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

 
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Current Issue - February 2017



Infectious Diseases

HPV vaccine impacts disease, screening

HPV vaccine impacts disease, screening

By Mollie Durkin

While HPV immunization is recommended during adolescence, internists practicing in the postvaccine era have their own host of considerations: namely, screening for cervical cancer and providing catch-up vaccination.

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Conference Coverage

‘Geriatric tsunami’ carries elderly obesity

‘Geriatric tsunami’ carries elderly obesity

By Mollie Durkin

By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.

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Latest Blog Posts

View all

Will big data replace your doctor?
Posted Feb 24 at 11:00 AM by Peter A. Lipson, MD
The drive to dismantle 'Obamacare'
Posted Feb 24 at 9:00 AM by David L. Katz, MD
Probiotics promote digestive health--is there a germ of truth
Posted Feb 23 at 11:00 AM by Michael Kirsch, MD



Heart Failure

Managing medications in patients with heart failure

Managing medications in patients with heart failure

By Kathy Holliman

Internists can provide a medical home to patients with heart failure so that medications and supplements are regularly assessed and managed, according to experts.

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Hospital Medicine

Textbook edition reflects evolution of hospital medicine

Textbook edition reflects evolution of hospital medicine

By Mollie Durkin

The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.

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Conference Coverage

Internal Medicine Meeting 2017 offers new, rapid-fire session

Internal Medicine Meeting 2017 offers new, rapid-fire session

At Internal Medicine Meeting 2017, expect to hear recent research findings, clinical pearls and pitfalls, and maybe the sound of a gong.

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Conference Coverage

Guidelines get their own conference at G-I-N

By Ryan DuBosar

A “high-stakes” effort is occurring in the pricey world of guideline development, as researchers around the globe seek to pool resources and find common ground.

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Conference Coverage

Doctor, your weight bias is showing

By Mollie Durkin

For heavier patients, interacting with the health care system (judgmental clinicians and the ever-present scale) can be downright daunting.

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Conference Coverage

Moving toward effective physical activity

Moving toward effective physical activity

By Mollie Durkin

Physicians should determine patients' aerobic fitness, which may be an even better indicator of their risk for heart disease and premature death than smoking and hypertension, according to a scientific statement.

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President's Message

ACP's international presence promotes better clinical care

By Nitin S. Damle, MD, MS, MACP

The American College of Physicians has a significant international presence, with 19 international chapters.

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Washington Perspective

Who loses if Obamacare is repealed? Just about everyone

By Robert B. Doherty

Republican congressional leaders are beginning the process of enacting legislation to repeal the Affordable Care Act (ACA) in stages, using a process that has been called repeal, delay, and replace.

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Editor's Note

HPV vaccination now impacts practice later

By Jennifer Kearney-Strouse

This issue covers such topics as HPV vaccination, news from ObesityWeek, and a preview of upcoming events at Internal medicine Meeting 2017.

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FDA Update

Label change for pioglitazone-containing medications

Label change for pioglitazone-containing medications

By Mollie Durkin

This column reviews a label change for medicine that contain pioglitazone and a new indication for empagliflozin.

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Practice Tips

Navigating the improvement activity component of MIPS

By Margo Williams, MHA, CMPE

The Quality Payment Program created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is not as intimidating as it sounds—at least for 2017, which is a transition year that will determine what internists are paid in 2019.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?

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