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

 
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January 2016




Obesity Management

Weighing the options for bariatric surgery

Weighing the options for bariatric surgery

By Mollie Durkin

Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.

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Urban Health

A neighborhood approach to better health

By Charlotte Huff

Doctors treating patients who live in lower-income urban areas may need more in-depth understanding of how environment might shape their patients' health, and may even need to venture outside the office to better understand their patients' life circumstances.

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Reducing Readmissions

Primary care-staffed transition clinic may cut readmissions

By Mollie Durkin

A postdischarge transition clinic staffed by a primary care physician and other clinicians appeared to reduce readmission risk in a vulnerable patient population.

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Public Health

CDC seeks more testing for ‘huge uptick’ in HCV incidence

CDC seeks more testing for ‘huge uptick’ in HCV incidence

By Mollie Durkin

Screening everyone born from 1945 to 1965 at least once would be able to diagnose 75% of people who are living with chronic hepatitis C, according to one expert at the Centers for Disease Control and Prevention.

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End-of-life Care

Common palliative care practices may lack benefits

Common palliative care practices may lack benefits

By Stacey Butterfield

Recent research has shown that some of the things physicians thought they were doing to help patients at the end of life are actually ineffective and even potentially harmful.

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President's Message

ACP expands its global reach

By Wayne J. Riley, MD, MPH, MBA, MACP

ACP is providing access to leading clinical resources and facilitating local interaction and education through its international chapters, which continue to expand. The College's total international membership now exceeds 13,000, an increase of almost 8% from 1 year ago. Currently, there are 18 international chapters.

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Washington Perspective

Must telemedicine disrupt the patient-doctor relationship?

By Robert B. Doherty

Telemedicine will be highly disruptive to patients and physicians. Like other technological advances, such disruption can be a good thing, leading to improvements in patient care. It can also be disruptive in a bad way if it undermines that patient-physician relationship.

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Editor's Note

Successful bariatric surgery requires planning, prep

By Jennifer Kearney-Strouse

This issue covers topics such as bariatric surgery, care for patients in an urban environment, and screening options for hepatitis C.

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Practice Tips

Positioning your practice for a new payment system

By Margo Williams

In 2019, new Medicare incentive programs take effect. There will be 2 avenues from which to choose: participation in an alternate payment model or the Merit-Based Incentive Payment System.

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FDA Update

Warning on HCV treatments; more cancer drugs approved

Warning on HCV treatments; more cancer drugs approved

By Mollie Durkin

This update also covers a warning that combination drugs can cause serious liver injury and approval of new drugs for metastatic non-small-cell lung cancer that has progressed after other treatments.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most appropriate management?

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