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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
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Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
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How have you used ACP Smart Medicine? Share your experience and
be eligible to win a Free subscription of MKSAP for Students
An invaluable resource for medical students, ACP Smart Medicine
proves to be an ideal reference tool.
During an Emergency Medicine clerkship, the attending asked
me to examine a 23-year-old woman with Type I diabetes. Her chief
complaint was acute abdominal pain and dysuria. Her vital signs
were significant for mild tachycardia (HR 108), and her finger
stick blood glucose was 320. I immediately suspected DKA but I
needed to review what to look for on physical exam and exactly what
blood tests to draw.
I quickly accessed the "Diabetic Ketoacidosis" module in ACP
Smart Medicine from my phone and checked the Key Points. I found
that abdominal pain was associated with DKA which may correlate
with the degree of acidosis. I was reminded to look closely at
volume status on physical exam. During the exam, I checked
orthostatics and found that her heart rate increased by 25
beats/minute with standing.
I stepped out to talk to the nurse about the labs, and
decided to confirm exactly what I needed to order. I opened ACP
Smart Medicine again and clicked on the Diagnosis section. It
clearly stated what labs were needed and how to make the diagnosis.
I drew and sent an ABG and the nurse sent off the other blood tests
and the urine. The labs came back quickly- her arterial pH was 7.1,
serum sodium was 147, serum bicarbonate was 10, potassium was 5.2,
BUN and creatinine were 50 and 1.3, chloride was 110, serum ketones
were positive, and the urine had 3+ ketones as well as leukocyte
esterase and nitrites.
I diagnosed DKA based on her pH, bicarbonate, and positive
ketones. I thought it was probably from a UTI. I used ACP Smart
Medicine one final time to ensure there wasn't anything else I
should look for before presenting to my attending. In reviewing the
diagnosis section again, I saw that I needed to calculate the anion
gap (which was 27) and the osmolar gap (which was 14).
I was now ready to present to my attending, and she was
definitely impressed! We immediately hung IV fluids and started the
patient on IV insulin. And then the hard part started!
How have you used ACP Smart Medicine?
Share your experience. All ACP Student Members who share their
story will be eligible to win a FREE subscription of MKSAP for
Students Digital. E-mail all entries to firstname.lastname@example.org by
July 18, 2014 to qualify. ACP staff will choose the winner and
their story may appear in an upcoming edition of IMPact.
June 2014 Issue of IMpact
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