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Well-being Champion Curriculum

This self-paced learning series empowers you to lead meaningful change as a Well-being Champion by equipping you with leadership skills, evidence-based strategies, and practical tools to foster sustainable communities of well-being and professional fulfillment—right from where you are in your life and career.

Culture Change Interventions to Reduce Physician Burnout | ACP

Reduce physician burnout and improve well-being with these 10 culture change interventions. The American College of Physicians (ACP) is concerned about the health of internists and internal medicine and has compiled these interventions that can foster a culture of wellness and help physicians thrive.

Resources for Institutional Strategies to Promote Resilience and Reduce Burnout

These resources offer additional strategies to prevent burnout and promote well-being at the practice level.

Resident Well-being Learning Hub

ACP’s online Resident Well-being Learning Hub connects residents with evidence-based strategies to foster well-being and mitigate burnout and promote the value of collaborative learning environments and positive social interaction.

Positive Psychology in Times of Crisis

Kerri Palamara, MD, FACP, Director of the Center for Physician Well-being at Massachusetts General Hospital and Physician Coaching Services Lead for ACP, presents positive psychology strategies to use in a time of crisis. Dr. Palamara shares ideas from the coaching world including focusing on three good things, pausing to breathe, happiness boosters, sharing stories with colleagues, and more. Many of you are being asked to support the well-being of others right now.

Turning Values into Career Momentum

Make your work “count twice” toward meaningful advancement and fulfillment. Identify personal guiding values and priorities, and translate them into a strategic focus for career advancement. Through the development of a practical action plan, apply intentional methods that align daily professional efforts with long‑term goals.View the PowerPointNo MOC points available for this activity.

Self Advocacy in the Face of Conflict

Through practical application, strengthen your ability to navigate conflict, communicate needs effectively, and support constructive outcomes in professional interactions. Build capacity for effective self‑advocacy in conflict situations by defining its role in promoting clear communication, professionalism, and well‑being.

Post Disruptive Growth

Explore Post-Disruptive Growth (PDG) as a vital leadership concept for navigating evolving work environments through crises and disruptions. Define PDG, identify when it emerges, and learn to cultivate conditions for healthy growth across individuals, teams, and systems. Through applied exercises, gain the insights needed to foster team stability and lead effectively through constant change.View the PowerPoint.

Mastering the Art of Storytelling: A Leadership Technique to Engage, Inspire, and Influence

This activity equips physicians and healthcare leaders to enhance their leadership and communication through storytelling. With engaging videos, real-world examples, and a reflective workbook, participants will learn to craft impactful stories that build trust, inspire action, and support well-being in today’s complex healthcare environment.View the powerpoint

Leveraging Professional Societies to Boost Your Professional Growth

This activity explores how intentionally leveraging professional societies can help accelerate career growth. Discover the strategic framework of People, Opportunities, and Perspective, and identify practical next steps to support your lifelong professional development using the enclosed Career Stage Playbook.

Primary Cardiac Synovial Sarcoma Presents as a Ventricular Mass and Renal Infarction | Annals of Internal Medicine: Clinical Cases

Synovial sarcoma (SS) is a rare type of soft tissue sarcoma (STS) that can occur anywhere in the body, most commonly presenting in the extremities. We present a primary cardiac synovial sarcoma (PCSS) case in a 22-year-old man who initially presented with acute renal infarction and a large left ventricular mass. Primary cardiac synovial sarcoma is an uncommon manifestation of an already rare and highly variable disease.

Biopsy-Proven Anticoagulant-Related Nephropathy: A Case Report and Review of the Literature | Annals of Internal Medicine: Clinical Cases

Anticoagulant-related nephropathy is a type of acute kidney injury that may follow warfarin and other anticoagulants. Anticoagulant-related nephropathy has been shown to be associated with irreversible kidney injury and increased risk for morbidity. Accurate diagnosis and management remain to be challenging. We describe a case of a 62-year-old man with significant cardiac history who presented with impaired kidney function associated with supratherapeutic international normalized ratio. Kidney biopsy findings suggested anticoagulant-related nephropathy.

Rat Bite Fever in an Elderly Patient With Dementia | Annals of Internal Medicine: Clinical Cases

Rat bite fever (RBF) is a zoonotic infection with nonspecific symptoms such as fever, myalgia, and arthralgia that mimic other systemic infections or noninfectious rheumatologic disorders. Obtaining a history of rat exposure is the key to diagnosis. Since a diagnosis may not be possible without some degree of suspicion, routine exposure history-taking is useful. We present the case of a woman with dementia and RBF whose history of a rat bite was obtained incidentally during routine history-taking from her spouse. Routine history about exposures should be taken for the diagnosis of RBF in patients with communication difficulties such as dementia.

Pityriasis Rosea Variant: Persistent Pityriasis Rosea in a 78-Year-Old Female Patient | Annals of Internal Medicine: Clinical Cases

Pityriasis rosea (PR) is a papulosquamous dermatosis seen most commonly in children and young adults. Variants of PR occur in 1 in 5 cases and can significantly impact a patient's quality of life. We present a case of a 78-year-old woman who developed a pruritic, erythematous rash consisting of annular patches on her face, bilateral arms and legs, and vulva. After months of persistent, progressive symptoms, she was diagnosed with persistent pityriasis rosea (PPR), a rare variant of PR. This case highlights the importance of recognizing variants of PR to allow for timely diagnosis and avoidance of over- or under-treatment.

Acute Suppurative Thyroiditis Secondary to Gemella With Extensive Complications | Annals of Internal Medicine: Clinical Cases

A young woman developed thyroid storm secondary to acute suppurative thyroiditis, with Gemella morbillorum bacteremia. Her case was complicated by neck abscess, Lemierre syndrome (septic thrombophlebitis of the internal jugular vein), mediastinitis, and pleural effusion. She was treated for thyroid storm including steroids and antibiotics. The infectious complications required several surgical procedures and interventions and a prolonged hospital stay, but she ultimately made a full recovery. Complications from suppurative thyroiditis can be rapid and widespread; swift recognition and treatment by a multidisciplinary team can help to prevent complications.

Lymphoid Interstitial Pneumonia Associated With Hashimoto Thyroid Disease | Annals of Internal Medicine: Clinical Cases

Lymphoid interstitial pneumonia (LIP) refers to the diffuse infiltration and accumulation of lymphocytes within the alveolar interstitium and may be associated with multiple autoimmune diseases, most notably Sjögren syndrome. Only rare cases of LIP have been reported in patients with Hashimoto thyroiditis. In these cases, the patients also had at least 1 additional autoimmune disease. We report a case of LIP in a 70-year-old woman whose only autoimmune disease was Hashimoto thyroiditis. This case supports the hypothesis that Hashimoto thyroiditis alone may instigate the development of LIP.

A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis | Annals of Internal Medicine: Clinical Cases

Infectious tenosynovitis as a presenting symptom of infective endocarditis (IE) is unusual. We report the case of a 65-year-old man admitted for surgical aortic valve replacement 6 years previously who presented with ankle pain. Targeted imaging revealed septic emboli in the tibialis posterior tendon, kidney, and the brain. Cardiobacterium hominis was identified in blood cultures, and the diagnosis of IE was confirmed by echocardiography. Portal of entry was a fractured and infected tooth, which was removed. Antibiotic treatment with ceftriaxone was successful. Atraumatic infectious tenosynovitis caused by hematogenous spread should raise the suspicion of IE.

Linagliptin-Induced Pancreatitis | Annals of Internal Medicine: Clinical Cases

Incretin-based medications are well-established agents used for glycemic control in patients with type 2 diabetes mellitus. Of these medications, glucagon-like peptide 1 agonists have a well-known association with pancreatitis. However, controversy still exists about a similar association with dipeptidyl peptidase 4 inhibitors. Linagliptin, in particular, has not been studied thoroughly. Therefore, to the best of our knowledge, we report linagliptin-induced pancreatitis, the fourth case reported in the medical literature, that resolved after stopping the medication and did not recur with the resumption of all of the other patient's medications.

Pericardial Abscess in an Immunocompromised Patient | Annals of Internal Medicine: Clinical Cases

A 44-year-old woman treated with corticosteroids and methotrexate for mixed connective tissue disease was hospitalized for lower limb edema and chest pain. Imaging studies revealed a large pericardial abscess with spondylodiscitis. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus (MSSA). Pairwise genomes comparison done on both the responsible strain and an MSSA strain isolated 3 months earlier in a context of catheter-related infraclinical blood stream infection revealed identical patterns, highlighting the probable silent evolution of an incompletely treated infection in a patient receiving corticosteroids.

A Rare Case of Ocular Syphilis With Bilateral Central Visual Loss in a Young Man Who Was Negative for HIV | Annals of Internal Medicine: Clinical Cases

Syphilis is an ancient disease that has been resurging in the 21st century. This report describes a rare case of bilateral ocular syphilis with neurosyphilis in an immunocompetent young adult who was negative for HIV. The patient presented with a black spot in the left eye and was found to have bilateral chorioretinitis and vitritis. The diagnosis was initially thought to be X-linked juvenile retinoschisis, but the results of laboratory testing revealed elevated serum rapid plasma regain and a positive cerebrospinal fluid venereal disease research laboratory test. The patient was treated with intravenous benzylpenicillin, resulting in clinical and serologic improvement. The case highlights the importance of considering ocular syphilis in younger sexually active patients.

ACP Pain Management Module 1: Pain Fundamentals

ACP Pain Management Module 1: Pain Fundamentals

Obesity Management 3: Metabolic and Bariatric Surgery

Obesity Management 3: Metabolic and Bariatric Surgery

Obesity Management 2: Pharmacotherapy

Obesity Management 2: Pharmacotherapy

Obesity Management 1: Lifestyle Modification

Obesity Management 1: Lifestyle Modification

Unisex I.M. Proud T-Shirts

Unisex I.M. Proud T-Shirts

Women's I.M. Proud Crew Neck T-Shirt

Women's I.M. Proud Crew Neck T-Shirt

Women's I.M. Proud V-Neck T-Shirt

Women's I.M. Proud V-Neck T-Shirt

ACP ShedRain Charcoal Umbrella

ACP ShedRain Charcoal Umbrella

ACP Black Pleated Cotton Mask

ACP Black Pleated Cotton Mask

I.M. Proud Car Magnet Set

I.M. Proud Car Magnet Set