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October 2012 COL Lisa L. Zacher, MC, USA, FACP

Message from the Governor

Dr. Zacher

Greetings Army Chapter ACP Medical Students, Associates, Members, Fellows, and Masters. It was an interesting year for our Chapter in part due to stricter interpretations of the DoD Ethics guidelines followed by detailed guidance on conference approval for military members either attending a government sponsored meeting or one sponsored by a non-federal entity (NFE) – e.g. the ACP or Army Chapter of the ACP. Last year, our annual meeting was changed from an Army Chapter ACP sponsored event to an Army Internal Medicine Symposium to ensure compliance with evolving Army guidance while still ensuring that the primary goals of our scientific forum were maintained (scholarly activity, CME, networking). Our awards went on as planned with the exception of our ACP Laureates who were recognized at a separate ceremony. I especially want to thank MAJ Thomas Zanders who served as the Army meeting planner as well as Col (Ret) George Meyers – ACP Governor Northern California for being our ACP guest.

This year with a little more lead time, our Chapter is co-hosting along with the Air Force and Navy ACP Chapters, the first Tri-Service Chapters’ ACP Scientific Meeting at the Bethesda Hyatt from Nov 1-3. More details are available at the end of this newsletter, at HJF.org (under Events) and on our ACP Chapter Website. I want to thank our many volunteers who have donated their time as meeting planners, breakout coordinators, and serving as abstract reviewers and judges. I especially want to thank LTC Chris Lettieri who is this year’s Army Meeting planner. The format has changed slightly to accommodate a course that has been shortened by one day and still ensure a focus on our amazing residents (Associate members). I look forward to a great meeting and would appreciate your feedback for future meetings.

Finally, this is my last year as ACP Governor and for the first time our Chapter will be utilizing the methodology that the non-military chapters utilize in picking their Governor. A Governor selection committee sought nominations and has narrowed the slate to two candidates:

LTC Kent DeZee and COL Donald “Skip” Mondragon. Both have been very active in Chapter meetings and activities. A ballot with biographies will be sent out by the ACP in the next few weeks. The new Governor will take over after the national ACP meeting in April and serve for four years. Please take the time to vote.

Zanders and Neubaur
MAJ Thomas Zanders, 2011 Army meeting planner with Air Force meeting planner Maj Brian Neubaur

Meyers and Rodriguez
Dr. George Meyers and LTC Rechell Rodriguez (ACP Air Force Governor)


Two Newest Army Chapter MACPs

About Mastership (MACP): Masters comprise a small group of highly accomplished physicians who have been selected because of personal character, positions of honor, contributions towards furthering the purposes of the ACP, eminence in practice or in medical research, or other attainments in science or in the art of medicine. Evidence of their achievements can come from many types of endeavors such as research, education, health care initiatives, volunteerism and administrative positions. The Master must be distinguished by the excellence and significance of his or her contributions to the field of medicine. All Masters and awardees honored since 1923 are listed on the ACP’s website. This year COL Gregory Argyros and COL (Ret) Alan Magill were recognized for advancement to Master and received this distinguished designation at the ACP Convocation, New Orleans, LA on 19 April 2012.

Dr. Argyros
Dr. Argyros

Gregory J. Argyros, MACP

Dr. Argyros is Director of Education, Training, and Research for the Joint Task Force National Capital Region Medical and Professor of Medicine at the Uniformed Services University of the Health Sciences (USUHS). He previously served as Chief of Medicine and Internal Medicine Residency Program Director at Walter Reed Army Medical Center. He has 16 publications to his name. He served as Governor of the ACP Army Chapter from 2005 to 2009, continues to serve on the Governor’s Council, and was a member of the national ACP Credentials Committee for the entirety of his governorship. Dr. Argyros is Board Certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine, and has received numerous teaching awards from Walter Reed Army Medical Center and USUHS. In 2006 he received the Order of Military Medical Merit, and in 2003 was honored by the ACP Army Chapter with their Master Teacher Award and by the Army Medical Corps with the “A” Proficiency Designator in Pulmonary Medicine.


Dr. Magill
Dr. Magill

Alan J. Magill, MACP

Dr. Magill is a Program Manager with the Defense Advanced Research Projects Agency where he develops innovative vaccines, diagnostics, and therapeutics. He recently retired from the US Army Medical Corps after an illustrious 27 year career. He previously served as the Director of the Division of Experimental Therapeutics at the Walter Reed Army Institute of Research. He is an Attending Physician on the Infectious Disease Service at the Walter Reed National Military Medical Center and an Associate Professor at the Uniformed Services University of the Health Sciences. Dr. Magill previously served as the Director of Clinical Research for the Malaria Vaccine Development Unit at NIH. He is the Lead Editor for the 9th edition of Hunter’s Tropical Medicine and a Medical Editor for the CDC Yellow Book. Dr. Magill is an honorary member of the Alexander von Humboldt Institute of Tropical Medicine, a Past President of the American Committee on Clinical Tropical Medicine and Travelers’ Health and the immediate Past Presiden of the International Society of Travel Medicine.


About Fellowship (FACP)

Fellowship is an honor achieved by those recognized by their peers for personal integrity, superior competence in Internal Medicine, professional accomplishment, and demonstrated scholarship. It may be achieved by either advancement from full Membership or by direct election. The Credentials Committee approves and formally “elects” the candidates on behalf of the Board of Regents and with their input.

Fellows are authorized to use the letters “FACP” (Fellow of the American College of Physicians) in connection with their professional activities so long as their membership remains current.

The following Members were selected for Fellowship between March 2011 and Oct 2012:

MAJ Arman Faravardeh, MC USA FACP COL Paul E Gause, MC USA FACP
MAJ Laudino M. Castillo, MC USA FACP
Mark A. Garfinkle, MD FACP
Richard K. Ling, MD FACP
MAJ James E. Moon, MC USA FACP
Mai Thanh-Thuy Nguyen, MD FACP
MAJ David Owshalimpur, MC USA FACP
MAJ Kimberly C Salazar, MC USA FACP
MAJ Ganesh R. Veerappan, MC USA FACP
LTC Andrew P. Cap, FACP
MAJ Paige E. Waterman, MC USA FACP
MAJ Kevin M. Woods, MC USA FACP
MAJ Aaron B. Holley, MC USA FACP
MAJ Fouad J. Moawad, MC USA FACP
MAJ Kristopher M. Paolino, MC USA FACP
John R Barrett, MC USA FACP
MAJ Kyra P. Clark, MC USA FACP
COL Ronald D. DeGuzman, MC USA FACP
MAJ Sheri K. Dennison, MC USA FACP
Louis F. Diehl, MD FACP
LTC Sean N. Dooley, MC USA FACP
Randy L. Eccles, MD FACP
CPT Rajat R. Fofaria, MC USA FACP
MAJ Daniel W. Franks, MC USA FACP
Thomas G. Goldschmidt, MD MAJ RET MC USAR FACP
LTC Edward C. Horwitz, MC USA FACP
CPT Christopher S. King, MC USA FACP
MAJ Jeffrey S. Kunz, FACP
CPT Timothy Lee, MC USA FACP
LTC Richard G. Malish, FACP
MAJ Rodd E. Marcum, MC USA FACP
MAJ Suzette W. Peng, MC USA FACP
Jason A. Regules, MD FACP
LTC Michael G. Rossman, MC USA FACP
LTC Robert F. Setlik, FACP
COL Jose A. Stoute, MC USA FACP
Michael L. Titzer, MD FACP
COL Michael J. Wilson, FACP
Jiun Yoon, MD FACP
MAJ James B. Caldwell, MC USA FACP
Douglas A. Degler, MD FACP
COL Charles H. Hoke, Jr., MC USA FACP
CPT Bruce M. McClenathan, MC USA FACP
CPT Jennifer A. McNear, MC USA FACP
COL Robert S. Miller, MC USA FACP
MAJ Christina M. Schofield, MC USAF FACP
MAJ John E. Thomas, MC USA FACP
MAJ Butch B. Tubera, MC USA FACP
LTC Todd C. Villines, MC USA FACP
MAJ Kamekea Willis, MC USA FACP
MAJ Jason M Blaylock, MC USA FACP
MAJ Suzanna C. Jamison, MC USA FACP
MAJ Erik S. Manninen, MC USA FACP
MAJ Michael C. Marte, MC USA FACP
MAJ Jeffrey E. Sherwood, MC USA FACP
MAJ Jessie S. Glasser, MC USA FACP
MAJ Matthew McNeill, MC USA FACP
MAJ Jason E. Sapp, MC USA FACP

Fellows at Convocation

2012 convocation
2012 Convocation picture

Those ACP Members recommended for election to Fellowship are invited to be formally inducted at Convocation within three years of election. While participating in convocation is encouraged, it is not a requirement to becoming a Fellow or utilizing the FACP designation. On 19 April 2011, eight Army FACPs joined the Army Governor and participated at the ACP Convocation Ceremony.


Army Chapter Award Winners

2011 Laureates

The Laureate Award honors those Fellows and Masters of the American College of Physicians who have demonstrated by their example and conduct an abiding commitment to excellence in patient care, education or research, and in service to their community and the College. It is the highest level award that an ACP Chapter can bestow upon its members. This year’s distinguished recipients included:

Colonel (Retired) David B. Gifford, MD, FACP
Colonel (Retired ) James M. Lamiell, MD, FACP
Colonel (Retired) Richard L. Marple.

COL Marple
COL (Ret) Marple

COL Gifford
Laureate award winner COL(Ret) Gifford flanked by Army Governor COL Zacher and nominator COL Darrel Dodson.

ACP Laureate Awards link is here.


2011 Chapter Award Winners

The 2011 Chapter Award Winners were presented their awards at the 2011 Army Internal Medicine Training Symposium by COL Greg Argyros, Awards Committee Chairperson. The link for the 2011 Chapter Award Winners.

COL Robert H. Moser Award

The Colonel Robert H. Moser Award was established to recognize an outstanding general internist member of the Army Chapter of the ACP for superior clinical practice for two or more years. The recipient must demonstrate clinical competence, professionalism, humanistic values, and compassion towards patients. This year the Chapter was especially fortunate to have Colonel (Ret) Dr. Robert Moser personally present the award. Dr. Moser also was inducted into the Order of Military Medical Merit (O2M3) by the Army Surgeon General – LTG Eric B. Schoomaker.

Dr. Moser
MAJ Manninen flanked by LTG Schoomaker and COL (Ret) Moser

The 2011 award winner was: MAJ Erik Manninen, Madigan Army Medical Center.

William Crosby Superiority in Research Award

The William Crosby Superiority in Research Award is designed to honor a member of the Army Chapter of the ACP who has demonstrated excellence in the design, performance, and publication of peer-reviewed research which exemplifies the characteristics displayed by COL (Dr) William Crosby. The 2011 award winner was: COL Michael J. Roy, MD, MPH, FACP

Master Teacher Award

The Army Chapter of the ACP established the Master Teacher Award in 1998 and is designated to honor a member of the ACP in the rank of Fellow (FACP) or higher who has demonstrated the qualities of master mentor and teacher. The recipient should be acclaimed by their students as inspirational and the award therefore recognizes education as a pivotal requirement of the Army Internist or Internal Medicine subspecialist. The 2011award winner was: COL Lisa K. Moores, MD, FACP, FCCP

COL Moores
COL Moores with LTG Schoomaker and COL Argyros

Excellence in Operational Medicine Award

The Excellence in Operational Medicine Award is designed to honor a member of the ACP who has demonstrated dedicated care of patients, outstanding leadership, and novel innovation in an Operational Medicine environment. The 2011 award winner was: LTC Kevin Douglas, MD, FACP

LTC Douglas
LTC Douglas and COL Argyros

2011 Associate Awards:

Podium Research: Johnny Dias (Walter Reed)
Resident Research Poster: Amilcar Morales (SAMMC)
Clinical Vignetter: Aaron Pumerantz (Walter Reed)
Fellow Research Poster: Erika Hill (SAMMC)

CPT Dias

Cpt Morales
CPT Morales (flanked by Associate Awards Chairs MAJ George and Maj Ratcliffe)

Walter Reed Doctor’s Dilemma Team

CPT Sarah Petteys
CPT Rachel Robbins
CPT Joe Roswarski

Walter Reed Doctor's Dilemma Team

CPT Dias, CPT Pumerantz and the WRNMMC (Army) Doctor’s Dilemma Team represented the Army Chapter at the National ACP meeting. There were a number of other Associates who had research or clinical vignettes accepted for presentation at the national level – and the Army and their mentors can be very proud of their accomplishments.


Results of the 2012 National Abstract Competitions

The American College of Physicians would like to congratulate the winners of the Associates and Medical Student Abstract Competitions who presented their award-winning work at Internal Medicine 2012 in New Orleans, Louisiana.

Associate Podium Competition

Clinical Vignette
Richard Wayne Hilliard, Jr., DO
Atypical Presentation of Recurrent Adrenal Cell Carcinoma
William Beaumont Army Medical Center, El Paso, TX

Associate Research Poster Competition Winner

CPT Johnny A Dias, MC, USA
Walter Reed Army Medical Center, Bethesda, MD
Comparison of Aerosolized Swallowed Fluticasone to Esomeprazole for the Treatment of Eosinophilic Esophagitis

Associate Research Poster Competition Winner

CPT Hillary Thomas, MC, USA *
San Antonio Uniformed Health Services Health Education, San Antonio, TX
Effects of Illicit Drug use on Clinical Outcome of Heart Failure
• Overall national winner 2012 National Associates Poster Competitions

CPT Hillary Thomas with poster

These are the Army Chapter Associates that finished in the top 10 in their respective categories. CPT Hillary Thomas was the overall winner.


SAT and ACT Test Prep Programs

eKNOWLEDGE DONATES $200 SAT AND ACT TEST PREP PROGRAMS TO MILITARY FAMILIES. Available to all service members, including members of the Reserves, Active Duty, and their families this offer is made possible because of donations from NFL/MLB players. This program has been extended to military families and veterans for a sixth consecutive year through the eKnowledge Sponsorship Alliance, NFL and MLB players, and over fifty other organizations. Visit the following Military Homefront link for more information.


New Curriculum Teaches Internal Medicine Residents High Value, Cost-Conscious Care Principles

American College of Physicians and Alliance for Academic Internal Medicine developed curriculum as latest component of ACP’s High Value, Cost-Conscious Care initiative

Philadelphia, July 10, 2012 -- The American College of Physicians (ACP) and the Alliance for Academic Internal Medicine (AAIM) today unveiled a high value, cost-conscious care curriculum to help train internal medicine residents about how to avoid overuse and misuse of tests and treatments that do not improve outcomes and may cause harms.

The free curriculum, available at www.highvaluecarecurriculum.org, is designed to engage internal medicine residents and faculty in small group activities organized around actual patient cases that require careful analysis of the benefits, harms, costs, and use of evidence-based, shared decision making. The flexible curriculum consists of ten, one hour interactive sessions that can be incorporated into the existing conference structure of a program.

Physicians receive little specific training about identifying and eliminating wasteful diagnostic and treatment options,” said Cynthia D. Smith, MD, FACP, ACP’s Senior Medical Associate for Content Development and the lead author of “Teaching High-Value Cost-Conscious Care to Residents: The AAIM-ACP Curriculum,” published online in Annals of Internal Medicine, ACP’s flagship journal. “Residency training is an excellent time to introduce the concept of high value, cost-conscious care because the habits that residents learn during training have been shown to stay with them throughout their professional careers.”

Health care expenditures are projected to reach almost 20 percent of the United States’ GDP by 2020. Many economists consider this spending rate unsustainable. Up to 30 percent, or $765 billion, of health care costs were identified as potentially avoidable -- with many of these costs attributed to unnecessary services.

The committee that developed the curriculum consisted of ACP-AAIM members and staff, program directors, associate program directors, a department chair, residency faculty, and internal medicine residents.

What is High Value, Cost-Conscious Care?

High value, cost-conscious care means that a test or treatment has benefits that make its potential harms and costs worthwhile. Some expensive tests and treatments have high value because they provide high benefit and low harm. Conversely, some inexpensive tests or treatments have low value because they do not provide enough benefit to justify even their low costs and may even be harmful.

Because misuse and overuse of medical interventions that do not improve patient health contribute significantly to the unsustainable growth of health care spending, ACP launched a High Value, Cost-Conscious Care initiative in 2010 to help physicians and patients understand the benefits, harms, and costs of tests and treatment options for common clinical issues.

About the American College of Physicians

The American College of Physicians is the largest medical specialty organization and the second-largest physician group in the United States. ACP members include 133,000 internal medicine physicians (internists), related subspecialists, and medical students. Internists specialize in the prevention, detection, and treatment of illness in adults. Follow ACP on Twitter and Facebook.

About the Alliance for Academic Internal Medicine

The Alliance for Academic Internal Medicine (AAIM) is a consortium of five academically focused specialty organizations representing department chairs and chiefs; clerkship, residency, and fellowship program directors; division chiefs; and academic and business administrators as well as other faculty and staff in departments of internal medicine and their division at medical schools and teaching hospitals in the United States and Canada. Please visit www.im.org for more information.


Annals of Internal Medicine iPad App Delivers Information to Physicians When and Where They Need It Most

PHILADELPHIA, August 22, 2012 – Physicians can now access the latest research, guidelines, reviews, commentaries, educational materials, and clinical news through the new Annals of Internal Medicine iPad edition. With the Annals iPad edition, users can:

  • Read current Annals issues and articles
  • Access 12 months of Annals issues offline, including In the Clinic and ACP Journal Club
  • Browse specialty and topic collections
  • Save and share articles using their personal library
  • Watch videos and listen to audio summaries and readings
  • View CME quizzes
  • Link to selected MKSAP® and Virtual Diagnosis questions
  • Link to Selected ACP Internist and ACP Hospitalist articles
  • Search Annals archives

The mission of Annals of Internal Medicine is to link knowledge to patient care,” said Christine Laine, MD, MPH, FACP, editor-in-chief of Annals. “The Annals iPad app will give busy clinicians access to all that Annals offers from the convenience of their tablets.”

The Annals iPad app is free to download through iTunes, and selected articles are free to all users. Members of the American College of Physicians (ACP), which publishes Annals, and individual subscribers to Annals will get access to all content as part of their membership or subscription. Non-ACP members and those without an Annals subscription will be able to purchase individual articles or entire issues through the Apple app store.

Annals of Internal Medicine is one of the top five most widely cited peer-reviewed medical journals in the world, with a current impact factor of 16.7. The journal has been published for 85 years. It accepts only about 7 percent of the original research studies submitted for publication. Follow Annals on Twitter and Facebook.

The American College of Physicians is the largest medical specialty organization and the second-largest physician group in the United States. ACP members include 133,000 internal medicine physicians (internists), related subspecialists, and medical students. Internists specialize in the prevention, detection, and treatment of illness in adults. Follow ACP on Twitter and Facebook.

Media Contact:
Angela Collom, ACP
acollom@acponline.org or 215-351-2653


Resolution Report from the Spring 2012 Meetings

The Board of Regents (BOR) approved the following two resolutions referred from the Board of Governors (BOG) with the indicated actions:

5-S11. Investigating Possible Work-Related Abuses for Physicians Working Under the Conrad-30 Program
(Referred to the ACP Delegation to the AMA for implementation)

1-S12. Studying the Financial Consequences of Provider-Based Billing on the Value of Health Care
(Referred to the Medical Practice and Quality Committee for implementation)

The following two resolutions were considered by the BOR as reaffirmation of College Policy:

5-S12. Collaborating with the ACP Foundation to Help Patients Become More Prudent Consumers of Health Care

7-S12. Developing a Strategy to Become the Leader in Use and Development of Technical Innovations in Communication, Education, and Membership Outreach

The following resolution was sent by the BOG for study and report back to the BOG:

6-S12. Pursuing a Joint ACP-Hospitalist Membership and Dues Structure with the Society of Hospital Medicine


Council of Young Physicians - Call for Nominations

If you know of a physician post-training who you think would be interested in getting involved nationally please consider encouraging him or her to run for a seat on the ACP Council of Young Physicians (CYP). The CYP is responsible for advising ACP about programming to enhance the professional development for young physicians, fostering their involvement in College activities, and increasing the value of ACP membership for physicians post-training. Deadline 15 November 2012.

For details, go online to The Young Physician's Corner.

Please contact Amy Allen Collins with any additional questions.


Updating your E-mail addresses

If a member would like to change their email address they can call Customer Service at 800-523-1546, ext 2600. Members can also update their records online here.


Upcoming Dates

2012 TriService ACP Chapter Meeting
Hyatt Regency Bethesda
7400 Wisconsin Avenue
Bethesda, MD 20814
(301) 657-1234
November 1-3, 2012
Register at: www.HJF.org

2013 Army ACP Chapter Meeting: TBD

Internal Medicine 2013
April 11 - 13, 2013
San Francisco, CA

Internal Medicine 2014
April 10 - 12, 2014
Orlando, FL

Internal Medicine 2015 (ACP Centennial)
April 30 - May 2, 2015
Boston, MA

Internal Medicine 2016
May 5 - 7, 2016
Washington, DC