to develop consensus.

The initial work almost always occurs in a committee of jurisdiction (e.g., Ethics Professionalism and Human Rights Committee) with staff support. All draft position papers and the policy recommendations within, as approved by a policy committee, are then sent out to the entire Board of Governors, Board of Regents, Councils, external expert reviewers, and when appropriate, a sister committee (e.g. Health and Public Policy) for review and comment. Based on the comments received, the policy undergoes revision as appropriate and the committee reviews and votes on approval of a final draft, or refers it back to the committee staff for further revision.

The final step in this process is review and a vote by the Board of Regents.

In view of the diversity of our membership, it is unlikely ACP would find unanimity of opinion on all the issues that affect health and healthcare, as the recent deliberations around physician assisted suicide and abortion highlight. Though there have been times it might have seemed best to shy from controversy, ACP, using its rigorous policy development process, has instead embraced its responsibility to speak on such issues.

ACP celebrated its 100th birthday in 2015, prompting a commentary in Lancet titled

Osler Redux: The American College of Physicians at 100. The author noted:

“Since then, the organization has—in addition to its leadership in continuing medical education, medical ethics, and quality assurance—endeavoured to promote the public interest even when its recommendations might run counter to the financial best interests of its membership. In 1990, the ACP called for universal health insurance and in 1992 it offered a specific plan. As its former President, Clifton Cleaveland reminisces, “We were almost alone in this advocacy, bringing considerable criticism and chagrin from the AMA [American Medical Association] and other physician groups.” The ACP went on to offer its support for the Affordable Care Act. Recently, the College launched a Center for Patient Partnership in Healthcare. In these and other activities the ACP's leadership functions as a thinktank for new ways to serve the public interest.”

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Oregon Chapter Dinner Event

May 16, 2018

Join us for a dinner event and CME! The Chapter Council of Women's Physicians welcomes Renee Stor, MD, retired Nephrologist from Oregon, who will present Transgender Patients: Strategies To Improve Care. Garner 1.0 hour of CME credit. 6:00pm—9:00pm, at Mittleman Jewish Community Center in Portland, OR. Click here to register—Space is Limited—Reserve Early—Register by May 5! Light dinner served. Register Now!

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Physician Well-Being Conference

May 4, 2018

The Foundation For Medical Excellence in cooperation with the Oregon Medical Association presents this one-day conference dedicated to physician well-being.

Creating A Positive Work Environment

  • Practical Tools for Self-Care
  • Reconnect with your personal definition and vision of a good day
  • Train your brain to efficiently and effectively tackle priorities and problems
  • Adopt new practices for inciting higher levels of performance and engagement
  • Understand a definition of resilience that addresses the professional experience of clinicians.
  • Experience a mindful practice designed to enhance resilience by building awareness that is linked with self-compassion

This conference will provide knowledge, skills and a framework for you to thrive in the midst of all the changes and challenges currently taking place in healthcare. This conference is dedicated to providing health professionals with the skills to manage change in their personal and professional lives. It is also an opportunity to interact with others who are doing similar work, to exchange program and curriculum ideas and to develop positive methods of re-engineering healthcare work settings in order to promote professional satisfaction, well-being, personal growth and sense of purpose.

Who should attend:

This program is designed to educate physicians, physician assistants, nurse practitioners and other healthcare clinicians by providing the knowledge and skills to better understand and cope with the professional as well as personal changes in the workplace, their changing clinical roles, and the potential for burnout. The conference will provide clinicians with practical methods for achieving balance in their professional and personal lives, for recognizing burnout in themselves and their colleagues, and for navigating new roles in a changing healthcare delivery environment.

Registration Information: Registration is online at www.tfme.org

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Chapter Social Media

Find us on Twitter and Facebook!

TWITTER: @OregonACP

Twitter for chapter related news, including highlights of policy and advocacy work at the National ACP level, as well as photos of chapter activities and news about chapter members.

FACEBOOK: Oregon ACP Chapter

Facebook for private group: Oregon ACP Chapter

Meet our new Communications Chair, Avi O’Glasser, MD, FACP

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Take the Pledge to Reduced Firearm-Related Harm

Dear Colleagues,

What can we do to help protect our patients, their families and our communities from firearm-related harms? We can recognize risk factors, and when present ask our patients about firearm safety. It's what we do all the time: we recognize risks to our patients, ask questions, and aim to help.

Please consider joining me and your ACP colleagues by pledging that, “When risk factors for harm to my patients or others are present, I will ask my patients about firearm ownership and safety.”

You may do so here.

See the names of colleagues who have made the pledge at the “comments” tab to the left of a concise paper explaining why it's so important (or at “Jump to” on a smart phone).

And, you can learn to recognize risks and how to talk to patients in a recent, concise paper published in Annals.

We can do something. As physicians we must. Talking to our patients at risk for harming themselves or others about firearms is the right thing to do, it's legal, and supported by ACP's positions.

If we each take action when we encounter a patient at risk for harming her/himself or others, we might save a life or lives. What could be more important?

Thank you!

From Marianne Parshley:

When risk factors for harm to my patients or others are present, I will ask my patients about firearm ownership and safety. Lack of appropriate regulation of gun ownership to keep guns out of the hands of those who are likely to harm themselves or others with guns due to mental illness, domestic violence, criminal activity or in the heat of the moment and the lack of limitations on access to automatic and semi-automatic weapons which are only used to hunt humans, not game, create the conditions resulting in humans harming and killing themselves or other humans with the guns. It is assuredly people who kill or harm themselves or others, but without guns in the hands of those most likely to do so, the toll would be far smaller. Research in other countries which have gun regulation provides ample evidence to support this conclusion though we should allow the public health impact of firearms to be documented and studied in our country as well. This has been amply shown to be a major public health and personal health issue, which it is the right and professional duty of physicians to address in appropriate circumstances with their patients. It is also our right and duty to advocate for appropriate gun regulation and safety in the public arena as well.

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Communications Committee

Hello Oregon ACP Colleagues,

Did you know that “social media” is defined as a digital means to share, participate, and connect? However, we recognize that social media is not, and should not be, the only means by which the Chapter communicates with its members. As a Chapter, we decided to dive into uncharted territories in the past year. We created our Twitter account (@OregonACP) in March 2017 and our Facebook group in July 2017. Marianne Parshley appointed me the Chapter's inaugural Communications Chair in recent months, and we have been working to craft a mission for an anticipated Communications Committee. Please now consider becoming an inaugural member of our Communications Committee.

ACP has continued its tradition of advocacy for patients and physicians in the past year (if you're curious, see Dr. Bob Doherty's blog post. Communication with members and the public audience through social media has been a large part of these ongoing efforts.

My goal for the Communications Committee is to address all current means of communication—snail mail, traditional email, chapter website, Facebook, and Twitter. Whether you are a skeptic or an early adopter of evolving means of communication, we welcome and value your input. We are aiming to have representation from early, mid, and late- career physicians as well as residents and students on the Committee. Please email Mary Olhausen (omary52@comcast.net) if you are interested in participating.

Thanks!

Avital O’Glasser, MD, FACP

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Train the Ultra Sound Trainer

July 9-11, 2018, Portland, OR

Three-day program brought to you by Ultrasound Training Solutions and OHSU. See website www.mededus.com for more information.

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Resident & Medical Student Competition

Congratulations to our residents and students who participated in the 2017 Chapter Competition in Salem, OR!!

Resident— Clinical Vignettes—ORAL PRESENTATION:

1st Place ($100) (Governor's Submission): Dr. Jessica Dreicer (OHSU) - Let's Not be Rash
2nd Place: Dr. Kristy Duggan (OHSU) - Discordant Symptoms Simplified
3rd Place: Dr. Mauve MacMurdo (Providence-St.Vincent) - Bullae It or Not

Resident— Clinical Vignette—POSTER:

1st Place: Dr. Melissa LeBlanc (OHSU) – Hyponatremia Haze: Ipilimumab, Nivolumab And Steroid Tapers
2nd Place: Dr. Jane Babiarz (OHSU) - The Cupric Culprit: A Case Of Copper Deficiency Myelopathy
3rd Place: Dr. Bradley Geyer (Legacy) - Things Are Not Always As They Seem

Resident Clinical Vignette Poster Finalists:

Dr. Jeffrey Bien (OHSU) - One HIT Wonder
Dr. Catherine Edgell (OHSU) - A Case Of Presumed Alcoholic Hepatitis: Deadly Diagnosis And Combating Cognitive Biases
Dr. Elizabeth Hutchinson (Providence-Portland) - Hyponatremia As A Presenting Finding In A Patient With A Suprasellar Mass
Dr. Jeremy Kim (Legacy) - When Patient Zero Is Your Daughter
Dr. Jennifer VanFossan (Legacy) - Symptoms Of Pregnancy Or Malignancy?

Resident— Quality Improve/Patient Safety—POSTER:

1st Place ($100) (Governor's Submission): Dr. Benjamin Pedroja (Providence-Portland) –
Implementation Of A Delirium Prevention Program–Barriers And Successes
2nd Place: Dr. Hayden Oldham (OHSU) - A Breath Of Fresh Care: Increasing Referrals For Pulmonary Rehabilitation After Admission For Acute Exacerbation Of COPD
3rd Place: Dr. Mario Padilla (OHSU) - Labile Labs And Late Results

Student— Clinical Vignette—POSTER:

1st Place ($100) (Governor's Submission): Ryan Nesbit (OHSU) - An Unusual Presentation Of Non-Uremic Calciphylaxis
2nd Place: Emily Ager (OHSU) - Bullous Pemphigoid & Bloody Bowel Movements
3rd Place: Minhazur Sarker (OHSU) - Rhabdomyolysis Triggered By Acute Hemolysis In A G6PD Deficient Patient

Student Clinical Vignette Poster Finalists:

Jung Kim (OHSU) - Possible Pyoderma - Picking Up On Other Pertinent Pathologies
Claire Groth (OHSU) - Puzzling Purpura - Is Vitamin C The Missing Piece?
Antonious Hazim (OHSU) - A New Murmur In A Transplanted Heart

Student— Basic Research—POSTER:

1st Place ($100) (Governor's Submission): James Stanek (Western COMP) - Morpholino Probes For Rapid Pathogen Detection
2nd Place: Aisha Shamsi (Western COMP) - Monitoring The Private Lies Of Proteins Using Cell Permeable Biarsenical Fluorescent Dyes
3rd Place: Christian Lindner (OHSU) - Effect Of Dihydroorotate Dehydrogenase Inhibitor Brequinar In APL Differentiation

Student— Clinical Research—POSTER:

1st Place ($100) (Governor's Submission): Talitha Wilson (OHSU) - Understanding Barriers And Facilitators To A Medically Enhanced Residential Treatment (MERT) Model Integrating Intravenous Antibiotics And Residential Addiction Treatment
2nd Place: Emily Ager (OHSU) - Zika Virus In Thailand: Hidden In Plain Sight?
3rd Place: Austin Igelman (OHSU) - Culture-Proven Endophthalmitis And Antimicrobial Sensitivities In The Pacific Northwest

Student— Quality Improve/Patient Safety—POSTER:

1st Place ($100) (Governor's Submission): Katherine Runkel (OHSU), Hospitalist Perceptions Of Fall Prevention: A Comparison Of Two Healthcare Systems

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Patient Resources for the New Year

Help your patients with their health management goals this year. Co-developed with Consumer Reports, ACP's “Take Control of Your Health” guide helps to facilitate effective patient-physician communication about maintaining healthy blood sugar and blood pressure levels, needed vaccines, screenings and medicines, and choosing a healthy lifestyle.

Browse ACP's Patient Education Center for hundreds of other patient-centered education materials. The Center contains free guidebooks, fact sheets, videos, and other materials that promote understanding and self-management of common health conditions. All resources are written at or below a 6th grade reading level, and most are available in both English and Spanish.

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2018 ACP Oregon Chapter Scientific Meeting Save-the-Date

November 8-10, 2018 - Salem Convention Center

The Oregon Chapter Scientific Meeting will be held November 8-10, at Salem Convention Center, Salem, OR. You can make your room reservations now by calling The Grand Hotel at 1-877-540-7800. Please mention the ACP meeting when making room reservations. The Chapter Meeting showcases Resident & Medical Student Posters and Resident Oral Presentations on Thursday evening. Two full days of scientific presentations on Friday and Saturday. Enjoy networking at our annual Friday evening Chapter Reception & Trivia Game. And don't forget the Annual The Infectious Diseases Society of Oregon - Annual Meeting will be held November 8th, at Salem Convention Center, Salem, OR.

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Oregon Chapter Health Policy Update

By Adam Obley, MD – Chair, Chapter Health & Public Policy Committee

It's been a busy start to 2018 with major local and national developments on the health policy front.

Oregon voters overwhelmingly approved ballot measure 101 which allowed a set of legislatively approved provider assessments to remain in place in order to support the Oregon Health Plan. ACP Oregon joined a broad coalition of statewide health care providers in supporting measure 101.

On the national side, the Children's Health Insurance Program (CHIP) received a six-year funding commitment from Congress as part of its short-term federal funding agreement. As negotiations over a longer-term budget deal are underway, the Senate has proposed extending the CHIP finding commitment to 10 years. The ongoing budget discussions are also addressing funding for some of ACP's top priorities including Federally Qualified Health Centers, Teaching Health Centers graduate medical education, the National Health Service Corps, and the National Institutes of Health.

Looking forward to our ACP Leadership Day on Capitol Hill in Washington DC in May, we'll be meeting with our elected Oregon officials to discuss the above issues, as well as other ACP priorities like the Patients Before Paperwork initiative, medical liability reform, and health services delivery and physician payment innovations. We'll also be keeping track of a few health policy related initiatives during the Oregon legislature's short 2018 session.

We are always happy to hear from you, so please don't hesitate to reach out to adamobley@gmail.com with questions, comments, or concerns related to local and national health policy issues. And for those of you want to dig a bit deeper, I've included a few links below with more details on ACP's public policy positions and recent accomplishments.

For more information on ACP's public policy positions

For ACP's overview of its 2017 accomplishments.

For a perspective on how ACP's “big tent” advocacy approach focuses on doctors and patients and defies political labels.

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Council of Residents & Fellows (CORF)

The CORF has appointed Alina Plavsky, MD, as their new Volunteer/Outreach Chair. Their first event was held at the 2017 Chapter Meeting where it was the SOCKS & UNDIES DRIVE for support of the Union Gospel Mission of Salem. We were overwhelmed with 251 pairs of socks, 9 pairs hand-knitted booties, 51 pairs of undies, and 1 scarf!!!! ACP Oregon Scientific Meeting Attendees made a large difference in the lives of hungry, hurting and homeless men, women and children in the Salem community! The next volunteer event sponsored by CORF is June 2nd where we'll assist with a Habitat For Humanity activity. More information to follow. Alina can be reached at %% plavsky@ohsu.edu%% plavsky@ohsu.edu for your ideas and suggestions for chapter outreach activities.

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Awards

The Chapter honored several members in late 2017 for our Chapter Awards Program. We congratulate each of them for their outstanding services to ACP!!

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Mark Rosenberg, MD, FACP was honored with the Laureate Award which honors Fellows and Masters of the College who have demonstrated, by their example and conduct, an abiding commitment to excellence in medical care, education, research, and service to their community, their chapter, and the ACP. Dr. Rosenberg has tirelessly given to the field of Medicine as he is recognized as an outstanding clinician, educator, and mentor to many. He was the recipient of the Oregon Chapter ACP Howard P. Lewis Distinguished Teaching Award in 2007. In 2014 he was honored with the Providence Leadership Formation. After completion of medical school at University of Pittsburgh, Dr. Rosenberg did his internal medicine internship at Montefiore Hospital in Pittsburgh, PA, and his residency at Oregon Health & Science University, Portland, OR. Mark is Associate Professor of Medicine, at Oregon Health & Science University. He served as Director for the Providence Internal Medicine Residency Program from 1990 to 2016. He is Director of Providence Health & Services Compassionate Care Program and Associate Director for Providence Portland Department of Medical Education. Dr. Rosenberg has a special interest in the Compassionate Care Program at Providence which entails a seven-state, 50 Hospital, 105,000 employee system, focusing on strengthening the culture of compassion for caregivers. Multidisciplinary forums have been created for conversations around the meaning and challenges of health care, and with a 12-week curriculum provided to employees, documentation shows improved rates of burnout, better engagement, and more patient satisfaction and better productivity. Dr. Rosenberg has been an outstanding educator for residents and medical students, serving in an exemplary leadership role. Mark served on the Chapter Scientific Meeting Planning Committee and was Chairman for the Scientific Meeting. He is also a journal reviewer for ACP Journal Watch. Mark has enjoyed mentoring residents in the Providence Program since 1985 for many wins at the Chapter local Competition. Beyond this compilation of achievements, Dr. Rosenberg's humanism and dedication to education shines above all. With his exemplary career in teaching and dedication to Internal Medicine, Dr. Rosenberg is a role model for all Internists.

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Peter Sullivan, MD, FACP was honored with the Howard P. Lewis Distinguished Teacher Award.Established in 1983, this award honors outstanding achievement in teaching by a physician. The award honors Dr. Lewis, a Governor and Regent of the College and Chairman of Medicine at Oregon Health & Science University, who died in 1985.

Leonard Mankin, MD, FACP was honored with the Howard P. Lewis Distinguished Service Award.Established in 1983, this award honors outstanding achievement in service to the health care field and/or community. The award honors Dr. Lewis, a Governor and Regent of the College and Chairman of Medicine at Oregon Health & Science University, who died in 1985.

Renee Dversdal, MD, FACP was honored with the Outstanding Early Career Physician Award. This award honors physicians with exemplary patient care and outstanding leadership in the College and community.

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Elizabeth Eckstrom, MD, MPH has been awarded Mastership in the ACP. Elizabeth is a Professor and Director of Geriatrics in the Division of General Internal Medicine & Geriatrics at Oregon Health & Science University (OHSU). Dr. Eckstrom was instrumental in establishing the Associates Council for the Chapter (now Council of Residents & Fellows). She served on the Chapter Scientific Meeting Planning Committee, has presented numerous times both at the local chapter and nationally for ACP. For over fifteen years, Elizabeth has been a reviewer for the Annals and identified as a “Top Reviewer”. In addition to numerous lectures, publishing, and awards, Eckstrom leads the geriatrics practice within the OHSU Internal Medicine Clinic, championing geriatric best practices in the vibrant combined Division, and teaches students, residents and geriatric fellows. She is part of the OHSU Interprofessional Initiative, developing evaluation tools and leading interprofessional faculty development. Her research focuses on promoting a healthy lifestyle in older adults, with an emphasis on tai chi for falls prevention. She also conducts studies to enhance interprofessional teamwork in falls prevention and has developed and tested electronic health record tools to facilitate uptake of evidence-based practices. As well, Elizabeth has co-authored an award-winning book, The Gift of Caring: Saving Our Parents from the Perils of Modern Healthcare.

At its Annual Conference on October 28, 2017, the Oregon Medical Association (OMA) honored two of our Oregon Chapter members with awards –

Lynn Bentson, MD, MACP, an internal medicine physician at Samaritan Health Services in Albany, Oregon, was awarded the OMA Presidential Citation. The Presidential Citation is presented only occasionally to a person who has gone above and beyond the call of duty in service to the professional community. The award is a recognition of Dr. Bentson's tireless efforts in supporting the OMA's programs in continuing medical education (CME) for her colleagues. She has served as the Chair of the OMA Institutional Accreditation Committee since 2012, and as Chair of the OMA Education Committee since 2015. Dr. Bentson has invested countless hours of her own time overseeing the association's continuing medication education accreditation program. In presenting Dr. Bentson's award, Robert Orfaly, MD, outgoing 142nd president of the OMA, said, “Whether poring over site materials or traveling around the state conducting reviews, Dr. Bentson has served the OMA and her professional community with great distinction.”

Donald Girard, MD, MACP, Professor Emeritus at Oregon Health & Science University (OHSU), was awarded the OMA Doctor-Citizen Of The Year. This award recognizes those doctors who generously commit their time and energy to community activities and work to further the art and science of medicine, and who have made outstanding contributions to healthcare policy. Special consideration is given to activities outside the practice of medicine. Dr. Girard has demonstrated throughout his career—and continues to demonstrate on a daily basis—an abiding passion for physician wellness. The OMA award recognizes his good work in this arena. Dr. Girard leads an initiative with The Foundation for Medical Excellence (TFME) for statewide wellness (the Oregon Wellness Program). He heads the coalition's Executive Committee and the program's group of advisors. In presenting Dr. Girard's award, Robert Orfaly, MD, outgoing 142nd president of the OMA, said, “Dr. Girard is the heart and soul of physician wellness, and we are all indebted to him for his caring and compassion toward improving the lives of practitioners.”

Oregon Chapter has once again garnered the national ACP Chapter Excellence Award, for 2016-2017!! 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. Much thanks to all our Oregon Chapter members and leadership for making Oregon an excellent Chapter!!

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Point-of-Care Ultrasound Conference

July 21-23, 2018 - Portland, OR

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As the use of point-of-care ultrasound in general medicine settings continues to grow, so does the need for high-quality training and education. To meet this need, the American Institute of Ultrasound in Medicine (AIUM) has joined with the Oregon Health & Science University (OHSU), the American College of Physicians (ACP), and the Society of Ultrasound in Medical Education (SUSME) to present the Point-of-Care & General Medicine Ultrasound course in Portland, Oregon.

This course is designed to cover point-of-care ultrasound for generalists. Live demonstrations, simulations, and didactic lectures will be used to provide a comprehensive and in-depth look at how and where medical ultrasound can effectively be used in point-of-care and general medicine settings. The faculty have created an event that focuses on learning through the observation-practice-feedback model.

We will ensure that you come away from the course with a well-founded grounding in the basic techniques including focused cardiac, lung, abdomen, DVT, musculoskeletal/soft tissue, and procedural ultrasound, and that these techniques lay the foundation for a safe and effective ultrasound practice.

We are very pleased to offer parallel inpatient and outpatient tracks on day 2 of our 2018 course, based on previous registrant feedback. The outpatient track will highlight musculoskeletal, soft tissue, and AAA screening, while the inpatient track will focus on ultrasound-guided invasive procedures, advanced cardiac, and hypotensive patient clinical scenarios/assessment. Visit this link to register!!

Chapter members – use CODE ACP250 to register at AIUM member rate for this event.

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ACP Takes on Physician Well-Being and Professional Satisfaction in New Initiative

A new ACP initiative on Physician Wellbeing and Professional Satisfaction aims to address the goal of creating a culture of wellness, improving practice efficiencies, enhancing individual physician well-being, and reducing administrative burdens. ACP has convened a Physician Wellbeing and Professional Satisfaction Task Force to help focus efforts to address this complex problem. This month's ACP Internist President's Column features a guest column on the issue by Susan Thompson-Hingle, MD, MACP, Chair of ACP's Board of Regents and chair of the Task Force. As part of the initiative, ACP established its Wellbeing Champion program and continues to expand it, by training Champions to be deployed through their chapters to assist local and regional chapter members, practices, and organizations in combatting burnout and promoting wellbeing and professional satisfaction.

ACP Practice Advisor recently launched a related module, “Making the Case to Address Clinician Burnout, “geared to help users recognize clinician burnout within their practices/programs (registration required). ACP is also collaborating with other organizations that are addressing physician wellbeing issues. Visit ACPonline for a comprehensive collection of resources around this issue.

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Upcoming Events / Meetings / Conferences

OHSU – 25th Annual Internal Medicine Review

April 19-20, 2018

Sentinel Hotel

Portland, OR

www.ohsu.edu/cme

American College of Physicians – Internal Medicine Meeting

April 19-21, 2018

New Orleans, LA.

OHSU Center For Ethics – Kinsman Bioethics Conference

Who Knows & Who Decides: Authority & Uncertainty In Medical Decision Making

April 19-20, 2018

Southern Oregon University

Ashland, OR

www.ohsu.edu/cme

Central City Concern – We Are Family Celebration! Reception-Dinner-Program

May 2, 2018

Oregon Zoo

Portland, OR

www.ccconcern.org

AGS – American Geriatrics Society Annual Conference

May 3-5, 2018

Orlando, FL

www.americangeriatrics.org

TFME – The Foundation For Medical Excellence – Physician Well-Being Conference

May 4, 2018

Oregon Medical Association

Portland, OR

www.tfme.org

MSMP – Medical Society of Metropolitan Portland – Annual Meeting

May 8, 2018

The Nines Hotel

Portland, OR

www.msmp.org

OHSU – Sommer Memorial Lectures & OHSU Alumni Scientific Sessions

May 10-11, 2018

Multnomah Athletic Club

Portland, OR

www.ohsu.edu/cme

ACP – Oregon Chapter Event: Transgender Patients: Strategies To Improve Care

May 16, 2018

6:00pm-9:00pm

Mittleman Community Center

Portland, OR

Contact: omary52@comcast.net

Registration

Forum On Aging In Rural Oregon

May 16-18, 2018

Wildhorse Resort

Pendleton, OR

Office Rural Health

ruralweb@ohsu.edu

AAPA – American Academy Of Physician Assistants Annual Conference

May 18-23, 2018

New Orleans, LA

www.aapa.org

OHSU Center For Ethics – Daniel Labby Senior Clinicians' Seminar

Refusing Food: Should Spoon Be A Medical Treatment? – David Clarke, MD

May 21, 2018

10:00-11:30am

OHSU-Casey Eye

Contact willima@ohsu.edu

ACP – American College of Physicians – Annual Leadership Day On Capitol Hill

May 22-23, 2018

Washington DC

www.acponline.org

Oregon Health Forum – Healthcare And Business: International Lessons For Oregon

May 23, 2018

Multnomah Athletic Club

Portland, OR

Contact rian@oregonhealthforum.org

OHSU - Infectious Disease For The Non-Specialist (repeat of 2017 Salem Program)

May 31-June 1

Hood River Inn

Hood River, OR

www.ohsu.edu/cme

OHSU – Humanitude® Portland – Respecting Dignity & Independence For Those With Dementia

June 7-8, 2018

Mirabella

Portland, OR

https://goo.gl/jDcKzg

OHSU – Statewide Palliative Care Conference

June 8, 2018

Eagle Crest Resort

Redmond, OR

www.ohsu.edu

ALS – ALS Research Symposium

June 9, 2018

Mittleman Jewish Community Center

Portland, OR

www.alsa-or.org

OHSU & Ultrasound Training Solutions – Train The Ultrasound Trainer

June 9-11, 2018

Info to Follow

www.mededus.com

ACP-OHSU-AIUM Point-Of-Care Conference

July 21-22, 2018

OHSU

Portland, OR

Info to Follow.

OHSU – 27th Annual Ashland Endocrine Conference

August 2-4, 2018

Ashland Hills Hotel

Ashland, OR

www.ohsu.edu/cme

OHSU – 4th Annual Musculoskeletal Update For Primary Care

September 6-7

Salem Convention Center

Salem, OR

www.ohsu.edu/cme

OHSU - 13th Annual Regional Hospital Medicine Conference

September 27-28, 2018

Sentinel Hotel – Portland, OR

www.ohsu.edu/cme

OMA – Oregon Medical Association – Annual Meeting

September 29, 2018

Marriott Waterfront Hotel

Portland, OR

www.theoma.org

OHSU – 35th Annual Oregon Rural Health Conference

October 3-5, 2018

Bend, OR

Linda Peppler: pepplerl@ohsu.edu

OGS – Oregon Geriatrics Society 19th Annual Conference

October 5-7, 2018

Sunriver Resort

Sunriver, OR

www.oregongeriatricsscoiety.org

ACP – Western Chapters & Canadian Society of Internal Medicine Annual Meeting

October 10-13, 2018

The Banff Centre

Banff, Alberta Canada

www.canadianchapter.acponline.org

OSPA - Oregon Society of Physician Assistants Annual Conference

October 11-14, 2018

Salishan, OR

www.oregonpa.org

OHSU – 42nd Annual Pacific NW Update Ob/Gyn & Women's Health

October 18-19, 2018

Sentinel Hotel

Portland, OR

ACP Oregon Chapter – Annual Scientific Meeting

November 8-10, 2018

Save the Date

American College of Physicians – Internal Medicine Meeting

April 11-13, 2019

Philadelphia, PA.

ACP Oregon Chapter – Annual Scientific Meeting

November 7-9, 2019

Salem Convention Center

Salem, OR

Save the Date

American College of Physicians – Internal Medicine Meeting

April 23-25, 2020

Los Angeles, CA.

ACP Oregon Chapter - Annual Scientific Meeting

November 5-7, 2020

Salem Convention Center

Salem, OR

Save the Date

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