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GOVERNOR'S NEWSLETTERNovember 2015

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Dr. Mark Belknap

Dr. Mark Belknap, MD, FACP, ACP Governor, Wisconsin Chapter

From the Governor

I hope that you all had a pleasant and safe summer and that you had chance to get away and unwind for a well deserve respite from the daily routine. We're all now in the midst of Fall activities, and this is true for ACP activities as well. I will use this newsletter to update you on happenings on a chapter and national level since the last Badger Beat.

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ACP Wisconsin Chapter Annual Meeting

The 2015 Wisconsin Chapter Annual Meeting was held at the Wilderness Resort in Lake Delton (Wisconsin Dells) on September 4 and 5. We had a very successful meeting with very good attendance. The Friday program started with two Maintenance of Certification (MOC) modules presented by Drs. Kesavan Kutty and Christie Seibert. These were followed by clinical and research case vignette and poster presentations by residents from the five internal medicine residency programs in our state followed in turn by an exciting Jeopardy-like competition between teams of residents. The winner of the competition this year was the team from the Marshfield Clinic internal medicine residency program. The Saturday program covered diverse clinically relevant topics with uniformly high quality presentations. Special thanks should go to Dr. Noel Deep, who again served as Chairman of the Program Committee this year, and to Dr. Rachel Hawker, who again served as Chairman of the residents' portion of the program with the assistance of Dr. Kurt Pfeifer.

Edwin L. Overholt Resident/ Fellow Vignette Competition Winners

Case-Based Vignette Winner: Jordan Vulcano, MD, Aurora Internal Medicine Residency Program

Case-Based Vignette Runner Up: Jonathan Kapke, MD, Medical College of Wisconsin Internal Medicine Residency Program

Research-Based Vignette Winner: Apoorva Jayarangaiah, MD, Marshfield Clinic Internal Medicine Residency Program

Research-Based Vignette Runner Up: Maura Steed, MD, Medical College of Wisconsin Internal Medicine Residency Program

Resident/Fellow Member Costello Family Excellence in Medicine Displayed Poster Competition Winners

1st Place: Richard Martin, MD, University of Wisconsin Internal Medicine Residency Program

2nd Place: Kushal Patel, MD, Aurora Internal Medicine Residency Program

3rd Place: Lara Voigt, MD, Medical College of Wisconsin Internal Medicine Residency Program

We were very fortunate to have Dr. Wayne Riley, current President of the ACP, as our representative from the college. Dr. Riley gave an excellent overview presentation of ACP's current initiatives, and he focused on ACP's advocacy for its members in its ongoing negotiations with the American Board of Internal Medicine (ABIM) which are aimed at significantly modifying the currently very burdensome and onerous maintenance of certification requirements. We heard that some progress has been made but that there is much more work to be done and that these negotiations are ongoing. The annual George Magnin Awards Luncheon was held as part of the chapter meeting. The importance of these awards are to acknowledge extraordinary contributions of our members to our chapter and to our communities, to inspire and support each other in our endeavors, and to increase our sense of community as internists practicing in the state of Wisconsin. The recipients of this year's awards are as follows:

  • Laureate Award: Ann Nattinger, MD, MACP
  • Distinguished Internist of the Year: Joel Miller, DO, FACP
  • Helen Dickie Woman Physician of the Year: Barbara Slawski, MD, MS, FACP
  • Young Internist of the Year: Rupesh Prasad, MD, FACP
  • Addis Costello Award: Noel Deep, MD, FACP
  • Community-Based Physician and Mentor Award: Michael O'Brien, MD, FACP

Dr. Ann Nattinger, MACP, from Milwaukee, WI accepts the 2015 ACP-WI Laureate Award from ACP-WI Governor, Dr. Mark Belknap, FACP and her nominator, Dr. Kurt Pfeifer, FACP. The Laureate Award is given to Fellow or Master of the College who demonstrates by example and conducts an abiding commitment to excellence in medical care, education, research and service to their community and the College

Dr. Ann Nattinger, MACP, from Milwaukee, WI accepts the 2015 ACP-WI Laureate Award from ACP-WI Governor, Dr. Mark Belknap, FACP and her nominator, Dr. Kurt Pfeifer, FACP. The Laureate Award is given to Fellow or Master of the College who demonstrates by example and conducts an abiding commitment to excellence in medical care, education, research and service to their community and the College

Dr. Barbara Slawski, FACP from Milwaukee, WI accepts the 2015 Helen Dickie Woman Physician of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and her nominator, Dr. Kurt Pfeifer, FACP. The Helen Dickie Woman Physician of the Year Award is in memory of Dr. Helen Dickie, a renowned clinician and academic professor at the University of Wisconsin. She was also the first Wisconsin Master of the College. This award recognizes an outstanding woman physician with a distinguished career including leadership, exceptional patient care and medical education and/or research.

Dr. Barbara Slawski, FACP from Milwaukee, WI accepts the 2015 Helen Dickie Woman Physician of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and her nominator, Dr. Kurt Pfeifer, FACP. The Helen Dickie Woman Physician of the Year Award is in memory of Dr. Helen Dickie, a renowned clinician and academic professor at the University of Wisconsin. She was also the first Wisconsin Master of the College. This award recognizes an outstanding woman physician with a distinguished career including leadership, exceptional patient care and medical education and/or research.

Dr. Rupesh Prasad, FACP from Brookfield, WI accepts the 2015 ACP-WI Young Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Vipul Rana, FACP. The Young Internist Award recognizes the outstanding contributions of a young internist in primary care and medical education.

Dr. Rupesh Prasad, FACP from Brookfield, WI accepts the 2015 ACP-WI Young Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Vipul Rana, FACP. The Young Internist Award recognizes the outstanding contributions of a young internist in primary care and medical education.

Dr. Noel Deep, FACP from Antigo, WI accepts the 2015 ACP-WI Addis Costello Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Kesavan Kutty, MACP. The Addis Costello Internist of the Year Award recognizes an active internist noted for diligent effort or achievements in the socio-economic aspects of medical practice.

Dr. Noel Deep, FACP from Antigo, WI accepts the 2015 ACP-WI Addis Costello Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Kesavan Kutty, MACP. The Addis Costello Internist of the Year Award recognizes an active internist noted for diligent effort or achievements in the socio-economic aspects of medical practice.

Dr. Michael O'Brien, FACP of La Crosse, WI accepts the 2015 ACP-WI Community-Based Physician and Mentor Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Umesh Sharma, FACP. The Community-Based Physician and Mentor Award recognizes an exceptional community preceptor who has demonstrated a commitment to the mentoring of medical students and/or residents outside of major teaching centers.

Dr. Michael O'Brien, FACP of La Crosse, WI accepts the 2015 ACP-WI Community-Based Physician and Mentor Award from ACP-WI Governor, Dr. Mark Belknap, FACP and his nominator, Dr. Umesh Sharma, FACP. The Community-Based Physician and Mentor Award recognizes an exceptional community preceptor who has demonstrated a commitment to the mentoring of medical students and/or residents outside of major teaching centers.

Thanks should go to the chapter awards committee and particularly to its chairman, Dr. Christie Seibert, who provided creative leadership in the Awards Committee processes.

It is not too early to be thinking of nominees for next year's awards. The awards are only made stronger by diversity in practice location and practice profile of the nominations. Please be thinking of candidates in your community who are deserving of an award. You may access descriptions of the awards on our website along with the award nomination form.

Dr. Wayne Riley presented the 2014 Chapter Excellence Award to the Wisconsin Chapter at the luncheon. This award recognizes those chapters that excel in reaching the standards for managing a chapter, such as communicating to members, instituting medical student and resident/fellow member activities, and advancing and recruiting members. This award to the chapter was only possible due to the cohesive functioning of the chapter council and committees and the diligent work of our executive director, Jenni Kilpatrick.

Dr. Wayne Riley presenting the 2014 Chapter Excellence Award to the Wisconsin Chapter

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New Masters of the American College of Physicians

Also announced and recognized at the Awards Luncheon were two new Masters of the College who are longstanding, very active members of our chapter. They are Dr. Kim Hetsko of Madison and Dr. Richard Dart of Marshfield. Following are excerpts from the description of Mastership on the ACP website. "Masters must be highly accomplished persons demonstrating eminence in practice, leadership, or in medical research. The Master must be distinguished by the excellence and significance of his or her contributions to the field of medicine." These two fine physicians are congratulated for being named to the highest rank in the College, a rank that is achieved by very few of our members.

From Left to Right: ACP-WI Governor, Dr. Mark Belknap, FACP; Dr. Richard Dart, MACP; Dr. Cyril

From Left to Right: ACP-WI Governor, Dr. Mark Belknap, FACP; Dr. Richard Dart, MACP; Dr. Cyril "Kim" Hetsko, MACP; and ACP President, Dr. Wayne Riley, MACP.

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Board of Governors Meeting

I recently attended the Fall Board of Governors (BOG) meeting which was recently held in Palm Springs, California. The outside ambient temperature (highs above 100 each day) made it easy to stay inside and attend to the business at hand. The Board dealt with several resolutions. Among those were resolutions on the topics of eliminating CMS penalties for not using certified EMRs, updating ACP policy on medical student debt, promoting students' meaningful use of the EMR, recommending principles for populating ABIM boards and the Test Development Committee, and development of standardized recommendations for geriatric training. The BOG also heard updates on current ACP strategic initiatives, including its advocacy for changes in the ABIM maintenance of certification process. We had presentations on Dynamed Plus, the new clinical decision resource available free to ACP members via a link on the ACP website, and on current legislative issues. For more information on these two subjects, please read on to subsequent sections.

Governors also participated in workshops on various topics designed to improve the functioning of our chapters. The meeting was very useful in my role of managing our Wisconsin Chapter and advocating for our members.

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Dr. Noel Deep Elected to an AMA Council

Dr. Noel Deep, FACP, Secretary of the ACP Wisconsin Chapter, has been elected to the American Medical Association Council on Science and Public Health. This council does important work in developing AMA policy. Congratulations to Dr. Deep!

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Maintenance of Certification

There are ongoing developments in the American Board of Internal Medicine requirements for recertification as discussion of Dr. Riley's comments in the Annual Meeting section above. To get the most up to date information from ACP's perspective, go to the ACP website.

See also the attached letter that was recently sent to members from Dr. Steve Weinberger, ACP's CEO.

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Current Legislative Issues

The Medicare Primary Care Incentive Program (PCIP), which took effect in 2011, is due to sunset at the end of 2014. If the PCIP program is not continued, internists, family physicians and geriatricians will experience a 10 percent cut in their Medicare payments for their office visits and other designated primary care services on January 1, 2016. I encourage each of you to contact your U. S. senators and representative to encourage their support for continuation of this program.

U.S. physicians are besieged by piles of forms to fill out and send in. Even when documents can be sent online, the massive requirements from federal programs have become overwhelming. ACP is launching a new initiative -- Patients Before Paperwork -- that will push for reform through a comprehensive, evidence-based approach. Read more about this initiative on The ACP Advocate.

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Watch, Learn, and Land the Job!

ACP now offers members more assistance in preparing for their job search. Preparing for a job interview can be stressful. There are many factors to consider when trying to make the best possible first impression with a potential employer. Our 20 short CareerSpot videos have you covered whether you need advice in email etiquette, how to prepare for an interview, how to dress, or how to negotiate a fitting salary. Members have free access.

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Dynamed Plus

DynaMed Plus is an online clinical resource which is a collaboration between ACP and EBSCO Health. It is the more comprehensive and sophisticated successor to ACP's previous online clinical resource, SmartMedicine. As described on ACP Online, "ACP members enjoy free access to this comprehensive tool that optimizes time to answer for busy clinicians." Follow this link if you are interested in learning more and in registering so that you can begin to use the product.

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Healthy Hearts in the Heartland

Metastar is a participant in a grant to participate in a multidisciplinary consortium focused on quality improvement and the prevention of strokes and heart attacks. It is recruiting clinics with ten or less clinicians that are focused on the practice of primary care, utilize an EHR, and don't currently receive significant quality improvement support. If you are potentially interested in your clinic participating, please see the attached notice.

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WCMEW Team-Based Care Summit

Team-based care is a developing mode of practice which aligns well with the current changes in medical practice and reimbursement. The ACP Wisconsin Chapter Council and its Health and Public Policy Committee have been promoting its study. This one-day event will provide interdisciplinary education and discussion, building upon Wisconsin's work on health care redesign and advancing team-based care. The day's sessions will serve to strengthen existing teams, catalyze new team development, bridge care silos, and spark new ideas. Physicians, nurse leaders, nursing staff, pharmacists, physical therapists, physician assistants, advanced practice registered nurses, social workers, administrative leaders and any other health care staff who design and support team-based care initiatives are all encouraged to attend.

WCMEW Team-Based Care Summit 2015: Transforming Concepts into Reality
Thursday, November 12, 2015
9:00 am - 4:00 pm
Radisson Paper Valley Hotel, Appleton
Register today and view additional information.

WCMEW is a multistakeholder organization that includes the Wisconsin Medical Society and whose purpose is to facilitate strategies to assure an adequate supply of health care providers to meet the needs of Wisconsin citizens today and into the future.

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Spring Wisconsin Chapter Meeting

Plans are in progress for a spring continuing medical education meeting including an MOC module. It will be held in Neenah on April 9, 2016. I encourage you to consider making time to join your colleagues in attending this event. Further details will be forthcoming soon.

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Internal Medicine 2016

It's not too early to be thinking about attending the next ACP annual meeting, Internal Medicine 2016. The meeting will be held in Washington, D.C. on May 3 - 7. This is a great opportunity to benefit from a very large number of high quality educational offerings of various formats, and it's an opportunity to meet colleagues from around the country and around the world. In addition, during free moments before, during, or after the meeting, you will have the nation's capital at your doorstep. I encourage you to seriously consider attending and to start making plans. Here is a link to the website for the meeting.

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Job Postings

Please check out flyer.

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Calendar of Events

WCMEW Team-Based Care Summit 2015: Transforming Concepts into Reality
Thursday, November 12, 2015, 9:00 am - 4:00 pm
Radisson Paper Valley Hotel, Appleton
Register today

ACP Western Canada Chapters Rocky Mountain Internal Medicine Conference
November 12-15, 2015
Banff, Alberta
Visit website for more information

ACP Illinois: Internal Medicine 2015
November 13-14, 2015
The University Club, Chicago, IL
Meeting Brochure
Register today

Please feel free to email me if you have any questions, concerns, or comments.

Mark K. Belknap, MD, FACP
Governor, Wisconsin Chapter

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