Plan to Attend the 8th Annual Tilton Award Event on October 18th

The Medical Society of Delaware together with the Tilton Society are pleased to announce this year's recipient of the Tilton Award, recognizing medical Achievement in Delaware. The award pays tribute to MSD's first President, James Tilton, MD, who was a medical pioneer, innovator, and statesperson. This year's awardee is MSD member Louis E. Bartoshesky, MD. Dr. Bartoshesky will be presented the coveted Tilton Bust at the Tilton Award Ceremony being held on Friday, October 18, 6:00-7:30 p.m. at the University and Whist Club in Wilmington. Award recipients must meet the characteristics of Dr. Tilton, first and foremost being a member of MSD:

August Congressional Recess is in Full Swing

The Congressional recess is in full swing and physician advocates just like you have been taking advantage of the unique opportunities to engage with their members of Congress while they're "back home." Find out how you can take advantage of the August recess and tell Congress to Fix Medicare Now!  This fall the American Medical Association's top federal priority remains reforming Medicare's broken physician payment system, and we need your help! CMS' recent proposed rule has physicians slated for an additional 2.8 percent Medicare payment reduction on January 1. This latest inexcusable cut looms despite the fact that CMS also projects the increase to the MEI to be 3.6 percent in 2025. That's why it's so urgent that Congress work with the physician community to develop long-term solutions to the systematic problems with the Medicare physician payment system and preserve patient access to quality care. To make these interactions with your legislators as impactful as possible, the AMA has developed an online August recess resources site that is your one-stop-shop for toolkits, legislative calls to action, issue briefs, infographics and detailed information on scheduling and preparing for legislative meetings and other in-district opportunities. It's not too late to fight for your practice and your patients - Please take advantage of the August recess to let your members of Congress know that it's time to Fix Medicare Now! Everyone agrees that the Medicare physician payment system is broken – let's do something about it! 

Protect Against Currently Circulating Variants

Today, the U.S. Food and Drug Administration (FDA) approved and granted emergency use authorization (EUA) for updated mRNA COVID-19 vaccines (2024-2025 formula) to include a monovalent (single) component that corresponds to the Omicron variant KP.2 strain of SARS-CoV-2. The mRNA COVID-19 vaccines have been updated with this formula to more closely target currently circulating variants and provide better protection against serious consequences of COVID-19, including hospitalization and death. Today’s actions relate to updated mRNA COVID-19 vaccines manufactured by ModernaTX Inc. and Pfizer Inc. The updated mRNA COVID-19 vaccines include Comirnaty and Spikevax, both of which are approved for individuals 12 years of age and older, and the Moderna COVID-19 Vaccine and Pfizer-BioNTech COVID-19 Vaccine, both of which are authorized for emergency use for individuals 6 months through 11 years of age. Given waning immunity of the population from previous exposure to the virus and from prior vaccination, the CDC strongly encourages those who are eligible to consider receiving an updated COVID-19 vaccine to provide better protection against currently circulating variants.

Register by August 26th to Receive a Commemorative T-Shirt

For the third year in a row, MSD is joining DNREC's Coastal Clean Up at Herring Point, Cape Henlopen State Park in Lewes, taking place on Saturday, September 14th beginning at 10 a.m. (rain date September 21st). In 2023, our efforts netted over 75 pounds of trash collected from the beach. Join us this year to beat the 2024 goal. All are welcome! Bring your kids for a special day and a good cause to help clean up the environment. Watch a video clip with a special message from MSD member Dr. Sarah Mullins about this event. Be sure to register by Monday, August 26th to get a commemorative MSD Beach Clean Up T-shirt! Your kids will thank you for it! Click here to register.

An Unforgettable Evening at the MSD Night at the Blue Rocks

On Friday, August 16, 2024, MSD gathered at Frawley Stadium to cheer on the Wilmington Blue Rocks as they took on the Brooklyn Cyclones. The excitement kicked off at 6:35 p.m., and the night was filled with thrilling baseball action, laughter, and community spirit! Fireworks Spectacular: The night ended with a bang as the Blue Rocks mascot hit the TNT button, lighting up the sky with a dazzling fireworks display. Event Highlights: Check out our recap video featuring the Blue Rocks mascot dancing, the electrifying fireworks, and a group photo of some of the attendees! Thank you to everyone who came out to support and enjoy a night of fun and camaraderie. Stay tuned for more events and let’s keep the spirit of community alive! Click here to watch MSD's event highlights.

FTC Doesn't Have the Authority to Ban Noncompetes by Adopting Broad Rules

A federal judge in Texas on Tuesday this week blocked a rule issued by the Federal Trade Commission (FTC) banning noncompete agreements, saying the agency doesn't have the authority to ban what it deems unfair methods of competition by adopting broad rules. In her ruling, US District Judge Ada Brown argued that even if FTC had the authority to adopt the rule, it didn't justify banning nearly all noncompete agreements. The rule was slated to take effect in September. In April, FTC voted 3-2 to approve a rule banning noncompete agreements. Under the rule, companies wouldn't be able to issue noncompete agreements and would be required to inform employees with existing noncompete agreements that they will not be enforced. Currently, noncompete agreements are used in an estimated 40% of physician employment contracts and are used by many hospitals, health systems, physician groups, insurance companies, and pharmacy benefit managers. According to FTC estimates, banning noncompetes would increase employees' earnings by up to $488 billion over the next decade and could lead to the creation of over 8,500 new businesses each year. The agency also noted that the rule could lower health care costs by up to $194 billion over the next decade.

CDC Issues Health Advisory

The Centers for Disease Control and Prevention (CDC) issued a Health Alert Network (HAN) Health Advisory to notify clinicians and public health authorities of an increase in Oropouche virus disease in the Americas region, originating from endemic areas in the Amazon basin and new areas in South America and the Caribbean. Between January 1 and August 1, 2024, more than 8,000 cases of Oropouche virus disease were reported, including two deaths and five cases of vertical transmission associated with fetal death or congenital abnormalities. Countries reporting cases include Brazil, Bolivia, Peru, Colombia, and Cuba. In the United States and Europe in 2024, travel-associated cases have been identified in travelers returning from Cuba and Brazil. As testing and surveillance for Oropouche virus disease increase in the Americas, reports of cases from additional countries are expected. The Health Advisory advises on evaluating and testing travelers who have been in impacted areas with signs and symptoms consistent with Oropouche virus infection. It also raises awareness of the possible risk of vertical transmission (e.g., from gestational parent to fetus during pregnancy) and associated adverse effects on pregnancy and highlights prevention measures to mitigate additional spread of the virus and potential importation into unaffected areas, including the United States.

Increased Access to First Step of Syphilis Diagnosis

The first at-home, over-the-counter antibody test for syphilis received marketing authorization from the U.S. Food and Drug Administration (FDA) on Friday last week. Biotechnology company NOWDiagnostics, Inc., manufactures the test. The new test, called First To Know, uses a drop of blood to offer an early indication that a person may have syphilis, with results available in about 15 minutes. The results must be confirmed by a doctor. According to the U.S. Centers for Disease Control and Prevention (CDC), reported syphilis cases increased 80% in the United States between 2018 and 2022 (from 115,000 to more than 207,000), continuing a decades-long upward trend.

USPSTF Final Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) released a final recommendation statement on screening and supplementation for iron deficiency and iron deficiency anemia during pregnancy. The Task Force found that more research is needed to determine whether or not pregnant people should be screened for iron deficiency or take iron supplements. To view the recommendation, the evidence on which it is based, and a summary for clinicians, please go here. The final recommendation statement can also be found in the August 20 online issue of JAMA. 

Fluoride at Twice the Recommended Limit Linked to Lower IQ in Children

The long-awaited report released comes from the National Toxicology Program, part of the Department of Health and Human Services, that concludes that drinking water containing more than 1.5 milligrams of fluoride per liter is consistently associated with lower IQs in kids. The report did not try to quantify exactly how many IQ points might be lost at different levels of fluoride exposure. But some of the studies reviewed in the report suggested IQ was 2 to 5 points lower in children who’d had higher exposures.

Reduction in Frequency, Severity of Hot Flashes, Improved Sleep and Quality of Life

UVAHealth reports the investigational drug elinzanetant significantly reduces the frequency and severity of hot flashes associated with menopause while improving women’s sleep and quality of life, new UVA Health research published in the prestigious Journal of the American Medical Association shows. The nonhormonal drug, which contains no estrogen, was tested in two phase 3 trials, Oasis 1 and 2, at dozens of locations in the United States, Europe and Israel, including UVA Health. Postmenopausal women ages 40-65 with moderate to severe hot flashes were randomized to receive either 120 mg of elinzanetant daily for 26 weeks or a harmless matching placebo for 12 weeks followed by 14 weeks on elinzanetant. The women who received elinzanetant reported rapid improvements in their symptoms and quality of life. The trials revealed statistically significant reductions in hot flash frequency and severity within the first week in both trials. At the same time, sleep quality and overall quality of life improved in both trials by week 12. 

Legislation Supports Safe Communities

Last week, Governor Carney joined elected officials and advocates to sign a package of gun safety legislation.

• House Bill 311 - Banning firearms on college campuses
• House Substitute 1 for House Bill 342 - Voluntary do-not sell registry
• House Substitute 1 for House Bill 270 - Safe storage of ammunition in stores
• House Bill 155 - Safe storage of firearms in vehicles

Used Another RN's Identity to Obtain Employment as an RN at Delaware Facilities

Attorney General Kathy Jennings announced that a Maryland resident was arrested for allegedly stealing the identity of a registered nurse and then trying to use those credentials to fraudulently obtain employment in Delaware nursing homes. Nicole L. Vanhorn, a/k/a Nicole Van Horn, was arrested on August 19th following an investigation led by the Medicaid Fraud Control Unit (MFCU), a unit within the Delaware Department of Justice’s Fraud & Consumer Protection Division. The investigation followed a report by the Delaware Division of Professional Regulation’s Board of Nursing that Vanhorn—formerly a resident of Middletown, Delaware—attempted to use a Pennsylvania-licensed RN’s identity supported by fictitious educational and professional credentials to obtain a Delaware nursing license. Following the Board of Nursing’s report, MFCU discovered that since at least December 2022, Vanhorn used falsified credentials attempting to obtain employment as a health care professional and managed to obtain conditional employment as an RN at two Delaware long-term care facilities. There is no evidence at this time that Vanhorn treated any patients in Delaware. Anyone with additional information about Vanhorn should contact the MFCU hotline at (302) 577-5000. 

Ashleigh A. Allen, MD - Pathology, ChristianaCare Pathology

Nathan R. Bruns - Medical Student at PCOM/ChristianaCare

Shivali Gupta, MD - Internal Medicine/Pediatrics Resident, ChristianaCare

Mitchell F. Keamy, MD - Anesthesiology, Mitchell Keamy, MD, LLC

Christie L. Miller, MD - Obstetrics and Gynecology

Maya M. Sengha, DO - Psychiatry Resident, ChristianaCare

MSD members are afforded a seven-day review period from the date of this publication to comment regarding applicants for membership. Please contact Michelle Seymour at (302) 224-4905 or Michelle.Seymour@medsocdel.org with any comments on the current pending member(s) listed above or if you know of someone interested in joining MSD. You could be eligible for a membership referral discount on your dues!



Cecilia A. Richardsen, MD

MSD spotlights members throughout the state, highlighting medical students, residents, and practicing colleagues, whether they are new to membership or have been a member over the years.

This week’s spotlight is on Cecilia A. Richardsen, MD, Internal Medicine/ Emergency Medicine Resident at ChristianaCare. Read more about Dr. Richardsen.

If you would like to be featured in a future Member Spotlight, please contact Michelle Seymour, Membership Manager.

G. Dean MacEwen, MD

It is with sadness we share that long time MSD member G. Dean MacEwen, MD passed away on August 6, 2024, at age 96. An internationally renowned pioneer in pediatric orthopedic surgery, his contributions to the field have left an indelible mark, influencing countless surgeons and shaping the field of pediatric orthopaedics. Dr. MacEwen earned his medical degree from Queen's University in Kingston, Ontario and completed an internship at the District of Columbia General Hospital. He continued his training at the Campbell Clinic in Memphis, TN. Dr. MacEwen joined A.I. duPont Hospital (Nemours Children's Hospital) in 1958 under the leadership of Dr. Alfred Shands. Over the next three decades, Dr. MacEwen established and elevated the field of pediatric orthopaedics with groundbreaking contributions that include the development and modification of devices to treat scoliosis and congenital hip dysplasia that continue to benefit patients today. He also established screening protocols for hip dysplasia in newborns and scoliosis in school children, improving early diagnosis and treatment outcomes. He established the International Pediatric Orthopaedic Research Fellowship, allowing young orthopaedic surgeons from around the world to study in Wilmington. After retiring from Nemours in 1987, Dr. MacEwen continued his work at the Children's Hospital in New Orleans and later at St. Christopher's Hospital for Children in Philadelphia. His legacy is further cemented by the establishment of the Shands/MacEwen Orthopaedic Care Center, the Shands/MacEwen Endowed Chair of Orthopaedic Surgery, and the Dr. G. Dean and Mrs. Marilyn MacEwen Educational Fund at Nemours. In 2017 a conference room at the former MSD Building was named after Dr. MacEwen and that same year he was presented with the Medical Society of Delaware's Tilton Award. A memorial service will be held at 11 a.m. on October 19th at Westminster Presbyterian Church in Wilmington with a reception to follow. In lieu of flowers, the family requests donations be made to the Dr. G. Dean and Mrs. Marilyn MacEwen Educational Fund at Nemours Children's Health, supporting the education of future leaders in pediatric orthopaedic surgery. Gifts may be made online at www.nemours.org/macewen or by check mailed to Nemours Children's Health Alliance, Shands House, 1600 Rockland Rd, Wilmington, DE 19803. Read obituary.

Bayhealth

Bayhealth’s 19th annual Go Pink! breast cancer awareness and fundraising campaign is officially underway. Community members can participate by purchasing a specially designed Go Pink! T-shirt for a donation of $20—and by wearing them all October long to support Breast Cancer Awareness Month! Proceeds will be shared with the Delaware Breast Cancer Coalition (DBCC) and used by both organizations to fund breast cancer screenings for underserved populations and help increase breast cancer awareness and education.

Beebe Healthcare

Beebe Healthcare announced it has earned five Get With The Guidelines® quality awards from the American Heart Association. This national recognition program is facilitated annually to recognize hospitals and health care systems that are continuously advancing and improving care for cardiovascular and stroke patients. 

Saint Francis Hospital

Saint Francis Family Medicine Residency Program is looking for part-time preceptors to work with their residents. If you are interested in sharing your knowledge one to three half-days per week in their office, they would love to have you join them! This opportunity is perfect for a board-certified family medicine physician who is moving toward a part-time practice or retirement, or is just interested in teaching the next generation and can spare a half-day or two or three. Their office suite recently went through a complete renovation so you will be working in a beautiful new facility. Excellent compensation, flexible days. If interested, please email Louise Digenova at louise.digenova@che-east.org

TidalHealth

TidalHealth's Drive for Mobile Mammography is a fundraising campaign to launch the region’s only mobile mammogram unit, bringing life-saving breast cancer screening services and earlier detection directly to communities — even the doorsteps — of people who need it the most. Many women on Delmarva miss their regular screenings because of financial and transportation restrictions and a lack of care nearby. TidalHealth hopes to have the mobile unit on the road by 2026. It will travel to Sussex County, Delaware, and Worcester, Wicomico, and Somerset Counties in Maryland visiting neighborhoods, workplaces and community centers to provide high-quality mammograms and educational resources in a convenient and comfortable setting. The TidalHealth Foundation extends a heartfelt thank you to Willowbrook and the Drummond family for their donation of event proceeds from the Wheels at Willowbrook event. To learn more about the Drive for Mobile Mammography and to contribute, visit tidalhealth.org/mobilemammo or call the TidalHealth Foundation at 410-543-7140.

Westside Family Healthcare

“Captain Westside and The Health Heroes: Caring For Delaware’s Families!" is now released and available for purchase! Their goal is to distribute 6,000 Captain Westside children’s books within the first year through the Reach Out and Read Program that provides new books to their youngest patients during their routine check-ups and supports providing books to children in need within in our own communities. By donating $12, you will receive 1 book and your donation gives 1 book to our youngest patients. Your generosity is what makes our goal possible! Westside hosted a book launch on July 24th at the Wilmington Public Library. Learn more about Captain Westside here.

Now on AMA Update: Your Physician-Focused News Source

Get the latest on CDC guidelines for RSV, plus answers on the mpox outbreak and how bad the summer COVID surge is in the U.S. Read more.

Not All Flood Policies are Equal

Most homeowners' policies specifically exclude flood coverage. Before determining if they need flood insurance, homeowners should understand what a flood is. FEMA’s definition of flood is: “A general and temporary condition of partial or complete inundation of two or more acres of normally dry land area or of two or more properties (at least one of which is your property).” Also consider that a lender may not require a homeowner to purchase flood insurance. Does this mean the home will not flood? No — when it comes to flood insurance, follow this rule: If you have a zip code, you should have flood insurance. Read more.

Don't Wait! This Fundraiser Only Runs Throughout August

As a year-round charity fundraising effort, MSD supports the Kind to Kids Foundation to make an impact in the lives of children and teens in foster care. MSD is announcing our Back-to-School fundraising event for Kind to Kids, running throughout the month of August. This is a wonderful opportunity to support children and teens in foster care as they prepare for the new school year. Here's how YOU can help:

• By purchasing identified items - Visit the Amazon link to buy school supplies. Remember to leave your name and mention MSD in your order note. Kind to Kids will personally thank you for your generosity.
• Monetary donations - Use our direct MSD donation link to contribute. 100% of every dollar donated online will go directly to help a foster child during these difficult times.

As a convenience for mobile phone users, download the flyer to scan the QR codes.

Calculate and Reduce Your Travel Carbon Footprint

Most of us love to travel. But travel’s “dark side“ is its environmental cost:  the carbon dioxide and other pollutants created from the fossil fuels burned for travel by air, land, or sea. The Green Travel Guide from MSD's My Green Doctor offers ways to calculate and reduce your travel carbon footprint. My Green Doctor is a free money-saving membership benefit provided through the Medical Society of Delaware. Members and practice managers use the “Meeting-by-Meeting Guide” to learn how to adopt environmental sustainability, save resources, address the health threats of climate change, and help create healthier communities. This requires adding just five minutes to each regular clinic or practice staff meeting, making small changes at each meeting that really add up. Watch the “Three Minute Video” explaining how easy it is to incorporate My Green Doctor into your practice. We welcome everyone in your practice to register as Partner Society members at https://www.MyGreenDoctor.org or at www.MyGreenDoctor.es (si, en espanol). Use the discount code MGDMSD when you register to get free access to My Green Doctor and save money!

Normalize, Support and Celebrate PTO

The way co-workers talk about vacations influences workplace culture. Leaders and colleagues sometimes praise those who work while taking paid time off. If someone takes their laptop on vacation with them to check messages, a common response might be, "Wow, that's so impressive" - which sends a message reinforcing self-sacrifice. Try this alternative message: "I'm sorry you had to do that; let's try to fix this problem."

LEARN MORE:

• Toolkit: "Real PTO" for Physicians
• Playbook: Wellness-Centered Leadership

AMA STEPS Forward^® offers a collection of engaging and interactive educational content designed to help put the joy back into medicine. Access the archive of previous Pearl email topics.

Before It Is Too Late

As a key decision-maker in health care, you understand the critical importance of safeguarding your organization's financial health while continuing to provide outstanding patient care. The Hardship Exception Application is your opportunity to prevent potential MIPS penalties that could impact your Medicare reimbursement.

Avoid Penalties: The Hardship Exception allows your hospital or critical access hospital to be exempt from MIPS reporting, protecting your financial stability in times of unforeseen challenges.

Key Deadlines:

• Eligible Hospitals - Apply by August 31, 2024
• Critical Access Hospitals (CAHs) - Apply by November 30, 2024

Mark Cuban is Shaking up Health Care

Entrepreneur and investor Mark Cuban is interested in disrupting health care to bring about long-term changes for the industry. In an interview with "The Daily Show" host Jon Stewart, he wants to make health care more affordable. Launched in January 2022, Cost Plus Drug Company works directly with drug manufacturers to bypass middlemen and lower prices. For consumers, the price of each drug includes a 15% markup as a profit margin, a $3 pharmacy handling fee and a $5 shipping fee. Cost Plus also transparently displays what it pays for its medicines. The company is now becoming a major disrupter in generic drug pricing. Cost Plus now sells about 2,500 medications, including some brand-name drugs, and it partners with a growing list of health systems. The company now works with at least four PBMs and has a partnership with Coherus BioSciences to sell a biosimilar version of AbbVie’s blockbuster rheumatoid arthritis drug Humira. Cost Plus also now manufacturers its own generic medications and as well as drugs in short supply out of a 22,000-square-foot manufacturing plant in Dallas. Cost Plus initially started to manufacture commercial batches of epinephrine and norepinephrine for patients in the intensive care unit. In July, the Food and Drug Administration approved allowing Cost Plus to temporarily import a syphilis drug that has been in shortage for more than a year. Cost Plus offers its medications through mail order but is starting to partner with retail pharmacies. Cost Plus' approach seems to be making an impact as incumbent pharmacy giants like CVS and Walgreens are now following Cost Plus' blueprint to offer transparent drug pricing.

Information on Recent Product Recalls

BD BACTEC MGIT 960 PZA Kits

BD sent an urgent Medical Device Correction update regarding the removal of affected BD BACTEC™ MGIT™ 960 PZA Kits. Through internal BD complaint trending and review of internal raw material testing, lots of BD BACTEC™ MGIT™ 960 PZA Kits were identified that may intermittently produce falsely resistant results for pyrazinamide (PZA) during susceptibility testing of Mycobacterium tuberculosis isolates. The current list of affected lots can be found here. Pyrazinamide (PZA) is widely used for the treatment of tuberculosis and its exclusion based on false resistance results can result in a less optimal treatment regimen, including extending the length of treatment and increased risk of medication side effects. Laboratories should immediately inspect their inventory and destroy affected product subject to the recall following their institution’s process of destruction. There are no recommendations for retesting or reviewing previous patient test results. 

Instruction Update for Batteries in Plum 360, A+ and A+3 Infusion System

ICU Medical is updating the use instructions for the Plum 360, Plum A+ and Plum A+3 Infusion Systems due to a manufacturing defect of the batteries, which can result in the life of the battery to substantially diminish. If the pump is running on battery power and there is no AC power backup available, the system may shut down an ongoing infusion and power down sooner than expected with no alarm. This updated notice expands affected products from a March 2023 notice and now includes all replacement batteries manufactured by CSB.

Chest Compression Device Recall

Defibtech, LLC, is recalling RMU-2000 ARM XR Chest Compression Devices due to a problem with the device’s motor that may cause it to stop compressions. The FDA has identified this as a Class I recall, the most serious type of recall. This recall involves removing certain devices from where they are used or sold. This device may cause serious injury or death if you continue to use it.  

Undeclared Sildenafil

Veata is recalling lot 230811, Exp 8/11/25 of Endurance Pro Energy Boost capsules. Veata LLC was notified by Amazon that the products were found to be tainted with sildenafil, an ingredient in FDA approved products for treatment of male erectile dysfunction in the family of drugs known as phosphodiesterase (PDE-5) inhibitors. Boulla is also recalling lot number 230811, exp 8/11/25 of Boom Max capsules. Boulla was notified by Amazon that the product was found to be tainted with sildenafil. Products containing sildenafil cannot be marketed as dietary supplements. Endurance Pro capsules and Boom Max are unapproved new drugs for which safety and efficacy have not been established and, therefore, subject to recall. Consumption of products with undeclared sildenafil may interact with nitrates found in some prescription drugs (such as nitroglycerin) and may cause a significant drop in blood pressure that may be life threatening. People with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates. Among the adult male population, who are most likely to use this product, adult males who use nitrates for cardiac conditions are most at risk. To date, Veata LLC and Boulla have not received any reports of adverse events related to this recall. The products were distributed via the internet and fulfilled by Amazon nationwide.

August 27 - atTAcK addiction's Sussex County Chapter invites the community to come together at The Circle in Georgetown to commemorate the lives lost to overdose, to share messages of remembrance, healing and hope, and to be offered local resources and support, 7 p.m., contact amy.rust@attackaddiction.org.

August 28 - WSFS "Private Banking for Professionals and Business Owners: Customized Financial Strategies to Meet Your Business Goals" Webinar, 12-1 p.m.

August 28 - atTAcK addiction's New Castle County Chapter will host a candlelight vigil at Main Street and Old College Avenue in Newark, and also provide resources and support to the public, including about Delaware's 911/Good Samaritan Law, 6:30-8:30 p.m., contact Jill.Fredel@attackaddiction.org.

September 13 - 9th Annual Neurovascular Symposium, 8:30 a.m.-2:30 p.m., John H. Ammon Education Center, ChristianaCare Newark Campus. This activity has been approved for a maximum of 6 AMA PRA Category 1 credit.

September 19 - DAFP Geriatric Medicine Symposium, 9 a.m.-1 p.m., virtual and in person at the Ammon Center, ChristianaCare Newark Campus.

September 19 - Delaware Division of Public Health One Health EpiChat Webinar "Fungal Diseases," 12-1 p.m. Registration required. Learn more at https://www.dhss.delaware.gov/dhss/dph/epi/onehealth.html

September 25 - 2024 Delaware Healthcare Workforce Summit, Breakfast and lunch included, 7:30 a.m. - 4 p.m., Delaware State University, Dover.

October 15 - 31st Annual E.G. Scott Microbiology Symposium, 8:15 a.m.-3:00 p.m., virtual and in-person at the Ammon Center, Newark. This activity has been approved for a maximum of 5.25 AMA PRA Category 1 credit.

October 17 - Delaware Division of Public Health One Health EpiChat Webinar "Respiratory Season," 12-1 p.m. Registration required. Learn more at https://www.dhss.delaware.gov/dhss/dph/epi/onehealth.html

October 18 - 53rd Annual Margaret I. Handy Memorial Lectureship, 9 a.m.-12:30 p.m., virtual. This activity has been approved for a maximum of 3 AMA PRA Category 1 credit.

October 19 - DAFP Healthcare Heroes 5k, 9 a.m. start, Cape Henlopen State Park, Fort Miles.

October 29 - 28th Annual Delaware Healthcare Forum, 8:30 a.m.-4:30 p.m., Bally's Dover Casino Resort, Rollins Center, Dover.

November 21 - Delaware Division of Public Health One Health EpiChat Webinar "What is One Health," 12-1 p.m. Registration required. Learn more at https://www.dhss.delaware.gov/dhss/dph/epi/onehealth.html

November 23 - SAVE THE DATE! MSD Annual Meeting and Presidential Reception, Christiana Hilton and White Clay Creek Country Club, Newark.

December 12 - SAVE THE DATE! Immunization Coalition of Delaware 2024 Immunization Summit, 12:30-5:30 p.m.

December 19 - Delaware Division of Public Health One Health EpiChat Webinar "Candida Auris," 12-1 p.m. Registration required. Learn more at https://www.dhss.delaware.gov/dhss/dph/epi/onehealth.html

February 28-March 4, 2025 - SAVE THE DATE! Medical Society Consortium on Climate & Health 2025 Annual Meeting, Arlington, VA (In-person congressional visits will be held in Washington, DC).

The Latin phrase Rerum Cognoscere translates to learn, examine, or become aware of facts or things. In this section, we highlight measurable items of interest in health care from MSD, Delaware, the US, and the world.