You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
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
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 18Learn More
Visit DynaMed Plus
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.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
IMpact can now be viewed on your smartphone! The new
mobile formatting allows for easier reading on your mobile devices!
All new issues, as well as all of the IMpact Archives can be
read on your phone.
The number of U.S. senior medical students choosing categorical
internal medicine residencies increased for the fourth consecutive
year. According to the 2013 National Resident Matching Program,
3,135 U.S. medical school seniors matched for residency training in
internal medicine, a 6.6 percent increase compared to 2012, when
2,941 matched in internal medicine.
When will I become capable of reaching a diagnosis without using
an excessive number of diagnostic exams? When are students or
residents expected to learn how to streamline? Will there be an
enlightened moment when we realize we have developed enough
clinical confidence to confirm a diagnosis while being efficient
with hospital funding? There are so many questions for which I do
not have answers.
Internal Medicine Interest Groups (IMIG) in U.S. medical schools
can apply for funding for 2013-2014 at www.acponline.org/imigapp.
The 21st annual Leadership Day on Capitol Hill will be held on
May 21-22, 2013 at the Liaison Hotel in Washington, D.C. ACP
Medical Student Members are encouraged to participate in this two
day event where they will receive advocacy training, an update on
the College's priority legislative issues; briefings from Members
of Congress, Administration officials and key Capitol Hill
staffers, and an opportunity to meet with their state's elected
Excessive caffeine intake, while an unusual cause of
hypokalemia, may be sufficient in a patient with potassium
deficiency to result in hypokalemic paralysis. Thorough history
taking, including a dietary history, can be critical for accurate
Critical care medicine encompasses the diagnosis and treatment
of a wide variety of clinical problems representing the extreme of
human disease. Critically ill patients require intensive care by a
coordinated team. The critical care specialist (intensivist) may be
the primary provider of care or a consultant. The intensivist needs
to be competent not only in a broad range of conditions common
among critically ill patients but also with the technological
procedures and devices used in the intensive care setting. The care
of critically ill patients raises many complicated ethical and
social issues, and the intensivist must be competent in areas such
as end-of-life decisions, advance directives, estimating prognosis,
and counseling of patients and their families.
"Transitions of care" refers to changes in the level, location,
or providers of care as patients move within the health care
system. One critical transition of care that has garnered great
attention and is the focus of this review is the transition
involving hospital discharge. Acute hospitalization represents a
significant event in a patient's life, and health care providers in
partnership with patients need to address myriad issues related to
the hospitalization and subsequent posthospitalization care for a
safe transition out of the hospital. The care of the hospitalized
patient has evolved over time, such that patients are sicker;
length of stay has decreased; medical technology and knowledge have
advanced; and new models of hospital-based care have evolved, such
as the advent of hospitalists as the principal hospital-based
providers. All of these factors have contributed to the complexity
of coordinating transitions of care.
In the Clinic is a monthly feature in Annals of Internal
Medicine that focuses on practical management of patients with
common clinical conditions. It offers evidence-based answers to
frequently asked questions about screening, prevention, diagnosis,
therapy, and patient education and provides physicians with tools
to improve the quality of care. Many internal medicine clerkship
directors recommend this series of articles for students on the
internal medicine ambulatory rotation.
with bloodwork to diagnose anemia
Anemia is fairly common, but its many etiologies complicate
diagnosis. It affects more than one in five black and Hispanic
people, one in 10 seniors and one in five of those over the age of
85. Learn how to fine-tune the diagnosis to best help patients.
Can computers replace physicians?
A medical education piece by Robert Centor, MD, FACP, Chair of the
board of regents
successful ward teams: Set goals, expectations from the
Learn what separates a highly functioning ward team from one that
never seems to gel.
Newman's Notions: A looney tenens
This month's column presents a fictional look at a very cartoonish