February 2013

Feature: Medical Students Needed to Work at Internal Medicine 2013

Earn while you learn!

The American College of Physicians is looking for medical students to act as standardized patients in a number of ultrasound-related workshops to be held at Internal Medicine 2013 in San Francisco, CA. Students will be paid an honorarium of $100 per half-day, $200 for a full day for their time. No experience is necessary and standardized patients will not be required to simulate illness or injury.

If you live in the area or are planning to attend Internal Medicine 2013 and would like to help, please contact Lisa Rockey at (800) 523-1546 ext. 2588 or lrockey@acponline.org.

(Candidates must be comfortable being shirtless and/or wearing shorts depending on the technique being practiced in the workshop. Due to the nature of these workshops and the public setting it would be more appropriate for men to apply.)

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Medical Student Perspectives: Finding Support in Medical School

I once thought that I was invincible. With my goal set and my books in hand, I went through the trials and tribulations that many pre-medical students have to endure: physics, chemistry, MCAT, biology, and medical school interviews. Most of these prerequisites were put in place to train us how to absorb large quantities of information without showing stress or anxiety. As I walked through the doors on my first day of medical school, I felt my nerves quiver, but I figured that I was sufficiently prepared to overcome whatever hurdle was put in front of me. I had successfully finished 4 years of undergraduate studies and 1 year of graduate training—what could possibly knock me off course?

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IMIG Update: Top IMIG Clubs of 2012-2013

Find out which medical schools had the highest ACP participation for this year.

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Advocacy Update: ACP Testifies to the Institute of Medicine on Changes Needed to GME

The Institute of Medicine (IOM) is examining changes to different aspects of physicians training including financing and geographic distribution.

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Winning Abstracts from the 2012 Medical Student Abstract Competition: The Negative Predictive Value of Sonographically-Guided 14-Gauge Core Needle Biopsy of Breast Masses

Percutaneous image-guided core needle biopsy (CNB) is currently the standard of care for the initial diagnosis of suspicious breast lesions. It is less invasive, less time-consuming and less expensive than surgical excision, and causes minimal to no scarring. We aim to determine the negative predictive value (NPV) of sonographically-guided 14-gauge core needle biopsy of breast masses, with detailed analysis of any false negative cases.

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Subspecialty Careers: Medical Oncology

From the Greek word geron, "an old man," and iatreia, "the treatment of disease." Geriatric medicine involves the recognition of differences in presentation of disease and the importance of maintaining functional independence in elderly patients. Geriatrics is a primary care discipline oriented toward preventive, routine, acute, and chronic medical care of elderly patients.

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In the Clinic: Sarcoidosis

In the Clinic

Sarcoidosis is an idiopathic granulomatous disease. Although often considered a pulmonary disease, it can affect virtually any organ with diverse and protean manifestations. However, most patients present with typical symptoms that are recognizable at the first clinical encounter. Although the cause is incompletely understood, the pathogenesis of sarcoidosis involves antigen exposure in a genetically susceptible host resulting in typical granulomatous inflammation with a prominent Th1-cell-mediated immune response, which either resolves or progresses to organ fibrosis. The identity of the antigen or antigens and the exact genetics of predisposition remain areas of intense research.

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In the Clinic is a monthly feature in Annals of Internal Medicine that focuses on practical management of patients with common clinical conditions. It offers evidence-based answers to frequently asked questions about screening, prevention, diagnosis, therapy, and patient education and provides physicians with tools to improve the quality of care. Many internal medicine clerkship directors recommend this series of articles for students on the internal medicine ambulatory rotation.

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Highlights from ACP Internist® & ACP Hospitalist®

Searching for signs of eating disorders
Internists are often the first clinicians to see signs of an eating disorder, with the rapid or extreme changes in weight apparent both in person and from the history recorded in a patient's chart. But primary care clinicians may sometimes be afraid to ask about it because they are unsure how to handle what they might learn.

The things they don't teach in medical school
Al Franken, the humorist-turned-senator, once published a book that was titled "Oh, the Things I Know!" Indeed, by the time we reach parenthood, it is truly amazing what we keep up there in that attic of a brain. Here is a brief selection of things about the practice of medicine that I have had to discover for myself or never quite figured out, including clinical pearls, aphorisms, dictums, platitudes, mysteries and conundrums that have somehow found their way into my own cranium and are constantly trying to escape.

Grooming residents to be hospitalist leaders
Residents who want to become tomorrow's hospitalists need to learn more than clinical skills to succeed.

Shifting views on shiftwork: Experimental schedule succeeded in one ICU
The University of Pittsburgh Medical Center developed a new system to maintain night coverage in the ICU under resident work-hour limits.

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