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

 
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Current Issue - September 2016



Climate Change

Clearing the air about climate change

Clearing the air about climate change

By Charlotte Huff

Climate change is a public health issue, and physicians should be aware of the potential medical consequences and be able to communicate those to patients.

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Chronic Illness

Fibromyalgia characterized by controversy

Fibromyalgia characterized by controversy

By Mollie Durkin

There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.

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Latest Blog Posts

View all

'Doctor, can the family talk to you?'
Posted Sep 29 at 9:00 AM by Suneel Dhand
The problem of too many consultants
Posted Sep 28 at 9:00 AM by Robert Centor, MD
Hearsay
Posted Sep 26 at 9:00 AM by Kimberly Manning, MD, FACP



Conference Coverage

Digging into the causes and fixes of resistant hypertension

Digging into the causes and fixes of resistant hypertension

By Stacey Butterfield

An enduring challenge is figuring out why patients appear to have resistant hypertension and how to cure them of it.

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Success Story

System-wide changes improve diabetes care

System-wide changes improve diabetes care

By Jennifer Kearney-Strouse

To improve metrics of diabetes care, 4 employed primary care practices at a health system in Texas worked to systematically improve HbA1c testing and started a “Saving Toes” campaign.

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President's Message

GME needs serious financial and structural reform

By Nitin S. Damle, MD, MS, FACP

The current system and critical elements of undergraduate and graduate medical education are in need of serious financial and structural reform.

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Washington Perspective

Making MACRA better, in intent and implementation

By Robert B. Doherty

The Medicare Access and CHIP Reauthorization Act makes significant improvements in how Medicare links payment to reporting of quality measures. Will CMS actually implement the law in a way that truly simplifies reporting?

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Screening and Prevention

Integrating routine HIV screening into practice

By Donna Sweet, MD, MACP

Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.

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Letters to the Editor

New insulin questioned; carbon emission price proposed

New insulin questioned; carbon emission price proposed

Readers address insulin dosing and propose going further on climate change.

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Editor's Note

Climate change and clinical practice

By Jennifer Kearney-Strouse

This issue covers such topics as how internists can address climate health issues in their practice, what internists can do for patients with fibromyalgia, and how to identify and manage resistant hypertension.

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FDA Update

Recalls for oral docusate sodium, INR monitoring system

Recalls for oral docusate sodium, INR monitoring system

By Mollie Durkin

This column reviews a recall of an oral liquid docusate sodium solution because of contamination and of an international normalized ratio monitoring system because it may provide significantly lower results than another method.

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Practice Tips

New overtime rules take effect December 2016

By Margo Williams, MHA, CMPE

New overtime pay rules will affect employees whose annual salary is less than $47,476 and who work more than 40 hours per week.

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College Watch

ACP's new EVP/CEO talks burnout prevention, future focus

By Mollie Durkin

Darilyn Moyer, MD, FACP, ACP's first female EVP/CEO, addresses her plans for the organization, the evolution of health care, and how her experience will guide her efforts.

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College Elections

Candidates announced for Board of Governors Chair-elect Designee

George M. Abraham, MD, MPH, FACP, and Gregory C. Kane, MD, FACP, are seeking election as Chair-elect Designee of the Board of Governors. The Governors will be casting ballots next month, and the results will be announced in late October.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/μL (80-100 × 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?

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