November 2012

Medical Student Perspectives: From the IMpact Archives: Tips for Interviewing

Preparing for residency interviews can be a stressful and uncertain process, but it doesn't have to be! Visit the IMpact archives for an "Overview of the Residency Application and Interview Process," as well as tips for "Acing the Residency Interview."

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Feature: In Defense of the Personal Statement

Program Director Turi McNamee, MD, FACP shares her thoughts on how medical students can improve their personal statements in an article recently published in the Annals of Internal Medicine.

I hate them all. Not the candidates, but their personal statements. Because there's really very little that's personal about them. The major thing they've told me about themselves is that they are very much like 90% of the other candidates for my program, or that they've engaged the services of whatever essay mill produces such stultifying prose. I'm not sure which is worse.

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Commentary Corner: A Welcome Message from the CSM

Pleasant greetings to you! On behalf of the Council of Student Members (CSM), I'd like to take this opportunity to welcome you to what promises to be another fantastic year in the field of internal medicine for patients, students, and practicing physicians.

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Leadership Opportunities Available: ACP Council of Student Members Call for Nominations

The Council of Student Members (CSM) is currently recruiting five new representatives for terms beginning in April 2013. The CSM is responsible for planning programs for the annual meeting, promoting internal medicine as a career, and increasing the value of ACP membership to medical students.

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My Kind of Medicine: Real Lives of Practicing Internists: Dan Woodliff, MD, FACP

Dr. Dan Woodliff jokes that his love for the popular series "The Hardy Boys" growing up and the desire to do detective work influenced his decision to pursue a career in internal medicine. "I always wanted to be a detective, and I think that practicing internal medicine allows you to do a bit of detective work in determining a patient's diagnosis."

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IMIG Update: November Report & IMIG of the Month

Internal Medicine Interest Group of the Month: University of Texas Health Science Center at San Antonio

In South Texas, internal medicine is unique, with its predominantly Hispanic patient population and diverse urban and rural clinical settings. The Internal Medicine Student Interest Group (IMSIG) at the University of Texas Health Science Center at San Antonio (UTHSCSA) reflects this diversity in its multifaceted programming, which includes informing students about internal medicine, providing opportunities in community service, and advocating for primary care medicine in collaboration with other student groups on campus.

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Advocacy Update: What do the election results mean for health care?

With the presidential election behind us, find out what the results mean for ACP advocacy in Washington. President Obama's re-election takes away any lingering doubt about the fate of the Affordable Care Act. Now the focus turns to the states and the role they will play in implementing the law. In the last issue of the ACP Advocate we covered where the states stand on the health insurance exchanges and Medicaid expansion.

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Winning Abstracts from the 2012 Medical Student Abstract Competition: Antibiotics in Patients with Chronic Kidney Disease: An Epidemic of Dosing Errors

Antibiotics are frequently misprescribed in patients with chronic kidney disease (CKD) and are implicated in over one third of preventable adverse drug events in these patients.

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Subspecialty Careers: Nephrology

The word nephrology comes from the word nephros, the Greek word for kidney. Nephrology involves the diagnosis and management of diseases of the kidneys, the contiguous collecting system, and the associated vasculature.

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In the Clinic: Chronic Kidney Disease

In the Clinic

Chronic kidney disease (CKD) is currently defined as either functional or structural kidney damage or a glomerular filtration rate (GFR) less than 60 mL/min per 1.73 m2 for at least 3 months (1). CKD affects as many as 25 million people in the United States, and more than 500 000 have end-stage renal disease ((2), 3). The most common risk factors for CKD are diabetes and hypertension.

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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®

Diabetic Nephropathy:'Goldilocks' goal for diabetics and CKD
Managing kidney disease in diabetes requires meeting individualized parameters and balancing risks in nephrology and cardiology. Learn whether more aggressive treatment is warranted in this population.

Spare the emergency visit for skin and soft-tissue infections
Internists can save patients the anxiety, time and expense of an emergency department visit by screening for severity of most infections, experts say. The focus should be on acuteness and the factors surrounding onset of symptoms.

Cases from Yale-New Haven Hospital
This new quarterly column summarizes interesting patients in their doctors' words.

Q&A: Joyce M. Fried: Optimizing Tx of medical students
Medical student mistreatment appears to be more common than one might think.

Perspectives: Newman's Notions: Food for thought
Take a humorous look at a fictional doctor's quest to get some food during a busy day.

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