|ACPM Headlines 1/24/14|
In this Issue
Policy and Practice
Research and Reports
1. 2014 SURGEON GENERAL’S REPORT: THE HEALTH CONSEQUENCES OF SMOKING–50 YEARS OF PROGRESS
A new Surgeon General report marking the 50th anniversary of the 1964 landmark study on tobacco notes that while tobacco control efforts have more than halved smoking rates in the past 50 years, much work remains to address the estimated half million premature deaths annually from smoking. The total annual economic costs due to tobacco are reported to be nearly $290 billion with a projection that, if we continue on our current trajectory, 5.6 million children younger than 18 years of age will die prematurely as a result of smoking.
The Surgeon General’s office has set a target for our next generation of a tobacco-free American through a combination of increased taxes on tobacco products and investments in effective community-based tobacco cessation and prevention programs.
Join us in New Orleans at Preventive Medicine 2014 for the plenary session: "The U.S. Surgeon General: Fighting Tobacco for 50 Years,” featuring U.S. Surgeon General (Acting) Boris D. Lushniak, MD, MPH, FACPM, RADM, U.S. Public Health Service.
The FY 2014 Omnibus Appropriations bill recently passed by Congress and signed by President Obama includes new dollars for several of ACPM’s legislative priorities – including enhanced support for preventive medicine residency (PMR) training programs and the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS). The Health Resources and Services Administration (HRSA) received an increase of roughly $1 million to expand support for PMR training programs, while funding for the NVDRS program received a boost of just over $8 million.
The increased HRSA funding will allow a handful of PMR programs to receive a new HRSA grant, while funding to boost NVDRS will allow the CDC to expand the program to nearly half the states across the country. Current NVDRS funding of roughly $3.5 million allows just 18 states to participate.
The bill also fully allocates, for the first time, available funding ($1 billion) from the Prevention and Public Health Fund and dedicates all funding to prevention and wellness activities.
Given the continued scarcity of federal dollars, this is a significant win for the ACPM legislative agenda. ACPM would like to thank members who took action in support of its legislative agenda – we could not have done it without you!
3. ACPM BOARD ELECTIONS NOW OPEN
Each year, ACPM holds elections for positions on its Board of Regents. These elections are critical to shaping the future direction of the College. Current ACPM members (with the exception of student, resident and emeritus categories) are eligible to vote in the Board of Regents election. The election ballot is now open!
To view biosketches for each candidate, visit our election webpage. Once you have reviewed candidate bios and made your selections, please proceed to cast yourballot. An email with a link to the ballot was sent to each voting member on Thursday, January 16. You must access the ballot using this link.
Thank you to those who have already voted. Reminders with the unique web link will be sent again on Monday, January 28. Voting closes on February 7. Your participation in this process of selecting leaders for the College is strongly encouraged and appreciated.
ACPM has launched its first ever salary and compensation survey of preventive medicine physicians. The survey results will assist ACPM and the preventive medicine specialty by serving as a resource for medical students and physicians considering a career in preventive medicine.
Affiliates, Associates, Members, and Fellows received a survey invitation via
email on Thursday, January 23. This invitation contains a personalized
hyperlink directing each member to the survey.
ACPM joined with partner organizations on a sign-on letter to the chairs and ranking members of the Senate Finance and House Ways and Means Committees encouraging that they use the Tax Code to promote the practice of lifestyle medicine in communities across the country. The letter specifically noted that Congress should "use the opportunity presented by ongoing efforts to improve the Tax Code to advance cost-effective policies that can bolster healthy lifestyles in key populations, and hold promise for halting or reversing the nation's costly and unsustainable obesity epidemic…We believe that tax policy should include measures specifically designed to promote the type of infrastructure investments that will help make healthy lifestyles more accessible in communities where they currently are not."
American Family Physician, the clinical review journal for the American Academy of Family Physicians, will feature an article spearheaded by ACPM Prevention Practice Committee (PPC) members in its February 15th issue. "What is New in HIV Infection?,” written by ACPM Fellow and PPC chair, Kevin Sherin, MD, MPH, MBA, FACPM, and committee member Nicolle Martin, MD, MPH, focuses on new methods in HIV screening, testing, and prevention and treatment. Former PPC members were involved in reviewing the section on opt-out testing. Additionally, the article details the use of pre-exposure prophylaxis (PrEP) for high-risk patients, consisting of a combination of risk reduction counseling, screening, and access to condoms among other techniques.
Access to this issue will be available in February.
The ACPM Prevention Practice Committee (PPC) invites all ACPM members attending Preventive Medicine 2014 to participate in the following prevention practice-related activities occurring during the conference:
Please contact Andrea Lowe, ACPM Policy and Practice Manager (email@example.com), if you have any questions. We look forward to seeing you in New Orleans!
8. ADULTS AGES 18–64 LEAST LIKELY TO GET FLU SHOTS
Trust for America’s Health (TFAH) has released an issue brief showing that only 35.7 percent of adults (ages 18 to 64 years) received a flu shot last season, compared to 56.6 percent of children (ages 6 months to 17 years) and 66.2 percent of seniors (ages 65 and older).
The Centers for Disease Control and Prevention (CDC) recommends all Americans 6 months and older get vaccinated each year.
According to the CDC, H1N1 is the most prevalent flu strain this season and can disproportionately impact otherwise healthy young adults and children. Each year, an average of 62 million Americans get the flu, between 3,000 and 49,000 Americans die, and 226,000 are hospitalized.
The Community Preventive Services Task Force (Task Force) has released a recommendation for tobacco cessation efforts to include use of quitlines. Quitlines require use of a telephone to provide evidence-based behavioral counseling and support to tobacco users who want to quit. The Task Force found quitlines have strong evidence of effectiveness in:
Quitline counseling is widely accessible, convenient to use, and generally provided at no cost to users. Counseling may be initiated by the tobacco user (reactive); however, the greatest success has been noted when counseling is initiated by the cessation specialist (proactive).
10. AMERICANS EATING FEWER CALORIES, MORE AT HOME
The United States Department of Agriculture (USDA) has released data showing that American caloric intake decreased by 118 calories and more households ate home-cooked meals between 2005-06 and 2009-10. In Changes in Eating Patterns and Diet Quality Among Working-Age Adults, 2005-2010 the USDA found food spending declined 5 percent over the same time period.
The report documents how eating patterns and diet quality changed among working-age adults and explores the extent to which these changes can be attributed to changes in consumption of food prepared outside the home.
The personal story from a preventive medicine physician published online January 13 in The Atlantic reminds us that our health care financing and delivery system still is not conducive to evidence-based preventive care, even though health reform is beginning to move in the right direction. In the article, Dr. Steven Charlap, a recent ACPM member, describes the financial failing of his preventive-medical practice, which he co-founded three years ago in Delray Beach, Florida.
The thrust of his clinic, MDPrevent, was primary prevention, and to ensure scalability he used a business model based on insurance reimbursement rather than out-of-pocket payments. He described MDPrevent’s purpose as "to help patients identify their risk factors for the major chronic diseases and leading killers, such as diabetes, heart and lung disease, stroke, and cancer, and to help them make lifestyle changes to prevent these factors from evolving to illness.” Despite prodigious success with many of his patients, he incurred expenses of $3 for every $1 collected in revenue.
He described multiple reasons for the unsustainability of his practice, including lack of referrals from practitioners and hospitals, insufficient reimbursement from third-party payers (including Medicare), and a misguided Medicare audit.
12. INTERVIEWS NOW BEING SCHEDULED FOR CLINICAL RISK MANAGEMENT OPPORTUNITIES AT OTSUKA
ACPM is now scheduling interviews during Preventive Medicine 2014 for multiple clinical risk management and pharmacovigilance job opportunities at Otsuka Pharmaceutical Development & Commercialization for early-to-mid-career preventive medicine physicians. Successful applicants will be offered a full-time position monitoring the efficacy of Otsuka’s global drug and device products. The initial two-year training period includes rotating through different departments within Otsuka’s drug safety division in Princeton, New Jersey. Annual salary starts at $150,000, plus benefits.
Apply now to interview during the Preventive Medicine 2014 conference in New Orleans! If you are interested, please send a copy of your CV and a statement of interest to Andrea Lowe, ACPM Policy and Practice Manager, at firstname.lastname@example.org.
The Association of American Medical Colleges (AAMC), in partnership with Primary Care Progress, an organization committed to transforming the primary care workforce through interprofessional collaboration and strategic local advocacy, is hosting a webinar for students, residents, and mentors to understand the value of a hands-on public health experience during their medical career. The webinar will highlight the CDC’s Epidemic Intelligence Service—a two-year post-graduate training program of service and on-the-job learning—as one pathway to pursue a meaningful public health experience in medical education. Register here for the webinar.