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Physician & Practice Timeline Professional Requirements & Opportunities | Key Deadlines and Target Dates to Remember | ACP

The Timeline is a helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements.

HIPAA

Maintain compliance with all HIPAA requirements by using ACP and HHS resources, guides and tools.

Regulatory Resources

Resources you need to navigate and comply with important dates, compliance requirements, and other system changes related to your practice of medicine. Physician & Practice Timeline A helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements. More on the Timeline

QI for Healthcare: Quality Improvement Curriculum | ACP Advance

ACP's Quality Improvement curriculum offers a practical approach that guides you through the stages of implementing QI in healthcare. Learn more today.

COVID-19 Recovery: Promoting Well-being in Residency Programs through Quality Improvement Coaching

This webinar recording features panel presentations from resident champions who share how working with a QI coach helped them achieve their quality goals and promoted well-being during the COVID-19 pandemic, followed by

Using the ACP Diabetes Platform (MedConcert) to ImproveDiabetes Care

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

Understanding New Lipid and Hypertension Guidelines

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

The Basics of Quality Improvement

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

Shared Decision-Making

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

Quality Improvement Training Program for Residents in Adult Immunization

Quality Improvement Training Program for Residents in Adult Immunization Webinar.

Sideroblastic Anemia in a Young Woman Being Treated for Wilson Disease | Annals of Internal Medicine: Clinical Cases

D-penicillamine and zinc are both useful in the treatment of Wilson disease. Both drugs can cause pancytopenia by the direct toxic effect on the marrow or sideroblastic anemia caused by hyperzincemia-induced hypocupremia. Although serum copper levels are not useful in the diagnosis of pancytopenia in patients with Wilson disease, a bone marrow aspirate correlating with clinical context and biochemical variables can make the differentiation. We present a 20-year-old patient with Wilson disease and an acquired cause of sideroblastic anemia.

Polymer Coating Embolism: Cause of Left Pulmonary Artery Stenosis in an Infant | Annals of Internal Medicine: Clinical Cases

Hydrophilic polymer coatings were designed to reduce friction between a catheter and vessel wall and facilitate inserting catheters in small vessels. In recent decades, catheter interventions have been increasingly diagnosed as a possible cause of hydrophilic polymer emboli in adults. However, there is little clinical evidence in pediatric patients. This study documents an infant with severe left pulmonary artery stenosis with calcification caused by hydrophilic polymer emboli, as confirmed by pathologic analysis. Procedures for catheter insertion and retrieval in peripherally central venous were the plausible cause. This study aims to draw pediatricians’ attention to the risk of hydrophilic polymer emboli.

α-Gal Syndrome: Busting Paradigms in Food Allergy | Annals of Internal Medicine: Clinical Cases

α-Gal syndrome, also known as red or mammalian meat allergy, results from immunoglobulin E–mediated hypersensitivity responses to the carbohydrate galactose-α-1,3-galactose (α-gal). Patients with α-gal syndrome experience immediate onset of allergic symptoms following the injection of pharmaceutical products containing α-gal. However, it typically takes 2 hours or more after dietary α-gal ingestion before patients with α-gal syndrome experience immunoglobulin E–mediated hypersensitivity responses. The case report by Heffes-Doon and colleagues highlights the lack of official guidelines on when and how to reintroduce mammalian meat products into the diet when there is clear laboratory evidence of declining α-gal immunoglobulin E levels.

Ischemic Complications of Giant-Cell Arteritis | Annals of Internal Medicine: Clinical Cases

Giant-cell arteritis (GCA) is a medium- to large-vessel arteritis predominantly involving the branches of the aorta, occurring in elderly patients. Findings in GCA include symptoms such as headache, jaw claudication, or polymyalgia rheumatica; ischemic events; and signs of a systemic inflammatory reaction. The clinical presentation may rarely involve other areas. We report the case of an 85-year-old man with biopsy-proven GCA presenting with fever, weight loss, and scalp necrosis.

Post–COVID-19 Vaccine Myopericarditis in a Transgender Man Undergoing Gender-Affirming Testosterone Therapy | Annals of Internal Medicine: Clinical Cases

Myopericarditis is a rare complication seen after mRNA COVID-19 vaccination. This complication has been seen most frequently in young adult men, ages 16 years and older, within 1 week of receiving a second dose of the mRNA COVID-19 vaccine (Pfizer–BioNtech and Moderna).  In this case report, we describe a transgender man who was receiving testosterone-based gender affirmation therapy and developed myopericarditis after receiving his second mRNA COVID-19 vaccination.  This case highlights that sex-based health risks may be related to specific sex-traits.

Paraneoplastic Leukemoid Reaction in High-Grade Lung Adenocarcinoma Complicated by Triple Co-Mutations | Annals of Internal Medicine: Clinical Cases

Paraneoplastic leukemoid reaction occurs secondary to cytokine-secreting tumors or cancers with high tumor burden. We report a case of extreme leukocytosis in a 58-year-old man presenting with a clavicular mass. Biopsy revealed a high-grade, non–small cell carcinoma of unknown origin, and genetic studies identified a lung adenocarcinoma with triple mutations in STK11, KRAS, and TP53 along with programmed death-ligand 1 positivity. Leukocytosis persisted despite treatment, so the diagnosis of paraneoplastic leukemoid reaction was made. Treatment of underlying malignancy is imperative in management, but this case was complicated by tumor mutations that rendered the most optimal treatments less effective.

Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration | Annals of Internal Medicine: Clinical Cases

A nonverbal woman with cerebral palsy and a chronic gastrostomy tube presented with nonbilious vomiting of tube feeds and abdominal pain. Initial work-up showed elevated lipase; however, computed tomography imaging revealed duodenal obstruction from gastrostomy tube migration as the cause of her symptoms. This case represents alternative causes to hyperlipasemia, such as bowel obstruction.

The Forbidden Fruit: A Case of Tejocote (Crataegus mexicana) Supplement Toxicity | Annals of Internal Medicine: Clinical Cases

Supplement use continues to increase throughout the United States and as these compounds are not approved by the Food and Drug Administration, the side effect profiles are not well studied. Tejocote (Crataegus mexicana) is part of the hawthorn family and is a Mexican root supplement that is marketed for weight loss. We describe the case of a patient who ingested tejocote and presented with weakness, nausea, bradycardia with an atrioventricular block, and drug-induced thrombocytopenia.

A Case of Haemophilus haemolyticus Meningitis | Annals of Internal Medicine: Clinical Cases

Haemophilus haemolyticus is a gram-negative bacillus respiratory tract commensal with reduced capacity to invade mucosal epithelia. Nontypeable (that is, nonencapsulated) Haemophilus influenzae and H haemolyticus are difficult to differentiate from each other but, due to advancements in genotype assays, H haemolyticus has been found to cause invasive disease. We describe a rare case of H haemolyticus bacteremia and meningitis in a 50-year-old man who presented with altered sensorium. He was found to have a low IgM level, leading to speculation that a decreased immune system contributed to his presentation. However, he ultimately declined further immunosuppressive work-up.

Systemic Emboli and Biventricular Hypertrophy Due to Glycogen Storage Disease: Clinical, Imaging, and Pathologic Predicament | Annals of Internal Medicine: Clinical Cases

Glycogen storage disease cardiomyopathy is being recognized increasingly as a mimicker of hypertrophic cardiomyopathy. It is important to diagnose these diseases, as there are prognostic and treatment ramifications. This case report discusses a patient who presented with cardioembolic renal infarction and was ultimately diagnosed with glycogen storage disease XV (which is extremely rare). The diagnosis was made by pursuing multimodality imaging, endomyocardial biopsy, and genetic testing.

ACP Gray Computer Backpack

ACP Gray Computer Backpack

Intimate Partner Violence: Educating and Connecting

This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Educating and ConnectingACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.

Intimate Partner Violence: Dynamics and Effects

This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Dynamics and EffectsACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.

ACP Embroidered Logo Black Zip-up Hoodie

ACP Embroidered Logo Black Zip-up Hoodie

POCUS 7: Patient Centered Scanning Module

POCUS 7: Patient Centered Scanning Module

X-Express: The ABCs of Prescribing Buprenorphine

X-Express: The ABCs of Prescribing Buprenorphine This one-hour course will provide a thorough overview of the role that buprenorphine plays in the management of opioid use disorder. Since the previously required 8-hour training for buprenorphine prescribing has been eliminated,the goal of this course is to increase prescribing confidence among attendees and have every attendee's "X-waiver" application in progress by the end of the session. Specifically, the emphasis will be on how to recognize opioid use disorder; which patients are appropriate for buprenorphine; how to initiate buprenorphine and how to adjustbuprenorphine; how to manage buprenorphine in patients with acute or chronic pain; reviewing real-world prescribing tips; and addressing barriers to care for buprenorphine patients and providers. Product Code: PNMGT21O5EM

Resident Well-being 3: Promoting Collaborative Learning Environments for Well-being

Resident physicians are in a unique role where their work environment and learning environment are one and the same. Simultaneously providing patient care, learning clinical medicine, and mastering core competencies and skills, residents are both working and learning towards independent clinical practice as an attending physician. ACP’s online Resident Well-being Curriculum connects residents with evidence-based strategies to foster well-being and mitigate burnout. Resident Well-being Learning Series Ideal for a residency program, the curriculum is designed to be used in a flipped classroom model. Residents review online material prior to a live small group discussion. The curriculum is aligned with the new ACGME requirements for resident training in well-being. The curriculum consists of three online, multimedia modules that can be taught individually or as a complete program and offers individual and organizational strategies. Modules are free to ACP Members. Nonmembers may purchase access. Promoting Collaborative Learning Environments for Well-being Learn the value of collaborative learning environments and positive social interaction, as well as how to recognize harmful signs of burnout in oneself or peers and how to seek help. Product Code: RWB2103

Resident Well-being 2: Individual and Organizational Strategies

Resident physicians are in a unique role where their work environment and learning environment are one and the same. Simultaneously providing patient care, learning clinical medicine, and mastering core competencies and skills, residents are both working and learning towards independent clinical practice as an attending physician. ACP’s online Resident Well-being Curriculum connects residents with evidence-based strategies to foster well-being and mitigate burnout. Resident Well-being Learning Series Ideal for a residency program, the curriculum is designed to be used in a flipped classroom model. Residents review online material prior to a live small group discussion. The curriculum is aligned with the new ACGME requirements for resident training in well-being. The curriculum consists of three online, multimedia modules that can be taught individually or as a complete program and offers individual and organizational strategies. Modules are free to ACP Members. Nonmembers may purchase access. Individual and Organizational Strategies Explore organizational well-being strategies, the existing ACGME well-being requirements and leave policies, and learn how to build a personal well-being plan. Product Code: RWB2102

Resident Well-being 1: Well-being and Burnout in Residency

Resident physicians are in a unique role where their work environment and learning environment are one and the same. Simultaneously providing patient care, learning clinical medicine, and mastering core competencies and skills, residents are both working and learning towards independent clinical practice as an attending physician. ACP’s online Resident Well-being Curriculum connects residents with evidence-based strategies to foster well-being and mitigate burnout. Resident Well-being Learning Series Ideal for a residency program, the curriculum is designed to be used in a flipped classroom model. Residents review online material prior to a live small group discussion. The curriculum is aligned with the new ACGME requirements for resident training in well-being. The curriculum consists of three online, multimedia modules that can be taught individually or as a complete program and offers individual and organizational strategies. Modules are free to ACP Members. Nonmembers may purchase access. Well-being and Burnout in Residency Study burnout, its effects on physicians and patients, and the unique challenges faced by residents. Product Code: RWB2101

ACP Pain Management: Chronic Pain: Beyond Opioids

ACP Pain Management: Chronic Pain: Beyond Opioids