June 2012

Medical Student Perspectives: The White Coat & the Road to Medical School

As I sit under this huge white tent with hundreds of people around me and anxiously wait to be called up to receive my white coat, I look back at all of the hard work and effort it took to reach this spot.

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My Kind of Medicine: Real Lives of Practicing Internists: Lisa B. Bernstein, MD

Dr. Lisa Bernstein has been fortunate to have been influenced by several mentors over the course of her medical career. She was first inspired to become a doctor by her father, Dr. Arnold Bernstein who had a successful career as a practicing gynecologic oncologist as the Chairman of Obstetrics and Gynecology and OB-GYN Residency Director at Georgia Baptist Hospital (now Atlanta Medical Center). He exemplified to his daughter how rewarding a career in medicine could be. "As the head of a residency program and a trail blazer in his profession, he showed me that you could care for patients and teach future doctors, all with warmth and a sense of humor."

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Internal Medicine Interest Group of the Month: University of Iowa Roy J. and Lucille A. Carver College of Medicine

To complement the University of Iowa Roy J. and Lucille A. Carver College of Medicine's continued emphasis on primary care, the goal of our Internal Medicine Interest Group (IMIG) has been to contribute to this legacy while keeping our students excited about their future medical careers. We are organized as an eight person leadership board representing each of the medical school classes and are supervised by Dr. Joseph Szot and Dr. Manish Suneja.

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Ask the Program Director: Procedures during Rotations

Is there a way I can find out how many procedures I will be able to perform during a rotation during my M3 or M4 year?

See what Program Directors have to say!

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Advocacy Update: The ACP Advocate Blog by Bob Doherty: What we Lose if ObamaCare Goes

What will a Supreme Court ruling against the Affordable Care Act mean for health care? The answer, actually, is pretty simple: veterans, seniors, people with pre-existing conditions, primary care doctors, people who buy coverage from the individual insurance market, children and adults with pre-existing conditions, and of course the uninsured, are among the tens of millions of Americans will lose out if the ACA goes away.

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Winning Abstracts from the 2012 Medical Student Abstract Competition: Cotton Fever in Injection Drug Users; Contrasting Medical Obscurity and Colloquial Familiarity

The evaluation of a febrile intravenous drug user presents a difficult challenge for clinicians. While the majority of intravenous drug users will have a readily identifiable source of fever, up to 36% will have an occult infection. Although exhaustive evaluations of these patients may be warranted, recognition of benign causes of fever in intravenous drug users may attenuate expensive workups. Thus we present a case of cotton fever, an infrequently recognized febrile reaction in intravenous drug users

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Subspecialty Careers: Adolescent Medicine

Adolescent medicine focuses on the physical, psychological, social, and sexual development of adolescents and young adults. Multidisciplinary and comprehensive in approach, this specialty encompasses the full spectrum of acute, chronic, and preventive health care. Adolescent medicine evaluates medical and behavioral problems within the context of puberty and tailors management to the individual's developmental needs.

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In the Clinic: Eating Disorders

In the Clinic

Eating disorders, including anorexia nervosa and bulimia nervosa, are serious mental illnesses associated with significant rates of morbidity and mortality. In fact, anorexia nervosa has a mortality rate as high as that seen in any psychiatric illness (1, 2). Together with binge eating disorder (BED) (a condition currently classified in the Eating Disorders Not Otherwise Specified [NOS] category [3] but is likely to be considered a formal eating disorder in the upcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5] [4]), eating disorders affect 2%-5% of the population (5). Although evidence on whether the overall rates of eating disorders are increasing is unclear, there is evidence that these illnesses are affecting an increasing number of younger patients (6) and individuals across a wide range of cultures and backgrounds (7, 8).

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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®

Diving into delicate patient conversations
Delivering unpleasant news is one of the hardest tasks a physician faces. Assessing sensitive topics heightens the difficulty, and two physicians at Internal Medicine 2012 address ways to handle especially sensitive areas: sexual history, and the inability to safely drive a car.

'PharManure' and some drugs to hate the most
Drugs that made this doctor's least-most-wanted list, presented at Internal Medicine 2012, included those that increase costs without improving care, or that raise the risk of antibiotic resistance.

Patient-centered care from admission to discharge: How to improve bedside visits
It's hard to increase time spent with patients, so improving the quality of the time is the only workable alternative.

From cold feet to code feat
An internship boot camp prepares final-year medical students for the daily encounters they'll face in the years ahead.

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