eVoice^®

August 23, 2007

AMA eVoice is your regular update on the most important health care issues and recent AMA activities.

The AMA is committed to communication. We encourage you to help us spread the word by forwarding AMA eVoice to your colleagues.

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Faculty practice physician issues
1) All-women residency program makes history
2) AMA seeks its members' feedback about uninsured issue

Group practice physician issues
1) Study concludes physicians moving to mid-sized, single-specialty practices
2) In AMNews: Flex appeal—it's all in the planning

International medical graduate issues
1) Mark your calendar: AMA-IMG Section resolution deadline Sept. 28
2) AMA-IMG Section Interim Congress and Caucus registration now open
3) In AMNews: Racial fatigue—minority doctors feeling the pressure

Medical school news
1) AMA-SMS Annual Meeting educational program summaries now available online
2) Virtual Mentor explores emerging issues in multicultural patient-physician encounters
3) Get up to date on USMLE's comprehensive review

Medical student issues
1) Mark your calendar: 2007 AMA-MSS Interim Assembly Meeting deadlines
2) Special travel and hotel rates offered for 2007 AMA-MSS Interim Assembly Meeting
3) Have you taken the Step 2 CSAE exam?
4) August issue of Virtual Mentor now available

Minority health issues and professional concerns of minority physicians
1) Summaries of CHAMP, CHIP legislation available online

Organized medical staff issues
1) Article: P4P demo yields good results, few rewards
2) JCR issues call for presentations for 2008 Medication Safety Conference
3) It's Hawaii—plan now to attend 2007 AMA-OMSS Interim Assembly Meeting

Resident and fellow issues
1) Help develop policy of the AMA-RFS
2) Research wanted for Fourth Annual Poster Symposium
3) Become a leader on the RRC for Otolaryngology
4) How many patients can one doctor manage?

Senior physicians issues
1) 1957 medical school grads honored on Web site and at annual luncheon celebration

Women physician and women's health issues
1) Honor your mentor and celebrate September's Women in Medicine Month
2) AMA-WPC member featured in MIT's Technology Review

Young physician issues
1) Make reservations for Honolulu
2) Submit a resolution to the AMA-YPS Assembly
3) Updates on SCHIP reauthorization available on AMA Web site and in AMNews
4) AMA-WPC announces Physician Mentor Recognition Program
5) Tell us what's really on your mind

General AMA news:
1) AMA begins new campaign to cover the uninsured, targets voters in early primary states
2) AMA Foundation scholarships boost future physicians
3) Women physicians, spotlight your mentor—nominations due Sept. 30
4) Have you moved recently?
5) In JAMA: Hypertension appears to be frequently undiagnosed in children and adolescents

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Faculty practice physician issues

1) All-women residency program makes history
For the first time in its more than 150-year history, Montana Family Medicine Residency at Deering Community Health Center in Billings, Mont., admitted an all-women residency class. According to an article in the Billings Gazette, the program director noted that the applicant pool was about half men and half women, but in the end, the women proved to be stronger candidates. According to AMA statistics, in 2004, women made up about 27 percent of the nation's 885,000 doctors.

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2) AMA seeks its members' feedback about uninsured issue
The AMA has announced a multi-phase campaign to build public awareness about the issue of the uninsured. The ultimate goal of the campaign is passage of legislation in 2009 to expand coverage for the uninsured and increase access to care. All AMA members are encouraged to complete a brief AMA Member Connect^® Survey about this issue and how their experience with uninsured patients affects their practice. The results will be used to strengthen the voice of AMA members in influencing national and local policy initiatives to enable more people to secure health coverage.

Members can visit the Web site to complete the survey.

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Group practice physician issues

1) Study concludes physicians moving to mid-sized, single-specialty practices
According to a national study conducted by the Center for Studying Health System Change (HSC), the proportion of physicians in solo- and two-physician practices decreased from 40.7 percent in 1996–97 to 32.5 percent in 2004–05. In addition, the proportion of physicians in multi-specialty practices decreased from 30.9 percent to 27.5 percent between 1998–99 and 2004–05. However, the HSC study found that physicians are increasingly practicing in mid-sized, single-specialty groups of six to 50 physicians, and increased from 13.1 percent in 1996–97 to 17.6 percent in 2004–05. Trends in physician ownership over the period mirrored those in practice type. As physicians moved out of the smallest practices, the percentage of physicians who were full- or part-owners of their practice declined from 61.6 percent to 54.4 percent. Changes in physician practice setting and organization have important policy implications, particularly for pay-for-performance.

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2) In AMNews: Flex appeal—it's all in the planning
According to an article in the Aug. 13 issue of American Medical News (AMNews), flexible scheduling, job sharing and other creative solutions can help medical practices recruit and retain quality employees—even for the smallest of practices. There are guidelines to follow, but overall, offering such perks helps recruit and retain experienced employees whose personal lives aren't conducive to the traditional workday. The Pew Research Center recently released a survey that found 79 percent of working mothers with children younger than 18 would rather work part time.

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International medical graduate issues

1) Mark your calendar: AMA-IMG Section resolution deadline Sept. 28
Resolutions for the 2007 AMA-IMG Section Interim Meeting are due Sept. 28. The section's events will be held in conjunction with the 2007 Interim Meeting of the AMA House of Delegates in Honolulu, Nov. 10–13.

Learn more about resolution-writing guidelines.

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2) AMA-IMG Section Interim Congress and Caucus registration now open
Register now and mark your calendars to attend the following AMA-IMG Section events at the 2007 Interim Meeting of the AMA House of Delegates in November. All events will take place at the Hawaii Convention Center, Honolulu.

• AMA-IMG Section Congress—5:30–7:30 p.m., Nov. 9
• AMA-IMG Section Caucus—5:30–7 p.m., Nov. 10
• AMA-IMG delegate-sponsored reference committee reports caucus—7:30–9 a.m., Nov. 12
• AMA-IMG Leadership Development Workshop—9:30–11:30 a.m., Nov. 12

Download a registration form. Registration is open through Nov. 1.

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3) In AMNews: Racial fatigue—minority doctors feeling the pressure
The July 23/30 issue of American Medical News (AMNews) explores the topic of "racial fatigue," or racism, experienced by many minority doctors.

Visit the Web site to view the AMNews article and learn more about how racial fatigue can undermine careers and erode job satisfaction.

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Medical school news
(Brought to you by the AMA Section on Medical Schools)

1) AMA-SMS Annual Meeting educational program summaries now available online
Summaries from the AMA-SMS June educational program on innovative approaches in medical education are now available online (PDF, 178KB, requires Adobe® Reader®).

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2) Virtual Mentor explores emerging issues in multicultural patient-physician encounters
The August issue of Virtual Mentor, the AMA's online ethics journal, delves into how ethical principles and values among patients of various cultural backgrounds can differ, and how physicians can better identify and understand alternate belief systems. Topics such as the legal risks of ineffective communication, the coexistence of evidence-based and culturally competent medicine, and the effects that inefficient communication can have on the quality of care are all covered. Other subjects include teaching cultural sensitivity through literature and reflective writing, and tools for culturally effective care gleaned from community-based research.

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3) Get up to date on USMLE's comprehensive review
The Committee to Evaluate the United States Medical Licensing Examination (USMLE) Program recently released some major themes that have emerged from their deliberations. Surveys and focus groups were utilized to gather information about the impact and relevance of the USMLE program from a wide range of individuals and organizations. The committee's final recommendations are scheduled to be complete by Jan. 2008.

View an updated report.

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Medical student issues

1) Mark your calendar: 2007 AMA-MSS Interim Assembly Meeting deadlines
Please join us for the 2007 AMA-MSS Interim Assembly Meeting Nov. 8–10 at the Hawaii Convention Center, Honolulu. The meeting includes policymaking sessions, educational sessions, a research poster session and more. The AMA-MSS is planning programs for this meeting and would like your ideas.

Obtain an online form and submit your ideas.

Please keep the following deadlines in mind:

• Sept. 7—Convention committee applications due
• Sept. 21—Resolution submissions due (A draft of your resolution must be posted to the AMA-MSS health policy and news listserv no later than Sept. 7).
• Sept. 21—AMA-MSS Research Poster Symposium abstracts due
• Oct. 1—Meeting registration due
• Oct. 1—AMA Board of Trustees/chair-elect applications due
• Oct. 1—Regional delegate applications due

Learn more about the meeting and obtain applications.

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2) Special travel and hotel rates offered for 2007 AMA-MSS Interim Assembly Meeting
The 2007 AMA-MSS Interim Assembly Meeting will be held Nov. 8–10 in Honolulu. The AMA has reserved a block of rooms at a discounted rate for attendees at the Doubletree Alana Hotel-Waikiki. A special room rate will be available until Oct. 7 or until the group block is sold out.

Visit the Web site to learn more and reserve your room.

The AMA also has teamed up with United Airlines to offer attendees a 10 percent discount (and an extra 5 percent discount if you make your reservation at least 30 days in advance).

Visit the Web site to learn more and make your reservation.

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3) Have you taken the Step 2 CSAE exam?
As part of its efforts to monitor the Clinical Skills Assessment Exam (CSAE) and advocate for improved testing conditions, the AMA-MSS is administering a Step 2 Clinical Skills survey to gauge medical student perceptions and experiences with the exam. The results of the AMA-MSS survey have the potential to influence the opinions of key stakeholders such as medical school administrators and the National Board of Medical Examiners.

If you have already taken the Step 2 CSAE, visit the Web site to complete the survey. Please ask your classmates to do the same. The more students who complete the survey, the greater the impact the results can have—it only takes a few minutes to make a big difference.

Learn more about the CSAE and AMA policy on this important issue.

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4) August issue of Virtual Mentor now available
To enter the world of medicine as a patient is to engage in a multicultural exchange. Imagine, then, those who come to medicine with language, customs or an understanding of illness different from that shared by the wider U.S. culture. Virtual Mentor's August cases take a close look at a Cambodian man whose doctors diagnose post-traumatic stress disorder and suggest treatments unknown in his culture, a woman from West Africa whose husband speaks for her and whose children disagree with their father's message, and a Hispanic boy whose mother says he suffers from "susto"—believed to result from a frightening experience that causes the soul to leave the body. The remaining articles examine federal and private initiatives being taken to close the gaps in communication and understanding that are inherent in medicine's cross-cultural exchanges.

Read this month's issue of Virtual Mentor.

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Minority health issues and professional concerns of minority physicians
(brought to you by the AMA Minority Affairs Consortium)

1) Summaries of CHAMP, CHIP legislation available online
The AMA has posted information on its Web site summarizing key provisions of important federal legislation that recently was passed by the U.S. House and Senate.

Read a summary of H.R. 3162, the Children's Health and Medicare Protection (CHAMP) Act of 2007, as passed by the U.S. House of Representatives.

View a comparison of the Senate legislation, S. 1893, the Children's Health Insurance Program (CHIP) Reauthorization Act of 2007, to the CHIP provisions in H.R. 3162.

>>Return to your news interest contents

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Organized medical staff issues

1) Article: P4P demo yields good results, few rewards
According to an article in Modern Physician, the 10 participants in a Centers for Medicare & Medicaid Services physician group practice pay-for-performance demonstration project achieved impressive performance targets for diabetes care, but only two qualified for financial rewards resulting from savings to the Medicare program. All 10 practices met at least seven of 10 quality benchmarks for diabetes care in the first year of the project, but only the Marshfield Clinic and the University of Michigan Faculty Group Practice achieved savings of 2 percent based on projections from the baseline year.

View the article (username and password required).

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2) JCR issues call for presentations for 2008 Medication Safety Conference
For the first time, Joint Commission Resources (JCR), a not-for-profit affiliate of the Joint Commission, is now accepting proposals for presentations for the 2008 Medication Safety Conference.

Presentations at the August 2008 conference in Chicago will focus on "best practices" related to medication management, a complex process that requires multiple services and disciplines to work closely together in order to be sure that the right patient gets the right dosage at the right time. Presentation proposals should address new processes, technologies and tools that provide creative, innovative methods for improving the safety and efficiency of medication management. All proposals should be submitted for consideration by Oct. 16. Presentation proposals will be reviewed by Conference Planning Advisory Members, and presenters will be invited in February and March 2008.

Visit the Web site or call Leslie LaBelle at (630) 792-5435. You can send an e-mail to learn more about the conference and proposal guidelines.

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3) It's Hawaii—plan now to attend 2007 AMA-OMSS Interim Assembly Meeting
It's not too early to make plans to attend the Interim Meeting of the 50th AMA-OMSS Assembly in Honolulu, Nov. 8–11. Mark your calendar and reserve a room at the Hilton Hawaiian Village, Honolulu.

Make your reservation.

Learn more (PDF, 59KB, requires Adobe® Reader®) about the development and submission of resolutions. The deadline for resolution submissions is Sept. 28.

Send an e-mail with all resolution submissions.

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Resident and fellow issues

1) Help develop policy of the AMA-RFS
The AMA-RFS is now accepting resolutions for the Interim Assembly Meeting in Honolulu.

Visit the Web site for guidelines on writing resolutions. Send an e-mail with resolution submissions. All submissions are due Sept. 26.

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2) Research wanted for Fourth Annual Poster Symposium
The AMA-RFS will be holding its Fourth Annual Research Poster Symposium in November at its 2007 Interim Assembly Meeting in Honolulu. Abstracts may be submitted in four categories: basic science research, clinical medical research, public health/health policy/medical education and clinical vignettes.

Visit the Web site for submission information. Abstract submissions are due Sept. 5.

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3) Become a leader on the RRC for Otolaryngology
The Residency Review Committee (RRC) for Otolaryngology will be selecting a resident member for a two-year term. This position is designed to solicit resident opinion on educational policy and to educate the resident about the accreditation process. The resident is considered a full RRC member and is responsible for voting on policy matters, reviewing up to three programs per meeting, and serving as a member of the Accreditation Council for Graduate Medical Education Resident Council. Applications will be accepted through Oct. 1. >>Apply

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4) How many patients can one doctor manage?
A Medscape article reveals that achieving a balance in patient load, or panel size, can directly improve patient access to care. Access improvement depends on correctly matching patient demand with appointment supply without a delay and without harming continuity of care. According to the article, a panel size too large can greatly increase the provider's work load and may require transferring the patient's care elsewhere. Conversely, a panel that is too small fails to generate sufficient revenue to cover expenses. The article describes methods to determine both the current and ideal panel size and ways to make adjustments.

View the article (username and password required).

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Senior Physicians issues

1) 1957 medical school grads honored on Web site and at annual luncheon celebration
Each year the AMA-SPG sponsors a series of events honoring physicians celebrating their 50-year anniversary of graduation from medical school. This year, graduates of the class of 1957 shared their experiences through profiles listed on the AMA Web site. Celebrants reminisce about some of their most memorable experiences in medicine and offer insights and advice to incoming physicians. If you graduated in 1958, mark your calendar for June 14, 2008, and plan to attend the AMA's 50-year luncheon celebration in Chicago at the Hyatt Regency Chicago.

Send an e-mail for more information.

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Women physician and women's health issues
(brought to you by the AMA Women Physicians Congress)

1) Honor your mentor and celebrate September's Women in Medicine Month
Do you have a special colleague or teacher who has guided you down the right path, been your long-time inspiration or a role model throughout your medical career? In September—Women in Medicine Month—take the time to thank that person who has helped you on your journey to success.

In reflection of next month's theme, "Sharing a passion for medicine," the AMA Women Physicians Congress is conducting its first annual Physicians Mentor Recognition Program. The program—recognizing motivating physicians who have contributed to the achievements of women in the medical profession—will honor nominated mentors through a special certificate and display at the AMA Women Physicians Congress gala reception at the 2007 Interim Meeting of the AMA House of Delegates in November in Honolulu.

Visit the Web site to learn more and obtain a nomination form. Entries are due Sept. 30.

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2) AMA-WPC member featured in MIT's Technology Review
AMA-WPC member and former governing council chair Debra Judelson, MD, was recently featured in Massachusetts Institute of Technology's (MIT) Technology Review. The article looks at how Dr. Judelson's background in materials science has helped her as a cardiologist probing the mysteries of heart disease in women.

View the article.

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Young physician issues

1) Make reservations for Honolulu
The 2007 AMA-YPS Interim Assembly Meeting is scheduled Nov. 9–10 at the Hawaii Convention Center, Honolulu, and guests will stay at the Hilton Hawaiian Village, Honolulu. The meeting will provide an excellent opportunity to network with young physician colleagues from across the country, attend educational sessions and influence AMA-YPS positions on House of Delegates reports and resolutions.

Assembly members attending the meeting are encouraged to consider volunteering for a convention committee, such as the Handbook Review, Credentials or Reference Committees. Convention committee registration forms are due Oct. 5.

Visit the Web site to register for the Interim Assembly Meeting and learn more about volunteering to serve on a convention committee.

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2) Submit a resolution to the AMA-YPS Assembly
Are you interested in putting forth a resolution for debate by the AMA-YPS Assembly? Resolutions are currently being accepted from AMA-YPS members for consideration by the assembly at its November meeting.

Send an e-mail with your submission or fax it to (312) 464-5845. "On time" resolutions are due Oct. 5.

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3) Updates on SCHIP reauthorization available on AMA Web site and in AMNews
The AMA recently posted charts on its Web site summarizing key provisions of important federal legislation that recently was passed by the U.S. House and Senate.

Visit the Web site for a summary of H.R. 3162, the Children's Health and Medicare Protection (CHAMP) Act of 2007, as passed by the U.S. House of Representatives on Aug. 1.

View a comparison of the CHAMP Act with the Senate legislation, S. 1893.

An article in the Aug. 13 issue of American Medical News (AMNews) focuses on the Medicare physician payment provision that was included in the U.S. House State Children's Health Insurance Program (SCHIP) reauthorization bill but not in the Senate measure. A House-Senate conference to negotiate this provision and other differences will formally begin when Congress reconvenes after August recess; these negotiations will be key in determining the fate of Medicare physician payment rates.

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4) AMA-WPC announces Physician Mentor Recognition Program
As part of September's Women in Medicine Month, the AMA Women Physicians Congress (WPC) is asking young physicians to take part in the first annual AMA-WPC Physician Mentor Recognition Program. Members of the AMA-WPC are invited to recognize those who have made a difference in their lives, such as a professional colleague or teacher who has had an influence on their work or career.

Download a nomination application. The AMA-WPC will issue your nominee a special certificate and highlight their contributions through various AMA communications vehicles. Entries are due Sept. 30.

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5) Tell us what's really on your mind
The AMA invites you to participate in a meet-and-greet event for all physicians attending the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting in Washington, D.C.

This event gives AMA leadership the opportunity to connect with AMA members, to exchange ideas and views, and to introduce nonmembers to the work the AMA does to help doctors help patients. Through this event, the AMA can better understand the issues young physicians face and how we can work together to address them. Don't miss this opportunity to make your voice heard. Encourage your colleagues to attend this exciting event.

Details of the Sept. 17 event are as follows:

7-9 p.m.
AAO-HNSF Annual Meeting
Renaissance Washington, D.C., Hotel
Room: Congressional B
999 Ninth St. N.W.
Dinner will be served.

Send an e-mail or call (800) 262-3211 to R.S.V.P.

>>Return to your news interest contents

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General AMA news

1) AMA announces new campaign to cover the uninsured, targets voters in early primary states
To spur action to cover America's 45 million uninsured, the AMA launched its three-year "Voice for the Uninsured" campaign at an Aug. 23 news conference in Washington, D.C.

The initial phase of the campaign, timed with the 2008 election cycle, focuses on outreach to voters and candidates to talk about the problem of the uninsured and the AMA's solution. The second phase will focus on influencing Americans to vote for president with the issue of the uninsured in mind. In the third phase, after the election, the AMA will urge members of Congress to pass legislation to cover all Americans.

"Covering the uninsured is a top priority for the AMA, and today we're taking a big step forward in our commitment to cover all Americans," said AMA President-elect Nancy H. Nielsen, MD, who spoke at the news conference with AMA Trustee Samantha L. Rosman, MD.

The campaign's initial emphasis is in states that have early primary elections—including Iowa, New Hampshire and South Carolina—as well as Washington, D.C. Anchoring the effort is an interactive Web site, that allows visitors to learn about the AMA's solution to cover the uninsured, share personal stories and sign an online petition supporting the AMA's plan.

"Under the AMA plan, the vast majority of Americans would have the means to purchase health care coverage," said Dr. Nielsen. "It would give individuals choices, so they can select the appropriate coverage for them and their families, and would promote market reforms in the insurance industry."

Last week, volunteers with the AMA, the AMA Alliance and the Iowa Medical Society worked together to draw attention to the plan at "Voice for the Uninsured Day" at the Iowa State Fair. View (PDF, 690KB, requires Adobe® Reader®) photos of that event.

Campaign volunteers will also be on hand at the Hopkinton State Fair and Rochester Fair in New Hampshire, and several college football games. And AMA leaders will continue to share the AMA proposal through speaking engagements with various community, civic and patient groups.

"The AMA is enlisting doctors and medical students in our campaign, and asking them to become advocates on this important issue," said Dr. Nielsen.

Stay tuned to futures issues of AMA eVoice for more details on upcoming campaign events.

>>Return to your general news contents

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2) AMA Foundation scholarships boost future physicians
As the philanthropic arm of the AMA, the AMA Foundation has made it a priority to help medical students handle the rising cost of medical education. To that end, the AMA Foundation awarded the 2007 Physicians of Tomorrow Scholarships to 12 rising fourth-year medical students based on their academic excellence and financial need. Each student will receive a $10,000 scholarship. This year's recipients are:

• Otema Adade, Duke University School of Medicine
• LaPrincess Brewer, George Washington University School of Medicine and Health Sciences
• D. Matthew Fentress, University of California, Davis, Medical Center
• Lindsey Hicks, University of Texas Health Science Center Medical School, Houston
• Ervin Lowther, Texas A&M Health Science Center College of Medicine
• Michael Martinez, Yale University School of Medicine
• Joseph Simonetti, The Ohio State University College of Medicine
• Colin Walsh, University of Chicago, Pritzker School of Medicine
• Danielle Webster, University of Missouri-Kansas City School of Medicine
• Robert Bour, Texas A&M Health Science Center College of Medicine
• Lara Knudsen, George Washington University School of Medicine and Health Sciences
• Moya Chin, Florida State University College of Medicine

"We must help make medical school more affordable in hopes of recruiting and retaining the best and brightest talent for the profession," said AMA Foundation President Barbara Rockett, MD. "We are already facing a physician shortage and the cost of medical education should not be such a hurdle to overcome."

Learn more about the AMA Foundation's medical education, research and public health grants.

>>Return to your general news contents

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3) Women physicians, spotlight your mentor—nominations due Sept. 30
During Women in Medicine Month in September, take the time to thank that special colleague or teacher who has helped you on your journey to success. You can do this by nominating him or her by Sept. 30 for the first annual AMA Women Physicians Congress Physician Mentor Recognition Program.

In reflection of the theme, "Sharing a passion for medicine," the program recognizes motivating physicians who have contributed to the achievements of women in the medical profession and will honor nominated mentors through a special certificate and display at the AMA Women Physicians Congress gala reception at the 2007 Interim Meeting of the AMA House of Delegates in November in Honolulu.

Visit the Web site to learn more and nominate your mentor.

>>Return to your general news contents

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4) Have you moved recently?
Continue to enjoy the benefits of AMA membership by letting us know about changes to your mailing address and phone number, and any updates about your specialty, board certification or office addresses.

Complete the AMA's secure data change form or give us a call at (800) 262-3211.

>>Return to your general news contents

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5) In JAMA: Hypertension appears to be frequently undiagnosed in children and adolescents
In a study of children and adolescents with hypertension, only about one in four had been previously diagnosed with the condition, according to a study in the August 22/29 issue of the Journal of the American Medical Association (JAMA).

Preview the study.

>>Return to your general news contents

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