American College of Preventive Medicine
Practice Guidelines Committee Report

November 1999

Chair: Neal Kohatsu                                                                          Staff: Barbara Clark

 


STATUS OF ACPM POLICIES

Practice Policies

Published Policies

Counseling on Hormone Replacement for Peri and Postmenopausal Women, David Katz, MD and Haq Nawaz, MD, Griffin Hospital, Connecticut. Am J Prev Med. October 1999.

Tobacco Cessation Counseling. Jane Kattapong, MD, University of Washington Preventive Medicine Residency Program. Am J Prev Med. August 1998

Screening for Prostate Cancer in American Men. Rebecca L. Ferrini, MD, MPH, University of California/California State University and Steven H. Woolf, MD, FACPM, Medical College of Virginia. Am J Prev Med. July 1998.

Adult Immunizations. Ann R. Fingar, MD, MPH and Byron J. Francis, MD, FACPM, Illinois Department of Public Health. Am J Prev Med. February 1998.

Screening for Skin Cancer. Rebecca L. Ferrini, MD, MPH, Monica Perlman, MD, MPH and Linda Hill, MD, FACPM, University of California/California State University General Preventive Medicine Residency Program. Am J Prev Med. January 1998.

Physician Recommendation of Protection from UV Light Exposure. Rebecca L. Ferrini, MD, MPH, Monica Perlman, MD, MPH and Linda Hill, MD, FACPM, University of California/California State University General Preventive Medicine Residency Program. Am J Prev Med. January 1998.

Childhood Immunizations. Linda Kinsinger, MD, FACPM and Rita Patel, MD, University of North Carolina Preventive Medicine Residency Program. Am J Prev Med. March/April 1997.

Screening Asymptomatic Women for Ovarian Cancer. Rebecca L. Ferrini, MD, MPH, University of California/California State University General Preventive Medicine Residency Program. Am J Prev Med. November/December 1997.

Cervical Cancer Screening. William M. Marine, MD, FACPM and residents at the University of Colorado Health Service Center. Am J Prev Med. September/October 1996.

Screening Mammography for Asymptomatic Women. Rebecca L. Ferrini, MD, Elizabeth Mannin, MD, Edith Ramsdell, MD and Linda Hill, MD, FACPM. University of California/California State University General Preventive Medicine Residency Program. Am J Prev Med. September/October 1996.

Policies in Progress

Counseling on Physical Activity. Kevin Patrick, MD, FACPM and residents at San Diego State University.

Hepatitis A Vaccination. Linda Kinsinger, MD, MPH and Chesley Richards, MD, MPH, University of North Carolina at Chapel Hill.

Physician Prescribing of Vitamin E to Prevent Cancer and Heart Disease. Gary Caplan, MD, MPH, University of Kentucky.

Physician Recommendation for Weight Loss. David Katz, MD, MPH and Haq Nawaz, MD, MPH, Griffin Hospital, Connecticut.

Prevention of Osteoporosis. Neal Kohatsu, MD, MPH, California Department of Health Services, Sacramento, California.

Screening for Chlamydia Trachomatis. Katerina Hollblad-Fadiman, MD, MPH, Santa Clara County Public Health Department, San Jose, California.

Screening for H.pylori in High Risks Groups. Bonnie Henry, MD, Tonya Gosha, MD and Linda Hill, MD, FACPM, San Diego State University.

Screening for Hemochromatosis. Linda Hill, MD, FACPM and residents at San Diego State University.

Screening for Hepatitis C. Bonnie Henry, MD and Linda Hill, MD, FACPM, San Diego State University.

Screening for Lead Poisoning. Linda Kinsinger, MD, MPH and Wendy Gwirtzman Lane, MD, University of North Carolina at Chapel Hill.

Screening for Osteoporosis in Asymptomatic Women. Linda Hill, MD, FACPM and residents at San Diego State University.

Screening for Testicular Cancer. Rebecca L. Ferrini, MD, MPH, University of California/California State University.

Varicella Vaccination. Josette Roukhalil, MD, MPH, Griffin Hospital, Connecticut.

Violence Prevention. David Katz, MD, MPH and Haq Nawaz, MD, MPH, Griffin Hospital, Connecticut.

 

Public Policies

Published Policies

Strengthening Motor Vehicle Occupant Protection Laws. Rebecca Ferrini, MD, MPH. University of California/California State University. Am J Prev Med. September/October 1997.

Folic Acid Fortification of Grain Products in the U.S. to Prevent Neural Tube Defects. Jennifer Bentley, MD, MPH, Rebecca Ferrini, MD, MPH, and Linda Hill, MD, MPH., San Diego, California. Am J Prev Med. April 1999.

Policies in Progress

Needle Exchange Programs to Reduce Drug-Associated Morbidity and Mortality. Rebecca Ferrini, MD, MPH, University of California/California State University.

Genetic Screening for Cancer. William M. Marine, MD, FACPM and Judy Mouchawar, MD, MPH at the University of Colorado Health Service Center.

Breastfeeding. Miriam Labbok, MD, MPH, Georgetown University.

Handgun Control. Christopher R. Armstrong, MD, MPH, Naval Branch Medical Clinic, Jacksonville, North Carolina.

QUALITY IMPROVEMENT

During a recent conference call, Steven Woolf, MD, Neal Kohatsu, MD, Linda Kinsinger, MD, Jud Richland and Barbara Clark discussed potential quality improvement (QI) activities for the Committee.

1) Developing articles on implementing preventive services. Participants suggested that articles be solicited from leaders in the QI field. AJPM editors have expressed interest in publishing the articles in the Journal. In discussing topics for the articles, the possibility of complementing the work of the US Preventive Services Task Force and Community Service Task Force was raised.

2) Hosting a conference on quality improvement. This activity could position the College as a leader in the quality improvement and prevention field. The purpose of the conference would be to present results of randomized controlled trials on QI methods, as well as "real world" case studies, including methods that work and don’t work. Case studies involving diverse settings and populations, such as Indian reservations, suburbia, and community health centers would be sought. Potential key players in the conference and funding sources, such as Agency for Health Care Policy and Research (AHCPR), and various foundations, were discussed. The participants concurred that development of a one-page concept paper should be the first step. The next step would be to approach the "key players" about the viability of such a conference and how to "spin" it. The paper would also be used during discussions with potential conference participants and donors.

3) Holding a conference similar to the L’Esterel conference held in Canada in the late 1980s.

PRESS RELEASE ON HEPATITIS B VACCINATION

ACPM issued the press release "American College of Preventive Medicine Recommends Hepatitis B Vaccination for Children and Adults" in May 1999.

AMERICAN CANCER SOCIETY’S PROSTATE CANCER PROJECT

On October 28, Dr. Kohatsu met with the American Cancer Society, the American Academy of Family Physicians and the American College of Physicians to discuss a joint statement on prostate cancer screening and related education materials.

DISCUSSION TOPICS FOR COMMITTEE MEETING

  • ACPM Practice and Public Policies

Process for Preparing Policies

Promotion of Policies

Review of Topics

  • Quality Improvement Initiative
  • American Cancer Society’s Prostate Cancer Project
  • AHCPR Evidence-Based Practice Centers and Revision of Guide to Clinical Preventive Services
  • David Atkins, MD, will present information on the Practice Centers and Guide.