Search Results for ""

Displaying 141 - 150 of 7608 in ACP Online

Late-Career, Retiring, and Retired Physicians: Paths, Perils, and Possibilities

This educational activity presents retirement planning as a career‑long and life‑long process, rather than a single end‑point decision. Learn the key phases and pathways of retirement planning including an exploration of the perils and possibilities associated with each phase, helping participants anticipate challenges, recognize opportunities, and apply informed approaches that support well‑being, professional fulfillment, and successful transitions over time.

How to Optimize your CV

Craft an effective CV that clearly communicates your professional story. Gain practical knowledge and skills to structure and design a purpose‑driven CV aligned with its intended use. Through a guided review of best practices in CV organization, formatting, and content selection, compose or refine a CV that accurately reflects your experience, skills, and accomplishments - resulting in a clear, professional, and strategically focused document aligned with your career objectives.

Draft Your Personal Mission Statement to Enhance Professional Fulfillment

Explore ways to define and use your unique mission statement to help guide your career and life decisions.

Connecting with Your Agency “The Art of Saying No”

This session reveals insights into the impact of over-commitment and the challenges of being unable to say no on your career and well-being. Discover tools and techniques to assess priorities and communicate assertively to enhance your work-life integration without compromising your professional integrity.

Conflict Management: Communicating Needs for Productive Outcomes

In this micro-session, Maria Maldonado, MD, FACP, Well-being Champion for the New York ACP Chapter and Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai, guides you through using the Nonviolent Communication model to articulate the relationship between feelings and needs and help you and colleagues reach your goals with steps and a complement self-guided exercise towards conflict resolution for win-win outcomes.

Mini But Mighty Skills

Learn actionable skills in just 10-15 minutes. The following short videos and multimedia resources meet clinicians’ just-in-time and ongoing change needs and apply to systems, organizations, and individuals.Featured Mini SkillsFeatured Micro Skills (2 mins or less)

Individual Physician Wellness and Burnout Tools | ACP

Wondering how to help physician burnout? Our physician burnout tools consist of Podcasts, TED Talks, blogs & more to improve physician wellness. Start now.

Implementing and Sustaining Change Efforts

Use these resources to implement and sustain change efforts.Quality Improvement CurriculumThe ACP Advance Quality Improvement (QI) healthcare curriculum offers a practical, step-wise approach that guides you through each stage of the QI journey from establishing the “what” and “why” for change to implementing and sustaining change. This online curriculum, developed by physicians for physicians and their teams, is offered as a series of four modules.Learn More

Self-Advocacy Resources for Residents and Fellows

As trainees, you may experience situations that cause concern and require intervention to come to a resolution. The following resources provide you with practical tips on how to advocate for yourself and address concerns using the appropriate chain of escalation.

ACP Advocacy on Physician Suicide Prevention & Well-Being

ACP addresses physician suicide through system-focused reforms, stigma reduction, and mental health resources tailored to clinical work environments.

Previous See more results in ACP Online
Displaying 141 - 150 of 500 in Annals of Internal Medicine: Clinical Cases

A Rare Complication of Silicone Breast Implant Rupture | Annals of Internal Medicine: Clinical Cases

Rupture of silicone breast implants is common with the time spent in situ but often goes undetected. We encountered a 55-year-old woman who presented with symptoms attributable to hypercalcemia after undergoing the removal of ruptured silicone breast implants. Investigations uncovered multiple enlarged intrathoracic lymph nodes accompanied by extensive granulomatous disease. Although systemic steroids helped to regulate her symptomatic hypercalcemia, it resurfaced on cessation of therapy. This patient's case underscores the necessity of monitoring silicone breast implants and being vigilant for complications that may arise from their rupture.

Disseminated Strongyloidiasis in a Patient With Lupus Nephritis | Annals of Internal Medicine: Clinical Cases

Strongyloides stercoralis is a helminth that can parasitize humans and manifests with numerous symptoms. Immunocompetent patients have a less virulent course, whereas immunocompromised patients can have high mortality rates. Our case is a 43-year-old woman with lupus nephritis receiving prednisone who presented with vomiting, diarrhea, and worsening renal failure. Despite various treatments, she developed a partial small-bowel obstruction, renal failure, and pancytopenia. Bronchoscopy revealed Strongyloides larvae. Her infection resolved after treatment with ivermectin. High suspicion of Strongyloides in specific patient populations is critical in making a life-saving diagnosis.

Disseminated Bartonella quintana Causing Osseous Lytic Lesions | Annals of Internal Medicine: Clinical Cases

Bartonella, a gram-negative bacterium, causes various clinical syndromes such as cat scratch disease (B henselae), Carrion disease (B bacilliformis), and trench fever (B quintana). Given the pathogenicity, it is imperative to understand the diverse manifestations of each disease for early diagnosis and treatment. In the literature, B henselae has been described to cause lytic bone lesions, especially in children. However, it is rare for B quintana to cause bony lesions, especially in adults. We describe a case of disseminated B quintana in a male patient with AIDS who presented with bacillary angiomatosis, hepatic peliosis, and innumerable lytic lesions.

Anti–Jo-1–Positive Antisynthetase Syndrome and Myocarditis: An Underrecognized Clinical Presentation | Annals of Internal Medicine: Clinical Cases

Antisynthetase syndrome is a distinct entity of overlap myositis in adults and is characterized by muscle weakness, arthritis, mechanic's hands, interstitial lung disease, and Raynaud phenomenon. Despite several published cases and cohorts, myocarditis is an underrecognized disease manifestation, which often presents as acute chest pain or progressive shortness of breath and heart failure. Identifying myocardial involvement as a potential feature of antisynthetase syndrome is crucial to using the correct treatments. We present 2 patients with antisynthetase syndrome and myocarditis, their hospital courses, and treatments as well as a literature review. Early diagnosis of myocarditis in antisynthetase syndrome patients can be life-saving.

Enteric Fever–Like Syndrome Caused by Raoultella planticola After Consumption of Seafood | Annals of Internal Medicine: Clinical Cases

Raoultella planticola is a possible causative agent of numerous conditions in high-risk immunocompromised patients with comorbid conditions, such as cancer. Recently, it has been reported that this bacterium may be responsible for infection in patients after the consumption of seafood. Patients infected with Raoultella planticola also may present with enteric fever–like symptoms, without clear foci of infection. Cephalosporins typically are effective for the treatment of such infections; however, resistant cases have been reported. Thus, antimicrobial susceptibility should be determined for each patient.

Sweet Syndrome and Sarcoidosis: A Case Report | Annals of Internal Medicine: Clinical Cases

A 38-year-old man presented with a tender erythematous rash associated with polyarthralgia and mediastinal lymphadenopathy. Skin biopsy revealed neutrophil-predominant dermal infiltrate consistent with Sweet syndrome, and endobronchial ultrasound and biopsy showed nonnecrotizing granulomas compatible with sarcoidosis. We review the rare association between Sweet syndrome and sarcoidosis, in which its diagnosis can be challenging and only a few cases have been reported in medical literature.

Severe Azithromycin-Induced Liver Injury With Vanishing Bile Duct Syndrome Necessitating Liver Transplantation | Annals of Internal Medicine: Clinical Cases

Drug-induced liver injury is a common cause of liver damage, with antimicrobial use as the leading cause. Although most patients recover after discontinuing the offending agent, severe cases may result in progressive disease or death, requiring liver transplantation. Azithromycin is a rare cause of idiosyncratic drug-induced liver injury, usually resolving within 4 to 8 weeks of discontinuation. Vanishing bile duct syndrome may occur in severe cases, marked by progressive ductopenia and cholestasis. We describe a rare case of azithromycin-induced liver injury with acute vanishing bile duct syndrome necessitating liver transplantation.

A Case of “Crack” Lung | Annals of Internal Medicine: Clinical Cases

A 22-year-old man with a history of childhood asthma and polysubstance misuse presented with respiratory distress, altered mental status, and severe bronchospasm after cocaine insufflation. Imaging of the chest revealed diffuse alveolar infiltrates likely secondary to acute cocaine-induced lung injury, commonly called “crack lung.”

Right Coronary Artery Ectasia Manifesting With Acute Coronary Syndrome and Atrial Fibrillation: A Case Report | Annals of Internal Medicine: Clinical Cases

The patient is a 59-year-old man who presented with substernal chest pain. Electrocardiogram showed evidence of inferior ST-segment elevation, and his troponin I level peaked at 40 µg/L. Coronary angiogram showed a severely ectatic right coronary artery with near-total acute thrombotic occlusion of the distal right coronary artery and total acute thrombotic occlusion of the distal posterior descending artery. He had a successful intravascular ultrasound-guided aspiration thrombectomy with a penumbra and intracoronary tissue plasminogen activator infusion. This case highlights an alternative way of treating acute thrombotic occlusion of ectatic arteries asides from the conventional but challenging practice of coronary revascularization with stent placement.

Correction: An Atypical Presentation of Progressive Multifocal Leukoencephalopathy With Newly Diagnosed HIV Infection | Annals of Internal Medicine: Clinical Cases

Previous See more results in Annals of Internal Medicine: Clinical Cases
Displaying 141 - 150 of 225 in ACP Store

Addressing and Supporting Physician Mental Health during Challenging Times

Addressing and Supporting Physician Mental Health during Challenging Times

On Being a Doctor, 4-volume set

On Being a Doctor, 4-volume set

I.M. Your Doctor's Doctor Car Magnet

I.M. Your Doctor's Doctor Car Magnet

I.M. PROUD Car Magnet

I.M. PROUD Car Magnet

"I Think, Therefore I.M." Car Magnet

"I Think, Therefore I.M." Car Magnet

I.M PROUD Luggage Tag

I.M PROUD Luggage Tag

ACP POCUS 5: Urinary System

ACP POCUS 5: Urinary System

ACP POCUS 6: Deep Venous Thrombosis

ACP POCUS 6: Deep Venous Thrombosis

ACP POCUS 4: Intra-Abdominal Free Fluid

ACP POCUS 4: Intra-Abdominal Free Fluid

ACP Green Plaid Silk Bow Tie

ACP Green Plaid Silk Bow Tie

Previous See more results in ACP Store