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U.S. Army Governor's Newsletter June 2016

U.S. Army Chapter Banner

LTC Kent J. DeZee, MD, MPH, FACP, ACP Governor

LTC Kent J. DeZee, MD, MPH, FACP, ACP Governor


From the Governor

Fellow internists,

Hello and I hope all is well with you. This month, many of you will be preparing to move to new training programs, new staff positions, or even retirement. Good luck in your travels and new jobs. For those of you staying put during the “summer underlap”, be sure to carve out some time for yourself and your family. Stay safe to our deployed colleagues.



2016 National ACP

Our chapter had a great showing at the National ACP meeting in Washington, DC. Our chapter's Doctor's Dilemma team, CPT Michael McMahon, CPT Ryan Jones, and CPT Joe Maciuba of Walter Reed National Military Medical Center, won their opening round going away to advance to the semifinals. One of the other team's Governors approached me later that evening to let me know how impressive they were! In the semifinal round, despite getting the “final dilemma” correct, they weren't able to advance. CPT Maciuba was a little more disappointed than the other members of his team, since he had to work the next day instead of competing in the finals. Regardless of his discontent, finishing in the top 20 and being the top military team is a performance of which to be proud.


CPT Michael McMahon, CPT Ryan Jones, and CPT Joe Maciuba

Special thanks to the Ohio Chapter for hosting a reception with the three military chapters. It was great to catch up with all of you there. Those in attendance were “treated” to my talk about applying for fellowship in the College. The main point was to list and provide meaningful details for any teaching, leadership, community service, or ACP activities you have done on your CV. These details matter. Don't just say “taught medical students”. Rather, say “taught 1 student weekly in clinic for 4 years.” Further, the civilian members of a committee won't understand what a “Brigade Surgeon” did. Explain, in brief, your role, how many physicians and others you led, and major accomplishments.

Several residents and medical student also earned their way to the National ACP by winning a chapter competition or being selected from one of the thousands of abstracts submitted. Congratulations to CPT Benjamin Morang (WBAMC–our Chapter research winner), CPT Zorana Mrsic (DDEAMC), CPT Arthur Holtzclaw (DDEAMC), CPT Ryan Babcock (SAMMC), CPT Jeremy Walker (SAMMC), CPT Jason Unger (WRNMMC), CPT Christian Horn (MAMC), CPT Ryan Jones (WRNMMC), CPT Akira Shishido (WRNMMC), CPT Zachary Junga (WRNMMC), and 2LT Courtney Kandler (HPSP student, John A. Burns School of Medicine, University of Hawai’i). Only about 1% of IM residents nationwide are accepted to present at the National ACP–and CPTs Mrsic and Holtzclaw have accomplished this two years in a row! Lastly, CPT Karoline Johnson (MAMC), our Chapter's clinical vignette winner, was unable to attend.


CPT Benjamin Morang (WBAMC–our Chapter research winner)


CPT Zorana Mrsic (DDEAMC)


CPT Arthur Holtzclaw (DDEAMC)


CPT Ryan Babcock (SAMMC)


CPT Jeremy Walker (SAMMC)


CPT Jason Unger (WRNMMC)


CPT Christian Horn (MAMC)


CPT Ryan Jones (WRNMMC)


CPT Akira Shishido (WRNMMC)


CPT Zachary Junga (WRNMMC)


2LT Courtney Kandler (HPSP student, John A. Burns School of Medicine, University of Hawai’i)



Chapter Meeting in San Antonio 8-10 Sep 16!

It's really going to happen! We are going to have an in-person meeting with the Air Force Chapter. Save the dates! The theme of the meeting is “Innovations in Medical Readiness for the Military Internist” and will be held from 8-10 Sep in San Antonio, TX at the Gateway Club on Lackland AFB. We'll have plenary sessions, CME, breakout sessions, resident competitions in clinical vignette, Performance/Quality Improvement, and research. And of course Doctor's Dilemma! Further details to follow. Thanks to COL(ret) Michael Morris, MACP and MAJ Robert Walters, FACP, for organizing this meeting.




Chapter Awards

We'll be presenting the Chapter awards at the meeting this year. As such, the deadline for submissions will be due 1 July 16, which is earlier than in previous years. We are accepting nominations for four awards: the William Crosby Superiority in Research Award, the Colonel Robert H. Moser Award, the Master Teacher Award, and the Excellence in Operational Medicine Award. Please see our chapter website for all award criteria, submission instructions, and list of previous winners. LTC Erik Manninen, FACP, will be taking over as the chair of the awards committee. As per the link, all award nominations will be submitted directly to him. Mahalo to LTC Ramey Wilson, FACP for his excellent leadership in past years.



What the heck is MACRA?

Many of you probably have no idea what MACRA is. It stands for Medicare Access and CHIP Reauthorization Act of 2015. It replaced the SGR (Sustainable Growth Rate) formula. Do you know how MACRA ‘s QPP will use MIPS and APMs? I'm sure you read the 426 page proposed rules just published by CMS in the Federal Register. Yeah, I haven't either. Thankfully, as an ACP member, you have the ACP to represent internal medicine interests! For more details from the ACP.



ABIM to change testing formats for Maintenance of Certification (MOC)

The ABIM recently announced significant changes to MOC. Internists will have an option of taking an annual exam, in their home or office, in lieu of a once in 10 years exam at a testing center. The specifics of these exams are currently being developed. The ACP will continue to work with the ABIM to ensure that MOC becomes more relevant, more valuable, less burdensome and less time-consuming.



Teaching Clinical Reasoning Text Available

The latest book in the ACP's Teaching Medicine has just been published. It is called Teaching Clinical Reasoning. One of the editors is USU's own Dr. Steven Durning. You can preview the book here. This book is an excellent resource for those that teach medical learners at any level, as well as medical learners themselves to gain insight into their own development.



New Members

CPT William Bennett, MC USA
Anthony Charmforoush
CPT Nicholas P. Cosentino, DO
David J. Cox, MD
Seth Dukes, MD
CPT Roy E. Guinto, Jr DO
Reuben R. Ramoz, MD
Rowena Rosales, MD
CPT Ryan C. Vetor, MD




New Fellows

MAJ John C. Byrd, MC, USAR, FACP
CPT Nathan T. Jaqua, MD, MC, FACP
MAJ David Kassop, MC, USA, FACP
MAJ LaKeesha L. Lockett-Burr, MC, USA, FACP
MAJ Anthony J. Oliva, Jr. MC, USA, FACP
MAJ Nathalie D. Paolino, DO, FACP
MAJ Joshua S. Puhr, MD, FACP