For each of the following resolutions, please indicate whether you feel the resolution is:

High Priority: Governors requested to take action
Medium Priority: Chapter may consider action or not
Low Priority: No action at this time

Remember to select the appropriate column in support, opposition or N/A (abstain from voting) to each resolution.

Feel free to include any additional comments regarding the resolutions that may be helpful for consideration.

Questions? Please contact the chapter office at 512-370-1528.

Thank you for your input.

Question Title

* Optional: Please provide your contact information below.

Question Title

* Resolution 1-F19. Creating a Toolkit to Optimize Physician-Led Care Teams with Advanced Practice Providers
Sponsor: Colorado Chapter

WHEREAS, the ACP has supported efforts to drive physician-led team-based care with nurse practitioners and physician assistants with policy including the Principles Supporting Dynamic Clinical Care Teams paper in 2013; and

WHEREAS, there is little literature to guide physician-advanced practice provider best practices in the clinical setting and little time is devoted to this topic in residency training, and

WHEREAS, the ACP seeks to serve the professional needs of our membership; and

WHEREAS, internal medicine specialist and subspecialist ACP members and physician assistant and nurse practitioner ACP affiliate members continue to learn about and strive to optimize high functioning team-based workflows and communication about patient care in clinical settings; therefore be it 

RESOLVED, that the Board of Regents create a toolkit to share best practices and specific real-life examples of successful team-based clinical care models that include internal medicine physicians working with advanced practice practitioners.

  Support Oppose N/A
High Priority (Request Governor to take Action on)
Medium Priority
Low Priority (No Governor action requested)

Question Title

* Resolution 2-F19. Establishing a Work Group to Improve Care Coordination between Hospital and Ambulatory Care
Sponsor: Council of Subspecialty Societies
Co-sponsors: Colorado and Texas Chapters

WHEREAS, there is often a breakdown in care coordination when patients are hospitalized from outpatient care and discharged to outpatient care; and 

WHEREAS, the ACP has worked with the Society of Hospital Medicine to formulate a collaborative care template; and

WHEREAS,  ACP has an existing policy paper developed through CSS: The Patient-Centered Medical Home Neighbor: the Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices, and a High Value Care Coordination tool kit to define and operationalize expectations for optimizing the referral process between primary care and specialty care as the Medical Neighborhood; and

WHEREAS, the CSS is currently working on the principles and expectations for how to better share care between ambulatory care teams across the continuum of roles and processes needed for care coordination beyond the referral process; therefore be it

RESOLVED, that the Board of Regents establish a collaborative work group for ACP to work with other societies to establish principles and expectations to help improve the coordination of care between hospital care teams and ambulatory care clinicians/care teams to improve the care of patients and the experience of clinicians.

  Support Oppose N/A
High Priority (Governor requested to take action)
Medium Priority
Low Priority (No Governor action requested)

Question Title

* Resolution 3-F19. Recommending the Initial Referral Appointment with an Internal Medicine Subspecialist Be Conducted by a Physician
Sponsor: Mississippi Chapter

WHEREAS, as recognized by the American College of Physicians (ACP) Policy Monograph on Nurse Practitioners in Primary Care (1), the number of training programs for advanced practice providers (APPs) and the number of APPs continues to grow, with these APPs finding increasing roles in internal medicine subspecialty practices; and

WHEREAS, as noted in the American College of Gastroenterology (ACG) Practice Toolbox: Adding Advanced Practice Providers to your Practice, it is becoming increasingly common for referral appointments to be conducted by APPs, who “perform history and physical examinations, formulate differential diagnosis and treatment plans” with no involvement of an internal medicine subspecialty physician; and

WHEREAS, the Accreditation Council for Graduate Medical Education requires that an internal medicine residency educational program must include “exposure to the diagnostic and therapeutic methods of each of the recognized internal medicine subspecialties (2),” making it likely that internal medicine physicians requesting referrals to an internal medicine subspecialist have sufficient clinical experience of the given subspecialty to manage some issues effectively but have reached the limit of their experience; and

WHEREAS, the American Board of Internal Medicine certification examination includes content from all of the internal medicine subspecialties, making it likely that internal medicine physicians requesting referrals to an internal medicine subspecialist have sufficient medical knowledge to manage some issues effectively but have reached the limit of their knowledge; therefore be it

RESOLVED, that the Board of Regents advocate through existing collaborative relationships that initial

  Support Oppose N/A
High Priority (Governor requested to take action)
Medium Priority
Low Priority (No action)

Question Title

* Resolution 4-F19. Insuring that ACP Guidelines Consider the Potential Adverse Effects of Polypharmacy
Sponsor: BOG Class of 2021

WHEREAS, polypharmacy is often considered to be five or more medications per patient; and 

WHEREAS, polypharmacy may include prescription medications, over-the-counter drugs and supplements that were either never necessary, indicated but not beneficial, or no longer necessary; and 

WHEREAS, polypharmacy is a public health problem that may affect as many as two-thirds of adults over the age of 65 years; and 

WHEREAS, polypharmacy increases the risk of drug-drug interactions, adverse drug events, preventable hospitalizations, and mortality; and  

WHEREAS, polypharmacy increases the risk of non-adherence to medications that are necessary and high-value; and  

WHEREAS, polypharmacy is associated with high costs to patients and health care delivery systems; and 

WHEREAS, many current clinical guidelines emphasize “step therapy” and escalation of dosage to achieve therapeutic goals, insufficient attention is paid to “step down” therapy to taper or deprescribe medications that were not beneficial or no longer provide benefit; and  

WHEREAS, current American College of Physician policies and guidelines recognize polypharmacy as a harm that might be mitigated by implementation of shared decision-making and patient-centered medical homes, current ACP policy does not treat polypharmacy as an outcome for intervention by itself; and 

WHEREAS, some ACP guidelines suggest consideration of “deintensifying pharmacologic therapy,” there are others that do not address the potential risks associated with polypharmacy; therefore be it

RESOLVED, that the Board of Regents advocates for and works with stakeholders and guideline developers to insure that ACP guidelines incorporate evidence-based, patient-centered recommendations to consider the potential adverse effects of polypharmacy and reduce the burden of medication overload.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 5-F19. Researching and Recognizing Gender Expectations for Female Physicians
Sponsor: Colorado Chapter

WHEREAS, the ACP published policy supporting gender equity in physician compensation in 2018; and

WHEREAS, the ACP works to serve the professional needs of the membership and support healthy lives for physicians; and

WHEREAS, there is anecdotal and published evidence that patients have differing expectations of female versus male physicians, and female patients tend to seek more empathic listening, longer visits, and more communication, especially with female physicians; and

WHEREAS, it has then been proposed that because female physicians are not allotted additional time for patient care, this added burden may increase physician burnout (1); therefore be it

RESOLVED, that the Board of Regents research gendered expectations of female physicians and its contribution to their work burden and wellness; and be it further

RESOLVED, that the Board of Regents propose and advocate for mechanisms to recognize and address the differential clinical burden placed on female physicians by patient expectations. 

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 6-F19. Developing Guidelines on Treatment of Obesity to Improve Access to Obesity Treatment
Sponsor: Council of Resident/Fellow Physicians

WHEREAS, obesity has been formally recognized as a chronic disease since 2008, and increases risk of developing many chronic diseases [1] including diabetes, hypertension, coronary artery disease, OSA, GERD, and depression [2]. Obesity significantly contributes to increased healthcare expenditures [3], with 50% additional healthcare expenditures required for each patient with BMI >30 [4] compared to lower BMI patients. Currently 40% of the United States population is overweight and 30% obese, with further increase anticipated in the next decade [5]; and...

WHEREAS, the American Academy of Family Medicine, American College of Endocrinology, American Heart Association, American College of Cardiology, American College of Surgeons, American Medical Association, and National Institute of Health all support this recognition as a distinct chronic disease [6]; and

WHEREAS, current billing requirements and regulation do not allow physicians to be reimbursed for obesity treatment unless in the context of treating another medical issue [7]. Additionally, at this time Medicare currently only covers limited lifestyle interventions for medical weight loss; and

WHEREAS, obesity is a disease that often affects at risk populations, including rural and urban populations and demonstrates significant racial and ethnic disparities [8]. This increased prevalence, combined with a lack of current payment by CMS and private insurers for obesity treatment, creates significant inequalities in obesity management [9]; and

WHEREAS, obesity treatment through weight management has been shown to provide long lasting weight loss [10], improve outcomes in diabetes [11], and lower the frequency of healthcare utilization [12] and decrease healthcare costs [13]; therefore be it

RESOLVED, that the Board of Regents develop guidelines on treatment of obesity as a chronic disease and its management; and be it further

RESOLVED, that the Board of Regents should advocate for all insurers to cover evidence based treatments for Obesity.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 7-F19. Engaging Stakeholders to Reduce Violence and Teach Conflict Resolution in U.S. Schools
Sponsor: New York Chapter

WHEREAS, one of ACP’s stated goals includes, “To advocate responsible positions on individual health and on public policy relating to health care for the benefit of the public, our patients, the medical profession, and our members”; and

WHEREAS, violent themes and actions are increasingly a part of everyday life in the U.S.; and 

WHEREAS, physicians are called to address the physical and emotional results of violence with individual patients; and 

WHEREAS, violent themes and actions are negative components associated with social determinants of health; therefore be it

RESOLVED, that the Board of Regents engage appropriate stakeholders to deescalate violence and teach conflict resolution in all middle and high schools in the U.S.; and be it further

RESOLVED, that the Board of Regents work with appropriate stakeholders to reduce the number of violent messages and acts in all forms of media, video games, movies, etc. and instead increase the message of peaceful conflict resolution and mutual respect.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 8-F19. Formulating Policy on Worker Excessive Heat Protection
Sponsor: Virginia Chapter
Co-sponsors: California II, California III, Florida, and New Mexico Chapters

WHEREAS, ACP policy on Strengthening the Public Health Infrastructure supports “reducing illnesses relating to environmental pollution, global climate change, and other environmental risks” (1); and

WHEREAS, the Fourth National Climate Assessment identifies outdoor workers, who often labor in extreme heat without protections, as a population that “experience(s) increased climate risks due to a combination of exposure and sensitivity” (2); and

WHEREAS, according to the Bureau of Labor Statistics (BLS) annual Survey of Occupational Injuries and Illnesses, “exposure to excessive environmental heat stress killed 783 U.S. workers and seriously injured 69,374 workers from 1992 through 2016” (3); and 

WHEREAS, according to Yale Environment 360, “Global warming is resulting in more frequent days of extreme heat, and record-breaking summers are now becoming the norm. 2017 was the second-hottest year on record, surpassed only by 2016 (4); and

WHEREAS, an ACP position paper on Climate Change and Health points out that “many European countries …launch(ed) public health interventions to minimize heat-related health problems in a region or population” (5); and

WHEREAS, Public Citizen and other organizations are petitioning the Occupational Safety and Health Administration (OSHA) to establish a standard for occupational heat exposure, which includes protections such as mandatory rest breaks, and access to shade and to hydration (3); and

WHEREAS, ACP has no existing policy on excessive heat protections; therefore be it

RESOLVED, that the Board of Regents studies data on illnesses caused by excessive heat exposure and formulate a policy on worker excessive heat protection

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 9-F19. Endorsing the Federation of State Medical Boards April 2018 Report on Stem Cell Therapies
Sponsor: New York Chapter

WHEREAS, one of ACP’s stated goals includes, “To advocate responsible positions on individual health and on public policy relating to health care for the benefit of the public, our patients, the medical profession, and our members”; and

WHEREAS, stem cell and regenerative therapies offer opportunities for advancement in the practice of medicine; and

WHEREAS, there may be evidence for improved patient outcomes through health innovation and technology; and 

WHEREAS, the FSMB April 2018 report states “concern about a growing number of providers and clinics in the United States that are undermining the field. Such providers and clinics have been known to apply, prescribe or recommend therapies inappropriately, over-promise without sufficient data to support claims, and exploit patients who are often in desperate circumstances and willing to try any proposed therapy as a last resort, even if there is an excessive cost or scant evidence of efficacy”; therefore be it

RESOLVED, that the Board of Regents endorses the Federation of State Medical Boards Report (April 2018) (1) evaluating the prevalence, promotional practices and incidence of patient harm related to regenerative and stem cell therapies in the U.S.; and be it further

RESOLVED, that the Board of Regents refer to the Federation of State Medical Boards Report (April 2018) to educate physicians and the public concerning unregulated clinics and Stem Cell Tourism.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 10-F19. Optimizing Data Coming from Pharmacy Benefit Manager Systems to Improve Patient Prescription Adherence
Sponsor: Michigan Chapter

WHEREAS, patient adherence with prescription drug access and usage is important to all physicians; especially primary care internists (PCPs) who prescribe multiple medications and track patients over time as they move within the health care system; and

WHEREAS, pharmacy benefit manager systems (PBMs) record all types of patient information, for example:  patient demographics, payor name and benefit package as well as formularies, prices, dates of prescriptions and prescribers names; and

WHEREAS, most PCPs now participate in E-prescribing systems such that prescribed medications interface  with electronic medical records and pharmacy software systems that include patient demographics and other patient/provider pharmacy utilization history; and

WHEREAS, PBMs and pharmacies regularly use marketing tools to prompt PCPs regarding when medications are due for refill and other information regarding safety concerns such as drug interactions or allergies; therefore be it

RESOLVED, that the Board of Regents work with PBMs such that the information shared between physicians and PBMs be clinically meaningful and prioritized to include: Pricing information to include current formulary pricing per drug such that physicians become familiar with costs for improved utilization and patient education and to enhance patient adherence and affordability; and be it further

RESOLVED, that the Board of Regents work with PBMs such that data is shared between the PBM or the pharmacy and the prescribing physician regarding patient access: date of pick up or delivery of a prescription to the patient or patient’s representative.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 11-F19. Addressing Generic Medication Recalls
Sponsor: New York Chapter

WHEREAS, one of ACP’s stated goals includes, “To advocate responsible positions on individual health and on public policy relating to health care for the benefit of the public, our patients, the medical profession, and our members”; and

WHEREAS, there have been many generic medication recalls in the United States because of poor manufacturing processes and lack of oversight by the Federal Drug Administration; and 

WHEREAS, these recalls have resulted in medication shortages and higher costs to patients; therefore be it

RESOLVED, that the Board of Regents petition CMS for reimbursement of brand medications at the lowest copayment tier so that patients can be effectively treated until the generic drug recall and shortage is resolved.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 12-F18. Calling Upon Pharmacies to Refrain from Requesting Physicians to Renew Medications Not Requested or Required by Patients
Sponsor:  District of Columbia Chapter

WHEREAS, the American College of Physicians has promoted policy aimed at improving the cost, safety, and appropriateness of medication prescribing to patients; and

WHEREAS, one of the American College of Physicians’ Missions and Goals is to advocate for responsible positions on individual health and on public policy relating to health care for the benefit of the public and our patients; and

WHEREAS, more and more pharmacies are automatically requesting physicians to refill prescriptions that physicians have written for patients which are no longer needed by the patients and for which the patients neither requested their pharmacies to refill or even know that their pharmacies are requesting renewal from their providers; and

WHEREAS, this practice on the part of pharmacies can lead physicians to believe patients need medication they do not actually need (and thereby result in physicians authorizing the renewal of unnecessary medications) and confuse patients into taking medication they do not need any longer; and

WHEREAS, this can lead to inappropriate prescribing and medication side effects which might be otherwise avoided; therefore be it

RESOLVED, that the Board of Regents develops policy that calls for pharmacies to refrain from requesting physicians to renew medications not requested or necessarily required by patient; and be it further

RESOLVED, that the Board of Regents disseminates to insurance plans and appropriate federal committees and health care policy makers any new ACP policy prepared that calls for pharmacies to refrain from requesting physicians to renew medications not requested or necessarily required by patients.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 13-F19. Advocating for CMS to Ease the Burdens of Risk Adjusted Factor Scoring on Physicians Practicing in Accountable Care Organizations
Sponsor: North Carolina Chapter

WHEREAS, novel payment models such as accountable care organizations are shifting financial risk to clinicians; and

WHEREAS, Hierarchical Condition Categories (HCC) are a risk-adjustment tool derived from ICD codes within retrospective claims data originally intended for use by Medicare Advantage Plans; and

WHEREAS, Risk Adjusted Factor scores are the sum of a patient’s reported HCCs and are used to predict expected annual expenditure; and

WHEREAS, it is important that the medical record accurately capture severity of illness and risk; and

WHEREAS, current HCC and RAF scores are flawed and only predict 12% of cost variation between individual beneficiaries; and

WHEREAS, an unintended consequence has occurred where the highest possible RAF score is now desired in order to maximize the Medicare shared savings a practice will receive; and

WHEREAS, physicians are now expected by administrators to spend time during each clinic visit hunting for the highest HCC code; and

WHEREAS, this system can encourage implicit fraud by charging codes that are not medically necessary (e.g., thoracic aortic atherosclerosis), hijack the visit agenda from the patient, and contribute to physician burnout; and

WHEREAS, these changes to the practice of medicine are made with little evidence behind how they affect patient outcomes, patient experience, or provider experience; therefore be it

RESOLVED, that the Board of Regents lobby CMS to develop policies that minimize the burdens that RAF scoring has placed on clinicians and maximize the accuracy of risk adjustment scoring by leveraging automated data collection technologies in the EHR that capture and store clinical data to accurately account for severity, comorbidities, sociodemographic and other risk factors contributing to patient health outcomes without relying on clinicians and clinic staff to re-enter this data at each clinical encounter; and be it further

RESOLVED, that the Board of Regents should call for more research on how value-based medicine is affecting patient outcomes, cost, the patient experience, and the provider experience. 

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 14-F19. Reviewing Literature on the Impact of Informal Caregiving on Healthcare Outcomes
Sponsor: BOG Class of 2021
Co-sponsor: BOG Class of 2022

WHEREAS, caregiving is a major component of a social support network and is, therefore, a social determinant of care and affects health inequalities and outcomes[1]; and

WHEREAS, the shift of care burden to home-based settings falls disproportionately to women and minorities[2] and thus contributes to disparities in care; and

WHEREAS, shifts in healthcare towards outpatient and home-based settings increases the demand for caregiving from informal care providers including a patient’s family and friends; and

WHEREAS, there is no consistent and accessible caregiving guidance available for informal caregivers; and

WHEREAS, access to skilled, knowledgeable, and competent caregivers at home impacts patient safety, including adherence to medical recommendations and treatments, recognition of worsening health status, and risk factors for medically complex, frail and functionally impaired individuals; and

WHEREAS, informal caregivers often experience periods of social isolation and loneliness, leading to a deterioration in a caregivers emotional and physical well-being[3] [4] [5]; and

WHEREAS, caregivers living with individuals with cognitive or physical disorders are at particularly high-risk of experiencing negative outcomes as a consequence of caregiving responsibilities; and

WHEREAS, an estimated 16.1 million caregivers in the United States provide unpaid caregiving to someone with dementia; and

WHEREAS, internists oversee and manage individuals with multiple medical problems, cognitive and physical function decline, and create comprehensive treatment plans overseen and implemented by informal caregivers; therefore be it

RESOLVED, that the Board of Regents review the literature regarding family and informal home-based caregiving as it impacts health outcomes, and summarize the evidence regarding caregiver education and training, well-being, and the impact of findings on patient outcomes; and be it further

RESOLVED, that the Board of Regents develop a strategy to inform and educate internists on the importance of and best ways to support family and informal caregivers, including certification programs and education; and be it further

RESOLVED, that the Board of Regents develop guidance, best practices and tools for physicians to use in consultation with patients and their caregivers that aligns with patient and caregiver needs.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 15-F19. Developing Ethical Guidance on Medical Professional Online Endorsements as Social Media Influencers
Sponsor: Council of Resident/Fellow Physicians

WHEREAS, the advent of social media has allowed physicians and medical students to reach a wide audience that spans well beyond those encountered for direct patient interaction; and

WHEREAS, many professional organizations such as the ACP and AMA have offered guidance on professionalism in the world of social media; [1,2,3] and

WHEREAS, pharmaceutical and health product companies had dramatically expanded marketing in recent years including using social media as a way to target consumers; [4] and

WHEREAS, a recent trend in some social media platforms is to use popular users as advertisers for various products (sometimes called “Influencers”); and

WHEREAS, social media has blurred the lines between personal story and advertisement; and

WHEREAS, physicians, health professionals, and now medical students have actively engaged in advertising for products – both health and non-health related – knowingly or unknowingly using their credentials as support; [5,6,7] and

WHEREAS,  there is increasing concern about the deceptive nature of advertisements for health products online which confound a patient’s ability to discern advertisement from endorsements; and

WHEREAS, the Federal Trade Commission supports truth in advertising and suggests that bloggers and social media users should be disclosing when they are being paid or otherwise compensated for supporting products however currently does not enforce these guidelines; [8] and

WHEREAS, although ACP has policy on social media and online professionalism, the College does not provide guidance on the topic of social media influencers/advertisers nor does it address engagement in deceptive advertising on these platforms; therefore be it

RESOLVED, that the Board of Regents develop ethical guidance on medical students and physicians advertising/endorsing products online without clearly stating they are paid/compensated for their posts/endorsements; and be it further

RESOLVED, that the Board of Regents advocate that physicians and medical students using blogging and social media for financial gains have clearly stated conflicts of interests to help patients/consumers discern claims that are financially motivated from statements that are evidenced based; and be it further

RESOLVED, that the Board of Regents consider inclusion of these recommendations in future updates to its Ethics Manual.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 16-F19. Opposing ‘Conscience Clauses’ as Discriminatory
Sponsor: Council of Resident/Fellow Physicians

WHEREAS, the Department of Health & Human Services of the United States Government has created a new division named the “Conscience and Religious Freedom Division” which recognizes conscience protections for healthcare providers who refuse to perform, accommodate, or assist with certain health care services on religious or moral grounds (1); and

WHEREAS, specific states have also enacted laws allowing for physicians to refuse to treat patients based on a sincerely held religious belief, protecting them from state licensing board disciplinary actions (1,2); and

WHEREAS, it is known that religious refusal laws disproportionately affect women, women of color, and members of the LGBTQ+ community (1); and

WHEREAS, the American College of Physicians (ACP) has policy stating that “All patients, regardless of race, ethnic origin, gender, nationality, primary language, socioeconomic status, sexual orientation, cultural background, age, disability, or religion, deserve high-quality health care.”[3]; and

WHEREAS, ACP recognized the role of governments in regulating the physician-patient relationship but also recognized governments should not interfere with the practice of evidenced-based medicine (4); and

WHEREAS, ACP notes that state medical boards regulate the practice of medicine and grant privileges to practice, and “ensure patients that licensed physicians meet professional standards of care, ethics, and professionalism that, if not met, could compromise patient safety”(4); and

WHEREAS, the American Medical Association (AMA) has stated that “physicians who offer their services to the public may not decline to accept patients because of race, color, religion, national origin, sexual orientation, gender identity, or any other basis that would constitute invidious discrimination” (5); and

WHEREAS, the current ACP Ethics Manual states, “Although the physician must address the patient's concerns, he or she is not required to violate fundamental personal values, standards of medical care or ethical practice, or the law. If the physician cannot carry out the patient's wishes after seriously attempting to resolve differences, the physician should discuss with the patient his or her option to seek care from another physician” (6); therefore be it

RESOLVED, that the Board of Regents oppose any legislation or directive by a state or federal government which excuses clinicians from the duty to provide basic medical care including (but not limited to): emergency services, primary care services, education on all potential evaluation and treatment options for their suspected disease, and appropriate referral to another provider based on “conscience clauses”, a form of discrimination which allows clinicians to refuse services to a patient based on their race, ethnic origin, gender, nationality, primary language, socioeconomic status, sexual orientation, cultural background, age, disability, or religion; and be it further

RESOLVED, that the Board of Regents work with other professional organizations such as the American Medical Association, American Academy of Family Physicians, and American College of Obstetricians and Gynecologists to combat the growing effort by state and federal governments to allow for damaging conscience refusals.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

Question Title

* Resolution 17-S19. Opposing Fast Track Medical Education for Non-Physician Health Care Providers
Sponsor: District of Columbia Chapter

WHEREAS, the American College of Physicians has a history of offering position papers on medical education and the nation’s health care work force needs (e.g., “Solutions to the Challenges Facing Primary Care Medicine” ACP Policy Monograph 2009 and “Aligning GME Policy with the Nation’s Health Care Work Force Needs” ACP Position Paper 2011); and 

WHEREAS, the Mission and Goals of the ACP include establishing and promoting the highest clinical standards and ethical ideals, as well as to advocate responsible positions on individual health and public policy relating to health care; and 

WHEREAS, a suggestion has been made at the Oct 4, 2018 MedPAC meeting that medical schools make it easier for physician assistants (and related professionals) to get an MD degree by developing “degree completion” programs that take into account physician assistant (and similar) medical experience; and

WHEREAS, undergraduate medical education is purposely rigorous in length and content with specific prerequisite requirements; and 

WHEREAS, a diminution of prerequisite requirements and medical school coursework for NP’s and PA’s devalues the uniqueness of medical training and puts traditional medical students at a competitive and financial disadvantage; and

WHEREAS, fast-tracking NP’s and PA’s through medical school may have an unintended adverse effect on patient care in terms of quality, safety, and cost; therefore be it

RESOLVED, that the Board of Regents develops policy that opposes fast tracking of non-physician health care providers (NP’s, PA’s, etc.) through medical school and not allowing them to graduate from medical schools without fulfilling the same prerequisite requirements and curriculum requirements that traditional medical students must complete.

  Support Oppose N/A
High Priority
Medium Priority
Low Priority

T