|ACPM Headlines 11/5/10|
Policy and Practice
Research and Reports
1. ACGME RELEASES NEW PREVENTIVE MEDICINE TRAINING REQUIREMENTS
The Accreditation Council for Graduate Medical Education (ACGME) has released revised Program Requirements for Graduate Medical Education in Preventive Medicine. In a surprise move, the ACGME maintained the requirement for an MPH degree, although the traditional "academic year” has been eliminated. An earlier draft of the requirements released for public comment by the Residency Review Committee last spring proposed eliminating the MPH requirement.
In its review of the requirements, the ACGME closely examined the strength of clinical training and the relevance of academic coursework to physician post graduate training in Preventive Medicine. The major changes to specialty training include a minimum of 24 months of training in the Preventive Medicine Residency, which is to include broad-based education followed by focused preventive medicine education. Prior to appointment in the program, residents must have completed at least 12 months of clinical training. Resident experience must include at least 11 months of direct patient care in both inpatient and outpatient settings and should develop competency in fundamental clinical skills, including: (1) obtaining a comprehensive medical history; (2) performing a comprehensive physical examination; (3) assessing a patient's medical conditions; (4) making appropriate use of diagnostic studies and tests; (5) integrating information to develop a differential diagnosis; and (6) developing, implementing, and evaluating a treatment plan. The requirements also include regularly scheduled didactic sessions in the core public health sciences (e.g., biostatistics, health services management and administration, environmental health, and behavioral health), through the acquisition of a Masters of Public Health degree or other equivalent degree.
The ACPM leadership thanks the many individuals who commented on the draft requirements. The enormous response from the preventive medicine community clearly had an impact on the final changes. The approved requirements will take effect July 1, 2011. To view the new approved requirements, please visit http://www.acgme.org/acWebsite/RRC_380/380_prIndex.asp.
Do you hold a time-limited certificate in Preventive Medicine? Do you have questions about the Maintenance of Certification (MOC) requirements and process? ACPM would like to help you get them answered.
Preventive Medicine 2011 will feature the MOC Program Forum in two separate sessions dedicated to MOC and maintaining Board certification. ACPM will host an expert panel presentation featuring the American Board of Preventive Medicine's Executive Director and ACPM Secretary-Treasurer, Glenn Merchant, MD, FACPM, as well as ABPM Staff and ACPM MOC leadership, who will discuss the MOC process, with an emphasis on MOC Part IV, and answer queries submitted electronically and onsite in San Antonio.
ACPM has developed the MOC Program Forum specifically to capture and answer your MOC questions. Please submit your questions now at: http://www.acpm.org/education/moc_descr.htm.
3. ACPM PARTICIPATES IN OSTEOPATHIC OCCUPATIONAL AND ENVIRONMENTAL MEDICINE ANNUAL MEETING
ACPM associate executive director for policy and government affairs Paul Bonta presented an "Advocating Health Reform and Policy” session at the recent annual meeting of the American Osteopathic College of Occupational and Environmental Medicine. The organization meets in conjunction with the American Osteopathic Association's annual meeting and is largely comprised of preventive medicine physicians who trained at an osteopathic medical school.
Mr. Bonta discussed ACPM's advocacy efforts that led to the recent allocation of more than $9 million in federal funding to preventive medicine residency training programs and provided an overview of important prevention-related provisions of the "Affordable Care Act” that were advanced with strong support from ACPM. As noted by Mr. Bonta, "the specialty is poised to see significant growth as a result of the sharp focus placed on prevention and wellness activities in the new health reform law.”
The ACPM Perspectives in Prevention column published on Medscape/WebMD, "Urban Health and Physical Activity," is now available for CME credit. The column was written by ACPM member Amita Toprani, MD, MPH. It provides a historical overview of urbanism and associated health consequences and highlights approaches employed in response to past urban health issues. It examines the relationships between contemporary urban physical environments and health behaviors and outcomes and discusses the role for primary care and public health professionals in addressing these health issues. To access the column and earn CME, please visit http://www.acpm.org/perspectives.htm.
ACPM has mailed the first round of dues renewal notices for the 2011 membership year this week. Many thanks to all of you who have already paid your dues via the ACPM website!
The recent successes of the College are well chronicled in the cover letter you will be receiving with the renewal notice. These successes have been made possible because of your support! Your continued support ensures ACPM remains on the pathway toward a stronger and more robust organization, whose impact and visibility will continue to grow and allow ACPM to remain in the nation's healthcare spotlight. Renew your membership now, and don't miss out on any of ACPM's outstanding benefits, such as the American Journal of Preventive Medicine, ACPM's ever-expanding CME and MOC opportunities, and numerous representation, networking, and leadership/professional development opportunities.
You may pay your dues online by visiting https://www.acpm.org/members/default.cfm and entering your user id (your last name) and your password (your ACPM membership id – listed on your invoice). If you have any question regarding your dues invoice, please contact Jennifer Edwards at ACPM or call 202-466-2044 ext (1) 104.
The ACPM Nominations Committee will be meeting in mid-November to discuss the slate of candidates for the ACPM Board of Regents. If you, or someone you know, are interested in running for one of the open board positions, you must submit your CV and statement of interest by November 12, 2010 to Jennifer Edwards at ACPM. For more information on the slate of open positions, please visit: http://www.acpm.org/callfornominations.htm.
The ACPM Awards Committee also still is accepting nominations for any of the ACPM Awards. Assure that one or more of your fellow leaders in preventive medicine receive their due recognition by nominating them for an ACPM award. Award winners are honored at the Awards/New Fellows banquet on Saturday, February 19, in San Antonio. For more information on the awards please visit: http://www.acpm.org/callforawards.htm. The deadline to submit a nominee for an ACPM award is November 12, 2010.
Policy and Practice
7. ACPM JOINS HEALTH COMMUNITY IN URGING APPROPRIATE FY 2011 FUNDING ALLOCATION FOR PUBLIC HEALTH PROGRAMS
ACPM joined 360 national organizations on a letter organized by the Coalition for Health Funding urging that Congressional leaders complete action on the FY 2011 spending bills and provide public health programs with the highest funding allocations possible. The letter noted, "The U.S. Public Health Service's functions are essential for improving health and health care through greater access, higher quality, lower costs, improved safety, and faster cures. With sustained and stable investment, the public health continuum will keep America healthy and ‘bend the cost curve' by preventing costly chronic diseases, stemming the cause of disability, including behavioral and developmental disorders, identifying the most effective treatments, discovering new therapies and cures, developing a robust health workforce, and protecting our food and drug supply.”
To view a copy of the letter signed by ACPM please visit, http://acpm.org/CHF-Ltr-FY2011.pdf.
Health and Human Services (HHS) Secretary Kathleen Sebelius announced the availability of $335 million for community health centers to expand preventive and primary care services, including oral health, behavioral health, pharmacy, vision services and enabling services. As part of the Affordable Care Act, HHS hopes to grant an additional $270 to $335 million in FY 2011 funding to increase the number of providers and services made available at community health centers and to expand their hours of operation.
For more information on the availability of funds please visit, http://bphc.hrsa.gov/es/.
Research and Reports
9. IOM RELEASES NEW REPORTS ON THE GULF OIL SPILL AND THE 2009 H1N1 INFLUENZA PANDEMIC RESPONSE
The Institute of Medicine (IOM) released new reports on the Gulf of Mexico oil spill and the 2009 H1N1 influenza pandemic vaccination campaign. The report on the gulf oil spill, Research Priorities for Assessing Health Effects from the Gulf of Mexico Oil Spill, concludes there should be five priorities for further research, ranging from psychological and behavioral effects of populations affected by the oil spill to information on the health effects from exposure to oil, dispersants, and by-products of the controlled burns.
The second report, The 2009 H1N1 Influenza Vaccination Campaign, provides a summary of one of the largest public health vaccination campaigns in history and identifies promising practices, strategies for future emergency vaccination campaigns, and lessons to be learned.
To view these reports please visit, http://iom.edu/Reports.aspx.
A prospective cohort study featured in a recent Journal of American College of Cardiology found that a simple metric—gait speed—is an effective method of identifying vulnerable elderly patients at higher risk of mortality and morbidity after cardiac surgery. The study examined 131 patients over the age of 70 years old undergoing cardiac surgery and examined the time needed for these patients to walk 15 feet, or gait speed, in correlation to experiencing primary end point of mortality or major morbidity after cardiac surgery.
The full report and summary of findings are available online at: http://bit.ly/9l4JKW.
11. COLORECTAL CANCER SCREENING FORUM PUBLISHES CONSENSUS STATEMENT
The Quality Assurance Task Group of the National Colorectal Cancer Roundtable (NCCRT) has published a consensus statement in the Journal of General Internal Medicine about the responsibilities of referring physicians for choosing high quality colonoscopy services. ACPM Past-President Dorothy S. Lane, MD, MPH, FACPM, is ACPM's representative on the NCCRT and is a coauthor of this article.
The elements of quality relate to standardized colonoscopy reporting and include: depth of insertion, bowel preparation quality, patient tolerance of the procedure, description of polyps and whether they were removed or biopsied, pathology results for any biopsies, clear recommendations for follow-up and/or surveillance, cecal intubation rate, adenoma detection rate and the safety of the setting where the colonoscopy is performed. The article also includes the recommended surveillance intervals after polypectomy in average risk patients.
A better understanding of quality standards by referring physicians will promote better advocacy for patients and populations.
In response to the outbreak of cholera in Haiti, the Centers for Disease Control and Prevention on October 21 launched a website that updates information related specifically to the outbreak. This website contains useful information on diagnosis, treatment, and prevention of cholera and its relation to Haiti.
Cholera is an acute, diarrheal illness caused by an intestinal infection from Vibrio cholerae. The WHO reported over 220,000 cholera cases and almost 5,000 cholera deaths in 2009.
For more details, please visit: http://www.cdc.gov/haiticholera/.
A national webcast presenting research highlighting the differences between the United States and other countries in adolescents' sexual health will air on November 10, 2010 at 12:00 PM EST. Adolescents in the United States fare poorly with regard to their sexual health as compared to other industrialized nations. Participate in the "Talking With Teens About Healthy Sexual Relationships” webcast, hosted by the AAP Adolescent Health Partnership Project, and learn about new approaches to promoting positive sexual health for adolescents. Space is limited, register at https://www2.gotomeeting.com/register/730337650.
The Council on Linkages held its most recent meeting on October 25, 2010, to provide an update on its efforts to advance public health core competencies and other Council-related activities. The Council unanimously adopted the Core Competencies for Tier 1, 2, and 3 Public Health Professionals in May 2010. Tools are currently being developed to define domains of competencies, examples of how one can demonstrate attainment of specific competencies, and assessment tools to determine competency level. ACPM continues to be ably represented on the Council by Past President Hugh Tilson, MD, MPH, FACPM.
To learn more about the discussions of the Council's meeting, please go to: http://www.phf.org/link/meetingmaterials/102510/10252010.htm.