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SGIM
FORUMSociety of GeneralInternal MedicineTO PROMOTEIMPROVED
PATIENTCARE, RESEARCH,AND EDUCATION INPRIMARY CARE ANDGENERAL
INTERNAL MEDICINE Volume 26 • Number 5 • May 2003
SGIM ESSENTIALS &HOW SGIM CAN ENHANCEYOUR CAREEREllen F.T.
Yee, MD, MPH, Susana Morales, MD, and Pamela Charney, MD
continued on page 7
Contents1 SGIM Essentials & How SGIM Can
Enhance Your Career
2 2003 NRMP Results: ContinuedChallenges for Primary Care
3 President’s Column
4 The Whole Pie—On the Fragmentationof General Internal
Medicine
4 Research Funding Corner
5 2003 Southern SGIM held in New Orleans
5 Genetic Nondiscrimination Protection:A Legislative
Imperative
11 Classified Ads
SGIM is an organization regarded bymany as our academic “home
andfamily.” The future of SGIM is de-pendent on having new members
becomeinvolved in the further development andevolution of our
Society. This article pro-vides background information
whichhopefully will help those considering vol-unteering step
forward. SGIM is commit-ted to increasing in all ways the
diversityof our leadership.
The structure of SGIM has substan-tially evolved since its
initial creation bya handful of generalists as the Society
forResearch and Education in Primary CareInternal Medicine
(SREPCIM) in 1978.Our Society has focused on the improve-ment of
patient care, education, and re-search in primary care and general
inter-nal medicine. Our Washington, DC of-fice is led by an
Executive Director andeight full time staff members. A descrip-tion
of our current administrative struc-ture is helpful to those
interested in be-coming more active in the Society.
Our current national administrativestructure includes volunteer
officers andpaid professional staff who are organizedinto an
Executive Committee and Coun-cil. There are three senior officers
(Presi-dent, Secretary and Treasurer) who meetas the Executive
Committee with thePast-President, Future-President, either aFuture
Secretary or Treasurer and our Ex-ecutive Director, David Karlson.
The Ex-ecutive Committee reports to the SGIMCouncil which also
includes six at-large
members, the Editors of the Journal ofGeneral Internal Medicine
and SGIMForum, Liaisons for Regional Activitiesand the Association
of Chiefs of GeneralInternal Medicine and the members of
theExecutive Committee. The Councilmeets monthly by telephone and
at leasttwice annually in person, including onceat the annual
meeting. All members ofCouncil also serve as Liaisons to
specificCommittees. Each region has its own lead-ership structure,
and each of the seven re-gions holds annual elections and has a
re-gional meeting. The Executive Committeeratifies all Committee
and Task ForceChairs, often with nominations from Coun-cil members
and Regional leaders.
Financially, income to support SGIMcomes from registration fees
for the na-tional meeting, annual dues and then con-tributions.
About half of our over 3,000active members attend the national
meet-ing, which is a higher attendance thanmost national societies.
Additional fiscalsupport comes from royalties, charges forcontracts
and national meeting exhibits,member list sales and Forum
Newsletterads. Some financial support comes fromthe pharmaceutical
industry. The SGIMCouncil has recently developed a newexternal
funds policy.
Involvement in SGIM makes a differ-ence for members by enhancing
professionalcareers and providing opportunities forresearch,
clinical, and educa-tional devel-opment. This participation can
lead to
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2
SGIM FORUM
2003 NRMP Results: ContinuedChallenges for Primary CareEugene
Rich, MD, Mark Liebow, MD, and Jim Woolliscroft, MD.
Match Day is an anxious butexciting event for the 14,000US
medical school seniorswaiting to learn where they will be fortheir
momentous next step in the 7–10year process of physician education.
The2003 Match results are in, and showcontinuation in the alarming
downwardtrend of interest in primary care bygraduating medical
students. Only 1226new graduates will enter Family
Practiceresidency programs in July 2003, 9.2%of all US students
entering internshipsthrough the NRMP, down from 10.3%(1399
students) in 2002. This continuesthe decline in US senior
medicalstudent interest in primary care thatstarted in the later
90’s. In 1999, 2015US students matched into familypractice training
(15% of medicalschool graduates). The decrease hasbeen even more
dramatic in the numberof US graduates entering internalmedicine
residencies specificallydedicated to primary care training. Only192
(1.4%) senior medical studentsmatched to primary care
internalmedicine residency positions in March2003, down from 347
(2.5%) in 1999.Internal medicine residency programsoverall fared
somewhat better, butreason for concern remains. 2590 seniormedical
students matched to an internalmedicine internship position (19.4%
ofUS graduates). This number is downfrom 2738 students in 2002, and
2863(21% of US senior students) in 1999.More internal medicine
internshippositions were filled through the Matchthis year ,
however, at a three-year highof 4462, (24% of all PGY-1
positionsfilled), thanks to continued stronginterest in internal
medicine training byinternational medical graduates.
Senior student interest in Pediatricsimproved slightly over the
worrisomeshowing of last year. 1596 graduatingstudents matched into
pediatrics
internships this year, up from 1563 onthe previous Match Day. In
1999,almost 13% (1742) of graduatingseniors entered training in
Pediatrics.Combined medicine-pediatrics resi-dency programs are not
drawingincreasing numbers of medical students.Only 258 seniors
selected this careerpath through the Match in 2003, adecrease from
347 in 1999. Not surpris-ingly, the number of medicine–pediat-rics
positions offered in 2003 is down to385, from a high of 446 in
2000.
So if primary care-oriented intern-ship positions are down this
year, intowhat specialties are these US seniormedical students
going? More studentsmatched into preliminary medicine
andpreliminary surgery programs again thisyear. The “hospital
based” specialties ofanesthesiology, pathology, and radiologyas
well as general surgery, orthopedicsurgery, and neurosurgery also
had morepositions filled through the Match.Psychiatry has also
continued a three-year trend of increased student interest.In July
2003, 597 new graduates willbegin residencies in psychiatry, up
from481 in 2000.
These data from the “Match,” aswell as anecdotal reports from
internalmedicine residency program directors ofincreasing
proportions of programgraduates seeking subspecialty training,have
substantive implications for thefuture of General Internal
Medicine.The dialogue stimulated by the reportfrom SGIM’s “Task
Force on Definingand Promoting the Domain of GeneralInternal
Medicine” will be both timelyand important to our discipline.
SGIM
SOCIETY OF GENERAL INTERNAL MEDICINEOFFICERS
PRESIDENT
JudyAnn Bigby, MD • Boston, [email protected] • (617)
732-5759
PRESIDENT-ELECT
Michael Barry, MD • Boston, [email protected] • (617)
726-4106
IMMEDIATE PAST-PRESIDENT
Martin F. Shapiro, MD, PhD • Los Angeles,
[email protected] • (310) 794-2284
TREASURER
Eliseo Pérez-Stable, MD • San Francisco,
[email protected] • (415) 476-5369
SECRETARY
William Branch, MD • Atlanta,
[email protected] • (404) 616-6627
COUNCIL
Christopher Callahan, MD • Indianapolis, [email protected] •
(317) 630-7200
Kenneth Covinsky, MD, MPH • San Francisco,
[email protected] • (415) 221-4810
Susana R. Morales, MD • New York, [email protected]
• (212) 746-2909
Eileen E. Reynolds, MD • Boston,
[email protected] • (617) 667-3001
Eugene Rich, MD • Omaha, [email protected] • (402)
280-4184
Gary E. Rosenthal, MD • Iowa City, [email protected] •
(319) 356-4241
Harry P. Selker, MD, MSPH • Boston, [email protected] •
(617) 636-5009
Ellen F. Yee, MD, MPH • Albuquerque, [email protected] • (505)
265-1711 Ext. 4255
EX OFFICIORegional CoordinatorJane M. Geraci, MD, MPH • Houston,
[email protected] • (713) 745-3084
Editor, Journal of General Internal MedicineJournal of General
Internal MedicineJournal of General Internal MedicineJournal of
General Internal MedicineJournal of General Internal MedicineEric
B. Bass, MD • Baltimore, [email protected] • (410) 955-9871
Editor, SGIM ForumSGIM ForumSGIM ForumSGIM ForumSGIM
ForumMelissa McNeil, MD, MPH • Pittsburgh, [email protected]
• (412) 692-4886
HEALTH POLICY CONSULTANT
Robert E. Blaser • Washington, [email protected] •
(202) 261-4551
EXECUTIVE DIRECTOR
David Karlson, PhD2501 M Street, NW, Suite 575Washington, DC
20037
[email protected](800) 822-3060(202) 887-5150, 887-5405 FAX
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3
PRESIDENT’S COLUMN
SGIM
FORUM
Published monthly by the Society of General Internal Medicine as
a supplement to the Journal of General Internal Medicine.SGIM Forum
seeks to provide a forum for information and opinions of interest
to SGIM members and to general internists andthose engaged in the
study, teaching, or operation for the practice of general internal
medicine. Unless so indicated, articles do notrepresent official
positions or endorsement by SGIM. Rather, articles are chosen for
their potential to inform, expand, andchallenge readers’
opinions.SGIM Forum welcomes submissions from its readers and
others. Communication with the Editorial Coordinator will assist
theauthor in directing a piece to the editor to whom its content is
most appropriate.The SGIM World-Wide Website is located at
http://www.sgim.org
SGIM IS HOMEJudyAnn Bigby, MD
continued on page 8
SGIM has been the perfect home forme for twenty years. I have
feltwelcomed, supported, and vali-dated. The organization has
providedtremendous opportunities, mentorship,and a host of
friendships with colleaguesacross the country. Even in these
times,SGIM remains a vital organization. Ibelieve that every member
and prospec-tive member can find the same supportfrom SGIM that I
have found and holdas important in my own career develop-ment.
SGIM is welcomingWhat is special about the receptionmembers
receive from the organization?For me it was the nature of the
nationaloffice to reach out to new members,note people with
different skills andnew points of view, and to find ways forthem to
contribute. The annualmeeting is another place where new andjunior
members can thrive as volunteersand as innovators by introducing a
newinterest group, presenting innovativeresearch or educational
efforts. Oppor-tunities to serve on important SGIMcommittees
abound.
SGIM is supportive Much of the mentorship I havereceived
throughout my career has comefrom my direct interactions with
SGIMleaders and other colleagues. Newopportunities exist for
formalmentorship including long-termmentorship. Informal mentorship
existsthrough workshop discussion andinformal meetings in the
hallways at theannual meeting. The SGIM Minoritiesin Medicine
Interest Group and theWomen’s Caucus have consistentlyprovided
support for professionaldevelopment for their constituents.
ValidationAcademic general internal medicine is a
relatively newspecialty thatsome academi-cians still puzzleover.
By defini-tion our members’interests andexpertise arebroad as
theyrelate to improv-ing primary care,fostering research, and
supportingeducation. SGIM has provided opportu-nities for
individuals to explore andmaster the work that general internistsdo
in all arenas. As the organization hasincreasingly recognized
members’contributions to the Society and to thefield of general
internal medicine ingeneral, the stature of academic
generalinternal medicine has grown. In this
way general internists havebeen validated as impor-tant
contributors toacademic medicine.
New Challengesfor SGIMAs the only organizationthat exclusively
supportsacademic general inter-nists, SGIM faces many
challenges. SGIM must do more toidentify ways to address the
root causesof dissatisfaction of academic generalinternal medicine
clinicians, research-ers, and educators, while making sure
toaddress the unique concerns of womenand minorities. The Society
cannot dothis in isolation, ignoring the plight ofgeneral
internists in the community.
EDITOR
Melissa McNeil, MD, MPH • Pittsburgh, [email protected] •
(412) 692-4886
ASSOCIATE EDITORS
James C. Byrd, MD, MPH • Greenville, [email protected] •
(252) 816-4633
Joseph Conigliaro, MD, MPH • Pittsburgh,
[email protected] • (412) 688-6477
Giselle Corbie-Smith, MD • Chapel Hill, [email protected] •
(919) 962-1136
David Lee, MD • Boise, [email protected] • (208)
422-1102
Mark Liebow, MD, MPH • Rochester, [email protected] • (507)
284-1551
P. Preston Reynolds, MD, PhD, FACP • Baltimore,
[email protected] • (410) 939-7871
Valerie Stone, MD, MPH • Boston, [email protected] •
(617) 726-7708
Brent Williams, MD • Ann Arbor, [email protected] • (734)
647-9688
Ellen F. Yee, MD, MPH • Albaquerque, [email protected] • (505)
265-1711 Ext. 4255
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4
SGIM FORUMACGIM COLUMN
The Whole Pie—On the Fragmentationof General Internal
MedicineRobert Centor, MD
continued on page 10
The field of general internalmedicine has become sick.Division
chiefs all see this.Amongst many threats (includingreimbursement
rates and articlesbelittling generalist physicians), thelatest
threat to general internal medi-cine, in my opinion, is the
hospitalistmovement.
I must provide these disclaimers.First, I spent a year doing
renal research(after residency) and quit my renalfellowship.
Second, by almost anycriteria, I am an academic hospitalist
(5months attending on the VA wards
each year). Third, I spoke at the recentSociety for Hospital
Medicine (SHMformerly NAIP) meeting in a “Meet theProfessor”
session.
General internal medicine is awonderful profession.
Unfortunatelydecreasing numbers of practicinggeneral internists
agree with thatsentence.
As I have said often in public (seemy address in the July
Forum), generalinternal medicine leaders wiselyembraced the
concepts of primary care,but allowed the field to be mislabeled
asprimary care internal medicine. Theproblems that the primary care
label hascaused are not our doing. I doubt thatmany in our field
could have antici-pated these problems. Nonetheless, weare left to
address the current state ofaffairs.
The thesis that I proposed is thatgeneral internal medicine
includes the
provision of primary care for patients,but is more than primary
care alone.Primary care currently has an unfortu-nately narrow
definition (at least frominsurers and other payers). The
dictio-nary defines primary care—“Themedical care a patient
receives uponfirst contact with the health caresystem, before
referral elsewhere withinthe system.” Nowhere in this
definitiondoes the comprehensive nature ofgeneral internal medicine
fit.
The April SGIM Forum in anarticle titled, “The Future of
GeneralInternal Medicine,” addresses this issue.
“Recommendation 2:The domain of generalinternal medicine
shouldcontinue to be both deepand broad-ranging fromproviding or
supervisinguncomplicated primarycare to deliveringcontinuous care
topatients with multiple,
complex, chronic diseases. As theprincipal provider for adults,
generalinternists need to have skills in gynecol-ogy, dermatology,
orthopedics, otolaryn-gology, psychiatry, and the internalmedicine
subspecialties.”
General internists traditionallyhave treated both inpatients
andoutpatients. They provide comprehen-sive, complex care,
involvingsubspecialists as necessary for specificconsultation.
General internistsspecialize in understanding the spec-trum of
disease and the interactionsamongst multiple diseases, thus
provid-ing comprehensive care—from firstcontact care to general
prevention tocomplex disease management. Mostgeneral internists
chose our fieldbecause of its comprehensive andcomplex nature. As
residents, we enjoythe spectrum of internal medicine—
continued on page 9
Research FundingCornerJoseph Conigliaro, MD, MPH
Selected career development awardsin general internal medicine
forjunior faculty and fellows were compiledby the SGIM Research
Committee. Amore complete listing can be found
athttp://www.sgim.org/careerdevelopment.cfm.
Mentored Clinical Scientist Award(K08) and Mentored
Patient-OrientedResearch Career Development Award(K23)Mentor-based;
3 to 5 years salary andresearch support. Deadline: February 1,June
1, October
1.http://grants.nih.gov/grants/guide/pa-files/PA-00-003.htmlhttp://grants.nih.gov/grants/guide/pa-files/PA-00-004.htmlAHRQ—offers
K08 only and is espe-cially interested in patient
safetyhttp://grants.nih.gov/grants/guide/pa-files/PA-00-010.htmlhttp://grants.nih.gov/grants/guide/notice-files/NOT-HS-02-001.html
VA Career Development ProgramMentor-based; two 3-year programs
forup to 6 years of full salary support.Deadline: February 15,
August 15 withapproved letter of intent (due Novem-ber 1, May
1)http://www.hsrd.research.va.gov/for_researchers/professional_development/career_development/
NIH Minority Supplement AwardMentor-based; salary and
researchsupport for up to 4 years; applicationsubmitted by PI of
parent grant, whichmust have at least 2 years of remainingsupport.
Deadline: any
timehttp://grants.nih.gov/grants/guide/pa-files/PA-01-079.html
National Cancer Institute MentoredPatient-Oriented Research
for
Many general internists findproviding both outpatient
andinpatient care a financiallyunacceptable luxury.
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5
2003 SOUTHERN SGIM HELD INNEW ORLEANSCarlos Estrada, MD, MS and
Karen DeSalvo, MD, MPH
continued on page 9
Genetic Nondiscrimination Protection: ALegislative ImperativeP.
Preston Reynolds, MD, PhD
The Southern SGIM meeting wasthe largest ever, with 215
attendees! Twenty-one institutions fromacross the Southeast were
representedby faculty, fellows, houseofficers, andmedical students.
We are particularlydelighted at the incredible number offuture SGIM
members who attendedthe meeting (Program and ClerkshipDirectors/
Division Chiefs: ThankYou!). Great educational,
networking,mentorship and socializing opportuni-ties were enjoyed
by all. The MardiGras parades and rain had minimalimpact on the
flow of the meeting.
Many thanks for the countlesshours devoted by the program
commit-tee and reviewers in coordinating ourlargest meeting yet.
(Shawn Caudill,University of Kentucky, Abstracts; BenClyburn, MUSC,
Workshops; JeannineEngel, Vanderbilt, Vignettes; SamehBasta,
Eastern Virginia Medical School,CME; Terry Shaneyfelt, University
ofAlabama at Birmingham, Secretary-Treasurer).
We had several first time featuresthis year. Presentations in
the clinicalvignette and abstract sessions were allelectronic using
LCD projectors. Weheld a lunchtime panel discussiontargeting
trainees entitled, “Careers inGeneral Internal Medicine.”
Partici-pants included a clinician researcherfrom UAB, Stefan
Kertez, a clinicianeducator also from UAB, Lisa Willet,
ahospitalist from Ocshner, SteveDeitelzweig, and a
community-basedfaculty physician, Richard Diechmann.Cedric Bright
of Duke Universityspearheaded the first SSGIM meeting ofthe
Minorities in Medicine Interestgroup.
We received twice as many abstractsubmissions as in the prior
year and 40were presented in themed sessions. Arecord 69 vignettes
were presented aswell. New this year was a poster session
where trainees presented 12 posters. Avideotape feedback to the
plenarysession presenters was continued.Sushma Komakula, Emory
University,received the Outstanding ResidentPresenter Award; Eric
Wallace, Univer-sity of Alabama at Birmingham, wonthe Best Vignette
Award; and, CarlosEstrada, East Carolina University, wonthe Best
Abstract Award. Ten work-shops were presented on diverse
topicsincluding teaching scholarship, hyper-tension and scientific
writing. We werealso pleased to see an award given fromSAFMR/SSCI
to Mukta Panda,University of Tennessee.
Officers elected for 2003–2004 are
Donald Brady, Emory University,President; Elisha Brownfield,
MedicalUniversity of South Carolina, Presi-dent-Elect; and Jane
O’Rorke, Univer-sity of Texas Health Sciences Center atSan Antonio,
Secretary-Treasurer. TheS-SGIM Clinician Educator Awardwent to Paul
Haidet, Baylor University.
We look forward to anothersuccessful and enjoyable meeting inNew
Orleans next spring. See you nextyear! SGIM
Carlos Estrada, MD, MS, is Past-President of East Carolina
University andKaren DeSalvo, MD, MPH, is ProgramChair at Tulane
University.
After eight long years of advocacy,genetic nondiscrimination
legisla-tion is slated to become center stage inthe Senate Health,
Education, Laborand Pensions (HELP) Committee ifCommittee Chair,
Senator Judd Gregg(R-NH) has his way.
The need for individual protectionagainst health insurance and
employ-ment discrimination with regard togenetic testing results
came to nationalattention over a decade ago. In the mid-1990s, the
NIH found over 32% ofeligible women when offered genetictesting for
breast cancer refused testingbecause of concerns about
healthinsurance discrimination and loss ofprivacy. In response, the
NIH-Depart-ment of Energy Ethical, Legal andSocial Implications
Working Group andthe National Action Plan on BreastCancer convened
a meeting to developan action plan. Their leadership andadvocacy on
behalf of high-risk women
resulted in legislative proposals begin-ning in 1998 that would
protect allindividuals from disclosure of genetictesting results to
and use by employersand health insurers whether private orHMO.
The first step in securing privacy ofgenetic testing results
came with theHealth Insurance Portability andAccountability Act of
1996 (HIPPA).HIPAA 1) prohibits excluding anindividual from group
coverage becauseof past or present medical problems,including
genetic information; 2)prohibits charging a higher premium toan
individual than to others in thegroup; 3) limits exclusions in
grouphealth plans for preexisting conditionsto 12 months, and
prohibits suchexclusions if the individual has beenpreviously
covered for that conditionfor 12 months or more; and 4)
statesexplicitly that genetic information in
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6
SGIM FORUM
This JGIM Education Issue hopes to publish in the range of 20
peer-reviewed articles. We have assembled a distinguished,
specialEditorial Board to advise on the format and direction of the
Educational Issue, as well as highly qualified Associate Editors
andReviewers, who will assist in reviewing articles and determining
those to be published.
This Education Issue provides an opportunity for young faculty
members to begin their careers as educational scholars, and tohave
their work reviewed by distinguished educators in SGIM. In
accordance with this philosophy, there will be an effort toprovide
suggestions to authors of submitted manuscripts to improve their
submission, perhaps in view of publication in this issue,or perhaps
in an effort to provide a mentoring role to young faculty members
for future publication.
Those members of SGIM presenting posters or abstracts at the
2003 National Meeting in Vancouver, BC should consider submit-ting
a manuscript as an Educational Innovation or as a Brief Report to
describe their work and make it available to others.
William T. Branch, Jr. MD David Kern, MD, MPHEditor, JGIM
Educational Issue Editor, JGIM Educational IssueCarter Smith, Sr.
Professor of Medicine Co-Director, Division of General Internal
MedicineVice Chairman for Primary Care Johns Hopkins Bayview
Medical CenterDirector, Division of General Medicine Associate
Professor of MedicineEmory University School of Medicine Johns
Hopkins University Johns Hopkins University
SIX TYPES OF SUBMISSIONS WILL BE CONSIDERED:
CALL FOR SUBMISSIONSJGIM EDUCATION ISSUE
The Society of General Internal Medicine (SGIM) invites
submissions to the inaugural edition ofits Education Issue of the
Journal of General Internal Medicine (JGIM). Papers should be
submittedfollowing JGIM’s current procedures between June 1 to
August 1, 2003. All submissions will bepeer reviewed. We conceive
this to be a highly innovative, new type of education issue,
especiallydesigned to meet the needs for Society members, who are
clinician-educators, for learning abouteducational innovations and
reports of advances in medical education that may be important
anduseful to their work.
1. Educational InnovationsNo longer than 2,000 words. No more
than 2 tables or figures.A focused bibliography, not exceeding 30
references. Innova-tions should be organized with:◆ an unstructured
Abstract, of less than 100 words◆ an Introduction, describing the
rationale, historical perspec-
tive, and goals for the innovation◆ a Description, describing in
detail the medical educational
innovation◆ an Evaluation, giving, if available, evaluation of
the im-
pact and effects of the innovation◆ a Conclusion, describing the
importance and particular use-
fulness of the innovation along with a brief review of whatthe
paper adds to existing published work or projects.
2. Brief ReportsNo longer than 1500 words. Formatted as
follows:Abstract, unstructured; Introduction, as described for
Educa-tional Innovations. Methods, in standard format; Results
instandard format; and Discussion, also in standard format. Nomore
than 2 tables or figures and 20 references. We conceiveBrief
Reports to be short descriptions of original research, butthey do
not necessarily need to be multi-institutional studies orrandomized
trials.
3. PerspectivesNo longer than 3000 words and 4 tables or
figures. Brief ab-stract required (100 words). Written to provide
the author’sviews or ideas regarding an important educational
issue.
4. ReviewsNo longer than 4,000 words, these should be either
traditionalor systematic reviews of important medical education
topics.The abstract of 250 words of less should be structured.
5. Resource PapersMeant to be summaries of resources, for
example, of curricularmaterials, funding sources for medical
education, opportunitiesfor special training in medical education;
they should be con-cise and useful to the clinician-educator. Brief
abstract required(100 words).
6. Recommendation / GuidelinesNo longer than 3,500 words.
Maximum of 3 tables. Systemati-cally developed, evidence-based or
consensus guidelines formedical education practice. Brief abstract
required (100 words).
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7
continued on next page
great personal and professional satisfac-tion and mutual benefit
for bothmembers and the organization. Re-cently, Steve Schroeder
writing in theSGIM Forum asked, “What Have IDone For SGIM Lately?”1
and encour-aged involvement in SGIM’s Make aDifference Campaign (a
tax-deductiblefinancial contribution is one of manyways to support
SGIM).
Here are 10 additional ways tobecome active in SGIM:
1. Mentors: get one or be one. Atthe National Annual Meetings,
SGIMoffers One-On-One mentoring opportu-nities to discuss issues
related toprofessional development. Residents,fellows, and junior
faculty are encour-aged to sign up for a mentor and seniorfaculty
are encouraged to mentor. Thisprogram offers the opportunity to
speakpersonally with someone outside ofone’s own facility or
region. Includedamongst the stellar mentoring list areSGIM
presidents, foundation presi-dents, council members, policy
makers,activists, Chiefs of Medicine, celebratedclinician teachers
and educators, andmany dedicated academic faculty. Anew
longitudinal mentoring program isbeing developed to extend beyond
theannual meeting. Finally, the SGIMResearch Mentorship Program,
(2000–2001) program provided grants to juniorfaculty planning
research careers, andmid-career faculty desiring to increasetheir
research role. The InitialMentorship Awards allowed mentorsand
mentees who live at some distancefrom each other to develop a
researchagenda and discuss specific researchprojects. Follow-up
Awards allowedpilot research projects for the initialgrant
recipients.
2. Get Involved with RegionalActivities. The eight
regions—Califor-nia (Northern and Southern), MidAtlantic, Midwest,
Mountain West,New England, Northwest, Southern,and Texas
Chapter—each have uniquecharacteristics and meetings.
Regionalactivities provide leadership, network-ing, and learning
opportunities. Re-
gional Presidents,Membership Chairs, andTreasurers are
electedpositions. The regionalmeetings are outstandingvenues for
members, including juniorfaculty, to present their work and
helpwith meeting planning. The RegionalResident Presentation Awards
is a newprogram conceived by Jane Geraci, MD,current Ex-Officio
Coordinator forRegional Activities. The award entitlesthe highest
rated resident presentationfrom each SGIM regional meeting to
bepresented at the National meeting. Atthe inception of this
program last year,one award recipient from each regionreceived a
paid trip to the Nationalmeeting in Atlanta (travel,
registrationfee, and accommodations), where theypresented their
work and received aplaque in recognition of their achieve-ment.
3. Volunteer for the AnnualProgram Committee. The AnnualProgram
is the largest committee withover 200 volunteer reviewers. TheSGIM
President selects a ProgramChair, who then selects a Co-Chair.The
Annual Program Committeemembers are a dedicated group whowork
tirelessly for no pay to present astellar National meeting.
Precourses,workshops, and abstract submissions arepeer-reviewed by
SGIM volunteermembers. Obviously, a large number ofpeer reviewers
are needed! To sign up, avolunteer form is included with theAnnual
Meeting Program, or you maycontact committee chairs (listed on
theSGIM website), or the SGIM office.The success of the Annual
meeting isheavily dependent on SGIM memberattendance and
volunteerism.
4. Join a Committee. There are 12committees and Task Forces
examining:Communications, Continuing Medicaleducation (CME),
Development,Education, Ethics, Finance, HealthPolicy, Membership,
Nominations,Regional Activities, and Research.These groups are
identified throughstrategic planning to meet members’
needs and goals. Leadership is appointedby the President and
Council. Chairsare listed on the SGIM website(www.sgim.org), with
email linksavailable. Contact the chairs if you areinterested in
joining a committee. MostCommittees meet by phone monthlyand
require some additional timecommitment beyond the phone calls.
5. Join or Start an Interest Group:The number of Interest Groups
(n=34)has grown to reflect the diverse interestsof SGIM members.
Most will meet atthe Annual meeting. To date, allInterest Groups
have been accommo-dated in the Annual Meeting schedule(a 100%
acceptance rate). These groupsare an excellent way to network
withother members with a similar passion.Members are encouraged to
submit orjoin interest groups as a way to getinvolved with SGIM.
Examples ofgroups include: Health Policy, Minori-ties in Medicine,
Women’s Caucus, PartTime Careers, Geriatrics, PhysiciansAgainst
Violence, Academic GeneralInternal Medicine in Latin America,AIDS,
Anticoagulation/Thromboembo-lism, Evidence Based Medicine,
FellowsForum, Fellowship Program Directors inInternal Medicine, Gay
and LesbianHealth, Hospitalists, Medical Consulta-tion, Women’s
Health Education.While some Interest Groups only meetat the
National Meeting, many areactive year-round.
6. Publish. SGIM’s two publica-tions, JGIM (Journal of General
InternalMedicine) and the SGIM Forum offermembers opportunities in
the publish-ing and reviewing arena. Members canvolunteer to become
reviewers. ContactEric Bass (JGIM editor) or MelissaMcNeil (SGIM
Forum editor) for moreinformation about reviewing andpublishing.
JGIM also offers a creativewriting contest for poetry and pose.
SGIM ESSENTIALScontinued from page 1
SGIM offers One-On-Onementoring opportunities…
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8
SGIM FORUMSGIM ESSENTIALScontinued from previous page
SGIM IS HOMEcontinued from page 3
Contact and contest information can beaccessed through the SGIM
website.
7. Volunteer to be an Up to DatePeer Reviewer. SGIM members
whohave used Up To Date can informallyoffer comments and
suggestions forchapters by going to the SGIM website,Professional
Development, and Up toDate Peer Review. If you would like tobe a
formal peer reviewer, information isavailable in the December 1999
issue ofthe SGIM Forum. Reviewers must havecontent knowledge in the
area theyreview. The reviewer cluster can be sente-mail through the
SGIM web site link.
8. Become an Advocate. SGIM’sHealth Policy Committee has
nineclusters to address different healthpolicy areas. Learn about
each cluster’sobjectives and contact cluster membersthrough the
SGIM website. The clustersinclude Access to Care, Health
ServicesResearch Funding, Health SystemsReform, Human Rights,
Managed Care,Medicare/GME Funding, Primary Care,Title VII (Health
Professions Educa-tion) , and VA Medical Research.
9. Networking is Critical toCareer Success! From contacts
formedthrough SGIM activities, diversecollaborations are possible.
Earlymembers of the Women’s Caucuspartnered to write a review paper
onHypertension in Women subsequentlypublished in the Annals of
InternalMedicine.2 Some faculty have revieweda topic, presented at
SGIM and thensubsequently published. 3-4 Facultypromotion usually
requires letters fromoutside a candidate’s institution, andSGIM
contacts can be an importantprofessional sources for letters.
New organizations are also createdthrough networking.
Approximatelytwo years ago, a group of Chiefs ofGeneral Internal
Medicine met at theNational SGIM Meeting to discusssignificant
mutual needs and interests.During this exploratory meeting it
wasevident that the position of DivisionChief had increased greatly
in complex-ity while many in the position had nospecific training
or peer group to learn
from. A need to develop a formalorganization for Chiefs of
GeneralInternal Medicine was identified, andfrom this, The
Association of Chiefs ofGeneral Internal Medicine (ACGIM),was
created.
10. Read the SGIM Forum andthe website: Visit the website.
Cur-rently, Jeff Jackson, MD, MPH ischairing the communications
commit-tee and he is working to make the website even more useful
to members. Grantand research opportunities, job listings,residency
and fellowship directories,and contact information are all listed
onthe web site. The SGIM Forum pub-lishes a research funding corner
as wellas job opportunities.
We hope to see you at an upcomingSGIM meeting, and encourage you
toget involved with SGIM. This organiza-tion is built on the
passion and interest
of its members. SGIM
References1. Schroeder S. What has SGIM done forme lately? SGIM
Forum 2002; 25(2): 1.2. Anastos K, Charney P, Charon RA,Cohen E,
Jones CY, Marte C, SwiderskiD, Wheat ME, S Williams. The
Women’sCaucus, Working Group on Women’sHealth of the Society of
GeneralInternal Medicine. Hypertension inWomen: What is really
known? Annalsof Internal Medicine 115–(287–293).August 15, 1991.3.
Walsh ME, Wheat ME, Freund K.Detection, evaluation and treatment
ofeating disorders. J Gen Intern Med 2000;15: 577-590.4. Ryden J,
Blumenthal PD ed. PracticalGynecology. ACP Women’s Health
BookSeries. 2002. American College ofPhysicians. Philadelphia
Pa.
The Task Force on the Domain ofGeneral Internal Medicine has
madeseveral recommendations for ensuringthe future of general
internal medicinewhile maintaining the core values ofgeneral
internists. The recommenda-tions deal with clinical
practice,education of residents and practicingclinicians, and
research. Some of therecommendations are bold and willgenerate
heated debate related toresidency training, financing of
clinicalpractice, and management of informa-tion between doctors
and patients.
In the year to come we as anorganization will tackle these
difficultissues in collaboration with otherorganizations
representing internalmedicine. We must do this in thecontext of the
declining interest ininternal medicine among graduates ofAmerican
medical schools, the femini-zation of primary care and the need
topromote diversity in the internalmedicine workforce and within
theleadership of internal medicine. SGIMcan be a leader by
supporting activities
to identify and describe models ofpractice and academic
administrationthat support satisfaction among primarycare
internists. By engaging in thisprocess SGIM can better identify
andmeet the professional needs of itsmembers, reinvigorate
professionalismin medicine, continue to promotediversity within the
organization, ensurethe professional development of allpotential
leaders, forge collaborationswith other organizations, and foster
neweducational endeavors. The organiza-tion must integrate efforts
to addresscareer satisfaction across the organiza-tion and through
each of its majoractivities. I believe this effort willpromote, not
only the growth of theorganization, but also the growth ofgeneral
internal medicine and of a newgeneration of diverse primary
carephysicians committed to the core valuesof SGIM.
Join the Council and me on thisjourney. Speak your mind,
volunteeryour talents, and tell us what you need.Make SGIM your
home. SGIM
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THE WHOLE PIEcontinued from page 4
continued on next page
from the outpatient setting, to thehospital, to the ICU.
As payment for office visits hasdeteriorated—forcing either
markedlyreduced income, or unacceptably shortvisits—so have the
pressures on outpa-tient practice increased. Many generalinternists
find providing both outpa-tient and inpatient care a
financiallyunacceptable luxury.
Out of this conflict betweenoutpatient and inpatient care,
thehospitalist movement has arisen. Thehospitalists have filled a
void in healthcare. Hospital care has become morecomplex and time
consuming. Hospitaladministrators and insurers like thelogic and
economy of hospital carespecialists. Graduating residents oftenlike
the lifestyle that hospital medicineoffers. They also see the
hospitalist as anatural extension of their residencyexperience.
With these forces acting,the hospitalist movement has expandedand
thus the outpatient practice optionhas become a reality for many
internists.
SHM has encouraged this newdichotomy—specialty defined
bylocation. While I understand why weare moving in this direction,
I continueto worry about the implications for thefield. Who are the
true general inter-nists: the hospitalists, the officists, orthe
decreasingly common hybridpractice, which all practicing
internistshad in previous decades?
I worry about how this fragmenta-tion will affect general
internal medi-cine. Most GIM divisions include allthree practice
options. As divisionchiefs struggle with varied facultypractice
patterns, these changes areredefining general internal
medicine.
How do we unite thesedisparate practices?What signals are
wesending to residents?
I wonder whetherthis role fragmentation iscontributing to
themalaise in our field.Why would residentschoose general
internal
medicine, when we have such difficultydefining the field? I see
three differentpractice patterns confusing trainees.Many larger
communities almost forceone to choose between hospital
andoutpatient practice.
We are struggling with redefining
the absence of a current diagnosis ofillness shall not be
considered a preex-isting condition.
HIPPA did not, however, 1)prohibit an insurer from
denyingcoverage to individuals seeking healthinsurance in the
individual marketbased upon genetic information; 2)prohibit the use
of genetic informationas a basis for charging exorbitantpremiums
for health insurance toindividuals seeking coverage in eitherthe
individual or group market; 3) limitthe collection of genetic
information byinsurers and prohibit insurers fromrequiring an
individual to take a genetictest; and 4) limit the disclosure
ofgenetic information by insurers.
These holes in HIPPA havebecome glaring oversights as progress
onthe Human Genome Project proceededto completion of the full
sequence ofthe human genome in April 2003.Anticipating this
scientific achieve-ment, the 107th Congress saw significantactivity
with several genetic privacybills introduced in both the Senate
andHouse of Representatives. In March2002, Senator Olympia Snowe
(R-ME)introduced a bill, S. 1995, “Genetic
Information Nondiscrimination Act of2002” that included an
employmentsection, revised insurance provision andupdated
definitions. Senator MinorityLeader Tom Daschle (D-SD)
introducedhis own bill, S. 318. In the House,Louise Slaughter
(D-NY) introduced abill similar to that of Senator Daschle,HR 602.
By the close of last Congress,HR 602 had 266 co-sponsors;
yetdespite this strong support, the bill wasnot taken up for
vote.
The need for genetic nondiscrimi-nation legislation was
addressedforcefully by President Bill Clinton in2000 with Executive
Order 13145 thatprovided protection against geneticdiscrimination
to all federal employees.In addition, 41 states have
enactedlegislation on genetic discrimination inhealth insurance,
and 31 states ongenetic discrimination in the work-place. President
George Bush hasexpressed support for passage of
geneticnondiscrimination legislation.
Senator Gregg, Committee Chair ofHELP, stated recently he wants
to seegenetic privacy legislation passed thissession of Congress
and accordingly
general internal medicine training.However, we should first
consider howtheir practice will look when they finishtraining. As
we allow the redefinition ofgeneral internal medicine, ones view
ofthe field becomes hazy.
Both ACGIM and SGIM areconsidering this problem. I hope thatwe
can preserve and define the field.Perhaps we cannot resist the
economic,medical and political forces causingthese modifications. I
hope that we canmaintain the practice balance thatgeneral
internists want and desire. I stilllove general internal medicine;
I lovethe whole pie, not just a smallpiece! SGIM
LEGISLATIVE IMPERATIVEcontinued from page 5
As division chiefs struggle withvaried faculty practice
patterns,these changes are redefininggeneral internal medicine.
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10
SGIM FORUMRESEARCH FUNDING CORNERcontinued from page 4
LEGISLATIVE IMPERATIVEcontinued from previous page
Underrepresented MinoritiesSimilar to K23 mechanism
describedabove except provides up to $30,000 inresearch support per
year and applicantmust have at least two
mentors.http://minorityopportunities.nci.nih.gov/mTraining/K23.htmlhttp://grants1.nih.gov/grants/guide/pa-files/PAR-03-006.html
National Heart, Lung and BloodInstitute Mentored Minority
FacultyDevelopment Award (K01)Similar to K08/K23 described
aboveexcept provides up to $30,000 inresearch support per year,
supports up to5% of mentor’s effort and applicationdeadline is June
on a year-by-year
basis.http://grants1.nih.gov/grants/guide/rfa-files/RFA-HL-02-022.html
Robert Wood Johnson GeneralistPhysician Faculty
AwardMentor-based; $75,000 per year for 4years for salary and
research support.Applicant nominated by medicalschool. This award
is being discontin-ued after the 2003 competition.Deadline:
Septemberhttp://www.gpscholar.uthscsa.edu/gpscholar/FacultyScholars/index.html
Robert Wood Johnson MinorityMedical Faculty
DevelopmentProgramMentor-based; $65,000 per year forsalary and
$26,350 per year for researchfor four years. Deadline:
March.http://www.mmfdp.org/
Pfizer/American Geriatrics SocietyPostdoctoral Fellowship for
Researchon Health Outcomes in GeriatricsMentor-based; $65,000 per
year of salarysupport for 2 years. Deadline:
EarlyDecemberhttp://www.healthinaging.org/research/pfizer2003.php
Paul Beeson Physician FacultyScholars in Aging
ResearchMentor-based; salary and researchsupport of $450,000 for 3
years. Dead-
line: Novemberhttp://www.afar.org/beeson.html
American Cancer Society CancerControl Career Development
Awardsfor Primary Care PhysiciansMentor-based; three years with
progres-sive stipends of $50,000, $55,000, and$60,000 per year.
Deadline: October
1http://www.cancer.org/docroot/res/content/res_5_2x_cancer_control_career_development_awards_for_primary_care_physicians.asp?sitearea=res
Greenwall Faculty Scholars Programin BioethicsMentor-based; 50%
salary support up toNIH salary cap guidelines and benefitsfor 3
yearsDeadline: 3-page letter of intent due inDecember, with full
invited applicationsdue in
Februaryhttp://medicine.ucsf.edu/greenwall/
Pfizer/Society for Women’s HealthResearch (SWHR) Scholars Grants
forFaculty Development in Women’sHealthMentor-based; three year
salary andresearch support up to $65,000 per year.Deadline: mid
Decemberhttp://www.physicianscientist.com/scholars_programs/womens_health.html
American Diabetes Association CareerDevelopment AwardsFive years
of salary and research supportup to $150,000 per year;
providesadditional $25,000 per year for first twoyears for
equipment and supplies.Deadline: January 15, July
15http://www.diabetes.org/main/profes-sional/research/forms.jsp
Please contact [email protected] for any comments,
sugges-tions, or contributions to thiscolumn. SGIM
Senator Daschle has resubmitted hisformer bill, now S. 16 into
the 108thCongress. The critical elements of anylegislation are
protection of individualsfrom being required to undergo
genetictesting by health insurers and the use ofthis information in
individual and grouprating; protection of individuals fromuse of
genetic testing information byemployers in hiring, promotion, and
jobplacement; protection against disclosureof genetic testing
information byemployers or health insurers that is notdirectly
related to payment of claims orthe provision of medical services,
andmeans for compensation for damages ifindividuals are harmed
because offailure to keep genetic informationconfidential.
If you are interested in learningmore about this important
health policyissue, see: http://thomas.loc.gov/home/thomas/html
where you can read thetext of bills introduced in the past
fiveCongresses; see www.genome.gov orcontact Tim Leshan, Senior
PolicyAnalyst in the NIH-National HumanGenome Research
Institute,[email protected]; or visit theSGIM website where you
can review asample letter that you can send to yourSenator or
Representative via SGIM’snew e-advocacy. SGIM
Dr. Reynolds serves as the Chair,Human Rights Cluster, SGIM
HealthPolicy Committee and the SGIM Liaison,National Coalition for
Health ProfessionalEducation in Genetics
V I S I TT H E
S G I MW E B S I T E
http://www.sgim.org
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11
ASSOCIATE CHIEF OF STAFF, RESEARCHAND DEVELOPMENT. The
Department of Vet-erans Affairs, Edward Hines Jr. Hospital is
recruit-ing for an Associate Chief of Staff (ACOS) forResearch and
Development overseeing Hines andthe VA Medical Center North Chicago
Program.Hines VA is highly affiliated with the StritchSchool of
Medicine of Loyola University of Chi-cago. VAMC North Chicago is
affiliated with theChicago Medical School. As one of the most
di-verse in the VA system, the Hines/N. Chicago re-search program
includes nearly 500 active researchprograms and over 150
investigators. The researchrelated studies are conducted utilizing
more thanapproximately 150,000 square feet of modern fa-cilities.
Included are studies in cancer, nephrology,cardiology,
endocrinology, pulmonary, infectiousdisease, neurosciences, surgery
and the full rangeof biomedical research in addition to a
Coopera-tive Studies Program Coordinating Center, a HealthServices
R&D Field Program, and a Nonprofit Re-search Corporation.
Funding for 2002–03 will ex-ceed $18 million from VA, NIH and other
privateand public sources. The ACOS for Research is chal-lenged to
provide the vision, leadership and man-agement for further growth
and development ofthese programs within the context of the
emerg-ing, competitive, health care environment. Candi-dates
possessing an MD or PhD must also hold thescientific, research and
academic credentials toqualify for an appointment at Loyola
University’sStritch School of Medicine. Equally important is
acandidate whose communication, administrativeand leadership skills
are sufficient to implement astrategic plan for a research program,
which inte-grates the strengths of our university affiliates
withthose of the hospitals. The ACOS is expected tohave an
established track record of extramural fund-ing and continue an
active research program. HinesVA Hospital is located 10 miles west
of Chicago’sMagnificent Mile in the near west suburbs withready
access to mass transportation and highwaysin and out of the city.
Qualified candidates shouldsubmit a letter of interest and
curriculum vitae notlater than April 15, 2003 to David Hecht,
MD,Chairman, ACOS for R&D Search Committee,Hines VA Hospital,
P.O. Box 1490, Hines, IL60141. It is intended that a candidate will
be cho-sen not later than June 1, 2003.
CLINICIAN-EDUCATOR. TULANE UNIVER-SITY SCHOOL OF MEDICINE. The
Section ofGeneral Internal Medicine at the Tulane Univer-
sity School of Medicine is seeking a clinician-edu-cator at the
level of Instructor or Assistant Profes-sor in the clinical track.
The individual will join agrowing Section that has clinical,
educational andinvestigative interests in hypertension,
ambulatorycare delivery, and travel medicine. Responsibilitieswill
be devoted to ambulatory clinical practice withthe opportunity to
provide inpatient resident su-pervision at Tulane University
Hospital and Clinic.Position will remain open until qualified
candidateis selected. Send CV and the names and phonenumbers of
three references to: Karen B. DeSalvo,MD, MPH, Chief, Section of
General InternalMedicine SL-16, Tulane University School of
Medi-cine, 1430 Tulane Avenue, New Orleans, LA70112-2699.
AA/EOE.
DIVISION CHIEF, GENERAL INTERNALMEDICINE. Continuum Health
Partners, Inc. isthe parent company of Beth Israel Medical
Center,St. Luke’s Hospital, Roosevelt Hospital, Long Is-land
College Hospital, and New York Eye & EarInfirmary. We provide
the leadership that bringstogether outstanding clinical resources,
reinforcesstrong service traditions and attracts world-re-nowned
physicians—ensuring the highest qualityof care for our patients.
The Beth Israel MedicalCenter: Division Chief, General Internal
Medi-cine—Petrie Division: Oversee clinical, teachingand research
activities of this new division of Gen-eral Internal Medicine.
Division will be comprisedof an inpatient hospitalist group that
assumes pri-mary care responsibility for approximately 4,000
pa-tients annually, a large group of voluntary internists,as well
as outpatient teaching and private InternalMedicine practices in a
modern ambulatory carecenter. The candidate is expected to have
strongclinical and administrative skills, as well as a recordof
accomplishment in teaching and research. Pleasesend your resume to:
Dr. Stephen G. Baum, Chair-man, Department of Medicine, Beth Israel
Medi-cal Center, 16th Street and 1st Avenue, 20 BairdHall, New
York, NY 10003. Fax: 212-420-2912.EOE M/F/D/V. Women and minorities
are encour-aged to apply. www.WeHealNewYork.com
FELLOWSHIP, CLINICAL RESEARCH. The Di-vision of Substance Abuse
at Albert Einstein Col-lege of Medicine and Montefiore Medical
Center,Bronx, NY, offers a NIH-funded two-year fellow-ship program
to prepare physicians completing resi-dency in internal medicine,
family medicine, orpsychiatry for research careers in substance
abuse.Program emphasis on individual mentoring by ex-perienced drug
abuse researchers and clinical workwith drug users. Fellows will
participate in the Clini-cal Research Training Program at AECOM and
becandidates for Masters Degrees. Inquiries to Dr. JuliaArnsten,
Director, Clinical Addiction Research andEducation Program,
Montefiore Medical Center,111 East 210 Street, Bronx, NY,
10467,[email protected].
GENERAL INTERNIST WEST LOS ANGELES.The VA Greater Los Angeles
Healthcare System isrecruiting a temporary full-time General
Internist
for the position of Clinician-Educator in the Am-bulatory Care
Line and the Division of GeneralInternal Medicine. The incumbent
would work pri-marily in the outpatient primary care setting in
anenvironment that includes non-physician provid-ers (Nurse
Practitioners and Physician Assistants)with some inpatient
responsibilities, namely at theVA West Los Angeles Healthcare
Center. Thisposition includes responsibility for delivery of
di-rect patient care, teaching internal medicine train-ees and
medical students, and on-going scholarlyactivity in an enriched
environment that promotesprofessional excellence. Candidates must
be Board-Certified/Board Eligible in Internal Medicine andmust
qualify for a faculty position at the AffiliateUniversity. U.S.
Citizenship is required. Interestedcandidates send CV and three (3)
references toChonette Taylor, Human Resources Specialist(10A2-CT),
West Los Angeles VA Medical Cen-ter, 11301 Wilshire Blvd., Los
Angeles, CA 90073,(310) 478-3711 ext. 43186. Qualified
applicantswho apply by April 30, 2003 will receive first
con-sideration. Position is subject to random drug test-ing. Direct
Deposit is required. This agency pro-vides reasonable accommodation
to applicants withdisabilities. If you need reasonable
accommodationsfor any part of the application and hiring
process,please contact our facility. The decision on grant-ing
reasonable accommodation will be made on acase-by-case basis. The
Department of VeteransAffairs is an Equal Opportunity Employer.
RESEARCHERS, GIM/PRIMARY CARE. TheUniversity of Colorado Health
Sciences Center isrecruiting for a full-time faculty position at
theAssistant or Associate Professor level. Requirementsinclude ABIM
certification in internal medicine,completion of a GIM fellowship
(or equivalent re-search training), and successful initiation of an
in-dependent research program. 50%–80% protectedtime for research
is available, with opportunitiesfor mentorship of research fellows,
clinical teach-ing, and practice at University Hospital.
Denverprovides an excellent collaborative environment forprimary
care based clinical epidemiology and healthservices research in
disadvantaged populations,managed care, and rural health.
Applications willbe accepted until the position is filled.
Candidatesshould reply with a CV to Jean Kutner, M.D., In-terim
Division Head, Division of General InternalMedicine, University of
Colorado, Box B-180, 4200E. 9th Avenue, Denver, CO 80262 or
[email protected]. University of ColoradoHealth Science
Center is committed to equal op-portunity and affirmative
action.
Positions Available and Announcementsare $50 per 50 words for
SGIM members and$100 per 50 words for nonmembers. Thesefees cover
one month’s appearance in theForum and appearance on the SGIM
Web-site at http://www.sgim.org. Send your ad,along with the name
of the SGIM membersponsor, to [email protected]. It is assumedthat
all ads are placed by equal opportunityemployers.
CLASSIFIED ADS
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Society of General Internal Medicine2501 M Street, NWSuite
575Washington, DC 20037
SGIM
FORUM
Executive Director: David Karlson, [email protected]
Director of Operations: Kay [email protected]
Director of Membership: Katrese [email protected]
Member Services Administator: Shannon
[email protected]
Director of Regional Services: Juhee
[email protected]
Director of Education: Sarajane [email protected]
Who’s Who in the SGIM National Office
Director of Communications: Lorraine
[email protected]
Director of Development: Bradley [email protected]
Director of Finance/Administration: Karen
[email protected]
ContentsSGIM Essentials & How SGIM Can Enhance Your Career
2003 NRMP Results: Continued Challenges for Primary CarePresident’s
ColumnThe Whole Pie—On the Fragmentation of General Internal
MedicineResearch Funding Corner2003 Southern SGIM held in New
OrleansGenetic Nondiscrimination Protection: A Legislative
ImperativeClassified Ads