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

 
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Current Issue - April 2016




Medical Education

Facing depression in medical education

Facing depression in medical education

By Mollie Durkin

Depression can be prevalent during medical residency, with long hours and social deprivation as contributing factors. Concerningly, the farther residents are into their training, the more depression rates rise. Some programs are delving into their trainees' psychological well-being.

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Rheumatology

Control is the key in rheumatoid arthritis

Control is the key in rheumatoid arthritis

By Charlotte Huff

To control symptoms of rheumatoid arthritis, new guidelines are encouraging internists to act sooner and more definitively combatting the course of the disease. Also, disease-modifying anti-rheumatic drugs are playing a bigger role in controlling symptoms.

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Latest Blog Posts

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Patient-centered service
Posted Apr 25 at 9:00 AM by Rob Lamberts, MD
Do heartburn medicines cause dementia?
Posted Apr 22 at 9:00 AM by Michael Kirsch, MD
Paleo meat meets modern reality
Posted Apr 21 at 9:00 AM by David L. Katz, MD


Orthopedics

Noninvasive treatment almost always best for knee pain

Noninvasive treatment almost always best for knee pain

By Leah Lawrence

Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.

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Regulatory issues

Debunking HIPAA myths in the digital age

Debunking HIPAA myths in the digital age

By Mollie Durkin

Twenty years of the Health Insurance Portability and Accountability Act have not led physicians to full understanding of how to implement it in their offices. Four commons myths can be addressed more easily than is commonly thought.

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President's Message

Signs of progress for MOC, but more work needed

By Wayne J. Riley, MD, MPH, MBA, MACP

The past year's worth of advocacy to improve the Maintenance of Certification process has succeeded, in part, but the issue will remain in front of ACP leadership in coming years.

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Washington Perspective

Defining value and creating quality in the patient encounter

By Robert B. Doherty

Critical questions will arise about defining and measuring value in the patient encounter when the Medicare Access and CHIP Reauthorization Act goes into action.

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Policy into Practice

There are challenges when translating research into practice

By Kyle E. Morawski, MD, and Joshua M. Liao, MD, ACP Resident/Fellow Member

Despite convincing results for many health care interventions, translating evidence from research into clinical practice is often challenging. What works in a research environment may not function in practice.

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Letters to the Editor

Letters to the editor: mergers and complementary care

Readers respond to previous coverage about mergers of large insurance companies, and with concerns about our coverage of complementary care.

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Editor's Note

Educators can help with trainees' depression

By Jennifer Kearney-Strouse

This issue covers topics such as depression in medical residency, guidelines for rheumatoid arthritis, and rehabilitation for knee pain.

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Practice Tips

Patients have a right to access personal health information

By Margo Williams

Confusion exists about how and when patients can access their personal health records under the Health Information Portability and Accountability Act.

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FDA Update

Recall of glucose test strips; approval for hepatitis C drug

Recall of glucose test strips; approval for hepatitis C drug

By Mollie Durkin

This update covers a class I recall of blood glucose test strips which might cause clinicians to overlook hypoglycemia.

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Chapter Awards

Chapter awards

Chapters honor Members, Fellows, and Masters of ACP who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, or service to their community, their chapter, and ACP.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 75-year-old woman is evaluated in the hospital 4 hours after onset of chest pain with findings of an ST-elevation myocardial infarction. She was taken emergently to the catheterization laboratory and underwent emergency percutaneous coronary intervention for a totally occluded vessel. Her post-intervention ventriculogram demonstrated a left ventricular ejection fraction of 30%. One hour after the procedure, she developed an acute arrhythmia. Medications are aspirin, metoprolol, atorvastatin, and clopidogrel. Following a physical exam, cardiac exam and electrocardiogram, what is the most appropriate management?

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