Ohio Governor's Newsletter December 2024

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Moises Auron, MD, FAAP, FACP, SFHM, ACP Governor

Moises Auron, MD, FAAP, FACP, SFHM, ACP Governor

 


Internal Medicine and its role in supporting evidence and high-value based practice

A new year and a new era are just around the corner, and the holiday season is in its full fervor. I hope all had an opportunity to reflect and celebrate the reasons to be grateful for – health, family, the privilege to serve our patients and being key stakeholders in our healthcare system. We are fortunate to have a crucial role not only to make complex diagnoses and initiate treatment and hope for our patients, but also to be leaders and have a voice to ensure all patients in the USA and the world receive evidence-based and high-value care. This entails a strong implementation of preventive medicine strategies, as well as appropriate utilization of resources for proper treatment of modifiable diseases.

Internal Medicine specialists and subspecialists are being exposed to fantastic discoveries – in the past month, wonderful treatments have been outlined in the most important medical specialty meetings in the world, and this entails better approaches for multiple diseases, from obesity and kidney disease, to cancer, heart failure, etc. We can't take all the knowledge and opportunities for granted. Investment in research is fundamental – it can't stop. Evidence of the best treatments to prevent devastating diseases must continue to be developed to ensure all patients achieve excellent outcomes and have their quality of life optimized. In addition to the enhancement of patients' life expectancy and quality of life, it also has a tremendous positive impact on our country economy with an extraordinary return on investment.

We must have a strong voice to support evidence. We must advocate for preventive care and recognize the impact it has had on our current health state. As Internal Medicine physicians we care for adults; but as a Pediatrician, I also care for children and young adults. It is my commitment to ensure that our children have all the necessary opportunities to develop themselves and achieve their potential of success and beyond. We have just survived a horrible pandemic with an impressive mortality and morbidity, and we have learned best practices to prevent and mitigate these devastating outcomes.

This is the season where we are seeing a steep rise in respiratory infections – most of them (at least in my practice) have been among frail patients who have not followed yet the recommendations for preventive immunizations. The point is not to create a divisive discourse. It is to realize that these frail patients can have devastating outcomes that could have been entirely preventable. It is our role to have the conversation with respect, understanding and with motivational interviewing strategies to help our community be aware of the available resources for preventive care, the evidence supporting its role, and have immediate access to these vaccinations without it creating a financial constraint on them.

So, let's all take a vow to continue being strong spokespersons for preventive care; let's learn new strategies to communicate efficiently and effectively with respect and consideration to our patients' beliefs, and to ensure that our education strategies are successful.

With this I want to transition to a different topic, yet with strong influence on the above. We are searching for a new chair of the ACP Ohio Healthcare and Public Policy aimed to focus on Ohio (we have a chair for the national affairs). This person will work along with the other co-chair and the OSMA to ensure we focus our healthcare and public policy efforts in alignment with the American College of Physicians, but also with the best interest of our patients' best outcomes. This can involve engagement with other local medical organizations to support a more robust messaging based on the topic at glance. This past year we have been key stakeholders to work collaboratively with other organizations and would like to continue doing so. In addition, this leader will also be a key member to the trip to Washington, DC for the ACP Leadership Day. The visibility of the position and its relevance help to support the committee chair development within the leadership structure of the chapter.

A last thing to share, is that we are getting ready to create the final curriculum for our 2025 Annual Chapter meeting, and this involves the opportunity to be a speaker in the meeting. Please reply to Ms. Jan Wrassman's email asking for topics and interest to speak in our meeting. We want to provide an opportunity to all members to be a faculty and share their expertise. This past 2024 meeting was a true success, and part of this was the engagement of faculty who offered to be speakers and who did a spectacular job.

I want to express gratitude to all of you for your membership to our chapter. We are proud of the Internal Medicine workforce in Ohio – among the best in the world without any doubt. We want to make sure our programming and our activities are meaningful to you and your practice. And will continue to develop these always with the best interest in you. Thank you SO much for your support and engagement. We wish you and your families a very happy holiday season full of warmth, good spirits, excellent health and with great company. May 2025 come along with lots of energy and excellent outcomes for all.

With gratitude and respect,

Moises Auron, MD, FAAP, FACP, SFHM, FRCP, FRCPCH
Governor, ACP Ohio Chapter

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Save the Date – New Location!

Mark your calendars for the 2025 ACP OH/USAF Annual Chapter Meeting. The meeting will be held on Thursday and Friday, NOVEMBER 6 th & 7 th, 2025 at the Hilton Columbus Downtown. This newly renovated space is conveniently located next to the convention center. We will have a block of rooms available at the Hilton. More information to come.

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Congratulations to our 2024 Ohio Chapter Award Winners

Congratulations to the following Chapter Award Winners:

The James S. Tan, MD, MACP Laureate Award was given to Dean A. Bricker, MD, FACP and Christopher M. Whinney, MD, FACP.

The Evelyn V. Hess, MD, MACP Master Teacher Award was given to Denis R. Lunne, MD, FACP and Robert T. Mayock, MD, FACP.

We have three new Master Awards given this year. Joseph P. Myers, MD, MACP, Richard Wardrop, MD, MACP and Eric J. Warm, MD, MACP.

Congratulations and appreciation to all for their service to ACP and to our Chapter.

Congratulations to the Winners from the 2024 Chapter Meeting

Resident/Fellow Poster Winners

Clinical Vignette

1st Place

Kaleb Ware, MD, University of Cincinnati

“Allergic Sensitization and Anaphylaxis to Pea Protein Supplements”

2nd Place

Katherine Wells, MD, The Ohio State University

“Vitamin B12 Deficiency in Disguise: A Case Report of Pseudo Thrombocytic Microangiopathy”

3rd Place

Japheth Okpebholo, MD, Summa Health Systems

“Aerococcus Urinae Endocarditis: An Emerging Infectious Disease

Clinical Research

1st Place

Yufei Xiang, MD, The Ohio State University

“Exploring Subclinical Atherosclerosis and Impact of Early Insulin Intervention in Latent Autoimmune Diabetes: A Multicenter Prospective Study”

2nd Place

Frances Howard, MD, University of Cincinnati

“To PE or not to PE – PERTinent findings, management, and outcomes of Intermediate and High-Risk Pulmonary Embolism at a Tertiary Academic Medical Center”

3rd Place

Phuong Uyen Vo, DO, Summa Health Systems

“Language Barrier Social Determinant of Health: Unmasking the Disparities in the Emergency Department Evaluation for Patients with Chest pain At A Teaching Community Hospital”

Quality Improvement

1st Place

Alexandra Schoenberger, MD, University of Cincinnati

“Traching Care of Business: Promoting Equitable Care For Patients With Disabilities and Medical Complexity Through Resident Education”

2nd Place

Gianna Libonate, MD, Riverside Methodist Hospital

“Increasing Depression Screening in an Underserved Population”

3rd Place

Christian Adams-Carey, MD, University of Cincinnati

“Improving Point of Care Ultrasound Curriculum for an Internal Medicine Residency Program”

Medical Student Poster Winners

Clinical Vignette

1st Place

Nathan Kim, University of Cincinnati

“Rheumatic Mitral Valve Stenosis: A Case Complicated by Pre-Eclampsia”

2nd Place

Sarah Board, The Ohio State University

“Near Complete Bronchial Obstruction: An Unlikely Cause of Streptococcus Viridans Abscess”

3rd Place

Akaljot Singh, University of Cincinnati

“Type 2B Von Willebrand Disease Can Mimic Immune Thrombocytopenic Purpura During Pregnancy”

Merit

Patrick Breen, University of Cincinnati

“ Atypical Presentation of Rosai-Dorfman Disease in a Patient With Knee Pain”

Merit

Julia Kumar, University of Cincinnati

“A Rare Twist: ST-Segment Elevation Myocardial Infarction Strikes in a Patient with a Left Ventricular Assist Device”

Basic Research

1st Place

Brandon Petrovich, NEOMED

“Changes in B Cell Receptor CDR3 Physiochemical Properties Are Observed With Type

1 Diabetes (T1D) Progression”

Clinical Research

1st Place

Omer Ashruf, NEOMED

“ Sugar Rush: Atrial Fibrillation and Cardiovascular Mortality in Diabetics Treated with GLP-1 Agonists”

High Value Care/QI

1st Place

Joseph Walden, University of Cincinnati

“ Variation in Fishing Line Length and Clinician Technique Cause Significant Differences in Force Delivery for Diabetic Foot Monofilament Exams”

2024 Drs. Dilemma Team Winners

Gold

Canton Medical Education Foundation “Kryptonites”

Aravinth Krishnamoorthy, MD
Varsha Konyala, MD
Chanakya Kodishala, MD
Areeb Tiwana, MD

Silver

Adena Regional

Braden Crouse, MD
Rachel Palmer, MD
Ifrah Majeed, MD
Rolando Perez, MD

Bronze

Cleveland Clinic Foundation

Utkarsh Goel, MD
Bianca Honnekeri, MD
John Hanna, MD
Taha Hatab, MD

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Internal Medicine 2025

IM2025 is being held April 3-5 in New Orleans. New this year, the combined chapters reception is being held at the New Orleans Aquarium. We have partnered with several other chapters to secure the entire aquarium for ACP members. The reception will still be held on Friday, April 4th. More details will follow.

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Ohio Chapter CME Educational Series

Don't forget that we will once again be hosting webinars monthly throughout 2025. Each 1-hour webinar is free to attend and will qualify for 1 CME credit. Upcoming topics include Update in Perioperative Guidelines for NCS, IMG, Update in HIV Care for Primary Care as well as Leadership Development courses throughout the year. Please see the entire list of topics and dates by visiting our chapter website,

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ACP Ohio Chapter Podcast

We are proud to announce that the Ohio Chapter is sponsoring a podcast titled Everyday Medicine hosted by member, Christopher Chiu, MD, FACP. Please be sure to tune in to hear timely topics presented by Dr. Chiu and a series of guest speakers.

You can listen on Apple podcasts here

Or on Spotify here

Visit the Ohio Chapter website for more information.

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Hot Topics From ACP

Introducing the AI-Powered Obesity Management Conversations Tool

ACP now offers an innovative new Obesity Management Conversations Tool

that helps ACP members practice applying counseling concepts learned in Obesity Management 1: Lifestyle Modification

to enhance their communication skills when counseling on weight management. The tool offers the opportunity to practice having effective, evidence-based conversations about weight with patients in challenging, virtual patient scenarios including the following features

  • Practice real-time conversations with a simulated patient, using either your microphone or keyboard.
  • Apply the 5As framework (ask, assess, advise, agree, and assist) under the pressure of a realistic ten-minute session to approximate a busy clinical environment.
  • Gain valuable, individualized feedback with evidence-based insights to refine your approach and opportunities to practice again with other patient scenarios.

Visit the Obesity Management Learning Hub to explore the Conversations Tool and other related resources today.

Internal Medicine Physicians Stress the Importance of Vaccines and Evidence-Based Public Health Policies

By Isaac O. Opole, MBChB, PhD, MACP

President, American College of Physicians

Internal Medicine Physicians stress the importance of vaccines and evidence-based public health policies. Read the following statement

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