News
At Least 30 Minutes...
As we get into our curriculum year, please remember that if you attend a conference for less than 30 minutes you cannot receive credit for attendance. Accreditation guidelines require you be in a program for at least 30 minutes of every hour of recorded attendance.
Last Minute Cancellations
Our very first speaker this fall had his flight cancelled without options for getting to Boise in time for Grand Rounds. Recognizing the current state of airlines we have implemented a notification register via e-mail. If you wish to be notified of any last minute program changes please give us your contact information and we will do our best to let you know. E-mail your address to acmec.org and we will put you in the register.
ACMEC Needs Assessment
This year's assessment responses requested some 144 separate and unique topics. Areas of greatest concern are consistent from prior years and national surveys. Obesity, diabetes, cardiology, oncology, pediatrics and psychiatry are the areas of greatest interest. Pain management and rheumatology subjects take a close second. On the other end of the list are a couple of requests for retirement planning and one on the use of off-shore accounts.You gave us excellent marks on the level of bias being low and achieving our mission. The majority of responders still prefer face-to-face programming. We keep thinking Internet education will eclipse all other formats but not just yet.
Meanwhile, if you know a good speaker on off-shore tax shelters we will need guidance. Maybe Tony Soprano's available, I understand he's not busy.
Calling All Presenters
With the addition of West Valley Medical Center to our programs, a laundry list of 140 unique subjects in our assessment, and a downturn in industry support, ACMEC is seeking physicians willing to put together presentations.Please contact us at 331-1478 or e-mail acmec@acmec.org with your interest.
Upcoming Conferences
November 9, 2007; Wound Pressure Conference - Boise
November 10, 2007; IAFP Conference-Cardiology Review - Jackpot
January 17-20, 2008; VA Medical Retreat - McCall
January 18, 2008; Frank Crowe Lecture in Dermatology - Boise
February 9-10, 2008; Idaho Anesthesiology Society - Sun Valley
February 15-18, 2008; ACMS Winter Clinics - Sun Valley
April 3-5, 2008; Idaho Academy of Physician Assistants - Sun Valley
May 16-17, 2008; IAFP 60th Annual Conference - Coeur d'Alene
Wednesday, 8:00 a.m. - Anderson Center
Wednesday, 12:30 p.m. - Winter Room
Thursday, 12:30 p.m. - Indian Creek Room
Friday, 8:00 a.m. - Centennial Room
St Luke's RMC
Tumor Board - Tuesday, 12:00 noon
Anderson Center - Ada -2; CHEERS (Children's Hospital Education Enrichment Review) - 1st, 2nd, 4th, Thursday, 8 a.m.
Mercy Medical Center; Tumor Board - Tuesday, 12 noon
West Valley Medical Center; Tumor Board - Monday, 12:30 pm
Saint Alphonsus RMC; Tumor Board - Thursday, 12 noon, Breast Care Panel, Tuesday, 7:00 am
MEMBERSHIP: The following members were approved:
Upcoming Events:
November 2007
December 2007
Probiotics which are live non-pathogenic organisms such as lactobacillus species and streptococcus thermophilus are found in fermented dairy products. Yogurt is the most familiar source and is often marketed to "maintain GI health". Products are also available in dietary supplements including powders, liquids, and capsules. A recent study in the British Medical Journal of 135 hospitalized patients receiving antibiotics randomly assigned them to receive either a placebo milk shake or a commercial yogurt drink containing three different kinds of lactobacilli. Antibiotic associated diarrhea occurred in 12% of the treated patients and 34% of the controlled patients. Mild GI effects such as gas and bloating seemed to be the only adverse effect. However, in immunocompromised patients or critically ill patients with indwelling catheters there have been isolated reports of sepsis with some of these organisms. This study does support probiotic use in elderly patients about to receive a course of antibiotics.
Pain is often under treated in children because of fear of adverse side effects. Clark and colleagues designed this randomized control study to determine whether acetaminophen, ibuprofen, or codeine was more effective in controlling pain in children who presented to emergency departments with musculoskeletal injuries. Pain was accessed on a 100 mm visual analog scale. Patients were given either acetaminophen 15mg/kg, ibuprofen 10mg/kg, or codeine 1mg/kg. Their ages ranged from 6-17 years. Sixty minutes after receiving their medication the group who received ibuprofen reported significantly greater improvement in pain scores. There was no difference between the effectiveness of the acetaminophen and codeine at any time during the study. Ibuprofen provided superior pain relief compared with codeine and acetaminophen especially with fracture related pain. The authors speculate that anti-inflammatory effects of the drug make it superior to the other two. (Pediatrics 2007 Mar; 119:460-7)
Five states and the District of Columbia have now mandated full disclosure of physicians receiving payments from pharmaceutical or device companies. A recent study shows just how pervasive relationships between physicians and pharmaceutical industry are. Three thousand U.S. physicians, half of whom responded in six specialties representing anesthesiology, cardiology, family medicine, general surgery, internal medicine, and pediatrics were represented. Physicians were asked what they had received from the drug companies during the past year. There were 10 possible answers, 83% received gifts, especially food, 78% received free drug samples and 35% received reimbursement for expenses such as the cost of attending meetings, 28% received consulting fees. Physicians in solo practice were much more likely to report these relationships. Among the specialties cardiologists were more likely than other physicians to have received payments for consulting, speaking, or enrolling patients in clinical trials. Family physicians reported meeting most often with industry reps averaging 16 meetings per month. Clearly these relationships are wide spread and rather than onerous laws requiring public disclosures physicians should exercise transparency and ask themselves if patients would approve of such relationships. (JAMA 2007 Mae 21; 297:1216-23) (N Engl J Med 2007 Apr 26; 356:1742-50)
John J. Mohr, M.D.
Anderson Center, Wednesday 8am
Winter Room, Wednesday, 12:30 p.m.
AW Horsley Learning Ctr., Thursday, 8:00 a.m.
Indian Creek Room, Thursday, 12:30 p.m.
Centennial Room, Friday, 8:00 a.m.
10 Stewart Tepper, MD, Co-Director of the New England Center of Headache, Stamford; Associate Clinical Professor, Neurology, Yale University School of Medicine.
24 Michael Saunders, MD, Clinical Associate Professor of Medicine, University of Washington School of Medicine.
10 Stewart Tepper, MD, Co-Director of the New England Center of Headache, Stamford; Associate Clinical Professor, Neurology, Yale University School of Medicine.
24 Michael Saunders, MD, Clinical Associate Professor of Medicine, University of Washington School of Medicine.
10 Stewart Tepper, MD, Co-Director of the New England Center of Headache, Stamford; Associate Clinical Professor, Neurology, Yale University School of Medicine.
24 Michael Saunders, MD, Clinical Associate Professor of Medicine, University of Washington School of Medicine.
12 David Pierson, MD, Medical Director, Respiratory Care, Harborview Medical Center; Professor of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine.
OTHER REGULARLY SCHEDULED CONFERENCES
Breast Tumor Board - Thursday, 7 a.m.
MSTI Pediatric Tumor Board - 2nd & 4th Wednesday, 12 noon
Meridian Tumor Board - 1st , 2nd, 4th Wednesday 12 noon
Provisional Membership: Dr. Seth Price; Dr. Daniel Toweill; Dr. Antonio Lopez and
Dr. Jaime Martin.
Residents: Jeremy Mitchell, D.O.; Kimberly Elliot, D.O.; Rebecca Kinney, M.D.;
Robert Amrine, M.D.; Ryan Gilles, M.D.; Tammy Pascoe, M.D.; Phillip Mendoza, M.D.; Michelle Minikel, M.D.; Elisabeth Kuper, M.D.; Drew Polson, M.D.; Alison Madsen, M.D.
October 12th; ACMS Annual Meeting and New Physician Dinner, Boise, Doubletree Riverside
October 30th; ACMS Legislative Night, Boise, Red Lion Downtowner
February 15-18, 2008; ACMS Winter Clinics, Sun Valley Resort
Halloween Costume - IRS Agent
The door bell rings, and a man answers it. Here stands this plain but well dressed kid, saying, "Trick or Treat!"
The man asks the kid what he's dressed up like for Halloween. The kid says, "I'm an IRS agent." Then he takes 28% of the man's candy, leaves, and doesn't say Thank you.
2 Bio Markers in Nervous System Disorders, Chris Zimmerman, MD
7 Thyroid Disease, Richard Kloos, MD
8 Dermatology Update, Gavin Powell, MD
9 Wound Pressure Conference
14 Cardiovascular Complications in Diabetes, Steven Feinstein, MD
15 Cardiovascular Complications in Diabetes, Steven Feinstein, MD
21 Nutrition Update, Kristen Ritzenthaler, PhD
28 Pediatric Rheumatology, J. Patrick Knibbe, MD
29 Update on Nutrition. Kristen Ritzenthaler, PhD
30 Critical Care Conference, Pulmonary Fellow
5 The New Microbiologic Monster; Fungal Infections in Primary Care, Michael Rinaldi, PhD
6 The New Microbiologic Monster; Fungal Infections in Primary Care, Michael Rinaldi, PhD
7 Update on Nutrition, Kristen Ritzenthaler, PhD
12 Ischemia Management, JW Smith, MD
13 The Trauma Paradigm, Frederick Foss, MD
20 Update on Cystic Fibrosis, Perry Brown, MD
21 Critical Care Conference, Pulmonary Fellow
3 ID Jeopardy, Tom Coffman, MD, Sky Blue, MD, Chris Hahn, MD, Tom Rand, MD
10 Update on Migraines, Stewart Tepper, MD
17 Update on Osteoporosis, Joseph Shaker, MD
24 Functional Bowel Disorders, Michael Saunders, MD
31 Community Acquired MRSA, Dennis Stevens, MD
3 ID Jeopardy, Tom Coffman, MD, Sky Blue, MD, Chris Hahn, MD, Tom Rand, MD
10 Update on Migraines, Stewart Tepper, MD
17 Update on Osteoporosis, Joseph Shaker, MD
24 Functional Bowel Disorders, Michael Saunders, MD
31 Community Acquired MRSA, Dennis Stevens, MD
4 Medical Simulation for Learning 2007 (Demonstration), Paula Carvalho, MD
11 Bio Ethics Discussion, VA Physicians
18 Polycystic Ovarian Syndrome, David Hindson, M.D. (NOTE: Change in Calendar)
25 Nephrology Topic, Nicholas Hunt, MD
4 Asthma: Causes and Treatment, Joe Callanan, MD
11 Update on Migraines, Stewart Tepper, MD
18 Update on Osteoporosis, Joseph Shaker, MD
25 Functional Bowel Disorders, Michael Saunders, MD
5 The Trauma Paradigm, Frederick Foss, MD
12 Update on COPD, David Pierson, MD
19 Use of Hand Held Electronics in Medicine, Richard Montgomery MD
26 Critical Care Case Conference, Pulmonary Fellow
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