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U.S. Army Governor's Newsletter October 2019

U.S. Army Chapter Banner


LTC Cristin A. Mount, MD, FACP, ACP Governor

COL Cristin A. Mount, MD, FACP, ACP Governor

 


Recap of Chapter Meeting

Once again, we had an amazing Chapter Meeting this past September at Lackland AFB, San Antonio, TX. We co-hosted with the Air Force and packed the meeting with Resident, Fellow and Early Career Physician (ECP) presentations, Operational Medicine sessions and USU Faculty Development sessions. All credit goes to the Army and Air Force Meeting Planning Committee and Co-Chairs: MAJ(P) Robert Walter, LTC Tatjana Calvano, CPT Kelly Chohonis, Maj Luke Surry, Maj Derek Smith, Maj John Hunninghake.

This year, we were fortunate to offer a 2-day pre-course, organized by Maj John Hunninghake and MAJ Tyson Sjulin, specifically aimed at using simulation to meet Army ICTLs and Air Force CMRPs.

USU Senior Faculty also generously offered their time to mentor Chapter Members in academic promotions.

Back by popular demand were the ECP Speed Mentoring Luncheon and the Women in Medicine Mentoring Luncheon. For those who survived the Riverwalk and made it to the early Saturday morning plenary, we featured Lifestyle Medicine and heard an amazing talk from LtCol Travis Batts, Medical Director, Department of Cardiology, Wilford Hall Ambulatory Surgical Center on the nutritional implications for heart health.

We had robust participation in all of our abstract competitions and featured an open poster session in the main ballroom. Doctors' Dilemma was also great fun to watch – all teams performed well and our Chief Residents did an excellent job running the competition. I personally knew the answers to two questions this year – beating my record from last year by 1! The winning Army Team from Dwight D. Eisenhower Army Medical Center, comprised of CPTs Tony Britton, Ryan O’Keefe and William Moore, will represent the Army Chapter at the National ACP Meeting in Los Angeles this spring.

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Doctors' Dilemma Champions from DDEAMC: CPT Britton, CPT O’Keefe, CPT Moore

This year's Abstract Competition Winners

Combined Service Early Career Physician Research Competition

Major Christin DeStefano, David Grant USAF Medical Center: “Does trauma heighten the risk of malignancy? A retrospective study of U.S. combat veterans”

Combined Service Early Career Physician Clinical Vignette Competition

MAJ Caleb Anderson, Walter Reed National Military Medical Center: “When Tissue is not the Issue: Evolving Panniculitis in a Case of Anti-Synthetase Syndrome Complicated by Disseminated Mycobacterium Avium Complex”

Combined Service Early Career Physician QIPS Competition

MAJ Caleb Anderson, Walter Reed National Military Medical Center: “The Combat Rheumatologist: Long Term Professional Outcomes of Graduates from a Tri-Service Military Rheumatology Fellowship Program”

Combined Service Fellow Research Competition

Captain Michael Gonzales, Pulmonary/Critical Care Fellow, Brook Army Medical Center: “Comparison of Impulse Oscillometry with Spirometry for Deployment Respiratory Screening”

Fellow Clinical Vignette Competition

CPT Robert Matulonis, Walter Reed National Military Medical Center: “Primary Cutaneous Anaplastic Large Cell Lymphoma of the Eyelid”

Fellow QIPS Competition

CPT Ross Hume, Walter Reed National Military Medical Center: “Quality Assessment of Appropriate Follow-Up for Positive Fecal Immunochemical Tests at a Large Federal Healthcare Facility”

Resident QIPS Competition

CPT Andrew Mertz, Walter Reed National Military Medical Center: “Let's Get Hepatitis C Screening (Baby) Boomin’”

Resident Clinical Vignette Competition

CPT Qing Wang, Madigan Army Medical Center: “Sarcoidosis or a Manifestation of Common Variable Immunodeficiency?”

Resident Research Competition

CPT Aimee Moores, Madigan Army Medical Center: “Implementation of a Novel High-sensitivity Troponin Algorithm in a Military Medical Center”

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CPT Chu-Chiao (Joyce) Chu, from Brook Army Medical Center presents her clinical vignette during the Rheumatology breakout session

This year's Chapter Award Winners

US Army Chapter Laureate Awards

COL (Ret) Kepler Davis

LTC (Ret) David Dorsey

COL Robert H. Moser Award

CPT Lee Jamison, Fort Belvoir Community Hospital

Master Teacher Award

MAJ David Ferraro, Brooke Army Medical Center

William Crosby Outstanding Research Award

COL (Ret) Michael Morris, Brooke Army Medical Center

Excellence in Operational Medicine Award

MAJ Stephanie Grotzke, 2nd SFAB, Fort Bragg, NC

Greg Argyros USU Medical Student Award

2LT (now CPT) Kyle Everson

MTF Teacher of the Year Awards:

Walter Reed National Military Medical Center: LTC Mary Kwok (Heme/Onc)

William Beaumont Army Medical Center: COL (Ret) Ney Gore (Critical Care Medicine)

Dwight D. Eisenhower Army Medical Center: CPT Mary Truitt (Internal Medicine)

San Antonio Uniformed Services Health Consortium: LTC Tatjana Calvano (Infectious Disease)

Tripler Army Medical Center: COL (Ret) Dale Vincent (Internal Medicine)

Madigan Army Medical Center: COL (Ret) Bernard Roth (Pulmonary, Critical Care and Sleep)

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COL (Ret) Ney Gore receives the WBAMC MTF Teacher of the Year Award

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Get to Know Your Governor's Council 2019-2020

The US Army Chapter is considered a medium-size Chapter by the ACP, with 1091 current, active members. It takes many motivated members to make this Chapter work! Recognizing that we have many members who are not currently Active Duty, the Governor's Council recently decided to create a new position for a DA Civilian Representative. I am pleased to introduce Dr. Alison Wiesenthal! Alison Wiesenthal, MD, FACP, FAAHPM is a board certified palliative care and internal medicine trained physician and Chief of the Palliative Care Service at Brooke Army Medical Center, the Deputy Chief of the Department of Rehabilitation, and an Assistant Professor at USUHS. Dr. Wiesenthal received her Bachelor's degree magna cum laude from Rice University in Houston, Texas before heading to the University of Texas Medical Branch for Medical School. After completing internal medicine residency at University of Texas Health Science Center San Antonio, Dr. Wiesenthal went to New York City for her Palliative Medicine fellowship at Memorial Sloan Kettering Cancer Center. She then stayed on as an attending at MSKCC and served as an instructor at Weill Cornell Medical College. In 2017, Dr. Wiesenthal joined the BAMC family and stood up the DoD's first fully interdisciplinary palliative care team. Her research interests include the growth of palliative care at military treatment facilities and best practices for advance care planning.

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The rest of the 2019-2020 Governor's Council:

Governor: COL Cristin Mount, Intensivist, Madigan Army Medical Center

Treasurer: COL Jess Edison, Rheumatology, Walter Reed National Military Medical Center

Senior Internal Medicine Specialty Leader: COL Travis Richardson, General Internist, Chief Consultant, OTSG.

MTF Chief, Department of Medicine: VACANT

Internal Medicine Residency Program Director: COL Joshua Hawley-Molloy, Infectious Disease, Brook Army Medical Center

Immediate Past Governor: COL Kent DeZee, General Internist, DHA-HQ/DME

USUHS Department of Medicine Representative: COL Kevin Chung, Intensivist

Operational Medicine Representative: COL Ramey Wilson, General Internist, SOC AFRICA

Small Hospital/MEDDAC Representative: VACANT

Early Career Physician Representative: LTC Josh Hartzell, Infectious Disease, Walter Reed National Military Medical Center

DA Civilian Physician Representative: Dr. Alison Wiesenthal, Palliative Medicine, Brooke Army Medical Center

Chief of Medical Residents Representative: VACANT

Chief of Medical Residents-Select Representative: VACANT

Resident/Fellow Representative: CPT Zachary Junga, GI Fellow, Walter Reed National Military Medical Center

Student Member Representative: VACANT

Membership Committee Chair: VACANT

Communication Committee Chair: NEW!...and VACANT

Awards Committee Chairs:

MAJ Robert Walters, Pulmonary/Critical Care/Sleep Medicine, Ethics, Brooke Army Medical Center.

CPT Andrew Anderson, General Internist, William Beaumont Army Medical Center

Education Committee Chairs (Annual Meeting Planning Committee Chairs):

LTC Tatjana Calvano, Infectious Disease, Brooke Army Medical Center

CPT Kelly Chohonis, General Internist, Dwight D. Eisenhower Army Medical Center

Credentials Committee Chair: Dr. David Callender, General Internist, Public Health, United States Embassy, Brazil

Chapter Wellness Champions:

CPT Andrew Mertz, Internal Medicine Resident, Walter Reed National Military Medical Center

CPT Kelly Chohonis, General Internist, Dwight D. Eisenhower Army Medical Center

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Call for Chapter Involvement

As noted above, it takes a large group of motivated Chapter members to keep things moving in the right direction and there are many opportunities to become involved in the Chapter – please see below and contact the Council Member listed if you are interested in becoming more involved. If you have an idea for something the Chapter can do or offer that isn't represented below or in a specific Council position, please contact me !

Chapter Council of Early Career Physicians: Early Career Physician programming is an area ripe for growth and expansion. ECPs include all Chapter Members who are within 16 years of medical school graduation and encompass a large number of our Operational Medicine physicians, MTOE Assigned Personnel and junior subspecialists. We are interested in starting an Army Council of Early Career Physicians – if you are an ECP and would like to work on the Council to propose programming related to or separate from the Chapter Meeting, please contact LTC Tatjana Calvano or LTC Joshua Hartzell.

Chapter Council of Resident/Fellow Members: The Army Chapter has always had a strong emphasis on inclusion of our Resident and Fellow members and we are looking to formalize that inclusion by creating our own Council of Resident/Fellow Members. If you are interested in joining the Army Council of Resident/Fellow Members, please contact CPT Joshua Boster or CPT Zachary Junga.

Vacant Positions on the Governor's Council:

MTF Chief, Department of Medicine: Looking for a current Chief, Department of Medicine to sit on the Council and represent those members in administrative medicine/leadership roles

Small Hospital/MEDDAC Representative: Looking for a member currently assigned to a small hospital/MEDDAC with a focus on ensuring the Chapter is meeting the needs of Internists and Subspecialists assigned to smaller, non-teaching facilities

Chief of Medical Residents and Chief of Medical Residents-Select: This year, I'd like to add a CMR-Select to the Council. The primary function of the CMR and CMR-Select positions is to assist the Membership Chair and the Education Chairs with facilitating resident members, and planning the Doctors' Dilemma Competition. The reason for including the CMR-Select is to ensure seamless transition of these efforts through the transition from Academic Year to Academic Year. The CMR-Select will become the CMR Representative and a new CMR-Select will join the Council

Student Member Representative: Current Medical Student (any training year, HPSP or USU) interested in Internal Medicine and a member of the Army Chapter. Goal is to assist the Chapter with including/coordinating Student Member programming and work with the USU IMIG to promote Internal Medicine as a specialty

Membership Committee Chair: Any member who is interested in working with the Chapter to grow Membership, assist with Chapter Meeting planning and work with the Credentials Committee Chair to assist members in advancing to Fellowship and Mastership in the ACP

Communication Committee Chair: NEW! The Army Chapter needs to become more facile in communications and over the next year, I want to start working on improving how we communicate across many domains: think social media, webcasts/webinars, these lengthy and wordy newsletters. The first task is to develop a strategic communications plan. I'm looking for anyone interested in bolstering our STRATCOM with Chapter Members

Meeting Planning Committee Co-Chair: We are looking for someone new to join the meeting planning committee. This will be a three year “tour” with the first year spent learning the ropes, the second year as the senior meeting planner and the third year serving as an advisor to the planning committee.

If you think you are even the tiniest bit interested in participating in any way – please contact me, ask me questions, let me know what time you think you can give. Remember, this is a national (international?) organization with the ability to positively impact the practice of Internal Medicine in the Army!

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Advancement to Fellowship

If you are an ACP Member in good standing for at least three years since completion of residency training, please consider looking into advancement to Fellowship in the College. There are several different pathways that can get you to Fellowship including professional activities in Internal Medicine or a medicine subspecialty, experience in practice or an academic position for at least two years, professional development and scholarly activity, hospital committee work or volunteer/community service contributions. Find out more about Fellowship .

If you are a newly elected Fellow, please consider attending Convocation at the National Meeting – it's lonely to have a small or absent contingent, it would be great to have enough of you to make a formation! We get to hang out, chat, meet other fellows and attend a lovely ceremony.

Congratulations to the following Chapter Members who were advanced to Fellowship in the last 6 months:

Dr. Anthony Cardile
MAJ Sarah Gordon
Dr. Melody Orr-King
MAJ Jason Lanning
MAJ Jennifer Masel
MAJ Jason Nam
MAJ Zachary Neubert

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Updates from National Councils

The Army Chapter has a strong history of representation on the National ACP's Councils and all Councils are currently seeking nominations for open positions. Current Army Chapter members on the Council of Early Career Physicians are LTC Tatjana Calvano and LTC Joshua Hartzell. CPT Carli Cerne sits on the Council of Resident/Fellow Members along with Navy LT Matthew Nelson (WRNMMC IM Resident)

Information about the Council of Early Career Physicians can be found here

Information about the Council of Resident/Fellow Members can be found here

Information about the Council of Student Members can be found here

If you are interested in a position on any of these councils, please consider submitting an application and let me know if you do so I can endorse you to the selection committees! If you use the links above, the very top of each page will contain the nomination announcement and a button to get more information! Let's continue a strong Army/military presence at the National level!

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This year's Excellence in Operational Medicine award winner, MAJ Stephanie Grotzke, assigned to the 2nd SFAB, Fort Bragg, NC, on mission OCONUS

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Chapter meeting 2020 - Aim High and Anchors Aweigh!

That's right – we are currently in the initial planning stages of a TRI-SERVICE Chapter Meeting – inviting the US Navy Chapter to join us! I'm hoping the lack of a seaport in San Antonio won't confuse them…

The Tri-Service Chapter Meeting is scheduled for September 10-12 at the Gateway Club on JBSA/Lackland AFB in San Antonio, TX. We are tentatively scheduling a two-day pre-course to address ICTL/CBMPs.

If you have ANY feedback on this year's Chapter Meeting, please send it to me or cakiley394@yahoo.com Only 25 feedback forms were completed – there were 300 meeting attendees.

We are in the process of looking for a different hotel to contract with for block room reservations. If you have suggestions or a preference in terms of location within the city, please also send me that feedback!

See “Call for Chapter Involvement” above if you are interested in joining the Meeting Planning Committee!

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A Few Words on Chapter Membership

You may not be aware that we have multiple pathways for membership in our Chapter. HPSP and USU Medical Students with an interest in Internal Medicine can become student members. Physicians who have left or retired from Active Duty Service can remain members of the Army Chapter. US Army Reserve or National Guard physicians and civilian physicians who are employed by the Army (DA Civilians) can also be members of our Chapter!

The Army Chapter receives a portion of ACP dues to fund programs – nearly 100% of money gathered from our Chapter dues goes to two efforts: funding the annual Chapter meeting and funding travel for our resident abstract winners and Doctors' Dilemma team to participate in the National ACP Meeting. Unlike other Chapters, we are legally prohibited from soliciting additional donations on the dues form that goes out each year. We rely on robust membership to continue offering programming that directly applies to Army Internists and Internal Medicine Subspecialists.

I understand the pull and expense of belonging to multiple professional societies. As an Intensivist, I belong to two subspecialty societies in addition to the ACP. I also understand the value that this Chapter brings in terms of providing an opportunity for all of us to come together and advance the practice of military medicine as a community of invested experts. I appreciate our historical focus on GME, our newer focus on UGME through a more active relationship with USU, and clearly defining our role and importance in Operational Medicine.

If anyone wants to know about other things the ACP can/is doing for Internists and IM Subspecialists, please contact me.

For more information on how to become a member of the Army Chapter, please click here

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