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U.S. Navy Governor's Newsletter February 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 winter 2020 Newsletter! It was great to see so many of you in Portsmouth for the annual meeting this month. Thank you to those of you who stayed back and stood the watch so the rest of us could meet! I hope you will be able to join us in San Antonio in September 2020 for our next chapter meeting.

A special thank-you to Naval Medical Center Portsmouth, especially LT Ashley Fang, LCDR Jeff Eickhoff, and CDR Justin Lafreniere (and then entire planning committee) for the warm welcome and hospitality in Portsmouth for the annual meeting.

At the meeting, we had a great mix of cutting-edge science, updates on clinical guidelines, and career/practice advice from colleagues who have performed admirably while forward deployed around the world. The theme of “changing tides” carried into each topic. I found that the successes we discussed at the meeting (on a ship taking trauma, on the Amazon River dealing with genetic diseases, at Great Lakes dealing with iron-deficiency anemia) all resulted from smart people planning ahead, adjusting to unforeseen challenges, and excelling at their day job (being a doctor and a leader). When the tides are changing, one wants to be on the bridge leading the way. Exciting times to be part of Navy Internal Medicine!

A special congratulations to the Navy Chapter Laureate Award Winner - CAPT Daniel Seidensticker. CAPT Seidensticker has been a tireless leader in the community and Navy medicine for years, but first and foremost has always been a stellar internist and cardiologist. Please make sure you read his biography below, and reach out to congratulate him on this award.

Please reach out to 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.

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Save the Date

2020 Tri-service ACP Scientific Meeting: San Antonio, TX
September 10-12, 2020

Pre-course (skills lab for the internist) on September 8-9, 2020

Call for awards and abstracts will be forthcoming (April 2020), so start collecting cases now!

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CME Info

Having trouble claiming your CME from the meeting? You are not alone! We've been having trouble with the reporting website, but I expect it to be corrected shortly. Please watch for an email from me in the coming days with more details on claiming your CME. I apologize for the delay!

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Chapter Awards

- 2019 Laureate Award: CAPT Daniel Seidensticker (NMCP) – Please see biography below
- VADM Nathan Young Leader Award: LCDR Mary Andrews (USUHS)
- Sparks Award: LCDR James Haddad (NH Jacksonville)
- Master Teacher Award: CDR Manish Singla (WRNMMC)
- CAPT Patricia V. Pepper Female Leadership Award (1st award!): CDR Nancy Miller (NMCSD)

Congratulations to all the local and chapter award winners! Many Navy Chapter members are doing incredible work around the globe! The associate podium and poster 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 Mike Roth
Faculty Teacher of the Year: Dr. Richele Corrado

Naval Medical Center Portsmouth:

Resident Teacher of the Year: LT Robert Geis
Faculty Teacher of the Year: CAPT (ret) Joseph Kennedy

Naval Medical Center San Diego:

Resident Teacher of the Year: LT Sheldon Edwards
Faculty Teacher of the Year: Dr. Tri Lac

Abstract Competition:

Honorable Mention:

ENS Charles Nicoli (Larner College of Medicine, University of Vermont)
ENS Sarah Schulte (Lewis Katz School of Medicine, Temple University)

Podium competition (clinical vignette):

Winner: LCDR Daniel DeSantis (NMCSD)
Runner-up: LT Chelsea Forbes (NMCSD)

QI category:

Winner: LT Gwen Hunt (WRNMMC)

Poster Competition:

Winner: LT Sheldon Edwards (NMCSD)
2nd place: LT Robert Geis (NMCP)
3rd place: LT Thomas Brooke (WRNMMC)

LT Edwards wowing the judges with his winning poster:

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LT Brooke proudly showing his award winner!

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Doctor's Dilemma Winners: from Walter Reed National Military Medical Center:

- LT Michael Roth
- LT Thomas Brooke
- LT Benjamin Moberly

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College Update

You may have seen Better is Possible: The American College of Physicians Vision for the U.S. Health Care System,” a comprehensive series of policy papers that outline ACP's vision of a better health care system for all. This has been an ongoing project at ACP to look at innovative solutions to improve our national health care system. I encourage you to review the materials that have been published. Many of the priorities are very pertinent to our military health care system as well.

Please check out the ACP website or the Annals publications for more information, and share with your friends and colleagues! #ACPVision4HealthCare

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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. Here are a couple of areas you may want to review if you missed the meeting!

Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America https://www.idsociety.org/practice-guideline/asymptomatic-bacteriuria/

Did you know that your patients may have worse outcomes if you treat them for asymptomatic bacteria before surgery? What about the geriatric patient admitted to the internal medicine wards due to altered mental status with bacteriuria without other symptoms? (Spoiler alert: recommend close observation without treatment). CAPT Karl Kronmann took us through the details, along with an overview of musculoskeletal infections. This guideline is a “must read” for all in primary care, right after you finish the Pneumonia guidelines!

Vaping Related Lung Disease:

Know the lingo – EVALI is “e-cigarette, or vaping, product use associated lung injury.” CDR Jonas Carmichael provided the latest update and science behind this serious disease. (Spoiler alert: inhaling superheated gasses is bad for the lungs). Remember that EVALI should be on the differential for patients with hypoxemic respiratory failure, especially if provided with a history of vaping. However, it remains a diagnosis of exclusion, with other common (infectious, inflammatory, etc.) disorders all possible causes as well. The link above will take you to the CDC website with recent updates on clinical recommendations.

Gout:

More guidelines! Our scientific meeting was on the cutting edge of science, with the gout topic covering guidelines yet to be published! The link above will take you to the ACR webpage, with updates on the timeline for the new recommendations (any day now). I highly recommend you keep an eye out for these guidelines, as I expect we will learn more about urate-lowering therapy recommendations for patients with gout. LCDR Eickhoff presented his recommendations for the diagnosis and management of gout. Have you used dual-energy CT to assist with the diagnosis yet? Do you have this technology available at your practice location? You may want to call your radiologist and ask if this is available – it can help confirm the diagnosis, especially if you are unable to obtain fluid for crystal analysis.

More group photos from the meeting:

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2019 Navy Chapter Laureate Award Winner

CAPT Daniel F. Seidensticker

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CAPT Daniel Seidensticker was born and raised in Chillicothe, Ohio. He received his Bachelor of Science degree in History from the United States Naval Academy in 1993, and his Doctor of Medicine from the Uniformed Services University in 1997. After his Internal Medicine Internship at Naval Medical Center Portsmouth (NMCP), he served as Battalion Surgeon for 3rd Battalion, 12th Marines in Okinawa Japan. In 2001 he completed his Internal Medicine Residency training at NMCP, and was selected to be Chief of Residents for 2001-2002. He then completed his Cardiology Fellowship at Naval Medical Center San Diego (NMCSD) in 2005.

Upon completion of fellowship, Seidensticker deployed to EMF Kuwait, where he served as Director of Cardiology Division. As a staff cardiologist at NMCSD, Seidensticker served as Director of the Heart Failure Clinic from 2005-2013, Director of the Tobacco Cessation Clinic from 2007-2010, and Assistant Program Director for the Cardiology Fellowship from 2008-2010. He was NMCSD Clinical Champion for heart failure and tobacco cessation, chairing the clinical quality teams from 2007-2011.

In 2010, Seidensticker became Program Director for the Cardiology Fellowship. In 2011, he assumed the role as NMCSD Chairperson of Faculty Development. In 2013 he was selected as Specialty Leader for Navy Internal Medicine, representing 400 physicians and 8 subspecialty leaders for the Navy Surgeon General. In 2016 he became the Force Surgeon, Navy Reserve Forces Command, responsible for the policy review and execution of health readiness for 50,000 Reserve sailors across 123 unique commands. In 2018 he returned to NMCP as a staff cardiologist.

Seidensticker is board certified in Internal Medicine, Cardiovascular Disease, and Advanced Heart Failure/Transplant Cardiology. He is a Fellow of the American College of Physicians and the American College of Cardiology.

Seidensticker’ s personal awards include the Legion of Merit, Navy Meritorious Service medal (2), Navy Marine Corps Commendation medal (2) and Navy Achievement medal (4).

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