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MPS Newsletter - December, 2011    

Greetings!    

Mary Roberts, MD

 

Greetings from MPS President Mary Roberts    


Many of us are turning our thoughts and plans to the New Year, as December brings a close to 2011. This issue of MentalNote is full of plans- Spring Meeting, Maintenance of Certification, 2012 Elections, next year's Stratford trip. Those plans are the wonderful external product of our organization's vital efforts. What you should also know are that these wonderful plans reflect the dedicated efforts of the past and present MPS leadership behind the scenes, and who are in the third year of a strategic planning process intended to assure that MPS has many happy new years to come.

 

The strategic planning process has engaged council members, committee members and executive staff in the review of crucial issues such as budgeting, by-laws, membership, programs, committee structure, and leadership development, to name but a few. Some of these reviews have resulted in changes you have already noticed, such as an electronic newsletter,or have generated planned initiatives such as the spring MOC workshop. Many reviews continue, as will the process, under the capable leadership of our President- Elect, Jeanette Scheid. You can plan on regular updates, which will not only inform, but help us to highlight the contributions of those giving their time and talents to the planning process.

 

So, let's get on with plans for 2012: those plans which will continue to enable our commitment to the care of our patients and the betterment of our profession. My sincere wishes to all of you for the best of the Season, and for a healthy and truly Happy, New Year.  

Mary Roberts, MD  

In this issue
MOC Assistance
MOC Survey
Distinguished Fellowship
Nominations Committee
Stratford 2012
APA Assembly Report
PAs gain expanded authority
Member honored
DB executives sharing
MPS Membership news
Ads and Classifieds
Editorial
MOC is here. MOL is coming. MPS is here to help you through.  
New ABPN certification requirements affect psychiatrists holding a time-limited certificate. But older members should also take heed.  Predictions are that Maintenance of Certification (MOC) is a precursor to Maintenance of License (MOL). MPS is planning a special session on MOC requirements and how to organize your MOC tasks now and for the coming years at our annual Spring Meeting. Note that ABPN requires the first self-assessment activity to be completed in years 1-3 of the 10-year MOC cycle.  Come and learn what is required and when (and why!).  Watch your inbox for the MPS Spring Meeting Save-the-Date notice.

Phase-In Schedule for Self-Assessment Activity Requirements  

Original Year or Recertification

Application Due

Exam

CME Credits Required

First Self-Assessment

Second Self-Assessment

2000

2009

2010

120

 

 

2001

2010

2011

150

X

 

2002

2011

2012

180

X

 

2003

2012

2013

210

X

 

2004

2013

2014

240

X

X

2005

2014

2015

270

X

X

2006

2015

2016

300

X

X

2007

2016

2017

300

X

X

2008

2017

2018

300

X

X

2009

2018

2019

300

X

X

2010

2019

2020

300

X

X

 

Phase-In Schedule for Performance in Practice Requirements  

Original Year or Recertification

Application Due

First Unit Required

Second Unit Required

Third Unit Required

2000

2009

 

 

 

2001

2010

 

 

 

2002

2011

 

 

 

2003

2012

 

 

 

2004

2013

X

 

 

2005

2014

X

 

 

2006

2015

X

X

 

2007

2016

X

X

X

2008

2017

X

X

X

2009

2018

X

X

X

2010

2019

X

X

X

   

Survey Feedback
                    Member Survey

Please take a minute to answer a two question survey.  Mentalnote will periodically ask questions to be used by the MPS Council and staff to improve services to members.  This month's survey concerns the new Maintenance of Certification requirements.  To participate in the survey, please click here.


To view results of the August survey,
please click here.

To view results of the October survey, please click here.
APA Distinguished Fellowship
The Michigan Psychiatric Society is actively seeking members who would like to be considered for Distinguished Fellow status in 2012.  Interested applicants should contact the office for details regarding the nomination process. 

Distinguished Fellow status in the APA and MPS is a high honor; excellence, not competence, is the determining hallmark.  The title of Distinguished Fellow is awarded to outstanding psychiatrists who have made and continue to make significant contributions in at least five areas of achievement.  These areas encompass a wide range of professional and community activities and provide the opportunity of Distinguished Fellow status to members who have a broad range of skills and activities.  A candidate must have been a General Member or a Fellow of APA for at least eight years.  Fellow status is not a prerequisite for Distinguished Fellow consideration.  A new APA requirement beginning in 2013 is that Distinguished Fellow applicants must be Board Certified.

Contact MPS now to obtain the application information, and the upcoming winter months will allow ample time to complete what is required.  Applications must be received by May 31, 2012 for consideration of Distinguished Fellow status which would be conferred in 2013 at the APA Annual Meeting.  For more information on the application process, please call the MPS office, 517-333-0838.
Ballot box
              MPS Election Upcoming
The Michigan Psychiatric Society is calling for nominations of officers for the upcoming year.  The offices which will be open include:
        • President-Elect (one year term, followed by a year as President)
        • Vice-President (two year term)
        • Councilor (two year term - two positions)
        • APA Assembly Representative (three year term)
Elections will be held via email in March and new officers will take over their positions following the APA Meeting in May, 2012.  Chairing the Nominations Committee is Denise Gribbin, MD, Immediate Past President.  If you would like to nominate yourself, or any other member, please contact the MPS office at (517) 333-0838 or by email at mps@mpsonline.org.   

Shakespeare
                 Stratford 2012
Mark your calendar and plan to attend the next trip with the Michigan Psychiatric Society to the Stratford Shakespeare Festival.   The plays have been chosen.  In 2012 we will travel to Stratford on September 14 and 15, to see the plays Much Ado About Nothing, and Elektra.   The plays, chosen with the help of Stratford Education Director, Pat Quigley, promise to be both extremely stimulating and entertaining.

Much Ado, one of the Bard's most beloved comedies, will star Ben Carlson and Deborah Hay. It is a classic Shakespearean comedy involving mistaken identities, unrequited love, and a lovely conclusion.  Elektra, by Sophocles, stars Yanna McIntosh and the incomparable Sean McKenna.  It takes place following the Trojan War, and involves matricide, revenge and love. 

As always, MPS will sponsor a lively reception and talk-back on Saturday morning, with actors from the plays.  The talk-back session is an MPS exclusive and a unique interchange that is much appreciated by MPS attendees. Come along and see how captivating and inspiring this cultural experience can be!  And Stratford is a lovely walkable town with excellent restaurants and one-of-a-kind shops.

We have reserved a block of rooms at the Arden Park Hotel on September 14 for the use of members.  To reserve a room, please contact the hotel directly 877-788-8818. Theatre goers should be aware that the Stratford Dragon Boat Festival will take place on September 15, so lodging reservations should be made well in advance.

APA Assembly Report  
November 18-20, 2011 in Washington, DC

The weather was just a little on the cold side but otherwise quite pleasant for November.  Coincidentally, the hotel happened to be right across the street from an area with tents sent up by protestors; nothing unusual to report.  As for the work of the Assembly, there did not seem to be a particularly contentiously debated issue at this meeting.  Rather, a collegial discussion of ongoing relevant issues occurred at the committee and assembly levels.

We heard from APA President John Oldham, MD who discussed his presidential theme of integrated care and from President-Elect Dilip Jeste, MD who pledged to continue a tradition of progress of the Board of Trustees working with the Assembly to improve the organization.  We heard a presentation from Assembly Speaker Ann Sullivan, MD who pledged to continue to work on improved communication between the BOT, Assembly and APA staff.  John Wernert, MD from Indiana and the APA PAC chairman reported on the status of the PAC.  The APA-PAC in 2010-2011 gave 55% of its contributions to Republicans and 45% to Democrats, about the reverse of the year before.  The size of the APA PAC is $400,000.00, compared to that of the American Psychological Association at $376,00.00, and the AMA's at $2,350,000.00.  

APA Medical Director John Scully, MD reported that membership was down in all categories in 2010-2011, and that APA staff numbers declined about 20% from 2001 (249) to 2011 (202).  Psychiatric News will have a new design in 2012 with a smaller size page but will remain a tabloid for advertising cost reasons; its online presence with increase with weekly e-news updates.  Also, it will be mailed to 10,000 additional non-members, 87% percent of whom are former APA members.  Dr. Scully indicated that Congress continues to work on how physicians will be paid and that Congressional action will likely have a negative impact for GME funding with regard to the work of the "Super" Committee.  Psychologist prescribing bills were defeated in AZ, HI, MO, OR, TN, UT, and NJ.

APA Treasurer David Fassler, MD reported that the APA projected budget deficit for 2010 of $1,400,000.00 became a surplus of $2,850,000.00 in 2011.  The APA c6 corporate entity has $5,600,000.00 in assets.  Investment income of the association increased $2,200,000.00 in 2011 for a grand total of approximately $77,000,000.00.  The APF had a deficit of $2,700,000.00, and revenue from meetings decreased from about $6,000,000.00 to about $4,000,000.00 in the last five years.

There were several action papers passed, some of which were:
  • Joint APA/AACAP position statement on Mental Health, Children and Disasters.
  • Controlling misuse of Rx drugs 30-day rule versus 90-day practice.
  • Improving access to psychiatric services via MCO panels.
  • Proposing a change from using "committed suicide" to other language.
  • Declaration of access to health care as a "right."
  • Remuneration for psychiatrists' time performing UR.
  • Proposed position statement on physician wellness.
  • APA documentation templates.
  • Continuing support for the APA public psychiatry fellowship.
  • Establishment of MIT advocate award.
  • Improved HER education for members in solo private practice.
  • Ending the five year requirement to achieve fellowship member status.
  • Proposed position statement on review of sentences for juveniles serving mandatory lengthy sentences.
  • Monitoring for unintended consequences of the NRMP "all-in" policy for the match with regard to IMGs.
  • Creation of minority, multicultural interest month.
  • Creation of the women of the assembly award for excellence in service and advocacy for women.
  • Reinstating APA state legislative institutes.
  • *A paper for a bylaws amendment adding the immediate past president as a member of the nominating committee for a two year term and as chairperson in the second year failed to pass.
  • *A paper on inclusion of "demoralization" in DSM5 was withdrawn.
An update on DSM-5 was presented by David Kupfer, MD and Glenn Martin, MD.  "DSM-5.0" is set for introduction in May 2013 at the annual meeting in San Francisco.

Area IV has assests of $87,600.00 that includes a 2011 APA block grant of $21,900.00.  No dues were charged to DBs in 2011; this may change next year.  A winter meeting of the council will take place February 25-26, 2012 in Chicago.  MIT and ECP reps will be eligible for $500.00 stipend to attend.  A summer meeting is also planned, TBA.  The DBs did not provide formal reports at the meeting.  Lastly, the three candidates for APA President-Elect, Renee Binder, MD, Mary Helen Davis, MD and Jeffrey Lieberman, MD, attended the meeting and each gave a brief campaign speech to each Area Council.

Respectfully submitted,

William Cardasis, MD, MPS Representative
Michael Jibson, MD, MPS Representative
Physician Assistants Gain Expanded Prescribing Authority
Editors' Note:  The article below appeared on the website of the Michigan Department of Licensing and Regulatory Affairs.

On Tuesday, Nov. 8, Gov. Rick Snyder signed into law Senate Bill 384, which became Public Act 210 of 2011. It was given immediate effect by the legislature. This law supersedes the Board of Medicine and Board of Osteopathic Medicine and Surgeons rules and allows physician assistants to prescribe Schedule 2 controlled substances from offices and clinics without quantity limitations. Passage of this bill removes the previous restrictions that limited a physician's assistant to prescribing not more than a seven-day supply of Schedule 2 controlled substances and only when discharging a patient from a hospital, free-standing surgical center or hospice.

In addition to removing these restrictions, the bill also requires the name of the prescriber, or if prescribed under the prescriber's delegating authority, the name of the delegate who wrote the prescription, to be listed on the prescription label.

This bill did not give authority to advanced practice nurses, nurse practitioners and nurse midwives for prescribing Schedule 2 controlled substances without limitations, only physician assistants. This provides differences in the state statute between the mid-level prescribers who are given delegated authority for prescribing Schedule 2 controlled substances. Therefore, pharmacists, student pharmacists and pharmacy technicians will need to be cautious when dispensing prescriptions for Schedule 2 controlled substances written by mid-level providers.

Former RPS President Honored
Laurie Boore, MD,  Geriatric Psychiatry Fellow at the University of Michigan, is the newly elected Member-in-Training (MIT) Board Member for the American Association for Geriatric Psychiatry (AAGP).   Laurie was one of three candidates selected by the MIT Nomination Committee for the ballot.  Her MIT peers, in a national election, selected Laurie as their representative for this prestigious position.  
 
Laurie will serve a one-year term and will participate as a full voting member of the AAGP Board of Directors.  She will attend Board meetings and conference calls, represent the interests of the members in training, participate in activities such as articles in Geriatric Psychiatry News, and serve as a member of the Teaching and Training Committee.  Laurie is a former president of the MPS Resident Section.  This new accomplishment is a continuation of her long-standing passion and political involvement in psychiatry.
 
The AAGP is the premier organization representing the field of geriatric psychiatry. 

APA facilitates District Branch Executives Sharing

The APA Office of Ethics and District Branch/State Associations facilitates an annual Leadership Conference for DB/SA Executive Directors. This meeting provides an invaluable collegial sharing and interface with APA staff and programs. District Branches have a great diversity in size and management styles, but most confront similar issues and challenges, from how to most efficiently administer a DB office, to effectively supporting DB governance, programs and initiatives, to advocacy for state legislative issues. We share our experience and best practices at these meetings and throughout the year on a listserv.  

The DB/SA Executives elect a chair and set agendas and invite presenters from APA divisions, including Membership, Government Relations and Healthcare Systems and Financing. We often work in tandem with these offices and it is great to put faces with the voices of our partners in Washington.

 

At this past meeting in November, we invited a panel from national mental health organizations, with whom we frequently collaborate. We had an enthusiastic give and take with Mike Fitzpatrick, President of NAMI (www.nami.org); Sara Steverman, Director of State Policy , Mental Health America (www.nmha.org); Barbara Van Dahlen, Founder and CEO, Give an Hour (www.giveanhour.org); and Kimberly Gleason from American Foundation for Suicide Prevention (www.afsp.org).
   

Pertinent to current MPS projects, the "DB Execs" are working on a model DB Operations Manual and support for Bylaws revisions. We also met with the new APA attorney, Collen Coyle to discuss liability issues and a helpful Q & A. Linda Hughes has ably directed this office at the APA for many years, giving a "home" for DB Execs as well as support for Ethics procedures. The primary concerns of DBs are well represented to the APA Central Office by Linda Hughes and Program Manager, Urysha Moseley.   

   

Kathleen Gross, MPS Executive Director  

 Membership News

 

MPS welcomes the following new and reinstating members.  

 

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Psychiatrist Needed

 Two Positions Open

The Monroe Community Mental Health Authority has two part-time psychiatric positions available.  Monroe County is located just south of Detroit and Ann Arbor.  Click here for more information. Applicants may also contact the MCMHA directly at  734-384-0283 or by email at jobopportunities@monroecmha.org.   Further information is available at  http://www.monroecmha.org/Employment.aspx
               ---Editorial---
        The Long Century

As expected, the Supreme Court will be debating the health care law this term. Who knows what they will decide. Whatever it is, it has been a very long time in coming, and if they strike it down nobody knows when, if at any time in the foreseeable future, health insurance for everyone will be a reality. For now, a very brief history (gleaned and summarized from The Michigan League for Human Services' newsletter "The Consumer Connection," Jan/Feb, 2010, volume 10, number 1, in turn a summary from the Kaiser Family Foundation's "Timeline: History of Health Care Reform Efforts in the U.S.")

 

2012 will be the 100thanniversary of Roosevelt's (that's Teddy, not F.D.R.) platform endorsement of "social insurance." Even the summary of the summary (above) that this editorial is based upon contains far more information that would fit here, so only a few of the highlights of the almost-60 events listed just in the summary-of-summary will be mentioned.

 

Social Security was enacted in 1935. Medicare and Medicaid were created in 1965, and Supplemental Security Income (SSI) in 1972. Medicare Part D passed in 2006. But many more efforts have faltered along the way, including the Clinton health initiative that failed to pass in 1993. The federal Mental Health Parity Act passed in 1995, but on the more local scene, Michigan remains one of fewer than 10 states that do not have a state-level parity law to cover those individuals who do not come under the Federal legislation.

 

Approximately one in seven Americans does not have health insurance. With the economy having the problems that it is, even more people are at risk. Those with mental disorders are at greater jeopardy than the general population. By next spring/summer we will all learn if the situation is going to get better or stay bad.

                                                                                                                -Pythi            

Mentalnote, the newsletter of the Michigan Psychiatric Society,
is edited by Oliver Cameron, MD, PhD.

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