January 2017

Better Handoffs
Hospitalists explore new tech and face-to-face strategies
A significant percentage of avoidable adverse events in hospitals can be traced back to poor communication during patient handoffs, according to a number of studies, yet there are no universal standards for how that process should occur.

Medical Student Perspective: Life as an International Medical Student
Getting admitted into an American or Canadian medical school is a tremendous accomplishment. Unfortunately, for many aspiring physicians, the incredibly high competition to get into one of these programs can often delay or end one’s career dreams.

Advocacy Update: ACP Supports Surgeon General’s Report on e-Cigarettes and Youth
ACP joined several leading medical organizations representing 630,000 physicians across the country, including the American Academy of Pediatrics, the American Academy of Family Physicians, the American Congress of Obstetricians and Gynecologists, and the American Medical Association in support of E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General, the first comprehensive federal government review of the public health impact of e-cigarettes on youth and young adults in the United States.

My Kind of Medicine: Real Lives of Practicing Internists
Dr. Stephen Boswell began working at the Massachusetts General Hospital’s HIV clinic during the height of the AIDS epidemic in the 1980s. Now, he’s continuing to advance the quality of LGBTQ health care as the President and CEO of Fenway Health in Boston, Massachusetts.

Analyzing Annals: Patient Experience Must Move Beyond Bad Apples
The authors of this commentary discuss the shortcomings of current efforts to measure and improve patient experience, which have focused on individual physicians, and instead advocate for a new approach that treats patient experience as primarily a systems property rather than an individual property.

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 from the 2016 Medical Student Abstract Competition:  Incidence of Venous Thromboembolism (VTE) in Patients Prescribed Megestrol for Appetite Stimulation
Cachexia and anorexia occur in 50-80% of cancer patients. In cancer patients, it is associated with shorter survival, treatment failure, early treatment termination, declining functional status, and reduced quality of life.

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: Hospice and Palliative Medicine
Palliative medicine aims to relieve symptoms and pain a patient suffers due to a serious illness. Goals of palliative care include reducing suffering, improving the quality of life for a patient, and supporting the patient and family throughout the treatment process.

In the Clinic


Delirium is an acute state of confusion marked by sudden onset, fluctuating course, inattention, and at times an abnormal level of consciousness. Delirium is extremely common but can be challenging to diagnose. Its manifestations range from acute agitation, which accounts for less than 25% of all cases, to the much more common but less frequently recognized hypoactive, or quiet, variant.

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Determine the most appropriate diagnostic study:



Medical Students Needed to Work at Internal Medicine 2017 in San Diego, CA
Earn while you learn!

The American College of Physicians is recruiting medical students to act as standardized patients at Internal Medicine Meeting 2017 to be held March 28 - April 1, 2017 in San Diego, CA at the San Diego Convention Center.

Students are needed for:

  • The Point-of-Care Ultrasound for Internists and Hospitalists pre-course on Tuesday, March 28 and Wednesday, March 29, 7:30am - 5:00pm. Students can sign-up for one or two days, and will receive a stipend of $75 per day.
  • Ultrasound-guided activities in the Herbert S. Waxman Clinical Skills Center, Thursday, March 30 through Saturday, April 1.  Students who register will receive a stipend of $20 per hour.

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

If you live in the San Diego area or are planning to attend Internal Medicine Meeting 2017 and would like to participate, please 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.

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