American College of Physicians: Internal Medicine — Doctors for Adults ®


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From the February 2000 ACP–ASIM Observer, copyright © 2000 by the American College of Physicians–American Society of Internal Medicine.

Capitation survey reveals tough risk market

Fewer physicians profited from capitated contracts in 1999, in part because of falling capitation rates for primary care physicians and some specialists.

According to a survey from National Health Information, an Atlanta-based health care information publisher, the number of providers who reported profiting from capitated contracts dropped from 42% in 1998 to 34% in 1999. (In 1997, more than half of physicians reported profits from capitated contracts.)

The survey found that on average, capitation rates for primary care physicians declined 9% from 1998. On average, rates fell from $12.22 per member per month to $11.07.

While 11 specialties, including dermatology and chiropractic, reported higher capitation rates, 17 other specialties declined. Those included cardiology, radiology, infectious diseases, rheumatology, endocrinology and emergency medicine.

The survey also found that physicians' average number of capitation contracts declined while the percentage of their total revenues derived from capitation increased, suggesting a consolidation of risk contracts. Analysts predicted that capitation rates this year should rise as a result of hikes in insurance premiums.

Physicians to discuss patient-oriented research

The Association for Patient-Oriented Research will hold its annual meeting March 11-13 in Washington.

The group is made up of physicians who are interested in research that focuses on the study of human subjects. Its goal is to improve the understanding of disease and treatment and to expand clinically derived knowledge. The group's officials worry that economic pressures are forcing too many physicians with an interest in research to choose between delivering care and basic science.

Registration for the meeting costs $100. For more information about the group, see its Web site at

Chapters honor 24 internists with Laureate Awards
ACP–ASIM chapters gave 24 internists Laureate Awards this fall.

The awards honor College Fellows and Masters who have demonstrated a commitment to excellence in medical care and education and research, and who have provided service to their community and the College.

Awardees generally have been Fellows for 15 to 20 years and have a long history of excellence and peer approval in internal medicine.

Here is a list of the most recent award winners:


David R. Sanderson, FACP


David R. Haburchak, FACP
Terry R. Jenkins, FACP
David A. Peura, FACP


Cloyd L. Dye, FACP
Richard B. Schnute, FACP


Ralph E. Gianelly, FACP


Richard N. Hellman, FACP


Warren C. Lovinger Jr., FACP

New Mexico

William P. Reed, FACP


Partha Banerjee, FACP


Herbert S. Diamond, FACP
Wesley P. Kozinn, FACP
Paul M. Rike, FACP
Salvatore J. Scialla, FACP
Richard J. Simons, FACP

South Carolina

Donald E. Saunders Jr., FACP

South Dakota

Donald W. Humphreys, FACP


John H. Griscom, FACP


Jerry Daniels, FACP
John S. Fordtran, MACP
Robert J. Hall, FACP
Lloyd W. Kitchens Jr., FACP


Neil Elgee, MACP

Foundation update

At its December meeting, the ACP–ASIM Foundation appointed a new member to its Board of Trustees and announced plans to more precisely define the types of projects it will fund in the future.

Philip P. Gerbino, PharmD, president of the University of the Sciences in Philadelphia and a national leader in the pharmacy profession, was appointed to the Foundation's Board of Trustees. A veteran of strategic planning processes, Dr. Gerbino will serve as Chair of the Foundation's Program Development Committee. This Committee will make recommendations to the Board of Trustees on the Foundation's grant-making policies.

The Foundation's Board of Trustees will begin a strategic planning process this winter to sharpen its philanthropic focus. During its first year, the Foundation accepted applications for projects consistent with its mission and goals without specifying a particular focus. This gave the Board and Foundation staff an opportunity to increase their understanding of the broad range of initiatives that need Foundation support. While the Foundation wants to fund a diversity of programs, it also needs to focus its efforts so it can distribute its resources most effectively. It will announce its program focus and priorities for funding later this spring.

To date, the Foundation has funded five grants, all supporting its mission to enhance and promote the health of the public by financially supporting programs in education and research. (For a list of those grants and other information, see "How giving to the ACP–ASIM Foundation can help your patients—and your finances" in the December 1999 ACP–ASIM Observer at

Hospitalists elect new president

The National Association of Inpatient Physicians (NAIP) has elected a veteran of the hospitalist movement as its new president.

Robert M. Wachter, FACP, an associate professor of medicine and epidemiology and associate chairman of the department of medicine at the University of California, San Francisco (UCSF), will take office this April during the NAIP's third annual meeting, which will be held prior to the College's Annual Session in Philadelphia. Dr. Wachter is also chief of the medical service at Moffit-Long Hospital, where he directs UCSF's 17-person hospitalist program, the largest in the United States.

Dr. Wachter coined the term "hospitalist" in a 1996 New England Journal of Medicine article. He has also published more than 75 articles and a book in the areas of clinical epidemiology, health policy, medical education and ethics.

Under the leadership of co-presidents Winthrop Whitcomb, ACP–ASIM Member, and John Nelson, FACP, the NAIP has grown to nearly 1,500 dues-paying members, making it one of the fastest growing physician organizations in the United States. More information about the group is available on its Web site at

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