|ACPM Headlines 6/13/14|
In this Issue
Policy and Practice
Research and Reports
ACPM has submitted congressional testimony to the House Appropriations Subcommittee on Labor, Health and Human Services and Education requesting an increase of approximately $10 million for preventive medicine residency training programs and $10 million for the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting System (NVDRS) in FY 2015 funding. Current funding is $4.8 million and $11 million respectively. Proposed FY 2015 funding levels will not be announced until the full House Appropriations Committee meets to consider the FY 2015 Labor, Health and Human Services and Education appropriations bill this summer.
The Johns Hopkins Bloomberg School of Public Health preventive medicine residency (PMR) training program and the New Jersey Medical School PMR program at Rutgers University recently hosted site visits from Senate staff interested in learning more about PMR training and the need for federal support.
Kelly Brown, professional staff for the Senate Appropriations Subcommittee on Labor, Health and Human Services and Education and Michael Barnard, legislative assistant for Sen. Robert Menendez (D-NJ) visited the Johns Hopkins and New Jersey PMR programs respectively. Magda Schaler-Haynes, JD, MPH, special advisor for health and women’s issues for Sen. Menendez also joined Mr. Barnard on the site visit.
The Senate staff met directly with preventive medicine residents who detailed their common interest in pursuing post-graduate medical education in the only medical specialty that focus on disease prevention and health promotion at the population level. Senate staff learned about the unique training requirements for preventive medicine residents and the funding disadvantage PMR programs face given the lack of support from Medicare graduate medical education payments to teaching hospitals.
Among the many headlines generated at the 67th session of the World Health Assembly in Geneva, Switzerland, May 19-24, WHO Director-General Dr. Margaret Chan announced she has established a high-level Commission on Ending Childhood Obesity. The Commission will produce a consensus report specifying which approaches are likely to be most effective in different contexts around the world. The recommendations of the report will be announced at next year’s Health Assembly.
In her opening address to the Health Assembly, Dr. Chan voiced her deep concern about the increase worldwide of childhood obesity, proclaiming "As the 2014 World Health Statistics report bluntly states, ‘Our children are getting fatter.’ ” The numbers show that obesity is climbing fastest in developing countries.
Among the other highlights of the meeting, the decision-making body of the World Health Organization approved the first-ever global action plan on newborn health, and also passed a resolution that is expected to boost financing for health research and development.
Join us August 23-27, 2014 at the Omni Shoreham Hotel in Washington, DC for a one-of-a kind opportunity to prepare for the American Board of Preventive Medicine (ABPM) certification examination. The course will feature a comprehensive review of the ABPM study guide and provide a unique opportunity to earn Continuing Medical Education and Maintenance of Certification credits. Register before July 1 to take advantage of the early-bird discount.
Member, Victoria A. Cassano, MD, MPhil, MPH, FACPM, is a passionate supporter of the ACPM Your Gift Matters campaign, "Prevention Matters. ACPM Matters. Your Gift Matters.”
This week, we profile Dr. Cassano as she shares her thoughts on the importance of supporting ACPM. "If you show up and are passionate about what you believe and support it with facts, you can change health care policy" said Dr. Cassano. The most fulfilling aspect of giving to ACPM she noted, "is the fact that I am donating to an organization in which I have input into how the organization moves forward."
You too can help ACPM continue to lead the way in preventive medicine. Every dollar you invest in ACPM is a demonstration of your personal dedication to preventive medicine and your profession. Please show your commitment to preventive medicine and ACPM with your gift today! Learn more about the campaign, and donate online today.
ACPM is now accepting orders for the 2014 Preventive Medicine In-Service Examination, scheduled for July 21 - August 22, 2014. This 2.25 hour electronic exam is administered annually, and enables residents and program directors to determine if there are specific areas where more study and experience are needed. It is a voluntary exam that allows residents to compare themselves with others at the same level nationally.
Though not intended to be an examination preparation tool, the In-service Exam can be a gauge of how well residents are being trained and prepared for the content of the Board examination. It is designed for residents in all specialty areas of preventive medicine. The material covered in the exam relates to the core (morning) portion of the American Board of Preventive Medicine (ABPM) certification exam.
For more information and the order form, please visit: http://www.acpm.org/?InserviceExamination
7. COMPENSATION SURVEY REOPENED
ACPM's first survey of the preventive medicine community concerning salaries and compensation has been reopened to those who did not submit a response previously. This survey will greatly assist ACPM and the preventive medicine specialty by serving as a resource for medical students and physicians considering a career in preventive medicine.
ACPM's Salary and Compensation Survey shall conform to confidentiality clause D-2 of the Ethics Code of the American Association of Public Opinion Researchers. Additionally, all data will be used in a format that will not display the identity of the individual respondents. That is, the survey responses will not be integrated, analyzed, or reported in any way in which the confidentiality of the survey responses is not protected.
Watch for an email from SurveyMonkey, and thank you for participating.
The application process for becoming an ACPM has been reopened on the ACPM website here: http://www.acpm.org/?Becoming_a_Fellow. The FACPM designation is an honor bestowed upon qualified candidates, by their peers on the ACPM Membership Committee. Fellows of the College are recognized for demonstration of significant efforts to advance the preventive medicine specialty and mission of ACPM.
Although applications can be submitted all year, the deadline for applications to be reviewed in the summer is close-of-business on Friday, July 11, 2014. The next and final review of applications before Preventive Medicine 2015 will be in November.
For more information on becoming a fellow, please visit http://www.acpm.org/?Becoming_a_Fellow.
ACPM Corporate Roundtable Charter member Purdue Pharma L.P. announced that it has filed a New Drug application (NDA) with the U.S. Food & Drug Administration (FDA) seeking authorization to market a once-daily, single-entity hydrocodone bitartrate tablet (HYD).
This investigational pain medication was formulated to incorporate abuse-deterrent properties designed to make the product more difficult to manipulate for the purpose of misuse or abuse by various routes of administration (e.g. chewing, snorting and intravenous injection). The formulation has not exhibited alcohol-induced dose dumping in laboratory studies. Data from clinical trials assessing the safety, efficacy, and abuse liability of this investigational medication were also presented at the 33rd Annual Scientific Meeting of the American Pain Society (APS) in Tampa, Fla. To learn more, please visit: Purdue Pharma L.P. Submits NDA for Once-Daily Hydrocodone Bitartrate Extended-Release Tablets Formulated to Incorporate Abuse-Deterrent Properties.
Purdue Pharma L.P. and its associated U.S. companies are privately-held pharmaceutical companies know for pioneering research on persistent pain. Headquartered in Stamford, CT, Purdue is engaged in the research, development, production, and distribution of both prescription and over-the-counter medicines and hospital products. Purdue Pharma is a leader in developing treatment options for the management of chronic pain, which is one of the most common reasons for visits to healthcare professionals. Chronic pain conditions affect more than 100 million U.S. adults and cost the American economy as much as $635 billion each year in direct healthcare expenses and lost productivity.
10. USPSTF RELEASES FINAL RECS FOR HEPB SCREENING IN ADOLESCENTS AND ADULTS
The United States Preventive Services Task Force (USPSTF) has provided a B recommendation (clinicians should offer or provide this service) for "Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults.” High risk, asymptomatic patients recommended for Hepatitis B screening include those born in countries with a prevalence of Hepatitis B and persons receiving hemodialysis or cytotoxic or immunosuppressive therapy. USPSTF also recommends patient screening to clinicians practicing in health care settings such as STD clinics, HIV testing and treatment centers, correctional facilities, and settings that provide services for injection drug users or men who have sex with men.
The Community Preventive Services Task Force (CPSTF) has released two new recommendations. As a result of the Centers for Disease Control Best Practices for Comprehensive Tobacco Control Programs publication, CPSTF has combined a summary of all their recommendations in "Reducing Tobacco Use and Secondhand Smoke Exposure.” CSPSTF recommendations for tobacco use include cessation using a combination of interventions, increases to the unit price of tobacco products, and development of smoke-free policies.
CPSTF has also newly recommended "Promoting Health Equity Through Education Programs and Policies: Full-Day Kindergarten Programs” particularly for low-income and racial and ethnic minorities. The CPSTF rationale states studies have shown that full-day programs improve reading and math achievement over the long term. This same evidence also supports high academic achievement leading to increased individual health, thus improving overall population health.
On June 2, 2014 the EPA released a proposed new plan to curb nationwide carbon pollution from power plants by 30% by 2030. Particle pollution, nitrogen oxide and sulfur dioxide will be cut by more than 25% as a co-benefit of this new rule. Power plants account for approximately 1/3 of all domestic greenhouse gas emissions in the United States.
The plan will be implemented through a state-federal partnership, allowing individual states, or state partnerships, to develop flexible pollution controls. The EPA estimates enactment of these controls will avoid 6,600 premature deaths, 150,000 asthma attacks in children and 490,000 missed work or school days. The EPA is currently accepting public comment on the proposed rule.
The U.S. Public Health Service has released the first clinical guidelines for Pre-Exposure Prophylaxis (PrEP). PrEP is a new HIV prevention method in which people that do not have HIV take a daily pill to reduce their risk of becoming infected. When used consistently, PrEP has been shown to reduce the risk of HIV infection among adult men and women at very high risk for HIV infection through sex or injecting drug use.
The PrEP guidelines were developed by a federal interagency working group led by CDC, and reflect input from providers, HIV patients, partners, and affected communities.
Research and Reports
New data released by the Centers for Disease Control and Prevention (CDC) show a dramatic rise in U.S. measles outbreaks with 288 cases of measles being reported between January 1st and May 23rd 2014. This represents the largest increase in eighteen years, with most of the cases being associated with international travel by unvaccinated people. California is experiencing the highest levels with 58 cases as a result of many people visiting the Philippines where a large outbreak of measles is occurring with 20,000 confirmed and suspected cases.
To reduce the spread of measles the CDC recommends that children get two doses of the vaccine beginning at 12 months, with second dose between the ages of 4 and 6 years old. Additionally, residents born after 1956 should confirm that they are still immune to measles or obtain an MMR vaccination.
In their June 2014 Vital Signs report, the Center for Disease Control and Prevention (CDC) highlights the importance of preventing foodborne norovirus outbreaks. Every year, approximate 20 million people are infected with the virus, causing vomiting and diarrhea, hospitalization and sometimes death. Approximately 70% of reported outbreaks are caused by infected food workers. Because an infected person can spread the virus prior to exhibiting symptoms, the CDC recommends standard food handling techniques such as use of proper hand washing, avoidance of bare hand contact with ready-to-eat-foods, kitchen manager certification in safe food practices and required sick-days for symptomatic workers.
The American College of Medical Genetics and Genomics is offering a series of free webinars related to the clinical practice of genomic medicine. The webinars will focus on the role and use of genome and exome sequencing technologies in clinical practice to help physicians and other healthcare professionals not board-certified in geneticists to understand the application of genetics and genomics in their practice in the areas of Genetic Testing, Genomic Sequencing, Genetic Counseling, sequencing and Interpretation, and Reporting and Delivery Results. Each webinar contains several modules addressing different aspects of the application of genomic testing. Webinar modules include: Cystic Fibrosis Carrier Screening, Noninvasive Prenatal Screening (NIPS), Preimplantation Genetic Diagnosis (PGD) Screening and Understanding Your Genome: Genomics in Clinical Practice Symposium. For more information please visit www.acmg.net/Education.
The Association of American Medical Colleges (AAMC) and the Centers for Disease Control and Prevention (CDC) are collaborating on "Inclusion and Integration of Population Health into Undergraduate Medical Curriculum” webinar at 1:00pm on June 26th. The webinar will highlight multiple programs and activities that include population health and public health within the undergraduate medical education experience and will feature examples along the continuum from inclusion to full-scale integration of these topics within the curriculum. The goal of the webinar is to provide information to help attendees understand the key elements of success and solutions to overcoming barriers to better facilitate the integration of a population health perspective in medical education.
To register, please visit the registration page.