U.S. Navy Governor's Newsletter September 2020

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CDR Mark P Tschanz, DO, FACP, ACP Governor

CDR Mark P Tschanz, DO, FACP, ACP Governor


Governor's Welcome,

Welcome to the Fall 2020 Newsletter! It was wonderful to see so many of you at our Triservice virtual meeting last week. I appreciate that you were patient with the technical challenges, and remained engaged over the duration of the meeting. We had over 600 members register for the meeting, which is well above the usual number for the individual chapter meetings combined. I hope we can continue to grow this meeting next year in San Antonio LIVE!

A huge thank you to the Army and Air Force chapters and the entire planning committee on their hard work to pull this meeting off. Many worked tirelessly behind the scenes to bring it together.

The web portal for the meeting will be your access point for the recordings of the lectures and to claim CME/MOC and give us feedback on the conference. This will remain open for 6 months, so please take advantage of the great material available. I expect all recordings to be available in the next week.

I was proud to be a member of military Internal Medicine during this conference! We heard from a number of leaders from all services about a vision for military IM and how the combined services need to collaborate to shape this vision. Most importantly, as a specialty, we are focused on improving the care of our patients – at the MTF, at sea, and forward deployed and at the point of injury.

A special congratulations to the Navy Chapter Laureate Award Winner - Captain Ryan C. Maves. Aside from being master clinician in IM, ID, and critical care, CAPT Maves is an accomplished scholar and teacher. Most importantly, he is incredibly generous with his time, and an entire generation of Navy internists thanks him for his friendship and mentorship! Please make sure you read his biography below, and reach out to congratulate him on this award.

Please call or email me if you have any questions about the chapter or are interested in volunteer opportunities.

Very Respectfully,


CDR Mark P. Tschanz DO, MACM, FACP
Governor, Navy Chapter, American College of Physicians.



Save the Date

2021 Tri-service ACP Scientific Meeting: San Antonio, TX

September 9-11, 2021

Pre-course (skills lab for the internist) on September 7-8, 2021

Call for awards and abstracts will be forthcoming (April 2021), so start collecting cases now! Residents, fellows, and Early Career Physicians (ECPs) – please make note of the timeline. Navy Chapter had fewer submissions from fellows and ECPs, and fewer QI and research publications. Time to start planning now!

Bravo zulu to the planning committee for the 2020 Tri-service meeting

Thank you to all planners who spent countless hours coordinating the meeting. In addition, thank you to the break-out room coordinators, speakers, and judges. This meeting would not happen with MANY volunteer hours. The planning committee:

Matthew Bezzant
Kelly Chohonis
John Hunninghake
Robert Olejnik
Derek Smith
Robert Walter



Chapter Awards

- 2019 Laureate Award: CAPT Ryan C. Maves (NMCSD) – Please see biography below
- VADM Nathan Young Leader Award: LCDR Daniel Dean (NMCP)
- Volunteerism Award: LCDR Katherine Vu (NMCSD)
- Sparks Award: LCDR Michael Dore (NH Bremerton)
- Master Teacher Award: LCDR Mary Andrews (USUHS)
- CAPT Patricia V. Pepper Female Leadership Award: CDR Lauren Weber (Walter Reed)

Congratulations to all the local and chapter award winners! Many Navy Chapter members are doing incredible work around the globe! The associate presentations were outstanding across the board. Bravo Zulu to all who submitted and presented their scholarly work at the meeting!

Regional Teaching Awards:

Walter Reed National Military Medical Center:
Resident Teacher of the Year: LT Melanie Wiseman
Faculty Teacher of the Year: CAPT Matthew Needleman
Naval Medical Center Portsmouth:
Resident Teacher of the Year: LCDR Matthew Middendorf
Faculty Teacher of the Year: LT Aaron Tallant
Naval Medical Center San Diego:
Resident Teacher of the Year: LT Brandon Boldt
Faculty Teacher of the Year: Dr. Elexis McBee

Abstract Competition:

Resident/Fellow Clinical Vignette:

LT Lovepreet Kaur - Sarcoma Presenting as Extramedullary Hematopoiesis

Early Career Physician Clinical Vignette:

LCDR Sean Oiumet - Hunger Strike in an Active Duty Marine Prisoner – To Feed or Not to Feed?

Resident/Fellow QI:

LCDR Allison Bush - Colorectal Cancer Screening in the Time of Corona: Utilization of Fecal Immunochemical Testing in Open Access Program

Resident/fellow High Value Care:

LCDRC Sara Robinson - Stewardship Driven Reduction of Inappropriate Clostridioides difficile testing at a Tertiary Military Medical Facility

Early Career Physician QI:

LCDR Brett Sadowski - FIT Testing for Colorectal Testing

Resident Research:

LT Elizabeth Cooper - Prevalence of SARS-CoV-2 serum antibodies among personnel deployed on the USNS COMFORT during the COVID-19 pandemic

Fellow Research:

LCDR Laura Gilbert - Prevalence and Risk Factors associated with HIV and Syphilis Co-infection in the African Cohort Study

Early Career Physician Research:

LCDR Brett Sadowski - Combat trauma is associated with subsequent alcohol use and related liver disease

Zebra Award for “Most Unusual Case”

LT Austin Gable - Multidisciplinary Management of Complex Airway Stenosis in a US Navy Dolphin (apparently the Army and Air Force do not allow dolphins to enlist, so this created quite a stir…)



Doctor's Dilemma: Coming soon to a Zoom near you!

Please watch your ACP email for an upcoming announcement for the Doctor's Dilemma competition. As in past years, teams from the three training programs will face off (virtually) for all the glory and a chance to compete at the national competition. For fun, the winners from each service will face off in a Triservice battle, that can only result in embarrassment for the Army and Air Force!



Interested in Fellowship (FACP)?

Please check out the ACP webpage for more information about fellowship. Fellowship in the College is an honor. Being an FACP® is a distinction earned from colleagues who recognize your accomplishments and achievements over and above the practice of medicine. The most important considerations for ACP Fellowship are excellence and contributions made to both medicine and to the broader community in which the internist lives and practices.

The basic requirements to apply for fellowship are board certification, licensure, clinical practice for 3 years out of residency, and being a dues paying member for the previous 3 years. In addition, additional requirements include other professional activities – teaching, community service, leadership, scholarship, etc. Please contact me if you have any questions about how to achieve fellowship after reviewing the link above.



College News

Looking to be more involved at the national level? The Council of Early Career Physicians (CECP), the Council of Resident/Fellow Members (CRFM), and the Council of Student Members (CSM) are currently seeking candidates to fill vacant seats for 2021-22. Nominations are due by November 1, 2020 and details for submitting are included in the links below.

The councils are responsible for responding to requests for review of programs, products and services; advising the College regarding ways to increase the value of ACP membership among their constituency group; and strengthening activities and relationships at the ACP chapter and local levels.

For more information on eligibility and nomination material requirements please see the CECP Call for Nominations, the CRFM Call for Nominations, and the CSM Call for Nominations.



Clinical Corner

What has been published recently that your residents know before you???

We received a number of great clinical updates during the scientific meeting this month. Rather than read a ton here – check out the recordings and get some CME from the web portal!

Joint Trauma System:

This is a critical website for anyone deploying, and I was reminded again at this meeting that not everyone is aware of the wealth of information available here. This should be a “favorite” website for anyone leaving CONUS, and downloading the CPGs is highly recommended. This is an area where military medicine is leading the world – check here first, and maybe UpToDate will have this content in a few years!



2019 Navy Chapter Laureate Award Winner

Captain Ryan C. Maves


CAPT Ryan C. Maves is a staff physician assigned to Naval Medical Center San Diego (NMCSD), where he serves as an attending physician in the Division of Infectious Diseases and on the Critical Care Medicine service. He received his Bachelor of Arts degree in German from the University of Washington in 1995. He was commissioned as an Ensign through the Navy Health Professions Scholarship Program and received his doctorate in medicine from the University of Washington in 1999.

Coming on active duty in 1999, CAPT Maves completed his internship in internal medicine at NMCSD in 2000 and subsequently entered training as a Naval Flight Surgeon at the Naval Aerospace Medicine Institute in Pensacola. Upon completion of training, he was assigned to Carrier Air Wing SEVENTEEN (CVW-17) at Naval Air Station Jacksonville, Florida. As part of CVW-17, he deployed to the coast of New York City in response to the attacks of September 11th, 2001 on board USS George Washington (CVN-73). Following an accelerated workup cycle, he then deployed with CVW-17 to the Arabian Gulf in support of Operation ENDURING FREEDOM and SOUTHERN WATCH, earning his Surface Warfare Medical Department Officer designation while underway.

Returning to NMCSD, CAPT Maves completed his residency in internal medicine in 2005 and fellowship in infectious diseases in 2007. He then transferred to the Naval Medical Research Center Detachment (NMRCD, now NAMRU-6) in Lima, Peru as head of the Bacteriology Department, conducting preclinical and clinical studies in enteric disease, antimicrobial drug resistance, and vaccine development in Latin America. He once again returned to NMCSD in 2010 as head of the Division of Infectious Diseases and chair of the Infection Control Committee.

In 2012, CAPT Maves deployed to the NATO Role 3 Multinational Medical Unit at Kandahar Airfield (KAF), Afghanistan, in support of Operation ENDURING FREEDOM, serving as Director of Medical Services. Upon his return to NMCSD after deployment, he completed a fellowship in critical care medicine in 2014. He served as the program director of the NMCSD Infectious Diseases Fellowship from 2016-2020. He presently acts as the NMCSD site chief of the USUHS/DoD Infectious Diseases Clinical Research Program, overseeing clinical studies in HIV, emerging infections, and COVID-19. He was assigned as Executive Officer of Expeditionary Medical Facility BRAVO in 2020.

CAPT Maves is board-certified in internal medicine, infectious diseases, and critical care medicine. He holds faculty appointments as an associate professor of medicine at the Uniformed Services University and as a voluntary clinical associate professor of medicine at the University of California, San Diego. He has authored over 70 scientific manuscripts, 60 conference abstracts, and 8 textbook chapters. He lives in Chula Vista with his wife, Robin, and their children Astrid, Robert, and Jonathan.