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


Use your hands, not just your mind, at Internal Medicine 2010

From the March ACP Internist, copyright 2010 by the American College of Physicians

By Stacey Butterfield

Whether they’re going eye-to-eye with a disembodied head or opening the airway of a mannequin, attendees at Internal Medicine 2010, to be held April 22-24 in Toronto, will find a number of opportunities for hands-on training.

The Herbert S. Waxman Clinical Skills Center, an annual feature of the meeting, includes several new activities this year. The aforementioned heads are part of the debut of the ophthalmology station, an educational resource developed in-house by ACP. “This is our first foray into making our own simulator,” said Patrick Alguire, FACP, director of education and career development for ACP.

Auguste H. Fortin, FACP, teaches suturing at the H...

Auguste H. Fortin, FACP, teaches suturing at the Herbert S. Waxman Clinical Skills Center.

The activity consists of mannequin heads (like those used in wig stores) with models of the human eye implanted in them. “We’ve done a little surgery on the mannequin heads,” said Dr. Alguire. Participants will use ophthalmoscopes to view various abnormalities of the eye.

The exhibit may also provide ideas for educators wanting to create simulators for their own institutions, suggested Dr. Alguire. They’ll have plenty of time to admire the handiwork, because the ophthalmology activity is self-guided. “You can sit there and stare as long as you want,” said Dr. Alguire. “This is a low-pressure way to learn.”

Attendees will gain some training for high-pressure situations in one of the center’s other new activities—the advanced airway workshop. Participants will practice intubation on mannequins, learn the advantages and disadvantages of rapid sequence intubation, and pick up rescue techniques in case of failed intubation.

“They practice over and over and get expert advice,” said Dr. Alguire. “I anticipate it’s going to be a real success.” Because it includes faculty, the airway simulation, unlike the ophthalmology activity, does require tickets. (Tickets are free and can be obtained onsite at the meeting.)

The other new activities in the center are also likely to bring success, particularly to physicians who are working or training in the hospital. A lumbar puncture training exercise will include demonstration, practice on a simulator and expert feedback. The new peripherally inserted central catheter (PICC) activity will give physicians the chance to practice placement of PICC lines, using simulators and hand-carried ultrasounds.

Other old favorites will also be returning this year, of course, including toenail removal, Harvey the cardiopulmonary patient, and the self-guided cardiac murmurs tour.

For attendees who want hands-on action outside of the Waxman Clinical Skills Center, Internal Medicine will include two new pre-courses. On Tuesday, “Fundamentals of Mechanical Ventilation” will serve as a refresher on topics such as the management of ARDS and asthma patients. “Advanced Concepts in Mechanical Ventilation” on Wednesday will address novel techniques and new modes of ventilation. Both sessions will include break-out small group sessions featuring live ventilators, mannequins and simulators.

The general scientific program will also include several new hands-on workshops. Internists can practice insertion and removal of intrauterine contraceptive devices during a session on highly effective reversible contraception that will be held Thursday morning and afternoon.

Communication skills will be put to the test in new workshops on breaking bad news, treating patients across language barriers, and managing memory loss and incontinence. Not to worry, though, there will be no simulations of incontinence included.



Attend the meeting wherever you are

For those who can’t make it to Toronto this April, Internal Medicine 2010 is offering some new ways to keep up on the education and events at the meeting.

All of the Multiple Small Feedings of the Mind and Clinical Pearls sessions will be available by webcast, along with 12 of the specialty update sessions. The webcasts will go online within 24 hours of the session, and preordering is open now.

During the meeting, frequent Twitter updates will be posted at ACP Internist and ACP Hospitalist. If you’re tweeting the meeting, use the hashtag #im10.



Find mentoring and networking events

Celebrate, learn, network, or relax with these special programs at Internal Medicine 2010 in Toronto.


Reception for African American Physicians. (Friday, 6:00-7:30 p.m., Fairmont Royal York Hotel, Ontario Room): Attend a brief program relating to minorities in medicine followed by socializing and networking with African American physicians and medical students, their colleagues, and College leadership. Pre-registration is requested but not required. Register online.

Medical Student, Associate, and Young Physician Recognition Reception. (Saturday, 6:30-7:30 p.m., Fairmont Royal York Hotel, Upper Canada Room): Join us to recognize the winners of the Medical Student and Associate Poster Competitions and the 2010 ACP Doctor’s Dilemma™ Championship. Meet and network with members of the Council of Student Members, Council of Associates, and Council of Young Physicians. Pre-registration is not required.


Young Physicians Mentoring Breakfast. (Friday, 7:00-9:00 a.m., Fairmont Royal York Hotel, Ontario Room): Network with more experienced physicians, learn about advancing to Fellowship, and discuss common problems related to medical practice today. Please note that although there is no charge for this event, attendees must present a ticket to enter. Reservations can be made online. You must be logged in to ACP Online to access your registration record for Internal Medicine 2010.


Networking Luncheon for Women Physicians. (Friday, 12:45-2:15 p.m., Fairmont Royal York Hotel, Ontario Room): Meet new friends, share experiences, and discuss challenges facing women physicians in practice today. There is no charge but attendees must present a ticket to enter. Reserve online. You must be logged in to ACP Online to access your registration record for Internal Medicine 2010.

Volunteerism Networking Luncheon. (Thursday, 12:45-2:15 p.m., Convention Center, Room 104): Share plans, tell stories about your volunteer experiences, or gain information about medical volunteer work within the U.S. and internationally. Please note that although there is no charge for this event, attendees must present a ticket to enter. Reservations can be made online. You must be logged in to ACP Online to access your registration record for Internal Medicine 2010.


Fellows and Masters Lounge. (Thursday-Saturday, Convention Center Halls D/E): Check your e-mail, meet with colleagues and friends, and relax between activities.

Medical Student-Associate-Young Physician Hospitality Area. (Thursday-Saturday, Convention Center Halls F/G): Have coffee with friends and colleagues while relaxing between sessions.


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