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British Columbia Chapter Logo

May 2014

Dr. Meneilly

Graydon S. Meneilly, MD, FRCPC, FACP, Governor

ACP Internal Medicine 2014 Highlights From Your Chapter

The 2014 ACP Annual Session in Orlando put BC and Canada, in general, on the map. Two Canadian Fellows, Dr. Janet Roscoe (ON) and Dr. Dawn DeWitt (pictured) were admitted to Mastership.

Drs. Meneilly and Dewitt

Drs. Dewitt and Roscoe

The Board of Governors meeting included comments by BC Governor, Dr. Meneilly, on a resolution regarding concerns about the use of the Beers criteria to drive, rather than advise, medication prescribing and subsequent physician payment and/or insurance/medication coverage (“Beers criteria” specify potentially inappropriate medications in the elderly). Hot topics included maintenance of certification and recertification, with a large number of concerns raised about the burden of work to maintain certification as new hurdles are added. We hope that the BC College, the Royal College and the ACP will collaborate more closely to eliminate duplication of MOC processes.

The Canadian Chapter Governors met to discuss issues related to Canadian membership, with membership recruitment, advancement to Fellowship/Mastership and regional meetings as the main goals cited by governors. The key benefits of ACP membership for Canadian internists include ACP Journal Club and Annals, MKSAP, and ACP meetings, which were viewed as very high quality relative to other meetings. Other ACP resources, including books, the ACP electronic newsletter and ACP “Smart Medicine” are less well known.

Governors discussed the potential for closer collaboration with Provincial Canadian medical associations, e.g. the newly reframed “Doctors for BC,” but noted that the agendas of such organizations are often very different. Also, internists are often members of several organizations at significant expense, e.g. common overlapping memberships for Canadian physicians include ACP, the Royal College, and the Society for General Internal Medicine (SGIM), whose membership and meetings focus more on academic/clinical education and health policy research, or equivalent sub-specialty organisations in either Canada or the U.S. Conjoint meetings or memberships were considered challenging, but options worth exploring.

Meeting highlights included a presentation by Dr. Victor Montori on “Minimally Disruptive Medicine,” the concept that doctors should consider the burden on patients when deciding on treatment/management options with patients in order to avoid life disruptions (time, cost) that could decrease quality of life substantially despite well-intended medical aims.

Internal Medicine 2015 will celebrate ACP’s Centennial Anniversary. The meeting is scheduled for April 30 – May 2, 2015 in Boston, MA.