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When Would You Screen This 39-Year-Old Woman for Breast Cancer? Grand Rounds Discussion From Beth Israel Deaconess Medical Center

Breast cancer is the second leading cause of cancer death among women in the United States. Screening mammography, which aims to detect asymptomatic breast cancers at earlier and more intervenable stages, has reduced breast cancer mortality, but not overall mortality, in randomized trials. As of 2024, the U.S. Preventive Services Task Force now recommends biennial screening mammography for women aged 40 to 74 years (grade B recommendation).

When Might Genomic Screening Be Cost-Effective?

In this episode of Annals On Call, Dr. Centor discusses the cost-effectiveness of genomic screening with Drs. Gregory Guzauskas and Josh Peterson. First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

When Leg Cramps Suggest Peripheral Artery Disease

The Annals Consult Guys provide advice on the evaluation and management of a patient with leg cramps when walking.

What You May Have Missed in 2024: Part 3

In this episode of Annals On Call, Dr. Centor revisits information included in the Annals of Internal Medicine supplement “What You May Have Missed in 2024.”First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

What You May Have Missed in 2024: Part 2

In this episode of Annals On Call, Dr. Centor revisits information included in the Annals of Internal Medicine supplement “What You May Have Missed in 2024.”First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

What You May Have Missed in 2024: Part 1

In this episode of Annals On Call, Dr. Centor revisits information included in the Annals of Internal Medicine supplement “What You May Have Missed in 2024.”First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

What Would You Recommend for This Patient Interested in a Total Knee Joint Arthroplasty? Grand Rounds Discussion From Beth Israel Deaconess Medical Center

Fourteen million people in the United States have symptomatic knee osteoarthritis (OA), a number that is expected to rise with an aging population. Patients with OA can benefit from nonoperative treatment. However, none of these treatments are disease modifying, and many patients eventually require total joint arthroplasty (TJA). The American College of Rheumatology and the American Association of Hip and Knee Surgeons recently issued a guideline on the optimal timing of TJA in patients with symptomatic moderate-to-severe OA for whom nonoperative therapy has been ineffective.

What Internal Medicine Physicians Need to Know About Contraception

Undesired pregnancy has potential negative effects on physical, mental, social, and financial well-being. Yet, internal medicine physicians too often do not consider contraception as a component of routine preventive health care. Contraception gets little, if any, emphasis during internal medicine residency training, and most internal medicine physicians have never prescribed long-acting contraception or inserted an intrauterine device. Many defer discussion of pregnancy intent and contraception to colleagues in obstetrics and gynecology.

Virtual Urgent Care: Artificial Intelligence Versus Physicians

In this episode of Annals On Call, Dr. Centor discusses artificial intelligence–assisted urgent care with Dr. Zehavi Kugler. First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

Vaccines: Decision Making Amid Conflicting Recommendations

Vaccinations are among the most impactful of all public health interventions—protecting not only the vaccinee but also those around them. When polio vaccines were introduced, people clamored to receive them to avoid polio-related death and disability. Influenza vaccines have prevented countless lost days from school or work, hospitalizations, and deaths. Hepatitis B vaccines can prevent serious complications, including chronic liver damage and hepatocarcinoma. Some deadly infections such as smallpox have been virtually eliminated by vaccines.