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

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Archive - September 2012


Antibiotic Resistance

‘Unlearning’ how to prescribe antibiotics

‘Unlearning’ how to prescribe antibiotics

By Charlotte Huff

Health care leaders have spent endless hours trying to break a habit that’s been surprisingly intractable: prescribing antibiotics when they’re not warranted.

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Women’s Health

Hormone therapy stirs debate 10 years after WHI

Hormone therapy stirs debate 10 years after WHI

By Stacey Butterfield

The Women’s Health Initiative dramatically decreased hormone therapy for menopause, but 10 years later, the “knee-jerk” reaction has become more nuanced in how the regimen can be used.

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Conference Coverage

Teaching diabetes self-management ‘basic survival skills’

Teaching diabetes self-management ‘basic survival skills’

By Stacey Butterfield

Diabetes self-management education is cost-efficient and can improve A1c levels “far greater” than the effect required to approve a new drug for the disease. Smartphones, health coaches and educators are part of the new paradigm to help patients.

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Headaches and Migraines

Complexity of ‘migraineurs’ challenges diagnosis, treatment

By Terri D’Arrigo

Migraines are a seemingly simple complaint for patients, but a diagnostic challenge for internists, who have to sort through the symptoms and potential causes. Sometimes, the treatment regimens are just as complex as the condition itself.

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FDA Update

Weight-loss drug and at-home HIV test approved

Weight-loss drug and at-home HIV test approved

By Stacey Butterfield

This regulatory update covers approval of lorcaserin HCl for chronic weight management, as well as a new at-home mouth swab test for HIV 1 and 2.

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President’s Message

Stories of real patients reinforce the values of medicine

By David L. Bronson, MD, FACP

Three patients’ stories remind a physician why he chose to become a doctor, and of the rewards and responsibilities that accompany that.

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Medical Education

‘Rights, privileges and responsibilities appertaining thereto’

By Joshua M. Liao, MD, ACP Associate Member

An internal medicine resident reflects on his recent graduation, a cross-country move and the new responsibilities he now carries.

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Washington Perspective

States’ stances on health reform reflect political, moral choices

By Robert B. Doherty

Now that health care reform is established at a national level, the battle moves to the states that choose to accept or reject establishment of health care exchanges and federal funding for Medicaid.

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Letters to the Editor

Readers weigh in on reimbursement reform

ACP members take the organization to task for its positions on modifying reimbursement to doctors, and the organization’s legislative leader offers a wider viewpoint on the issue in response.

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Editor’s Note

Changing antibiotic prescribing not a one-step process

By Jennifer Kearney-Strouse

It’s hard for a physician to ‘unlearn’ everything about prescribing antibiotics, but doctors are taking the new lessons to heart in order to stave off antibiotic resistance.

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Practice Rx

ICD-10 is still on the way, and readiness remains key

ICD-10 is still on the way, and readiness remains key

By Debra Lansey

Although the transition to ICD-10 is 15 months away, physicians planning for the conversion should have already passed important milestones. Here’s how to ensure a smooth conversion.

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CPII Tips

Tools to screen for alcohol abuse

By ACP Staff

Medicare now reimburses for problem drinking as part of its Annual Wellness Visit, and a few easy-to-follow tips can help doctors screen for alcohol abuse and get paid for doing so.

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From the MKSAP case studies

From the MKSAP case studies

A 55-year-old woman is seen in follow-up for a mildly pruritic eruption on and surrounding her right nipple, which developed about 5 months ago. She has no family history of eczema or psoriasis, and she is otherwise healthy. What is the most likely diagnosis?

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Board of Governors

Board of Governors announces Chair-elect candidates

By ACP Staff

Two nominees seek election for the Board of Governors, with results of an online vote to be announced mid-October.

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Obituary

Obituary

By ACP Staff

Gottlieb Friesinger II, MD, MACP, a noted cardiologist and former ACP governor, died on July 28, 2012, at the age of 83.

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