Matt Hollon, MD MPH FACP
I hope all of you are having a great summer. I think we all feel fortunate that our beautiful Northwest weather this year has yet to be ruined by wildfire smoke. I just had an excellent weekend in the Selkirk Mountains in the Idaho Panhandle climbing the “standard route” on Harrison Peak, which sits just above the beautiful Harrison Lake basin (see photo). Now into my second summer as Governor, I consider this a good opportunity to reflect on my first year serving our Chapter as well as highlight what’s ahead.
During my first year as Governor, we addressed several important issues. Key highlights include the successful transition to new executive administration, re-organization of the Chapter’s Councils and Committees to create more opportunity for members to volunteer (to join our many volunteers click here, and our work to operationalize our planning and bolster infrastructure for existing Chapter activities such as our Annual Chapter Meeting, Spring Scientific Day, and ACP Leadership Day. More details on these events can be found below.
Membership remains the lifeblood of this organization. We value each and every one of you as members. If you have colleagues who are not part of our professional home, please ask them to join ACP. This quarter’s Membership Committee report from our Co-Chair of the Committee, Dr. Kemi Nakabayashi, details our overall membership as well as recent membership events. In this newsletter, we also continue offer profiles of members written by medical students interested in internal medicine. This time, we highlight not only Dr. Nakabayashi, whose significant contributions to the chapter over recent years stand out, but also Dr. Stephanie Fosback, one of this year’s participants in Leadership Day and a prior winner of the Chapter’s Golden Apple Award as well as the Chapter’s Internist of the Year Award. Speaking of awards, the portal for nominating colleagues for Chapter awards is now open – I personally want to encourage all of you to nominate a colleague who you think deserves recognition!
While I think we are relieved with the absence of wildfires so far, our collective concern about the future health of our patients, our communities, and our planet remain. We continue to work to raise awareness of the health impacts of climate change and I encourage you to read my recent op-ed in the Seattle Times written in collaboration with Washington State Medical Association President, Dr. Tom Schaaf. We also continue to participate in the Washington State’s Coalition of Healthcare Professionals to Prevent Firearm Injury and Death and are planning an early fall CME event around this topic. For many residents and medical students this advocacy work is the most important thing we do which is why we always include them in our annual trip to Washington DC to raise awareness of ACP priority issues. The residents and students who made the trip this past May provide some wonderful reflections below on the importance of professionals speaking up.
Lastly, our flagship event – the Annual Chapter Meeting – has received final accreditation from our National Organization and the agenda is set. You can find a wonderful summary of the upcoming meeting from our outstanding meeting Co-Chairs, Dr. Tristan Osborne and Dr. Divya Gollapudi, below. Your participation in this event is vital to making the event successful and I would personally like to encourage your attendance, either at the live meeting in Seattle or one of the live webcasts in Spokane or Yakima. There are also creative opportunities to participate beyond just attending the meeting and if you would like to showcase your creative side to colleagues you can find details below.
All in all, it has been a wonderful year for our Chapter and next year is shaping up to be even better. Heartfelt thanks to all of you who have volunteered for the Chapter this past year and to those of you who have supported me. And special thanks to our Executive Director, Liz Truong, who 6 months into her work with us has taken quickly to the role, even with a brand-new baby, Jack, born June 1st – make sure to congratulate her when you see her!
I believe as is true for most of you, being part of this professional community is among the most satisfying aspects of my work.
Matt Hollon, MD MPH FACP
Governor || Washington Chapter – American College of Physicians
2019 Washington Chapter Annual Meeting: October 31st – November 2nd, 2019
Tristan Osborn & Divya Gollapudi
We are very excited about the way this year’s Washington State ACP meeting is taking shape! The meeting will be held October 31st through November 2nd, 2019 at the Bell Harbor International Conference Center in Seattle, WA. Our planning committee has been working diligently to line up a dynamic mix of speakers, both younger and more experienced, from around the state. The program has a blend of topics that are sure to engage internists in all areas of practice and stages of career. To start things off on Halloween, we have a strong balance of outpatient and inpatient offerings, with MOC in the morning combined with optional point-of-care ultrasound workshops, and a choice of inpatient or ambulatory medicine pre-courses in the afternoon. The ambulatory pre-course brings you a geriatric focus while the inpatient pre-course features cutting edge topics such as perioperative medicine and management of sepsis. The main program offers a variety of workshops, including hands-on experience with foot and ankles exams, cases in atrial fibrillation, bias in medicine and social determinant of health, and sessions on physician well-being. Plenary sessions will span a range of topics from alcohol use disorder and lipid management to the microbiome and adverse reactions of immunotherapies. And back by popular demand the second annual WA-ACP debate – tune in to see two highly respected internists deliberate the guidelines and evidence around the use of steroids in the treatment of pneumonia. An exciting new plenary session will feature Dr. John Sheffield as he works though the differential and management of a unique clinical case – the art of clinical reasoning.The main meeting will again be simulcast to Spokane – as well as new this year, Yakima – providing an invaluable opportunity to enjoy our quality content across the state. Mark your calendars for Oct 31 – Nov 2, 2019 as registration information will be available soon.
2019 Spring Scientific Meeting
Our fifth annual Spring Scientific Scholarship Mentoring Day at UW South Campus Center was a success, growing in attendance and with impressive quality of abstracts presented! We had over 60 people register to attend the highly rated event, meeting the following. objectives:
- Promote scientific scholarship in Research, Quality Improvement and Medical Education by students, residents and early career physicians, with opportunities to submit and present abstracts.
- Mentorship in small groups to explore career goals and professional life with physicians in a variety of practice settings.
The day’s program and activities were co-directed by Joyce Wipf, MD, MACP, and Kim O’Connor, MD, FACP, and developed in conjunction with our Resident and Student Councils and advisors, and our Residency Leadership Advisory Group, co-chaired by Alvin Calderon, MD, PhD (Virginia Mason) and Ken Steinberg, MD, FACP (UW).
Special thanks to so many individuals who helped to conduct the Spring Scientific Day, including regional program leaders from Madigan, Spokane, Virginia Mason, and University of Washington; excellent plenary speakers reflecting on early career years, medical student research, and conducting QI during residency. Faculty discussed inspirations for their careers, and a diverse group of mentors co-led lunchtime discussions. A large cadre of faculty served as reviewers and judges of the submitted and presented abstracts, led by Ananth Shenoy, MD.
This year approximately 20 abstracts were accepted, with 9 oral abstract presentations and 11 poster presentations. Reviewers and attendees were impressed by the high quality, design, innovation and hard work put into the projects, with winners selected by several teams of judges.
Congratulations to the abstract competition winners:
Medical Student: Elisabeth Gay, University of Washington School of Medicine
Abstract: “Glycemia assessed by continuous glucose monitoring and peripheral neuropathy among participants with type 2 diabetes and CKD.”
Resident Poster: Trevor Wellington, MD, Madigan Army Medical Center
Abstract: “Standardized Timing of Lab Draws Demonstrates Improved Draw Compliance Compared to Dose-Timed Vancomycin Trough Draws”
Oral Abstract Winner: Laura Mayeda Saganic, MD, Virginia Mason Medical Center
Abstract: “Glycemia assessed by continuous glucose monitoring and peripheral neuropathy among participants with type 2 diabetes and CKD.”
Residents: Ada Hoffman, Resident, Madigan Army Medical Center
Medical Student: Julia Parrish, UW
2019 ACP Leadership Day in Washington DC
At ACP Leadership Day in May your Washington State delegation of members, residents, and students met with our federal legislators and their staff from all 10 Congressional Districts as well as both of our Senators. Key priority issues addressed included:
- The High Cost of Prescription Drugs
- The Epidemic of Firearms-Related Injury and Death
- Federal Physician Workforce Funding, Medical and Health Services Research, Public Health Initiatives
- Physician Payment under Medicare
- Expanding Coverage and Stabilizing the Insurance Market
- Reducing Unnecessary Administrative Tasks on Physicians and Patients
- Supporting Healthy Women and Families
- Addressing Medical Education Training and Debt
Here are few reflections from students and residents:
Kaia Barth, MS4 – UWSOM
I want to give a huge thank you to the Washington Chapter of the ACP in supporting medical student involvement in Leadership Day. As I start my final year of medical school and reflect on why I am applying to Internal Medicine residencies, the people, passion, and values at Leadership Day make it clear that this specialty represents everything that drew me to medicine in the first place. . . As I begin my career surrounded by talk of physician burnout, mental health crises, and a political backdrop of hate, fear and anti-science rhetoric, being in a room with 400 of my peers, seniors, and the leaders of my field all consistently engaged in activism validates and reinvigorates the optimism and empowerment I felt entering medical school. . . I hope this was just my first of many Leadership Days, and I plan to stay involved with ACP throughout my career.
Sylvia Stellmacher, MS4 – UWSOM:
I had a wonderful time at ACP Leadership Day in Washington D.C.. Washington State has a mix of representatives in the house and it was pleasant to be able to find common ground on many issues the ACP was advocating for. . . I encourage my classmates and friends to participate in advocacy as it helps me feel connected to my representatives and better understand the political process. We each have our own opinions on health care and government, and it’s important and satisfying to share those directly with congressional and senatorial offices. I look forward to participating in ACP Advocacy Leadership Day in the future and will encourage my colleagues to do so as well.
Douglas E. Hayes, DO
R1 – Internal Medicine Skagit Regional Health
It was great to have the opportunity to travel to Washington DC and meet the ACP leadership team, learn about patient advocacy through political action, learn about the legislative proposals that are currently under consideration . . . Thanks to this opportunity, I feel more motivated than ever to engage my elected officials in discussions around patient care, access to health insurance, strategies to decrease the cost of healthcare, and about how decreasing the administrative burden on physicians so that we can put patients before paperwork. I am excited to remain engaged in this process and hope to participate in ACP Leadership Day in Washington DC in the years to come.
Kate Perez, MD, MPP
R2 – University of Washington Internal Medicine
Attending the ACP’s Leadership Day 2019 was a wonderful introduction for me to the ACP’s advocacy activities and an inspiring example of how individual physicians can come together to advocate for the benefit of our patients. I became a physician with the goal of helping to improve the US healthcare system, but as a resident, it can be challenging to imagine how I will engage with health policy while also taking care of patients day-to-day. Seeing the hundreds of physicians and trainees who gathered in D.C. and meeting likeminded physician advocates from Washington state encouraged me that this goal is both possible and meaningful. I am deeply grateful for the opportunity to join this year’s delegation and hope to stay involved with the ACP’s advocacy efforts in the years ahead.
Kemi Nakabayashi & Gary Forbes
With over 2,500 members, of which nearly 600 are Fellows in the College, our Chapter membership continues to grow. Rather than just another beginning of another ACP membership cycle, we hope that in 2019 you have noticed palpable changes in the efforts of our executive council members across the state. The “pilot” brunch gatherings in June organized by the Washington chapter Membership and Diversity Committee resulted in good response, encouraging us to continue to try different ways to reach out to our membership. We hope the medical students and residents in attendance at the gatherings in Seattle, Spokane, and Kennewick found new connections for mentorship. Meeting long-standing ACP members who have supported our chapter in their locales, in particular as sponsors for Fellowship application to ACP, and connecting individuals with others knowledgeable in negotiating residency application as an IMG were other excellent outcome of the gatherings. We anticipate additional efforts this year from our various interest group councils and committees.
Please continue to communicate your interests and suggestions and renew your membership if you have not done so already. We remind you again also that IM 2020 will be in Los Angeles next April, so take the time to complete the more streamlined Fellowship application process soon for the upcoming Fellowship election reviews this year. The basic requirements of Fellowship are found on the website here: https://www.acponline.org/membership/physician-membership/acp-fellowship/requirements-for-advancing-to-fellowship
Many of you in clinical medicine who have been a dues-paying member of ACP for at least 3 years or more after residency are potentially eligible. Your WA-ACP executive council members are available to assist in identifying local Fellowship sponsors or submitting sponsorships for you.
Member Spotlight: #1 – Dr. Kemi Nakabayashi
By Rahaf Baker, MS4, MPH
Dr. Kemi Nakabayashi hails from Menlo Park, CA. She grew up with her extended family in the Bay Area and decided to leave the nest for college to attend Brown University. Dr. Nakabayashi majored in Human Biology and graduated with an honors project on the epidemiology of traffic fatalities in Rhode Island which led to research publications. She was accepted into Case Western Reserve School of Medicine in Cleveland, OH. During this time, Dr. Nakabayashi enjoyed the experience of a summer fellowship in geriatrics and found herself interested in primary care. However, she pursued a fellowship in pathology after her second year of medical school, coming in handy in her current role which includes medical utilization review of oncology cases. Following medical school, Dr. Nakabayashi joined the UW IM primary care program for residency with her outpatient clinic site at the Pacific Medical Center Beacon Hill. She would eventually work for PacMed at the Renton clinic location for 23 years! Dr. Nakabayashi enjoyed creating long lasting relationships with her primary care patients in clinic and also taking care of them on the inpatient side.
Dr. Nakabayashi has been a member of ACP since 1993 and was elected to fellowship in the ACP in 2007, sponsored by Dr. Debbie Greenberg and Dr. Doug Paauw who was her senior resident in residency! Her involvement in ACP has been extensive, serving on the ACP WA Chapter Executive Council, Membership Council, and Women in Medicine interest group. She greatly enjoys meeting other ACP members and trainees through the dim sum events, a Washington ACP tradition that Dr. Nakabayashi started! Her teaching career has included teaching IM at the Pacific Medical Center First Hill and Renton Clinics, as well as teaching MEDEX PA students and FM residents at Valley. Most recently, she transitioned into an Associate Medical Director at eviCore healthcare completing utilization reviews and occasionally seeing patients part-time at Virginia Mason. She enjoys attending musical events, visiting art museums with her husband, and preparing home meals with garden vegetables. Dr. Nakabayashi volunteers at the Seattle Buddhist Temple and even provides music for the services!
Member Spotlight: #2 – Dr. Stephanie Fosback
By Nathan Maris, MS3
Originally from Colville, WA, Dr. Stephanie Fosback entered medicine wanting to pair her love of human interaction with the intellectual challenge of scientific reasoning. She later decided to pursue a career in internal medicine when, on a medical school rotation at Harborview, she observed an internist humming calmly to himself while placing orders on a desperately ill patient. In that moment, she recognized the specialty’s ability to competently address multiple complex problems that other fields might find overwhelming. Now a general internist in Pullman, she serves the greater Palouse region, with special interests as wide-ranging as osteoporosis, transgender health, and heart failure. “I get restless easily,” she admits.
Dr. Fosback points again and again to her relationships with patients as the driving force behind her tireless work ethic. “Your patients give you so much,” she says, “my patients are as invested in me as I am in them.” As an ACP fellow and awardee, she speaks highly of the organization’s patient advocacy and innovative efforts to improve healthcare access to needy communities.
Having attended the University of Washington for undergrad, medical school, and residency, Dr. Fosback is proud to be a through-and-through Husky living and practicing in “Cougar Country”–with one caveat. “After we’d gone to a few WSU sporting events together, my daughter was devastated when she found out that I was a UW fan!” Dr. Fosback confesses.
Our colleagues do so many amazing things each year. Chapter awards are an amazing way to celebrate our Chapter’s members. Please take a few minutes to tell us who is deserving of a recognition award from their colleagues:
- Washington ACP Internist of the Year
- Washington ACP Community Service Award
- Washington ACP Chapter Service Award (NEW for 2019)
- Washington ACP Golden Apple Award
- Washington ACP Full-time Faculty Clinician-Educator of the Year
- Washington ACP Hospitalist of the Year
The deadline for submitting your nomination is September 20, 2019. Awards will be presented at the Washington Chapter ACP Annual Meeting, on November 1, 2019 in Seattle, Washington. You can nominate by following this link – Nominate a Colleague
Call for Stories / Art for the Annual Chapter Meeting
It is time to celebrate the right side of our brains once again! This year’s Annual Chapter Meeting will again feature 6 short stories chosen from all submissions in our “Story Slam” format. We encourage everyone to participate by sharing an insightful or touching or thought-provoking experience from your life. New this year, we are also hoping to display poetry or visual works of art by chapter members in the main hall! To submit a story, poem, or piece of visual art you can go to here to our website to submit. Deadline for submission is September 30th, 2019.
“Associates Corner” – Career Forum Event
Thursday September 12th, 2019, 6:00PM – 9:00PM
Looking for a job after residency? Or just interested in finding out what opportunities are out there? We invite all residents and early career physicians to our first “ACP Career Forum” event at the Center for Urban Horticulture. The evening will feature food and beverage, door prizes, recruiters from throughout the region, and special sessions for physicians entering or early in practice. Registration will be available soon so mark your calendars!
From National: Call for Spring 2020 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 2018-2020 Priority Themes to guide you when proposing a resolution topic.
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 ACP’s library of policies and recommendations. 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.
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. If effecting change interests you, the deadline for submitting new resolutions to be heard at the Spring 2020 Board of Governors Meeting is October 10, 2019.
Share your good idea with us. Draft a resolution.
From National: Your Feedback is Requested on Fall 2019 BOG Resolutions
The Washington Chapter requests your feedback on the 15 resolutions that will be heard at the Fall 2019 Board of Governors Meeting. The resolutions have been posted on ACP Online for your review.
After considering the intent of each resolution and how it fits with the College’s Mission and Goals, please provide your feedback on each resolution and indicate your support or opposition by completing the electronic response form by September 1, 2019. Your input will be used as part of testimony on behalf of the chapter.
Thank you for taking time out of your busy schedule to provide comments regarding these resolutions. By providing your feedback on the Board of Governors resolutions, you have helped to shape College policy that impacts the practice of internal medicine. Please visit the chapter’s Web site after the Fall 2019 Board of Governors meeting for updates.
(NOTE: Proposed resolutions should be considered confidential information and are intended to be viewed by ACP members only. Under no circumstances should proposed resolutions be shared with the news media or social networking media, nor should they be shared with other individuals and organizations. Proposed resolutions do not represent ACP policy.)
From National: ACP Partners with Core IM Podcast to Offer CME-Accredited Podcast Series
ACP has partnered with Core IM to offer a new CME-eligible podcast series featuring clinically relevant and internal medicine-specific information for physicians of all levels and backgrounds. Core IM features four categories of podcasts:
- 5 Pearls:The hosts solidify five applicable, relevant pearls on an internal medicine topic.
- Hoofbeats:Experienced clinicians are challenged to solve diagnostically difficult cases with listeners in real time.
- Mind the Gap:The hosts explore the evidence – or lack thereof – for common internal medicine practices to tackle knowledge gaps and challenge dogma.
- At the Bedside:Discusses humanities topics that reach beyond traditional evidence based medicine and delves into the ethics and emotions that come with practicing today.
The first ACP CME-granting Core IM podcast, “Coronary CTA: 5 Pearls” will be available July 10, 2019 on the ACP podcast landing page. After listening to each episode, ACP members can log in to the Online Learning Center to claim CME credit and MOC points.
Contact Laura Baldwin with any questions at firstname.lastname@example.org
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