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Puerto Rico Governor's Newsletter November 2019

Puerto Rico Chapter Banner

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

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


Governor's Message

Our chapter is blessed, the atmosphere of congeniality and camaraderie was evident at our activity “ACP Vignettes: A Portrait of our Future & 2019 Clinical Vignettes and Abstract Competition Award” last Saturday, October 19, 2019. We had a series of outstanding oral and poster presentations. All Internal Medicine residency programs of the island competed to win the opportunity to represent the island in the national Doctor's Dilemma®. Congratulations on the effort of all participants! It was a hard task for judges to select the winners of all categories, which are mentioned below. The chapter held its second MOC activity that day and it was welcomed by the audience. The faculty, a senior and a young member gave outstanding presentations. As the reader will notice, participation of members to the activity reached record highs. We had an array of participants going from medical students, residents and Members. This activity followed an ACP sponsored Grand Round held last September. Residents and faculty of the University of Puerto Rico Department of Medicine hosted the activity, also well attended. The council is working on several upcoming activities for chapter members. Your continued support drives our efforts.



Internal Medicine Grand Rounds Program

Our Grand Round series continues. On October 8, 2019, the ACP Puerto Rico Chapter sponsored a Grand Round at the University of Puerto Rico Medical Science Campus. Dr. Francis Baco was the keynote speaker presenting “Diabetes Mellitus in the In-Patient Setting.” We were pleased to have the participation of over fifty Internal Medicine residents and attending physicians.


We look forward to continuing with this initiative across the island during 2019, our next Grand Round will take place on November 12, 2019 at the Mayaguez Medical Center.




ACP Vignettes A Portrait of Our Future. 2019 Clinical Vignettes and Abstract Competition Award

On October 19, 2019, our activity ACP Vignettes: A Portrait of Our Future was held at the Caribe Hilton Hotel in San Juan. The activity was a success with an outstanding participation of over 230 attendees. This year event included a 2.5 CME/MOC program: A new paradigm in pulmonary disease prevention: lung cancer screening, obstructive sleep apnea and atrial fibrillation; and 5 hours' session of CME that included an update on the impact of diabetes drugs on mortality, renal and cardiovascular diseases dictated by Dr. Jorge De Jesús, oral presentations and the Doctor's Dilemma competition section. A total of 66 abstracts were presented in the following categories: 50 Clinical Vignettes Posters, 6 Research Posters and 10 Clinical Vignette Oral Presentations. My special thanks to Dr. Francis Baco, who chairs the academic activities committee, and all its members. Dr. Baco and his team worked hard and succeeded in running an organized and academically sound program.

We congratulate the winners of all categories!

Oral Presentations

1st Place

Dr. Dalianie Nieves, VA Caribbean Healthcare System
Reversible Cardiomyopathy in Multicentric Castleman Disease After IL-6 Inhibitor Therapy

2nd Place

Dr. Mary Rodriguez, University of Puerto Rico
Mystery Meningitis: Third Time's the Charm

3rd Place

Dr. Francisco Tirado, VA Caribbean Healthcare System
A Mass Effect: An Unusual Etiology of NSTEMI

Poster Presentations

1st Place

Dr. Emily Velazquez, Damas Hospital
A Seronegative Kidney Surprise

2nd Place

Dr. Mary Rodriguez-Malave, University of Puerto Rico
Punching for the Truth Beneath the Rash: A Case of Warfarin-induced leukocytoclastic vasculitis

3rd Place

Dr. Jossette Axtmayer, VA Caribbean Healthcare System
The Return of Clostridium perfringens to an Unusual Place


1st Place

Gabriel Colon Estarellas, MS III, Universidad Central del Caribe
Health Profiling of the Communities Impacted by Medicina Urbana Health Clinics in Puerto Rico Post-Hurricane María

Gabriel Colon Estarellas, Dr. Myriam Allende and Dr. Mary Rodriguez

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 Mayaguez Medical Center Internal Medicine Residency Program.

Gurpreet S. Sareen, MD, Dr. Yue-Sai Jao Ayala,MD, Myriam Allende, MD, FACP, ACP Puerto Rico Chapter Governor, Maritsally Santiago Chaparro, MD and Milton Carrero, MD, FACP

Congratulations to all residency programs for their interest and participation! Thanks to the organizing committee, participants, and judges who made this event possible!



Wellness Corner

Wellness and Mindfulness sound like magical words, sometimes hard to interpret and to integrate in our daily lives. Mindfulness, Sleep Hygiene, Organization, Communication, Trust, Exercise, Nutrition and creating a support group in your work area and in your community will contribute to your Wellness. The ACP Wellness Committee's efforts are directed to educate in these areas and to provide instruments, support and ideas to cope on a daily basis with the stress of our profession.

Our complex world of multiple priorities, technology challenges, seek of achievements, competition, loneliness stimulate our stress response and can cause confusion and overthinking to manage all “priorities” without classifying their importance. Burnout and mental health issues of physicians may appear, even leading to suicide. Physicians, trainees and medical students' mental health and wellbeing, burnout signs identification, and suicide prevention are critical issues to address.

On September 17, 2019 the Physician Suicide Awareness Day was held, in an effort to create awareness of the high rate of suicides among the medical profession at a national level. Our ACP Wellness initiative invites you to participate and to provide ideas for our future activities in these areas. Our efforts will be directed to all physicians in our chapter: physicians in practice, academics, trainees and medical students. Please send your comments, ideas, needs, and suggestions to Mrs. Rina Vega at

Wellness is essential to all to live a rewarding life and be better physicians. Stop Overthinking, Read and Practice Mindfulness, Exercise, organize your priorities, listen to Music, and cultivate a Spiritual life. You will notice the difference in your day and life.



Save the Date for our ACP Puerto Rico Chapter Annual Meeting

March 13-14, 2020 at Intercontinental Hotel, Isla Verde, Carolina

Registration Information and full program are coming soon.



Get Involved

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




Editorial Committee:

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