Archive - May 2013
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
Careers in Medicine
Look before leaping into a large health system
Many physicians are leaving private practice and turning to large health systems to give them breathing room to care for their patients and restore work-life balance. But before making the leap, physicians should ensure that the move is the best one.
Doctor as Patient
Reflections from a physician who faced his mortality
A physician who developed severe heartburn recalls his thinking as he reflects on his own progressively severe symptoms and increasingly worrisome differential diagnosis.
Professional excellence, service make ACP essential
In her first column, ACP’s incoming president reflects on how internists can make themselves essential to their patients through membership in the College.
Sequestration’s cutbacks could cause patients serious harm
As sequestration’s impact on health care looms, physicians must tell members of Congress reach a bipartisan agreement with the president to reduce spending on less effective and lower-priority programs, increase funding for more important and more effective programs, and further trim health care spending by focusing on unnecessary care.
The Patient’s Voice
Toward a patient- and family-centered practice
A physician in the process of transforming his practice into a medical home discovered a resource that was already at his fingertips: patients and families who could help apply patient- and family-centered care concepts to primary care.
Earlier recognition may help outcomes in osteoarthritis
Interventions such as exercise and weight loss are more likely to be successful for osteoarthritis if it is detected early.
Business experts urge small-practice doctors to take action
Speakers at a recent Business of Medicine Summit had some grim predictions and urgent alerts for attendees: “Start preparing for that storm that’s partly on the coast but not here yet.”
Medicare clarifies, updates several claims payment issues
The Centers for Medicare and Medicaid Services has released statements regarding claims payment issues that it will be correcting in the near future, including enforcing coding conventions and restructuring system edits.
HIPAA omnibus final rule—it’s time to brush up on the basics
With the release of the Health Insurance Portability and Accountability Act (HIPAA) omnibus rule, it’s time to take a fresh new look at office policies, procedures and practices.
Azithromycin gets warning, incretin mimetics investigated
This regulatory update covers a new warning on azithromycin about abnormal changes in the electrical activity of the heart, and a possible increased risk of pancreatitis and precancerous findings from incretin mimetic drugs.
ACP announces chapter awards for Members, Fellows and Masters 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 the College.
ACP Internist’s new puzzle feature challenges readers to seek answers to clues placed horizontally in rows to reveal an answer written vertically.
From the MKSAP case studies
A 55-year-old man is evaluated in the emergency department after experiencing fever and chills yesterday evening and bilateral arm pain and a rash on the upper extremities upon awakening this morning. The patient ate raw oysters from the Gulf Coast 3 nights ago. He was recently diagnosed with hemochromatosis. Which pathogen is most likely causing the patient’s current findings?
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