February 2014
- Medical Student Perspectives: How & Why I Chose Internal Medicine
- My Kind of Medicine: Aysha H. Khoury, MD, MPH, FACP
- IMIG Update: Final Results & the Top 5 IMIG Clubs of 2013-2014
- Analyzing Annals: Video Learning: The Consult Guys: Atrial Fibrillation: How Controlled Is Well-Controlled?
- Advocacy Update: Affordable Care Act Issues Physicians Need to Know
- Winning Abstracts: Flatbush Diabetes or Idiopathic Type-1 Diabetes or Atypical Diabetes
- Subspecialty Careers: Endocrinology, Diabetes, and Metabolism
- In the Clinic: Hyperthyroidism
- Virtual Dx - Interpretive Challenges from ACP
- Highlights from ACP Internist® & ACP Hospitalist®
Medical Student Perspectives: How & Why I Chose Internal Medicine
We all go into medicine because we want to help people. In the midst of my residency interviews, I was able to delve deeper and reflect on this chosen career path and really understand why and how I have chosen internal medicine. I want to provide this as a guide to students who have not yet decided on a specialty.
MoreMy Kind of Medicine: Real Lives of Practicing Internists: Aysha H. Khoury, MD, MPH, FACP
The process of discovery is what stimulated Dr. Khoury's interest in medicine as a child. Fascinated by what she was learning in her 5th grade health class, Dr. Khoury says she loved the idea that a physician is a medical detective, studying evidence and figuring out what is wrong.
MoreAnalyzing Annals: Video Learning: The Consult Guys: Atrial Fibrillation: How Controlled Is Well-Controlled?
Watch the new The Consult Guys video: Atrial Fibrillation: How Controlled Is Well-Controlled? More
IMIG Update: Final Results & the Top 5 IMIG Clubs of 2013-2014
The IMIG Sponsorship Program recruitment period closed on December 31, 2013, and IMIG clubs will be receiving reward funding soon! See if your medical school reached the 30% recruitment goal.
MoreAdvocacy Update: Affordable Care Act Issues Physicians Need to Know
The bulk of the Affordable Care Act's coverage provisions went into effect on January 1, 2014, including tax credits for Marketplace-based coverage, Medicaid expansion, and insurance industry reforms such as prohibitions on pre-existing condition coverage limits.
MoreWinning Abstracts from the 2013 Medical Student Abstract Competition: Flatbush Diabetes or Idiopathic Type-1 Diabetes or Atypical Diabetes
Flatbush Diabetes or Idiopathic Type-1 Diabetes or Atypical Diabetes is an emerging subtype of Diabetes Mellitus that is prevalent in obese, middle age, minority patients, with a higher male predominance. It has a unique presentation with features of both type 1 and type 2 diabetes.
MoreSubspecialty Careers: Endocrinology, Diabetes, and Metabolism
Endocrinology is the diagnosis and care of disorders of the endocrine system. The principle endocrine problems include goiter, thyroid nodules, thyroid dysfunction, diabetes mellitus, hyper- and hypocalcemia, adrenal cortex dysfunction, endocrine hypertension, gonadal disorders, disorders of sodium and water balance, manifestations of pituitary disorders, disorders of bone metabolism, and hyperlipidemia. While not strictly an endocrine disorder, obesity is considered part of the spectrum of endocrinology because it often enters into the differential diagnosis of endocrine disease and is a major element in the management of type 2 diabetes. Prevention focuses on the complications of obesity, diabetes, hyperlipidemias, thyroid disease, and the iatrogenic effects of glucocorticoids.
MoreIn the Clinic: Hyperthyroidism
Hyperthyroidism is a clinical state characterized by excessive serum concentrations of thyroxine (T4), triiodothyronine (T3), or both with suppression of serum thyroid-stimulating hormone (TSH) levels. Some observers prefer the term thyrotoxicosis for this condition and restrict the term hyperthyroidism to the types of thyrotoxicosis that are caused when the thyroid gland synthesizes and secretes too much thyroid hormone. To avoid confusion, however, we will consider hyperthyroidism and thyrotoxicosis to be the same and will use only the term hyperthyroidism.
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.
Highlights from ACP Internist® & ACP Hospitalist®
Highlights from ACP Internist® & ACP Hospitalist®
Taking
team care from policy to practice
Medical practice is becoming increasingly team-based, which is
leading to a renegotiation of the roles each clinician brings to
patient care.
President's
Message: Transparent charts and opening the problem list to
patients
Doctors use the patient's medical chart as a notepad of sorts, to
record clinical impressions and thinking. But the record's
increasingly open nature requires physicians to reconsider how they
document the patient's history and what they might be willing to
share with the patient.
Translating
'two midnights': Understanding the new observation status
regulations
CMS' attempt to redefine the difference between inpatient and
observation status may create new problems.
A new
place between the hospital and the office: Hospitalist group
branches out into 'extensivist' care
Effort by Holston Medical Group in Virginia and Tennessee aims to
provide inpatient-level care without the negative effects of
hospitalization.