January 2023

ACP IMpact

January Is National Mentoring Month

Moving Forward: Reflections and Recommendations on Fostering a Mentoring Relationship

Mentoring can provide critical benefits for the personal and professional growth of the mentee, including assets considered important in medical education. Yet, despite its importance, the often-informal format of mentoring makes it difficult to judge how often these relationships occur and what the key facilitators and barriers to mentoring in medical education may be.


Talking About Trainee Treatment

(from the January 4, 2023, ACP Hospitalist)

Historically, there wasn't much doctors in training could do when they felt they were mistreated by their educators.

I.M. Internal Medicine

Spotlight: Gilbert-Roy Kamoga, MD, FACP, CPE

Read about Dr. Kamoga's career path and his advice for medical students.

Council of Student Members (CSM) Spotlight

Understanding a Plant-Based Diet and Why It's Not Always Vegan

The copious number of articles, papers, and publications that have emphasized the importance of plant-based nutrition cannot be measured. There is a misconception that equates plant-based nutrition to veganism.

Medical Student Perspective

Perspectives on Simultaneously Being a Medical Student and a Patient

While waiting for my ultrasound to begin, I overheard one technician whisper to the other, “She's a medical student.” I interpreted this to mean that she was encouraging her colleague to exhibit the utmost medical professionalism. I was, in fact, acutely aware of my surroundings.

Advocacy Update

ACP's 2022 End of Year Advocacy Highlights

See how ACP has advocated for physicians, patients, and health care this year.

ACP Clinical Guideline

ACP Publishes Updated Clinical Guideline on Pharmacological Treatment of Osteoporosis and Low Bone Mass

An updated version of the ACP clinical guideline Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults was published in Annals of Internal Medicine. In the new guideline, ACP recommends bisphosphonates as an initial pharmacologic treatment to reduce the risk of fractures in males and postmenopausal females diagnosed with primary osteoporosis.

A video featuring ACP President Dr. Ryan D. Mire, MD, MACP accompanies the guideline here.

Analyzing Annals

How Would You Manage This Patient With Chronic Insomnia? Grand Rounds Discussion From Beth Israel Deaconess Medical Center

Recent guidelines on chronic insomnia strongly recommend multicomponent cognitive behavioral therapy and suggest a limited number of medications that might be useful. Referencing these guidelines, two experts in sleep disorders, a clinical psychologist and a physician, discuss treatment for a patient who had been taking medication for his insomnia.

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

The Role of Sensory Impairment in the Pathogenesis and Treatment of Psychosis and Tardive Dyskinesia

A 54-year-old male presented in a wheelchair to the emergency department with his nursing aid for worsening ataxia, neck extension, eye rolling, and dysarthric speech. The patient had a history of developmental delay, a ten-year history of optic neuritis, and cochlear implants for sensorineural deafness.

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 and Combined Training Careers

Combined Internal Medicine and Pediatrics

Combined internal medicine and pediatrics (usually referred to as Med-Peds) residency programs provide concurrent, dual training in both internal medicine and pediatrics, and allows eligibility for board certification and independent practice in both disciplines.

See what makes internal medicine unique and all the career pathways open to internal medicine physicians. Be sure to also explore a day in the life of an IM specialist/subspecialist at the bottom of our Medical Student Career Path page.

In the Clinic

Monoclonal Gammopathy of Undetermined Significance

Monoclonal gammopathy of undetermined significance (MGUS) is of considerable clinical importance to all primary care physicians given its high prevalence in the general population. It has a variable but lifelong risk for progression to hematologic cancer, such as multiple myeloma, Waldenström macroglobulinemia, or light-chain amyloidosis.

In Case You Missed It

ACP Best of Annals 2022

So much happened in 2022 and Annals of Internal Medicine was there through all of it, keeping readers informed and up to date. As the response to COVID-19 transitioned from pandemic to endemic, Annals continued to publish important research and discussions on the topic while also publishing notable articles on firearm injury, insulin rationing, the mortality benefits of coffee and tea, and many more. Read more.

IMIG Event Inspiration

Mentoring Event with University of West Indies, Cave Hill Campus

Third-year medical students at the University of The West Indies Cave Hill Campus in Barbados were mentored by newly graduated medical students who were just starting as interns. The session was held in the form of a MOSCE (Moderated Objective Structured Clinical Exposure) and was hosted by former governor of the ACP Caribbean Chapter, Kenneth Connell, MBBS, DM, PhD, FACP, FACC. Students learned both interpersonal clinical skills and how to conduct clinical examinations. See more IMIG event ideas.

Chapter Chatter

Missouri Chapter DoctorCorps Video Series

Several months ago, Missouri ACP launched a new video series of interviews with distinguished Missouri internal medicine physicians. Interviewees were chosen for their distinctions in medical practice, research, and education, and their contributions to the medical community and their communities at large. DoctorCorps also documented how medical practice and education evolved over the last 60 years. Watch videos.

The membership of ACP is divided into 85 chapters and regions, each uniquely tailored to the needs and interests of its members. See what events are coming up in your local chapter.


“Quiz Me!” Question

Test your medical knowledge each month with questions from The Medical Knowledge Self-Assessment Program® (MKSAP).

A 26-year-old woman is evaluated for palpitations that began 2 months ago. The palpitations begin with no specific inciting factors, last 5 to 15 minutes, and are alleviated by rest or deep breathing. They occur a few times per week. Between events, she engages in usual daily activities with no limitations. She has no other pertinent history and takes no medications.

The Medical Knowledge Self-Assessment Program® (MKSAP) has been the “go-to” resource for board prep and lifelong learning since 1967. Learn more.


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