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November 2012 LtCol Rechell Rodriguez, MD, FACP, ACP Governor

From the Governor

Dr. Rodriguez

It was another roller coaster ride for this yearís meeting awaiting the approval of the meeting, receiving less funding, and last but not least the effects of Hurricane Sandy. Despite all, the first Tri-Service ACP meeting was held in Bethesda on November 1-3. The meeting was attended by over 459 Air Force, Army and Navy Internal Medicine residents, Internists and Subspecialists as well as some civilians and medical students. Looking at the past 5 years, this was the largest attended meeting!

The format for this yearís meeting was changed to adjust the meeting to 3 days rather than 3.5 days with 17.25 hours of CME. Opening the meeting, the national anthem was sung by the tri-service USUHS Dermatones: 2LT Tasha Kahn, ENS Luke Womble, 2d Lt Samuel Philbrick, ENS Leighton Rodrigo, 2d Lt Jenn Szatkowski and 2d Lt Alex Kim.

USUHS Dermatones at Triservice ACP

The plenary lectures were mostly replaced with Specialty Year in Reviews. The Keynote Speaker was Navy Surgeon General VADM Matthew Nathan, MC, USN who is an Internist and FACP.

Navy Surgeon General
Navy Surgeon General VADM Matthew Nathan, MD, USN

One of our guest plenary lecturers was Geno Merli, M.D., F.A.C.P. who is well known at the national ACP meetings for his pre-operative medicine and consultation talks. He was the recipient of our Malcolm C. Grow Memorial Lecture Award. To improve clinical procedural skills, the hands-on simulations session was again offered this year. The faculty development plenary, ĒTrying to Make Sense of the ACGME competencies, Milestones, EPAs, and the NASĒ was given by Col (Ret) Paul Hemmer who was the recipient of our Philip G. Keil Memorial Lecture Award.

Paul Hemmer Award
Col (Ret) Paul Hemmer recipient of the Philip G. Keil Memorial Lecture Award

An ABIM Maintenance of Certification session on the 2012 Update in Hospital Medicine module was offered By Dr. Charlie Magee and Dr. Kent DeZee which was well sought out by those who are close to recertifying or by those who wanted to brush up on hospitalist medicine.

Special thanks to this yearís meeting chairpersons LCDR Lynn Byars, LTC Chris Lettieri and Lt Col Matt Carroll who organized a truly outstanding meeting!!

LTC Chris Lettieri
LCDR Lynn Byars and LTC Chris Lettieri

Thanks to our Air Force Moderators who helped coordinate excellent breakout sessions with their Army and Navy counterparts: Maj Matt Hann (Cardiology), Maj Irene Folaron (Endocrinology), Lt Col Joseph Gallagher (Gastroenterology), Maj Melissa King (Hematology/Oncology), Maj Peter Blatz (Infectious Diseases), Maj Keiron Dillingham (General Medicine), Capt Keith Kramer (Nephrology), Maj Joshua Sill (Pulmonary/Critical Care), Maj Angelique Collamer (Rheumatology), and Lt Col William Hannah (ACGME). Since we donít have an Air Force GME Internal Medicine residency program in the national capital area our moderators came from many medical facilities around the country. Thanks also to our Coordinators: MAJ Josh Hartzell (Scientific and Competition Coordinator) and LTC Jeff Mikita (Simulation Coordinator). Our Air Force Doctors Dilemma Coordinators were: Capt Stephen Deas (KMC), Capt Kathryn Burtson (WPAFB), and Capt Dana Blyth (SAMMC).

The resident and fellow competitions featured for the first time the Air Force competing along with the Army and Navy associates. The Associates Competitionsí Air Force winners were: Resident Research Podium Competition- Capt Luke Surry from San Antonio Military Medical Center who received the Grollman Award.

Capt Luke Surry
Capt Luke Surry

Resident Research Poster Competition- Capt John Gillis from Wright Patterson Medical Center

Capt John Gillis
Capt John Gillis

Clinical Vignette Poster Competition- Capt Matthew Koroscil from Wright Patterson Medical Center.

Capt Matthew Koroscil
Capt Matthew Koroscil

The Fellow Research Poster competitionís recipient of our Sanford Award was presented to Capt Thomas Schmidt of the SAMMC Rheumatology Fellowship Program.

Capt Schmidt
Capt Thomas Schmidt

The Air Force Doctors Dilemma teams were represented by: Keesler: Capt Andrew Maley, Capt Grant Gallimore, Capt David Brandt. SAMMC-AF: Capt John Magulick, Capt Michelle Orme, Capt Luke Surry. Wright Patterson: Capt Matthew Koroscil, Capt David Russo, Capt John Untisz.

The team that won the bragging rights for the Tri-Service ACP Doctors Dilemma Championship capturing the Tri-Service trophy hailed from Walter Reed National Military Medical Center ĖArmy team.

Doctors Dilemma Team
Final Doctors Dilemma Teams

Representing the Air Force Chapter at the national ACP will be team Keesler Medical Center: Capt David Brandt, Capt Grant Gallimore and Capt Andrew Maley.

Team Keeslet
Team Keesler

They will compete at Doctors Dilemma at the National ACP meeting in San Francisco, CA in April of 2013. Thanks to the Air Force judges this year: Col April Fitzgerald, Lt Col Laveta McDowell, Maj Angie Collamer, Maj Justin Cummings and Maj Matt Hann.

Maj Collamer and Lt Col McDowell
Maj Collamer and Lt Col McDowell

Thanks to Lt Col Sam Jones and Lt Col William Hannah our Chief Medicine and IM Consultants respectively who helped secure funding and provided an Air Force Update as well as Lt Col Matt Carroll for coordinating the central funding through AETC for the meeting.

Thanks to our Awards Committee Chairperson Lt Col Michael Forgione.

This year we were proud to present two Major General Archie Hoffman Governorís Awards. Maj Ian Stewart was the recipient of the MTF award from San Antonio Military Medical Center and Maj Angelique Collamer from Langley AFB was the recipient of the Field award.

Maj Ian Stewart
Maj Ian Stewart

Maj Angelique Collamer
Maj Angelique Collamer

Unfortunately Maj Stewart was not able to receive his award at this yearís meeting as he is pre-deployment processing so his award was presented to him in advance of our meeting . Thanks to Robbin Gilmore from the ACP who brought ACP resources to look at such as MKSAP and fellowship applications. Please welcome our new Fellows (FACP): Col Marcus Cranston, Dr. Bridget Fiechtner, Maj Diane Homeyer, Maj Sanjay Kulkarni, Lt Col David Mallette, Maj Brian Neubauer, Dr. Michael Osswald, Maj Andrea Porrovecchio, Maj Michael Salata, Maj Joshua Sill, and Lt Col Joseph Sky.

We continue to encourage members to apply for the honor of fellowship in the ACP. Hopefully many of them will be able to march in the Convocation Ceremony at the national ACP meeting in San Francisco. Congratulations to all!

The Laureate Award is the highest level award that an ACP chapter can bestow upon any of its members.

The Laureate Award honors Fellows or Masters of the ACP who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, or research, and in service to their community, their Chapter, and the American College of Physicians. We honored one Laureate this year. This prestigious award was presented to Col (Ret) James Jacobson. Since we were not able to include his biography in our electronic program I am including it in this newsletter. Please read his biography and be inspired.

Laureate Award winner, Col (Ret) James Jacobson

2012 Air Force Chapter Laureate
James M. Jacobson, MD, FACP
Colonel (Retired), Medical Corps

Colonel (Retired) James M. Jacobson began his military career as a cadet at the United States Air Force Academy graduating with a B.S. in Biology in 1970. He obtained his MD from the University of Iowa College of Medicine in 1974. He completed his Internship and Residency in Internal Medicine at David Grant USAF Medical Center, Travis AFB, California in 1977, followed by fellowship training in Endocrinology and Metabolism at Wilford Hall USAF Medical Center which he completed in 1979. After completing his training he was stationed at Wright Patterson AFB. In 1981 he was appointed as the Chief of Endocrinology and Metabolism and the Chief of Internal Medicine Clinic. In 1985 he was transferred to Wilford Hall USAF Medical Center and became the Chief of Endocrinology and Metabolism and Program Director of the Endocrinology and Metabolism Fellowship Program, a position he held until his retirement in 1991. In 1989 he was asked to serve as the Deputy Director of Hospital Services, as well as appointed the Consultant in Endocrinology and Metabolism to the Air Force Surgeon General. In 1990 he became the Director of Hospital Services, and served in this position until retirement in 1991.

Many of Colonel (Retired) Jacobsonís contributions to US Air Force have been as a physician educator and leader. In 1982, he was appointed the Associate Program Director for the Internal Medicine training program at Wright Patterson USAF Medical Center and attained the rank of Associate Professor at Wright State University School of Medicine. He trained medical students and residents, and was recognized for his excellence in teaching. In 1985 he was appointed the Fellowship Director for Endocrinology & Metabolism at Wilford Hall USAF Medical Center. He continued to seek out opportunities to teach, as a preceptor for 3rd and 4th year medical students, as an instructor for residents, and as a coordinator for the Nuclear Medicine Fellowship in Endocrinology. In 1988 he won the Allene van Son Award from the American Association of Diabetes Educators for best hands-on teaching tool for diabetics.

Colonel (Retired) Jacobson was also a gifted leader. From early in his career he took on multiple leadership roles, balancing these jobs while remaining a clinician and educator. He was selected as the Deputy Director for Hospital Services in 1989 while continuing to serve as a fellowship director and preceptor. In 1990 he was appointed as the Director of Hospital Services. Colonel (Retired) Jacobson was also extremely active in the U.S. Air Force ACP Chapter serving on the Board of Governors from 1981-86, Program Coordinator in 1985, and President-Elect in 1989. He was also integral in the leadership of the Society of Air Force Physicians serving as the Recording Secretary 1985-86, Vice President 1988-89, and President-Elect 1989-90.

Colonel (Retired) Jacobson is recognized as an expert in the fields of Internal Medicine and Endocrinology & Metabolism. He has authored over 30 peer-reviewed publications, 9 book chapters, and numerous abstracts and presentations at regional and national meetings. He also is a prolific writer with many publications on health care related topics including medical ethics, Medicare, managed care, diabetes, and other endocrinology topics. After leaving the military, Colonel (Retired) Jacobson became the Vice President, Medical Director and Chief Operating Officer of Foundation Health in Irving, TX.

Colonel (Retired) Jacobson is a Fellow of the American College of Physicians, and a Member of the American College of Physician Executives, and American Academy of Medical Directors. He is a Diplomate of the American Board of Internal Medicine (ABIM) and the ABIM subspecialty Endocrinology and Metabolism. He is also a Diplomate of the American Board of Medical Management, a Certified Physician Executive, and a Six Sigma Black Belt. He currently serves as the President, Net Education Design, Inc.

The Awards Dinner was held at the Army and Navy Club. It was nice to see everyone in their Class A or Mess Dress uniforms. Though it is not our chapterís tradition to hold an awards dinner after the meeting, in the spirit of tri-service, we joined along. Our chapter dues remain at $35 per year which is included in your annual ACP dues. As a reminder, please remember to pay your annual dues. ABIM contacted the College recently to let us know that the launch of its new continuous Maintenance of Certification program will be delayed to a later date. The new program was originally projected to begin in January 2013. ABIM is in the process of determining a new roll-out date, which will be determined in part by the completion of the technological infrastructure needed to implement the program. We will continue to keep you updated about a new launch date as we receive information from ABIM.

I am very pleased to inform you that our Chapter is again the recipient of a Chapter Excellence Award for 2012.

Chapter Excellence Award
2012 Chapter Excellence Award

This meeting continues to give us the opportunity to gather together with friends and colleagues, network and mentor our future physicians. We were very fortunate to have our Navy colleagues with us this year!

Tri-service ACP
Triservice ACP

As this is my final newsletter to our chapter, I want you all to know that it has been my true honor and privilege being your Governor! Our meeting has evolved over the years and I thank all those who have been involved in planning the meetings over the years. I also wish to thank the Army Chapter ACP Governor COL Lisa Zacher who has embraced the combined Army and Air Force ACP meetings since 2007. I know that our chapter is in great hands with Lt Col William Hannah who will assume the role as Governor after the national ACP meeting in the Spring of 2013.

governor-elect and governor
ACP Governor-elect, Dr. Hannah and Governor, Dr. Rodriguez

Please consider stepping up to the plate when he asks for volunteers to help plan the next meeting. Finally, I want to leave you with the words from the USUHS Alma Mater written by a Class of 1993 graduate, Dr. Vincent Barnhart, which I feel applies to everyone (USUHS alumni, HPSP graduates, and Civilians) serving in/for the military medical corps.

Hail to thee, our Alma Mater, guardian of our nationís health.
Help us always thee to honor and contribute to thy wealth.
Wealth of knowledge, service, virtue, and compassion towards all men.
As we serve the sons and daughters, sworn our country to defend.
Guide us as we go forth from thee, serving on land, air, and sea.
As we stanch the wounds of freedom and serve public health in peace.
Let thy motto be engraven on our hearts and in our minds.
While devoting self to others, working for our nationís lives.

Be proud of your time serving in the military and know that you are valued. Enjoy working with outstanding colleagues taking care of our nationís active duty, veterans and their dependents. The grass is not always greener on the Civilian side and if you are unsure about staying or leaving after your commitment is done, consider a short-term contract until you know for sure. Our thoughts are with those who are currently in harmís way abroad and wish them a safe and happy holiday season and look forward to their return home. I wish all of you a very Happy Thanksgiving!

Best Wishes!

LtCol Rechell G. Rodriguez, M.D., F.A.C.P .
ACP Governor, Air Force Chapter