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December 2017

This issue focuses on the treatment of HIV in recognition of World AIDS Day (December 1, 2017). ACP joins with people worldwide to unite in the fight against HIV, to show support for people living with HIV, and to commemorate those who have died from an AIDS-related illnesses.

Feature

Integrating Routine HIV Screening Into Practice

From the September 2016 ACP Internist

HIV may be found in any health care setting, crossing boundaries of sexual orientation, gender, age and ethnicity. According to CDC statistics, more than 1.2 million people in the U.S. are living with HIV and 156,300, or about 1 in 8, are unaware of their status, which puts them at risk for the severest consequences of the disease.

ACP Internist provides news and information for internists about the practice of medicine and reports on the policies, products, and activities of ACP.


My Kind of Medicine: Real Lives of Practicing Internists

Spotlight: Paul Volberding, MD, MACP

Dr. Paul Volberding completed his fellowship at University of California, San Francisco (UCSF) and immediately found himself on the frontlines of one of the 20th century's worst epidemics. On the day he completed his fellowship, San Francisco General Hospital offered him the opportunity to start a medical oncology division. He took the position and “went from training to be a division chief to, literally overnight, the next day on rounds seeing the first Kaposi sarcoma patient admitted to San Francisco General.”


Medical Student Perspective

How Easy It Is to Speak Up

I entered medical school with a simple, intense desire to take care of others. A naturally, sometimes overbearingly caring person with a penchant for science, I had dreamed of becoming a physician since middle school. My naiveté was quickly slapped by reality when I realized that people enter medicine for many other reasons—prestige, job stability, income, or a genuine fascination with science that sometimes overlooks human suffering.


Advocacy Update

ACP Calls Trump's Action on Opioid Crisis a Good First Step

President Trump's decision to declare the opioid epidemic a public health emergency has been met with tempered enthusiasm by the American College of Physicians.

The ACP Advocate is a bi-weekly e-newsletter that provides ACP members with news about public policy issues affecting internal medicine and patient care. Join ACP's Advocates for Internal Network Medicine network(AIMn) to stay engaged with ACP's advocacy activities.


Analyzing Annals

Annals Graphic Medicine - The “Problem” List

Laugh (or cry?) as what starts as a simple issue evolves into a complex medical problem list.

Annals of Internal Medicine is the premier internal medicine academic journal published by the American College of Physicians (ACP). It is one of the most widely cited and influential specialty medical journals in the world.


Winning Abstracts

Oropharyngeal Dysphagia: Rare Presenting Symptom of Statin-induced HMG CoA Reductase Necrotizing Autoimmune Myopathy

Necrotizing Autoimmune Myopathy (NAM) associated with 3-hydroxy-3-methylglutaryl-coenzyme A Reductase (HMGCR) antibodies has been described in statin-induced and statin-naive patients. Proximal muscle weakness is the presenting symptom in HMGCR NAM. CK levels can exceed 10x normal values.

Want to have your abstract featured here? ACP holds a National Abstracts Competition as part of the ACP Internal Medicine Meeting every year. Find out more at ACP Online.


Subspecialty Careers

Allergy and Immunology

Allergy and immunology involves the management of disorders related to the immune system. These conditions range from the very common to the very rare, spanning all ages and encompassing various organ systems.


In the Clinic

Management of Newly Diagnosed HIV Infection

Studies have shown that positive clinical outcomes for HIV-infected persons are a function of the clinician's experience (1, 2). Thus, nonspecialists are urged to seek expert advice and consultation from experienced HIV care providers whenever possible.


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Get Involved

Opportunities for Medical Students at ACP Internal Medicine Meeting 2018

ACP's annual meeting, Internal Medicine Meeting 2018, will be held from April 19-20, 2018 in New Orleans, LA at the Ernest N. Morial Convention Center.

Student Registration for the meeting is FREE, and there are opportunities for Medical Student Members to get involved:

1) Earn while you learn! Work as an ultrasound model for:

• The Point-of-Care Ultrasound for Internists and Hospitalists pre-course on Tuesday, April 17 and Wednesday, April 18. There are two sessions available on each day: 7:30 am – 11:45 am and 12:45 pm – 5:00 p.m. Students can sign-up for one session or all four sessions and will receive a stipend of $50 per session.

• Ultrasound-guided activities in the Herbert S. Waxman Clinical Skills Center, Thursday, April 19 through Saturday April 21. Students who participate in the Waxman Center will receive a stipend of $15 per hour.

These are noninvasive workshops, and students will be used to demonstrate ultrasound technique and imaging of normal anatomy.

This is a great learning opportunity for medical students! Dr. William Schweickert, Director of the Medical Critical Care Operations at the Hospital of the University of Pennsylvania, describes the benefit to Student Members participating in the workshops:

We commonly have intellectually curious medical student participants as our ultrasound models. The medical students learn from the teaching of the instructor - both to the group and to them individually. I have witnessed multiple students asking questions about various ultrasound modes and anatomy. The ability to see the screen during scanning has helped many students to learn alongside the participants or in between groups. The two primary ultrasound faculty for our course are practicing Emergency Medicine physicians who teach ultrasound internationally. They are elite teachers and are willing to patiently answer the questions posed by everyone.

If you live in the New Orleans area or are planning to attend Internal Medicine Meeting 2018 and would like to participate, please click here to see available time slots and to register.

Please share this announcement with your classmates.

If you have any questions, please contact Colleen Poole at cpoole@acponline.org or at (215) 351-2597.

2) ACP Innovation Challenge 2018: Re-Imagining the Practice of Internal Medicine

Do you have a project idea that improves patient outcomes, cuts unnecessary costs, or allows physicians to collaborate more effectively? If so, ACP wants you to enter the ACP Innovation Challenge!

ACP Internal Medicine Meeting 2018, being held April 19-21 in New Orleans, LA, will be hosting the third “Shark Tank”-styled competition where finalists will present their projects to a distinguished panel of judges in front of a live audience. Project ideas may be submitted by physicians or medical students and should focus on transforming clinical practice. A Grand Prize winner will receive $20,000 in funding for project development and an Audience Choice prize of $5,000 will also be awarded. All finalists are eligible to receive complimentary meeting registration and travel funds to attend ACP Internal Medicine Meeting 2018.

For additional information and to submit an application by the December 31, 2017 deadline, visit ACP online.

Please feel free to distribute this information to anyone who may have a project eligible for submission.

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