|ACPM Headlines 9/7/12|
Policy and Practice
Research and Reports
1. PREVENTIVE MEDICINE SPECIALISTS RANK AT THE TOP IN JOB SATISFACTION
Preventive medicine specialists had the highest satisfaction with work-life balance, according to a recent study published in the Archives of Internal Medicine. Around 60% of preventive medicine physicians surveyed responded they were satisfied that their work left enough time for personal or family life, compared to the average among all specialties of 47%. Additionally, preventive medicine, occupational medicine, or environmental medicine physicians had the lowest percentage of burnout at 30% (the mean was approximately 45%).
The study found that nearly half (45.8%) of all physicians show at least one symptom of burnout. Physicians were at higher risk of experiencing overall burnout than other US workers (38% vs. 28%) and more likely to express dissatisfaction with work-life balance than other US workers (40% vs. 23%). Marked differences in burnout were seen by specialty, with the most burnout seen in physicians at the "front line of care access” (emergency medicine, internal medicine, and family medicine), and the lowest rates seen among those in dermatology and preventive medicine (including occupational and environmental medicine). The study was led by Tait D. Shanafelt, MD, of the Mayo Clinic and colleagues from Mayo and the American Medical Association.
ACPM has received a grant award from the Centers for Disease Control and Prevention’s (CDC) National Center for Injury Prevention and Control to develop and test an evidence-based infant and early childhood injury risk assessment tool. This tool is expected to assist state-based Maternal, Infant, and Early Childhood home visitation staff in assessing infant and early childhood injury risk to facilitate the delivery of more targeted public health interventions. Project objectives include performing an environmental scan and developing, pilot-testing, and disseminating the tool to state and/or local home visitation programs.
For more information, please contact Andrea Lowe at firstname.lastname@example.org.
West Nile virus cases in the U.S. continue to climb, increasing 40% in just one week, according to the Centers for Disease Control and Prevention (CDC). By the end of August, nearly all U.S. states had reported West Nile virus infections in people, mosquitoes, or birds (which carry the virus). Nearly 1,600 infections had been reported (in people), an increase of 1,118 cases from the previous week. This year, 66 people have died from complications of the virus, including 41 in the final week of August.
Complications include infections of the brain (encephalitis), the spinal cord, and connecting nerves (meningitis). Most people have a less severe form of the disease, West Nile fever, but it can include severe fatigue that can linger for weeks or months.
Public health officials at the CDC are urging people to follow precautions against mosquito bites, including wearing long sleeves and long pants when outdoors at dusk or dawn, using insect repellents, and getting rid of standing water outdoors, which provides a breeding ground.
For additional information about West Nile virus prevention and screening, please visit www.cdc.gov/westnile/.
4. ACPM TO HOLD WEBINAR ON PAIN MEDICATION USE AND ABUSE
ACPM is planning a free national webinar to present healthcare providers with the knowledge, skills, and attributes needed to counsel patients about use, abuse, misuse and disposal of prescription pain medication within their daily practice. The webinar, scheduled for October 12 at 9:30am (ET), will identify tools and strategies to assist providers in offering effective counseling on managing challenges associated with prescription pain medication, including preventing overdose. The webinar will describe the risks of prescription medications, providing examples of abuse, the impact of the problem, and how providers can work with patients to prevent abuse while ensuring proper storage, use, and disposal of pain medications.
More detailed information about the program, speakers, and how to register will be forthcoming, and will be available and continually updated on the ACPM website.
Two ACPM Perspectives in Prevention columns have recently been posted on Medscape/WebMD.
The first, "Developmental Screening in Children: Promoting Healthy Development and Catching Problems Early," by ACPM Member Jacqueline Sedgwick, MD, MPH, addresses the realities posed by the inequities in child health and development. It explores the various health problems in children including nutritional, physical, mental, developmental and social issues. The column offers practical strategies to identify, intervene, and mitigate the effects of these problems through appropriate screenings, health education, referral assistance and ongoing monitoring and follow up. This column offers CME credit.
The second, "Diet and the Prevention of Chronic Disease,” was written by ACPM Member Jonathan Berz, MD, MSc. This column provides clinicians and healthcare professionals with a better understanding of the impact they can have in caring for patients with overweight and obesity. It addresses the relationship between diet and chronic disease and evaluates diets that have been shown to have beneficial effect. This column offers CME credit.
The columns can both be accessed through ACPM’s website at http://www.acpm.org/?PerspectivesPrevent.
ACPM hosted another highly successful Preventive Medicine Board Review Course (BRC) in Washington, DC, August 18-22. More than 180 physicians attended the 25th annual event. The BRC featured an extensive review of the topics slated for the Preventive Medicine Board Exam this fall—including Biostatistics, Epidemiology, Heath Services Management, Behavioral Health, and Clinical Preventive Medicine—along with intensive breakouts in the three specialty areas—Public Health/General Preventive Medicine, Aerospace Medicine, and Occupational Medicine. Participants also earned Continuing Medical Education (CME) and Maintenance of Certification (MOC) credits by attending the course.
ACPM recognizes and greatly appreciates the BRC Course Chair, Jill Waalen, MD, MPH, MS, FACPM, for organizing a top-notch event, and our dedicated faculty members for their critical contributions.
If you missed the Board Review Course, you may purchase the three-volume hard copy syllabus and the DVD-ROM containing all lectures with synchronized power point presentations. The DVD-ROM also will allow you to earn up to 57.5 hours of CME and MOC credit. For more information and to order the syllabus and DVD-ROM, visit our website.
ACPM also features the Board Review Practice Exam, which will prepare examinees to actual test conditions, as they practice answering questions of similar content to the Preventive Medicine Board Exam in a similar format: on a computer with a time limit. Users of the practice exam also will obtain instant feedback on how well they have assimilated Review Course content with a results report that includes answer explanations written by Course faculty.
For more information about the Board Review Practice Exam, or to purchase the exam, please visit our website.
ACPM’s associate executive director for policy, advocacy and external affairs Paul Bonta represented the College at a meeting organized by the Coalition for Health Funding with President Obama’s senior health policy advisors at the White House to discuss the impact of the pending January 2, 2013 sequestration on public health funding. Coalition members met with Valerie Jarrett, senior advisor to the president; Jon Carson, director of the office of public engagement; Liz Fowler, special assistant to the president for healthcare and economic policy at the National Economic Council; and Jeanne Lambrew, deputy assistant to the president for health policy.
White House officials noted that while they are working toward deficit reduction they are urging that Congress pursue a balanced approach that combines spending cuts with new revenue to balance the budget. Mr. Bonta, a Coalition for Health Funding board member, noted that "public health programs, particularly those funded through the Centers for Disease Control and Prevention (CDC) budget, have already sustained significant cuts and additional funding reductions through sequestration would reverse recent progress made in expanding access to clinical and community-based preventive services for populations with the greatest need.” The White House is hopeful that they can agree to a bipartisan solution on deficit reduction during the lame duck session of Congress that will avert the need for sequestration altogether.
Annually, ACPM recognizes individuals for significant contributions, dedication and service to the College and to preventive medicine. The Awards Committee is currently accepting nominations for the following awards: Distinguished Service, Ron Davis Special Recognition, William Kane Rising Star, and Donald Gemson Resident Award.
Board of Regents
The ACPM Nominations Committee is also pleased to announce the Call for Nominations to fill upcoming vacancies on the ACPM Board of Regents. Elections will be held in early-2013 for President-Elect, Aerospace Medicine Regent, Central/Southwest (Regional) Regent, and West (Regional) Regent. If nominated for a Regional Regent position, candidates must reside in the region they wish to represent.
Please take a moment and consider whether you or someone you know would be a strong candidate for a leadership position with ACPM. Also, before submitting a nomination, please check with the member to ensure they are an active ACPM Fellow, meet regional residency requirements (if applicable), and would be willing to accept the nomination.
All candidates must be active ACPM Fellows. Nominations for both categories (Board of Regents and Awards) are due November 12, 2012. To submit a nomination, or if you would like to be considered for any of the vacancies listed below, please submit a nomination letter, along with the proposed candidate’s curriculum vitae (CV), to ACPM Membership Manager Camille Sanders at email@example.com. Email submissions are strongly encouraged. Award recipients will be recognized during the ACPM annual meeting, Preventive Medicine 2013.
9. USPSTF ISSUES STATEMENT ON SCREENING FOR CHRONIC KIDNEY DISEASE
The United States Preventive Services Task Force (USPSTF) has determined that there is insufficient evidence to recommend for or against routine screening of chronic kidney disease (CKD) in adults. The recommendation, which received an "I” rating, does not apply to those who already exhibit symptoms of CKD or are otherwise predisposed to it due to another medical condition such as diabetes. In its statement, the Task Force called for new studies to be conducted to help shed light on the pros and cons of a screening program.
The full recommendation statement can be found here.
The U.S. Court of Appeals for the D.C. Circuit struck down the large, graphic cigarette warnings required by the landmark 2009 law that gave the Food and Drug Administration (FDA) authority over tobacco products stating that the government did not provide evidence that the new labels would reduce smoking rates. The court, in a 2-1 decision, said federal regulators fell short of meeting constitutional requirements for justifying the labeling rules.
"The First Amendment requires the government not only to state a substantial interest justifying a regulation on commercial speech, but also to show that its regulation directly advances that goal," Judge Janice Rogers Brown wrote in the majority opinion.
The only other appellate court to consider the issue, the U.S. Court of Appeals for the Sixth Circuit, upheld the graphic warnings requirement in March. The split decisions make it likely the U.S. Supreme Court will settle the issue.
To view the court’s opinion, visit http://1.usa.gov/OAg9WT.
The U.S. Department of Health and Human Services (HHS) has released a final rule specifying the Stage 2 criteria that eligible providers must meet to qualify for Medicare/Medicaid electronic health record (EHR) incentive payments. The final rule stipulates 17 core objectives that eligible providers will be expected to meet in order to qualify for incentive payments. In addition, providers will be required to report on 9 clinical quality measures.
Eligible providers and hospitals that become EHR meaningful users in 2013 will be able to avoid Medicare payment penalties that are scheduled to take effect in 2015. For more information, please see the HHS publication located here.
12. OVER 40% OF PATIENTS SEE SPECIALISTS FOR ROUTINE PRIMARY CARE
A new study published by the Archives of Internal Medicine found that nearly 40% of patients surveyed preferred seeing a specialist over a primary care physician for overall services and treatment of specific symptoms and disease. The study, which analyzed patient use of primary care services in 1999 and 2007, compared patients who visited primary care physicians versus specialty physicians for overall primary care, specific symptoms and diseases, and preventive examinations. The study noted that for preventive examinations, 66.3% (1999) and 71.2% (2007) preferred a primary care physician.
To read the study, please click here.
13. BEHAVIORS LINKED TO WEIGHT CONTROL IN OLDER WOMEN
A new study published in the Journal of the Academy of Nutrition and Dietetics identifies four eating habits that are independently associated with weight loss in postmenopausal women: decreased consumption of desserts, meats/cheeses, and sugar-sweetened beverages, as well as increased fruit/vegetable consumption. Eating at restaurants and eating fried foods had no apparent long-term effect on weight control.
Researchers at the University of Pittsburgh studied 465 overweight postmenopausal women previously enrolled in Women on the Move through Activity and Nutrition (WOMAN) study to analyze changes, eating habits, and weight at six and 48 months.
The full text of the study can be found here.
14. MEDICAL QUALITY CERTIFYING EXAM
The American Board of Medical Quality will offer the 2013 certifying examination in medical quality management and clinical quality improvement to physicians and other eligible (doctorate) professionals. The exam is scheduled for Saturday, February 23, 2013, during the ACPM/ACMQ annual conferences. For more information, visit www.abmq.org.
Join the American College of Lifestyle Medicine for its annual conference, Lifestyle Medicine 2012, "Treating the Cause," a combined clinical and practice management conference. Convene with "pioneer" and "early adopter" physicians and other health care professionals and learn about the practice of "treat the cause" healthcare. Don't miss out on learning from top experts such as Dr. Dean Ornish, Dr. David Katz, Dr. Ed Noffsinger and more!
Register now to take advantage of registration discounts. Available through September 30th,trainees and registrants who would like to send a second attendee from their practice can save up to$500! Email questions to firstname.lastname@example.org. Also, hotel rooms are still available at the conference hotel, but be sure to book soon as the group's discountis only available for a limited time.For more details and to book, visit http://www.lifestylemedicine.org/LM12hotel.