Highlights from ACP Internist and
ACP Internist (formerly ACP Observer) January - March 2010
- Remote monitoring: Out of sight, right in line
Remote monitoring programs help physicians and nurses ensure continuity of care for elderly patients with chronic conditions. The goal is to catch problems early and improve self-management. Another goal: provide physician reimbursement.
- Med schools promoting care for underserved
To encourage primary care careers, medical schools are offering students shortened specialty rotations in favor of fast-track graduation, half-tuition forgiveness and having students follow patients wherever they go in the health system. Different teaching models emphasize continuity of care over snapshots of diagnoses, and place students in the clinics where they can fulfill the nationís need for rural care.
- Rethinking the value of the annual exam
Patients expect it and internists wonít let it go. But does the evidence support the need for the periodic health exam? Data say routine lab tests are of little or no use, but experts weigh in on the value of regularly seeing patients for preventive screening.
- What to do when one expects everything to fit, but it doesn't
James Hennessey, FACP, reports on a young womanís elevated testosterone level, and how he made a diagnosis even though the lab results and imaging conflicted. Our diagnostic experts consider confirmation bias and how this internist sidestepped being misled.
ACP Hospitalist January - March 2010
- Treating HCAP is not a snap
Pop quiz: Do you know the guidelines for treating health care-associated pneumonia? And is your clinical practice in accordance with those guidelines? If the answer to either of those questions is no, youíre not alone.
- Watchful eyes make for clean hands
Greater Baltimore Medical Center used signed pledges and volunteer auditors to dramatically improve hand hygiene rates.
- Future of antibiotics worries infectious disease specialists
At the Infectious Diseases Society of America meeting last fall, one of the issues that most riled the experts was antibiotics, specifically the lack of them.
- More than a mentor: Coaches play key role in helping physicians map out careers
Mentors play a crucial role in helping less experienced physicians develop their careers. A good coach can provide needed perspective and guidance.
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