Leading - Society of General Internal Medicine

32 Pages·2013·1.93 MB·English

Celebrating Generalism:
Leading

Innovation

Change
and

PreliMinAry
ProgrAM
36th Annual Meeting
April 24-27, 2013
Sheraton Denver Downtown
Denver, Colorado
SGIM 36TH ANNUAL MEETING SCHEDULE
Day Time SeSSion
8:00 am – 5:30 pm ACLGIM Hess Management Institute  Quality Course  TEACH Course
WEDNESDAy 12:30 – 5:45 pm Precourses (1:30 – 5:00)  ABIM SEP Modules (12:30 – 5:45)  Offsite Tour of Denver Health (2:45 – 5:30)
5:30 – 7:00 pm Scientific Abstract Poster Session 1
7:00 – 8:00 am Breakfast and Morning Networking
8:00 – 9:00 am Interest Group Meetings
9:00 – 11:00 am Opening Plenary Session  Presidential Address: Ann B. Nattinger, MD, MPH
11:00 – 11:30 am Break
Vignette Poster Session 1  Town Hall Meeting
11:30 am – 1:00 pm
Mentoring Panels  Distinguished Professor Keynote Addresses  VA Leadership Lunch
Updates in Women’s Health and Addiction Medicine
Concurrent Session a VA Session: eHealth and mHealth: State of the Science
THUrSDAy 1:00 – 2:30 pm TEACH Session  Special Symposia in Shared Decision Making and Evolution in Medicine
Workshops  Abstract, Vignette and Innovations in Medical Education Oral Presentation Sessions
2:30 – 3:30 pm Afternoon Networking
Updates in Care of Cancer Survivors, Chronic Kidney Disease and Medical Education
Concurrent Session B
Special Symposia in the Business of Medicine and Developments in UME and GME
3:30 – 5:00 pm
Workshops  Abstract, Vignette and Clinical Practice Innovations Oral Presentation Sessions
5:00 – 5:30 pm Break
5:30 – 7:00 pm Scientific Abstract Poster Session 2
7:00 pm – Evening Networking Opportunities
7:00 – 8:00 am Breakfast and Morning Networking
8:00 – 9:30 am Scientific Abstract Poster Session 3
9:30 – 11:00 am Plenary Session 2  Malcolm Peterson Lecture: Wayne J. Riley, MD, MPH, MBA, MACP
11:00 – 11:30 am Break
Updates in Hospital Medicine and Palliative Medicine
VA Session: Partnerships to Enhance Women’s Health Research  TEACH Session
Concurrent Session C
Special Symposia in Leadership Skills for Academic GIM and Comprehensive
11:30 am – 1:00 pm
Review of USMLE
IME and CPI Poster Session  Workshops  Scientific Abstract and Vignette Oral Presentation Sessions
FrIDAy
1:00 – 3:00 pm Awards Luncheon  Speaker: Catherine Reinis Lucey, MD
Updates in HIV, Pain Medicine and Geriatric Medicine
VA Session: Integrating Peer Support into Chronic Disease Management  Workshops
Concurrent Session D
Special Symposia in Partnering between Academic and Community Institutions and Preventing
3:00 – 4:30 pm
Burnout in Primary Care
Scientific Abstract and Vignette Oral Presentation Sessions  Vignette Poster Session 2
4:30 – 5:00 pm Afternoon Networking
5:00 – 6:00 pm Interest Group Meetings
5:00 – Evening Networking Opportunities
7:30 – 9:00 am Vignette Poster Session 3
8:00 – 9:00 am Interest Group Meetings
9:00 – 10:30 am Plenary Session 3  Speaker: Richard J. Baron, MD, MACP
10:30 – 11:00 am Break
Updates in Perioperative Medicine and New Medications in Primary Care
SATUrDAy
Concurrent Session e TEACH Session  Workshops
11:00 am – 12:30 pm Special Symposia on Entering the Belly of the Beast: Physicians in Government and TCM
Scientific Abstract and Vignette Oral Presentation Sessions
12:30 – 1:30 pm Afternoon Networking – Lunch on Your Own
Concurrent Session F Updates on Psychiatry for the General Internist and GIM  Workshops
1:30 – 3:00 pm Scientific Abstract and Vignette Oral Presentation Sessions
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PLENAry SESSIONS
ThurSDAy oPening PlenAry SeSSion FriDAy AWArDS lunCheon KeynoTe
KeynoTe Catherine Reinis Lucey, MD
Dr. Lucey is Vice Dean for Education at the Univer-
Presidential Address
sity of California, San Francisco School of Medicine. She
Ann Butler Nattinger, MD, MPH, MACP directs the undergraduate, graduate and continuing med-
ical education programs of the School of Medicine and the
Professor of Medicine and Health Services Research,
Office of Medical Education. Dr. Lucey comes to UCSF
Chief, General Internal Medicine, Lady Riders
from Ohio State University where she was vice dean for
Professor of Breast Cancer Research, Director, Center
education for the College of Medicine and associate vice
for Patient Care and Outcomes Research, Medical
president for health sciences education for the Office of Health Sciences. She
College of Wisconsin
is a member of the AAMC MR5 committee, charged with overseeing the revi-
Dr. Nattinger has broad experience in cancer health sion of the Medical College Admission Test process. Dr. Lucey also served as
services research including studying outcomes of care, past Chair of the American Board of Internal Medicine Board of Directors. Dr.
predictors of quality of care, and the comparative effectiveness of newer ther- Lucey completed her residency in internal medicine, including service as chief
apies. She was a pioneer in the use of population-based data to study breast resident, at the UCSF-affiliated San Francisco General Hospital, after earning
cancer care. Her creative use of multi-modality data sources has substantially her medical degree from the Northwestern University School of Medicine.
advanced the field of population science. She has received several grants from
the National Institutes of Health and the Department of Defense. SATurDAy PlenAry SeSSion KeynoTe
Dr. Nattinger maintains an active clinical practice and is consistently
named in the Best Doctors in America listing. As Chief of General Internal The Payment System Is Changing: Insights for
Medicine, she oversees a division of over 100 faculty members and is active in
SGIM from the Innovation Center at CMS
all areas of education, having mentored dozens of Individuals, including nine
junior faculty through competitive national career development awards. She
Richard J. Baron, MD, MACP
serves on several national committees, including the American Cancer Soci-
Group Director, Seamless Care Models, Center for
ety’s Council for Extramural Grants. She is the recipient of numerous awards,
Medicare and Medicaid Innovations, CMS, DHHS
including the Medical College of Wisconsin’s Distinguished Service Award
and a Mastership from the American College of Physicians. Dr. Nattinger cur- Dr. Baron is the Group Director, Seamless Care Mod-
rently serves as the President of the Society of General Internal Medicine. els, at the Innovations Center at CMS. His portfolio in-
cludes innovative ACO models and models of high value,
FriDAy PlenAry SeSSion comprehensive primary care. Before joining CMS, Dr.
Baron led a general medicine practice that was a pioneer
2013 Malcolm L. Peterson Honor Lecture in the comprehensive adoption of electronic health records in the small prac-
tice environment, achieving level 3 PCMH recognition from NCQA. Dr. Baron
Wayne J. Riley, MD, MPH, MBA, MACP
also served as Chief Medical Officer of Health Partners, and was the architect
President and Chief Executive Officer, Professor of of the Best Clinical and Administrative Practices program, funded by the Rob-
Internal Medicine, Meharry Medical College, Senior ert Wood Johnson Foundation and the Center for Health Care Strategies. This
Health Policy Associate, Robert Wood Johnson program reached plans serving more than half of the U.S. Medicaid managed
Foundation Center for Health Policy at Meharry; care population.
Professor of Internal Medicine, Vanderbilt University Dr. Baron is past Chair of the American Board of Internal Medicine’s
School of Medicine Board of Directors and currently a Trustee of the ABIM Foundation. Addi-
Dr. Riley is the 10th President and Chief Executive tionally, he was a member of the National Committee for Quality Assurance
Officer of Meharry Medical College, the nation’s largest, private, independent, Standards Committee and director of the National Quality Forum. Dr. Baron
historically black academic health center. Dr. Riley’s tenured career covers was awarded the Pennsylvania Laureate Award, a Mastership from the Ameri-
academic medicine, primary care, public health, health care management and can College of Physicians, and “Practitioner of the Year” by the Philadelphia
policy, academic health science center administration and government. Dr. County Medical Society
Riley is professor of internal medicine at both MMC and Vanderbilt Univer- .
sity School of Medicine, and is a senior health policy associate for the Robert
Wood Johnson Foundation Center for Health Policy at Meharry. Previously,
he served as Vice-President and Vice Dean for Health Affairs and Govern-
mental Relations at Baylor College of Medicine.
Dr. Riley is a master in the American College of Physicians and holds
leadership roles in the Association of Academic Health Centers, U.S. Depart-
ment of Veteran’s Affairs National Academic Affiliations Council and the
National Institutes of Health’s “Blue Ribbon” Advisory Committee. He cur-
rently chairs the National Advisory Council on Minority Health and Health
Disparities of the NIH. Dr. Riley was elected to the Institute of Medicine
of the National Academies’ class of 2012 for his contributions to medicine,
medical sciences and healthcare.
DENVER
Session details are online at www.sgim.org/go/am13 3
SPECIAL SErIES
TenTh AnnuAl SgiM DiSTinguiSheD SiXTh AnnuAl SgiM DiSTinguiSheD
ProFeSSor ProgrAM in geriATriCS ProFeSSor ProgrAM in WoMen’S heAlTh
Jean S. Kutner, MD, MSPH Karen Freund, MD, MPH
Content developed in conjunction with the SGIM Geriatrics Task Force.
Thursday
Wednesday
11:30 am – 1:00 pm
5:30 – 7:00 pm Distinguished Professor in Women’s Health Keynote Lecture
Scientific Abstract Poster Session 1
Friday
All geriatrics posters will be presented during this poster session.
8:00 – 9:30 am
Thursday
Scientific Abstract Poster Session 3
7:00 – 8:00 am All women’s health posters will be presented during this poster session. Dr.
Walking Abstract Poster Session Freund will lead a “walk and talk” tour of the Women’s Health posters
Dr. Kutner will lead a “walk and talk” tour of the geriatrics posters.
11:30 am – 1:00 pm
11:30 am – 1:00 pm Abstract Session C4: Women’s Health
Dr. Kutner’s Keynote Lecture and Dessert Reception Dr. Freund will serve as the session discussant.
Enhancing Evidence – Based Patient Care at the Intersection of GIM and
The 2013 SGIM Distinguished Professor in Women’s Health program is
Geriatrics
supported by an unrestricted educational grant from the Physicians for
1:00 – 2:30 pm Reproductive Health and Choice.
Abstract Session A2: Aging/Geriatrics/End of Life
Dr. Kutner will serve as the session discussant. VA SerieS
The 2013 Distinguished Professor in Geriatrics program is supported by an Thursday
unrestricted educational grant from the Association of Specialty Professors.
11:30 am – 1:00 pm
VA Leadership Lunch
FourTh AnnuAl DiSTinguiSheD
ProFeSSor ProgrAM in CAnCer 1:00 – 2:30 pm
VAA: eHealth and mHealth: State of the Science
reSeArCh
Coordinator: Adam Gordon, MD, MPH, Pittsburgh VAMC and University of
Stephen Taplin, MD, MPH, National Cancer Institute Pittsburgh
Friday
Thursday
11:30 am – 1:00 pm 11:30 am – 1:00 pm
VAC: Partnerships to Enhance Women’s Health Research
Distinguished Professor in Cancer Research Keynote Lecture
Coordinator: Ellen F. Yee MD, MPH, New Mexico VA HCS Medicine,
5:30 – 7:00 pm Albuquerque
Scientific Abstract Poster Session 2
3:00 – 4:30 pm
All cancer research posters will be presented during this poster session. Dr.
VAD: Integrating Peer Support into Chronic Disease Management
Taplin will lead a “walk and talk” tour of the cancer research posters.
Coordinator: Jeff Whittle, MD, MPH, Director of Health Services Research,
Friday Primary Care Division, Clement J. Zablocki VA Medical Center
11:30 am – 1:00 pm VA programming of the above sessions in the VA Series at the SGIM 36th
Abstract Session C2: Cancer Research Annual Meeting is supported by the VA Health Services Research and
Dr. Taplin will serve as the session discussant. Development Service and the VA Quality Enhancement Research Initiative
(QUERI).
The 2013 Distinguished Professor in Cancer Research is supported by an
unrestricted educational grant from The LiveStrong Foundation.
other VA-related Session
Thursday
5:00 – 6:00 pm
IT20: VA Primary Care Interest Group
Coordinator: Paul Pirraglia, MD
4 SGIM 36th Annual Meeting | Celebrating Generalism: Leading Innovation and Change
NEW THIS yEAr! SGIM TEACH CErTIFICATION
eXPAnDeD CliniCAl VigneTTe TeAChing eDuCATorS ACroSS The
PreSenTATion oPTionS ConTinuuM oF heAlThCAre
Vign-dates! The SGIM Education Committee is launching the TEACH Certificate at the
SGIM 36th Annual Meeting. TEACH Certificate program participants will
Every year the meeting evaluation indicates more clinical content
be required to attend a precourse on Wednesday of the 2013 Annual Meeting.
at the Annual Meeting would be appreciated. In 2013 we are
The precourse is open only to those in the TEACH program.
introducing a new format during two Clinical Vignette oral
Additionally, TEACH Certificate applicants must participate in a total
presentation sessions — the Vign-date! Part vignettes, part clinical
of three annual meeting workshops offered at the 2013 and 2014 Annual
update — the Vign-date sessions will feature five clinical vignettes
Meetings.
about a common theme (perhaps new onset heart failure or
zoonoses) followed by a 20-minute evidence-based “update” The TEACH sessions being offered in Denver include:
about that topic. The focused update will synthesize and build Wednesday
on the learning objectives from the vignette presentations so
7:30 am – 5:00 pm
attendees will come away able to recognize the “zebras” but
TEACH Precourse
know how to take care of the “horses” as well.
(Closed Session)
Thursday
Clinical Vignette Walking Poster Tours
1:00 – 2:30 pm
Master Clinicians will conduct a walking tour through each of the
three clinical vignette poster sessions. Attendees will have the WTA Teaching in the Ambulatory Setting
Coordinator: Kerri L. Palamara, MD
option of joining a walking tour of selected poster presentations.
Each of the poster presenters will give a brief summary of their Friday
posters’ key take-home points, after which the master clinician will
11:30 am – 1:00 pm
share insights, comments, and suggestions and lead discussion.
WTC Teaching in Small Groups
We anticipate this new addition will make the poster sessions
Coordinator: Toshiko Uchida, MD
more interactive, while adding educational value for both the
poster presenters and the tour participants. We invite you to join SATurDAy
in! No registration is required.
11:00 am – 12:30 pm
WTE Effective Large Group Presentations: The Heart of Didactics
Coordinator: Pete Yunyongying, MD
CONTINUING MEDICAL EDUCATION INFOrMATION
AnnuAl MeeTing PurPoSe CMe CreDiT DeSignATion
This meeting is intended to develop the professional skills of academic gen- The UASOM designates AMA PRA Category 1 credits™ as follows:
eral internists and others interested in medical education, health care deliv- Annual Meeting: up to 17.5 hours
ery and policy, and clinical general medicine. A variety of learning modalities, CME credit hours are not provided for poster sessions or interest group meet-
including lectures, workshops, and author presentations, offers attendees the ings. Physicians must complete an online CME application, identifying the
opportunity to develop a personalized educational experience. Research find- specific sessions that they actually attended. All CME applications must be
ings, interesting clinical cases, and skill-building opportunities addressing completed within 12 months of the last day of the Annual Meeting.
issues important to academic general medicine will be presented.
Please Note: Physicians may not apply for, nor claim, AMA PRA Category
Who ShoulD ATTenD? 1 credit(s)™ for sessions in which they present; they may claim AMA PRA
Category 2 credit(s) for preparation time.
This meeting is designed to serve the needs of general internists and other
primary care and specialty physicians interested in medical education, health PreSenTer DiSCloSure oF DuAl
care delivery and policy, and clinical general medicine.
CoMMiTMenTS
ACCreDiTATion SGIM requires all presenting faculty to comply with the SGIM Policy on Dual
This activity is being planned and will be implemented in accordance with Commitments. Precourse and workshop submissions require every presenter
the Essential Areas and Policies of the Accreditation Council for Continuing to provide information regarding any and all external funding relating to the
Medical Education (ACCME) through the joint sponsorship of the University content of the submission. The SGIM CME committee will contact each
of Alabama School of Medicine (UASOM), and the Society of General Inter- presenter disclosing commercial external funding in order to resolve all con-
nal Medicine (SGIM). The UASOM is accredited by the ACCME to provide flicts of interest. CME credit will not be awarded for participation in sessions
continuing medical education. Physicians should only claim credit commen- presented by those whose conflicts of interest cannot be resolved. Disclosure
surate with the extent of their participation in the activity. The University of information is provided to attendees in all print and electronic meeting ma-
Alabama at Birmingham is an equal opportunity/affirmative action institution. terials. A copy of the SGIM Policy on Dual Commitments is available on our
website. Unless noted, each presenting author has submitted this required
information and has no unresolved conflicts to report.
Session details are online at www.sgim.org/go/am13 5
ANNUAL MEETING MEDICAL STUDENTS, rESIDENTS,
MENTOrING PrOGrAMS AND FELLOWS (SrF) PrOGrAM
one-on-one MenToring The Annual Meeting includes a series of sessions designed for those of you in
The One-On-One Mentoring Program offers students, residents, fellows, and various stages of transition from medical student to practicing physician and/
junior faculty a valuable opportunity to speak privately with a more senior or faculty member. While the educational sessions are an extremely important
SGIM mentor from a different institution. Even if you have a mentor at your component of attending an SGIM meeting, we also recognize how much you will
own institution, this program will allow you to meet someone who may offer a gain from a number of networking and social events planned specifically for
new perspective on your professional goals and challenges. Topics for discus- Students, Residents, and Fellows.
sion may include early- or mid-career advice, research, job responsibilities The one-on-one MenToring ProgrAM
and professional challenges. All participants will be asked to identify areas
(see left) is HIGHLY recommended! Connecting with a mentor can help you
of interest to ensure pairs are matched according to their needs. Presenting
get the most out of the current meeting. This program can help provide you
at the meeting? Request a mentor and ask them to attend your presentation
with a contact outside your own institution who can give you very useful
so they can provide you with feedback. The program offers senior SGIM
career advice. Many long-time SGIM members are eager and willing to share
members an opportunity to provide counseling and guidance to future SGIM
their expertise with you!
leaders. The deadline to RSVP as a mentor or mentee is March 7, 2013. For
more information, please contact Quione Rice, Annual Meeting 1-1 Mentor- inTereST grouPS are another important mechanism for SGIM
ing Coordinator at [email protected] or 1-800-822-3060. Information is online
members with shared interests to begin and sustain cross-institution collabo-
at www.sgim.org/go/AM13.
ration and exchange ideas. Previous fellows, residents, and students report
MenToring PAnelS they find these groups valuable. The Medical Student and Resident Interest
Group (IT19) is on Thursday morning, and the Junior Faculty and Fellows
ThurSDAy, APril 25, 11:30 am – 1:00 pm Forum (IF02) meets on Friday afternoon.
PIMMP | Parenting in Medicine Mentoring Panel
Moderator: Nancy Rigotti, MD, Director, Office of Women’s Careers, Mas- WorKShoPS Each of the six concurrent sessions (A-F) offers a
sachusetts General Hospital workshop specifically designed for you. We are making it easy for you to find
Balancing being a parent with a career in medicine is an ongoing challenge these sessions—just register for Workshop 01 (WA01, WB01, etc.) in each ses-
for general internists regardless of career path. Four panelists with children sion and you will be in the right place.
of different ages will share their perspective, answer audience questions, and WA01: Pathways in General Internal Medicine
address issues such as: WB01: Writing Curriculum Vitaes and Preparing to Interview
 What are the pros and cons of starting a family at different career points? WC01: Getting Your Vignette Published in JGIM and Other Journals
 What has been your biggest challenge as a working parent? WD01: Hand-Overs: Coaching Residents to Avoid the Fumble
 What policies at your workplace made it easier or harder to be a parent? WE01: Highways and Byways to a Career in Academic General Internal
 What strategies worked best for you as a working parent? What would you Medicine
have done differently? WF01: Negotiating Your First Dream Job – Everything That They Did
DTFMP | Disparities Mentoring Panel Not Teach You in Medical School
Moderators: Crystal Cené, MD, MPH and Monica Peek, MD, MPH
DiSCounTS
The SGIM Disparities Task Force has an established record in mentoring
both physicians with a career focus in Health Disparities and minorities in Reduced Hotel Room Rate: For Medical Students and Residents only
medicine. The goal for this session is to aid junior and mid-level mentees in SGIM has arranged a reduced rate on a limited number of rooms at our meet-
working through questions or concerns such as: ing hotel. Rooms at this rate go quickly, so reserve your room early! When
these student rooms fill, you will have to reserve rooms at the regular group
 Identifying local and national mentors
rate. This lowest room rate is for medical students and residents only. Stu-
 Preparing for promotion
dent/Resident Room Rate: $135 Single/Double not including applicable taxes
 Developing effective research teams
(14.75%). Please see http://www.sgim.org/meetings/annual-meeting/hotel-
 Developing leadership skills as a clinician educator
travel for information on the hotel and a link to make your reservation.
CAreer MenToring PAnelS Registration Fee Scholarships Available: Medical Students only
SGIM is pleased to offer an alternative to what had been a long-established The first 25 medical students to register to attend the meeting are eligible for
meet-the-professor format. Two panels of seasoned successful leaders and scholarship support of their Annual Meeting registration fee. As always, we
mentors in general medicine will share their experiences and the advice that recommend registering online (and avoid the paper registration processing
they give to trainees and faculty. Panelists will discuss careers in both hospi- fee), but remember to check the scholarship box if you choose to register
tal and ambulatory medicine and address issues for faculty at various levels. using a paper form. These Scholarships are distributed on a first-come, first-
They will field questions from the audience in an open format with a modera- served basis.
tor. Issues to be addressed: What should a resident or fellow look for (and SGIM Associate Members Group Discounts Available on Annual Meeting
avoid) in a first job? How should a junior faculty member plan for promotion Registration Fees
and staying funded? How do mid-career faculty grow and find mentoring? SGIM associate members (medical students, residents, and fellows) from the
What are the pros and cons of taking an administrative position? same institution are eligible for discounted Annual Meeting registration fees.
CICMP | Clinician Investigator Careers To qualify for group discount, the registration form for each person in the
Joshua P. Metlay MD, PhD, Chief, Section of Hospital Medicine, University group must arrive at the SGIM office together, with payment included.
of Pennsylvania; Ann B. Nattinger MD, MPH, Medical College of Wisconsin,
Determining your group discount:
President, SGIM; Gary E. Rosenthal, MD, University of Iowa College School
of Medicine, Past President, SGIM SGIM ASSOCIATE MEMBERS ONLY
CECMP | Clinician Educator Careers PER ASSOCIATE MEMBER 1-10 REGISTRATION $225
Dan P. Hunt, MD, Chief, Hospital Medicine, Massachusetts General Hospital; PER ASSOCIATE MEMBER 11-20 REGISTRATION $180
Kurt Pfeifer, MD, Medical College of Wisconsin PER ASSOCIATE MEMBER 21-30 REGISTRATION $157.50
6 SGIM 36th Annual Meeting | Celebrating Generalism: Leading Innovation and Change
WEDNESDAy ADDITIONAL FEE EvENT
ASSOCIATION OF CHIEFS AND LEADErS OF GENErAL INTErNAL MEDICINE
LEON HESS MANAGEMENT TrAINING AND
LEADErSHIP INSTITUTE
ADVAnCing The VAlue oF giM ConCurrenT AFTernoon WorKShoPS
Wednesday, April 24, 2013, 8:30 am – 5:00 pm Concurrent Sessions A: Contemporary
Who Should Attend Management Challenges for giM
The Institute is designed as a resource for Leaders in General Internal
Medicine including Division Chiefs, Hospitalist Directors, Associate Chiefs, 1:15 – 2:30 pm
Section Heads, Administrators, and other leaders in Divisions of GIM. Lead- Aftermath of SuperStorm Sandy: Leading During Times of Challenge
ers are encouraged to attend, actively participate, and consider bringing along Thomas McGinn, MD
a colleague from their institution who would benefit from attendance and Chair of Medicine, North Shore-LIJ Health System, Hofstra North Shore-LIJ
leadership development. It offers an unparalleled opportunity to network Medical School
with the community of scholars devoted to GIM. Chiefs from other IM sec-
tions, administrators and anyone with a leadership role within GIM divisions 2:45 – 4:00 pm
are also encouraged to participate. We look forward to welcoming you to this Finance 101, Flows of $ with Academic Medical Centers – Case Study
community. Approach
Brian Slentz
Agenda Administrator, Division of General Internal Medicine, University of Colorado
School of Medicine
Defining the Value of GIM in Academic Health Systems – Perspectives
Corena Carmichael
from Leadership
Director of Finance, Division of General Internal Medicine, University of
8:30 – 10:30 am Colorado School of Medicine
Plenary - Panel Discussion
Healthcare reform is moving ahead, potentially giving a huge boost to primary Concurrent Sessions B: eleadership!
care and GIM in multiple different ways. However, there is also a risk that
reform will be implemented and led by the specialists and sub-specialists 1:15 – 2:30 pm
who traditionally lead academic medical centers. In this session we have Teaching Junior Faculty the As, Bs, Cs of Appropriate Electronic
assembled a group of diverse leaders from academic medical centers to: Communication
1) discuss how healthcare reform is proceeding at their institutions; 2)
Vinnet Arora, MD
discuss where they think that GIM fits in; 3) discuss specific threats and
Assistant Dean for Scholarship and Discovery, University of Chicago
opportunities for both primary care and hospitalists moving forward.
Anju K. Dalal, MD
Andrea Sikon, MD
Brigham and Women’s Hospital, Harvard University School of Medicine
Chair, Dept. of Internal Medicine, Cleveland Clinic
Paul W. Noble, MD 2:45 – 4:00 pm
Chair, Dept. of Medicine, Cedars-Sinai, Los Angeles EMR Challenges & Opportunities for GIM Leaders
John M. Carethers, MD
Chair, Department of Internal Medicine, University of Michigan Health AnnuAl AClgiM Dinner
Systems (tickets available for purchase at registration)
10:30 – 10:45 am 6:30 – 8:00 pm
Break
The Annual Chiefs Recognition Award will be presented.
10:45 – 11:45 am See page 27 for registration fee information.
Q and A with Panelists
12:00 – 1:00 pm
Lunch and Networking Time
Over lunch, participants will have opportunities to network and discuss
issues of specific interest at topic tables
Session details are online at www.sgim.org/go/am13 7
WEDNESDAy ADDITIONAL FEE EvENT
GET BETTEr FASTEr!
QuAliTy iMProVeMenT SKillS For
reliABle CAre
Wednesday, April 24, 2013, 8:00 am – 5:00 pm
The imperative to improve the quality, safety and efficiency of medical care is
driving physicians and health care organizations to become more accountable
for the outcomes they are producing. Learning how to improve our perfor-
mance is becoming a core competency for physicians, and many academic
internists find themselves involved in educating residents on improvement
methods. However, practicing physicians may have never learned effective,
structured approaches to improving care delivery to patients. Indeed, past
experiences in time-consuming and weak improvement efforts can leave us
disengaged or skeptical.
This full-day course will introduce the Model for Improvement, a structured
approach to improving processes that incorporates the PDSA (Plan-Do-
Study-Act) cycle, along with Reliable Design principles. These techniques
are adopted and disseminated by the Institute for Healthcare Improvement.
Through a combination of focused didactics and hands-on exercises, partici-
pants will learn the structure and tools to drive rapidly-paced improvement
projects, making changes that are likely to be effective and sustainable.
Who Should Attend?
Beginning and intermediate learners in process improvement will gain the
most from this course. Quality improvement educators will experience cur-
riculum elements in use at the course faculty institutions that can be incorpo-
rated into their local curricula.
learning objectives
SPECIAL OFFSITE EvENT
 Create manageable projects to improve process performance
 Identify effective measures of performance for use in process
improvement
DenVer heAlTh –
 Develop hypotheses for improving care and test them using the PDSA cycle
A MoDel For inTegrATeD CAre
 Describe standardization and how to incorporate in their own projects
 Learn to use PI tools such as process mapping, run charts, and fishbone
Bus will leave the Sheraton at 2:45 sharp and return in
diagrams
time for the Opening Poster Session at 5:30.
 Implement processes that detect errors and correct them
 Sustain continuous improvement through study of process failures Register for session WOSDH
Denver Health (DH), a nationally renowned comprehensive, inte-
learn from experienced Clinicians and Faculty
grated health care organization, invites you for a site visit to hear
Richard Gitomer, MD, MBA – Course Faculty about and to see first-hand one of the country’s most successful
Chief Quality Officer, Emory University Hospital Midtown, Emory University community health centers and public safety net hospitals. Denver
School of Medicine Health’s community health centers provide ongoing primary care
Lisa M. Vinci, MD, MS – Course Faculty to over 45,000 adults and our hospital serves 26,886 patients per
Medical Director, Primary Care Group, University of Chicago year, most of whom are uninsured or publicly insured.
Nathan O. Spell, MD – Course Faculty
Participants will learn about the quality and LEAN initiatives that
Chief Quality Officer, Emory University Hospital, Emory University School
DH utilizes to improve care for underserved individuals and popu-
of Medicine
lations while still maintaining a positive bottom line. Participants
Thomas Staiger, MD – Course Faculty will engage in a brief lecture that details these initiatives followed
Medical Director, University of Washington Medical Center by smaller group tours of the hospital and on-site community
health center.
registration information
We will highlight our innovative outpatient care model for which
Registration fees for this one-day course include a continental breakfast and
DH was recently awarded a $19.8 M CMMI challenge grant. We
beverage breaks.
will also showcase our many clinical quality improvement efforts
SgiM Full Members – $200
that have arisen from our work through LEAN, highlighting how
non-member Physicians – $250
we are able to make and sustain improvement in quality metrics
Trainees (members and non-members) – $150
for our large adult patient panel. Participants will also learn about
Space is limited so register early!
our hospitalist-led emergency department service, a hospitalist-
led observation unit, and our geographically located medicine
services. Our General Internal Medicine physicians from both
the inpatient and outpatient setting will lead the tours and the
didactic sessions which will allow for multiple opportunities for
informal discussion.
8 SGIM 36th Annual Meeting | Celebrating Generalism: Leading Innovation and Change
WEDNESDAy ADDITIONAL FEE EvENTS
SGIM-ABIM MAINTENANCE OF CErTIFICATION LEArNING SESSIONS
SgiM-ABiM MAinTenAnCe oF led by ABIM-certified physicians.
To enroll in MOC go to your password-protected “Home Page” in the
CerTiFiCATion leArning SeSSionS
Physician Login at www.abim.org. Once enrolled, you will be able to order an
Wednesday, April 24, 2013 ABIM medical knowledge module from your “Home Page.”
Participants can enroll in one or both sessions. Each ABIM medical
Earn Maintenance of Certification (MOC) points at the SGIM
knowledge module contains multiple-choice questions that are completed
Annual Meeting through group discussion facilitated by session leaders, who will highlight
the main teaching points for each question. At the completion of this session,
Additional Fee Sessions
those enrolled in ABIM’s MOC program must submit their answers to ABIM
You may register for either one or both modules.
for scoring in order to receive MOC credit. Participants enrolled in MOC
See page 27 for additional fee information. should go to your Physician Login at www.abim.org. Log in and click on “My
Maintenance of Certification Program” to order from the menu of available
ABiM’s internal Medicine Medical Knowledge Modules
modules. At the conclusion of the Learning Sessions, each participant will
transfer the answers to their online module and submit the module to ABIM
for scoring.
ABM1
ABIM will send participants a Score Report that will confirm whether or not
12:30 – 3:00 pm the module was completed successfully. Those who complete each module
successfully will receive 10 points toward ABIM’s Self-Evaluation of Medical
2012 Update in Internal Medicine, Module C0-M (10 points)
Knowledge MOC requirement.
Coordinator: Margaret C. Lo, MD, FACP, University of Florida, Gainesville
In addition, The University of Pennsylvania School of Medicine has
Participating Faculty: Jonathan P. Berz, MD; John E. Butter, MD; Joseph P.
designated these medical knowledge modules as educational activities for
DeLuca, MD
a maximum of 10 AMA PRA Category 1 Credits™ each. Physicians enrolled
in the ABIM MOC program who complete these modules should only claim
credit commensurate with the extent of their participation in the activity.
ABM2
After you successfully complete your knowledge module and MOC credit
3:15 – 5:45 pm is granted, a survey will appear on your home page for you to complete and
submit to claim CME credit.
2011 Update in Hospice and Palliative Medicine Module D3-L
For additional information about ABIM’s MOC program requirements, visit
(10 points)
www.abim.org or call the ABIM Contact Center, 800-441-ABIM.
Coordinator: Stephanie M. Harman MD, Stanford University, Stanford,
To participate in either or both sessions you must:
California
1. Register and pay the SGIM registration fee.
Participating Faculty: Ursula K. Braun, MD, MPH; Patricia F. Harris, MD,
MS; Laura J. Morrison, MD 2. Attend the session. You will receive a paper copy of the module questions at
the session.
Once again, the Society of General Internal Medicine will host two
Maintenance of Certification Learning Sessions featuring the American
Board of Internal Medicine’s (ABIM) medical knowledge modules.
The Learning Sessions facilitate completion of ABIM medical knowledge
modules by ABIM-certified internists and subspecialists of internal medicine
for Maintenance of Certification (MOC) credit. Learning Sessions are
conducted in an interactive group setting with educational support and are
WEDNESDAy PrECOUrSES
WeDneSDAy, APril 24, 1:30 – 5:00 pm
Pr02
See page 27 for Precourse fees.
Conducting Physician Surveys: A Tips and Tricks Crash Course for
Young Investigators
Pr01
Online Registration Title: Conducting Physician Surveys: A Tips and Tricks
Narrative Advocacy: Public Medical Communication to Promote Crash Course
Generalist Care, Research, Education, and Policy Coordinator: Jon C. Tilburt, MD, Associate Professor, General Internal
Online Registration Title: Narrative Advocacy: Public Medical Medicine, Mayo Clinic
Communication for Generalists Additional Faculty: Jeanette Ziegenfuss, PhD, Institute for Education and
Coordinator: Louise Aronson, MD, MFA, Department of Medicine, Research, Health Partners
University of California, San Francisco Small Group Leader: Tim Beebe, PhD, Mayo Clinic
Small Group Leaders: Alice H. Chen, MD, MPH, University of California,
San Francisco; Anna Reisman, MD, Yale; Lisa Sanders, MD, Yale; Jennifer
Siegel, MD, Boston University
Session details are online at www.sgim.org/go/am13 9
THUrSDAy
THUrSDAy INTErEST GrOUPS iT10
Evidence-Based Practice Interest Group
ThurSDAy, APril 25, 2013, 8:00 – 9:00 am Session Coordinator: David A. Feldstein, MD, University of Wisconsin
School of Medicine and Public Health
Grab your continental breakfast and take it with you to one of these sessions
iT11
iT01
Evolution and Medicine Interest Group
Academic General Internal Medicine in Latin America Interest Group
Session Coordinator: Mark D. Schwartz, MD, FACP, New York University
Session Coordinator: Eliseo J. Perez-Stable, MD, University of California,
San Francisco
iT12
iT02
Personalized Medicine Interest Group
Academic Hospitalist Interest Group Session Coordinator: P. Preston Reynolds, MD, PhD, FACP, University of
Session Coordinator: Luci K. Leykum, MD, MBA, MSc, STVHCS / Virginia
UTHSCSA, San Antonio
iT13
iT03
HIV/AIDS Interest Group
Ambulatory Handoffs Interest Group Session Coordinator: Amina A. Chaudhry, MD, MPH, Johns Hopkins
Session Coordinator: Amber T. Pincavage, MD, The University of Chicago University
iT04 iT14
Cancer Research Interest Group Hypertension Interest Group
Session Coordinator: Larissa Nekhlyudov, MD, MPH, Harvard Medical Session Coordinator: Gerald Dodd Denton, II, MD, MPH, Ochsner Medical
School Center, New Orleans
iT05 iT15
Community Based Participatory Research Interest Group Interprofessional Education Interest Group
Session Coordinator: Cheryl R. Clark MD, ScD, Brigham and Women’s Session Coordinator: Laura A. Hanyok, MD, Johns Hopkins University
Hospital
iT16
iT06
Mental Health in Medicine Interest Group
Criminal Justice and Health Interest Group
Session Coordinator: Ian M. Kronish, MD, MPH, Columbia University
Session Coordinator: Nicole Redmond, MD, PhD, MPH, University of Medical Center
Alabama, Birmingham
iT17
iT07
Personal/Professional Balance Interest Group
Cross Cultural Communication and Medical Care Interest Group
Session Coordinator: Rachel B. Levine, MD, MPH, Johns Hopkins
Session Coordinator: Michael Nathan, MD, Harvard Medical School/ University School of Medicine
Massachusetts General Hospital
iT18
iT08
Quality and Safety Improvement
Educators of Medical Students Interest Group
Session Coordinator: Nielufar Varjavand, MD, General Internal Medicine,
Session Coordinator: Toshiko L. Uchida, MD, Northwestern University
Drexel University College of Medicine
Feinberg School of Medicine
iT19
iT09
Student/Resident Interest Group
Ethics Interest Group
Session Coordinator: Ryan R. Kraemer, MD, University of Alabama,
Session Coordinator: Lisa M. Rucker, MD, Jacobi Medical Center/ Albert
Birmingham
Einstein College of Medicine
ToWn hAll MeeTing: SgiM CounCil iT20
oPen DiSCuSSion WiTh MeMBerS VA Primary Care Interest Group
Session Coordinator: Paul Anthony Pirraglia, MD, MPH, Providence VAMC
ThurSDAy, April 25, 2013, 11:30 am – 1:00 pm
10 SGIM 36th Annual Meeting | Celebrating Generalism: Leading Innovation and Change