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From the Governor July 2015


July 2015 CDR Michael P. Keith, MC USN FACP



01250362_150701102423.jpg Summer is a time of transition for many in Navy Medicine, including our ACP chapter. I relieved CAPT Mark Dick as Governor at the end of Internal Medicine 2015. Many thanks to Mark for his service to the chapter during his four year term and for his willingness to continue serving the chapter as Membership chair.

A quick introduction: I have had mostly a clinical and academic career and I am currently on staff as a Rheumatologist at Walter Reed National Military Medical Center (WRNMMC). I completed Intern and Residency training at the former National Naval Medical Center in 2000 and served as Chief Resident for 1 year. I completed my Rheumatology training at the former Walter Reed Army Medical Center in 2006 and was elected as a Fellow of the ACP in 2007. I assisted with Navy ACP planning during my Chief year in 2000 and again as the scientific chair in 2009. I served as chapter treasurer from 2009 through the start of my governor elect year in the spring of 2014. LCDR Lynn Byars has taken over as Chapter Treasurer.

As I look back, the time from being chosen as the governor-elect designee to assuming office as your governor passed by very quickly. I still recall getting the ‘phone call’ from Mark a day or two after returning from overseas leave in 2013. Since that time I have been occupied with learning the ropes of chapter management and working with the skilled professional staff at ACP.

Thanks to everyone who sent me contributions for this newsletter. I hope you will agree there are many great things happening in our Chapter and in Navy Internal Medicine. I look forward to representing you at the national level for the next four years.


Internal Medicine 2015

The chapter had multiple members in attendance at Internal Medicine 2015. Special thanks to CDR Dan Seidensticker for spearheading the conference approval process with the assistance of LCDR Jami Peterson at BUMED. CDR Pat Young presented, “6 Keys to Managing the Cirrhotic Inpatient.” In celebrating ACP’s centennial, CAPT (ret) Angeline Lazarus was named the Chapter’s Centennial Award Winner in recognition of her service to our chapter and her lasting impact on our chapter's viability.


We were fortunate enough to have 2 Doctor’s Dilemma teams competing in Boston. The first team, comprised of LCDR Amie Harvey, LT Derek Larson, and LT James Prim from Naval Medical Center Portsmouth represented Virginia for the second year in a row. The Navy All-Star team competed directly for the Navy Chapter and consisted of LCDR Richard Bower (NMCSD), LT Christa Eickhoff (WRNMMC), and LT Greg Condos (NMCP). Both teams faced stiff competition and unfortunately were eliminated in the first round. Congratulations to our residents who represented the chapter in this competition.

Photos from Internal Medicine 2015

NMCP’s Doctor’s Dilemma Team 01250362_150701102920.jpg

The Navy All Star Team


LT Ian Grasso (WRNMMC) presenting his project,

Do Non-Benzodiazepine Sleep Aids affect the ECG Diagnosis of Sleep Apnea 01250362_150701102443.jpg  

Convocation: Outgoing Governor CAPT Mark Dick with Tiffany Cartner (left) and Adrienne Lopata (right)



Advancement to Fellowship

Membership is currently an important topic with ACP. Today’s associates and ‘Big M’ members are tomorrow’s Fellows of the ACP and our future chapter leaders. Since 1975, over 35,000 physicians have earned ACP Fellowship, a mark of distinction representing the pinnacle of integrity, professionalism, and scholarship for those who aspire to pursue careers in Internal Medicine.

Privileges of being elected to Fellowship include use of the letters FACP (Fellow of the American College of Physicians) in connection with their professional activities for as long as their membership remains current. Additionally, they have the right to vote, hold office, and sponsor applicants for Membership and Fellowship.

You only need to be a regular member of ACP for 2 years before you are eligible to apply for fellowship. Each applicant will need endorsement from 2 Fellows or Masters of the college as part of their application. One of the fun things I get to do as Governor is to review all the applications received by the ACP Credentials Committee. Please contact me if you have any questions about this process. Additional information is available through ACP Online:


Paul Florentino Centennial Memorial Fund

The Paul Florentino Centennial Memorial Fund will be dedicated to supporting the Waxman Skills Center which is at each April Internal Medicine meeting, to further the cause of medical education. The funds have initially paid for upgrades to the Harvey cardiopulmonary simulator used in the Waxman Skill Center. Tax-free donations can be contributed to the College at the below address with donation directed to the Paul Florentino Memorial Fund.

Mary Bieter
Governor and Chapter Activities Department
American College of Physicians
190 N. Independence Mall West
Philadelphia, PA 19106

Florentino Memorial Fund


Chapter Awards

With the upcoming chapter meeting, it is now the time to consider nominations for the 2014 Navy Chapter awards. Award descriptions/criteria are described below:

Navy Chapter Young Leader in Internal Medicine Award - This award is bestowed on a Lieutenant or Lieutenant Commander, board certified internist who has displayed significant leadership helping Navy internal medicine execute the mission through innovation, perseverance, creativity, and compassion, this person will have guided or supported their command through challenging times and/or to dramatic success.

Navy Chapter ACP Sparks Award for Excellence in Internal Medicine - This award is bestowed upon a staff internist at a non-internal medicine teaching hospital or other Navy Military Treatment Facility (MTF) in recognition of outstanding achievement including, but not limited to the following attributes: teaching prowess and academic acumen, displaying exemplary characteristics of care and concern for individual patients, professionalism, and serving as a role model and mentor. Nominees will be submitted by the Department Head or his/her designee. Prior awardees are not eligible.

Navy Chapter ACP Volunteerism Award - This award is bestowed upon a staff internist in recognition of consistent and extraordinary volunteerism outside of the military setting. Additional attributes for consideration include, but are not limited to the following: displaying exemplary characteristics of care and concern for individual patients, professionalism, and serving as a role model and mentor. Nominations can be submitted by all members. Additionally, one can nominate more than one physician. The recommended number of awardees per year for the Navy Chapter ACP is one Volunteerism Award per year. Prior awardees are not eligible.

Nominations with an accompanying nominating letter are due to me by Friday, August 15th. Nominations can be submitted to me via e-mail.


Internal Medicine 2014 Photographs










American College of Physicians Unveils New Logo and Tagline: "Leading Internal Medicine, Improving Lives"

Nation's second-largest physician organization begins campaign to strengthen identity among current and prospective members


  • Watch video of ACP members who embody excellence

ACP LogoThe American College of Physicians (ACP) unveiled a new logo and tagline - "Leading Internal Medicine, Improving Lives"-at Internal Medicine 2014, ACP's annual scientific meeting. "ACP's new logo presents us in a contemporary, vibrant style, while maintaining a link to our rich history by incorporating the traditional element of the lamp of knowledge," said Steven Weinberger, MD, FACP, executive vice president and CEO, ACP. "Our new tagline speaks to the accomplishments of our members as well as to ACP's role in the field of internal medicine."

The new logo and tagline mark the start of a campaign to strengthen and reinvigorate ACP's identity among current and prospective members that will carry over into the organization's centennial celebration in 2015. Individual product logos also will be updated to reflect the new branding approach, unifying design elements across ACP's family of products. ACP's multifaceted initiative will include videos, social media outreach, profiles of members highlighting their accomplishments, and a redesigned Web site.

"Medicine in the 21st century can achieve things that weren't even dreamed of one hundred years ago, but the profession's commitment to the fundamental values of excellence, compassion, and dedication to our patients endures," said Molly Cooke, MD, FACP, president, ACP. "The new logo represents ACP's support of our members as they master the knowledge and skills demanded by a changing world of health care while holding fast to the foundational values of internal medicine."

ACP's new logo and tagline also connect to the organization's initiative in 2013 to fortify the identity of internists and reinforce pride in the profession of internal medicine, which included a new definition of internal medicine physicians: specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness.


American College of Physicians Unveils Tools to Improve Care for Patients with Rheumatoid Arthritis, Chronic Pain, Irritable Bowel Syndrome, and Exocrine Pancreatic Insufficiency

Many of us use the College's patient education materials Lose Weight, Diabetes, Living with COPD, and Caring for Your Heart Guides. The American College of Physicians (ACP) is releasing new guides to help patients and physicians manage rheumatoid arthritis, chronic pain, irritable bowel syndrome, and exocrine pancreatic insufficiency.

"Live Better with Rheumatoid Arthritis"

Designed with input from doctors, nurses, pharmacists, and patients, this guidebook provides valuable information to help patients live better with rheumatoid arthritis (RA). Patients will learn about RA medications and treatments, along with tips for healthy eating and exercise. This guidebook also gives advice on coping with feelings and how to make everyday activities easier.

"Live Better with Rheumatoid Arthritis" includes clear language and relatable photos so that patients can understand complex information and management tips. Funded in part by the Arthritis Foundation, this guidebook suggests small steps patients with RA can take to help improve their quality of life.

"Relief in Sight: Coping with Long-Lasting Pain"

Chronic pain can be frustrating and exhausting. It can become the focus of a patient's life, affecting work, play, and relationships. However, most chronic pain conditions can be managed with one of the many types of therapies available today.

This guidebook and accompanying DVD is designed to help patients learn about options for pain management and, along with their doctor, find treatments that work. Patients will learn that sometimes it can take time to find the right combination of treatments to relieve pain, but working closely with a health care team is a patient's best chance for managing pain.

"Irritable Bowel Syndrome HEALTH TiPS"

Irritable Bowel Syndrome (IBS) is a common condition with uncomfortable symptoms such as stomach pain, bloating, gas, constipation, and diarrhea. Patients can control IBS symptoms through healthy diet and exercise, managing stress, avoiding things that trigger symptoms, and taking medications to treat symptoms.

The Irritable Bowel Syndrome HEALTH TiPS are convenient two-sided 4"x6" sheets designed to help clinicians and patients to have more effective communication. The IBS HEALTH TiPS, funded by Forest Laboratories, identify key concepts that reinforce messages and are written to help patients understand what they need to know and do to manage their IBS.

"Exocrine Pancreatic Insufficiency: A Guide for Patients"

The pancreas has many jobs, one of which is to make substances called enzymes. Enzymes allow the body to digest food so that it can be used for nourishment. If the pancreas is diseased or damaged, it may not make enough of these important enzymes. This condition is called exocrine pancreatic insufficiency or EPI for short.

This guidebook and accompanying DVD is designed to help patients learn more about signs and symptoms, diagnosis, and management of EPI. Today, people with EPI can manage the condition, which can reduce their symptoms.

How to Order ACP's Patient Education Materials

These patient education materials are available and can be ordered online or by calling ACP Customer Service at 800-523-1546, extension 2600. "Relief in Sight: Coping with Long-Lasting Pain," "Exocrine Pancreatic Insufficiency: A Guide for Patients," and "Irritable Bowel Syndrome HEALTH TiPS" are available at no charge for all physicians and patients. ACP members can order up to two boxes (40 in each box) of the "Live Better with Rheumatoid Arthritis" guidebooks at no charge. Additional quantities are available for $64 per box.