About ACP and Changes in Medicine

1. About ACP and Changes in Medicine Steven E. Weinberger, MD, FACP Deputy Executive Vice President Senior Vice President for Medical Education and Publishing American College of Physicians

2. What is ACP? • Largest medical specialty society in the U.S. – 129,000 total members • Over 7,500 international members • Mission: to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine • Important role of international Chapters –perspectives of internists outside the U.S.

3. International Membership Central America Chapter: 335 members (4 Masters, 66 Fellows, 55 Members, 39 Associates, 171 Student Members) 7,590 members internationally Current international ACP Chapters: Brazil, Canada, Central America, Chile, Mexico, Japan, and Venezuela

4. Central America Chapter The Central America Chapter was founded in 1928 and has 335 members. Contact: Jose Rogelio Mendez, MD, FACP, Governor jrmendez@cmpaitilla.net Visit the website: http://www.acponline.org/about_acp/chapters/central/

5. Why Do Members Join ACP? • Staying current • Annals of Internal Medicine • ACP Journal Club • ACP Journal Club PLUS • ACP Internist and Internist Weekly • Clinical practice guidelines • Comprehensive medical content resources • ACP Medicine • PIER

6. Physicians’ Information and Education Resource (PIER®) • Web-based, rapid point-of-care delivery of most current evidence-based guidance for physicians. • Free with membership • www.acponline.org/clinical_information/pier • Over 450 modules: • Diseases • Ethical & legal issues • Screening and prevention • Procedures • Complementary and alternative medicine

7. Why Do Members Join ACP? • Live interactions (meetings, conferences, courses) • National annual meeting – Internal Medicine 2010 • Courses (esp. certification, recertification) • Pri-Med Access with ACP • Self-assessment programs • MKSAP (Medical Knowledge Self-Assessment Program) • MKSAP for Students

8. Internal Medicine: ACP’s Annual Scientific Meeting Internal Medicine 2010 – Toronto, Canada • Over 260 educational, interactive workshops • Case-based sessions on challenging patient management problems • International reception and social opportunities • Discounted registration for members. • Discounted registration for delegations of more than ten attendees from outside the U.S.

9. MKSAP 15: the gold standard in physician self-assessment • Up to 166 Category 1 credits • ~1100 new multiple choice questions • MKSAP 15 digital edition (CD-ROM and online) • MKSAP 15 Audio Companion • Maintenance of Certification modules (MOC II) • MKSAP 15 Board Basics 2 • Free access to ACP clinical skills collection

10. Why Do Members Join ACP? • Resources for specific segments of ACP membership • Faculty development book series (scheduled for April 2010 publication) • Internal Medicine Essentials for Clerkship Students • International Medical Graduate’s Guide to US Medicine and Residency Training • ACP Hospitalist and Hospitalist Weekly • Quality improvement programs • Closing the Gap • ACPNet programs

11. Faculty Development Series • Series Editor: Jack Ende, MD, FACP • 6 volumes • Theory and Practice of Teaching Medicine (Ende) • Methods of Teaching Medicine (Skeff and Stratos) • Teaching in Your Office (Alguire et al.) • Teaching in the Hospital (Wiese) • Mentoring in Academic Medicine (Humphrey) • Leadership Careers in Medical Education (Pangaro) • Expected release at Internal Medicine 2010

12. Why Do Members Join ACP? • Other clinical resources for physicians • Disease portals • Links to Cardiosource (from American College of Cardiology) • Clinical skills resources • Patient education resources • English • Spanish

13. New Clinical Resources • Cardiosource® Partnership with American College of Cardiology, cardiovascular information and education portal. • COPD Portal @copd.acponline.org • Diabetes Portal @diabetes.acponline.org

14. Patient Education Resources • Free online to members • Videos available in English and Spanish (shipping rate applies) • Diabetes Portal: Free information for patients and physicians. http://diabetes.acponline.org/

15. Why Do Members Join ACP? • Resources for clinical practice • Center for Practice Improvement • Medical Home Builder • Medical Laboratory Evaluation (proficiency testing program) • Professional competence • Recognition of physician stature through Fellowship (FACP) and Mastership (MACP) • Leadership development programs • Mentoring • Career connection • Ethics and professionalism resources

16. Background for Medical Home Builder: The Patient-Centered Medical Home • Personal physician in physician-directed practice • Team-based care • Whole person orientation • Well-functioning practices with EMR • Coordinated care, integrated across settings • Emphasis on quality and safety • Enhanced patient access to care • Supported by payment structure that recognizes services and value

17. New Educational Program: Medical Home Builder • Collaboration between DGAPP and MEPD • Practice biopsy plus educational components • Patient-centered care and communication • Access and scheduling • Organization of practice • Care coordination and transitions in care • Use of technology • Population management • Quality improvement and performance improvement

18. ACP Fellowship • A professional distinction recognized worldwide • Recognizes personal integrity, superior competence in internal medicine, professional accomplishment, and demonstrated scholarship • Four pathways to becoming FACP • Academic/publications • Multiple certifications, recertification, MKSAP for score • Active involvement in ACP • Distinguished career in internal medicine

19. Why does the U.S. Health Care System need to be reformed? • Health spending is projected to double to nearly $4.3 trillion by 2017 • In 2007, an estimated 116 million adults were uninsured, underinsured, reported a medical bill problem, and/or did not access needed health care because of cost • If premiums for employer-sponsored insurance grow in each state at the projected national rate of increase, the average premium for family coverage will rise from $12,298 (the 2008 average) to $23,842 by 2020 (94% increase)

20. ACP’s Four Priorities for Health Reform • Provide all Americans with access to an affordable health insurance plan; insurance companies should not be allowed to turn away or over-charge patients because they have medical conditions. • Create incentives to reverse the shortage of general internists/primary care physicians • Reform physician payment and end the annual cycle of Medicare doctor pay cuts • Reform the medical liability system

21. ACP’s Recruit-A-Colleague Program Ask your colleagues to join ACP today • Recruit one colleague and receive a $100 credit toward your 2010-11 annual dues • Recruit two colleagues and receive an additional $100 credit toward your 2010-11 annual dues • Recruit three colleagues and enjoy free annual dues in 2010-11 Make sure to write your name in the recruiter box on the top of the Membership application. All applications must be received by March 31, 2010. http://www.acponline.org/acp_news/misc/recruit_colleague.htm

22. Membership Highlights for International Members • Annals of Internal Medicine – print and online: www.annals.org • ACP Journal Club Plus • ACP Internist Weekly: electronic newsletter • ACP Hospitalist Weekly: electronic newsletter • ACP Online web site www.acponline.org • ACP International Newsletter • Clinical Practice Guidelines • Representation by the ACP International Council:

23. Special Discounted Rates for International Members

24. ACP’s International Activities Department Eve C. Swiacki Director Wendy Rivera Administrator Monica Davis Coordinator Barbara Algie (not pictured) Administrative Coordinator E-mail: InternationalOffice@acponline.org

25. Thank You!