January 2020

International Focus

Medical Education in Canada

This month, ACP IMpact focuses on medical students studying internal medicine in Canada. There are seventeen medical schools in Canada including three French schools (Laval, Montreal, Sherbrooke) and one school with bilingual instruction (Ottawa). These medical schools serve a population of 37.59 million. Although medical school is typically four years long, two of the seventeen programs have three-year curricula (Calgary, McMaster).


Physician Burnout Linked to Major Errors

(from the October 2018 ACP Hospitalist)

In a survey of 6,586 actively practicing physicians, 54.3% reported symptoms of burnout, 32.8% reported excessive fatigue, and 6.5% reported recent suicidal ideation. About 4% reported having received a poor or failing patient safety grade in their primary work area, and 10.5% said they had made a major medical error in the prior three months.

I.M. Internal Medicine

Spotlight: Helen Burstin, MD, MPH, MACP

Her parents' ordeal during the Holocaust when they were treated as less than human along with her desire to help others, made her decision to become a physician quite easy, she said, adding that she made her career choice when she was in middle school. As a physician, she could ensure that all patients received the same level of respect, dignity and treatment.

Medical Student Perspectives

The Challenges of Medical School and Maintaining Work–Life Balance

I am a third-year medical student at the Northern Ontario School of Medicine (NOSM) in Thunder Bay, Ontario, Canada. NOSM has a distributive model of learning in which students experience clinical placements throughout small northern and rural communities while simultaneously keeping up with academics. In first year, we have a 1-month cultural placement where we live in indigenous communities throughout the region.

Would you like to see your article published here? Review the general guidelines for submission and send your essay as a Word document attachment to impact@acponline.org We look forward to hearing from you.

Analyzing Annals

Humanism and Professionalism – On Being a Doctor: The Liver Transplant Unit

The reality that her partner's liver will fail plunges Dr. Adler into a different side of doctoring.

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

A Great Imitator of Positional Vertigo

Vertigo with associated falls is a frequent cause of admission in elderly patients. We present the case of a patient in which a systematic approach will reveal common and less common causes of falls.

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

Transplant Hepatology

Transplant Hepatology represents advanced training in gastroenterology and focuses on the management of advanced liver disease. Training provides a comprehensive understanding of hepatopathology and diagnostic techniques needed to evaluate and manage potential liver transplant patients. Transplant hepatologists also manage transplant patients both before and after transplantation, and therefore have expertise in managing issues such as immunosuppression and transplant-associated infectious diseases.

In the Clinic

Hepatitis C Virus

The advent of novel therapies has transformed the approach to patients with hepatitis C virus (HCV) infection. This virus is the most common blood-borne pathogen in the United States and is estimated to infect over 3 million Americans, most of whom were born from 1945 through 1965 (1, 2). It is a leading cause of morbidity and mortality, primarily through development of liver fibrosis and cirrhosis; persons with chronic infection live an average of 2 decades less than healthy persons (3).

Get Involved

Mastering Medicine Together for Students

Medical students can now take advantage of a dedicated track of sessions and events designed just for you at the Internal Medicine Meeting in Los Angeles. The program is a great way for students to learn, network, experience, and get the most out of the premier internal medicine educational event.

ACP-MIT Hackathon Returns to IM 2020

ACP is again partnering with MIT's renowned Hacking Medicine program to bring together professionals spanning the entire healthcare ecosystem to develop interdisciplinary hacks (solutions) to improve workflows. You don't need technical expertise to participate but you must apply by February 18, 2020.

See more details about this special event.


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