Updates in Internal Medicine
Nevada Chapter Meeting Highlights
ACP Report by President Elect Mary (Molly) Cooke, MD, FACP
High Value Cost Conscious Care
Washington Report – Senior ACP Vice President, Robert Doherty
Medical Bingo-compete for prizes
Doctor’s Dilemma™ – Associates’ Jeopardy Game
Controversies in Hormone Treatment
Ethics Interactive Presentation: Internet & Social Media
Presentation of Chapter Laureate and Volunteerism Awards
2013 Town Hall Meeting – Discuss Chapter & ACP Issues
Medical Student and Resident Poster Competition
Nevada Chapter Self-Evaluation Program – Cardiovascular Disease ABIM
Module (Maintenance of Certification for ABIM)
Scientific Meeting SIM Center Skills Lab – Cardiac Sound Simulator
Small Group Sessions
Friday, January 11, 2013 3:00 to 5:30 pm
Cardiovascular Disease Module Advancement to Fellowship - Guidance and Mentoring
UNSOM 2040 West Charleston Blvd. Room 506 Top 10 High Impact Articles in 2012
Guidelines for Opiate Treatment
Saturday, January 12, 2013
Clinical Simulation Center of Las Vegas Uric Acid is a Risk Factor for Atherogenesis (MI, HTN, CKD,
Shadow Lane Campus – SLC – B Stroke)
1001 Shadow Lane
Polycystic Ovarian Syndrome-What an internist should know
Las Vegas, Nevada 89106
American College of Physicians
Nevada Chapter Scientific Meeting Friday, January 11 and
Saturday, January 12, 2013 This form may be photocopied.
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Please check here to indicate a permanent change to your preferred address for all College mailings .
Check one category that best applies. Conference includes continental
breakfast, lunch, refreshments at two breaks, all scientific sessions and
materials, and CME documentation.
ACP Categories Nonmember Categories
□Master □Fellow □Member $60 □ Physician $135
□ Associate (Resident Members) $25 □ Resident $75 I invite you to join your colleagues and me in internal medicine at the
next scientific meeting of the Nevada Chapter of the American College
□ Medical Student Member $25 □ Medical Student $75
of Physicians on Saturday, January 11 and 12, 2013 at the University of
Nevada School of Medicine Simulation Center on Shadow Lane in Las
□Affiliate Member $60 □ Allied Health Professional $75
This meeting is not just for ACP members. I particularly want to invite
□ Out of State Member $60 TOTAL $ nonmembers to join us for this important clinical update and to learn
All Associate and Medical Student members who are members of the Nevada about the benefits of membership at the same time.
Chapter will receive their meeting fees back, if they sign in by 10:00am, except for
those in the Northern Nevada District who will have their meeting fees waived if
In addition to earning up to 8.0 CME credits, by attending this meeting
they are not attending the meeting in person.. All Masters, Fellows, members, and Gain insight into recent medical advances.
affiliates who have paid current Nevada Chapter dues will receive half off – ($30.00) Discuss local and national issues affecting the practice and teaching
if they sign in by 10:00 am. If registering after December 31, 2012, the fee is increased of internal medicine.
by $15 for all categories. Refunds will be issued by the ACP HQ. Greet old friends, meet new friends, and develop a network of
colleagues in your area.
Please make your check payable to ACP. Take time for yourself or with your family to relax and enjoy the
sights around Las Vegas.
See the Associate and Medical Student Regional Poster Competition
Attend the second Nevada Associates’ Doctor’s Dilemma (medical 8:30 Meet, breakfast, and round at University of Nevada School of
Participate in our Cardiovascular Disease ABIM Module Medicine, IM Department with Faculty, residents, and medical students.
Maintenance of Certificate (ABIM) Self Evaluation Program
Join our simulation center hands on activity on heart sounds
Play for cash prizes in our first Medical Bingo game with questions Friday Afternoon
based on this year’s meeting topics 12:00 noon Meet and lunch with Touro University and Valley Hospital
Medical Center IM Department Faculty, residents, and students.
Between scientific sessions, please visit the College table. You will find
information on new ACP programs, products, and services. There’s 3:00 to 5:00 pm Cardiovascular Disease ABIM Module, Self-
always something new at the College table. Stop by and see for Evaluation Program for Maintenance of Certification
yourself. In addition we encourage you to visit the numerous exhibitors UNSOM 2040 West Charleston Blvd., Room 506
to learn about their products and services and acknowledge their
continued support. Arjun V. Gururaj, MD, Javed Tunio, MD, MBA, FACC, FASE,
To ensure your place at this invaluable meeting, complete the
registration form and send, fax, phone or go to the website today with 6:30 Speakers and Judges Dinner
your check or credit card billing information. The opportunities available
at this meeting will help you meet not only your needs as a physician,
but also the needs of the patients you serve. Saturday, January 12, 3013
I look forward to seeing you in Las Vegas.
Warren H. Evins, MD, PhD, FACP 6:30 Medical Student/Resident Poster Setup & Exhibitor Set-Up
Governor, ACP Nevada Chapter
6:30 Registration & Continental Breakfast; Visit Exhibits & Posters
P.S. Dr. Molly Cooke, ACP President-Elect, will attend this meeting
to talk about the ACP & present on Minding the Health Care 7:00 Slide Show– Advancement to Fellowship sign up for Mentoring
Commons-The Role of the Internist and ACP’s High Value Cost
Conscious Initiative This is a good chance to make your voice 7:20 Welcome - Opening Remarks
heard by ACP leadership—register today to reserve your seat. Warren H. Evins, MD, PhD, FACP, Nevada Chapter Governor
Sandhya Wahi-Gururaj, MD, MPH, FACP, Program Chair
Scientific Program and Special Events 7:30 Minding the Health Care Commons-The Role of the Internist
Mary M. (Molly) Cooke, MD, FACP ACP President-Elect
2013 Internal Medicine Update
8:35 Workshop session I – 3 topics
Thursday Afternoon □ Controversies in Hormonal Therapy
Drs. Cooke & Evins meet with Touro students interested in Internal C. R. Kannan, MD, FACP, Fred Toffel, MD, FACE, FACP.
Medicine (SOIMA) in Henderson.
□ Hyperuricemia as an Independent Risk Factor for
Friday AM Mitchell D. Forman, DO, FACOI, FACR, FACP
7:30 Grand Rounds at UMC Molly Cooke, MD, FACP, ACP
President-Elect The Physicians of 2030-We are training them now, are □ Heart Sounds Simulation
we doing it right? Chowdhury Ahsan, MD, Sohail U. Anjum, MD, FACC, FACP
9:45 Refreshment Break & Visit Exhibitors
FACP, Nicholas J. Vogelzang, MD, FACP, & Warren H. Evins, MD,
10:00 Ethics: Web 2.0 and Professionalism PhD, FACP
Aditi Singh, MD, FACP, Sandhya Wahi-Gururaj, MD, MPH,
FACP Scientific Abstract Chairs: Aditi Singh, MD, FACP, Mahendran
11:00 ACP College Rep Talk/ACP President-Elect
Molly Cooke, MD, FACP 4:05 Refreshment Break & Visit Exhibits & Posters
11:25 Washington Update
Robert Doherty, Senior Vice President for Governmental Affairs 4:20 The Top 10 in ’12 – Michael J. Bloch, MD & Brian T. Callister,
& Public Policy, American College of Physicians MD, FACP, FHM
Afternoon PM 5:20 Medical Bingo compete for cash prizes 1st, 2nd, 3rd places
George Sarka, MD, MPH, CPH, FACP, FACR, FACPM Immediate
12:25 Presentation: Nevada Chapter Laureate and Volunteerism & Past ACP Governor, Southern California Region II, ACP Evergreen
Community Service Awards, Luncheon & Town Hall Award Winner, Warren H. Evins, MD, PhD, FACP, ACP Nevada
Meeting, Visit Exhibits & Posters Chapter Governor
Warren H. Evins, MD, PhD, FACP, Nevada ACP Governor
Sandhya Wahi-Gururaj, MD, MPH, Program Chair How to Register
Laureate Award to Nicholas J. Vogelzang, MD, FACP • If you need more information on the meeting, please contact Susan
Volunteerism & Community Service Award to Sohail U. Anjum, Lynch, MBA, Nevada Chapter Executive Director at 502-445-
MD, FACC, FACP 9286 or susanlynchMBA@yahoo.com.
1:40 Associate/Student Abstract Competition PowerPoint • For information on College related issues, contact the Nevada
Presentations Chapter Governor, Warren H. Evins, MD, PhD, FACP, by
telephone at 702-458-2362 or e-mail to firstname.lastname@example.org
2:45 Workshop session II – 3 topics
Doctor’s Dilemma™ – Chief Resident Council, Naveen If you need more information on the meeting program, please
Gopal, MD Chair contact Sandhya Wahi-Gururaj, MD, MPH, Program Chair, at
Polycystic Ovarian Syndrome-What every internist needs
to know George Sarka, MD, MPH, CPH, FACP, FACR, To register for the meeting:
FACPM Online - Visit us on the Web
Management of Opiates Mail - To register by mail, complete the registration form in this
Brian Murphy, MD brochure and mail it to ACP at the address below. Be sure to list your
daytime phone number in case we need to notify you of any changes.
3:55 Results of the Poster Competition Judging Please reproduce the form for additional registrations (one form per
Winner Presentations Chief Judge George Sarka, MD, MPH, registrant).
CPH, FACP, FACR, FACPM, Judges: T. Brian Callister, MD, FHM,
AC002 The University of Nevada School of Medicine is accredited by the
American College of Physicians ACCME to provide Continuing Medical Education for physicians.
190 N. Independence Mall West University of Nevada School of Medicine designates this educational
Philadelphia, PA 19106-1572 activity for a maximum of eight (8.0) AMA PRA Category 1 Credit(s).
Physicians should only claim credit commensurate with the extent of
Fax - Register 24 hours a day via fax at 215-351-2799. Fax forms their participation in the activity.
must include credit card number, expiration date, security code
If you are interested in becoming a member of the College, please
number, and signature. Do not mail a copy of the form because it may contact the Customer Service Department at 800-523-1546, ext. 2600, or
result in a duplicate registration and you will be charged twice. 215-351-2600 (M-F, 9 a.m.–5 p.m. ET).
Phone - Call 800-523-1546, ext. 2600, or 215-351-2600 (M-F, 9 a.m.– Hotel Accommodations
5 p.m. ET). Be sure to have your credit card number, expiration date, Rooms are available at the Palace Station Hotel & Casino Las Vegas at a
special rate of $142 or $117 per night single/double occupancy (luxury
and security code number available before calling. Tower or Value Courtyard) Thursday & Friday. On Saturday rates are
$82 and $62. A 12 % occupancy tax is not included. Airport shuttle
There is an additional $15 fee for registering onsite at the service is included. Rooms can be reserved by calling the hotel directly
meeting—save money by registering now. toll-free at (800-634-3101) and mentioning the code “The American
College of Physicians” or group code PCIACP, until 12/28/2012.
To access our online meeting information or to print another Palace Station Hotel & Casino
registration form for a friend or colleague, go to 2411 W. Sahara Ave.
www.acponline.org/cme/regmtg/regional.htm Las Vegas, Nevada 89102
To access a map to the Clinical Simulation Center please go to Directions
• I 15 to the Sahara Avenue Exit, then go West
http://maps.unlv.edu/map-slc.html • Turn left at Palace Station Drive
We encourage participation by all individuals. Inform us if you are disabled and The hotel provides complimentary valet and garage self-parking
require assistance. Advance notification is essential in order for us to serve you better. for hotel guests
Please notify the Nevada Governor or Executive Director at the above addresses in
writing (or by email) at least 30 days before your course. We’ll be glad to help.
At the conclusion of this activity, the participant will:
CME Accreditation Describe the ethical issues involved in the use of the web and
It is the policy of University of Nevada School of Medicine (UNSOM)
to ensure balance, independence, objectivity, and scientific rigor in all its social networking
individually sponsored or jointly sponsored educational programs. Explain High Value Cost Conscious Care
Discuss the changes and potential changes ahead in health care
This activity has been planned and implemented in accordance with the delivery
Essentials Areas and Policies of Accreditation Council for Continuing
Medical Association (ACCME) through the joint sponsorship of the Identify at least three major clinical findings from 2012 and how
University of Nevada School of Medicine and the American College of they affect internists
Physicians Nevada Chapter. Disclosure of faculty and commercial Explain the current recommendations for the use of testosterone and
relationships will be made known prior to the activity. The UNSOM post-menopausal hormonal therapy
and Nevada Chapter planning committee’s ha(s)ve nothing to disclose.
Understand how to manage opiate therapy
Prepare for internal medicine board recertification with the conduct, an abiding commitment to excellence in medical care,
Cardiovascular module education, research, and service to their community, their chapter, and
Enjoy the non CME credit Doctor’s Dilemma-Associates’ medical ACP. A Laureate Nominee is usually a senior physician who has...
Jeopardy game been a Fellow or Master of the College for at least 15 to 20 years
a long history of excellence and peer approval in the specialty of
Learn about some exciting clinical cases and research projects at our
served the chapter and community with distinction or in some
Strengthen competency in heart sound identification with simulated clearly definable manner
hands on experience
Review compelling data on uric acid & its strong association with Nicholas J. Vogelzang, MD, FACP is this year’s winner. He is an
ASCVD & stroke internationally recognized genitourinary oncologist and researcher with
Review the concepts of all of the meeting’s presentations in a the Comprehensive Cancer Centers of Nevada and a past Medical
Medical Bingo question and answer contest Director of the Nevada Cancer Institute.
Discuss how Polycystic Ovarian Syndrome affects the internist
What is your College doing to improve physicians’ and patients lives Chapter Volunteerism and Community Service Award
Volunteerism, like a commitment to continuing education, is an
established tradition for internists The Chapter Volunteerism Award was
Associates’ and Medical Students’ Activities developed to recognize the work of members who are involved in
Clinical vignettes and research papers prepared by Associates and volunteerism and community service activities and to raise the level of
Medical Students will be presented during the meeting at the poster
awareness and promote dialogue and action in volunteerism within their
competition. The top two awardees in each category (Associate-Clinical
Vignette, Associate Research, Medical Student Research and Medical regions. Nominees must be Masters, Fellows, Members, or Associates of
Student Clinical Vignette) will deliver a Power Point slide presentation ACP and must have provided volunteer service post-training. The
to all attendees during the Scientific Session. All Southern and Northern services must have been performed on a voluntary basis and not required
Nevada Regional Poster competition entrants will receive a certificate of for the completion of teaching, training, or position requirements.
merit. Second and third place winners will receive a medical book. First Volunteer work must have been done as a physician and be medically
place winners will be nominated by the Chapter, guaranteeing eligibility related.
for the ACP national competition held during Internal Medicine 2013.
The two Associates 1st Place winners in Research and Clinical Vignette Sohail U. Anjum, MD, FACC, FACP is this year’s winner. He
categories and the rwo Medical Student 1st place winner in Clinical recently finished an 8 year term on the Nevada State Board of Medical
Vignette and Research categories will receive up to $1000 in travel and Examiners as Vice President of the Board.
meeting expenses to Internal Medicine 2013 in San Francisco, April,
2013. The awards will be presented during the luncheon.
Winners of the Doctor’s Dilemma competition will receive funding to
compete at the National ACP Internal Medicine 2013 meeting in San
Francisco. Pathways to Fellowship
Attendance at chapter meetings can help all ACP members in meeting
Laureate Award the qualifications for advancement to Fellowship. It is especially
The Chapter is pleased to be presenting a Laureate Award again this important for those applying under that pathway calling for 5 years of
year. The Laureate Award is designed to honor those Fellows and activity as a Member. There are four pathways for advancement.
Masters of the College who have demonstrated, by their example and Pathways may be combined; they are not mutually exclusive:
The Published Academician Naveen Gopal, MD Chair, ACP Nevada Chapter Chief Resident’s
The Physician with Multiple (subspecialty or re-certification) Council, Chief Resident, Internal Medicine Residency Program, Las
Certification or Advanced Degrees or has completed MKSAP for Vegas, University of Nevada School of Medicine.
credit. Arjun V. Gururaj, MD, Cardiologist, Nevada Heart and Vascular
The Active ACP Member Center, Chief of Electrophysiology, Sunrise Hospital, Las Vegas.
The Senior Physician David J. Howard, MD, FACP Associate Director of Internal Medicine
Please inquire about the process for Fellowship qualifications. Residency Program, Assistant Professor University of Nevada School of
Mahendran Jayaraj, MD Assistant Professor of Medicine, University
Faculty of Nevada School of Medicine, Las Vegas.
Chowdhury Ahsan, MD, PhD, FACC, FRCP, FAHA Private Chakravarthy R. Kannan, MD Professor of Medicine, Section Chief,
practice Interventional Cardiologist, Nevada Heart and Vascular Endocrinology, University of Nevada School of Medicine, Las Vegas.
Group, Clinical Professor of Medicine, University of Nevada School Brian W. Murphy, MD, MBA Chief Medical Officer, Nathan
of Medicine, Director of Cardiac Catheterization Labs and Adelson Hospice, certified in Palliative and Hospice Medicine, Family
Cardiovascular Research at University Medical Center of So. Nevada. Practice, Las Vegas.
Sohail U. Anjum, MD, FACC, FACP Founding Cardiologist, Heart George Sarka MD, MPH, CPH, FACP, FACR, FACPM
Center of Nevada, Las Vegas. DrPH Candidate in Public Health, UCLA, Associate Clinical Professor
Michael J. Bloch, MD, FACP, FASH, FVM - Associate Professor, of Medicine, UCLA, California Neurology Society Director-South
University of Nevada School of Medicine, Medical Director, Saint (2012-2015), Coordinator for Continuing Medical Education at the
Mary's Risk Reduction Center, Co-Director, Saint Mary's Vascular Klotz Student Health Center, California State University, Northridge
Institute, Reno. (CSUN) , Immediate Past Governor of the ACP, Southern California,
T. Brian Callister, MD, FACP, FHM – National Medical Director, Region II (2008-2012), Past President of the LA Neurological Society
LifeCare Hospitals, Plano, TX, Immediate Past President, Nevada State (2006-2009), Past President of the LA County Medical Society-
Medical Association, Associate Clinical Professor, Department of District 1 (2006-2008), Graduate of the Human Resource Management
Internal Medicine, Reno, University of Nevada School of Medicine, Certificate Program at the University of California, Irvine 2009,
President, Northern Nevada District of the Nevada ACP Chapter. diplomate in rheumatology, neurology, geriatrics, public health and
Mary M. (Molly) Cooke, MD, FACP – ACP President-Elect, Professor internal, sports, headache, emergency, occupational, & general
of Medicine, UCSF School of Medicine, Director of Education for preventive medicine.
Global Health Sciences of the Schools of Medicine, Dentistry, Aditi Singh, MD, FACP Assistant Professor of Medicine, Associate
Pharmacy, Nursing, and the Graduate School, University of California, Program Director, Internal Medicine Residency Program, Las Vegas,
San Francisco. University of Nevada School of Medicine.
Robert Doherty, Senior Vice President for Governmental Affairs and Fred G. Toffel, MD, FACE, FACP Adjunct Associate Professor,
Public Policy, American College of Physicians, Washington, DC. Touro University-Nevada College of Osteopathic Medicine, Medical
Warren H. Evins, MD, PhD, FACP, ACP Nevada Chapter Governor, Director, Diabetes Treatment Center, Desert Springs Hospital, President,
Adjunct Professor of Internal Medicine, Touro University-Nevada Nevada Chapter, American Association of Clinical Endocrinologists,
College of Osteopathic Medicine, Henderson, Nevada. Henderson.
Mitchell Forman, DO, FACR, FACOI, FACP, Professor of Medicine Javed Tunio, MD, MBA, FACC, FASE, FSCCT, Chief of Cardiology,
& founding Dean, Touro University—Nevada College of Osteopathic Veteran’s Administration Southern Nevada Healthcare Center, Las
Medicine, Henderson, Nevada, Treasurer Nevada ACP Chapter. Vegas.
Nicholas J. Vogelzang, MD Oncologist, Comprehensive Cancer
Centers of Nevada, Clinical Professor of Medicine, University of
Nevada School of Medicine, Las Vegas.
Sandhya Wahi-Gururaj, MD, MPH , FACP Assistant Professor of
Medicine, Program Director, Internal Medicine Residency Program, Las
Vegas, University of Nevada School of Medicine.
Acknowledgements (as of November 2012)
We wish to thank the following:
University of Nevada School of Medicine (Joint Sponsor)
Touro University of Nevada, College of Osteopathic Medicine
Our Exhibitors and Program Sponsors
The Nevada ACP Chapter Program Committee - Sandhya Wahi-
Gururaj, MD, MPH, FACP, Chair, Miriam Bar-on, MD, T. Brian
Callister, MD, FHM, FACP, Warren H. Evins, MD, PhD, FACP
Aditi Singh, MD, FACP, Kartika Shetty, MD, FACP
Associate Competition co-Chairs - Aditi Singh, MD,FACP,
Mahendran Jayaraj, MD
Regional Poster Competition Judges- Michael J. Bloch, MD, FACP,
FASH, FVM, Warren H. Evins, MD, PhD, FACP, , Alan Greenberg,
MD, FACP, C. R. Kannan, MD, FACP, John Sweetenham, MD,
Who Should Attend
Fellows in Subspecialty Training
Residents (Internists in Training)
Medical Students Interested in Internal Medicine
Other Allied Health Practitioners