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AMA reacts to Wane in Accredited Providers
More than a third of the intrastate-accredited continuing medical education providers surveyed by the AMA in the summer of 2009 said they were discussing whether or not to maintain accreditation. They cited challenges such as the time involved in the accreditation process. More than 80 percent said the complexity would "very likely" or "somewhat likely" be a factor in a decision regarding whether or not they would seek future accreditation. Other factors included a lack of staff, a lack of physician support/involvement, and the difficulty of documenting compliance. More than 40% also said that a lack of commercial support is another factor. The AMA survey contacted 549 Intra State Providers (ACMEC participated) with three quarters of the respondents representing healthcare systems. The AMA has documented a 5% drop in the number of Intra State providers between 2009- 2010. Thus far Idaho has only lost one intrastate accredited program.ACMEC comes up for Re-Accreditation in the spring of 2012.
CME for Scope of Practice
CME activities are to be aligned around the learners' current scope of professional activities. Key questions to help orient the defined scope of practice and identify the appropriate target audience include: What is the clinical specialty of the targeted learners? What patient demographics are associated with the learners practice (sex, age, cultural)? What is the practice setting of the targeted learners (hospital, community practice, multi-specialty practice)? Is the target audience homogenous?, and What are the different educational needs of the different disciplines ?ACMEC programming is focused in Primary Care but also accredits programming for specialties and sub-specialties. The hardest meetings to design are those with multiple specialties, and multiple educational levels. Meetings like Winter Clinic can often be a challenge providing a positive experience for the breadth of attendees.
The Future of Healthcare Exhibits
A recent industry survey of commercial healthcare exhibitors found 88 % of 43 major exhibitors responding indicated the booth of the future will be staffed by medical staff rather than sales staff. The focus will be on clinical discussion rather than promotion. 56% said their budget for exhibiting over the next five years will be significantly reduced. 91% indicated they believe exhibitions will receive greater regulation.
Upcoming Meetings
April 7-9, 2011 Idaho Academy of Physician Assistants eoneill@idmed.org
May 20-21, 2011 Idaho Academy of Family Physicians idahoafp@aol.org
July 16, 2011 IMA Scientific Session eoneill@idmed.org
Wednesday, 8:00 a.m. - Anderson Center
Wednesday, 12:15 p.m. - Winter Room
Friday, 8:00 a.m. - McCleary Auditorium
Other Regularly Scheduled Conferences
St Luke's RMC
Tumor Board - Tuesday, 12:00 noonMercy Medical Center
Breast Tumor Board - Thursday, 7 a.m.
MSTI Pediatric Tumor Board - 2nd & 4th Wednesday, 12 noon
Meridian Tumor Board - 1st & 3rd Thursday, 12 noon
CHEERS (Children's Hospital Education Enrichment Review) - 1stThursday, 8 am
Anderson Center - Ada -2; MATCH 2nd Thursday, 8 am
Tumor Board- Tuesday, 12 noonWest Valley Medical Center
Tumor Board - Monday, 12:30 pmSaint Alphonsus RMC
Tumor Board - Thursday, 12 noon
Breast Care Panel, Tuesday, 7:00 am
MEMBERSHIP:
No new members this month.
UPCOMING EVENTS:
June 9, 2011 - High School Sports Physicals, BSU Caven-Williams Sports Complex, If you would like to volunteer email director@adamedicalsociety.org
The Recession is So Bad
- I got a pre-declined credit card in the mail.
- Exxon-Mobil laid off 25 Congressmen
- If the bank returns your check marked "Insufficient Funds" you call them and ask if they meant you or them.
- Angelina Jolie adopted a child from America.
- A truckload of Americans was caught sneaking into Mexico.
- A picture is now only worth 200 words.
- The Treasure Island Casino in Las Vegas is now managed by Somali Pirates.
- I was so depressed last night thinking about the economy, wars, jobs, my savings, Social Security, retirement funds, etc., I called the Suicide Hotline. I got a call center in Pakistan and when I told them I was suicidal they got all excited and asked if I could drive a truck.
May 2011
June 2011
(Wednesday, 8:00am/St. Luke's RMC; Wednesday, 12:15pm/Mercy Medical Center;
Friday, 8:00am/Saint Alphonsus RMC)
Dear Cate,
I've been writing this letter to you for years thinking what I might say to you upon graduation from medical school.
You have joined an honored profession that at its core is "a moral enterprise grounded in a covenant of trust". This trust is based on the physician's commitment to place the interest of the patient ahead of any personal interests. Such trust allows us to be present at some of the most intimate times in patient's lives. Never abuse this trust. Be humbled by the honor.
Be intellectually honest, admit mistakes and learn from them. Medicine is an inexact science. We physicians have a curious sensitiveness to personal error. Learn to say no and I don't know. Develop a tolerance for ambiguity. The ability to deal with imperfection, one's own and others is an important character trait.
That there is much business in medicine today is indisputable. One of the greatest challenges a physician faces is the challenge of a successful practice. After many years of studying, hard work and delayed gratification too many are caught up in doing well after starting out wanting to do good. Commercial interests within the practice of medicine may bias even the most devoted practitioner. In the rush to become successful business people we risk losing the public trust which is the core of our professional obligation.
The word doctor means teacher…rarely though is it thought of in the context of teacher of himself that he meets this challenge most successfully. You have now graduated into a school of lifelong learning. Be vigilant in your reading. Teach those around you , it will make you a better clinician. Go regularly to CME programs.
Medicine is a harsh taskmaster. We frequently lack time enough to do the necessary things much less what we would like. Pay attention to your mental health. Stay grounded with family and friends. Develop interests outside of medicine. Pay attention to your spiritual needs and come to grips with your own mortality.
Strong egos abound in medicine. Humility is sometimes hard to find. Pomposity and cupidity are all too common but they seem to elicit special rancor when exhibited by physicians. Our patients expect better of us. Retain your altruism and compassion that attracted you to medicine. Try to avoid the cynicism but retain a healthy skepticism. Perhaps the greatest compassion is in making the correct diagnosis.
The naysayers will tell you that the golden age of medicine is over, that the doctor/patient relationship is dead. Don't believe them. The person you see in the mirror each morning is truly among the most privileged of persons. There will always be a place in medicine for the doctor who chooses to share the brokenness and suffering of people.
Dad
Anderson Center, St. Luke’s RMC, Wednesday 8:00 a.m.
Winter Room, Mercy Medical Center, Wednesday 12:15 p.m.
AW Horsley, VA Medical Center, Thursday 8:00 a.m.
McCleary Auditorium, Saint Alphonsus RMC, Friday 8:00 a.m.
4 New Bugs/New Drugs, Casi Wyatt, MD
6 Hip Fractures: An Overview of Complications & Management Strategies, Phyllis You, MD
11 Topic TBA, Suzanne Lee, MD
11 Benign Gynecological Surgery & Robotics, Juliana DiGiosia, MD (SARMC Mercy Only)
13 Critical Care Case Conference, Speaker TBA
18 St. Luke's Children's Grand Rounds, Pediatric Endocrinology, Daniel Marks, MD
20 Colon Cancer/Colorectal Surgery, Johnny Green, MD
25 Case Presentation, Dan Hendrickson, MD
27 Topic TBA, Bridgette Latimer, MD
1 Immunizations, Tom Rand, MD
3 Critical Care Case Conference, Speaker TBA
8 Wilderness Preventive Medicine for the Summer, Matthew Nelson, MD
15 TBA
17 Topic TBA, Derek Jackson, MD
22 Children's Grief Support, Speaker TBA
24 Toxicology, Alvin Bronstein, MD
29 TBA
Best wishes from a proud colleague,
6 Childhood Obesity, Thomas Ayoub, MD
13 Sleep Thieves: Common Sleep Disorders in Children, Janat O'Donnell, MD
20 Arthritis: Evaluation & Treatment in Primary Care, Dustin Smith, MD
27 The New Nutrition Guidelines, Roberta Larson Duyff, RD, FADA
6 Childhood Obesity, Thomas Ayoub, MD
13 Sleep Thieves: Common Sleep Disorders in Children, Janat O'Donnell, MD
20 Colon Cancer, Johnny Green, MD
27 The New Nutrition Guidelines, Roberta Larson Duyff, RD, FADA
7 Medical Acupuncture, Gail Eberharter Rankin, MD
14 Osteoporosis, Susan Ott, MD
21 No Conference
28 Aerospace Medicine: From Space to Earth, Jennifer Law, MD
1 Platelet Rich Plasma/Sports Medicine, Robert Amrine, MD
8 Critical Care Conference, Adam Johnson, MD
15 Autism Spectrum Disorders, Barbara Kissam, MD
22 The Care of Refugees, Richard Mollica, MD
29 Opiate Addiction: The Challenge of Treating Chronic Pain in Primary Care, Lloyd Blackler, MD
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