News from the CAP Residents Forum
Fall 2000 Meeting Preview
RF Residents Anticipate Fall Meeting, Recap Summer Highlights
||Raj C. Dash, MD
The summer has passed and
the 2000 CAP/ASCP Annual Meeting and Exhibits is rapidly approaching.
Located in sunny San Diego, California, this upcoming meeting promises
to be full of engaging activities for residents. This year the joint
meeting has been greatly integrated and coordinated between the
CAP and ASCP to prevent schedule conflicts and enhance the overall
experience of attendees. All of the meeting information has been
collated into a single catalog.
As always, even if you have never attended a Residents Forum (RF)
meeting in the past, an invitation is open to come by Saturday morning
to get involved and join in the fun. Immediately following our RF
meeting, an exciting seminar is scheduled as part of our "Resident
Weekend Seminar Series" featuring Drs. Becich, Balis, and Crowley
as they enlighten and dazzle us with the latest and greatest in
pathology informatics. I certainly look forward to seeing you all
Since the last CAP-RF meeting in Boston, some headway has been
made on several issues of importance to residents. Of the four resident
resolutions to come out of the last meeting, all are progressing
in some fashion. One in particular is certain to be of interest
to almost all residents and is worth noting here. The RF forwarded
a resolution to the House of Delegates to ask the American Board
of Pathology and ASCP to evaluate current examination data and survey
results to assess the appropriateness of five years of AP/CP training
and provide the results of these assessments to the pathology community.
The House recommended that this resolution be forwarded to the Council
on Practice and Education (COPE). COPE decided to take action and
based on cumulative evidence acquired over the past year, recommended
that the CAP adopt a position that four years of structured AP/CP
residency is adequate to qualify individuals for certification.
This recommendation is independent of subspecialty training (i.e.,
no "double-dipping" clause). While this most likely will not have
a direct impact on those of you currently in training, the consequences
of this action will have a significant (hopefully positive) influence
on students considering pathology as a profession. If you have a
comment or suggestion please come to the meeting and voice your
opinion - we need your input.
Another landmark event occurred this summer. For those of you
unaware of the event, the College's SNOMED® International division
officially announced the release of the latest version of its premier
reference medical terminology, SNOMED® RT. There will no longer
be books filled with codes for pathology residents to look up -
hooray! Seriously, SNOMED RT is, in fact, so comprehensive that
it can no longer be easily referenced in printed form and has been
designed to electronically integrate with laboratory, anatomic pathology,
and hospital information systems. Also, SNOMED RT has content covering
all aspects of medicine, no longer concentrating only on the field
of pathology. This squarely centers pathology and pathologists as
the information managers for the entire medical record! Find out
what you need to know to bring SNOMED RT to your current or future
practice at the San Diego meeting.
SNOMED is just one example of how rapidly the field of pathology
is changing. Keeping pace with the latest developments, policies,
and technologies is crucial for residents and practitioners alike.
The College and Residents Forum strive to provide the necessary
tools for success in today's health care environment. The CAP/ASCP
meeting is one of the best ways to access these tools.
I hope to see you all in San Diego.
GME Changes Subject of Recent Rules
Changes to Medicare graduate medical education payments mandated
by last year's Balanced Budget Refinement Act (BBRA) have been put
into regulatory language with recent final and interim rules published
by the Health Care Financing Administration.
An Aug. 1 final rule on Medicare's inpatient prospective payment
system for 2001 contains a BBRA provision intended to reduce wide
variations in direct GME payments to hospitals and ease cuts made
by 1997 balanced budget legislation.
The BBRA required that HCFA compare a hospital's per-resident
direct GME payment with a weighted, national average, adjusted for
inflation and geographical cost differences. The Aug. 1 final rule
sets that national average at $68,464. If the hospital-specific
amount is less than 70 percent of the national average, the hospital
receives an increase to 70 percent of the average. If the hospital
amount is more than 140 percent of the national average, inflation
updates are eliminated or reduced to gradually ratchet down payments.
If the hospital-specific amount falls within 70 percent and 140
percent of the national average, no change is made.
Also on Aug. 1, HCFA published an interim final rule for BBRA
provisions that adjust hospital resident caps set by the 1997 budget
law. Among other changes, the Aug. 1 interim rule includes 30 percent
increase in the full-time equivalent (FTE) cap for rural hospitals
and an adjustment to the resident limits of urban hospitals that
establish separately accredited training programs in rural areas,
including integrated rural training tracks. The interim final rule
also carries out a BBRA payment increase for hospitals that operate
approved nursing and allied health education programs.
CAP Foundation News . . .
CAP Foundation Scholars Deadline Approaches
The deadline for the 2001-2002 CAP Foundation Scholars Research Fellowship
is October 2, 2000.
for information on application guidelines.
PLAN AHEAD - CAP Foundation Training in Technology
Beginning in 2001, the Training in Technology Award Program will have
to deadlines. To apply for the first round of funding, residents must
submit their applications by January 12, 2001. This technology
award is a two to three month advance training grant for residents
to learn new technologies in greater detail.
Residents Forum Credentials Committee Needed
The Residents Forum secretary will appoint a credentials committee
for delegate registration and possible hand counts. If you are attending
Residents Forum and interested in volunteering, please contact Jan
Glas, manager, Resident Services, at firstname.lastname@example.org
or 800-323-4040 ext. 7499.
Residents and Young Pathologists Schedule
Friday, October 13, 2000
CAP Residents Reception
Saturday, October 14, 2000
8:00 am-2:45 pm
CAP Residents Forum Business Meeting
CAP Educational Program:
SA04 Imaging and Information Technology:
A Resident's Primer-NEW
ASCP/CAP Keynote Address-S. Beck Weathers, MD
ASCP/CAP Opening Reception
Sunday, October 15, 2000-Young Pathologists Day
CAP Young Pathologists/Residents Forum Alumni Breakfast
CAP Educational Program: SA13 Political Education-NEW
CAP Young Pathologists Reception
Promote Stanford Bookstore
Remember that the Stanford University Medical Bookstore provides all CAP members
with a discount on medical texts as well as discounted academic prices on computer
software. These discounts can also be extended to a member's clinician colleagues.
If you wish to take advantage of this benefit, please contact Stanford through
the CAP Web site at Stanford
University Medical Bookstore Discounts for further details.
Promote YP Day 2000
Young pathologists, plan to attend the Young Pathologists Day
breakfast, seminar, and reception on Sunday! Click here to view schedule.
| CAP-RF Report
Published quarterly by the CAP
Residents Forum, the residents section of the College of American
Pathologists, 325 Waukegan Road, Northfield, Illinois 60093.
Raj C. Dash, MD, Chair;
Maurice J. Schuetz III, MD, Vice-Chair;
Kalisha A. Hill, MD, Secretary;
Richard A. Bernert, MD, Immediate Past Chair; Michael
J. Carey, MD,Delegate tp the AMA-RFS;
Araba Afenyi-Annan, MD, Alternate Delegate to the AMA-RFS;
Eric J. Thompson, MD, RF Delegate, CAP House of Delegates;
Anna O'Grady, MD, RF Alternate Delegate, CAP House of
Jan Glas, CAP-RF Staff Joe Schramm, CAP-RF
Report Editor Carl Graziano, Washington Editor