This edition comes from the District of Champions. Congratulations to our home teams, the Washington Nationals and Washington Mystics, on their hard-fought, well-deserved championship titles.
November 1, 2019
Vol. 26, No. 19
MSDC Install New President and Honors Physicians
MSDC thanks the numerous physicians and healthcare leaders who attended MSDC's 2019 Annual Meeting on October 25. Outgoing MSDC President Raymond K. Tu, MD, FACR saluted past presidents in attendance and reviewed the Medical Society's 11% membership growth in the past year and advocacy successes. J. Desiree Pineda, MD, FACP was installed as MSDC's first Latina president. She shared her vision of increased engagement and physician connection and announced a new physician well-being program to support physicians in the District of Columbia. Attendees are reminded to complete the meeting survey .

Highlights included presentation of MSDC Special Awards to the following honorees for their achievement and service to the city, medical society and profession.
  • Daniel Marchalik, MD: Certificate of Meritorious Service (for service to the profession)
  • Colette M. Magnant, MD: Dr. Charles H. Epps, III Community Service Award (for service to the community)
  • Roselyn E. Epps, MD: Distinguished Service Award (for service to the Medical Society of the District of Columbia)
  • United Medical Center Food & Nutrition Services and Jose Mari Parungao, MD: John Benjamin Nichols Award (for improving health)
In addition, the Medical Society and Alliance Foundation awarded student scholarships to Asiah Johnson and Treseat Nicole Lawrence.

The results of the 2019 Elections were announced: President-Elect: E.W. Emanuel, MD ; AMA Delegate: J. Desiree Pineda, MD ; AMA Alternate Delegate: Neal Barnard, MD ; At-large Directors:  Anthony Ibe, MD; Barry Lewis, MD; Yavar Moghimi, MD; Kirstiaan Nevin, MD; Theresa Stone, MD; Dock Winston, MD .
Surprise! Billing is a Topic Du Jour in Advocacy Discussions in DC
On November 13, the Committee on Health will holding a hearing on a number of health-related bills. Most importantly, B23-430 – The Access to Biosimilars Amendment Act of 2019 – will receive a hearing as DC tries to join 49 other states in regulating biosimilars and allowing physicians and patients to work together on affordable drugs. 

Other local legislation under review addresses maternal mortality and surprise billing. Read more. If you have any interest in participating at a hearing or learning more about MSDC advocacy, please contact Robert Hay Jr.
In response to the outbreak of vaping-related lung injury, MSDC has joined the DC Tobacco Free Coalition in a sign-on letter calling for an to end the sale of all flavored tobacco products including e-cigarettes, menthol cigarettes and flavored cigarillos in the District of Columbia.  
AMA: How a Presidential Order Threatens the Physician-led Care Team
A recent executive order directs HHS to get rid of “burdensome” supervision requirements—ones that help care teams benefit from physicians’ superior training and experience. MSDC has spoken out in unison with the AMA and other medical societies to ensure that high-quality care is protected. Read more from the AMA .
Physician Input Requested on Government Proposals
The Centers for Medicare & Medicaid Services is seeking comment from physicians on several proposals in the coming months. You are encouraged to provide physician perspective on regulations that are relevant to your practice. If you have questions, please read more below or contact Robert Hay Jr .

Have You Been Impacted by Unreimbursed Costs of Compliance?
A member has raised the issue of burdensome unreimbursed costs of complying with Americans with Disabilities Act. For example, translation services for the hearing impaired can cost physician hundreds of dollars per patient without reimbursement. If you have been impacted by this and would like to discuss possible remedies, please contact Robert Hay Jr.
MSDC eNewsline
Pia R. Duryea
202-355-9414 (direct)
202-466-1800 (main)
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Board of Directors
Susanne Bathgate, MD
Chair of the Board, At-large

J. Desiree Pineda, MD, FACP
President, AMA Alternate Delegate

E.W. Emanuel, MD

Raymond Tu, MD, MS, FACR
Immediate Past President, AMA Alternate Delegate

Joseph E. Gutierrez, MD
Treasurer, AMA Delegation Chair

Peter E. Lavine, MD
AMA Delegate

Julian Craig, MD

Laurie Duncan, MBBS, MS

Joseph Gutierrez, MD
AMA Delegate (Chair)

Anthony Ibe, MD

Barry L. Lewis, MD, MBA

Yavar Moghimi, MD

Kirstiaan Nevin, MD

Theresa Stone, MD

Dock Winston, MD

Robert Hay Jr., CAE
Executive Vice President
The following medical student recently joined MSDC:

Kathleen Sheridan Lubinsky
Past President Lewis Biben, MD, Passes
In addition to the recent passing of past presidents Carlos Silva, MD and Marvin Korengold, MD, MSDC recently bid farewell to another past president, Dr. Lewis Biben.
Lewis Biben, MD Dr. Biben was an esteemed physician leader and philanthropist. He came to Georgetown University School of Medicine for his residency in internal medicine.  Dr. Biben served as MSDC president in 1981, and he practiced internal medicine for many decades. He was a member of the DC Delegation to the American Medical Association. Read more
Member Benefit: Free CME Dinner
On November 21 and March 24, the Physicians Committee for Responsible Medicine will host a CME dinner at Maggiano's Little Italy. The CME event will cover nutrition’s powerful role in tackling obesity and chronic diseases as well as reviewing the surprising applications of nutrition for cancer prevention, chronic pain, Thyroid Disease, and Alzheimer’s Disease. MSDC members are invited by PCRM President and incoming AMA Delegate Neal Barnard, MD, to attend for free. Read more .
Public Health
Vaping-related Lung Illness Has a New Name: EVALI (E -cigarette or Vaping product use-Associated Lung Injury)
The Latest Numbers from the CDC
1,888 : # of lung injury cases associated with the use of e-cigarette, or vaping, products
37 : # of confirmed deaths from vaping-related lung injury
49+ : # of states, plus the District of Columbia and 1 U.S. territory, that have reported cases
The CDC figures above are as of October 29, 2019. For more, see the CDC's " Outbreak of Lung Injury Associated with E-cigarette use or Vaping "
How to Report Vaping Lung Disease
In September, the DC Department of Health issued a statement advising residents to stop using e-cigarettes. Healthcare providers are encouraged to promptly report any suspected cases of illness related to e-cigarette use you have seen since July to the District of Columbia Department of Health using the Notifiable Disease and Condition Case Report Form.

For information on reporting cases in Maryland, see this fact sheet from Montgomery County Medial Society.
Thank You To Our Corporate Supporters
MSDC 1817 Society
November is Diabetes Awareness Month
Diabetes is one of the leading causes of disability and death in the United States. Nine out of ten individuals don't know they are at risk. That's why it's important to raise awareness of diabetes, which disproportionately impacts DC residents. These CDC resources for health providers provide useful guidance for physicians. In addition, the AMA has resources to prevent diabetes STAT (Screen Today Act Today).
Actuaries Put Cost of Opioid Epidemic at $179 Billion, and That's Just for 2018
An NPR article on the ongoing national settlement worth $48 billion between local governments and pharmaceutical companies discusses the difficult math in calculating the cost of the opioid epidemic. An analysis from the Society of Actuaries and Milliman, an actuarial consulting firm, estimated the total cost of the epidemic to be $179 billion, just for 2018.  

Corporate Partners
Physician contracting: Understanding letters of intent
What is a letter of intent? And what types of things should be included in yours? Learn about what to expect and when you should retain an attorney during the contracting process. Read more from the AMA .
Meet Mid-Atlantic Permanente Medical Group , MSDC's Newest 1817 Society Member
The Mid-Atlantic Permanente Medical Group (MAPMG) is made up of more than 1,600 doctors responsible for providing exceptional medical care to Kaiser Permanente members. We are the largest integrated, multi-specialty medical group in the Mid-Atlantic. Owned and led by our physicians, our medical group has a unique relationship with Kaiser Foundation Health Plan. We choose to work exclusively with one insurance company instead of many, and the insurance arm of Kaiser Foundation Health Plan contracts only with us. Mid-Atlantic Permanente and Kaiser Foundation Health Plan serve the community as Kaiser Permanente. Mid-Atlantic Permanente provides care in more than 50 specialties at more than 40 medical centers, facilities, and hospitals in Washington D.C., Northern Virginia, and Baltimore.
AMA: Physicians increasingly face “hybrid” medical liability claims
California plaintiffs add battery claims to skirt non-economic damages cap in medical liability cases. The practice must be stopped. Read more from the AMA
Practice Management
What You Need to Know About DC Health Information Exchange
CRISP DC will be hosting its First Annual User Conference focused on its DC users. The format will echo previous successful forums CRISP has held in past years for Maryland users, however, the content will be specific to DC user needs. Opening remarks will include accomplishments thus far in DC and an overview of presently available services. Breakout sessions will include 2 tracks: one for newer users to master the basics, and the second track for more advanced users focusing CRISP’s use in specific workflows and a session on data quality.
The conference will be held November 5 from 9 AM to 1 PM at the Marriott Wardman Park Hotel. Registration is open now at  
Help Wanted: Practice Manager Opening
The Barnard Medical Center is seeking a medical practice manager for their growing primary care practice focused on integrating plant-based nutrition education and disease prevention into medical care. If you have at least three years of experience in practice management, apply today !
Practice Alerts
Below is an alert recently released by the DC Department of Health Care Finance with information about blood lead screening requirements:

November 13, 2019
6:00 PM
Cosmos Club (Massachusetts Avenue NW, Washington, DC)
Mike Magee, author of Code Blue: Inside America’s Medical Industrial Complex, is a medical historian and journalist at President’s College, University of Hartford. Eliot Sorel (’98) is an innovative global health leader, a practicing physician and a George Washington University professor. An introductory dialogue between Sorel and Magee will trace the sources of the writing of Code Blue, contextualized by the healthcare industry in the US and the quest for universal healthcare. Opening dialogue will be followed by further remarks by Magee and an open discussion. Join other members for this important conversation on universal healthcare, one of the top issues in the US Presidential debates. Price is $50. Reserve with Cosmos Club Member Services (202-387-7783) as a guest of Dr. Eliot Sorel. Read more.
Medical Real Estate Listings
Brought to you by MSDC Corporate Partner GZ Medical Realty. Contact Pete Papantoniou for your real estate needs.  
Office Sublet Available
600 square foot sublet available on 19th Street NW between Farragut North and Dupont Circle Metro. Brand new build out with separate suite number, entrance, waiting area. One office and one exam room with large window. One smaller office without windows. Sublet space is connected to an established private internal medicine practice. Price negotiable . Contact Dr. Alice Fuisz if interested.

University Medical Building
2141 K Street NW
Washington, DC 20037
University Medical Building is conveniently located in the heart of DC with easy access to Metro stations. Please contact Peter Papantoniou at 301-961-1941 or see the online listing for more information
Part Time/Full Time Office Space Available
3 Washington Circle
Washington, DC 20037
Part time/full time office space available immediately at 3 Washington Circle. This includes a large consultation room, fully equipped examination room, lab drawing facility onsite, EKG machine, space for receptionist, space for medical records, shared use of copier, telephone system, wireless internet and waiting room. Ideal for general internist, medical subspecialist or surgeon. If interested, please call Mark Sklar, MD. 202-887-4769 or email .
Boutique Townhouse Medical Office for Rent Across From GWU Hospital/ Medical School
900 New Hampshire Ave., NW
Washington, DC 20037
Boutique townhouse medical office for rent across from G.W.U. Hospital & School of Medicine. Very close to Foggy Bottom Metro. Three rooms, one on entry level with powered table/chair & overhead surgical light. Consultation room, reception/waiting room, & possibility of 2 additional rooms. Two-car driveway. Call/text Sheldon K. Gottlieb, MD, 301-509-3319, or email .
Woodburn Medical Park
3229 Woodburn Road
Merrifield, VA 22003

Woodburn Medical Park is located within walking distance of INOVA hospital directly off Capital Beltway. Common area has recently been upgraded. Contact Peter Papantoniou at 301-961-1941 or see the online listing for more information .
Full Time/ Part Time Office Space Available
Well-designed and attractively decorated office of three general internists has additional consulting room/exam room suite available. Looking for another general internist to share space and overhead in fully staffed and equipped internal medicine office. Shared call coverage is possible. Contact Alan Stone, MD, 202-466-8118 or
Medical Society of the District of Columbia
1250 23rd Street NW, Ste 270
Washington, DC 20037