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Utah Governor's Newsletter March 2017

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Robert C. Pendleton, MD, FACP, ACP Governor

Robert C. Pendleton, MD, FACP, ACP Governor


Greetings from the Governor

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Greetings to all members of the Utah Chapter of the American College of Physicians:

It is hard to believe how fast the past four years have gone. It has been an honor and a privilege to serve as the Utah Governor for ACP during this time. The opportunity to both represent your voice nationally, and to see the impact that each of you has on your patients and communities have been both humbling and inspiring. I have been most appreciative to work so closely with an amazing leadership team including Brittany Patterson, our chapter director – the passion, energy, innovative ideas, and leadership that each member of the leadership team has brought to the Utah Chapter has been incredible. Because of them, we have seen an 11% growth in chapter membership, recorded the highest attendance at our annual Scientific meeting, received the Chapter Excellence award each of the past 4 years, begun to be active in public policy, and had our highest attendance at national leadership day. These are just a few of the results this group has achieved, but perhaps most importantly, they have made our chapter feel like a meaningful professional home.

Finally, I am so excited to watch the Chapter achieve new heights under the leadership of Dr. Mary Parsons. I have no doubt she will provide amazing leadership for the Chapter and I encourage each of you to reach out to Mary and to find ways to be involved.

Much Gratitude,


Bob Pendleton, MD FACP

If you've ever considered getting more involved with ACP you can learn more about joining our leadership committee by contacting Brittany Patterson.



Advocacy & Public Policy

Spring 2017 Resolutions – Feedback Request

Fourteen (14) resolutions will be heard at the Spring 2017 Board of Governors (BOG) Meeting in San Diego, CA. Please review each resolution and then indicate your support or opposition by completing the brief survey here form by Friday, March 24.



Chapter & National Meetings

2017 ACP Internal Medicine Meeting

March 30 – April 1, 2017 | San Diego, CA | San Diego Convention Center

San Diego is often referred to as “America's Finest City” and for good reason. San Diego, CA, has fabulous beaches, year-round warm temperatures, and clear skies. San Diego's vibrant communities each have unique characters that will win your heart. Come and enjoy the best of both worlds— outstanding education in a location that offers countless opportunities for recreation, including world-class resorts, amusement parks, golf courses, deep-sea fishing, sailing, surfing, windsurfing, and kayaking. San Diego has something for everyone!

Learn more and register online.

2017 Annual Chapter Meeting

February 10 – 11, 2017 | Salt Lake City, UT | University of Utah Guest House

Another successful Utah Chapter Annual Scientific Meeting was held just a few short weeks ago. This event couldn't be done without the time and leadership devoted each year by Scientific Meeting Committee: Drs. Karli Edholm (Chair), Nate Allred, and Kristen Ries – thank you!

Slides and presentation materials are available on our website, including a video of the keynote presentation, 'In Search of Joy in Practice’ by Christine Sinsky, MD.

Awards & Recognition


The 2017 awards ceremony honored three Utah Chapter members: Kencee K. Graves, MD FACP and Donna Milavetz, MD FACP were presented with the ‘Laureate Award’ for their commitment to excellence in medical care and in service to the community; and Susan M. Berkebile, MD was presented with the ‘C. DuWayne Schmidt Community Service Award’ for her distinguished humanitarianism and voluntary contributions in medicine and the Utah ACP. Read more about our 2017 awardees here

To suggest a colleague for our 2018 awards ceremony, please fill out our nominations form by June 30, 2017.

2017 Doctors Dilemma


At the Utah Chapter ACP Meeting, we play a game of medical jeopardy called Doctor's Dilemma. This was our 3rd year of this event and each year the chapter chooses two team captains and those teams compete at the meeting. This year, the chapter chose the theme of “North versus South” for the competition.

2017 Teams: North (University of Utah, VA) vs. South (Intermountain, community)

  • North: Dr. Kathy Cooney, Dr. Rick Rose, Dr. Emily Spivak, Dr. Eric Moore, Natasha Kwendakwema, MS4
  • South: Dr. C. Greg Elliott, Dr. Scott Stevens, Dr. Arasu Gopinath, Dr. Aaron Crosby, Lauren Shih, MS4

The winning team this year was South; a donation of $50 per person ($250 total) was made on their behalf from ACP to The Fourth Street Clinic. Congratulations to the South team on their victory! This theme will likely continue in to the 2018 so the North can have a shot at redemption.

2018 Annual Chapter Meeting

Work is already underway in planning the 2018 chapter meeting. If you have ideas or suggestions for improvement please don't hesitate to contact Brittany Patterson we appreciate your feedback and support.

Awards & Recognition

Nominate a Top Colleague!

Do you have a colleague who always goes out of the way to put his patients at ease or mentor new physicians? Maybe she solved a tricky throughput problem or led a safety initiative. If so, we would like to hear about it.

We're seeking candidates for our annual chapter awards ceremony to be held at our 2018 annual meeting. The ceremony will recognize physicians who made notable contributions to the field in 2017, whether through exceptional clinical skills, patient safety, improved workflow, leadership, community involvement, quality improvement, or something else.

To suggest a colleague, please fill out our nominations form by June 30, 2017. The more nominations, the better! Thanks for your participation.

  • Laureate Award: The Laureate Award is designed to honor those Fellows and Masters of the College who have demonstrated, by their example and conduct, an abiding commitment to excellence in medical care, education, and research, and service to their community, their chapter, and the ACP.
  • Volunteerism & Community Service Certificate: This award is designed to recognize the work of members who are involved in volunteerism and community service activities.
  • Advancement to Fellowship (fast-track): ACP Fellowship is a mark of distinction from colleagues who recognize accomplishments and achievements over and above the practice of medicine. Fellowship honors those physicians who have made contributions to medicine, to their community, or to ACP. Fellows receive the same benefits as ACP Members, but also have right to hold office and sponsor applicants for Membership and Fellowship.
  • Advancement to Mastership: ACP Masters have been awarded this extreme honor after being nominated by their peers and then vetted through the Awards Committee for selection due to the excellence and significance of their contributions to medicine as well as their involvement in ACP. Masters are nominated for their for their personal character, positions of honor, contributions toward furthering the purposes of the ACP, eminence in practice or in medical research, or other attainments in science or in the art of medicine. A limited number of Masters are awarded each year.



Students, Residents & Fellows

Our Residents and Fellows committee hosts three annual competitions with the winners from each being eligible for entry into the national competition held during the Spring Internal Medicine conference. Winners are automatically accepted into the competition and will receive a travel stipend to attend the meeting (location varies by year). The next competitions are:

  • Fall 2017 – Clinical Vignette Competition: Exact date TBD. ACP Medical Student and Resident/Fellow members are encouraged to submit a clinical vignette about a patient they have found interesting. Three finalists will be chosen to present their vignettes during a dinner event on a weekday evening in September 2016. More information will be coming soon.
  • Spring 2018 – Poster Competition: The Medical Student and Resident/Fellow Poster Competition will coincide with the annual Utah Chapter Meeting, exact date TBD. All trainee members are encouraged to submit research, clinical vignette, or quality improvement posters for the competition. All ACP members are welcome at the competition.

Contact Brittany Patterson or information about the competition.

2017 Poster Competition

February 10, 2017| Salt Lake City, UT | University Guest House


This is always a terrific event. Each year we have more and more participation; this year we had a record-breaking 32 entries into the competition; 14 clinical and 18 research cases. From those entries ten outstanding posters (five from each category) were selected as finalists for this year's competition. You can view a PDF of all the posters here.

Winners & Runners-up

  • Clinical vignette winner: Lindsey Fitzgerald, PGY2, Seeing Double: A Rare Presentation of Non-Hodgkin Lymphoma
  • Clinical vignette runner up: John Murray, PGY3, The Differential Diagnosis of a Neck Mass: Infectious, Inflammatory, or Both?
  • Research winner: Adam Kilian, PGY3, Complex Care Maps
  • Research runner up: Vanessa Wall, MS2, Real Time Enoxaparin Dose Adjustment in Critically-Ill Surgical Patients

As the grand prize winner, Dr. Kilian will be traveling to New Orleans, LA to present his poster at the National ACP 2018 competition.

Congratulations to all who submitted for the 2017 ACP Utah Chapter Poster Competition! These were outstanding posters. We are very proud of our trainees.

Thank you to all who entered and a special thanks to Megan Engelen, DO; Adriana Rojas, MD; and Sonny Win, MD for taking time out of their busy schedules to judge this event. Last but not least this event couldn't be done without the time and leadership devoted each year by Residents and Fellow Committee: Drs. Kencee Graves (Chair), Amanda Breviu, and Scott Holmstrom – thank you!

Clinical Posters - ALL

  • “Brown-Sequard-Plus syndrome with features of Autonomic Dysreflexia and Horner's syndrome caused by blunt trauma | Daniela Anderson”
  • Acute Arterial thrombosis in a cancer patient | Devon Baker
  • Granulomas Galore | Anees Daud
  • Seeing Double: A Rare Presentation of Non-Hodgkin Lymphoma | Lindsey Fitzgerald FINALIST
  • Nailing the Diagnosis: A Case of Plantar Pain, Plantar Keratoderma & Toenail Dystrophy | Laura Gardner
  • “Fatty Heart” and Osler's Treatment: What we can learn today from the father of modern medicine | James Gardner
  • Disseminated Mucormycosis (Lichtheimia corymbifera) in a Patient with Relapsed, Refractory Acute Myeloid Leukemia | David Gaston
  • Open Sesame! Uncovering a rare cause of acute eosinophilic pneumonia | Casey Gradick FINALIST
  • The Black Esophagus: A Case of Acute Esophageal Necrosis | April Griffith FINALIST
  • Wells' Syndrome Prceeded by Leukocytoclastic Vasculitis | Zachary Hopkins
  • The Differential Diagnosis of a Neck Mass: Infectious, Inflammatory, or Both? | John Murray FINALIST
  • A Game of Cat and Mouse; Respiratory Distress in the Setting of Multiple Zoonotic Exposures | Matthew Petersen
  • The Importance of Being Earnest | Stephen Williams FINALIST
  • An Unexpected Etiology of Encephalopathy | Alex Wright

Research Posters - ALL

  • “Rheumatological Disease from Cardiac Point of View: A Systematic Review | Mossab Aljuaid”
  • Safety Analysis of Bariatric Patients Undergoing Outpatient Upper Endoscopy with Non-Anesthesia Administered Propofol Sedation | Alexander Au FINALIST
  • The Descriptive Epidemiology of Multimorbidity and Health Service Utilization in Primary Care in England | Anna Cassell
  • The Reasons for Discontinuation of Combination Therapy with Methotrexate and Tumor Necrosis Factor Inhibitors Versus Triple Therapy Differ Significantly Because of Higher Adverse Events with Triple Therapy | Daniel Erhardt
  • Neutrophil-to-Lymphocyte Ratio as Prognostic Indicator in Gastrointestinal Cancers: A Systematic Review and Meta-analysis | Josh Harmer
  • Role of MFN2 in Platelets | Kelly Hoerger
  • The Prevalence and Correlates of Hypertension Among Rural Ghanaian Adults | Miriam Jaziri
  • A Case of Recurrent Pneumothorax, the cause will leave you Breathless | Eric Johnson
  • Latino Health Report Card, City of Long Beach, CA | Nahel Kapadia
  • Complex Care Maps | Adam Kilian FINALIST
  • Role of TRPC Channels in Cardiac Myocytes | Bradley Meyer
  • “Routine Frailty Assessment During Vascular Surgery Clinic Visits:
  • Easier Than One Might Think | Luke Mirabelli”
  • Inpatient Admission for Bowel Preparation Prior to Colonoscopy: A Retrospective Case Series | Sheeva Parbhu FINALIST
  • An Analysis of the Diabetic Population at St. Jude Hospital in St. Lucia, with Comparison to U.S. National Data | Stella Selden
  • “Colon Pathology Characteristics in Li-Fraumeni Syndrome: Age and Size Don't Matter | Hailey Shepherd”
  • Antimicrobial resistance to ESBLs Identified in Enterobacteriaceae in sink drain biofilms in three hospitals in Addis Ababa, Ethiopia | Isabel Vanderslice FINALIST
  • Real Time Enoxaparin Dose Adjustment in Critically-Ill Surgical Patients | Vanessa Wall FINALIST
  • Efficacy of GLP-1 Agonists in the Treatment of Type 2 Diabetes Mellitus | Laura Wolf

2016 Clinical Vignette Competition

September 28, 2016 | Salt Lake City, UT | University of Utah Health Sciences Education Building


The clinical vignette competition was held on Wednesday, September 28, 2016. A total of 23 clinical vignettes highlighting fascinating cases observed at University Hospital, VA Medical Center, and Intermountain Medical Center were submitted.

Winners & Runners-up

The six individuals selected from a very competitive pool who presented their Clinical Vignettes were:

  • Green Apples in the Heart, Liver, and Kidneys | PAndrew Hahn, MD [R2]
  • Eos, Eos Everywhere… | Alexandra Keefe [MS3]
  • Platypnea-Orthodeoxia Syndrome in a Lung Transplant Patient | M. Sydney LeGuyader, MD [R1]
  • The Way to a Man's Heart is through his Pancreas | Dawn Miller [MS4]
  • When the Cause of Abdominal Pain is Hiding Skin Deep | Ashley Trane, MD [MS4]
  • Virus with a Vengeance | Josephine Wright, MD [R1]

All presenters received a cash prize. The winning presentation was submitted by Dawn Miller, who presented her case, The Way to a Man's Heart is through his Pancreas. Dr. Miller will join our leaders at the 2017 ACP National Meeting to be held in San Diego, CA.

Abstracts Submitted by Housestaff, Fellows & Medical Students

  • A Rare Cause of Chronic Diarrhea & Abdominal Pain | Jeffrey Bank, MD [R2]
  • End-organ damage? The pressure's on! | Michelle Bischoff, MD [R2]
  • More Than No Feeling | Aaron Crosby, MD [R3]
  • Tropical Fever in Salt Lake City | Lindsay Fitzgerald, MD [R2]
  • Hungry for Thrombocytes | S. Taylor Frost [MS3]
  • Don't Forget the Salt | Sarah Gilligan, MD [R2]
  • Green apples in the heart, liver, and kidneys | Andrew Hahn, MD [R2]
  • A Pernicious Cause of Hemolysis | Stephen Jenkins, MD [R3]
  • It's All About Timing: An Ulcerating Rash in an HIV-1 Infected Male | Russell Johnson, MD [R4]
  • Eos, Eos Everywhere… | Alexandra Keefe [MS3]
  • I can't go to prom like this | Caroline Laggis, MD [R1]
  • Platypnea-Orthodeoxia Syndrome in a Lung Transplant Patient | M. Sydney LeGuyader, MD [R1]
  • The Way to a Man's Heart is through his Pancreas | Dawn Miller [MS4]
  • When Occam's Razor Was Wrong | Sneha Parikh, MD [R3]
  • A Case of Hanting in the Woods | Matthew Petersen [MS3]
  • Allergic Response to IVF Hormones | Rebecca Powell [MS3]
  • From hematoma to sarcoid to cancer: Diagnostic difficulties in a non-English speaking patient | Heidi Saxton [MS4]
  • A Puzzling Story of Hemolytic Anemia | Miranda Tracy, MD [R2]
  • When the cause of abdominal pain is hiding skin deep | Ashley Trane, MD [MS4]
  • Digital ischemia and necrosis as a paraneoplastic syndrome | Isabel VanDerslice [MS3]
  • Pyridostigmine Poisoning the Pacer | Andrew Walker, MD [R2]
  • The great masquerader presents as rapid vision loss in an HIV-infected man off HAART | Lana Weber [MS3]
  • Stagnant stones and broken bones | Josephine Wright, MD [R1]
  • Virus with a vengeance | Josephine Wright, MD [R1]

A copy of the Clinical Vignette Booklet can be found here.

Congratulations to all who submitted for the 2016 ACP Utah Chapter Clinical Vignette Competition and a special thanks to Yaw Boateng, MD; Amy Cowan, MD; and Erik Riessen, MD for taking time out of their busy schedules to judge this event. Last but not least this event couldn't be done without the time and leadership devoted each year by Residents and Fellow Committee: Drs. Kencee Graves (Chair), David Glodowski, Amanda Breviu, and Scott Holmstrom – thank you!



Early Career Physicians

Spring 2017 Social

March 21, 2017 | Salt Lake City, UT | Wasatch Brew Pub

Join your colleagues on Tuesday, March 21 at 7:00 pm at Wasatch Brew Pub for an Early Career Physician social.

Don't miss this great opportunity to network with other early career physician colleagues, enjoy food and drinks, and have fun! Food and drinks are all included with your reservation (no charge). Please RSVP here so we can get a head count for our table. Guests are welcome.

Fall 2017 Social

If you have ideas for a fall social event we want to hear from you! Email Brittany Patterson.



Hot Topics

ACP and AAFP Release Guideline for Treatment of Hypertension in Adults 60 Years and Older

ACP and AAFP have released a clinical practice guideline. The guideline presents evidence and provides clinical recommendations based on the benefits and harms of higher versus lower blood pressure targets for the treatment of hypertension in adults aged 60 years or older. The joint guideline was published in Annals of Internal Medicine on Jan. 17. Read the clinical practice guideline here.

ACP Updates Recommendations for Treatment of Type 2 Diabetes

ACP has released a clinical practice guideline to present the evidence and provide clinical recommendations on oral pharmacologic treatment of type 2 diabetes in adults. The guideline was published in Annals of Internal Medicine on January 3 and serves as an update to the 2012 ACP guideline on the same topic. This guideline is endorsed by American Academy of Family Physicians. Read the clinical practice guideline here.

ACP Issues Guideline for Treating Nonradicular Low Back Pain

ACP has released a clinical practice guideline to present the evidence and provide clinical recommendations on the noninvasive treatment of low back pain. The guideline was published in Annals of Internal Medicine on February 14 and serves as a partial update to ACP's 2007 guideline on the same topic. Read the clinical practice guideline here.



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