|ACPM Headlines 9/9/11|
Policy and Practice
Research and Reports
1. MEDICARE PROPOSAL WOULD COVER OBESITY COUNSELING
The Centers for Medicare and Medicaid Services (CMS) has proposed to pay for "high intensity" obesity counseling for obese Medicare beneficiaries. In an effort to stem the tide of the growing obesity epidemic, CMS is proposing to pay covered seniors to undergo behavior modification and weight-loss counseling by a primary care practitioner, according to a proposed decision memo posted August 31 on the CMS web site.
The counseling would involve one office visit every week for a month; one office visit every other week for months two to six; and one office visit for every remaining month through one year, provided that the patient has lost at least 6.6 lbs in the first six months. The counseling would have to take place in a primary care setting, such as a family physician's office, in order to be eligible for reimbursement from Medicare.
CMS is accepting additional public comments and will eventually issue a final coverage decision. http://ow.ly/6p4PW
2. ACPM RELEASES ADOLESCENT DEPRESSION TIME TOOL AND ADOLESCENT OBESITY POCKET GUIDE
ACPM has released the latest set of tools in its Time Tool series focused on adolescent depression. Developed with support from a cooperative agreement with the Health Resources and Services Administration’s Office of Adolescent Health, the Adolescent Depression Time Tool presents important elements from the 2010 Guidelines for Adolescent Depression in Primary Care (GLAD-PC) for identifying, assessing, and treating adolescent depression in the office setting.
The College, through a partnership with Apprisor (MobileMedica), also has released a mobile version of its Adolescent Obesity Time Tool, enabling clinicians to download the tool directly to their iPhone, BlackBerry, Palm or Pocket PC and have access on the go.Visit http://www.acpm.org/?adobesity_Launch for step-by-step instructions on downloading the viewer and the tool to your phone. The Adolescent Obesity Time Tool provides information and medical guidance to help healthcare providers address obesity and discuss concerns about nutrition and weight with adolescents and parents.
Each adolescent health-focused Time Tool is eligible for CME and MOC credit and now also includes a patient guide that may be shared with adolescents and parents during a clinical visit. The patient guide includes a take home, high-level summary to reinforce the patient education process. To access the Adolescent Time Tools and ACPM's complete profile of Time Tools, visit http://www.acpm.org/?TimeTools. As you review these tools, we encourage you to complete the brief evaluations for each and provide us with your feedback.
3. ACPM LAUNCHES NEW FELLOWSHIP PROGRAM
ACPM has launched its new Preventive Medicine Fellowship program, which aims to place recent preventive medicine graduates and young preventive medicine physicians looking for new career opportunities into intensive one- or two-year fellowship training programs at the site of an industry partner. ACPM is pleased to announce the first such opportunity—its Clinical Risk Management (CRM) Fellowship program—in partnership with Merck, Inc.
The CRM Fellowship is a two-year fellowship program that places Preventive Medicine physicians starting, or early in, their careers with an interest in clinical risk management and pharmacovigilence in a two-year fellowship at Merck’s headquarters located just outside Philadelphia, PA. The goals of the Fellowship program are to expose preventive medicine physicians to various aspects of global product safety and to provide direct training and experience in how pharmaceutical manufacturers use data to support research, development, adoption, and utilization of their products.
For more information about the CRM Fellowship please contact ACPM's Paul Bonta at 202-466-2044, x110.
4. ACPM LEADERS SIT DOWN WITH CMS ADMINISTRATOR DON BERWICK
ACPM leaders met with the Centers for Medicare and Medicaid Services (CMS) Administrator Don Berwick, MD, MPP, to promote the unique role preventive medicine physicians play in improving the health of populations across various levels of the health care system, including the recently established Accountable Care Organizations (ACOs). The ACPM representatives noted the dual training preventive medicine physicians receive in clinical and population-based medicine and how such expertise is central to ensuring the meaningful success of recent CMS initiatives aimed at preventing cardiovascular disease and obesity through intensive physician counseling for at-risk patients.
The ACPM team included ACPM president Miriam Alexander, MD, MPH, FACPM, executive director Mike Barry, and associate executive director for policy and government affairs Paul Bonta.
For more information please contact ACPM's Paul Bonta at 202-466-2044, x110.
5. ACPM’S 24TH ANNUAL BOARD REVIEW COURSE A SUCCESS
Course Materials and Audio Recordings Now Available in DVD ROM format!
Nearly 200 physicians gathered in Crystal City, VA at the 24th Annual Preventive Medicine Board Review Course. The course featured an extensive review of the topics slated for the Preventive Medicine Board Exam and Recertification Exam.
Onsite participants reviewed materials in Biostatistics, Epidemiology, Heath Services Management, Public Health Law, Behavioral and Mental Health, Clinical Preventive Medicine, and many more topics, along with intensive breakouts in the three specialty areas—Public Health/General Preventive Medicine, Aerospace Medicine, and Occupational Medicine. Attendees also took advantage of the CME and Maintenance of Certification (MOC) opportunities available during the course, including a new session on the MOC process.
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 56.75 hours of CME and MOC credit. To place an order visit http://www.acpm.org/?RC_Syllabus.
6. ACPM RECEIVES CDC CONFERENCE GRANT TO ADDRESS GLOBAL CLIMATE CHANGE
ACPM has received a small conference grant from the Centers for Disease Control and Prevention (CDC) to convene a workshop on global climate change and what preventive medicine physicians and other health care providers need to know to mitigate and adapt to the health effects of global climate change. The workshop will take place during the Preventive Medicine 2012 annual meeting in Orlando, FL. Stay tuned for more information about the workshop in the coming weeks as plans unfold.
7. NOMINATIONS SOUGHT FOR AWARDS AND BOARD OF REGENTS VACANCIES
ACPM is accepting nominations for leadership positions and to fill vacancies on its Board of Regents. Elections will be held in early 2012 for Secretary, Treasurer (previously the positions of Secretary and Treasurer were held by one member), Public Health/General Preventive Medicine Regent (previously this position was held by two separate members, but now is combined into one position to reflect the current structure of ABPM certification), regents for the International and Mid-Atlantic regions, and Young Physician Regent. All candidates, with the exception of the Young Physician Regent position, must be Fellows of ACPM. Nominations are due November 11, 2011. For more information about the Board of Regents nomination process and how to submit a nomination, please visit: http://www.acpm.org/?NominationsCall
ACPM also is seeking nominations for its annual leadership awards. Each ACPM award honors an individual for contributions, dedication and service to the College and preventive medicine. The Awards Committee is currently accepting nominations for the following awards: Ron Davis Distinguished Service, Special Recognition, William Kane Rising Star, and Donald Gemson Resident Award. Nominations are due November 11, 2011. For more information about the awards and nomination process, visit: http://www.acpm.org/?AwardsCall
8. NEWS FROM AJPM: SEPTEMBER 7
In the latest news from the American Journal of Preventive Medicine:
Policy and Practice
9. ADULT SMOKING RATES DOWN
The Centers for Disease Control and Prevention’s (CDC) September 2011 Vital Signs outlines a modest drop in the percentage of U.S. adults who smoke, from 20.9% in 2005 to 19.3% in 2010. While the decrease is a positive sign, the report notes nearly 1 in 5 American adults still smoke and reducing tobacco use must remain a public health priority with sustained investments in state prevention and addiction control programs.
CDC notes "The more states invest in comprehensive tobacco control programs, the greater the reductions in smoking—and the longer they invest, the greater and faster the impact.” However, sustaining such investments is becoming a problem in many states where budget shortfalls and economic uncertainty is leading to cuts in such programs.
To view the full report, visit http://www.cdc.gov/vitalsigns/.
10. HPV VACCINATION RATES LOW FOR ADOLESCENTS
The Centers for Disease Control and Prevention’s (CDC) analysis of the National Immunization Survey Teen data, released in the latest Morbidity and Mortality Weekly Report (MMWR), reveals improved vaccination coverage for Tdap and meningococcal vaccines but little increase in the HPV series completion from 2009 to 2010. The CDC notes that among multiple factors, the multi-dose series required for HPV may contribute to the lower rates.
To view the MMWR, visit http://1.usa.gov/rmkOaL.
Research and Reports
11. IOM REPORT: NO LINK BETWEEN MMR VACCINE AND AUTISM
The Institute of Medicine (IOM) has found no relationships linking the MMR vaccine with autism or inactivated influenza vaccine with asthma episodes. The findings are presented in a new report, "Adverse Effects of Vaccines: Evidence and Causality,” which document the results of an evaluation by an IOM committee of a list of adverse events associated with eight vaccines. The objective was to evaluate the scientific evidence regarding the relationship between vaccination and adverse events. Causal relationships existed for some vaccines with respect to anaphylaxis events, but no links between MMR and autism and the flu vaccine and asthma were found. The full report details over 135 vaccine-adverse event pairs.
To view the report, visit http://bit.ly/qRmIQS.
12. PRENATAL SMOKING MORE HARMFUL THAN SUSPECTED
In one of the largest studies of its kind, researchers have found babies born to mothers who smoke while pregnant face substantial delays in early neurological development, and the effects may be stronger than researchers had previously thought.
According to the study, "The Impact of Maternal Smoking during Pregnancy on Early Child Neurodevelopment" published in the Summer 2011 Journal of Human Capital, smoking may cause as much as a 40-percentage-point increase in the probability of being at risk of developmental problems in babies between 3 and 24 months old. The effects were strongest among children from poor families, the research found.
For more on the study, visit http://ow.ly/6q3cz.
13. CDC STUDY CONFIRMS FOUR HEALTHIER BEHAVIORS LEAD TO A LONGER LIFE
People can live longer if they practice one or more healthy lifestyle behaviors, not smoking, eating a healthy diet, getting regular physical activity, and limiting alcohol, according to a study by the Centers for Disease Control and Prevention. People who engaged in all four healthy behaviors were 66 percent less likely to die early from cancer, 65 percent less likely to die early from cardiovascular disease, and 57 percent less likely to die early from other causes compared to people who did not engage in any of the healthy behaviors.
The study, "Low Risk Lifestyle Behaviors and All-Cause Mortality: Findings from the National Health and Nutrition Examination Survey III Mortality Study,” is published by the American Journal of Public Health at http://ajph.aphapublications.org/first_look.dtl.
14. CANCER CONTROL CAREER DEVELOPMENT AWARDS FOR PRIMARY CARE PHYSICIANS
The American Cancer Society is pleased to announce the 2012 Cancer Control Career Development Award for Primary Care Physicians (CCCDA). The purpose of this award is to encourage and assist in the development of primary care physicians who will pursue academic careers with an emphasis in cancer control. Awards are for three years and for up to $100,000 per year. A maximum of $10,000 per year for the mentor(s) may be included in the budget.
The American Cancer Society also offers several other research and training grants. For a full description of all grants, including applications, instructions, policies, and deadlines visit www.cancer.org or contact the ACS directly at 404‑329‑7558.
15. NOMINEES SOUGHT FOR FDA TOBACCO ADVISORY COMMITTEE
The Food and Drug Administration (FDA) is requesting nominations for voting members of the Tobacco Products Scientific Advisory (TPSA) Committee. Members of the TPSA Committee will advise the FDA on issues relating to the agency’s efforts to regulate tobacco products and will be asked to review and evaluate the safety, dependence, and health issues relating to tobacco products. The deadline for nominations is October 30.
For more information regarding the nomination process please visit http://1.usa.gov/kSnab.
16. MEMBERS IN THE NEWS: WENDY BRAUND
Congratulations to ACPM Young Physician Regent Wendy Braund, MD, MPH, MSEd, on her new position as Senior Administrator, Public Health Division, Wyoming Department of Health and Wyoming State Health Officer. In her new position, starting October 1, Dr. Braund will be responsible for the creation of policies, rules, and regulations for the Wyoming Department of Health and will provide overall direction of federal, state and local government divisions located within public health department.