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Puerto Rico Governor's Newsletter December 2018

Puerto Rico Chapter Banner

Myriam Z. Allende-Vigo, MD, FACP, ACP Governor

Myriam Z. Allende-Vigo, MD, FACP, ACP Governor


Governor's Newsletter

It's been a great start up year. Looking back to 2018, our ACP chapter has achieved many successes. We had a smooth transition of governance, delineated a strategic plan, met for continuing medical education activities, and received the 2018 chapter excellence award. Our membership has grown, and we have a new master: Dr. Germán Malaret. We've had activities specially tailored for the medical students and internal medicine residents. The posters, research and oral competition was a success. The team from the VA Internal Medicine Hospital won the Doctor's Dilemma® competition and will represent us in Philadelphia next year. My thanks to all of you; no doubt all of the accomplishments have been possible due to your support and encouragement. Let's keep it on. Best wishes to all, that you all be blessed with health and fulfillment of your dreams.

Myriam Z. Allende, MD, FACP



Chapter Excellence Award


I am pleased to announce that our chapter is in receipt of the 2018 Chapter Excellence Award! The award recognizes chapters which successfully meet the standards for managing a chapter. In order to achieve the Chapter Excellence Award, all basic criteria and ten optional criteria were met. Criteria included 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.

I would like to extend a special thanks to past Governor, Dr. José Lozada-Costas, our coordinator Rina Vega, and all chapter members who assisted me in all of these endeavors! For their hard work and dedication, we received this award.



Internal Medicine Grand Rounds Program

On November 15, 2018 the ACP Puerto Rico Chapter celebrated the first or our projected Grand Round Series. This event took place in Ponce, at the Ponce Plaza Hotel, where the chapter's Governor, endocrinologist, Dr. Myriam Z. Allende, was the keynote speaker, A case was presented followed by an “Update in Management of Diabetes Mellitus.” The focus of this event was to bring together Internal Medicine residents to discuss the most recent and relevant changes in anti-hyperglycemic therapies. We were pleased to have the participation of over 30 Internal Medicine residents representing the two local Internal Medicine residency programs, and numerous faculty members.

I would like to extend my sincere gratitude to Dr. Juan Carlos Conde, Dr. Pedro Benítez, and all the Internal Medicine residents of Damas Hospital and San Lucas Hospital for their interest and participation in this successful event. It was a great opportunity to meet and greet colleagues from the south/west part of the Island who are members of our Chapter, and also to meet young physicians interested in our Chapter activities. We look forward to continue with this initiative across the island during 2019.

“We would like to extend our sincere gratitude to the ACP and the Residents of Damas Hospital and San Lucas Hospital for their availability and participation in this successful event. We are looking forward to continued partnership to discuss important medical issues in our community! “

Juan Conde San Miguel, MD





Puerto Rican Treasures in Internal Medicine / Clinical Vignettes and Abstract Competition Award

On November 17, 2018, our CME activity Puerto Rican Treasures in Internal Medicine/Clinical Vignettes, Poster and Research Competition was held at La Concha Hotel in San Juan. The activity was a success with an outstanding participation of 180 attendees, and interesting posters presentations from Internal Medicine Programs across the Island. The program included 10 oral presentations selected from the abstracts submitted for the research competition, 59 poster presentations and 6 poster research presentations. We congratulate the winners for all categories!

Oral Presentations

Dr. Pedro Gil de Rubio – University Hospital
Important of Adequate Screening before Immunosuppression: Leprosy Exacerbation after Treatment with Adalimumab

Dr. Nicole Medine – Veterans Administration Hospital
Eosinophilia Gone Wrong: What does it mean?

Dr. Natalia Almodóvar – Veterans Administration Hospital
Rare extra skeletal primary osteoclast like giant cell tumor of parotid gland treated successfully with Denosumab

Poster Presentations

Dr. Nikita Rabelo – University Hospital
Unforeseen extraintestinal manifestations of Crohn's disease

Dr. Nicole Miranda – Veterans Administration Hospital
A rare disease with common presentation: Hypertrophic Pachymeningitis

Dr. Damaysi Jimienez – Auxilio Mutuo

Gaucher's Disease in a Puerto Rican


Dr. Lauren Acevedo – University Hospital
Epidemiology of Viral Respiratory Infections at a Tertiary Care Center in Puerto Rico

The clinical lectures for this CME activity included an update on interesting topics on Targeting Optimal Care of Diabetes Mellitus, Prediabetes, Obesity and Immunizations in children and adults. We had a lively afternoon with the exciting competition of Doctor's Dilemma. Representatives from the eight Internal Medicine Residencies in the island participated. The Doctor's Dilemma Winner was the VA Caribbean Health Care System Internal Medicine Residency Program.

Congratulations to all residency programs for their interest and participation!

Thanks to the organizing committee, participants, and judges who made this event possible!




Save the Date for our ACP Puerto Rico Chapter Annual Meeting

Achieving Excellence in Patient Care: Internal Medicine Update & Board Review
March 8-10, 2019 at La Concha Renaissance Hotel, San Juan
Registration Information and full program details coming soon.
Your attendance will contribute to the success of our activity and of our ACP Puerto Rico Chapter!

ACP Members are encouraged to review the requirements for advancement to Fellow of the American College of Physicians. Do not hesitate to contact us for information at

We are working to update our members list. Please review your membership status and contact us!

Get involved with the ACP activities and participate in our mission for education and service in Internal Medicine.


Editorial Committee:

Dr. Myriam Allende
Dr. Melba Feliciano
Mrs. Rina Vega