Hi msingleton1977,
You just need to enable -multithreading in mame.ini. This option was enabled by default in previous versions but was disabled recently for stability reasons under certain circumstances. This option makes it possible to detach the emulation speed from the video card's refresh and still remove tearing (i.e. it allows -triplebuffer to work). The typical case of this is Pacman, where the game natively runs at 60.60 Hz but in order to emulate it on a horizontally oriented standard arcade monitor you need to use a 288p@52Hz mode.