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March 2020

The American College of Physicians and the Society of Hospital Medicine (SHM) are celebrating National Hospitalist Day on Thursday, March 5th. Occurring the first Thursday in March annually, National Hospitalist Day recognizes and celebrates those who focus their practice on inpatient medicine and their major contributions to the overall healthcare landscape.

Hospital medicine is a type of practice within internal medicine in which the clinical focus is caring for hospitalized patients. Internists practicing hospital medicine are frequently called “hospitalists." Although not all hospitalists are required to be internists, the nature of internal medicine training uniquely prepares internists for hospital medicine practice. As a result, the vast majority of hospitalists are trained in internal medicine, usually general internal medicine. Read more about hospital medicine.

Feature

Coronavirus Outbreak Prompts CDC Guidance, Free ACP Resources

(from the February 11, 2020 ACP Internist Weekly Newsletter)

The CDC issued interim guidance for treatment of people potentially exposed to 2019 novel coronavirus (2019-nCoV). Travelers who have been in Hubei Province of China within 14 days have a high risk of exposure to 2019-nCoV based on the scope and magnitude of the epidemic. These travelers should be managed as having high-risk exposure, and those who are symptomatic should undergo immediate isolation and diagnostic testing for 2019-nCoV, the agency said.


I.M. Internal Medicine

Spotlight: Elizabeth A. Stephens, MD, FACP

Dr. Elizabeth Stephens developed Type 1 diabetes in her third year of medical school. “Residency was really difficult with the long hours, the intense patient interactions, the stress, and then also trying to stay well with diabetes. That was a really challenging time in my life, but when I came out of that I felt very proud that I didn't veer off course. I stayed, I finished on time and I went on straight ahead and did a fellowship. I felt pretty resilient that I made it through that,” she says.


Medical Student Perspectives

Allies in the Treatment of Opioid Use Disorders

“I have my life back,” she told me. I was sitting across from a woman who had just finished sharing her story of addiction and now freedom. Several years ago, she had a complicated delivery of her child and stayed in the hospital for a few days after her cesarean section. She remembered severe pain. She also remembered opioids being prescribed for her as the solution. She told me they were handed to her by hospital staff with well-meaning winks and innuendos like, “Get them while the gettin’ is good.” She went home with a prescription for hydrocodone. It was for 30 days and had several refills.

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.


Advocacy Update

Better is Possible: ACP's Vision for the U.S. Health Care System

The ambitious new vision begins with a call to action that challenges the U.S. not to settle for the status quo, but to implement systematic health care reforms. An additional set of ACP policy papers, published in Annals of Internal Medicine, address issues related to coverage and cost of care, health care payment and delivery systems, barriers to care and social determinants of health, and more.

The ACP Advocate is a bi-weekly e-newsletter that provides ACP members with news about public policy issues affecting internal medicine and patient care.


Analyzing Annals

Clinical Practice Points – Annals on Call SGLT2 Inhibitors: The Good, the Bad, the Ugly and Assessing the Risk for Gout With Sodium–Glucose Cotransporter-2 Inhibitors in Patients With Type 2 Diabetes. A Population-Based Cohort Study

Sodium–glucose cotransporter-2 (SGLT2) inhibitors block the reabsorption of glucose in the kidneys, resulting in glucosuria and increased excretion of uric acid. In this lively podcast, the benefits and potential risks of these drugs are discussed. The research study assesses the association between SGLT2 inhibitor use and risk for gout.

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

Impaired Brain Cells Response in Obesity

Obesity is an epidemic that affects more than one third of the U.S. adult population. The link between obesity and Alzheimer's disease has been firmly established in multiple studies. Obesity contributes to cognitive decline and a state of widespread inflammation that activates immune cells in the body.

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

Women's Health

Women's Health focuses on developing expertise in health issues that are unique to women, are more common in women, or may present differently in women.


In the Clinic

Urinary Incontinence in Women

Urinary incontinence (UI) is common among women and contributes to decreased quality of life. Several effective treatment options are available for the most common types of UI (stress, urge, and mixed), including lifestyle and behavioral therapy, drug therapy, and minimally invasive procedures. Most women improve with treatment, and UI is not an inevitable part of aging. To maximize the opportunity for successful treatment, it is critical to align the treatment approach with patient goals and expectations for care, including an assessment of patient-driven priorities regarding potential adverse effects, costs, and expected benefit of different treatment approaches.


Get Involved

Mastering Medicine Together for Students

Are you registered for the Internal Medicine Meeting in Los Angeles? Medical students have a dedicated track of sessions and events that include Student Story Slam, Stump the Professor, and Mastering the Match. The program is a great way to learn, network, and get the most out of the ACP Internal Medicine Meeting 2020.


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