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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
Treating a patient? Researching a topic? Get answers now.
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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.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
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The rigor of preparing for course exams, shelf exams, and the
looming board exams is emotionally, physically, and mentally
taxing. Despite the challenges of completing medical school, it is
important to remember the necessity for work-life balance. Not only
is it important for maintaining success in school and a life-long
career, but it also gives a broader perspective that will help us
relate to the patients we will help every day. As the USMLE Step 1
exam approached last year, I decided to intentionally set a goal to
help me maintain life balance under the rising stress load.
Was it mere chance that an ROTC medical student from the frosty
state of Ohio was assigned to do his medical internship and
residency in the sunny islands of Hawaii? And was it beginner's
luck when the Tripler AMC pulmonary department took him surfing and
he successfully rode his first wave? Probably-but Hawaiians are
more likely to attribute Dr. DeZee's good fortune to "aumakua," his
ancestral guardian spirit. In Hawaiian culture, the aumakua is a
revered member of the ohana (meaning "family") who imparts wisdom
or intercedes on behalf of members of the ohana.
The ACP IMIG Sponsorship Program provides funding and resources
to internal medicine interest groups in U.S. medical schools. The
for 2014-2015 is now available! The deadline to apply is
June 1, 2014.
"Virtual" autopsy by postmortem computed tomography can replace
medical autopsy to a certain extent but has limitations for
cardiovascular diseases. This study found that the addition of
angiography to postmortem computed tomography resulted in the
ability to detect cardiovascular diagnoses similar to that of
traditional medical autopsy.
Congratulations to all of our 2014 Medical Student Abstract
From the word pulmo, Latin for "lung." Pulmonary
medicine is the diagnosis and management of disorders of the lungs,
upper airways, thoracic cavity, and chest wall. The pulmonary
specialist has expertise in neoplastic, inflammatory, and
infectious disorders of the lung parenchyma, pleura and airways;
pulmonary vascular disease and its effect on the cardiovascular
system; and detection and prevention of occupational and
environmental causes of lung disease. Other specialized areas
include respiratory failure and sleep-disordered breathing.
The pulmonary vascular bed is normally a low-resistance,
high-capacitance circuit capable of accommodating the entire
cardiac output at pressures approximately 15%-20% of those in the
systemic circulation. In pulmonary hypertension (PH), elevated
pulmonary arterial pressure places a burden on the normally
thin-walled right ventricle as it works to maintain normal blood
flow. Without effective therapy, right heart dysfunction leads to
progressive symptoms and is often fatal. Pulmonary hypertension is
frequently a result of common left-sided heart or lung
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.
hypertension, how low to go?
Updated blood pressure guidelines may have created more questions
than closure, internists have found, as they try to determine how
aggressively to treat hypertension and what goals to set for
subpopulations of patients, such as those with diabetes. Experts
react to the "paradigm shift" in lowering hypertension.
Yourself: From the MKSAP case studies
A 59-year-old woman is evaluated in the emergency department for
midsternal chest pain. The pain began several hours ago as a vague
ache in her left upper sternal region that progressed in intensity
and severity. The pain abated spontaneously after approximately 45
minutes. She had no further chest pain until several hours later,
when it recurred unprovoked by exertion. She has no shortness of
breath, nausea or vomiting, syncope, previous history of chest
pain, or known cardiac disease or risk factors for venous
thromboembolism. Medical history is significant for hyperlipidemia
and hypertension. She does not smoke cigarettes. Medications are
simvastatin, aspirin, lisinopril, and hydrochlorothiazide.
Following a physical exam, electrocardiogram and chest radiograph,
what is the most appropriate initial management?
Contesting contact precautions: Expert opinions on use range from
almost always to hardly ever
The debate over best practice may leave hospitalists wondering in
which camp they and their hospitals belong.
Notions: Vital signs are vital
There is much more to checking a pulse than noting its presence or