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ACPM Headlines 10/26/12
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In this Issue

Top Stories

1. Accreditation bodies work toward unified GME system

2. ACPM webinar on use, abuse and misuse of opioids available online

3. AJPM announces call for Childhood Obesity Challenge projects

ACPM News

4. ACPM sends letter to IOM Committee on Governance and Financing of GME

5. ACPM seeking nominations for awards and Board positions

6. ACPM webinar profiles U.S. Public Health Commissioned Corps

7. Past president appears in One Young World meeting with Jamie Oliver

Policy and Practice

8. USPSTF: hormone therapy to prevent chronic conditions

Research and Reports

9. Cancer now leading killer of Hispanics in U.S.

10. Call to action regarding health care quality and safety systems

11. Poor sleep might be linked to obesity, diabetes

Announcements

12. Healthy People 2020 public comment now open

13. Call for applicants for National Leadership Academy for the Public’s Health


Top Stories

1. ACCREDITING BODIES AGREE TO PURSUE UNIFIED GRADUATE MEDICAL EDUCATION SYSTEM

The Accreditation Council for Graduate Medical Education (ACGME), American Osteopathic Association (AOA), and the American Association of Colleges of Osteopathic Medicine (AACOM) have agreed to create a single path for graduate medical education accreditation in the United States beginning July 2015.

Under this agreement, AOA and AACOM would become members of the ACGME. Current members include the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, and the Council of Medical Specialty Societies.

ACGME, AOA, and AACOM will work together over the coming months to modify ACGME accreditation standards to accept AOA specialty board certification, recognize AOA-only accredited programs as ACGME-accredited, and facilitate osteopathic program accreditation solely through AOA/AACOM membership and participation with ACGME.

Please see the ACGME press release for more information.

2. ACPM WEBINAR ON USE, ABUSE AND MISUSE OF OPIOIDS NOW AVAILABLE IN ARCHIVE

Did you miss ACPM’s recent national webinar on use, abuse and misuse of opioids presented live on October 12? No worries, ACPM has made an archive of the popular webinar available on its web site.

The webinar provides healthcare providers tools and strategies to assist in offering effective counseling on managing challenges associated with prescription pain medication, including preventing overdose. Keynote panelists Daniel Alford, MD, MPH, and Jane Liebschutz, MD, MPH, preventive medicine physicians from Boston University’s School of Medicine and School of Public Health, described the risks of prescription medications, noted the public health impact of the problem, and described how providers can work with patients to prevent abuse while ensuring proper storage, use, and disposal of pain medications. Lynn R. Webster, MD, FACPM, FASAM, President-elect of the American Academy of Pain Medicine, moderated the session and provided a powerful look at the epidemiology of the problem.

Over 200 people registered for the webinar, and nearly 90% of respondents found it to be relevant to their practice. Comments by participants included:

  • "It offered a view of chronic pain and addiction that I do not often hear.”
  • "…a presentation on topic of interest to physicians by physicians.”
  • It was useful "as Director of Public Health for municipality [where] we've been trying to educate physicians about opioid addictions, PMP and proper prescribing practices.”

ACPM thanks Purdue Pharma for an educational grant to support development of the webinar.

3. AJPM ANNOUNCES CALL FOR CHILDHOOD OBESITY CHALLENGE PROJECTS

The American Journal of Preventive Medicine (AJPM) has launched the second round of its Childhood Obesity Challenge with a call for submissions from interested individuals or teams for innovative policies that could lead to the reduction in childhood obesity. Creativity is encouraged, and submissions can encompass a variety of formats including videos, online resources, or mobile apps. Priority will be given to new policies that have not been proposed or implemented. The winning submission will be featured in the online and print versions of a future issue of AJPM, in addition to a $2,500 cash prize. Second- and third-place cash prizes will be awarded. Submissions will be accepted until November 30, 2012.

Please see the website for details.

ACPM News

4. ACPM URGES EMPHASIS ON POPULATION MODELS IN LETTER TO IOM COMMITTEE

ACPM president Miriam Alexander, MD, MPH, FACPM sent a letter to the Institute of Medicine (IOM) applauding its recent formation of the Committee on Governance and Finance of Graduate Medical Education. In the letter Dr. Alexander urged the committee to "use this opportunity to guide the production of a physician workforce for the 21st century that recognizes the growing importance that population-driven care delivery models will have in achieving the aims of reduced health care expenditures and improved outcomes at the individual and population levels.”

Dr. Alexander noted that "The current system of graduate medical education (GME) financing does not support these emerging population-focused models. For example, Preventive Medicine physicians, with their unique combination of clinical and population health training, will increasingly be a critical component to realizing the goals of a reformed health care system. Unfortunately, the shortcomings of Medicare’s GME payment methodology have placed Preventive Medicine residency (PMR) training programs at a financial disadvantage compared to all other residency training disciplines since the program’s inception.”

In developing its recommendations on how to modernize the graduate medical education (GME) financing model, the Committee will consider the current financing and governance structures of GME; the residency pipeline; the geographic distribution of generalist and specialist clinicians; types of training sites; relevant federal statutes and regulations; and the respective roles of safety net providers, community health centers, and academic health centers.

5. ACPM SEEKS NOMINATIONS FOR AWARDS AND BOARD POSITIONS

Awards

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 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 for Board of Regents positions must be active ACPM Fellows.

Nominations for both categories (Awards and Board of Regents) are due by November 12, 2012. To submit a nomination, or if you would like to be considered for any of the vacancies listed above, please submit a nomination letter, along with the proposed candidate’s curriculum vitae (CV), to ACPM Membership Manager Camille Sanders at csanders@acpm.org. Email submissions are strongly encouraged. Award recipients will be recognized during the ACPM annual meeting, Preventive Medicine 2013.


6
. ACPM HOSTS WEBINAR ON CAREER OPPORTUNITIES IN U.S. PUBLIC HEALTH COMMISSIONED CORPS

On October 24 ACPM’s Young Physician Section (YPS) sponsored a webinar entitled The U.S. Public Health Service Commissioned Corps. CAPT Paul Jung, MD, MPH, a U.S. Public Health Service (USPHS) officer, Chief of Staff for the National Institute of Environmental Health Sciences, and Chair of the Physicians Professional Advisory Committee to the U.S. Surgeon General, was the featured speaker.

CAPT Jung provided an informative overview of the USPHS, which is one of the nation's seven uniformed services, its mission to protect, promote, and advance the health and safety of the nation, and its administrative structure within the Department of Health and Human Services. He also discussed various career opportunities available to medical officers within USPHS. The presentation was followed by a vigorous question and answer session.

The webinar is available on ACPM’s web site.

7. ACPM PAST PRESIDENT FEATURED IN ONE YOUNG WORLD SUMMIT 2012

ACPM Past President Michael Parkinson, MD, MPH, FACPM, participated on an expert panel at the Food Revolution Special Session of the One Young World Summit, held October 18-22, in Pittsburgh, PA. The session, which featured legendary British chef and food visionary Jamie Oliver, addressed how to inspire change in people’s food habits and promote food education around the world.

One Young World Summit provides young leaders a global platform and forum to share their vision and ideas, delivering real solutions for real change on the world stage. According to Michael Teoh, One Young World Ambassador 2010 and 2011, "This is a gathering of the world’s brightest young minds that are hungry to share their ideas and solutions to affect our world positively. With One Young World, the dream of youth to live together with business, governments and global NGOs is very possible.”

The YouTube video link for a complete recording of the Food Revolution session panel is at http://www.youtube.com/watch?v=l_l3KuwZerY. Dr. Parkinson’s remarks, which focus on healthy environments and healthy lifestyles where we live, learn, work, and play, begin at approximately 21:30.


Policy and Practice

8. HORMONE THERAPY FOR PRIMARY PREVENTION NOT RECOMMENDED FOR POSTMENOPAUSAL WOMEN

The United States Preventive Services Taskforce (USPSTF) has issued a new recommendation against the use of hormone therapy for the primary prevention of chronic conditions in postmenopausal women. The "Grade D” recommendation applies to all postmenopausal women whether or not they have had a hysterectomy. However, it does not apply to women younger than 50 years who have surgical menopause or those using hormone therapies to treat menopausal symptoms like hot flashes.

Despite the protective effect of hormone therapy in preventing hip fractures, the USPSTF found adequate evidence that the use of combined estrogen and progestin is associated with an increased risk of stroke, dementia, gallbladder disease, and urinary incontinence. They also concluded that there was convincing evidence of a small increase in the incidence of invasive breast cancer as well as an increased risk of deep venous thrombosis and pulmonary embolism. As a result, they concluded that the disease prevention benefits of combined estrogen and progestin and estrogen alone do not outweigh the harms in most postmenopausal women.

The full recommendation statement can be found here.

Research and Reports

9. CANCER NOW LEADING CAUSE OF DEATH AMONG HISPANICS

Cancer is now the leading cause of death among Hispanics, the fastest-growing minority population, in the U.S., according to new data from the American Cancer Society (ACS). Heart disease, by comparison, remains the leading cause of death among whites and blacks.

The ACS report noted, "Although Hispanics have a lower risk than whites or blacks for the most common types of cancer (lung, breast, prostate, and colon), they have a higher risk for cancers related to infectious agents..." Poverty and reduced access to medical services, which lead to lower screening rates and later detection, were cited as key contributors to the disparity.

A recent article in American Medical News describes the challenges that physicians face in combating disparities in cancer detection and care.


10. CALL TO ACTION: SAFEGUARDING THE INTEGRITY OF HEALTHCARE QUALITY AND SAFETY SYSTEMS

The National Association for Healthcare Quality has released a "Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.” This publication focuses on the importance of developing systems that facilitate reporting by health care staff of conditions that could endanger patient safety. By creating a culture that allows health care staff to feel comfortable reporting risks, organizations can minimize medical errors and enhance overall care. The document is designed to raise awareness of patient safety and quality of care issues among health care leaders and policy makers.

Please click on the following links to read the report or view the webcast.

11. SLEEP DEPRIVATION MIGHT BE LINKED TO OBESITY, DIABETES

In a study published in the Annals of Internal Medicine, researchers found that sleep deprivation impairs the ability of fat cells in the body to respond to insulin efficiently. The study expands upon previous research that has linked inadequate sleep to obesity and diabetes by offering a mechanism for that observation.

The fat cells of participants in the study who were intentionally deprived of sleep were 30% less sensitive to insulin compared to those of individuals who were not. In addition, sleep-deprived participants were found to have a 16% reduction in whole body insulin sensitivity based on the results of a glucose-tolerance test. This state of insulin resistance is often a precursor to full-blown type II diabetes. It should be noted, however, that this was a small study and more research is needed to validate the results.


Announcements

12. HEALTHY PEOPLE 2020 PUBLIC COMMENT NOW OPEN

Healthy People 2020 is soliciting public comments on objectives of two new topic areas: Educational and Community-Based Programs and Social Determinants of Health. In addition, the Federal Interagency Workgroup on Healthy People 2020 is requesting comments on objectives identified across all 42 topic areas.

To comment, visit the Healthy People 2020 Public Comment webpage and click on the proposed objective. Users must register or log in to add comments. Comments are being accepted through November 2nd.

13. CALL FOR APPLICANTS FOR NATIONAL LEADERSHIP ACADEMY FOR THE PUBLIC’S HEALTH

The Public Health Institute’s Center of Health Leadership and Practice is soliciting applications for the 2013 National Leadership Academy for the Public’s Health. This program is funded through the CDC and designed to "develop the leadership capacity of participants to work across sectors to contribute to improved population health.” Program activities include an in-person retreat, webinars, coaching and peer support, and an applied health leadership project. Applicants must form teams of four members; one of whom must be employed with a governmental public health office. All members must currently serve in leadership roles and be committed to community engagement, health equity, and systems-based approaches to problem solving. Applications will be accepted until November 14, 2012.

Please see the website for details.


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