July 2013

Analyzing Annals: Screening for HIV: U.S. Preventive Services Task Force Recommendation Statement

IMpact's new monthly feature, Analyzing Annals, provides you with critical thinking questions to help you examine and evaluate Annals of Internal Medicine articles.

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Medical Student Perspectives: Memory Mountain: A More Pleasurable Route

"Rote memorization," an all-too-familiar concept for medical students, has become somewhat of a tradition in medical education. I wonder: Must we all attempt to digest a trees-worth of paper notes to earn the coveted suffix of "MD?" Are we all just victims of hippocampal hazing? All joking aside, mass memorization seems to be a necessary and innate part of medicine, and some medical subject matter simply requires memorization. The knowledge expected of a doctor is vast, and this is a path, though challenging, that we chose to traverse. Is there, however, a path less painful, less arduous?

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My Kind of Medicine: Real Lives of Practicing Internists: Officer Profiles: Molly Cooke, MD, FACP & Charles Cutler, MD, FACP

Get to know ACP President, Molly Cooke, MD, FACP and ACP Chair, Board of Regents, Charles Cutler, MD, FACP.

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IMIG Update: Get involved with your local ACP Chapter

One way to help strengthen your IMIG club is by getting in touch with your local ACP chapter and your Council of Student Members (CSM) Representative.

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Advocacy Update: Every American Will Benefit from Supreme Court's Decision to Uphold the Health Reform Law

The Supreme Court's decision to uphold the Affordable Care Act (ACA) in its entirety is a victory for improving health care for all Americans.

While the American College of Physicians (ACP) did not take a position on the constitutional issues before the court...

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Winning Abstracts from the 2013 Medical Student Abstract Competition: Secondary Syphilis: Much More Than a Rash

The characteristic feature of secondary syphilis is a rash, but its lesser-known symptoms create a presentation that can mimic mononucleosis, primary HIV, or other clinical entities. We report the case of an uncommon presentation of syphilis in a patient who presented with abdominal pain, B-symptoms, and a large abdominal mass concerning for a GI lymphoma.

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Subspecialty Careers: Hospice and Palliative Medicine

Palliative medicine aims to relieve symptoms and pain a patient suffers due to a serious illness. Goals of palliative care include reducing suffering, improving the quality of life for a patient, and supporting the patient and family throughout the treatment process.

Hospice care is focused toward patients facing a terminal diagnosis who no longer wish to undergo curative treatment and seeks to relieve symptoms and support patients in the end-of-life stages.

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In the Clinic: Palliative Care

In the Clinic

Palliative medicine focuses on quality of life and the alleviation of symptoms in patients with serious illness. It aims to consider the physical, mental, spiritual, and social well-being of patients and their families in order to maintain hope while ensuring patient dignity and respecting autonomy. Palliative care medicine encompasses both consultative palliative care for patients with serious illnesses, and hospice care for patients at the end-of-life (EOL).

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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®

Pain Management: Take time to ease the pain of elderly patients
Assessing and managing pain can be complicated in elderly patients. Learn which tools work, which tools don't, and how to optimize treatment.

New Regulations: Spotlight cast on industry gifts, payouts to physicians
The Physician Payments Sunshine Act goes into effect Aug. 1. We detail what physicians need to know.

Using medical apps, tech on the wards: Not all resources are created equal
Experts review apps for decision support, medical calculators, tools and more.

MKSAP quiz on delirium
These cases and commentary, which address delirium, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP16).

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