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ACPM Headlines 10/25/10
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Top Stories

1.  ACPM to launch prescription assistance education campaign

2.  Preventive medicine webinar will target nation's medical students

ACPM News

3.  ACPM to host webinar featuring lifestyle medicine competencies

4.  CVD screening position statement accepted by AJPM

5. ACPM Perspectives in Prevention: urban health and physical activity

6.  ACPM completes final step in ACCME reaccreditation process

7.  ACPM to develop Time Tool on prescription drug abuse

8.  ACPM and RPS representatives meet with HRSA leaders

9.  ACPM co-sponsors Healthy Food, Healthy Farms webinar

Policy

10.  National Violence Prevention Network seeks support for NVDRS from VA

11.  IOM report examines front of package nutrition rating systems

Research and Reports

12.  Case made for less routine use of PSA testing

13.  Study highlights economic impact of aspirin use

Announcements

14.  Members in the News: Matt Boulton; David Shih


Top Stories

1.   ACPM TO LAUNCH PRESCRIPTION ASSISTANCE EDUCATION CAMPAIGN

ACPM, with support from Pfizer, will embark on a prescription assistance education campaign focused on building awareness of prescription assistance programs among state public health officials. The ACPM campaign is a novel approach to building awareness of these programs, which are typically directed toward clinicians rather than public health officials. Public health agencies routinely target programs to indigent, hard-to-reach populations—the same groups targeted for prescription assistance programs.

ACPM will collaborate with Pfizer representatives to develop a briefing for a state public health department that touts utilization of prescription assistance programs as an effective tool to combat health disparity issues at the population level.

For more information about the ACPM campaign please contact Paul Bonta at pbonta@acpm.org.

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2.   ACPM SECTIONS SPEARHEAD PREVENTIVE MEDICINE WEBINAR FOR MEDICAL STUDENTS

The ACPM YPS, RPS and MSS sections have been working jointly with the American Medical Student Association to feature a preventive medicine webinar on the AMSA website during National Primary Care Week. The webinar will feature ACPM Past President Michael Parkinson discussing "Healthcare Reform, Preventive Medicine and the Future of Patient Care." The webinar will be held at 12 ET on Friday, November 5, 2010. The webinar will also provide an introduction to ACPM and the field of Preventive Medicine to medical students from around the country. ACPM would like to recognize Sami Beg, Sam Peik, Leonard Moore, Cole Zanetti and the rest of the governing councils for YPS, RPS and the MSS for their dedicated efforts to put this project together. To register for the webinar, please visit: http://www.amsa.org/AMSA/Homepage/Events/NPCW/Webinar.aspx.

 

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ACPM NEWS

3.   ACPM TO HOST WEBINAR ON LIFSTYLE MEDICINE AND EMPLOYEE HEALTH

ACPM has received funding to convene a webinar on the employer's role in leveraging the lifestyle medicine competencies (see http://www.acpm.org/LifestyleMedicine.htm). The webinar is being funded by EHE International, a member of the ACPM Corporate Roundtable.

The 60-minute webinar will focus on helping employers understand the significance of lifestyle medicine physician competencies to the consumer/patient for both prevention and treatment of disease and to advance employer expertise in identifying and developing effective worksite and other employee wellness programs fully leveraging the lifestyle medicine competencies.

The webinar will be the first in a broad portfolio of activities ACPM and other groups will undertake to advance utilization of the competencies, which were published in the July 14, 2010 Journal of the American Medical Association. More information about the webinar will follow in the coming weeks.

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4.   "ATHEROSCLEROTIC CARDIOVASCULAR DISEASE SCREENING IN ADULTS” ACCEPTED FOR PUBLICATION IN AJPM

The American Journal of Preventive Medicine has accepted ACPM's position statement , "Atherosclerotic Cardiovascular Disease Screening in Adults," for publication in its January 2011 issue.

The paper, developed by the ACPM Prevention Practice Committee, addresses the ACPM position and rationale for the screening of coronary heart disease (CHD), carotid artery stenosis (CAS), peripheral artery disease (PAD), and abdominal aortic aneurysm (AAA) screening in the adult population.

To learn more about ACPM position statements, visit http://www.acpm.org/pol_positionstate.htm.

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5.   ACPM PERSPECTIVES IN PREVENTION: URBAN HEALTH AND PHYSICAL ACTIVITY

The latest ACPM Perspectives in Prevention column, titled "Urban Health and Physical Activity," was published at the end of last month on Medscape/WebMD. The column, written by ACPM member Amita Toprani, MD, MPH, provides a historical overview of urbanism and its attendant health consequences. It highlights some of the approaches employed in response to past urban health issues. It also examines the relationships between contemporary urban physical environments and health behaviors and outcomes and discusses responses to these health issues, focusing on the roles of clinicians and public health physicians. The column will be available for CME credit in the coming weeks. To access the full column, please visit http://www.acpm.org/perspectives.htm.

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6.   ACPM COMPLETES FINAL STEP IN ACCME REACCREDITATION PROCESS

ACPM senior staff members Mike Barry and Jennifer Edwards participated in a successful teleconference interview with the Accreditation Council for Continuing Medical Education (ACCME) last week regarding its application for accreditation. The interview was the final leg in an arduous process to seek ACCME accreditation for providing Continuing Medical Education. ACPM has been an accredited CME provider since 1975 and is seeking a new four-year accreditation in 2011.

The full accreditation process consists of completion of a comprehensive Self Study along with documentation of Performance-in-Practices files for a large sample of ACPM-sponsored events/modules. The telephone interview is used to discuss the items submitted in the self study and practice files with members of the ACCME survey team and Board.

ACCME will make its final decision on ACPM's accreditation in March 2011.

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7.   ACPM TO DEVELOP TIME TOOL ON PRESCRIPTION DRUG USE, ABUSE, STORAGE,  AND DISPOSAL

ACPM will develop a Time ToolTM for physicians and their patients on use, misuse, and abuse of pain medications. ACPM has identified the proper use of pain medications as a burgeoning issue. Nationwide, fatalities from prescription drug overdoses are the second-leading cause of accidental death behind car accidents and, in some states, are the leading cause, according to the Centers for Disease Control and Prevention. Current physician education efforts have not been innovative nor effective.

Through the Time Tool approach, ACPM will provide concise, easily digestible, evidence-based physician and patient education to help bridge this gap in knowledge. The Time Tool, supported by an unrestricted education grant from Purdue Pharma, L.P., will be released this winter. To see other Time Tools developed by ACPM, visit http://www.acpm.org/timetools/.

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8.   ACPM JOINS RPS LEADERS IN BULDING HRSA SUPPORT FOR PREVENTIVE MEDICINE

ACPM executive director Mike Barry and associate executive director for policy and government affairs Paul Bonta joined ACPM Resident Physicians Section (RPS) president Samuel Peik, MD, vice president for policy and education Charles Preston, MD, and vice president for membership and recruitment Clarence Lam, MD, in a meeting with officials from the Health Services and Resources Administration (HRSA) this week. The meeting was intended to broaden support for preventive medicine at HRSA, as officials there work to allocate a significant influx of new dollars received through the Affordable Care Act (ACA). HRSA's budget currently contains a line-item that provides funding to preventive medicine residency training programs.

HRSA officials noted their support for the unique value preventive medicine physicians bring to the health care system and discussed future opportunities that may allow preventive medicine residents to join the National Health Service Corps and to benefit from the public health loan forgiveness program authorized by the ACA. Opportunities for preventive medicine physicians could also increase as a result of the ACA's mandate that HRSA double the number of community health centers in underserved communities.

ACPM will continue to work to increase the visibility of preventive medicine within HRSA as the agency seeks to finalize various ACA provisions that could create opportunities for the specialty.

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9.   ACPM CO-SPONSORS NOVEMBER 2ND FARM BILL WEBINAR

ACPM is co-sponsoring a webinar on November 2, 2010 at 12 pm ET on the 2012 Farm Bill. In the webinar, Blue Cross Blue Shield of Texas Medical Director and Institute for Agriculture and Trade Policy (IATP) Food and Society Fellow alumnus Eduardo Sanchez, MD, MPH, will explore the parallels between health reform and the Farm Bill. Anne Haddix, PhD, senior policy advisor with the Centers for Disease Control and Prevention, will discuss the agency's interest in the linkages between food systems and health, the burden of disease and potential policy strategies. Finally, David Wallinga, MD, of the IATP will reflect on the health community's advocacy for the 2008 Farm Bill and opportunities for healthy food and healthier farming in the new bill. To register for the webinar, visit: http://bit.ly/FarmBillWebinar1.

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Policy

10 NATIONAL VIOLENCE PREVENTION NETWORK SEEKS SUPPORT FROM VA COMMUNITY

Members of the National Violence Prevention Network, a coalition chaired by ACPM of nearly 40 national organizations committed to expanding the National Violent Death Reporting System (NVDRS), met with officials from the Department of Veterans Affairs (VA) to urge support from the VA for new funding that would allow additional states to participate in the NVDRS program. NVDRS is administered by the Centers for Disease Control and Prevention (CDC) with $3.5 million, which allows just 18 states to participate.

The VA has come under fire recently for its inability to accurately track suicides among the veteran population. NVDRS is a state-level violent death surveillance program that could help the VA's suicide surveillance and prevention efforts.

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11.  IOM REPORT EXAMINES FRONT OF PACKAGE NUTRITION RATING SYSTEMS

In a first-phase study report, the Institute of Medicine (IOM) has concluded that nutrition rating systems and front-of-package (FOP) labeling would be most useful to consumers if they displayed information on calories, saturated fats, trans fats, and sodium. These nutrients are routinely over-consumed and associated most strongly with the diet-related health problems affecting the largest number of Americans, including obesity, heart disease, high blood pressure, Type 2 diabetes, and certain types of cancer, according to the IOM.

In addition to the required and federally-regulated Nutrition Facts Panel on each food item, manufacturers have begun to include additional nutrition messages, often represented in symbol form, on their food packages, referred to as "front-of-package” labeling, though these messages can appear on any part of the package. Combined with manufacturers' use of multiple, non-standardized food rating systems, consumers can easily become confused about essential nutritional information. As such, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) on FOP nutrition rating systems and nutrition-related symbols. The FDA also sponsored the study.

The committee will next review research on how consumers understand and use different types of nutritional information and issue a second report recommending ways to optimize the usefulness of front-of-package nutrition rating systems and symbols. This report will also include the committee's assessment of the pros and cons of having a single, standardized front-label food guidance system that is regulated by the Food and Drug Administration. To read ACPM's response to the FDA seeking input on FOP labeling this past summer, visit http://www.acpm.org/2010-029.pdf.

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Research and Reports

12.   NEW STUDIES PAVE THE WAY FOR LESS ROUTINE PROSTATE CANCER SCREENINGS

Two studies were recently published in the British Medical Journal (BMJ) that found lack of support for routine prostate cancer screening using prostate specific antigen (PSA) screening with or without digital rectal exam. The study did not show any reduction in mortality with routine prostate screening, but did show an increased probability of receiving a diagnosis of prostate cancer. Until further evidence from ongoing studies arrives, the authors called for evidence-based clinical practice guidelines that align with the study's conclusions, especially those guidelines that currently promote routine prostate cancer screenings.

To view the two studies please visit http://bit.ly/9ZkbSV and http://bit.ly/bRElSs.

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13.   STUDY HIGHLIGHTS ECONOMIC IMPACT OF APPROPRIATE ASPIRIN USE

New research released in this month's Current Medical Research and Opinion has concluded that there is a strong economic case, for both payers and society, to encourage appropriate aspirin use for patients at appropriate risk and per clinical guidelines. According to the study's authors, it also provides an example of how minimizing of costs can be accomplished without rationing of care.

In a base population of 1,000,000 patients, full implementation of clinical guidelines would potentially prevent an additional 1273 myocardial infarctions, 2184 angina episodes and 565 ischemic strokes in primary prevention patients and an additional 578 myocardial infarctions, and 607 ischemic strokes in secondary prevention patients. This represents a total savings of $79.6 million for primary prevention and $32.2 million for secondary and additional out-of-pocket expense to patients of $29.0 million for primary prevention and $2.6 million for secondary prevention for the cost of aspirin. Abstract: http://bit.ly/doWaI4.

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Announcements

14.   MEMBERS IN THE NEWS – BOULTON; SHIH

ACPM Fellow Matthew Boulton was awarded a $3.65 million, 5-yr NIH International Collaborations in Infectious Disease Research grant in partnership with the national China CDC as a result of the China Scholar Exchange program he founded at the University of Michigan in 2006. The grant is directed at the epidemiological characterization and control of vaccine preventable diseases in China with a special focus on measles. The grant also provides support for building epidemiology and laboratory capacity in China's public health system. To learn more about the program, please view: http://www.youtube.com/user/sphweb.

ACPM member David Shih was featured in the latest AMA Foundation Quarterly Newsletter http://www.ama-assn.org/ama1/pub/upload/mm/367/foundation-quarterly-fall10.pdf regarding his work since receiving the AMA Foundation leadership Award in 2000.

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