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

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Archive - February 2012


Controversies in Medicine

Scribes: A write way and a wrong way

By Charlotte Huff

Taking a patient's history is considered an intimate part of the exam process, one long-cherished by traditionally minded physicians. Like much of the traditional practice of medicine, it's facing a new model for efficiency. Should doctors delegate the dictation?

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Sleep Disorders

Sleep disorders may be overlooked on exams

By Janet Colwell

Experts want sleep habits considered as a vital sign. Sleep problems are important in themselves and can also have consequences on other major comorbidities such as mood disorders, diabetes and hypertension.

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Medical Education

Build your own ultrasound-guided thoracentesis simulator

By Ted Warren and Roger W. Bush, MD, FACP

Pork ribs and a handheld ultrasound device are all that's needed to save thousands of dollars in learning a life-saving medical procedure. Step-by-step instructions explain how.

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Patient Safety

Combating conflicting information on prescription drug labels

By Jennifer Kearney-Strouse

A Consumer Reports check found that five chain drugstores in the New York area provided different warnings for the same warfarin prescription. A College Fellow who is the magazine's chief medical advisor explains how primary care physicians can help their patients stay abreast of their prescriptions.

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Dialysis Management

Experts debate the pros and cons of starting dialysis early

By Jennifer Kearney-Strouse

Two experts find common ground in deciding that individualized decisions are the best way to consider early dialysis.

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FDA Update

Generic atorvastatin, middle-of-the-night zolpidem approved

By Stacey Butterfield

Recalls, warnings, approvals and other regulatory news.

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Physician Profile

College Fellow is new leader of practice managers' association

By Stacey Butterfield

The president of the newly merged Medical Group Management Association and American College of Medical Practice Executives describes her new role after only a few weeks on the job.

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President's Message

Global outlook toward improving America's health care system

By Virginia Hood, MBBS, MPH, FACP

The College's educational programs, products and services are recognized and valued internationally, even as the College takes on a decidedly global membership. More than 30% of the College's members are international medical graduates.

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Washington Perspective

What can the audience expect from Congress' second act?

By Robert B. Doherty

Congress' dysfunction has led to record-low approval ratings of 11%, and continued delays in resolving issues important to physicians, such as reimbursement and medical education.

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Editor's Note

Are scribes a potential boon or bane for primary care?

By Jennifer Kearney-Strouse

Many doctors feel that the presence of another person in the exam room will have a negative impact on the physician-patient relationship and is antithetical to their training. Will scribes ever carve out a place in primary care?

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Q & A

Lessen the burdens of Medicare's home health requirements

By Michelle Kline

Home health care now requires face-to-face certification of eligibility based on the patient's current condition, a burden that doesn't have to be one. A few simple tips can ensure that the patient's needs and Medicare's paperwork are both satisfied.

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Practice Rx

Updates to Medicare program change telehealth codes, PQRS

By Debra Lansey

The second of a two-part series outlines changes to telehealth codes for diabetes and the Physician Quality Reporting System.

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CPII Tips

Prevent disaster by backing up data

By ACP Staff

Natural disasters can wreak havoc on a practice's medical records. Five simple tips can help create a backup system that could avoid clinical data loss, and the resulting lawsuits and penalties.

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From the MKSAP case studies

A 30-year-old woman is evaluated for management of new-onset atrial fibrillation. She has a history of tetralogy of Fallot that was repaired at age 18 months. She has had no cardiovascular concerns since that time and has not had regular follow-up since childhood. Based upon the findings of a physical exam and chest radiograph, what is the most likely diagnosis?

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Governors' Elections

Governor-elect election results

By ACP Staff

The Governors' Subcommittee on Nominations is pleased to announce the Governor-elect Designees.

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Chapter Awards

Chapter awards

By ACP Staff

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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