July 2017

Feature

When Physician Becomes Patient

From the June 2017 ACP Hospitalist

Many physicians and patients have learned from the life and death of Paul Kalanithi, MD. His memoir, “When Breath Becomes Air,” describes the experience of being diagnosed with stage 4 lung cancer during his neurosurgical residency, and it has been a New York Times bestseller since its posthumous publication in January 2016.

ACP Hospitalist provides news and information about hospital medicine, covering the latest trends and issues in the field.

Medical Student Perspective

A Comprehensive Approach to Internal Medicine

Having the opportunity to study medicine has been a gratifying experience, knowing I would be able to one day put this knowledge into practice with my own patients. Yet as a medical student, I am bound to my study schedule and review textbooks. I spend much of my time learning intricate pathways involved in ACE inhibitor side effects, indications for diabetes medication, and management of congestive heart failure.

My Kind of Medicine: Real Lives of Practicing Internists

Bernard M. Karnath, MD, FACP

Sir William Osler, considered by many to be the father of internal medicine, is the physician credited with taking medical students out of laboratories and lecture halls and into hospital wards for bedside clinical teaching.

Advocacy Update

With Millions Predicted to Lose Health Care, ACP Urges Senate to Craft a New Bill

From the June 9, 2017 ACP Advocate

The health care legislation passed by the House of Representatives to replace the Affordable Care Act would cause 23 million people to lose their insurance coverage over the next decade, according to an analysis by the nonpartisan Congressional Budget Office. That's a number that the American College of Physicians hopes will give the U.S. Senate pause as it considers a repeal-and-replacement bill of its own.

Analyzing Annals

Rock Bottom

In this essay, Dr. Muller describes how he descended to the lowest point in his training: exhausted, ashamed, and wanting everything—even his life—to just end.

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 2017 Medical Student Abstract Competition

Good Intentions: A Novel Peer-to-Peer Tutoring Program Designed to Reduce Block Failure Rates

The cost of failure and repeating a single year of medical education can be upwards of $100,000. There can be additional psychological ramifications for students, and ancillary costs incurred by the institution. Peer-to-peer tutoring is a highly effective means of augmenting learning and possibly preventing course failure in undergraduate medical education.

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

Endocrinology, Diabetes, and Metabolism

Endocrinology is the subspecialty of internal medicine that focuses on the diagnosis and care of disorders of the endocrine (glandular) system and the associated metabolic dysfunction.

Hyperthyroidism

Hyperthyroidism is a clinical state characterized by excessive serum concentrations of thyroxine (T4), triiodothyronine (T3), or both with suppression of serum thyroid-stimulating hormone (TSH) levels. Some observers prefer the term thyrotoxicosis for this condition and restrict the term hyperthyroidism to the types of thyrotoxicosis that are caused when the thyroid gland synthesizes and secretes too much thyroid hormone. To avoid confusion, however, we will consider hyperthyroidism and thyrotoxicosis to be the same and will use only the term hyperthyroidism.

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