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Oregon Governor's Newsletter September 2018

Oregon Chapter Banner

Marianne C. Parshley, MD, MACP, ACP Governor

Marianne C. Parshley, MD, MACP, ACP Governor


Governor's Message

Greetings colleagues,

A short note for a short newsletter.

I invite you to participate in the College's policy development process by giving input on the current issues soon to be voted on. As chapter members, you received the resolutions which will be presented, debated and voted on at the ACP Fall Board of Governor's meeting at the end of September. I would love to hear any comments you have on any one of them or all of them. This informs what I take to the BOG, and the discussions we have in the next few weeks. As Governors, we are trying to get broad feedback in order to best serve our members, our patients and the house of medicine. Refer to the email regarding Resolutions – We Value Your Feedback!

While this newsletter is a bit short, we are planning our next, theme-based newsletter, which will explore International Health as lived and experienced by some of our members, with ideas for volunteering and serving overseas for short or long terms. ACP released a new policy paper about International Volunteerism last year which I highly recommend as a beginning spot for those contemplating volunteer work both outside our borders and in underserved areas closer to home. If you have and international medical experience you'd like to share, please contact our Executive Director, Mary Olhausen at We're looking for short articles and photos to share in our next newsletter about International Health.

As I flew out of Portland a while back through smoke from fires in British Columbia, unable to see the Cascade Mountains, and into Denver, where the mountains were hidden behind forest fire smoke from Montana and the Rockies, I was struck by the wide reach of the fires in the West again this year. All my patients for the last 2-3 weeks have sore throats and coughs regardless of the main reason for their visits. Conversing with young family and friends about how to combat the underlying climate change issue, I have been challenged to work even harder on my carbon footprint. (Try Nature Conservancies calculator ).

An interesting challenge to see where we can trim our contributions to the problem at home, at work and in transit. Bikes, LED lights, carbon offsets (hotly debated), clean vehicles, where we get our food from, and the list of small individual steps goes on. Given the smoky skies, I recommend the NY Times Sunday magazine from August 1st, 2018 and their podcast on 8/31/18 entirely devoted to an assessment of our environmental challenges and because this is a public health issue, ACP's updated climate change tool kit for members seems timely as well.

Here's to cleaner skies, rain and a good end to summer,




Chapter Social Media

Find us on Twitter and Facebook!


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.

See below for our social media blitz for September Women In Medicine



Resolutions – Fall 2018

16 RESOLUTIONS that will be heard at the Fall Board of Governors Meeting at the end of September. The resolutions are linked here as a PDF document (full whereas & resolved). After considering the intent of each resolution and how it fits with the College's Mission and Goals, please send your comments indicating whether or not you support a resolution by replying to Mary Olhausen at Refer to email regarding Resolutions—We Value Your Feedback!

Thank you for taking time out of your busy schedule to provide comments regarding these resolutions. By providing your feedback on the Board of Governors resolutions, you have helped to shape College policy that impacts the practice of internal medicine.

Resolution 1-F18.
Modifying the ACP BOG Resolutions Process to Capture Dissenting Opinions for Controversial Resolutions.

Resolution 2-F18.
Establishing a Council of Independent Practice Internists.

Resolution 3-F18.
Developing ACP Policy Calling for Transparency and Community Learning Towards Physician Suicide Prevention.

Resolution 4-F18.
Energizing the Patients Before Paperwork Project.

Resolution 5-F18.
Promoting the High Value Provided by Primary Care Internists.

Resolution 6-F18.
Exploring Means for Promoting a Strong and Productive Doctor-Patient Relationship within the Framework of a Rapidly Evolving US Health Care System.

Resolution 7-F18.
Petitioning to Change Tramadol from DEA Schedule IV to Schedule III.

Resolution 8-F18.
Improving Reimbursement for Cognitive Services.

Resolution 9-F18.
Paying for Physician Performance rather than Patient Performance.

Resolution 10-F18.
Reimbursing Tetanus Vaccinations for Better Patient Care.

Resolution 11-F18.
Calling Upon Pharmacies to Refrain from Providing Patients with Rewards or Gifts for Receiving Immunizations or Acute Care in Their Stores.

Resolution 12-F18.
Calling Upon Pharmacies to Refrain from Requesting Physicians to Renew Medications Not Requested or Required by Patients.

Resolution 13-F18.
Developing ACP Policy Opposing the Requirement for Ninety-Day Prescribing in Order That Prescriptions be Covered by Insurance Companies.

Resolution 14-F18.
Calling Upon the ACP to Publicly Support the Consensus Statement Recently Prepared by a Collection of Medical/Health Care Associations Requesting Improvement in the Prior Authorization Process.

Resolution 15-F18.
Seeking Legislation to Require Medicare Advantage, Medicaid, and Commercial Insurers Pay for Advance Care Planning.

Resolution 16-F18.
Seeking Enactment of or Supporting Legislation to Ensure Immunity from Federal Prosecution for Physicians in States That Allow Use of Medical Marijuana.



ACP Oregon Chapter – 2018 Scientific Meeting



The Oregon Chapter Scientific Meeting will be held November 8-10, at Salem Convention Center, Salem, OR. 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 Silent Auction!! Earn 12.75 CME.

Meeting takes place at Salem Convention Center, 200 Commercial Street, SE – Salem, OR.

Lodging is at Grand Hotel-Salem, 201 Liberty Street, NE – Salem, OR.

Target Audience includes general and subspecialty internists, family practitioners, fellows in subspecialty training, hospitalists, allied health providers, residents and medical students interested in internal medicine.

Highlights of the Meeting:

  • MOC
  • The Psychological Impact of Racism
  • Updates In Oral Anticoagulants, Lung Cancer, Osteoporosis, Diabetes Management,
  • Gastroenterology, Hypertension, Atrial Arrhythmias, Ischemic Stroke and TIA,
  • Geriatric Depression, and Foot and Ankle
  • Thieves' Market
  • Transgender Care
  • Hospital Medicine and Outpatient Medicine Updates

Learning Objectives:

At the conclusion of this activity, the participant will be able to:

  • Apply updated knowledge of internal medicine to clinical practice.
  • Improve clinical practice by incorporating major new developments in subspecialty medicine.
  • Understand recent advances in internal medicine.
  • Increase confidence in performing clinical skills.

Hotel Accommodations:

The Grand Hotel-Salem, 201 Liberty Street SE, Salem, OR 97301.

Call 1-877-540-7800 to make your room reservation (ACP room block) rates good until September 25th. Deluxe King: $139. Deluxe Double Queen: $149. Suite King: $159

Please note the Grand Hotel is connected to the Salem Convention Center, located at 200 Commercial Street, SE – Salem, OR.

Registration For The Meeting:

BY INTERNET: Register Online (credit cards only).

BY MAIL: Make check or money order payable to ACP. (AC002). American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106-1572.

BY FAX: Call 1-215-351-2799 (credit cards only).

BY PHONE: Call 800-523-1546, ext. 2600, or 215-351-2600 (M-F, 9am–5pm ET).

Local ACP Chapter Competition:

The Oregon Chapter will hold our Annual Resident & Medical Student Competition on Thursday, November 8. This will take place at the Salem Convention Center with posters on display, followed by a buffet dinner and oral presentations from Residents of each training program. We invite meeting attendees as well as others to join us for this Competition. NEW THIS YEAR—If you plan to join us for dinner—we request you register online. Check the Thursday Evening Buffet Dinner Only.

4:00 p.m. Poster Judging and Viewing
7:00 p.m. Buffet Dinner
7:30 p.m. Residents' Clinical Vignette Oral Presentations



IDSO – Infectious Diseases Society of Oregon

The Infectious Diseases Society of Oregon - Annual Meeting will be held November 8th, at Salem Convention Center, Salem, OR (the day before ACP Chapter Meeting).

Target Audience: Infectious Disease Specialists, Primary Care Physicians

Credits Offered: AMA PRA Category 1 Credit(s)™ - 6.50

For more information contact Stephanie Munoz at 503-215-6088.



New Fellows of the College

Congratulations to our new Fellows of the College - elected for their contributions to internal medicine and their service to community and patients.

Erik Geissal, MD, FACP
Abendra Maidoo, MD, PhD, FACP
Adam Obley, MD, FACP
Sara Schwanke-Khilji, MD, FACP
Brian Tran, MD, FACP



Women in Medicine Month - September

September is Women in Medicine Month! In honor of this, we will be posting a series of profiles of current women physicians in Oregon (focusing on internists and medicine subspecialists) as well as historical figures. Follow us on Facebook or Twitter to learn more about these remarkable Oregonian women physicians.

In honor of #WomeninMedicine month #WIMmonth we will spend the month of September focusing on the wonderful history of women physicians (especially internists and medicine subspecialists) in the state of Oregon! Follow us on Facebook and #medtwitter to learn about historical figures and women currently in practice. We'll start off the month by sharing our Chapter's role in helping [ACP National] rename the “ACP Award for Outstanding Contributions to Advancing the Careers of Women in Medicine” to the “Elizabeth and Emily Blackwell Award for Outstanding Contributions to Advancing the Careers of Women in Medicine”. The Drs. Blackwell were the first and third women to earn their medical degrees in the Unites States, in 1849 and 1854 respectively. Stay tuned through the month as we post and tweet about Women In Medicine!!

ACP Leadership Academy Women in Medicine Series

The ACP Leadership Academy will present “Putting Equity Principles into Action.” This hour-long webinar, presented in recognition of Women in Medicine Month.

Featured Speakers: Susan Thompson Hingle, MD, MACP, Shreya Trivedi, MD, and Charlene Dewey MD, FACP

Topics Include: Achieving Gender Equity in Physician Compensation; Career Advancement; Utilizing Social Media Effectively to Advance Gender Equity; and Developing Local Programs for Women in Medicine.

Click here to view recording



College Resources for Members


The latest ACP-Curbsiders podcast, “Point-of-Care Ultrasound for the Internist,” is available now on Listen to learn from Renee Dversdal, MD, FACP, what makes something “point-of-care,” potential uses, and ways to augment bedside education. ACP has partnered with The Curbsiders, a podcast hosted by internists focusing on internal medicine-related topics, to launch a CME-accredited series. After listening to each partnered episode, ACP members can log on to ACP's Online Learning Center to claim CME credit and MOC points. The Curbsiders is available on iTunes and other podcast platforms. Related, ACP recently issued a statement in support of point-of-care ultrasound (POCUS) in internal medicine. ACP is collaborating with other professional societies to facilitate the implementation of appropriate uses of POCUS throughout internal medicine training and practice.


Several new Practice Advisor modules have been released on a variety of topics:

  • Opioid Risk Management elps to assess your practice's ability to successfully develop a treatment plan for chronic pain and track and monitor opioid use if prescribed.
  • Managing Diabetes Mellitus offers resources for clinicians to help identify key practice level interventions to optimize the delivery of care to patients with diabetes, motivate patients with diabetes to improve their self-management skills, and help practices deliver optimal diabetes care.
  • Diagnosis and Initial Management of Hypertension addresses three primary management questions: the diagnosis of hypertension, blood pressure targets for patients, and options for the initial treatment of hypertension.
  • Management of Uncontrolled Hypertension delves deeper into the management of patients whose blood pressure is unable to be controlled through initial therapies.

Successful completion of Practice Advisor activities enables the participant to earn 20 CME and MOC Practice Assessment points.

This module and others are available now for ACP Practice Advisor® users at

If you are not an ACP Practice Advisor® user, register now at


Through an agreement with EBSCO Health, ACP members will continue to receive free access to DynaMed Plus through December 31, 2018. DynaMed Plus provides accurate, evidence-based content to help busy clinicians at the point of care. Seamless access is available from on-site, remote, and mobile devices. ACP members should take full advantage of this benefit and sign up for their free account or reauthorize an existing account.



OMA—Oregon Medical Association Annual Meeting


Registration is open for the OMA Annual Conference. Please click on this link to register.

We are excited to bring you a very impressive lineup of speakers and topics for our 2018 Annual Conference on Saturday, September 29. Our conference, “Medicine Now,” will help you navigate the multitude of challenges facing medical providers in these difficult times. Can medicine exist distinctly from its environment? What, exactly, is the role of physicians and physician assistants in the 21st century in advocating for change? How proactive should medical providers be in leading the way on social issues? Join your OMA colleagues on September 29, 2018 at the Portland Marriott Downtown Waterfront for a full day of education and community surrounding some of the most urgent questions members must confront in treating real patients in the real world. Event emcee Megan Furnari, MD, MS, will lead attendees through a full day of education and community surrounding some of the most urgent questions medical providers must confront in treating real patients in the real world. Up to 4.5 CME credits available.

General Sessions: Bias, Opioids, Firearms

A Threat to the House of Medicine: Confronting Sexual Harassment and Gender Bias, Esther Choo, MD, MPH, Oregon Health & Science University.

Dreamland: America's Opiate Epidemic and How We Got Here, Sam Quinones , author, Dreamland: The True Tale of America's Opiate Epidemic .

Gun Violence as a Public Health Issue, with primary presenter Brian Gibbs, MPA, PhD , Oregon Health & Science University. Reactor panelists will include Kristen Massimino, MD, Co-chair, OMA Firearm Injury Task Force; and Lisa Reynolds, MD, The Children's Clinic.

Engaging Breakout Sessions

Oregon Opioids Prescribing Standards for Acute Care: New for 2018

Panel moderator: Katrina Hedberg, MD, MPH, health officer and state epidemiologist, Oregon Health Authority. Panelists: Kevin Ewanchyna, MD, CMO, Samaritan Health Plan Operations; Amy Kerfoot, MD, Northwest Permanente and OMA representative, Governor's Opioid Epidemic Task Force

Electronic Health Records: Impacting Clinician Wellness?

Panel moderator: Donald E. Girard, MD, Oregon Wellness Coalition

Panelists: Jennifer Bard, MD, Northwest Permanente; Bob Dannenhoffer, MD, CMO, Douglas County Community Health; Carla McKelvey, MD, CMO, Coast Community Health Center

Advocating for our Patients by Making Oregon Law

Panel moderator: Courtni Dresser, Director of Government Relations, Oregon Medical Association

Panelists: Rep. Alissa Keny-Guyer (D – Portland); Christina Bodamer, Oregon Director of Government Relations, American Heart Association; Marguerite Cohen, MD, Legislative Chair, District VIII, American College of Obstetricians and Gynecologists

Treating the Way We Treat: Community and Legislative Solutions for Mental Health Care

Panel moderator: Multnomah County Commissioner Sharon Meieran, MD, JD

Panelists: Rep. Alissa Keny-Guyer (D – Portland); Ajit Jetmalani, MD, Director, Division of Child and Adolescent Psychiatry, Oregon Health & Science University and Consultant, Oregon Health Authority, Health Services Division; David Shute, MD, CMO, Cascade Health Alliance; Rachel Solotaroff, MD, CEO and President, Central City Concern

The Quality Payment Program: Maximizing Your Score for MIPS and 2019 Preparation

Panelists: Seema Rathor, Senior Project Manager/Practice Facilitator, HealthInsight Oregon; Ona Schoening, EHR Manager, Oregon Eye Specialists; Amanda Trujillo, Quality Improvement Consultant, Legacy Health

Three Ways to Incorporate Narrative Medicine into your Practice

Presenter: Elizabeth Lahti, MD, Oregon Health & Science University and the Northwest Narrative Medicine Collaborative



Central City Concern – Compassion in Action Luncheon

At Central City Concern, we don't just put a roof over someone's head. We give individuals the life and work skills they need to remain housed, healthy, and self-sufficient for the long term.

Please join us for a celebration of all that is possible when our community works together to bring lasting change to people in need–2018 Central City Concern Compassion in Action Annual Luncheon. Tuesday October 16, 2018 at Hilton Portland & Executive Tower, Downtown Portland. Reception at 11:00am and Lunch at 11:45am. This event is a celebration of all that is possible when community members work together to bring lasting change to people in need. Proceeds from the Compassion in Action Campaign will be used to support critical programs that help accelerate the move to self-sufficiency for people who access Central City Concern's housing, health care, and employment programs. If you would like more information about event sponsorship please contact Catharine Hunter at 503-200-3903 or

Registration ends on October 12, 2018 /




Oregon Geriatrics Society – 19th Annual Conference

October 5-7, 2018 / Sunriver Resort – Sunriver, Oregon

This conference is designed for physicians, nurse practitioners, physician assistants and other health care professionals who work with older adults in various care settings.

Earn 16.0 CME, Posters on Geri-related Care, Attendee Reception/Networking,

Silent Auction, Exhibitors

Conference Topics / Speakers

End Stage Renal Disease (ESRD) In Older Adults – Sharon Anderson, MD, MACP

Hazards Of Hospitalization For Older Adults – Juliana Bernstein, MPAS, PA-C

Falls In The Older Adult: Tools For Your Practice – Lisa Miura, MD and Ron Blehm, PT

Do's & Don'ts Of Direct-Acting Oral Anticoagulants – Thomas DeLoughery, MD, MACP

Geriatric Literature Update - Elizabeth Eckstrom, MD, MPH, MACP

Common Oral Diseases In Older Adults – Richie Kohli, BDS, MS

Lessons From Hospice Transitions – Diane Kosmatka, RN, CHPN

The Healthy Aging Brain – David Mansoor, MD

Adult Protection Services – Ann McQueen, PhD and Nicki Holmes, BA

Post-Acute & Long-Term Care Topics – Barbara Messinger-Rapport, MD, FACP, CMD

Driving Evaluation: When And How To Take Away The Keys – Emily Morgan, MD

Trauma Informed Approach To Geriatric Care – Sara Phillips

Skin Biopsies In The Older Adult – Darin Prulhiere, MD, MS, CMD

Prescribing Safety In The Older Adult – Shirin Sukumar, MD

Skin Cancer In The Elderly – David Trask, MD

Families – Your Patient Has One! – Liz vonWellsheim, GNP

Common Injectable Geriatric Conditions – Charles Webb, DO

Lodging Information:

Call Sunriver Resort to make lodging reservations. 1-800-547-3922. Reserve under Oregon Geriatrics Society room block. Located 16 miles South of Bend, OR.

Registration Information:

More Information:




American Medical Women's Association



Interdisciplinary, skill-building conference with workshops addressing care for vulnerable populations, an implementation sciences toolkit, and ideas for disseminating your knowledge and expertise.

Featured speakers include ACP Members, Honora Englander, MD, FACP and James Reuler, MD, MACP



Upcoming Events / Meetings / Conferences

OHSU – Pancreatic Cancer – Updates In Detection, Treatment & Research

September 14, 2018
Sentinel Hotel
Portland, OR

Northwest Permanente – Primary Care Symposium

September 18, 2018
Salem Health Hospital
Salem, OR
Free/Open to Public. All primary care providers invited to attend.
Mental Health, Pain Mgt, Telemedicine, Well-Being & Wellness

OHSU-Frances J. Storrs Lectureship Series –

Unconscious Bias In Medicine: Frequently Wrong, But Never In Doubt
Pat Croskerry, MD, PhD, Blake Lesselroth, MD, FACP, Arthur Papier, MD,
Crystal Roberts, JD, Robert Swerlick, MD
September 21, 2018
OHSU-Vey Auditorium

OHSU & National Psoriasis Foundation – Psoriatic Disease: It's More Than Skin Deep

September 22, 2018, 7:30am
OHSU-Robertson Life Sciences Bldg

Oregon Health Forum – Breakfast Series – If Single Payer Is The Answer-What Is The Question?

September 27, 2018, 7:00am
Multnomah Athletic Club-Portland, OR

OHSU - 13th Annual Northwest Regional Hospital Medicine Conference

September 27-28, 2018
Sentinel Hotel
Portland, OR

OMA – Oregon Medical Association – Annual Meeting

September 29, 2018
Marriott Waterfront Hotel
Portland, OR

OHSU – 35th Annual Oregon Rural Health Conference

October 3-5, 2018
Bend, OR
Linda Peppler:

OGS – Oregon Geriatrics Society 19th Annual Conference

October 5-7, 2018
Sunriver Resort
Sunriver, OR

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

October 10-13, 2018
The Banff Centre
Banff, Alberta Canada

OSPA - Oregon Society of Physician Assistants Annual Conference

October 11-14, 2018
Salishan, OR

All-City Palliative Care Series – Guest Lecture: Diane Meier (former OHSU resident)

October 15, 2018
RJH-OHSU Marquam Hill
Contact: Molly Willis

Central City Concern – Annual Compassion In Action Luncheon

October 16, 2018
Hilton Hotel-Downtown
Portland, OR

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

October 18-19, 2018
Sentinel Hotel
Portland, OR

American Medical Women's Association – West Coast Regional Conference “Ideas To Action”

October 19-20, 2018
OHSU – Portland, OR

IDSO – Infectious Diseases of Oregon Annual Meeting

November 8, 2018
Salem Convention Center
Salem, OR

ACP Oregon Chapter – Annual Scientific Meeting

November 8-10, 2018
Salem Conference Center

OHSU – 50th Annual Primary Care Review

February 11-15, 2019
Sentinel Hotel
Portland, OR

OMA – Day at Oregon Capitol – Save The Date!!

March 5, 2018
Watch for more info.

OHSU - 3rd Annual Mental Health Conference: Challenges & Treatment In Adult Primary Care

March 15, 2019
OMA Headquarters
Portland, OR

American College of Physicians – Internal Medicine Meeting

April 11-13, 2019
Philadelphia, PA.

OHSU – 26th Annual Internal Medicine Review

April 11-12, 2019
Sentinel Hotel
Portland, OR

OHSU – Sommer Memorial Lectures—OHSU SOM Alumni Scientific Session

May 9-10, 2019
Multnomah Athletic Club
Portland, OR

OHSU – Infectious Diseases For The Non-Specialist

May 30-31, 2019
Salem Convention Center
Salem, OR

ACP Oregon Chapter – Annual Scientific Meeting

November 7-9, 2019
Salem Convention Center
Salem, OR

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