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Tennessee Governor's Newsletter May 2018
Tracey E. Doering, MD, FACP, ACP Governor
It is hard for me to believe that one year has already gone by! I just returned from a great national ACP meeting in New Orleans, where we had many new Fellows attend Convocation! It was a time for great collegiality, and learning for all. I hope you will all consider going next year! A lot is going on locally and nationally and I hope to provide some highlights for you here. I welcome comments and suggestions at any time. Email is email@example.com. Your involvement is encouraged.
We have started a chapter Facebook page and hope to encourage members who like this type of social media to engage. We will continue to have all on chapter web page, but this will be an additional source for interaction. Please like our page and follow as we try to post items of interest for our members. There is also a resident-fellow group page and I would encourage participation for those associates. I hope to start similar for early career physicians, and students. All suggestions are welcome. The link is www.facebook.com/TNACP.
National ACP Meeting Highlights
Dr. Mukta Panda and Dr. Ben Maddox attended a wellness leadership pre-course and will be hoping to spread this throughout our state! Look for another survey soon on this.
Our immediate past Governor, Dr. Richard Lane, was awarded a Mastership from ACP.
Jennifer Whitley Dooley
Marvin Porter Meadors III
Christopher Green (left) and Ryan Mire, MD, FACP, Regent
Resident poster competition
Dr. (Sister) Teresa Mary Kozlovski: Psuedohyperparathyroidism from ETSU
Dr. Sagal Mohamed: Desert Heat: Mystery Fever in a Traveler from Univ of TN, Nashville
Dr. Johnson Wong: A Qurious Case of the Heart from Univ of TN, Nashville
Dr. Nagishwarya Moka: A rare case of aggressive large B cell lymphoma, ETSU
Dr. Emmanuel Addo-Yobo: Syncope Evaluation Using POC Ultrasound fromETSU
Our winner from our TN ACP meeting, Dr. Olufolahan Carrena: Complicated infective endocarditis limited to a Chiari network, MeHarry IM residency.
Our team from ETSU is pictured below.
Diego Hidals, Christine Moore, and Boonphiphop Boonphoig from ETSU
TNACP Literature in Medicine Reading Retreat
Our annual reading retreat was another huge success. Here are the highlights and information about next year, courtesy of Dr. Richard Lane, as I was unable to attend.
Our annual literature in medicine reading retreat at Fall Creek Falls State Park was held the weekend of March 2-4 and was a wonderful event both weather wise and topic wise. The theme this year was “Overdosed: Our National Addiction Crisis” which dovetailed nicely with what is happening at the national and state level with the “Opioid Crisis”. The works reviewed included: Dreamland: The True Tale of America's Opiate Epidemic by Sam Quinolone; Under the Influence: The Literature of Addiction edited by Rebecca Shannonhouse; Delicious Foods: A Novel by James Hannaham; Something Rich and Strange by Ron Rash and an article from The New Yorker entitled “The Addicts Next Door” by Margaret Talbot. As in previous years, Dr. Greg O’Dea, an honors English professor from the University of Tennessee in Chattanooga, facilitated the discussion. These works covered the gamut of the rise of oxycontin prescriptions and why it occurred to the unique marketing of black tar heroin from Mexico as a cheaper alternative that has taken over. The change in demographics of what populations have been marketed, what populations are now overdosing, and what impact this has had on awareness and treatment issues was also discussed. Several short stories covered other addictions including methamphetamine, cocaine, alcohol, food and sexual addiction with discussion covering how the addictions developed, the despair and hopelessness accompanying the addiction, and the collateral damage to friends and family having to deal with addicted persons. Chronologically the works tracked a change in social response from viewing addiction as a character weakness and moral failure of the individual to recognizing addiction as a disease and treatment with intent to cure would need to be a medical disease model of care with recognition that recovery would be a long and costly process. Next year due to planned renovations at Fall Creek Falls State Park the meeting will be held at Montgomery Bell State Park in Burns, Tennessee the weekend of March 8-10, 2019. Information will be forthcoming from Dr. Mark Anderson who chairs these meetings and will handle the organizational aspects late this year. Those interested should submit their name and contact to Mark at firstname.lastname@example.org to be sure information is received with his fall mailing to the membership. Not only is this event a different perspective from traditional didactic medical CME, it is also an inexpensive weekend outing for family at a state park. You can access additional information on state parks .
Greg O’Dea, PhD – Facilitating discussion at Fall Creek Falls – March 2018
Leadership Day: We will have 5 ACP members including a student attending leadership day in Washington, D.C. I would encourage any member who is interested in this event to contact me to attend in the future. It occurs yearly in May.
MOC: Great progress in this regard in our state with successful legislation in February. You can read details in the online article.
Day on the Hill with TMA: ACP was well represented there and below are some highlights, courtesy of Dr. Lane.
State Legislative Issues
Several ACP members including students, residents, and practicing physicians attended the TMA Day on the Hill on March 6. Several legislative issues of relevance to TNACP members were discussed with our legislators. The House Committee on Health moved forward an amended compromise bill (SB1824 Sen. Richard Briggs, MD (R-Knoxville)/HB1927) relative to Maintenance of Certification that allows each hospital medical staff to choose if MOC is mandatory for credentialing. It continues to prohibit any insurance company from using MOC as a sole reason to deny a provider acceptance onto an insurance panel.
Increasing regulation of opioids is a contested issue. An alternative bill (SB2565/HB2221) to Governor Haslam's “TN Together “bill (SB2257/HB1831) that accomplishes much of the same goals but without interfering with the physician patient relationship or putting standard of care in code has been proposed by Sen. Joey Hensley, MD (R-Hohenwald). It replaces the prescribing limit with a dispensing limit known as a partial fill. The bill also allows for a medically necessary exception to give doctors more ability to appropriately treat patients in legitimate need.
One additional high priority bill (SB2639/HB1729) addresses “Halting Episodes of Care” This bill addresses halting the roll out of new episodes of care in the TennCare program for one year while current design flaws are addressed.
Over the next year would pay attention to the issue of medical marijuana and how physicians may become involved in prescribing this. Also scope of practice remains a concern. While independent practice by APNs is on hold the current issue being monitored by TNACP leadership is the current Doctor of Medical Science degree being offered for Pas at Lincoln Memorial University.
I would encourage TNACP members to attend Day on the Hill to get a sense of how the state government addresses health care issues. I would also encourage considering attending ACP Leadership Day in Washington, D.C. This year your delegates will be visiting your U.S. Congressional leaders May 22 and May 23. Information on leadership Day can be accessed online.
ACP Board of Governor's meeting
A number of resolutions were heard in this meeting in New Orleans, including support of eliminating the two midnight rule for Medicare admissions, decreasing paper work and streamlining for DME, and initiation of a national day of service for ACP (each chapter would do their own service initiative), and more. I will try to post the final outcome of the resolutions as soon as it is received from the Board of Regents.
Tennessee Chapter Annual Meeting
This will take place in Chattanooga October 26-27, 2018 at the Chattanooga Convention Center. Registration is not yet open but the link will be posted on the chapter website as well as full meeting details. Please plan on attending. There will be CME credits/MOC points offered for this meeting!