BUSINESS MEETING NEW MEXICO CHAPTER MEETING 2014 Eileen Barrett, MD, MPH, FACP Governor, NM Chapter Agenda • • • • • • • Awards Business Accomplishments Council & Committees Elections Maintenance of Certification update Future directions Awards • • • • • National awards Student Award Excellence in Teaching Community Service and Volunteerism Chapter Laureate National Awards Oscar E. Edwards Memorial Award for Volunteerism and Community Service Larry Crook, MD, FACP National Awards Richard and Hinda Rosenthal Award from The Rosenthal Family Foundation Tom Sequist, MD, MPH, FACP National Awards Mastership Sanjeev Arora, MD, FACP, FACG NM ACP Student Award • Presented to Elizabeth Rodriguez, in recognition of her dedication and contributions to internal medicine through student leadership, scholarship, education, advocacy and community service NM ACP Excellence in Teaching Award Awarded to Kendall Rogers, MD, CPE, FACP, SFHM “It is the supreme art of the teacher to awaken joy in creative expression and knowledge.” Albert Einstein NM ACP Community Service & Volunteerism Award Awarded to Maricruz Merino, MD, FACP “I don't know what your destiny will be, but one thing I know: the only ones among you who will be really happy are those who have sought and found how to serve.” Albert Schweitzer NM ACP Chapter Laureate Awarded to Allen Adolphe, MD, PhD, FACP “Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life...” William Osler Business • The chapter is in compliance with the national ACP bylaws, the NM Attorney General’s office, and federal and state tax laws • The chapter is in compliance with national ACP recommendations for financial stewardship and business management New Mexico Chapter 777 members in the chapter: 162 Student members 95 Resident/Fellows in training 324 Members 178 Fellows 8 Masters Welcome & Congratulations to New Fellows Virginia Corpus, MD FACP William Cumberworth, MD, FACP Douglas Egli, MD, FACP Bradley A Kanode, MD FACP George Laws, MD, FACP Maricruz Merino, MD, FACP Boris Naraev, MD, PhD, FACP Ikenna Osuorji, MD, FACP Molly Vosburg, MD, FACP Congratulations to our Residents at National ACP Competitions • Ahmad Allaham, MD, Omar Abu Saleh, MD, and Omar Abu Nabaa, MD, won the first round of the resident Doctor’s Dilemma/Medical Jeopardy competition at Internal Medicine in Orlando • Mariam Salas, MBBcH, and Leona Ebara, MD, presented at the national Internal Medicine juried poster competition in Orlando NM ACP Resident Award The chapter recognized Alberto Aguayo, MD, with the inaugural resident award for his commitment to advancing internal medicine, in particular his dedication to primary care Accomplishments & Recognition • Chapter Excellence Award • Adult Immunization and Diabetes meeting in Santa Fe • Chapter Development Award for increasing mindfulness and increasing compassion through support of Schwartz Rounds • Collaborated with Illinois ACP on MKSAP Study Hall • Joseph E Johnson Leadership Day Grant • Leadership Day delegation – Mike Kaufman, Julio Munoz, Sam MacBride Medicaid Pay Parity Medicaid Pay Parity Medicaid Pay Parity http://www.acponline.org/about_ac p/chapters/nm/supp2.pdf Governor Election • Governorship is a four-year term where the individual serves on the Board of Governors (BOG). The BOG is an advisory board to the Board of Regents, the College's policy-making body. • Governors are charged with implementing national projects and initiatives at the chapter level and represent member concerns at the national level. Governor Election Many thanks and best wishes to our chapter’s two nominees for Governor: • Betty Chang, MDCM, PhD, FCCP, FACP • Keshab Paudel, MD, MBA, FHM, FACP Chapter Officers President – Julio Munoz, MD, FACP, MAAHPM Treasurer - Darryl Williams, MD, MPH, FACP Secretary – Boud Atterbury, MD, FACP Chapter Council Cindy Arndell, MD, FACP Heather Brislen, MD* Brianna Cowan, MD, FACP Dana Fotieo, MD, FACP Jemery Kaufman, MD Tobore Kokoricha, MBBS, FACP Alisha Parada, MD* Keshab Paudel, MD, MBA, FHM, FACP Rush Pierce, MD, MPH, FACP Justina Trott, MD, FACP Patrick Rendon, MD Manish Pandya, MBBS Rush Pierce, MD, MPH, FACP Chapter Council Chief Residents Taylor Goot, MD Sergio Huerta, MD Internal Medicine Interest Group Tomas Cordova, President Ex-Officio Councilors & Former Governors Betty Chang, MDCM, PhD, FCCP, FACP Howard Gogel, MD, FACP Richard Honsiger, MD, MACP Jennifer Jernigan, MD, FACP Michael Kaufman, MD, FACP Barbara McGuire, MD, MMM, FACP Pope Moseley, MD, FACP Reg Strickland, MD, MACP Sara Walker, MD, MACP Committees Nominations Committee: Rush Pierce, MD, MPH, FACP, Chair Tobore Kokoricha, MBBS, FACP Ellen Yee, MD, MPH, FACP Residents and Students Committee, Co-Chairs Alisha Parada, MD Patrick Rendon, MD Committees Diversity Committee, Chair Justina Trott, MD, FACP Physician Wellness Committee (new!) Liz Lawrence, MD, FACP Awards Committee, Chair Howard Gogel, MD, FACP Health and Public Policy Committee, Chair Julio Munoz, MD, FACP, MAAHPM Committees Hospitalist Committee, Chair Rush Pierce, MD, MPH, FACP Membership Committee, Chair Keshab Paudel, MD, MBA, FHM, FACP Early Career Physicians Committee, Co-Chairs Heather Brislen, MD Brianna Cowan, MD, FACP Committees Scientific Program Planning Committee Julio Munoz, MD, FACP, MAAHPM, Chair Cindy Arndell, MD, MPH, FACP Boud Atterbury, MD, FACP Brianna Cowan, MD, FACP Dana Fotieo, MD, FACP Alisha Parada, MD Patrick Rendon, MD Resident and Student Poster Competition Judges Heather Brislen, MD Alisha Parada, MD Mitch Simson, MD Sam MacBride, MD Dana Fotieo, MD, FACP Julio Munoz, MD Betty Chang, MBBcH, PhD, Brianna Cowan, MD, FACP FACP Rush Pierce, MD, MPH, Jennifer Jernigan, MD, FACP FACP Allen Adolphe, MD, PhD, FACP Thank you Departing Officers and Councilors: Darryl Williams, MD, MPH, FACP Brianna Cowan, MD, FACP Justina Trott, MD, FACP Elections Officer Nominations: Treasurer: Sepehr Khashaei, MD Secretary: Alisha Parada, MD Council Nominations (at large): Cynthia Arndell, MD, FACP Boudinot Atterbury, MD, FACP Heather Brislen, MD Daniel Freese, DO LaWanda Jim, MD Jemery Kaufman, MD Tobore Kokoricha, MBBS, FACP Thank you The council and I wish to sincerely thank the chapter coordinator Sylvia Burns for her dedication and service ABIM Maintenance of Certification (MOC) Process* *ABIM ≠ ACP What Do I Need To Know and Where Do I Start? Basics • Go to abim.org and enroll if you have not yet done so – Fee includes all of the ABIM modules & the fee to take the exam • Find out what you are already doing that will earn credit • Choose MOC projects/education that fit into your life and practice life • Pass the exam What if you don’t enroll in MOC or are not meeting requirements? “Participating in MOC” will be the new language abim.org ⏎ ⏎ **How do I meet MOC requirements?** • Complete any MOC activity every two years* • Earn 100 MOC points every 5 years* in the following distribution: – At least 20 medical knowledge points – At least 20 practice assessment points • Participate in an approved patient safety activity and “patient voice” activity every 5 years • Pass the exam *Points earned every two years will also count toward your 5-year requirement Notes on the Exam • Pass the examination every 10 years from when it was last passed.* – You must pass a separate exam for every certificate that you wish to maintain – If you were certified before 1990 (and have time-unlimited certifications), you will remain certified even if you do not participate in MOC or pass the exam – If you were certified before 1990/have time-unlimited certifications, you have until December 31, 2023 to pass the secure examination Notes on the Patient Safety and Patient Voice requirements • Requirements introduced in 2014 • Requirements must be met by 12/31/18 and every 5 years thereafter ACP MOC resources **MOC Navigator**: http://www.acponline.org/mocnavigator/ MOC Navigator, continued MOC Navigator, continued Medical knowledge points: High Value Care cases Conflict of Interest Course Annals of Internal Medicine: Patient Safety Learning Module Ethics and Professionalism Module from Annals of Internal Medicine MKSAP 16 Digital MKSAP 16 Print Only MKSAP 16 Print Only **Internal Medicine Meeting Modules**: http://im2015.acponline.org/educational-program/moc-modules If your name is on either of these lists, it is because you attended IM 2014 in Orlando & can get 30 MOC points if you answer questions on the ACP website ACP Clinical Shorts Annals Virtual Patients ACP Live Courses: ABIM SEP Modules **MOC Practice Assessment – The Basics** You may report retroactively or prospectively 1. Collect baseline data on 25 patient records 2. Review data and select 3 QI measures to improve on 3. Implement QI plan (minimum of 3 months) 4. Review follow-up data on 25 patient records (no more than 12 months after baseline) 5. Report findings to ABIM and get 20 hours of MOC “PIM” credit Examples of PIMs/Practice Assessment Projects • • • • • • • • ABIM CV risk evaluation PIM - 15 hours of work Clerk handed out TdaP VISs to patients - reviewed 25 charts before and after - felt to be easy and helpful ABIM osteoporosis project - 25 charts for vitamin D and DEXA screens, reviewed charts pre and post - felt to be about 15 hours, helpful ABIM DM module improving A1cs in patients with very high A1cs - took 40 hours, little benefit Chart reviews on diabetics, referred 25 with high A1cs to DM education, reported results Self-directed vaccination rate project – reported on data collected as part of a team on HPV series start, HPV series completion, and TdaP - easy and meaningful Self-directed PPI use - did a presentation on appropriate/inappropriate PPI use among inpatients, then reviewed 25 before and after charts - felt to be easy and valuable Many options! **Completed Project PIM** • Personal anecdote: seems much easier, since it’s more likely to be work you’ve already done • Allows reporting data in aggregate rather than individually 1. Collect baseline data on at least 25 patient records 2. Select 3 QI measures to improve on 3. Implement QI plan (3 -12 months) 4. Review follow-up data on at least 25 patients • If the QI measures you choose are not in the ABIM QI measures “library”/database, you can request approval • Not recommended for anyone who has never done QI projects; individuals who have never done QI work should consider a prospective PIM (very structured) How to choose a PIM – abim.org ⏎ **Completed Project PIM advice** • Choose a QI project you are involved in that is already being worked on for 3-12 months that involves at least 25 patients – CAUTI, CLABSI, foley use, VTEp, PUDp, immunizations, diabetic foot exams, inpatient glycemic control, falls, patient satisfaction • Select 3 measures either in the ABIM measures library or write to ABIM to get approval of your measure Prospective PIM • Choose a PIM from the ABIM list or from ACP • Review 25 charts for 3 measures • Implement an intervention • Review 25 charts for those 3 measures 312 months later • Enter data and findings into ABIM website If you have little or no experience with QI: ACP Resources • ACP Quality Connect (free) – http://www.acponline.org/running_practice/quality_im provement/projects/ • Adult Immunization • Diabetes • Cardiovascular Risk • ACP Practice Assessment Tools (free) – http://www.acponline.org/running_practice/quality_im provement/practice_assessment/ • Dementia • Low Back Pain • Obesity Summary 1. Check out the ACP MOC Navigator 2. Go to abim.org and register then enroll in MOC 3. Find out what you are already doing that will earn credit (MKSAP, national ACP meeting, NEJM Knowledge+, etc) – and submit for that credit (!) 4. Choose MOC projects/education that fit into your life and practice life – Consider the completed project practice assessment module/PIM – Choose a project that you’re already working on – Consider deferring the patient voice requirement until there are more options 5. Pass the exam Future Directions for the Chapter • • • • • • • • Doctor’s Dilemma/Medical Jeopardy J1 visa resources Career panel for students, residents Reducing physician burnout: mindfulness, practice redesign, delegating Supporting Medicaid Pay Parity SHM partnership Maintenance of Certification support [insert your idea here] Parting thoughts • Return your completed CME forms to the registration table at the conclusion of the meeting • The speakers’ slides are available on the chapter website • Keep in touch