May 2022

ACP IMpact

May is Mental Health Awareness Month. Each year millions of Americans live with some type of mental illness and medical students are no exception. ACP has compiled physician mental health and well-being resources in our I.M. Emotional Support Hub. Mental health resources specific to the challenges of medical students can found here on ACP Online.


Ease Up on Antipsychotics

(from the April 6, 2022, ACP Hospitalist)

There are patients on long-term antipsychotics for no reason other than that they were once hospitalized, a troubling conclusion that can be drawn from recent studies of discharges from ICUs and hospital wards.

I.M. Internal Medicine

Meet the ACP Officers: Ryan D. Mire, MD, FACP, and Sue S. Bornstein, MD, FACP

ACP is delighted to introduce our incoming ACP President, Dr. Ryan D. Mire, MD, FACP, and our incoming Chair of the Board of Regents, Sue S. Bornstein, MD, FACP. Read on to learn about who they are, where they're from, and their careers and hobbies.

Council of Student Members (CSM) Spotlight

In the Nick of Time: Why Ensuring Cardiac Screening of Athletes and AEDs in Schools Is an Essential Legislative Priority

The opposing cornerback rushes over and sees the receiver motionless on the ground. He checks for a pulse and is unsure so he calls over to the bench. Two providers and a student rush over as the athletic director brings out the automated external defibrillator (AED).

Medical Student Perspective

Tears for Him

“Wait here. I'll be just a moment.” My preceptor rushed out as he was pulled aside by the team's social worker. They scurried off to a separate conference room before I could even finish nodding.

Advocacy Update

New ACP Toolkit Targets Inappropriate Mental Health Questions by Licensing and Credentialing Boards

(from the Feb. 18, 2022 ACP Advocate)

The American College of Physicians (ACP) is rolling out a new toolkit to help members encourage their state medical licensing and credentialing boards to remove questions about mental health on applications and add language that is supportive of receiving mental health care when needed.

Read the full article in ACP Advocate.

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

Trends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019. A Repeated Annual Cohort Study; Interns Are Increasingly Using Mental Health Services, but More Can Still Be Done

Increasing concern about the mental health of physicians in training has led to changes in work hour regulations and residency training programs.

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

Prolonged Muscle Paralysis Associated Acetylcholinesterase Deficiency

Acetylcholinesterase Deficiency is a rare autosomal recessive disorder occurring 1 in every 3,200-5,000 people. Usually presents as a persistent paralysis following surgery due to prolonged action of acetylcholine. There have been rare reports in the literature of such a phenomenon.

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 and Combined Training Careers

Internal Medicine/Psychiatry

Residency programs that combine basic internal medicine training with other disciplines almost always allow completion of training and eligibility for board certification in both areas in a time frame shorter than would be required if training were to be pursued in both fields independently.

See all the career pathways open to internal medicine doctors and explore a “day-in-the-life” of an IM specialist/subspecialist at the bottom of our “Medical Student Career Path page.

In the Clinic


Delirium is an acute confusional state that is common and costly and is associated with significant functional decline and distress. It is the manifestation of acute encephalopathy and is variably called acute brain failure, acute brain dysfunction, or altered mental status.

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.

IMIG Event Inspiration

Clinical Skills Workshop: Shoulder and Knee Injections

The Internal Medicine Interest Group at Washington University School of Medicine in St. Louis conducted a clinical skills workshop in which students practiced shoulder and knee injections. See more IMIG event ideas.

Chapter Chatter

Arizona Chapter LEAD IM Exceptional Leadership and Mentorship Program

In January 2022, ACP Arizona launched a leadership certificate program called LEAD IM that uses mentorship to help residents and early career physicians achieve higher career satisfaction and success. See details.

The membership of ACP is divided into 85 chapters and regions, each uniquely tailored to the needs and interests of its members. See what events are coming up in your local chapter.


ACP IMpact is copyrighted ©2022 by the American College of Physicians.