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May 12, 2022

Severe Hepatitis of Unknown Cause In Children CDC Updates Recommendations for Adenovirus Testing/Reporting The Centers for Disease Control and Prevention (CDC) is investigating over 100 cases of severe hepatitis of unknown cause in children identified over the past seven months in 25 states and territories. World Health Organization (WHO) officials indicate they had reports of almost 300 probable cases in 20 countries. Laboratory tests identified that some of the children had adenovirus type 41, which is more likely to cause severe stomach illness in children. At this time, the cause of the reported illnesses in these children is still unknown. While adenovirus has been detected in some children, the CDC does not know if it is the cause of the illness. The CDC is working with state and local health departments across the country to identify additional U.S. pediatric patients with hepatitis and what may be causing these illnesses. At this time, the CDC believes adenovirus could be the cause of some reported illnesses, but investigators continue to learn more, including ruling out other possible causes and identifying other possible contributing factors. Delaware has one reported case in a child under the age of 5 who was hospitalized. CDC provided a Health Alert notification on April 21, 2022, notifying physicians and others of these cases and how to report other potential cases identified. The CDC has since issued a more recent Health Alert Update on Wednesday (May 11, 2022) that provides updated recommendations for testing specimens from patients under investigation. CDC is asking physicians to continue to follow standard practice for evaluating and managing patients with hepatitis of known and unknown etiology. Physicians are recommended to consider adenovirus testing for patients with hepatitis of unknown etiology and to report such cases to their state or jurisdictional public health authorities. CDC has also recommended to consider collecting specimen types as outlined in its newest Health Alert Update (May 11, 2022). Because this investigation is ongoing and includes reviewing cases of hepatitis of unknown cause with onset since October 2021, patients under investigation are not limited to current or newly diagnosed pediatric hepatitis illnesses.

Period 2 Provider Relief Fund Late Reporting Extended Late Reporting for Period 2 Extended to May 18th The deadline for providers to request to submit a late Provider Relief Fund (PRF) Reporting Period 2 (RP2) report has been extended to May 18th at 11:59 pm ET. Physicians who received more than $10,000 in provider relief funds and did not submit their Period 2 report must act immediately by submitting a late Reporting Period 2 report request by Wednesday, May 18, 2022 at 11:59 pm ET. Provider Relief Fund (PRF) Period 2 spanned from July 1, 2020 thru December 31, 2020, and included physicians who see patients with Medicaid and CHIP coverage. Refer to the overview of the information needed to request to report late. If a physician did not submit a Period 2 report and does not hear from HRSA, click here to learn more about the late reporting request form or call (866) 569-3522.   When completing the late reporting request, a provider must choose an extenuating circumstance(s) that prevented compliance with the original reporting deadline. HRSA has released the following as allowable extenuating circumstances: Severe illness or death – a severe medical condition or death of a provider or key staff member responsible for reporting hindered the organization’s ability to complete the report during the Reporting Period. Impacted by natural disaster – a natural disaster occurred during or in close proximity of the end of the Reporting Period damaging the organization’s records or information technology.  Lack of receipt of reporting communications – an incorrect email or mailing address on file with HRSA prevented the organization from receiving instructions prior to the Reporting Period deadline. Failure to click “submit” – the organization registered and prepared a report in the PRF Reporting Portal, but failed to take the final step to click “submit” prior to deadline. Internal miscommunication or error – Internal miscommunication or error regarding the individual who was authorized and expected to submit the report on behalf of the organization and/or the registered point of contact in the PRF Reporting Portal. Incomplete Targeted Distribution payments – the organization’s parent entity completed all General Distribution payments, but a Targeted Distribution(s) was not reported on by the subsidiary.   While attesting to an extenuating circumstance is required, no supporting document or proof is required. More information and a step-by-step guide from the AMA are available here.    If HRSA approves the extenuated circumstances form, the provider will receive a notification to proceed with completing the Reporting Period 2 report shortly thereafter.

Marijuana Bill Passes General Assembly Ready for Governor Action The Delaware Senate approved House Bill 371 after passing in the House last week. The bill now goes to Governor John Carney for signature. The Governor has indicated in the past that he does not support legalization. However, if Governor Carney does not veto the bill and declines to sign it, it could still become law ten days after it goes to his desk. The regulation component in a companion bill (House Bill 372) must also be passed. House Bill 371 allows adults to have up to an ounce of marijuana without penalty and also allows the transfer of up to an ounce between adults. There are penalties in place for possession by those under 21, possession of more than an ounce, public consumption, and driving under the influence of marijuana. Prime sponsor of the bill, Representative Ed Osienski, D-Newark, separated the issues of legalizing marijuana and regulating a marijuana industry in Delaware into two different bills. As one bill, a three-fifths majority would have been needed to pass because of fees associated with regulation. With separate bills, legalizing marijuana only needed a simple majority to pass.

Governor Carney Signs Paid Family Leave Legislation Healthy Delaware Families Act Creates Statewide Leave Program Governor John Carney on Tuesday signed Senate Substitute 2 for Senate Bill 1 into law surrounded by members of the General Assembly and advocates. This legislation creates a statewide paid family and medical leave insurance program, offering eligible Delaware workers up to 12 weeks of paid leave to address a worker's own serious health condition; to care for a family member with a serious health condition; to bond and care for a new child; or to address the impact of a family member's military deployment. Statewide paid family and medical leave will go into effect for workers in Delaware on January 1, 2025.

Guidance for Administering COVID-19 Therapeutics Includes Paxlovid Screening Checklist and Drug Interaction Tool The Delaware Division of Public Health (DPH) recently added a page to its de.gov/coronavirus website that focuses on COVID-19 Treatment options for the public. The page (https://coronavirus.delaware.gov/covid-19-treatment-options/) includes information on Oral Antiviral and Monoclonal Antibody therapies, and who is eligible for them, as well as information on Test to Treat locations in Delaware. While the page is primarily public facing, it also has guidance for health care professionals administering therapeutics, and newly added is a Paxlovid Patient Eligibility Screening Checklist and Drug Interaction Tool. The checklist and tool are useful for medical professionals who are either ordering Paxlovid, or caring for patients that have received it from another health care professional.

DE Attorney General Announces Settlement with Mallinckrodt Nearly $800,000 to be Returned to Delaware Attorney General Kathy Jennings announced on Wednesday that Delaware has reached a multistate agreement with Mallinckrodt ARD, LLC (“Mallinckrodt”), to settle allegations that Mallinckrodt violated the Federal False Claims Act and the Delaware False Claims Act by underpaying Medicaid rebates. This action returns nearly $800,000 to Delaware, including restitution toward the State’s share of Medicaid funding. The total value of the nationwide settlement is nearly $234 million to resolve various civil fraud allegations. The settlement resolves allegations that from January 2013 through June 2020, Mallinckrodt knowingly underpaid Medicaid rebates due for its drug H.P. Acthar Gel. The government alleged that this resulted in false claims being made to the Delaware Medicaid program, thus violating both the Federal False Claims Act and the Delaware False Claims and Reporting Act. This settlement results from a whistleblower lawsuit. The federal government, Delaware and twenty-five other states, the District of Columbia, and Puerto Rico intervened in the civil action in 2020. The settlement, which is based on Mallinckrodt’s financial condition, required final approval of the U.S. Bankruptcy Court for the District of Delaware, the Bankruptcy Court of the Republic of Ireland, and the United States District Court for the District of Massachusetts, which approved the settlement on May 11, 2022.

USPSTF Final Recommendation on COPD Screening Recommendation Against Screening for COPD in Asymptomatic Adults The U.S. Preventive Services Task Force (USPSTF) finalized its recommendation against screening for COPD in asymptomatic adults, which is consistent with its 2016 recommendation. This final recommendation was published in JAMA and follows draft recommendation statement evidence review published in November 2021 for public comment. Based on review findings, the task force concludes with moderate certainty that screening asymptomatic adults for COPD has no net benefit.

Physician Perspectives on Information Blocking Regulations Tell the AMA Your Experience with Information Blocking Compliance Over a year has passed since the Information Blocking compliance date (April 5, 2021). Several critical components necessary for physicians to fully comply with the regulations are still missing. These include a final set of regulations from The US Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) and HHS policies on provider Actor disincentives. Yet, all Actors subject to HHS’ Information Blocking regulations (i.e., providers, EHR vendors, and health information exchanges), have been required to comply since April of last year. The AMA continues to engage with HHS and is pushing for more clarity and flexibility on a range of Information Blocking requirements. Still, EHR vendors are Actors under HHS regulations and therefore must not prevent the access, use, or exchange of electronic health information.  The AMA is reaching out to better understand physicians’ experiences with Information Blocking compliance, issues physicians have encountered when requesting information from other Actors (e.g., their EHR vendors, state health information exchanges, or other health care professionals or hospitals), and specific examples of EHR vendors preventing access to patient health information. The AMA will compile, deidentify, and share your example stories with HHS officials and advocate for increased focus on information blocking practices that prevent or inhibit physician access to patient information. Please submit your example stories to Ela Cameron ela.cameron@ama-assn.org by May 16th using this document. Read more.

Delaware Welcomes Dolly Parton Statewide Celebration of Imagination Library Initiative Governor John Carney, First Lady Tracey Quillen Carney, and Dr. Annie Norman of the Delaware Libraries last week welcomed American icon Dolly Parton for a statewide celebration of Dolly Parton’s Imagination Library. This event was a celebration that every child in Delaware from birth to age five, is eligible to enroll in this free book-gifting program. Since the public announcement of Dolly’s arrival in Delaware last week, more than 1,000 Delaware children have been signed up for the Imagination Library. As of last week, over 21,000 Delaware children are enrolled in the program. In Delaware, every child under the age of five is eligible to receive a gift of a monthly book at no charge to families. Families can sign up for Dolly Parton’s Imagination Library on Delaware Libraries’ website: delawarelibraries.org/imagination.   Inspired by her father’s inability to read and write, Dolly Parton started her Imagination Library in 1995 to foster a love of reading for the children within her home county. Today, Dolly Parton's Imagination Library is the world’s preeminent early childhood book-gifting program that is dedicated to inspiring a love of reading. In partnership with local affiliate partners, the program mails high quality, age-appropriate books to children from birth to age five – at no cost to families. Over 2 million books are mailed each month in five countries –every 1.4 seconds a book is mailed. To view the event, visit Governor Carney’s YouTube channel here.

Medicaid Coverage and the End of the Public Health Emergency As Many as 14.2 Million people Could Lose Medicaid Coverage According to a Kaiser Family Foundation Analysis, enrollment losses could range from 5.3 million to as many as 14.2 million people when the public health emergency for COVID-19 ends, with the largest losses among Affordable Care Act (ACA) expansion adults, other adults such as parents who do not qualify for Medicaid based on a disability, and children.

May is Mental Health Awareness Month Ideas for the Workplace May is designated Mental Health Awareness month to help highlight and reduce the stigma around those with mental health conditions, disabilities, treatments, and other concerns. From depression to PTSD to OCD to substance use, mental illness impacts the lives of individuals every day. With 217 million working days lost to issues around untreated mental illness, businesses should tune in to mental health awareness and the health of its employees. The National Alliance on Mental Illness (NAMI) is amplifying the message of "Together for Mental Health" to bring our voices together to advocate for mental health and access to care. A few activities that can promote mental health awareness include: Guided meditation, Terrarium workshop, Yoga class, Healthy cooking class, and Aromatherapy class. Make sure you are getting enough sleep, show kindness to yourself and others, drink plenty of water, stretch your muscles frequently, and eating healthy and balanced meals. Do something good for yourself and your mental health and incorporate it into your daily or weekly program.

AMA Education Resources Behavior Health Integration, Physician Mental Health, Telehealth for Neurology AMA Resources Focus on Behavioral Health Integration and Physician Mental Health In recognition of Mental Health Awareness Month, the American Medical Association (AMA) has released resources to help physicians integrate behavioral health into their practices as well as prioritize their own mental well-being.   The two newly developed guides focus on behavioral health integration in private practices, one for practices serving adult patients and the other for children and adolescent populations. The guides outline key guiding questions relevant to independent practices caring for adult and youth patients who are considering behavioral health integration.   The newly revised “Managing Mental Health During COVID-19” resource outlines strategies to support mental well-being while continuing to care for patients during the pandemic or any other crisis. Updates include additional resources to care for staff, including the AMA’s “Creating a Resilient Organization” and “Implementing a Work From-Home Program” guides, as well as strategic practice guides and the BHI Collaborative’s BHI Compendium, which provides guidance on how to integrate mental and behavioral health care into your practice.   AMA to Host Interactive Session on Telehealth for Neurology The AMA is hosting an interactive session on telehealth for neurology that will highlight current use trends, models of care, available resources, and telehealth use for neurology sub-specialty care, including sleep medicine, epilepsy, and stroke. This event is interactive, and participants will have the opportunity to ask questions and engage live with speakers. The event is co-hosted with the American Academy of Neurology (AAN). https://www.ama-assn.org/practice-management/digital/clinical-case-study-telehealth-neurology

Upcoming MSD Events Not to Miss! A Series of Social Events for Everyone MSD has planned several upcoming social events for you to attend. It's been a while since we got together in person, let's discover what everyone has been doing over the past two years! MSD PRESIDENTIAL RECEPTIONS Come mingle with the President! In light of COVID-19 safety concerns at the time, MSD did not plan a social event in conjunction with our November 2021 Annual Meeting. Our goal was to plan three social events for some time in 2022 when we all felt more comfortable in those in-person social gatherings. That time has come. You and your guest have the opportunity to attend one of the three in-person Presidential Receptions that have been arranged at locations across the state. Find a date and location convenient for you! All events begin at 6:00 p.m. Dress is business casual. Wednesday, May 25th @ the MSD Conference Center in Newark (Registration deadline May 18th) Thursday, June 30 @ Maple Dale Country Club in Dover Wednesday, September 21 @ JD Shuckers in Georgetown Register.

Back by popular demand! Plant to attend MSD's Pubs & Politics at the Painted Stave Distilling on May 26th, 5:30-8:30 p.m. This event features one-on-one discussions with state legislators, complimentary food and drink, and a chance to meet and connect with colleagues at a Delaware landmark! Food provided by Taco Jardin. Registration deadline is May 18th. Register.

COVID-19 Vaccine Talking Points for Physician Office Staff To Help Your Staff Navigate Conversations With Patients and Parents Getting the COVID-19 vaccine is an important step in protecting ourselves and others. To ensure you are equipped with the necessary tools and information, the Delaware Division of Public Health (DPH) has created talking points for physician office staff to help navigate conversations with patients and parents regarding the COVID-19 vaccine.

ASGE Colorectal Cancer Screening Campaign Join the Effort to Promote Colorectal Cancer Screening to Save Lives Nearly one in three adults in the US aren’t getting screened for colon cancer as recommended. Yet, colon cancer has a 90% survival rate when detected early. The American Society for Gastrointestinal Endoscopy (ASGE) has embarked on an educational campaign to raise awareness among primary care physicians and patients on the importance of appropriate screening, particularly using the appropriate screening test for the patient's risk group. The Medical Society of Delaware is encouraging every physician in Delaware to visit the ASGE "Colorectal Cancer Screening Appropriate Use" web page to download some great patient education resources, including a printable office/practice poster, patient letter templates (for positive and negative test results), and an article for local newspapers.    Today, colorectal cancer screening is recommended to begin at 45 years of age and screening options include colonoscopy, fecal immunochemical test (FIT) and MT-sDNA (Cologuard). ASGE recommends that patients of any age who are exhibiting symptoms (e.g., rectal bleeding, anemia, a change in bowel habits, persistent abdominal pain, or unintentional weight loss), are high-risk (e.g., they’ve had a pre-cancerous colorectal polyp or colorectal cancer), or whose family has a strong history of colorectal cancer should talk to their gastroenterologist or primary care physician about the need for colonoscopy. Physicians can refer their patients to ASGE.org/Screening for an easy-to-understand infographic on the appropriate screening test. Join in this effort to prevent colon cancer. You're encouraged to visit ASGE.org/Screening-Physicians and download and use the patient education resources that are featured on that site.

45th Annual Eastern Shore Medical Symposium In-Person Event June 20-24, 2022 The University of Delaware in partnership with Jefferson Medical College will present the 45th Annual Eastern Shore Medical Symposium June 20-24, 2022 at the Rehoboth Beach Convention Center and are excited to be return in-person this year. This annual event provides up-to-date content on topics that are relevant in today's practice environment. The 2022 conference topics include: Diabetes Management Updates, COVID-19 Policies, Hypertension and Hyperlipidemia Update, and the Latest Guidelines on Cancer Screening. Registration for the conference is open. More information and registration access is available on the conference website https://www.pcs.udel.edu/esms/

MSD Seeking Nominations to Recognize COVID-19 Efforts Nominate a Physician for Exceptional Service Performed During Pandemic MSD wants to recognize physicians who demonstrated extraordinary commitment to their patients, communities, and profession during the COVID-19 pandemic. We seek to recognize both physician leaders whose work may be widely known, as well as physicians who labored in relative anonymity. To this, we are seeking nominations from our members of physicians whose personal sacrifice and performance beyond expectation during the pandemic would merit recognition. All physicians in Delaware, excluding trainees, are eligible. Nominations can be submitted online. Persons nominating will be asked to describe the reason the physician is being nominated. The deadline for submitting nominations is­­­ Thursday, May 19th. Awards will be presented this fall.

HHS Climate-Related Public Health Information Series Resources for Health Care Professionals The U.S. Department of Health and Human Services' (HHS) Office of Climate Change and Health Equity (OCCHE) launched the first installment of a new public information series, Climate and Health Outlook. The series connects weather forecasts to health resources to create actionable data that saves lives and reduces illness and health risks associated with climate-related hazards such as extreme heat, wildfires, hurricanes, droughts, and vector-borne diseases that impact human health. The inaugural edition focused on extreme heat. As part of this and future editions, the series will add a health lens to seasonal weather and climate outlooks from the National Oceanic and Atmospheric Administration (NOAA) to inform health professionals and the public about weather- and climate-related health risks months in advance and provide resources to prepare.

Delaware Extends Electric Vehicle Rebate Program Almost 2,500 Rebates Have Been Paid Since Program's Inception Delaware drivers switching to electric vehicles will continue to enjoy extra savings after the Department of Natural Resources and Environmental Control announced it is extending the Clean Vehicle Rebate Program through the end of the year. Clean transportation is a strategy identified in Delaware’s Climate Action Plan to reduce harmful greenhouse gas emissions. The program has been in place since July 2015. In total, almost 2,500 rebates have been issued since the program began. The current program was set to expire June 30. Businesses and property owners of multi-unit dwellings can also take advantage of the rebate program by installing charging stations for customers and tenants to help in the transition of vehicle electrification. The Electric Vehicle Charging Equipment Rebate Program pays up to 90% of the cost of the charging station, with a max amount of $3,500 per port/$7,000 per station for public properties, fleets and multi-unit dwellings. Rebates are also available for natural gas and propane vehicles.

Teaching Patients About Climate Change Just 45 Seconds Is All It Takes How can you talk with your patients about the health risks of climate change without disrupting the office visit? This important topic can be time-consuming and even controversial. The Medical Society of Delaware's My Green Doctor explains an easy solution that may work well in your practice. Read more. My Green Doctor is a FREE money-saving membership benefit to learn how to adopt environmental sustainability, save resources, and help create healthier communities. Everyone in your practice can register as Partner Society members at www.MyGreenDoctor.org or at www.MyGreenDoctor.es (si, en Espanol) and use the discount code MGDMSD to save $60 instantly and give full access to My Green Doctor for free. Ask your practice manager to register and to put My Green Doctor on your next agenda.

Premier Educational Program Partner Spotlight ProAssurance MSD is pleased to highlight a 2022 Premier Educational Program Partner. Premier Educational Program (PEP) Partners have joined with the Medical Society of Delaware in supporting high quality professional medical education for Delaware physicians and other health care professionals to advance the health and well-being of Delaware's citizens. ProAssurance focuses on professional liability, legal professional liability, and workers’ compensation insurance. They work to ensure you are treated fairly while striving to make insurance simpler. ProAssurance has decades of experience and innovative solutions—to help you meet your coverage needs. Your policy comes with access to proven risk-reduction tools and experts, along with unmatched claims handling for today’s evolving liability environment. For more information visit: https://www.proassurance.com/   If you would like to become a PEP Partner, please contact Lynn Robinson, Director of Professional Education.

Hospital News Bayhealth The Bayhealth Cancer Center, Kent Campus recently earned accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons. This makes Bayhealth among less than 50 programs in the United States and the first in Delaware to be accredited for rectal cancer care. To achieve voluntary NAPRC accreditation, a rectal center must demonstrate compliance with the NAPRC standards addressing program management, clinical services, and quality improvement for patients. Centers are required to establish a multidisciplinary rectal cancer team that includes clinical representatives from surgery, pathology, radiology, radiation oncology, and medical oncology. Bayhealth Hospital, Sussex Campus received an “A” Leapfrog Hospital Safety Grade for Spring 2022. This national distinction recognizes Bayhealth’s achievements in protecting patients from preventable harm and error in the hospital. Bayhealth Hospital, Sussex Campus is the only hospital in the state of Delaware to earn this honor.

ChristianaCare To address health issues at the earliest and most preventable stages, provide whole child health, and advance health equity in the community, ChristianaCare opened a new school-based health center at Kuumba Academy Charter School in Wilmington on Friday, May 6th. The creation of the center, made possible through ChristianaCare’s partnership with the Community Education Building (CEB), which houses Kuumba Academy, means that students at the kindergarten-through-8th grade school will have increased access to an array of health services. With the latest opening, ChristianaCare now operates 21 school-based health centers throughout the First State, in partnership with the Delaware Department of Health & Social Services, the Delaware Division of Public Health, and several school districts.

COVID-19 Information Finder Federal website for information on navigating COVID: COVID.gov CDC COVID-19 Quarantine and Isolation Calculator COVID-19 Treatment Options Medical Provider Guidance for Administering Therapeutics COVID-19 Therapeutics Locator For State of Delaware supported fixed testing locations and appointments For testing flyers (available in English, Spanish, Haitian Creole): https://covidmaterialsde.com/resources/community-organizer For all testing site referral locations, visit: de.gov/gettested For vaccination site referral locations, visit: de.gov/getmyvaccine FDA At-Home OTC COVID-19 Diagnostic Tests provides a list of all FDA-authorized at-home over-the-counter (OTC) COVID-19 diagnostic tests Know the COVID-19 Community Level where you live

Pending Members Krupa Patel, MD - Psychiatry Resident, Delaware Psychiatric Center 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.

"Rerum Cognoscere" 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.

988 New call number every state will use for the National Suicide Prevention Lifeline for mental health crises, scheduled to debut July 16th. SAMHSA >1,000x Infection risk rate of SARS-CoV-2 after exposure to airborne virus particles vs. contaminated surfaces. Journal of Exposure Science & Environmental Epidemiology 45% Percent of LGBTQ youth between the ages of 13 and 24 surveyed who indicated they considered attempting suicide in the past year. The Trevor Project

Upcoming Events May 14 - Delaware Society of Critical Care Medicine Spring Education Conference, Bayhealth KGH, Dover, DE, 8:30 a.m. – 1:00 p.m. May 18 - 2022 Annual Rural Health Conference, 9:00 a.m. - 3:00 p.m., virtual. May 19 - Delaware State Osteopathic Medical Society Dinner, 6:00 p.m., MSD Conference Center, 900 Prides Crossing, Newark. RSVP to jseesdo@osteopathic.org. May 24 - Primary Care Provider Recruitment Conference, 9:00 a.m. - 3:00 p.m., virtual. Agenda. May 25 - MSD Presidential Reception, 6:00 p.m., MSD Conference Center, 900 Prides Crossing, Newark. May 26 - MSD Pubs & Politics, 5:30-8:30 p.m., Painted Stave Distilling, 106 W. Commerce St, Smyrna. May 26 - Delaware Academy of Medicine/Delaware Public Health Association 92nd Annual Meeting, 6:30-9:00 p.m., DuPont Country Club. June 20-24 - 45th Annual Eastern Shore Medical Symposium, Rehoboth Beach Convention Center, in-person event. June 30 - MSD Presidential Reception, 6:00 p.m., Maple Dale Country Club, 180 Mapledale Rd, Dover. August 6 - 33rd Annual Update in Cardiology, 8:00 a.m.-2:00 p.m., Changed to Hybrid event: virtual and in-person. (Rescheduled from March 5) September 21 - MSD Presidential Reception, 6:00 p.m., JD Shuckers, 21710 Roth Ave, Georgetown, DE October 5&6 - Delaware Academy of Medicine/Delaware Public Health Association and Delaware Chapter of the American Planning Association Joint virtual 2022 Fall Conference. October 13-15 - SAVE THE DATE! International Conference on Physician Health (ICPH), Hyatt Regency, Orlando, FL. Sponsored jointly by the AMA, Canadian Medical Association, and British Medical Association. October 25 - SAVE THE DATE! 26th Annual Delaware Healthcare Forum

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The information contained herein is solely informational, planned in accordance for a diverse membership audience. This communication reflects news and announcements that have been made available to MSD and is not intended to exclude other pertinent material. The content published is proposed to represent facts of interest and provide awareness to the members. MSD reserves the right to determine what information is relevant to its membership.

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