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Feature: ACP Pledges Support for Joining Forces

The American College of Physicians (ACP) is pleased to announce it has joined the Joining Forces campaign, a national initiative championed by First Lady Michelle Obama and Dr. Jill Biden that aims to give service members and their families opportunities and support in the areas of wellness, employment and education. One of the goals of the initiative is to help meet the neurological and psychological needs of service members, veterans and their family members. For more information visit www.whitehouse.gov/joiningforces.

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Medical Student Perspectives: Basic Money Management for Medical Students

Most of us remember medical school orientation. The feeling of ecstatic happiness of finally making it to medical school and embarking on a path of our dreams with our newly formed friends is unforgettable. Somewhere intertwined within these happy memories is a painful afternoon session hosted by the financial aid office: the mandatory entrance interview. We were told how much debt we will accrue by the end of our 4 years of medical school but were rest assured that there will be help along the way, and that we will be able to earn enough salary when we graduate to pay it back. Despite the threatening debt of $162,000 (on average) at the time of graduation (1), we bravely and eagerly marched on to memorizing the steps of the urea cycle, locating the internal thoracic artery, and learning Sterling’s law.

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Free Financial Management Webinar Series

Each webinar provides an overview of the investment environment, with specific areas of portfolio management so that whether you are a conservative, moderate or aggressive investor, your knowledge and confidence in making investment decisions will increase. Topics include: Creating a Successful Investing Roadmap; Understanding the Role of Fixed Investments in Your Portfolio; Mutual Funds & the “Study of the Decade”; and Appreciating the Benefits of Diversifying Your Portfolio.

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My Kind of Medicine: Real Lives of Practicing Internists: Lawrence P. Jennings, MD, FACP

Lawrence Jennings, MD, FACPWhen asked to describe the size of his hometown of Equality, Illinois, Dr. Lawrence Jennings jokes that there is not even a stop light in the county or in the two neighboring counties. A native of southern Illinois, Dr. Jennings is no stranger to small town life. His hometown, with only 750 residents, boasted a high school graduating class size of 16 students and was a great place to call home.

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Internal Medicine Interest Group of the Month: Chicago Medical School at Rosalind Franklin University of Medicine and Science

At Chicago Medical School, the Internal Medicine Interest Group (IMIG) is an organization that reaches out to a variety of students, whether they are absolutely set on a IM specialty track, primary care, or simply undecided. Each year, IMIG presents speakers to let students have a feel for different aspects of medicine and the different types of practice. This year, in addition to speakers, IMIG has a few other new and engaging events in store for students.

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Submit Your IMIG for Internal Medicine Interest Group of the Month

Do you think your IMIG has what it takes to be featured as the "Internal Medicine Interest Group of the Month" in an upcoming issue of IMpact? Deadline for submissions is May 1.

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Ask the Program Director: Applicants Qualities

What qualities do internal medicine residency programs seek to find in applicants? Of those qualities, which are most important? How important are extracurricular activities in ranking residency applicants?

See what Program Directors have to say!

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Commentary Corner: Feedback in Medicine

Kevin NeadOne of the most overwhelming aspects of becoming a medical student is adjusting to near-constant evaluation of your knowledge and skills. For many first-year students entering fresh from their undergraduate degrees, it is possible to have labored for 4 years in relative obscurity, scoring well on tests and putting together an impressive application. In medical school, however, even the most shy student will find that there are no hiding places. Patient interviews and physical examinations are practiced, often for the first time, under the watchful eyes of newly met classmates and instructors. Your first patient presentation will be given directly to a busy and scrutinizing attending. You will suture a real patient for the first time, with every stitch and knot evaluated by not only a physician but also a patient who may reluctantly note that your identification badge says "Medical Student."

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Winning Abstracts from the 2011 Medical Student Abstract Competition: Idiopathic Hypereosinophilic Syndrome Masquerading as False Positive Strongyloides Stecoralis

Hypereosinophilic syndrome (HES) is a heterogeneous group of conditions characterized by blood eosinophilia and end-organ dysfunction from eosinophilic infiltration and activation, thrombotic events and toxic mediator release.1-3 End-organ damage commonly affects the skin, heart, lungs, gastrointestinal tract, joints, and nervous system. Idiopathic HES is defined by persistent elevation of blood eosinophil count greater than 1500/µL for six consecutive months, of an unknown cause, and evidence of underlying end-organ damage.1-3

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Subspecialty Careers: Cardiovascular Disease/Cardiology

Cardiology is the prevention, diagnosis, and management of disorders of the cardiovascular system, including ischemic heart disease, cardiac dysrhythmias, cardiomyopathies, valvular heart disease, pericarditis and myocarditis, endocarditis, congenital heart disease in adults, hypertension, and disorders of the veins, arteries, and pulmonary circulation. Management of risk factors for disease and early diagnosis and intervention for established disease are important elements of cardiology.

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In the Clinic: Dyslipidemia
In the Clinic

More than 15% of U.S. adults have high serum cholesterol levels. Hypercholesterolemia is a major risk factor for cardiovascular disease (CVD), cardiovascular death, and all-cause mortality (1). Large observational studies have reported a strong, graded relationship between increasing levels of low-density lipoprotein (LDL) cholesterol or decreasing levels of high-density lipoprotein (HDL) cholesterol and increasing risk for atherosclerotic coronary heart disease (CHD) events (2, 3). Long-term, prospective epidemiologic studies have consistently shown that persons with healthier lifestyles and fewer CHD risk factors, and particularly persons with favorable lipid profiles, have lower incidences of CHD. Prevention and sensible management of dyslipidemia can markedly alter cardiovascular morbidity and mortality.

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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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Virtual Dx - Interpretive Challenges from ACP

905

This patient was recently started on warfarin without preceding heparin therapy for chronic atrial fibrillation.

Which of the following is the most likely diagnosis for the skin findings shown?

  1. Acquired factor VIII inhibitor
  2. Antiphospholipid antibody syndrome
  3. Overanticoagulation
  4. von Willebrand disease
  5. Warfarin necrosis
Answer

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Highlights from ACP Internist® & ACP Hospitalist®

The Match: Lessons from the Board

The Match sets medical students in search of themselves

Student Hospitalist: A tour of old Parisian hospitals
Unlike most cities, Paris still aches with history and the medical memory of centuries.

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Students: Join ACP for Free

Benefits of Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.

Join Now: Sign-up today and begin enjoying the benefits of ACP Medical Student Membership.

MKSAP for Students 5 Digital

MKSAP for Students 5 BookEnsure your success on the IM Clerkship rotation and exams. Study the material recommended by the Clerkship Directors in Internal Medicine and ACP with this integrated digital product. The full content of MKSAP for Students 5 and Internal Medicine Essentials for Students is presented on the product website, with links between questions and textbook. Questions can also be accessed through the new Osmosis medical app and website using a unique push-notification system. Learn more.

Find a Residency

Search ACP's Internal Medicine Residency Database for information on all internal medicine residency programs in the U.S. and Canada. (ACP Members only)

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What will you learn from your Annals Virtual Patient?

Reviews of the World's Top Medical Journals - FREE to ACP Members! Annals Virtual Patients is a unique patient care simulator that mirrors real patient care decisions and consequences. CME Credit and MOC Points are available. Start off with a FREE sample case. Start your journey now.

Products and Resources for Patients

Products and Resources for PatientsACP has developed easy- to-use materials designed to help educate your patients on self-management of a wide variety of common health conditions. Order yours today!