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April 11-13, 2019
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Mark Belknap, MD, FACP, ACP Governor, Wisconsin Chapter
I hope that you are enjoying the fall weather. I personally prefer the cooler weather after the slower, hotter summertime. I expect that most have resumed their full plate of meetings and other activities that come with the fall season on top of ongoing practice or other career-related activities. In concordance with this pattern, our Wisconsin Chapter meeting was held in early September, and the Board of Governors meeting was held in later September. See below for further details.
Our chapter meeting was held at Wilderness Resort in Wisconsin Dells on September 9 – 10. We had a very good attendance of practicing and retired physicians, along with a large contingent of residents from the five programs in the state. The Friday program started with three Maintenance of Certification (MOC) modules presented by Drs. Kurt Pfeifer and Ann Maguire. The residents presented a full schedule of fascinating case vignettes along with the largest number of poster presentations in our chapter's history. As always, the Doctor's Dilemma® competition was exciting and educational. It was won by the team from the residency program at Gundersen Health in La Crosse.
The Saturday morning program covered diverse clinically relevant topics with uniformly high quality presentations. The Saturday afternoon session was dedicated to two public health issues of top priority to ACP nationally, those being the health effects of global climate change and of gun violence. These topics were presented by Dr. Jonathan Patz, Director of the Global Health Institute at the University of Wisconsin and a world authority on the subject of global health and climate change, and by Dr. Nitin Damle, President of the ACP and Dr. Doug DeLong, Chair of the Board of Governors of ACP. Attendees also had multiple opportunities to learn about ACP's current initiatives and to ask questions and interact with the college representatives. Special thanks go to Dr. Noel Deep, who again served as Chairman of the Program Committee this year, with the assistance of Dr. Bipin Thapa, and to Dr. Rachel Hawker, who again served as Chairman of the residents' portion of the program with the assistance of Dr. Kurt Pfeifer.
Case-Based Vignette Winner: Steven Finstad, MD, Gundersen Health Internal Medicine Residency Program
Case-Based Vignette Runner Up: Sarah Doleeb, MBBS, Aurora Internal Medicine Residency Program
Research-Based Vignette Winner: Adithya Chennamadhavuni, MD, Gundersen Health Internal Medicine Residency Program
Research-Based Vignette Runner Up: Kate Steinberg, MD, University of Wisconsin Internal Medicine Residency Program
1st Place: Lauren Richards, MD, Aurora Internal Medicine Residency Program
2nd Place: Brian Lewis, MD, University of Wisconsin Internal Medicine Residency Program
3nd Place: Marvi Verma Rijhwani, MD, Aurora Internal Medicine Residency Program
The George Magnin Awards Luncheon was held in conjunction with the chapter meeting, and eight awards were presented to members of our chapter. The importance of these awards is to acknowledge the contributions of colleagues to our chapter and to the community, to inspire and support each other in our endeavors, and to increase a sense of community within our chosen specialty of Internal Medicine. Nominators gave personal tributes and recollections in presenting the awardees. These heartfelt presentations were inspiring to all of us present. Below are photos of the award winners.
2016 ACP-WI Addis Costello Internist of the Year Award – Tosha B. Wetterneck, MD, FACP, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
2016 ACP-WI Community-Based Physician and Mentor Award – Rick A. Erdman, MD, FACP, Gundersen Health System, La Crosse, Wisconsin
2016 ACP-WI Distinguished Internist of the Year Award – Michael J. Dolan, MD, FACP, Gundersen Health System, La Crosse, Wisconsin
2016 ACP-WI Helen Dickie Woman Physician of the Year Award – Paula J. Graf, MD, FACP, Meriter Medical Group, Madison, Wisconsin
2016 ACP-WI Laureate Award – Jeffrey C. Whittle, MD, MPH, FACP, Medical College of Wisconsin, Milwaukee, Wisconsin
2016 ACP-WI Lifetime Achievement Award – Kenneth I. Gold, MD, FACP, Beloit Clinic, Beloit, Wisconsin
2016 ACP-WI Volunteerism and Community Service Award – Scott S. Erickson, MD, Marshfield Clinic, Marshfield, Wisconsin
2016 ACP-WI Young Internist of the Year Award – Thomas D. Shiffler, MD, FACP, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Dr. Jeffrey Whittle, FACP from Milwaukee, WI accepts the 2016 ACP-WI Laureate Award from ACP-WI Governor, Dr. Mark Belknap, 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. Paula Graf, FACP from Madison, WI accepts the 2016 Helen Dickie Woman Physician of the Year Award from ACP-WI Governor, Dr. Mark Belknap, 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 female 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. Thomas Shiffler, FACP from Madison, WI accepts the 2016 ACP-WI Young Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP. The Young Internist Award recognizes the outstanding contributions of a young internist in primary care and medical education.
Dr. Tosha Wetterneck, FACP from Madison, WI accepts the 2016 ACP-WI Addis Costello Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP. 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. Rick A. Erdman, FACP of La Crosse, WI accepts the 2016 ACP-WI Community-Based Physician and Mentor Award from ACP-WI Governor, Dr. Mark Belknap, 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 Dolan, FACP of La Crosse, WI accepts the 2016 ACP-WI Distinguished Internist of the Year Award from ACP-WI Governor, Dr. Mark Belknap, FACP. The Distinguished Internist of the Year Award recognizes a career distinguished by diligent effort or remarkable achievements in medical practice.
Dr. Scott Erickson of Marshfield, WI accepts the 2016 ACP-WI Volunteerism and Community Service Award from ACP-WI Governor, Dr. Mark Belknap, FACP. The Volunteerism and Community Service Award recognizes lasting and meaningful contributions in the area of volunteerism and medical service in the state of Wisconsin.
Dr. Kenneth Gold, FACP of Beloit, WI accepts the 2016 ACP-WI Lifetime Achievement Award from ACP-WI Governor, Dr. Mark Belknap, FACP. The Lifetime Achievement Award is given on special occasions to a long time member of the chapter who has achieved outstanding accomplishments in his/her career and who has given long term and exemplary service to ACP and to the Wisconsin Chapter.
The fall meeting was held in Austin, Texas, where we had the opportunity to experience Texas hospitality and typical Texas cuisine along with a prolongation of summertime weather (heat index regularly topping 100 in midday!). We heard reports from the College's new EVP, Dr. Darilyn Moyer, and from the College's Treasurer, Dr. Robert Lohr, who presented information indicating that the College is currently on solid financial footings. We discussed several matters of college governance, and we also heard presentations about activity on current key ACP priorities. Resolutions were debated and voted upon. Those of particular interest will be summarized in a newsletter when they have been considered by the Board of Regents.
This is the title of an ongoing initiative of the college with the aims of improving the functionality of electronic medical records, which is aligned with ACP's ongoing efforts to reduce burnout and promote professional satisfaction and wellness. Please click link.
I particularly draw your attention to an article in a recent issue of Annals of Internal Medicine entitled Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties, which documents what we all know, and that is the inordinate amount of time spent in dealing with the EMR relative to the time that we have to spend with our patients and with our families, friends, and outside interests.
See the link to the article.
See also the accompanying editorial by Dr. Susan Hingle, who has been a colleague on the Board of Governors and is leading the Patients Before Paperwork initiative.
ACP Wisconsin Chapter sponsors a number of committees with the goal of better meeting the needs of our members and the patients that we serve. This issue's committee spotlight is on our Health and Public Policy Committee.
The Health and Public Policy Committee is collection of physicians from multiple institutions around the state who have an interest in public policy and advocacy. Members include practicing and retired physicians, residents and fellows, and medical students. This committee is active in discussing current policy and legislative issues. Members are active every year in participating in ACP Leadership Day, and educational and advocacy event held in Washington, DC every year. The committee also networks with other physician organizations on a state level. This year the committee is discussing and monitoring the changing legislative, regulatory, and educational landscape resulting from the epidemic of opioid use. We are actively seeking interested and engaged people to be a part of this committee.
Following is a report from the Health and Public Policy Committee:
Due to the very rapid and dynamic issues surrounding the opioid/heroin abuse crisis, your ACP-Wisconsin HPPC has been trying to keep abreast of all the key developments to provide you and colleagues up to date information on where things are and where they may be going in Wisconsin.
These are highlighted for brevity and focus.
1. The CDC issues guidelines: JAMA April 19;315 (15) :1624-45
2. Wisconsin Medical Examining Board issues State Opioid Prescribing Guidelines August, 2016
3. Many articles relating to physician education, the drug-problem nationwide as well as ongoing activities related to legislation and education.
The HPPC is focusing its efforts, on collecting and collating as much relevant information possible as a resource, knowing that many institutions will be either working with outside entities on education and certification programs as they develop them internally.
Bipin Thapa, Chair, Annual Scientific Meeting Program Committee
Christie Seibert, Chair, Awards Committee
Adrian P. Umpierrez De Reguero, Chair, Early Career Physicians Committee
Richard Dart, Co-Chair, Health and Public Policy Committee
Ian Gilson, Co-Chair, Health and Public Policy Committee
Don Lee, Chair, Hospitalists' Committee
Rupesh Prasad, Chair, International Medical Graduates Committee
Kesavan Kutty, Chair, Membership Committee
Rachel Hawker, Residents' Committee
Mark Belknap, Resolutions Committee
Juanita Halls, Students' Committee
Margie Webster, Women's Committee
Please contact me through Jenni Kilpatrick, our chapter executive, if you have interest, commitment, and a sense of engagement to serve on one or more of the committees. Jenni's email address is firstname.lastname@example.org.
It's not too early to be planning to attend the premier national internal medicine meeting. Next year it will be held in San Diego on March 30 – April 1. What an ideal time to escape the late winter doldrums to take in a high quality educational experience and possibly to plan in some associated decompression time in some warm, sunny weather! Follow the attached link if you're even remotely interested: https://im2017.acponline.org
Adult Immunization Summit: Please join us on November 10, 2016 for a one-day (9:00AM to 3:15PM) Adult Immunization Summit at the Great Wolf Lodge in Wisconsin Dells, WI. The Summit keynote presentation will be given by Dr. Carolyn Bridges, Centers for Disease Control and Prevention. Providers interested in adult immunization and quality improvement specialists working for a health care system are encouraged to attend. Cost of registration is $50, which includes lunch. CME will be available. Additional information will be available on the ACP-WI website as it develops.
Wisconsin GME Summit: Celebrating Successes and Exploring Opportunities—November 15, 2016, Madison. This event is jointly presented by the Wisconsin Council on Medical Education and Workforce (WCMEW) and the Wisconsin Collaborative for Rural CME (WCRGME).
Interprofessional Collaborations: Advancing Wisconsin's Healthcare and Education—November 10 – 11, 2016, Middleton. Cosponsored by the Wisconsin Council on Medical Education and Workforce (WCMEW) and Wisconsin Area Health and Education Centers (AHEC).
Be sure to like the ACP Wisconsin Chapter Facebook page.
Mark K Belknap, MD FACP Chapter Governor