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May 2020

Feature

Success with STIs Causes Complacency

(from the April 2020 ACP Internist)

Progress made in combating HIV has caused people to feel a greater sense of security around sex and less worry about bacterial sexually transmitted infections.


I.M. Internal Medicine

Meet the Officers: Jacqueline Winfield Fincher, MD, MACP, and Heather E. Gantzer, MD, FACP

ACP is delighted to introduce our incoming ACP President, Dr. Jacqueline Winfield Fincher, and our incoming Chair of the Board of Regents, Dr. Heather E. Gantzer. Read on to learn about who they are, where they're from, their careers and their hobbies.


Medical Student Perspectives

What Making Mistakes as a Medical Student Can Teach You

My internal medicine clerkship was full of many impactful experiences that shaped how I will move forward in my medical career. It was challenging, exciting, and instructive. I learned how to perform a history and physical examination, build differential diagnoses, and demonstrate professional behavior. However, beyond these important skills, I learned an even more valuable tool for practicing medicine: being confident in myself.

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

ACP Continues to Urge Government Authorities to Ensure Personal Protective Equipment (PPE) for All Health Care Professionals

ACP continues to urge federal, state, and local authorities to ensure that the supply of personal protection equipment (PPE) for all physicians and health care workers is rapidly increased, and to advocate for regulatory reliefs that will benefit practices directly and help physicians weather financial hardships. Visit the ACP Online for ongoing updates.

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

Taking Care of Learners and Ourselves – On Being a Doctor: On Leaving Clinical Medicine and Laura and the Terrible, Horrible, No Good, Very Bad Day

In the first piece, Dr. Lynch recalls his immersion into residency training: “As soon as I dissolved, I began to react—or perhaps I should say ‘combust.’” In the second piece, Dr. Rock describes her terrible, horrible, no good, very bad birthday.

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

A Sweet Success: Osmotic Reduction of Prolapsed Stoma Using Table Sugar

Stomal prolapse is a common late complication of stoma creation with variable incidence depending on bowel location, creation technique, disease process, or emergent vs elective creation1. Loop ileostomy is associated with the lowest incidence of prolapse at approximately 2%2. Risk factors include large abdominal-wall openings, inadequate bowel fixation to the abdominal wall during surgery, increased abdominal pressure, lack of fascial support, obesity, pregnancy, and poor muscle tone3.

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

Clinical Cardiac Electrophysiology

Clinical Cardiac Electrophysiology represents advanced training in cardiovascular disease and focuses on management of complex cardiac electrophysiologic disease of the heart. Often called “electrophysiologists,” these internists are trained in the mechanism, function, and performance of the electrical activities of the heart. Electrophysiologists evaluate and assist with management of patients with significant heart rhythm disturbances (arrhythmias). They are trained to perform noninvasive and invasive diagnostic procedures (such as tilt-table testing and electrophysiologic studies) and to treat arrhythmias with medication, devices (pacemakers, cardioverters), and interventional methods (such as catheter ablation).


In the Clinic

Type 2 Diabetes

Type 2 diabetes is a prevalent illness that causes major vascular, renal, and neurologic complications. Prevention and treatment of diabetes and its complications are of paramount importance. Many new treatments have emerged over the past 5–10 years. Recent evidence shows that newer treatments may substantially reduce risk for cardiac and renal disease, suggesting that it may be necessary to change existing treatment paradigms. This review summarizes the evidence supporting diabetes prevention and treatment, focusing on aspects that are commonly in the purview of primary care physicians.


Get Involved

Did You Know ACP Has an Online Forum for Medical Students?

The ACP Member Forums provide members with an online community to interact with colleagues who have similar interests and career goals. Be sure to subscribe to alerts to receive daily email digests showing new posts and that link you directly back into the discussions. Subscribe based on where you are in your career, geographic location, and more.

See the full terms and conditions.


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