February 2013
Governor's Corner
Mentoring Brunch for Medical Students Needs Mentors!
Membership Committee Report
Dr. Joyce Wipf
Annual Meeting Recap
Save the Date - WC-ACP 2013 Annual Meeting
Washington ACP 2012 Award Recipients
2012 Associate and Student Competition Winners
ACP Leadership Day - May 21 & 22
Council of Young Physicians
Osler Club News
Women in Medicine News
Plan to Attend: Spokane Society of Internal Medicine's 64th Annual Meeting
ACP CME Events in Your Community.
Vaccine Advisory Committee News
Important News from National ACP
Congratulations New Master of ACP
Welcome New Members
Congratulations New Fellows
2013 Calendar of Events

Contact Us

Carrie A. Horwitch MD, MPH, FACP


Email Me 

Amanda Watne 

Chapter Executive
Email Me 

2033 6th Ave Ste 1100

Seattle, WA 98121

Ph: 206.956.3650

F: 206.441.5863


Governor's Corner 

By Carrie Horwitch MD FACP, WA-ACP Governor

"The spirit of democracy is not a mechanical thing to be adjusted by abolition of forms. It requires change of heart." Mahatma Gandhi

The recent tragic events in Newtown, CT have once again focused our nation on the issue of gun violence and gun control.  Our thoughts and prayers go to all those families and communities whose lives have been affected by these violent crimes.  I certainly hope that our society is now ready for a change of heart and action when it comes to gun control and reduction of violence in our communities. When the initial shock of the news wore off, I contacted national ACP to see what our professional organization was doing about this issue and what we will plan to do.  I was pleased to see that ACP has had a policy about firearms for a number of years and will be revisiting this issue in one of the policy meetings.  Please read the statement made by ACP President Dr David Bronson.

There is also a related posting on Bob Doherty's blog posted December 17, 2012. ACP also published an editorial in the Annals on January 1, 2013 by Dr Christine Laine who makes a very strong case that we should look at gun violence as a public health issue in this country.

This is one health related issue that will be before the current congress at the national level. We also have several issues that will be before our state house and senate.  Budget concerns continue to be a worry and several programs run a risk of having reduction of funding- this is at the same time as our state is moving forward on implementing health exchanges, Medicaid expansion and other components of the health reform law (ACA). Many of these changes will take place in 2014 but we should start seeing some benefits this year with increased reimbursement to primary care.  

I would strongly urge you to be more involved in our state advocacy efforts. The WSMA leadership day is Monday February 4th, several of us will be going to Olympia- if you are interested you need to register at:  https://wsma.org/13-LegSummit

Please let us know if you are attending so we can arrange to meet at the hotel beforehand . Also if you are interested in carpooling please contact me.

In November 2012- we had our annual chapter meeting that was co-chaired by Drs Lisa Chiou and Chris Knight.  It was a fantastic turnout and the attendees gave it high marks for clinical content, advocacy issues, interacting with others in the field, and improving clinical skills.  Please see below for more information about the recent meeting and the award winners from the chapter. Congratulations to all our awardees.

We are already planning for our next annual chapter meeting which will be Nov 7-9, at Bell Harbor in Seattle.  Please save the date.  

I am now entering my last year as your Governor.  It is hard to believe that three years has passed already. I continue to be energized by my career choice as an internist and by ACP as my professional society home.  

In April 2014, Dr Joyce Wipf will become the next Governor for WA state- I know that our chapter will be in wonderful hands and Dr Wipf will do great things in the years to come.

As always, if you have ideas for our chapter or want to become more involved please contact me at carrieho@comcast.net  

biosMentoring Brunch for Medical Students Needs Mentors!
Organized again by popular demand, the Osler Club will have a Mentoring Brunch on Saturday morning, February 9 at 10:30 a.m.  This year's dim sum location will be Bamboo Village in Seattle, just south of Greenlake at 4900 Stone Way N:   http://www.bamboovillagerestaurant.com/

The medical students hope to meet physicians in practice with an informal opportunity for dialogue. Other mentoring opportunities may be created through these initial contacts. Please consider bringing your non-physician or physician spouse and family to this event and contact Kemi Nakabayashi, MD, FACP at kemin@pacmed.org if you can attend as a mentor.
biosMembership Committee Report
By Kemi Nakabayashi MD FAC, and Saleem Memom, MD, FACP, Membership Co-Chairs

Happy New Year from your WA-ACP membership chairpersons!  We look forward to another inspiring year with IM 2013 in San Francisco in April and hope to see you there.  The Recruit-A-Colleague program continues for this cycle through March 31.  Inviting new members with discounted registration to the annual meeting before the regular registration fee deadline of January 31 is a great enticement.  Here is the link to additional information on Recruit-A-Colleague.

We feel that hospitalists can particularly promote the value of ACP membership for board recertification, MKSAP and other CME offerings and take advantage of the Recruit-A-Colleague benefits as we continue to work on collaboration with Society of Hospital Medicine.  Please also see the various interest group articles and use these activities as a way to promote the value of ACP membership.  The Women in Medicine Dim Sum Around the Sound gatherings for example are not exclusive to ACP members.  Bring a friend with you!
Dr. Joyce Wipf  Elected Governor-Elect

We had two outstanding candidates for Washington chapter governor, Drs. Matt Hollon and Joyce Wipf.Congratulations to Joyce Wipf MD, FACP who was selected to be your next Governor.  We thank both these individuals for their enthusiasm and their work on behalf of the Washington chapter over the years.  We also thank our membership who voted in this election.

Dr. Wipf will be considered the Governor-elect Designee and will start her four year term as Governor in the Spring of 2014. As Governor, Dr. Wipf serves as the official representative of the College for the Washington Chapter, providing a link between members at the local level and leadership at the national level. The Governor has a variety of responsibilities at both levels.
The results of the chapter elections were announced at the Annual Business Meeting on November 2, 2012.

Congratulations to Lisa Chiou MD FACP, Everett, Doug Lindahl DO FACP, Shelton, and Mark Beiter DO FACP, Marysville/Seattle, elected to serve two year terms on the chapter's Executive Council.

In addition, David C. Dugdale III MD FACP, Rebecca Ruud MD FACP, Jeff S. Clarke MD FACP, and Saleem Memon MD FACP were reelected to serve an additional two year terms on the Executive Council. 
Annual Meeting Recap

By Meeting Co-Chairs Chris Knight MD FACP and Lisa Chiou MD FACP

This past November, over 300 people attended the 2012 Washington ACP meeting in Seattle, making this year's conference a success.  During the two day conference, speakers presented a broad range of topics on inpatient and outpatient medicine, including medical marijuana and physician burnout.   A thorough and thought-provoking update on health care reform was given by Bob Doherty, ACP Senior Vice President for Governmental Affairs and Public Policy.

The two precourses in hospital medicine and sports medicine were well-attended and both provided hands-on learning opportunities by skilled faculty teachers.  For the first time, we also offered ABIM Maintenance of Certification modules.  Oral and poster presentations by associates and medical students were stellar yet again.  Dr. Moe Hagman presided over the always entertaining Medical Jeopardy, and the winning team from Virginia Mason will surely represent Washington well at the national ACP conference in April.

Planning is already underway for the 2013 Washington ACP meeting which will be held from November 8-9 at the Bell Harbor Conference Center in Seattle.  On November 7, we will have precourses in hospital medicine and palliative care, and again we will be offering ABIM Maintenance of Certification modules.  We are looking forward to what Drs. Maggie Adam and Paul Kassab, our conference co-chairs, have in store for us!

Save the Date - WC-ACP 2013 Annual Meeting
By Paul G. Kassab MD FACP and Maggie R. Adam MD, Planning Committee Co-Chairs

The 2013 ACP Washington Chapter Scientific Session will be held on Friday and Saturday, November 8 and 9, at the Bell Harbor Conference Center in Seattle. Half-day pre-courses and MOC Modules will be held at the same venue on Thursday, November 7.

Be sure to mark your calendar. We look forward to seeing you!
Washington ACP 2012 Award Recipients

Annually the Washington ACP honors internists for their contributions to patient care, community service, and education. The following 2012 awards were presented in November at the Washington ACP Annual Scientific Meeting.

2012 Award Recipients (from left to right) Bruce Smith MD, FACP, Laureate Award; Steven Konicek  MD, Internist of the Year; Dr. Carrie Horwitch, Chapter Governor; Tim Hatlen, Outstanding Medical Student; Paul Bunge MD, Community Service

Laureate Award

From left to right: Laureate Award Winner, Bruce Smith MD, FACP, son, Brendan, wife, Denise and daughter, Andrea

The 2012 recipient of the Laureate Award from the Washington Chapter of the ACP is Bruce Smith MD FACP.

Dr. Bruce C. Smith is the recipient of the ACP Washington Chapter Laureate Award for 2012.  He was born and raised near Lynnwood, Washington where his family has lived since the 1930's.  He attended Washington State University in their Honors Program and received a degree in biochemistry in 1979.  He graduated from the University of Washington School of Medicine in 1984 and completed his residency in Internal Medicine at Virginia Mason Medical Center in 1987.

After residency he began practice in primary care internal medicine at Virginia Mason's satellite clinic in Issaquah.  His practice quickly developed a concentration on geriatrics out of his own interest and feedback from his patients.  He managed his own hospitalized patients at Overlake, Virginia Mason, and other hospitals for many years and served on the residency faculty at Virginia Mason.  In 1999 he left Virginia Mason to focus exclusively on geriatrics at Overlake Hospital's new Bellevue Senior Health Center.  There he developed and managed their nursing home program along with his outpatient clinic practice.  He became more involved in administration of his medical group and as a nursing home medical director.  In 2006 he joined Group Health to manage their system-wide nursing home rounding program and later also became the medical director of their hospice program.  He continued to see patients in nursing homes and hospice settings.  In 2012 he became an Associate Medical Director for Group Health's 1400-member medical group.  Dr. Smith is board certified in Internal Medicine as well as Hospice and Palliative Medicine.  He is a certified medical director for long-term care and hospice and completed the Certificate program in Medical Management at the University of Washington.  Read More

Internist of the Year

From left to right:  Steven Konicek MD, Internist of the Year, and Dr. Carrie Horwitch, Chapter Governor

Each year the chapter seeks to honor a community-based internist considered to be a role model by his or her peers, possess excellent clinical skills, dedication to patients, enthusiasm for medical practice leadership, and the ability to balance between professional and personal interest that we can all strive to emulate.  This year's recipient of the Internist of the Year Award goes to Steven Konicek, MD,

Dr. Konicek is a well-respected full-time civilian provider in the Internal Medicine Clinic at Madigan Army Medical Center.  He provides exemplary outpatient care to active duty military members, retirees, and their families.  Patients often remark what a privilege it is to have him as their primary care physician.  In addition to seeing his panel of over 1000 patients, Dr. Konicek also routinely performs exercise treadmill stress tests and attends on the Madigan Outpatient Internal Medicine Consult Service.  He has been a member of both the Washington State Medical Association and the Pierce County Medical Society since 1995.  Read More

Golden Apple Award

Pictured left to right: Jeff Peterson MD and Carrie Horwitch MD, MPH, FACP, WA-ACP Governor

With this award, the chapter honors volunteer teachers who have made a substantial contribution to the education of medical or other health profession students in his or her community.  This year's Golden Apple Award recipient is Jeff Peterson MD,

Dr. Peterson works at Seattle Arthritis Clinic.  He has had a third year student in his clinic every week for the past decade. In a time when it is harder and harder to find physicians to volunteer to teach students, Jeff enthusiastically teaches always

Community Service Award

From left to right: Paul Smith MD, FACP, Awards Chair, and Paul Bunge MD, Community Service Award Winner

In recognition of an internist or group of internists who have an exceptionally positive impact on their community through volunteer activities. The winner of this year's award is Paul Bunge MD,

Dr. Bunge graduated from University of Missouri - Columbia School of medicine 1995 under US Navy scholarship Internship at Madigan Army Medical Center followed by 2 1/2 year service on Guam as Undersea Medical Officer.  He finished Internal Medicine Residency at Balboa Naval Hospital in San Diego in 2001 followed by service at Camp Pendleton Naval Hospital.  Read More

Outstanding Medical Student Award

From left to right:  Doug Paauw MD, MACP, Medical Student Liaison and Tim Hatlen, Outstanding Medical Student Award Winner

This year's Outstanding Medical Student was awarded to Tim Hatlen.

Tim Hatlen is applying for residencies in Internal Medicine with his career goals focused on becoming a rural general internist.  His passions in medicine include the continuity of care, the complex medical problems, and depth of the patient-physician relationship.   His number one goal is to return to Washington after his residency (and his future wife's residency who is three years behind) to help precept a rural IM outpatient experience for third and fourth year medical students.  Tim's desire for providing optimal delivery of future patient care has driven him during his clinical years to learn all he could, appreciate the art and lessons taught by his preceptors, and serve continually for the community that is supporting him.  He spent 5 months of his 3rd year training, including his outpatient IM, in Lewistown, MT which provided an appreciation of the demands of a rural general internist.  Tim has recently been elected to Alpha Omega Alpha as well as the Gold Humanism Honor Society this fall.  Read More
2012 Associate and Student Competition Winners
Associate competitions at the 2012 chapter meeting included an oral presentation, poster presentation, and always popular Jeopardy match.  Students participated in a poster presentation competition.  We were lucky to have the opportunity to learn from our Associate colleagues.  Dr. Joey Parker won the oral presentation competition. For his efforts, Dr. Parker won a trip to the National ACP meeting in San Francisco April 2013.  Dr. Nicholas Mark won the poster competition and received  $750 towards ACP CME or educational materials.  Camille Asher from Virginia Mason Medical Center won the student poster competition and received $250 towards ACP CME or educational materials.  In the Medical Jeopardy competition, the Associates from Virginia Mason Medical Center (Drs. Joey Parker, Ananth Shenoy, and  Eric Tuday prevailed over teams from Spokane, University of Washington, and Madigan to win a trip to the National ACP Doctor's Dilemma competition at the national meeting in San Francisco 2013.  If you attend the national meeting, please take the time to cheer on our Washington State team.

Virginia Mason Medical Center Associate Jeopardy Winners (from left to right) Drs. Eric Tuday, Joey Parker and Ananth Shenoy

From left to right:  Michael Soung MD, FACP, Associate Program Chair, Matt Hollon MD, MPH, FACP, Oral Presenter Judge, and Joey Parker MD, Oral Presenter Winner

From left to right:  Associate Poster Winner, Nicholas Mark MD, University of Washington, and Michael Soung MD, FACP, Associate Program Chair

From left to right: Leslie Yen MD, Student Poster Judge, Michael Soung MD, FACP, Associate Program Chair, and Medical Student Poster Winner, Camille Asher, University of Washington
By Genevieve Pagalilauan MD FACP, Advocacy Co-Chair

In November we had the special honor of having ACP Senior Vice President of advocacy and policy, Bob Doherty, as our national ACP representative.  He joined the advocacy committee in presenting a breakfast workshop which was well attended and informative.  Our discussion topics were 1) national ACP's priorities and programs 2) ways for ACP members to get involved in advocacy 3)  Washington State Medicaid expansion, and 4)  Federal Basic Health.   

Since the November 2012 election the balance of our state senate has changed as 2 democrats have declared themselves republican.  Democrats control House of Representatives and Governor's mansion.  Washington State faces a 2 billion dollar budget shortfall over the next biennium. In light of Governor Inslee's reluctance to specifically recommend taxes for revenue building, and the WA Supreme Court ruling that we are underfunding K-12 public education, we must prepare for more drastic cuts to health care and safety net programs. 

Key issues for 2013 include:
  • Washington insurance exchanges
  • State Medicaid expansion - National and WA chapter ACP supports
  • Continued funding for public health, Basic Health, and safety net programs
  • Health Care Authority coverage of emergency room visits for Medicaid recipients- ACP supports
  • Continued funding for the VRP (volunteer retired physician) program to cover medical volunteerism to underserved populations in our state
  • Continued funding for interpreter services
  • WA-ACP and you, as an individual member, have an opportunity to take a leadership role on issues like:
  • Policies around the legalization of marijuana
  • Gun control (see Bob Doherty's recent Policy blog on this topic)
  • Choosing Wisely campaign (physician initiated reduction of medical over use and spending).  
Please share your thoughts with us Genevieve Pagalilauan (genevieve_pagalilauan@yahoo.com) and Bruce Smith (smith.bc@ghc.org).  Consider joining the ACP advocacy committee, and  attending the WSMA lobby day in Olympia Washington on 2/4/13.  There will be a contingency from WA-ACP attending. 
ACP Leadership Day - May 21 & 22
The 21st annual ACP Leadership Day on Capitol Hill will be held May 21-22 at the new Liaison Hotel in Washington, D.C.  For more information log on to http://capwiz.com/acponline/home/LD

If you are a Washington ACP chapter member and interested in being included in the chapter's delegation that will be participating in Leadership Day 2013, contact Amanda Watne at ajw@wsma.org and let her know.  Please submit your request no later than February 15, 2013.

Unfortunately, due to limited funds, the chapter is only able to help reimburse expenses for a few member-at-large attendees.  If selected to attend, the chapter will reimburse you for coach airfare and two night's lodging.

Leadership Day enables the College to increase its presence on Capitol Hill and bring our issues to the attention of U.S. lawmakers. We are counting on a motivated and engaged delegation to assist in our advocacy efforts.
The two day event will provide ACP members with advocacy and/or media training, an update on the College's priority legislative issues, briefings by members of Congress, administration officials, and key Capitol Hill staffers, and an opportunity to meet with your state's elected officials. 
Council of Young Physicians
By Lili Yao MD, CYP Chair

The WA ACP Council of Young Physicians organized an informative and pragmatic event on 20 October 2012 in Tacoma.  Dr. Denny Maher, the Director of Legal Affairs of the Washington State Medical Association, led an interactive discussion with attendees about "Physician Employment Contract Review."  He imparted the following words of encouragement and advice.  It is an exciting time to enter practice.  Before committing to an employment relationship, be sure you understand the basic terms in a contract: compensation, bonus, malpractice, tail coverage, and the non-compete clause.  Be proactive. Delineate your employment goals. Know your rights. Obtain sound advice.  Make sure everything that you think is important is written in the contract.  You can always negotiate.  Be sure you also know and understand the terms of the contract and provisions for termination of the contract.  You can find more professional resources at the Washington State Medical Association website.   Thank you to all those who attended.  We welcome and encourage your comments, involvement and suggestions for future events. Please contact Lili Yao at lili.yao@multicare.org if you are interested in becoming more involved.

We will also have another CYP related session at the 2013 Washington State ACP meeting in November 8-9.  Save the date!
Osler Club News
By Jonathon Sargent, MS-2, Osler Liaison

This past quarter has been very exciting for the Internal Medicine Interest Group (Osler Club) as it continued its mission to provide UWSOM students with the education, skills, and professional connection necessary to succeed in a career in internal medicine. Newly elected president Amy Chang heads the Osler Club's leadership team which is composed of Sheida Aalami, Jeff Bank, Russell Berg, Ruth Go, Steven Levitte, Jennifer McClure, Parhum Namdaran, Jonathon Sargent, Alex Tanabe, and Greta Tubbesing.  Through their hard work and dedication the club was able to host four events this quarter, expand its reach to include students from all WWAMI sites, and connect more students with the professional members of the American College of Physicians professional organization.

The Club hosted two well-attended physician panels, one during Primacy Care Week, and one in November. The panels were composed of specialists in gastroenterology, oncology, cardiology, nephrology pulmonary medicine, and general practice. The physicians gave advice on finding the right practice area, described what makes their particular field unique, and suggested ways to increase the chances of being accepted to the residency of one's choice. Following the panel the students and physicians continued the interaction in a more casual environment over hors d'oeuvres and drinks. One of the panel presentations was broadcast to the WWAMI sites to allow greater opportunities for students in those areas.

On November 28, the Club hosted a relaxed Resident/Student social hour with pizza, beer, and wine. Students were eager to interact with residents to better understand what to expect from residency and residents were enthusiastic about sharing their experiences and giving advice. The event was relaxed, informative, a lot of fun and it gave students a better understanding of what it takes to succeed in upcoming clerkships.

One area to which the Osler Club is dedicated is advocacy and allowing students a greater opportunity to become more involved with advocacy. In an effort to generate greater awareness of these opportunities the Osler Club partnered with Health Equity Circle and hosted an Election Results Viewing Party on November 6. The event was a lot of fun and filled with great conversations, debates, sharing new ideas, and exploring new and better ways for students and physicians to be involved with the causes about which they are so passionate.

In its continuing effort to advance advocacy and create networking and professional development opportunities for students, the Osler Club recently selected JP Manning as its representative for this year's Leadership Day which takes place in Washington D.C. on May 21-22, 2013. Leadership Day is a national, annual research and advocacy conference for the American College of Physicians. Students attending Leadership Day have the opportunity to work with physicians from all over the country on policy issues related to healthcare access and delivery while receiving training on talking to legislators, the legal process, and advocacy in general.

Future events for the Club include organizing day of service for students on Martin Luther King, Jr Day, hosting a clinical skills workshop where medical students can learn directly from residents, and hosting more events where students can gain practical advice and information from practicing physicians and residents.
Women in Medicine News
by Cathrine Wheeler, Co-Chair WIM Organizing Committee
  • The next event in our ongoing "Dim Sum Around the Sound" series of informal drop-in conversation cafes will take place on Saturday, February 2nd (as always, the first Saturday of even-numbered month) at 10 AM, at Imperial Garden in Kent, 18230 E. Valley Hwy, Suite 116, 425-656-0999 (www.imperial-garden.com, provides driving directions).  Come join us for conversation and a special shared meal.  Residents and associate members are also always welcome.  Although not required, your RSVP will help us to plan how many tables to reserve.  Please contact Kemi Nakabayashi MD FACP at kemin@pacmed.org if you are planning to come.  Contact either Kemi or Linda Bavisotto MD FACP (portaclinica@gmail.com) with any questions.  Details for this event will also be posted to the chapter website.
  • Spring Event:  A social event and interactive discussion featuring a panel of speakers who've successfully navigated career transitions and/or career re-entry following a period of absence is being planned for the spring, with date and location to be announced. 
  • A local event of potential interest to WIM:  Most of us are familiar with the storied careers of visionaries James Watson and Francis Crick, but how much do we know of the story of their contemporary, British medical scientist Rosalind Franklin, the talented and courageous x-ray crystallographer whose pioneering work was pivotal in elucidating the helical structure of DNA?  Seattle Repertory Theater in its 50th anniversary season will be performing Anna Ziegler's play "Photograph 51", exploring the life and career of Rosalind Franklin.  The play, described as "intriguing" and "touching", runs from February 1 - March 3, 2013.  For more details or to purchase tickets, see their website, www.seattlerep.org 
  • ACP (national) has recently announced the creation of 15 "member-only" special interest online forums, one of which will have the focus Women in Medicine.  Other special interest groups listed include Work/Life Balance, Sex- and Gender-Specific Medicine, Physician Educators, Maintenance of Certification, Working Abroad, and a variety of topics representing particular practice interests.  For more information and a complete listing of other group forums, or to enroll in any of these groups see: http://www.acponline.org/membership/benefits/special_interest.htm
We were pleased to have a good turnout for the WIM no-host dinner at the annual chapter meeting in November, held at Anthony's Bell Street Diner, and also for the last dim sum event on December 1, held at Bamboo Village near Green Lake.
Plan to Attend: Spokane Society of Internal Medicine's 64th Annual Meeting
by Matt Hollon MD, MPH, FACP

The Washington Chapter of ACP returns as lead sponsor of the SSIM's 64th annual Update in Internal Medicine which will be held at the Spokane Convention Center on February 22, 2013.  Registration is open now!
ACP members can take advantage of discounted registration to the SSIM meeting.  Click here to view the meeting brochure or visit the SSIM's web page for meeting details.
This year's meeting features internationally renowned back pain expert, Dr. Richard Deyo, as well as medical humanities leader, Dr. Robert A. Schwab.  Other topics include updates in rheumatology, palliative care, and drug therapy, focused sessions on COPD, GERD, and anemia, and a host of other topics.
If attending the SSIM meeting don't miss the SSIM-ACP kickoff event on Thursday evening.  We will provide an update on ACP activities regionally and nationally and offer a short session on advancing to fellowship in the College prior to hearing an entertaining talk from Dr. Schwab.
All in all, the SSIM meeting will be an amazing opportunity for both hospital-based and office-based internists, as well as other specialists and primary care providers to hear updates on a broad range of areas relevant to the care of the adult patient.
As this year's meeting will be held on Friday only, for those traveling to Spokane, consider making an extended weekend out of it by visiting one of the five major ski areas (Schweitzer Mt., Silver Mt., 490 North, Mt. Spokane, Lookout Pass) within a 2 hour drive from downtown Spokane.
We hope to see you in Spokane!
ACP CME Events in Your Community
by Matt Hollon MD, MPH, FACP

As initially discussed at the state chapter meeting this past November, we are working on an initiative to bring ACP mini-CME events (2 - 3 hours) to local professional communities across Washington State.
We anticipate that as communities decide to host these events, they will select from a list of speakers/topics they are interested in for CME.  The local community will be responsible for "hosting" the event by supplying the date, time, and venue as well as any amenities they wish to provide.  Once they have identified potential speakers from the "speakers' bureau", the state chapter will work with the local community to make arrangements for the speakers to travel to the CME event.  The state chapter will also handle the CME accreditation.

We are currently in the process of assembling this "speakers' bureau".  If you have talks (please no industry supported talks) that you'd be willing to give to professional communities across the state please send your name and topic to Amanda Watne at ajw@wsma.org .

Also, if you are interested in organizing one of these mini-CME events in your community please contact Amanda Watne and provide her your name and locale.

If you have questions or additional ideas about this initiative please contact Matt Hollon, MD MPH FACP at mfhollon@uw.edu.
Vaccine Advisory Committee News
by Justin R. Ortiz MD, Vaccine Advisory Committee

Pertussis continues to be a major concern for the Washington State Vaccine Advisory Committee (VAC).  During the last full VAC meeting in October, 2012, we had a discussion with CDC and Washington state epidemiologists regarding a recent CDC Epi-Aid Investigation of the pertussis outbreak in Washington. Part of this investigation is a Tdap vaccine effectiveness study which may have implications in the future for pediatric Tdap vaccine schedules nationally.

In November, 2012, the Washington State Vaccine Advisory Committee (VAC) voted to recommend that the Washington State Department of Health promote pertussis immunization in women.  This vote was in response to a October 2012 provisional recommendation by the US Advisory Committee on Immunization Practices (ACIP) that pregnant women should receive a single dose of Tdap vaccine at each pregnancy regardless of prior vaccination, preferably during their third trimester.

The ACIP rationale for this provisional recommendation includes, but is not limited to, the following:
  • Circulation of Pertussis disease continues to be persistent, reaching epidemic levels in states such as Washington.
  • Increased risk and severity of disease for infants, resulting in 10 infant deaths nationally in 2012.
  • Estimated coverage for Tdap vaccine among pregnant women is only at 2.6 percent nationally.
  • Waning immunity of Tdap vaccine.
  • A cost-effectiveness analysis was supportive of vaccination during pregnancy.
  • Safety of Tdap vaccination during pregnancy was determined acceptable and will continue to be monitored.
The VAC will undergo a complete review the ACIP recommendations once they are finalized and published in 2013.
Important News from National ACP

ACP Announces High Value Care Website
ACP is pleased to announce the launch of a new High Value Care website that centralizes resources and information about the High Value Care initiative.

The website simplifies access to clinical, advocacy, patient, and academic resources and features:
  • ACP's evidence-based clinical practice recommendations for specific tests and treatments, such as diagnostic imaging for low back pain and drug treatment of type 2 diabetes published in Annals of Internal Medicine;
  • resources to help implement high value care in physician practices, including ethical considerations, performance measurement recommendations, and peer-reviewed articles about high value care published in Annals of Internal Medicine;
  • summaries of and links to ACP's public policy papers advocating for legislative reforms that would enhance the delivery of care while reducing costs;
  • the High Value Cost-Conscious Care Curriculum for internal medicine residents developed by ACP and the Alliance for Academic Internal Medicine;
  • patient education materials, including brochures for common clinical issues created in partnership with Consumer Reports and based on ACP's evidence-based recommendations; and
  • videos about high value care topics for physicians, medical students, and patients.
ACP is committed to helping physicians provide the best possible care to their patients while simultaneously reducing unnecessary health care costs. The College launched its High Value Care initiative in 2010 because 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.

Explore the new site to learn more about this important initiative and how it can help you and your patients pursue care together to improve health, avoid harms, and reduce wasteful practices.

Call for Fall 2013 Board of Governors Resolutions
Are you concerned about a practice or clinical issue or have an idea you'd like to suggest? If so, you might consider submitting a resolution to your Governor or chapter council.

Initiating a resolution provides ACP members an opportunity to focus attention at the ACP national level on a particular issue or topic that concerns them. Participating in the Board of Governors resolutions process provides the ACP grassroots member a voice and allows you to shape College policy that impacts the practice of internal medicine. When drafting a resolution, don't forget to consider how well it fits within ACP's Mission and Goals. In addition, be sure to use the College's Strategic Plan to guide you when proposing a resolution topic.

If effecting change interests you, the deadline for submitting new resolutions to be heard at the Fall 2013 Board of Governors Meeting is March 20, 2013. Members must submit resolutions to their Governor and/or chapter council. A resolution becomes a resolution of the chapter once the chapter council approves it.

Not sure how to begin drafting a resolution? Researching the College's position on an issue can give you a start. Visit the ACP Online homepage and click the "Advocacy" link in the right-hand, top margin to access ACP policy positions, read about recent ACP advocacy activities, or search the ACP's Public Policy Virtual Library (PPVL). Visit your chapter website, too, and click the link under "Advocacy" to access Electronic Resolutions System (ERS) where you can search past or proposed resolutions. A copy of the resolutions process is available on the ERS which furnishes more details on formatting resolutions, as well the process for submission, review, and approval.

Share your good idea with us. Draft a resolution.

ACP Physician Affiliate Membership Now Available
Physicians trained in specialties other than internal medicine may now join ACP as Physician Affiliate members.

Eligibility includes graduation from a medical school found in the International Medical Education Directory (IMED) maintained by the Foundation for Advancement of Medical Education and Research (FAIMER), and holding a current medical license to practice in their field. No applicant will be accepted as a Physician Affiliate member who has trained in, or who is practicing in, internal medicine.

ACP Physician Affiliate members have access to most of the benefits provided to full Members. They are excluded from voting, holding office, or attaining Fellowship in the College.

Dues for Physician Affiliates are the same as full Members. Outside of the US, Physician Affiliates may only apply for the online Membership option.

To learn more, or to share this opportunity with non-internal medicine physicians in your office, visit www.acponline.org/join.

Strengthen Our Chapter: Participate in ACP's Recruit-a-Colleague Chapter Rewards Program!
The American College of Physicians and the Washington State Chapter encourages all members to help strengthen the voice of internal medicine by recommending ACP Membership to colleagues. By joining the College, your colleagues will enrich their clinical knowledge and skills and have access to all of the ACP member benefits that you enjoy.

To thank you for your dedication to our organization, ACP offers incentives to members and their chapters that recruit new members through the Recruit-a-Colleague Chapter (RACC) Rewards Program.

As with the national Recruit-a-Colleague Program, the RACC Program rewards successful individual recruiters with dues credits for each new full Member recruited and a chance to win a trip to the annual Internal Medicine meeting. In addition, the RACC Program also provides rewards to the recruiters' chapters. The Recruit-a-Colleague Chapter Rewards Program runs annually from April 1 through March 15.

To participate, simply forward to your colleagues the Membership application found at www.acponline.org/racc. To qualify for the program, your name must be listed on the recruiter line of this specially coded application.

Thank you for your help in strengthening our chapter!

ACP Provides Resources for PQRS Requirement Changes
ACP offers resources to help you comply with the latest PQRS (Physician Quality Reporting System) regulations. The PQRS was developed by the CMS in 2007 as a voluntary reporting program that provides a financial incentive to physicians and other eligible professionals who report on data on quality measures for covered services furnished to Medicare beneficiaries.

Due to changes in regulations, physicians will be penalized 1.5% of their Medicare payments in 2015, and 2% in 2016 and each year thereafter, unless they report through PQRS in 2013. If physicians do report in 2013, they are eligible to receive a .5 percent bonus from Medicare. ACP, along with other CMSS member organizations, has contracted with CECity to provide the PQRIwizard tool to assist their members in PQRS reporting.

The PQRIwizard is a cost-effective online tool to help collect and report quality measure data for the PQRS incentive payment program. Similar to online tax preparation software, the PQRIwizard helps guide you through a few easy steps to help rapidly collect, validate, report and submit the results to CMS for payment. ACP members can purchase PQRIwizard at a discounted rate.

ACP Offers Resources to Help Raise Immunization Rates
Several resources are available to help physicians and health care professionals ensure that patients receive the correct immunizations in accordance with the Center for Disease Control‚€™s Recommended Adult Immunization Schedule. ACP urges physicians and healthcare professionals to conduct an immunization review with patients during medical visits to assess whether patients' immunizations are up to date and to educate patients on the benefits of immunization. "Flu shots and other immunizations can prevent people from suffering serious illnesses," said David L. Bronson, MD, FACP, president, ACP. "We need to improve immunization rates for all adults, especially for people between the ages of 18 to 65 with chronic conditions."

ACP advises internists, family physicians, and subspecialists to capitalize on adult medical visits by conducting an immunization review to educate patients about the benefits of immunizations and to assess whether the patient's vaccination status is current, referring to the Center for Disease Control and Prevention's (CDC) Recommended Adult Immunization Schedule.

The list of vaccines that adults should discuss with their internists include T dap (tetanus-diphtheria-pertussis, whooping cough), HPV (human papillomavirus), herpes zoster (shingles), MMR (measles, mumps, and rubella), pneumococcal pneumonia, hepatitis B (for adults with diabetes), and varicella (chickenpox).

The U.S. adult immunization rates for 2010 were 8.2 percent for Tdap (for people 19-64 in the past five years), 20.7 percent for HPV (for women 19-26), 14.4 percent for herpes zoster (for people 60 and older), 18.5 percent for pneumococcal (for people 19-64 who are at high risk), and 42.0 percent for hepatitis B among adults (19 to 49) at high risk of infection. Just 39 percent of adults 18 years of age and older received a flu shot in 2011-12.
"It is also important for physicians to immunize themselves, their staff members, and other health care workers," added Dr. Bronson.

ACP‚€™s Adult Immunization Portal provides resources for clinicians such as the ACP Guide to Adult Immunization, ACP Immunization Advisor App, and the Medical Home Builder adult immunization model.
Congratulations New Master of ACP

Dr. Roger W Bush MD, MACP was elected to become a Master of American College of Physicians. He will receive his Master hooding at the annual ACP meeting in San Francisco, April 2013.
Welcome New Members

We are pleased to welcome the following new members since September 2012:

Irfan A Ansari
Jihad Arteh
Amy Baernstein, MD
Scott Beiswenger, MD
Douglas B Berger, MD
Lauren A Beste, MD
Naomi Gilman Diggs, MD
Prashanthi Ganathi, MBBS
Irfan Jawed, MD
Hugh L Keegan, MD
Mehraneh Khalighi
John H Kim, MD
Rebecca D Mallo, MD
Garth J Muir, MD
Bassel Obaid, MD
Masoud Taleghani, MD
Matthew L Wemple, MD
Faiza N Zafar, DO
Mark C Zaros, MD
Irina M Zigelboym, DO
Congratulations New Fellows

We are pleased to announce the new Fellows in Washington Chapter since September 2012:

Shiraz S Ahmed, MD FACP
Lesley Althouse, MD FACP
Ellen E Frechette, MD FACP
Douglas F Lindahl, DO FACP
Alisse M Ryan, MD FACP
Michael E Westley, MD FACP
2013 Calendar of Events
Feb 2        WIM Dim Sum Around the Sound - Kent
Feb 4        WSMA Legislative Summit - Olympia
Feb 9        Medical Student Mentoring Brunch - Seattle
Feb 22      SSIM Update on Internal Medicine -Spokane
Feb 23      WSMA Interspecialty Advocacy Council -SeaTac
Apr 6         WIM Dim Sum Around the Sound -Location TBD
April 9-10   Board of Governors Meeting - San Francisco
Apr 11-13   ACP Internal Medicine - San Francisco
Apr 12       Northwest Reception - San Francisco
Apr 20       WSMA Interspecialty Advocacy Council -SeaTac
May 21-22  ACP Leadership Day - Washington DC
Jun 1         WIM Dim Sum Around the Sound - Location TBD
Sep 19-21  Board of Governors Meeting - Savannah, GA
Oct 19       WSMA Interspecialty Advocacy Council -SeaTac
Nov 7-9      WA-ACP Annual Scientific Meeting - Seattle, Bell Harbor
Dec 7        WSMA Interspecialty Advocacy Council -SeaTac
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