November, Issue 2 2022

ACP IMpact


Owning OUD in the Hospital

(from the November 2, 2022 ACP Hospitalist)

Less than 15% of patients with opioid use disorder (OUD) receive treatment with buprenorphine or methadone during hospitalization. New recommendations for hospitalists aim to change that.

I.M. Internal Medicine

Spotlight: Elizabeth Jean-Marie, MD, MSc

Read about a day in the life of a third-year internal medicine resident and a rising chief.

Council of Student Members (CSM) Spotlight

I'm Not Sure You Remember Me

Jeff was a cranky, sometimes belligerent, and sometimes whiny patient with Hepatitis C/alcoholic cirrhosis and a MELD of 32. His liver was really, really sick and had been long before I met him.

Medical Student Perspective

Would You Like Fries with Your NPO Diet?

She had been admitted seven times to the hospital within the last year alone for pain crises. She came in knowing exactly what medications at what dose and at what rate she needed to get through her 10-out-of-10 pain. Today was hospital day 4 for her. The resident on the team began the conversation with the typical, “How are you feeling today?” She told us her pain decreased to an 8.5 and (very happily) told us that she felt well enough to eat, so she ordered some chicken and waffles via DoorDash.

Advocacy Update

ACP Leads Charge for Immigrants' Role in Health Care Delivery System

(from the October 21, 2022 ACP Advocate)

The American College of Physicians is working with lawmakers to foster the important role of immigrants in the U.S. health care system as it relates to reducing the shortage of U.S. physicians and expanding access to care for patients in underserved areas.

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.

ACP Position Paper

New ACP Paper Calls for Policies to Improve Environmental Health for All

(from the October 25, 2022 Annals of Internal Medicine)

The College's latest position paper broadens recommended policy actions on the climate crisis to include a wider array of environmental exposures that impact human health.

Read the full article in Annals of Internal Medicine.

ACP public policy papers summarize and dissect published research and discussion on current issues involving clinical practice, medical education, bioethics, and health care financing and delivery, and make specific recommendations for internists, patients, and policy makers. Read about ACP's public policy development process.

Analyzing Annals

Maternal, Infant, and Child Health Outcomes Associated With the Special Supplemental Nutrition Program for Women, Infants, and Children. A Systematic Review.

The U.S. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides supplemental foods, nutrition education and breastfeeding support, screening and referrals to medical and social services, and support for eligible low-income women and children younger than 5 years. This review describes evidence on the association of maternal, infant, and child health outcomes with WIC participation.

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

Hocus POCUS Diagnosis

Incidence of autoimmune encephalitis tripled since 1995. With prevalence of 13.7/100,000 persons and novel distinct clinical pathologies, appropriately identifying autoimmune encephalopathies is imperative to facilitate timely treatment and maximize healthcare utility.

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

Infectious Disease

Infectious disease medicine is the subspecialty of internal medicine that focuses on diagnosing and managing infections. Although most common infections are treated by general internists and other specialty physicians, internists practicing infectious disease medicine are frequently called upon to help diagnose unknown infections and assist in managing difficult, unusual, or complicated infections.

See what makes internal medicine unique and all the career pathways open to internal medicine physicians. Be sure to also explore a day in the life of an IM specialist/subspecialist at the bottom of our Medical Student Career Path page.

In the Clinic

Alcohol Use

Unhealthy alcohol use—the consumption of alcohol above a level that has caused or has the potential to cause physical, psychological, or social consequences—is common, underrecognized, and undertreated.

Get Involved

Deadline to Apply for ACP National Abstracts Competition Is November 30, 2022

Showcase your exceptional research at next year's ACP National Abstract Competitions at the Internal Medicine Meeting 2023 in San Diego! The medical student clinical vignette and research deadline is Wednesday, November 30, 2022. All those with accepted posters or oral presentations will be eligible for FREE meeting registration. Apply now.

Register for ACP Internal Medicine Meeting in San Diego, CA | April 27-29, 2023

Registration includes special sessions for medical students and access to the full Scientific Program and meeting events. You'll also receive 30 days' post-meeting access to all recorded sessions, giving you more time to learn on your schedule. Join us in person or virtually for only $50. Register.

Program Spotlight

ACP Launches New Financial Well-being Program

The new program for ACP members features tools and resources on topics such as paying medical school loans, budgeting and saving, and tax strategies. Learn more.

IMIG Event Inspiration

Primary Care Panel

Last fall, internal medicine interest group members at Rush Medical College of Rush University in Chicago partnered with family medicine, pediatrics, and med-peds interest groups to host a primary care panel. The event showcased and answered questions regarding becoming a primary care physician. See more event ideas.

Chapter Chatter

Maryland Chapter Resident Soccer Tournament

In its eighth season, the annual resident soccer tournament of the ACP Maryland Chapter attracted six teams and over 80 competitors this year. Congrats to the 2022 first-place winners, University of Maryland Medical Center, VA Medical Center! See more.

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.


“Quiz Me!” Question

Test your medical knowledge each month with questions from The Medical Knowledge Self-Assessment Program® (MKSAP)

A 68-year-old man is evaluated in the emergency department for gastrointestinal bleeding. He reports a 3-day history of dark stools and upper abdominal pain but is otherwise asymptomatic. Medical history is significant for coronary artery disease for which he underwent drug-eluting stent placement 7 months ago. Medications are metoprolol, atorvastatin, aspirin, and clopidogrel.

The Medical Knowledge Self-Assessment Program® (MKSAP) has been the “go-to” resource for board prep and lifelong learning since 1967. Learn more.


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