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American College of Physicians Releases "Clinical Practice"

PHILADELPHIA — (March 24, 2005) A new book from the American College of Physicians (ACP), the national organization of doctors of internal medicine, is designed to bring up-to-date evidence for disease prevention into the exam room. "Clinical Practice: American College of Physicians Guidelines and U.S. Preventive Services Task Force Recommendations" is edited by Vincenza Snow, MD, director of the ACP department of clinical programs.

"Clinical Practice" gathers 12 ACP guidelines and 13 U.S. Preventive Services Task Force (USPSTF) recommendations into one 118-page volume. Both ACP and the USPSTF have developed robust reviews of the evidence on topics important to clinicians and their patients. Emphasis has been placed throughout on topicality and relevance.

"Clinical Practice" includes ACP guidelines on management of chronic diseases such as lipid control in the management of type 2 diabetes mellitus, pharmacological treatment of acute major depression, and evaluation of primary care patients with chronic stable angina. Another section is four ACP guidelines for antibiotic use in adult upper respiratory infection, and a third section is USPSTF recommendations for screening and prevention, including breast cancer, lung cancer, obesity and dementia. The book includes a summary of adult immunization recommendations. "Clinical Practice" is listed at $31. and is available to ACP members for $28. To order, contact ACP Customer Service at 215-351-2600, or online.

In 1981, the American College of Physicians (ACP) established the Clinical Efficacy Assessment Project (CEAP) to analyze and present the best information so that practitioners could readily determine the usefulness of tests, procedures, and treatments. Early recommendations included screening tests.

In 2001, the U.S. Preventive Services Task Force (USPSTF), an independent panel of experts in primary care and prevention convened by the Agency for Healthcare Research and Quality (AHRQ), began issuing evidence-based recommendations for screening and prevention. Rather than duplicate their efforts, CEAP recommendations have moved away from screening tests and now are directed toward guidelines on diagnosis and management of illness. The relationship between CEAP and AHRQ has prospered through the establishment and implementation of the latter's Evidence-based Practice Centers (EPC) program. Whenever possible, ACP guidelines are being developed based on EPC reports.

Dr. Snow heads the ACP's development of evidence-based clinical practice guidelines and the ACP Adult Immunization Initiative. She is principal investigator on "Closing the Gap," a grant from the Agency for Healthcare Research and Quality, and is ACP's liaison to many federal organizations such as the U. S. Preventive Services Task Force and the National Diabetes Education Program.

Dr. Snow received a dual undergraduate degree in the biological basis of behavior and psychology from the University of Pennsylvania. She received her medical degree from the University of Chile, Santiago, where she also completed a two-year internship. She practiced general internal medicine in Santiago, and, after moving to the United States with her family, completed a residency in internal medicine at the Medical College of Pennsylvania in Philadelphia.

Dr. Snow is the author of 12 published clinical guidelines and more than 10 other articles. In addition to "Clinical Practice," she is also the editor of "Screening for Diseases," also published by ACP. She has been interviewed by many print and broadcast media, including The New York Times, The Washington Post, CNN and NBC.

ACP (Doctors of Internal Medicine. Doctors for Adults.) is the largest medical-specialty organization and second-largest physician group in the United States. Membership includes 116,000 internists, related subspecialists, and medical students. Internists specialize in the prevention, detection and treatment of illnesses in adults.

The American College of Physicians was founded in 1915 to promote the science and practice of medicine. In 1998 it merged with the American Society of Internal Medicine, which was established in 1956 to study economic aspects of medicine. ACP works to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine.


Lynda Teer, 215-351-2655 or 800-523-1546, ext. 2655
E-mail: lteer@acponline.org

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