|ACPM Headlines 11/19/10|
Policy and Practice
Research and Reports
1. ACPM-BACKED RESOLUTION ON PHYSICIAN LICENSING ADOPTED BY AMA HOUSE OF DELEGATES
An ACPM-sponsored resolution on physician licensing was adopted by the AMA House of Delegates at its recent meeting in San Diego, CA. The resolution calls on the AMA to oppose laws, regulations, and policies that would limit the ability of a physician to obtain or renew an unrestricted state or territorial medical license based solely on the fact that the physician is engaged exclusively in medical practice that does not include direct patient care. The resolution, co-sponsored by the American College of Occupational and Environmental Medicine, was developed by the ACPM Licensure Task Force, chaired by ACPM member Sharon Hull, which was created to address the move by some states to restrict the provision of a medical license to only those physicians who are engaged in direct patient care.
The resolution also asks the AMA to advocate such policy with the Federation of State Medical Boards and to urge its constituent state and territorial medical societies to advocate such policy with their respective medical boards. In addition, the resolution calls on the AMA to oppose activities by medical license boards to create separate categories of medical licensure solely on the basis of the predominant professional activity of the practicing physician.
The House of Delegates also adopted a resolution co-sponsored by ACPM and the American Association of Public Health Physicians calling on the AMA to support HIV screening policies that closely mirror ACPM's recently adopted position statement on routine HIV screening.The resolution asked the AMA to support routine HIV screening of adolescents and adults ages 13–64 and sexually active adults over 65, rapid HIV testing, and prompt counseling and treatment for patients who test positive for HIV.
ACPM thanks Fellows Robert Gilchick and Jason Spangler, the ACPM delegate and alternate delegate to the AMA, respectively, for successfully ushering these resolutions through the AMA House of Delegates process.
The ACPM Young Physician Section, in concert with the Medical Student Section and Resident Physician Section, collaborated with the American Medical Student Association to deliver a webinar for medical students on healthcare reform and careers in preventive medicine. The webinar featured ACPM Past-President Michael Parkinson as its keynote speaker and ACPM YPS Chair Sami Bég as the moderator.
The webinar, Healthcare Reform, Preventive Medicine and the Future of Patient Care, can be viewed on the ACPM website at: http://www.acpm.org/MSS-webinars.htm. The webinar provided medical students with information on training and careers in preventive medicine as well as an overview of the Affordable Care Act and its potential impact on the future of the specialty.
ACPM would like to recognize the YPS, MSS, and RPS governing councils for their work putting this webinar together. Additional webinars are being considered to expand the reach of the specialty to more medical schools and residents. If you know any medical students or physicians considering a career in preventive medicine, please refer them to this link. A special thanks to US Preventive Medicine for providing the technical platform for, recording of, and digital hosting of this webinar.
3. COMMUNITY GUIDE RELEASES TWO EVIDENCE REVIEWS ON LIMITING EXCESSIVE ALCOHOL CONSUMPTION
The Centers for Disease Control and Prevention has announced the release of two recent reviews from the Guide to Community Preventive Services (Community Guide) assessing the effectiveness of limiting the days and hours of alcohol sales for preventing excessive alcohol consumption and related harms. These reviews were posted online for media access the past two weeks in the American Journal of Preventive Medicine, and also will be published in the journal's December 2010 issue and made available on the Community Guide web site.
Based on two systematic reviews of the scientific evidence on these interventions, The Task Force on Community Preventive Services (Task Force) concluded that regulating access to alcohol by limiting the days and hours when it can be legally sold is an effective public health strategy to prevent excessive alcohol consumption and related harms. Excessive alcohol use, including binge and underage drinking, is the third leading preventable cause of death in the United States, and it is responsible for, on average, more than 79,000 deaths per year and 2.3 million years of potential life lost (YPLL).
More information on these reviews can be found at http://www.thecommunityguide.org/news/2010/Alcohol_days_hours.html
4. PUT TIME TOOLS IN YOUR POCKET: ADOLESCENT WELLNESS EXAM TIME TOOL GOES MOBILE
ACPM has released a mobile version of the Adolescent Wellness Exam Time Tool that can be downloaded directly to your iPhone, BlackBerry, Palm or Pocket PC. ACPM has teamed up with Apprisor (MobileMedica) to bring you the Wellness Exam clinical guide directly to your PDA phone. For step-by-step instructions on downloading the viewer and the tool to your phone, please visit: http://www.acpm.org/timetools/wellness/. To access the full portfolio of Time Tools available on the ACPM web site, visit http://www.acpm.org/timetools/.
ACPM is pleased to announce the availability of a new report summarizing health risk behaviors among adolescents and effective clinical and community strategies to reduce them.
"Strengthening Preventive Care to Better Address Multiple Health Risks Among Adolescents” summarizes the presentations and discussions at the half-day Preventive Medicine 2010 Adolescent Preventive Services Institute, provides an overview of health risk behaviors among adolescents, and outlines effective clinical and community strategies to reduce them. The presentations reveal high rates of individual and co-occurring risks among adolescents and offer data showing only two to three percent of adolescents at a large health plan are receiving recommended preventive care. They also show, based on a growing body of literature, comprehensive risk assessments, behavioral counseling and brief interventions, organized office processes and team-based care, and referral to community prevention programs have the potential to reduce risks and improve adolescent health outcomes.
The report is available at: http://www.acpm.org/ah/StrengtheningPreventiveCare.pdf.
Visit the ACPM E-portal to access the Adolescent Health Institute (institute 4) from Preventive Medicine 2010 at: http://bit.ly/alfmUO
6. ACPM SEEKS YOUR SUPPORT FOR THE PREVENTIVE MEDICINE LEADERSHIP FUND
In the next few weeks ACPM members will be receiving in the mail information about the Preventive Medicine Leadership Fund. As you consider making your year-end, tax-deductible donations, please consider ACPM's Preventive Medicine Leadership Fund (PMLF).
An increasing number of aspiring and young physicians in medical school, residency or early practice are seeking and learning about the opportunities and rewards of population medicine that the specialty of preventive medicine has to offer. ACPM is doing everything possible to meet this demand, but its success can only be realized through your help. Your contribution will ensure ACPM continues making in-roads in growing the awareness and influence of preventive medicine in both policy circles and in organized medicine.
The PMLF helps ACPM develop a new generation of preventive medicine physicians and support the efforts of physicians currently working in the field. Contributions help strengthen the specialty in a number of ways, including supporting medical students' and preventive medicine residents' participation in the exciting Preventive Medicine conference series; reaching out to medical students about the value of a career in preventive medicine; and helping build strong support for preventive medicine training and for disease prevention and health promotion in a reformed health system.
Cumulative contributions of $600 or more in any three-year period earns you membership in ACPM's President's Society. Not only does this level of contribution earn you distinction among the leaders and past Presidents of the College, but Society members serve as the steering committee overseeing the Fund. President's Society members are recognized each year at the Preventive Medicine conference and on the ACPM website. The Society, chaired by ACPM's Immediate Past President, meets each year at the annual conference.
Your donations are tax deductible, and may be sent via the mailed material, or by visiting http://www.acpm.org/PMLF/. Please join your fellow ACPM members by sending in your year-end gift, and help the College ensure a healthy and vibrant future for preventive medicine.
ACPM is seeking authors to write Perspectives in Prevention columns for publication on Medscape in 2011. The columns (2,000-3,000 words each) provide physicians and other healthcare professionals with recommendations and resources to improve prevention in practice.
Each article is featured under the heading "Perspectives in Prevention from the American College of Preventive Medicine” on Medscape's Public Health and Prevention (PH&P) homepage, in the MedPulse newsletter, and throughout other primary care and subspecialty sites on Medscape. Once the article is published, it is showcased in ACPM Headlines and on the ACPM website. For examples of previously published columns, please visit http://www.acpm.org/perspectives.htm.
Submissions may focus on any issue in preventive medicine. Six columns for 2011 are tentatively scheduled for submission in January, March, May, July, September and November. Authors will be offered an honorarium. To be considered for a column, please submit a brief topic description, preferred timeframe for submitting an article, qualifications and/or samples of other published columns, and your contact information to Michele Surricchio at ACPM. Your topic must be received by December 18, 2010. The author of each submission will be notified by January 2011.
In response to a membership survey earlier this year, ACPM has created several new avenues for member networking and communication. In particular, the College maintains an account on the micro-blogging site, Twitter, and several Facebook Groups and event pages.
Through its Twitter account, ACPM broadcasts condensed-format news and events of interest to members in real time. The Twitter feed can be found on the ACPM home page, or directly at https://twitter.com/ACPM_HQ.
ACPM also maintains several Facebook pages. These pages are used to inform ACPM members of news and events, and allow easy member-to-member interactions via the world's most popular social networking site.
Please visit the following ACPM Facebook pages:
Join us and see what you have been missing!
Policy and Practice
9. HHS announces new efforts to curb tobacco use
The U.S. Department of Health and Human Services (HHS) recently announced the release of a new strategic plan, "Ending the Tobacco Epidemic: A Tobacco Control Strategic Action Plan,” which aims to reduce current tobacco use and prevent tobacco use among children. The Food and Drug Administration's (FDA) proposed tobacco product regulation for the use of prominent textual and graphic warnings on all cigarette packaging is one of the first initiatives outlined in the plan. ACPM has a long history of supporting strong tobacco control policies and has endorsed FDA's move to further regulate cigarette packaging.
To view more information on the HHS strategic plan, please visit http://bit.ly/9f5niJ.
10. FISCAL COMMISSION RELEASES DRAFT OUTLINE OF FUTURE SPENDING CUTS
The bipartisan National Commission on Fiscal Responsibility and Reform, led by Co-Chairs Alan Simpson and Erskine Bowles, released a draft of the Co-Chairs' proposal for deficit reduction, along with a list of approximately $200 billion in illustrative savings. According to the draft, the Commission co-chairs recommend cuts starting gradually, beginning in FY 2012, with a goal of finding $200 billion in domestic discretionary and defense savings by 2015. The guiding principles of the proposal stated that the country must "cut and invest to promote economic growth and keep America competitive,” and lawmakers must "invest in education, infrastructure and high-value R&D.” At this stage, the draft document does not single out individual line-items in the health care budget for reductions or elimination.
To view a copy of the draft outline, please visit http://www.fiscalcommission.gov/.
11. SAMHSA AWARDS FUNDING TO HELP PREVENT SUICIDE
The Substance Abuse and Mental Health Services Administration (SAMHSA) is awarding a total of up to $22.4 million in additional funds over the course of the next five years to the Suicide Prevention Resource Center (SPRC). SPRC provides state-of-the-art suicide prevention expertise to states, tribes, and communities throughout the country. This new funding will allow the SPRC to increase its focus on populations at high risk for suicide or suicide attempts and allow an increased focus on improving the suicide prevention capacity of health and mental health providers to assess and manage suicide risk and to improve quality and continuity of care for persons at high risk of suicide. In addition, the funds will help enhance suicide prevention capacities in critical care settings such as primary care, hospital emergency departments, and substance abuse treatment programs.
Research and Reports
12. HHS RELEASES REPORT ON INCREASED QUALITY IN PUBLIC HEALTH
The Department of Health and Human Services (HHS) has released a report, "Priority Areas for Improvement of Quality in Public Health,” signaling a call to action to focus national attention on 6 priority areas serving as primary drivers of public health quality and desired health outcomes. The priority areas are:
To view the HHS report, please visit: http://bit.ly/dxxuzv.
13. CERTIFYING PERSONAL PROTECTIVETECHNOLOGIES: IMPROVING WORKER SAFETY
The Institute of Medicine (IOM), at the request of the National Institute for Occupational Safety and Health (NIOSH), has released a report examining the various approaches to performance testing currently used to certify the effectiveness of Personal Protective Technologies (PPT). The report examined the standards and regulations covering PPT and assessed the benefits of certification on worker safety. The report concluded the current approaches to evaluating occupational PPT are fragmented and vary significantly.
To view the IOM report, please visit http://bit.ly/9iihgN
14. INSUFFICIENT VITAMIN D LINKED TO CHILDHOOD OBESITY
According to a study released by the University of Michigan School of Public Health in the American Journal of Clinical Nutrition, vitamin D insufficiency is associated with an increased risk of childhood obesity. The study, "Vitamin D Deficiency and Anthropometric Indicators of Adiposity in School-Age Children: A Prospective Study,” found children with the lowest levels of vitamin D gained weight faster and accumulated more fat around the waist than those with sufficient levels of vitamin D. This suggests vitamin D deficiency, which is highly prevalent, may be related to the rise in childhood obesity and play a role in complications such as diabetes and heart disease.
To view a copy of the study, please visit http://www.ajcn.org/.
15. WEBINAR TO ADDRESS BULLYING PREVENTION
The Children's Safety Network and National Institute for Health Care Management Foundation will host a webinar on December 6, 2010 at 1:00 PM ET on bullying prevention. This webinar will bring together public and private sector stakeholders to share lessons learned from the efforts in Pennsylvania. The stakeholders discuss strategies on implementing a population-wide public health initiative to spur national behavior and culture change and ultimately prevent school-based bullying across the United States. Reserve your seat now by registering at http://edc.acrobat.com/e85155509/event/event_info.html.
To learn about other conferences and events of interest to preventive medicine professionals, see ACPM's interactive conference calendar at http://www.acpm.org/calendar.htm.
16. NATIONAL HEATLH AND NUTRITION EXAMINATION SURVEY ACCEPTING PROPOSALS
CDC's National Center for Health Statistics (NCHS) is accepting proposals for the 2013-14 National Health and Nutrition Examination Survey (NHANES) content. NHANES is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The survey is unique in that it combines interviews and physical examinations. NCHS is part of the Centers for Disease Control and Prevention (CDC) and has the responsibility for producing vital and health statistics for the Nation. For more information, please contact email@example.com.