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MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer

A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015

MKSAP Quiz: evaluation for episodes of palpitations

A 42-year-old woman is evaluated for episodes of palpitations that last several seconds in duration. They occur once or twice a month and are accompanied by lightheadedness and mild dyspnea. She has not experienced loss of consciousness. The episodes are not precipitated by any particular activity, including exercise. She takes no medications. Following a physical exam, cardiac exam, and electrocardiogram, what is the most appropriate diagnostic testing option?
https://immattersacp.org/weekly/archives/2016/01/12/3.htm
12 Jan 2016

From policy to results: How does it all come together?

The process by which advocacy organizations achieve results for their members can seem opaque to those who are not directly involved. How does advocacy really work?.
https://immattersacp.org/archives/2016/03/washington.htm
1 Mar 2016

Facing depression in medical residency

Depression can be prevalent during medical residency, with long hours and social deprivation as contributing factors. Concerningly, the farther residents are into their training, the more depression rates rise. Some programs are delving into their trainees' psychological well-being.
https://immattersacp.org/archives/2016/04/depression.htm
1 Apr 2016

Debunking HIPAA myths in the digital age

Twenty years of the Health Insurance Portability and Accountability Act have not led physicians to full understanding of how to implement it in their offices. Four commons myths can be addressed more easily than is commonly thought.
https://immattersacp.org/archives/2016/04/HIPAA.htm
1 Apr 2016

Patients have a right to access personal health information

Confusion exists about how and when patients can access their personal health records under the Health Information Portability and Accountability Act.
https://immattersacp.org/archives/2016/04/tips.htm
1 Apr 2016

ACC, AHA release updated performance, quality measures for afib

There are 24 total measures, including 6 performance measures (3 inpatient and 3 outpatient) and 18 quality measures (10 inpatient and 8 outpatient), all designed to assess care quality for inpatients and outpatients with atrial fibrillation and atrial flutter.
https://immattersacp.org/weekly/archives/2016/06/28/2.htm
28 Jun 2016

The pros and cons of using scribes

Scribes allow clinicians to talk to their patients eye-to-eye, without a computer screen in the middle. They also come with all the complications of employee management.
https://immattersacp.org/archives/2016/10/tips.htm
1 Oct 2016

ACP to small practices: We've got your back

Internists in small practices worry that the payment disruptions from the Medicare Access and CHIP Reauthorization Act (MACRA) will be the straw that breaks the camel's back for profitability. ACP is committed to ensuring that this doesn't happen.
https://immattersacp.org/archives/2016/10/washington.htm
1 Oct 2016

Fixing the system to fight burnout

Leaders of medical societies, including ACP, and other stakeholders in the health care industry are looking at broad changes in the health care system to help doctors.
https://immattersacp.org/archives/2016/11/burnout.htm
1 Nov 2016

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