Vermont Governor's Newsletter November 2019

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Allen B Repp, II, MD, FACP, ACP Governor

Allen B Repp, II, MD, FACP, ACP Governor


Governor's Message

With new snow on the ground today, it's hard to believe the fabulous foliage for our annual chapter meeting was only a few weeks ago. While photos can't fully capture the spirit of the meeting, they do reflect the energy and fellowship of the event. Thanks to all who were able to attend. It was a blast!

Read on for highlights of the meeting, upcoming chapter events, opportunities to get involved in chapter committees, and a bit of (good) national news.

Stay warm,




2019 Annual Vermont Chapter Meeting

On a picturesque day in Stowe, Dr. Darilyn Moyer, Executive Vice President and CEO of the ACP, gave a compelling keynote address entitled “Women In Medicine: Creating A JEDI Healthcare System”. For those who couldn't attend, JEDI stands for Just, Equitable, Diverse, and Inclusive. She also shared an update on ACP's national activities and priorities – from the IM Proud campaign to education initiatives to advocacy. The slides from her presentations can be viewed here

Other faculty offered practice-changing evidence and advice in heart failure, depression, diabetes and hepatitis C, to name a few. Dr. Mark Levine, Commissioner of Health for the State of Vermont, enumerated focus areas for the Department of Health in his address on Public Health Highlights.


Dr. Darilyn Moyer addresses the chapter


Larner College of Medicine students [from left to right] Sarah Sherman, Hanaa Shihadeh, Dylan Koundakjian, and Matthew Tsai enjoy the day at the chapter meeting. Photographer: Larner College of Medicine student Alex Karabachev.



Student and Resident Abstract/Poster Competition

As in years past, there were outstanding posters presented by medicine residents at UVM Medical Center as part of the resident abstract competition. New this year, the chapter hosted a separate abstract competition for medical students at the Larner College of Medicine – with 13 student abstracts accepted for poster presentation at the meeting. Congratulations to all those who submitted abstracts, and a second round of applause for the poster/abstract competition winners in each category:

Student Abstract Competition

Clinical Vignette: Kyna Donohue (co-authors Andrew Wilks and Shaden Eldakar-Hein), “Aseptic Meningitis Post Infliximab Initiation”
Research/QI: Alexa Pius (co-authors Ethan Jones, Levi Bonnell, Mayo Fujii, Charles MacLean), “Patient Experience with Opioid Pain Medication after Discharge from Surgery: A Mixed Methods Study.”

Resident Abstract Competition

Clinical Vignette: Elly Riser (co-author Emily McPherson), “A Case of Pembrolizumab-Induced Myasthenia Gravis”
Research/QI: Benjamin Depo and Sundas Khan (co-author Andrew Hale), “Reducing Asplenic Sepsis by Infectious Disease-Guided Post-Splenectomy Care”

The winners will receive support from the chapter to attend and present at the national ACP Internal Medicine meeting in Los Angeles, CA from April 23-25, 2020.


Drs. Sundas Khan and Benjamin Depo present their poster on optimizing post-splenectomy care.


Drs. Elly Riser presents “A Case of Pembrolizumab-Induced Myasthenia Gravis”



Jan Carney Awarded Mastership

Also announced at the chapter meeting, Jan K. Carney, MD, MPH, FACP has been chosen to receive Mastership from the ACP. To quote the ACP description, Masters “must be highly accomplished persons demonstrating eminence in practice, leadership, or in medical research.” Dr. Carney currently serves as the Associate Dean for Public Health and Health Policy at the Larner College of Medicine. She is the immediate past Governor of the Vermont ACP chapter, and, among her many national leadership roles, recently served vice-chair of the ACP's Health and Public Policy Committee.



Chapter Committees – Recruiting New Members!

Health and Public Policy Committee

The Vermont Chapter Health and Public Policy Committee connects national ACP policy initiatives and advocacy to Vermont. Priority areas include:

  • Identify national ACP issues and advocacy relevant to Vermont
  • Develop advocacy strategies in Vermont for specific ACP issues
  • Educate students, residents, and practicing physicians about health policy and advocacy

Interested in learning more? Contact Dr. Jan Carney

New! The Early Career Physicians Council

This new council will provide a forum to identify, discuss, and act on issues of concern to early career physicians. If you are an early career physician – that is, a physician within 16 years of completing medical school – and are interested in participating, please contact Dr. Allen Repp



I Raise the Rates – Educational Opportunity

Please join us for an evening of dinner, discussion and learning on Thursday, Nov 21, 2019. Dr. Andy Hale (Division of Infectious Disease at UVM Medical Center) will be presenting “Challenging Cases in Adult Immunization”. Dinner will be provided by the Vermont ACP Chapter.


The Windjammer Inn and Conference Center, Clarendon Room, 1076 Williston Road, South Burlington, Vermont 05403

Schedule: Thursday, Nov 21, 2019

  • 6:00 PM Dinner
  • 6:30-7:30 PM Presentation and discussion
  • 7:30-8:00 PM Concluding remarks and adjournment


  • The event is open to all Vermont ACP Chapter members and is free of charge. However, space is limited to the first 20 registrants.
  • Please RSVP before November 18 to Colleen Magne or 802-223-7898 and indicate your preference of entrée (roasted prime rib or roasted vegetable tortellini).
  • This session is made possible through generous support by the Centers for Disease Control and Prevention (CDC). The session has been partially supported by funding from Merck & Co., Inc.
  • Developed as part of ACP's I Raise the Rates initiative, ACP's Adult Immunization Resource Hub, which provides updated clinical information, patient education materials, quality improvement guidance and much more. It can be found here



New Green Mountain Medicine Podcast Episodes

Check out new episodes of Green Mountain Medicine – the podcast series “for all things Internal Medicine” hosted and produced by ACP Vermont Medical Student Council Members Matthew Tsai and Dylan Koundakjian. Episode 4 offers and insider's look at the ACP through an interview with Dr. Allen Repp, and Episode 5 features a call to patient advocacy with Dr. Jan Carney.



Reminder: We're on Twitter!

Be the first to know about Vermont ACP activities and join the discussion about research, policy, and clinical pearls. Follow us on Twitter



ACP National News and Educational Opportunities

The proposed Medicare 2020 physician fee schedule would re-value the payments and streamline documentation requirements for evaluation and management codes. The changes would better recognize the value of cognitive services in providing quality patient care. Specific examples include allowing physicians to choose the E/M visit level based on either medical decision-making or time spent, and counting the total time spent on all activities for a patient on the day of service when using time-based billing. ACP has been advocating for these changes and was a leader, along with several other health care societies, in the push to improve payments for these historically undervalued services. ACP has compiled a summary of these changes for its membership.



Point of Care Ultrasound (POCUS) CME Modules

A collection interactive, multimedia POCUS CME modules are now available on ACP's Online Learning Center The modules are free to members and offer CME credits.



New DynaMed Release Provides Seamless Access For ACP Members

ACP members now have seamless and free access to the completely redesigned DynaMed® clinical decision support tool. There is also a (free) DynaMed mobile app that offers on-the-fly access. DynaMed allows users to track usage for CME and MOC credits. It's easy to use - simply log in to your ACP online account when you visit or open the mobile app and use your ACP online account credentials.