OKLAHOMA Chapter Officers and Council Members

GOVERNOR: James Baker, MD, FACP

Muskogee, OK 74401 jhbaker@gmail.net PAST GOVERNOR

S. A. Dean Drooby, MD, FACP OKC, OK. 73120

droobymd@coxinet.net TREASURER:

Michael Weisz, MD, FACP

COUNCIL MEMBERS Michael Bronze, MD, FACP

Oklahoma City Bassam Bilal, MD, FACP

OKC Shouvik Chakrabarty, MD FACP

OKC Jennifer Ferrell, DO, FACP

Stillwater Charles Foulks, MD, FACP

Tulsa Tom Galdamez, MD

Tahlequah Michael Gebetsberger, MD, FACP

Tulsa Rhett Jackson, MD, FACP

Oklahoma City Matlock Jeffries, MD

Oklahoma City James Madison, MD, FACP

Tahlequah Hossein Maynani, MD

OKC David Polizzi, MD

Tulsa Ali Mohammad, MD, FACP

Oklahoma City Michelle Salvaggio, MD, FACP

Oklahoma City Boyd Shook, MD MACP

Oklahoma City John Schumann, MD, FACP

Tulsa Sudip Tripathy, MD

OKC Eric Wallace, MD, FACP

Tulsa Eileen West, MD, FACP

Oklahoma City

Kay Bickham Executive Director

December 2013

NEWSLETTER

Congratulations to…..

Michael S. Bronze, MD FACP who was chosen Governor-elect of the Oklahoma Chap-ter of the American College of

Physicians. He will begin his one year term as Governor-elect at the 2014 Orlando ACP meeting and step up to Governor in 2015.

Dr. Bronze was appointed Professor and Chairman, Department of Medicine, University of Oklahoma Health Sciences Center effective July 1, 2000. He was named the Stewart G. Wolf Professor in Internal Medicine in 2004 and David Ross Boyd Professor in 2011. He is board certified in Internal Medicine and Infectious Diseases.

He completed his medical school training at the University of Tennessee, Mem-phis in 1982. His internship and residency were completed at the University of Tennessee, Memphis and served and additional year as Chief Medical Resident. Dr. Bronze completed a fellowship in Infectious Diseases also at the University of Tennessee, Memphis from 1986 through 1988.

Following his professional training he was appointed as an Instructor, Division of Infectious Diseases, University of Tennessee, Memphis in 1987. Over the ensu-ing years he was promoted to Professor of Medicine, University of Tennessee, Memphis where he served until June 30, 2000. His research interests involved the pathogenesis of the nonsuppurative complications of group A streptococcal infections and the role of inflammatory cytokines in bacterial growth.

Since his appointment at the University of Oklahoma, Dr. Bronze has served nu-merous administrative and educational capacities including : Chief of the Medi-cal Service OU Medical Center 2000-present; and Interim Chief Medical Officer OU Medical Center 2007-2009. He serves on the editorial board and as a re-viewer for numerous journals and has been a chair or officer of numerous local, national and regional committees and professional societies including President of the Southern Society for Clinical Investigation 2004-2005, President of the Association of Professors of Medicine 2012-2013 and Chair of the Board of Di-rectors of the Alliance for Academic Internal Medicine since 2013..

W hy are we excited about your ACP member-ship? ACP continues to offer more and more perks for your membership. If you think ACP only pro-vides the Annals of Internal Medicine and MKSAP as perks, allow me to update you. ►What a Great Fall 2013 Scientific Session! Kudos to our 2013 program chair, Shouvik Chakrabarty MD, FACP for scheduling great scholarly presentations. If you came, you ex-perienced an excellent CME experience. If you missed this meeting, I am disappointed for you. We are working hard to provide you with this ACP perk.

►On the Advocacy front, our ACP team is con-tinuously working in Washington DC on repeal of the SGR. The Affordable Care Act still re-mains a mystery, but it will not likely go away. There will be a great deal of change and com-promise as the Affordable Care Act rolls out. Issues of enrollment, public confidence, and the promise of not losing you and your pa-tient’s existing coverage still loom as major problems for President Obama. We are still pressing Congress to eliminate se-questration and fund the CDC, NIH, and gradu

ate medical education to name a few. Where will our new medical school graduates go if we run out of post graduate spots. ►Smart Medicine has been released by ACP as competition for “Up To Date”. This newsletter includes a link to help you connect to this new perk. This is initially designed for the outpa-tient internist for a quick reference during a busy clinic. Our hope is that Smart Medicine will soon have complete, timely information and references for our Internal Medicine hos-pitalist.

►Internal Medicine 2014 in Orlando repre-sents the premiere CME for internist regard-less of what you do. There will be plenty to see and do. Dates for the meeting are April 10—12, 2014. We will again have a chance to honor our Okla-homa national award winners- John Kalbfleisch MD, MACP, Michael Weisz MD, MACP, and Loveland Award Winner The Cherokee Nation. Stay tuned for our reception time and place in Orlando.

Governor’s Column By James Baker, MD, FACP

Governor, Oklahoma Chapter

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ACP CONGRATULATES SENATE AND HOUSE COMMITTEES ON DRAFT SGR PRO-POSAL - INFORMATION ACP congratulates the Senate Finance and House Ways & Means Committees on developing a bipartisan, bicameral draft proposal to permanently repeal Medicare’s Sustainable Growth Rate (SGR) formula and cre-ate powerful incentives for physicians and other health care professionals to transition to value-based pay-ment and delivery models. The discussion draft provides a solid foundation to create a better Medicare phy-sician payment system that incorporates key policies recommended by ACP.

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Oklahoma Chapter Membership Increases...

The total membership of the Oklahoma Chapter in 2013 (943) has increased by 17% over 2012 (840). More impressive is the rise in Associate Members (+41%) and Medical Student Members (+35%). The Oklahoma Chapter Goal for ACP’s Centennial Year is 1,000 Total Oklahoma members. An increase of 16 Fellows and 38 traditional Mem-bers. If you can help us, please become a part of this goal. Recruit an ACP new member. Apply for ACP Fellowship. Together we can do this.

At the 2012 Convocation in San Francisco, Maggie Law MD, FACP, SuSu Lin MD, FACP, Thant Zin MD, FACP, David Bailey MD, FACP, and David Kyger MD, FACP, walked to become new Fellows. See pictures below. So far this year, we have 6 more new Fellows as listed below.

David M. Bailey, MD, FACP Diego S. Humphrey, MD, FACP Sangeeta Khetpal, MD, FACP

Dennis Kolokolo, MBBS, FACP Su Su Lin, MD, FACP Steve P. Sanders, DO ,FACP

In the last six months, the following New Members have been added to our totals: We look forward to meeting and interacting with our newest additions to our chapter.

Chapter Eternal

The Oklahoma chapter mourns the loss of Raymond Brown who most recently passed away in Tulsa. Raymond had a nephrology/Internal Medicine prac-tice in Muskogee. He will be missed.

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Chapter Membership

Shahida Asif, MD Himanshu Bhardwaj, MBBS Ajay Bhargava, MD Ahmad Bilal, MD Angela D. Bolz, DO Ulysses S. Bowler, MD Delali K. Buatsi, MD Malcolm L. Buford Jr, MD George A. Ciolac, MD Aslan Ghand Foroush, DO P Kinya Gikunda, MBchB Ashley K. Hamilton, DO David F. Hitzeman, DO

Vivek Khetpal, MD Howard Y. Lee, DO Peter Mluga Mseti, MD Sobia Nabeel, MD Salman Nusrat, MD Ignatius Nyatsanza, MD Mobolaji Olulade, MD Bhavin C. Patel, MD Saqib Zaheer Syed, MD Krystal Voight, MD Katie L. Washburn, DO

Maggie Law MD, FACP, SuSu Lin MD, FACP, Thant Zin MD, FACP, David Bailey MD, FACP,

David Kyger MD, FACP, and ACP Governor Baker at 2013 convocation

Our annual meeting this year in Oklahoma City saw another great collection of research

and clinical vignette presentations, as well as a few thoughtful review pieces, submitted by

Associate residents and fellows from across the state. Here are a few of the highlights:

Dr. Parker presented a patient with shortness of breath and hypoxia, found to have a pul-monary arteriovenous malformation.

Dr. Farrukh presented a hypokalemic periodic paralysis patient who presented with a con-comitant renal tubular acidosis.

Dr. Nguyen presented a review of the frequency of drug-induced thrombocytopenia in pa-tients younger than 18 years of age, a group frequently ignored.

A case of pulmonary Langerhans cell histiocytosis presenting with generalized seizure was presented by Dr. Khawar who also presented “ A case of cutaneous polyarteritis nodosa”.

Several authors were involved in presenting a case of prostate adenocarcinoma with thy-roid metastases, of which only six have been reported in the literature to date.

An exceptionally rare case of Fahr’s disease was presented by Dr. Sprawls, as was an equally rare case of Scimitar syndrome, by Dr. Iftikhar.

Candida endocarditis was presented by Dr. Hamilton, as was a case of neuromyelitis optica uniquely associated with Sjögren’s syndrome by Dr. George.

Dr. Jaiswal presented a novel approach to treating refractory venom-induced thrombocy-topenia, a case of autoimmune NMDA psychosis, and an oral presentation surveying resi-dents’ knowledge of USPTF hepatitis C screening guidelines.

Reviews of common diseases and therapeutics were present, including an oral presenta-tion reviewing trends of the use of anti-thrombotic agents and outcomes in NSTEMI by Dr. Wayangankar,

a poster reviewing fecal microbiota transplantation for Clostridium difficile infection by Dr. Austin,

AAcase of encephalopathy and profound hyponatremia after administration of Borte-zomib by Drs. Bhutta and Stuber,

An oral presentation reviewing our current understanding of inflammatory contributions to sleep disorders by Dr. Choe.

A retrospective analysis of trends in management of prediabetes was presented by Dr. Gupta.

A quite different but much appreciated oral presentation was given by Dr. Mahmood re-garding work/life balance during residency.

All four oral presentors received commendation. Winners of the poster presentations included:

First place, research: Dr. Choe and his aforementioned inflammatory sleep review; First place, clinical: Dr. White with a cryotococcal bone marrow infection case, Second place, clinical: tie between Dr. George for his presentation of NMO and Dr.

Jaiswal for her venom-induced thrombocytopenia case. Overall, quite a successful competition was had during the Associates’ presentations, highlighting yet again the importance of scholarly work in the armamentarium of the well-rounded physician.

2013 POSTER COMPETITION

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ACP Governor Baker congratu-

lates Dr. Sultan Mahmood, an

OU/OKC resident and winner in

the poster competition.

ACP Governor Baker congratulates Dr.

Kathyrn White, an OU/Tulsa resident

and winner in the poster competition.

ACP Governor Baker congratulates

Dr. Kelly Sprawls, an OSU resident,

and 4th place winner in the poster

competition.

Dr. Kathyrn White, Dr. Kriti Gupta, Dr. Sultan Mah-

mood, and Dr. Kelly Sprawls were all resident winners

posing with ACP Governor Baker and Dr. Matlock

Jeffries, OUHSC Chief Resident.

Kriti Gupta, MD is recognized for her oral

presentation in the field of research: Man-

agement of Prediabetes: Lifestyle Modifica-

tions vs. Medical Nutrition Therapy vs. Met-

formin

PAGE 5

Chapter Excellence Award 2013 Chapter Excellence Award I am pleased to announce that our chapter is in receipt of the 2013 Chapter Excellence Award! The award recognizes chapters which successfully meet the standards for managing a chapter. In order to achieve the Chapter Excellence Award, chapters must meet all basic criteria and seven optional criteria. Criteria include such activities as formulating an effective Governor’s Council and committees, communicating frequently with membership, providing educational opportunities, recruiting and advancing members and celebrating membership through local awards. I would like to extend a special thanks to those chapter members who assisted me.

PAGE 6

At right, ACP Governor Baker poses with new college

Master John Kalbfleisch MD, MACP.

Eldon Gibson family accepts the Okla-

homa ACP Chapter Lifetime Achievement

Award in behalf of their father and hus-

band, the late Eldon Gibson MD, FACP.

Oklahoma ACP Governor, Dr. Baker, introduces the

Oklahoma ACP Masters: Boyd Shook, MD, MACP;

Michael Weisz, MD, MACP; Dewayne Andrews,

MD, MACP, John Kalbfleisch, MD, FACP

Above, Hanna Saadah MD, FACP accepts the Oklahoma

Chapter Humanitarian Award from Dean Drooby MD,

2013 Oklahoma Chapter Awards

to approve the bipartisan, bicameral SGR repeal and Beneficiary Access Improve-ment Act of 2013 which is a critical step to-ward enactment of legislation to permanently repeal the SGR and ensure beneficiary access to care. We believe that this bill achieves sev-eral critically important objectives:

1. It repeals the Medicare SGR, once and for all, and all future SGR-related sched-uled cuts. 2. It consolidates that separate Medicare reporting programs into one Value-based Payment (VPB) program, cancels the exist-ing penalties scheduled for 2016 under the current reporting payers. 3. It creaprograms, and requires a GAO study for harmonizing measures used by Medicare and private tes multiple path-ways—including medical homes and regis-tries--for physicians to qualify for higher annual payments by successfully partici-pating in the new VBP program or in an al-ternative payment (APM) model. 4. It expressly creates positive incentives for Primary Care Patient-Centered Medical Homes and Patient-Centered Medical Home Specialty practices, under both the VBP program and as an APM. 5. It provides financial support to smaller practices in all geographic areas to help them be successful under the VBP and APM programs. 6. It doubles federal funding for perform-ance measures several years of transition-ing to APMs and VBPs is necessary, which is a feature of the bipartisan Energy and Commerce committee bill that was unani-mously reported out in July. We believe that an affirmative vote now for the SGR

Repeal and Medicare Beneficiary Access Improvement Act of 2013 is a critically im-portant step to achieving repeal of the SGR, ensuring beneficiary access to care, and making other needed reforms in Medi-care physician payments.

Senate And House To Take Up Per-manent SGR Repeal. The AP (12/11, Alonso-Zaldivar) reports that both Democrats and Republicans now favor a permanent change to “Medicare’s broken physician payment policy,” known as the “sustainable growth rate” (SGR) and are working towards a new system that would contain “financial carrots and sticks for doctors to provide quality, cost-effective care” for Medicare patients, with “up to 10 percent of an individual physi-cian’s pay” connected to “quality indica-tors.” This week, the Senate Finance Com-mittee is expected to take up “a broad bi-partisan framework” on the matter which will also be taken up by the House Ways and Means Committee. Yet, Congress will still have to adopt a “temporary patch” for early 2014, as no one expects agreement on a plan before the beginning of the year. The biggest obstacle to that is the need to find “offsets” to the cost of the temporary fix. As to the permanent fix, the AMA is said to be “reserving judgment.”

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ACP joins support for a Joint Inter-nal Medicine Subspecialty letter

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