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.

ACP I.M. Emotional Support Video Series

Internists: Take Care of Yourselves, Too We're so busy taking care of others, it's easy to overlook caring for ourselves. To help, ACP and your fellow members have developed a series of brief videos that offer strategies to cope with daily burdens. Take a few minutes to watch these videos and then share them with a colleague who may need support.

I.M. Emotional Support Hub

How to Create a Clinician Wellness Committee

Creating a wellness committee is a concrete first step an organization can take to foster a culture of clinician wellness. Clinician well-being is not only critical to enhancing patient safety, but plays an important role in recruiting and retaining physicians. Stress in the medical workplace is generated by:

Financial Well-being Program | Professional Fulfillment | ACP

ACP is helping physicians plan with tools to secure financial well-being. Topics include paying off student debt, retirement savings, & every life event in between.

Design Your Own Well-being Program

Explore these tools to create a well-being program tailored to any organization’s needs and budget.

Advocacy Toolkit: Modernizing License and Credentialing Applications to Not Stigmatize Mental Health

Updated 6/1/2026

WBC and Leadership

How to create content for your WBC role and make sure your efforts count more than once!

Part 1 video Part 2 video Part 3 video

Engaging Physicians in Medical Societies on Wellness

Annals Story Slam - To Save One Life Is to Save the World

Annals Story Slam - Teamwork Is the Real Lesson

Annals Story Slam - Despair to Hope

Annals Story Slam - I Don't Think It's a Good Fit

Annals Story Slam - A Long Stay

Annals Story Slam - A Son of Health Disparity

Annals Story Slam - Getting Home

Annals Story Slam - Just One More Question

Annals Story Slam - Unlisted

Annals Story Slam - There's No Place Like Home

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

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

Telemedicine used to provide abortion medication in states where it is banned, study suggests

MKSAP Quiz: Headache, fever, stiff neck, and photophobia

BP measurements vary widely by setting, but intensive control still cost-effective, studies find

AHA, ACC update guideline on prevention, treatment of hypertension

And the winner is …

Prescription drug shortages a public health crisis, ACP paper says

Losing weight before IVF associated with higher rates of pregnancy

MKSAP Quiz: Perioperative evaluation in the hospital

Alteplase effective up to 24 hours after stroke onset, trial finds

Studies examine pollution's cardiovascular effects

Faster sodium correction associated with better outcomes from hyponatremia, study finds | ACP Hospitalist

Testing for bacteria directly in blood didn't improve antibiotic stewardship | ACP Hospitalist

Take a quiz about the Jan. 14 issue! | ACP Hospitalist

Study details prevalence, resistance, treatment of P. aeruginosa | ACP Hospitalist

Serum complement C3 and C4 biomarkers offer prognostic information in ischemic stroke | ACP Hospitalist

MOUD not commonly provided to Medicaid patients after opioid overdose | ACP Hospitalist

Fragile: Handle with care | ACP Hospitalist

Expectations of recovery | ACP Hospitalist

Take a quiz about the Jan. 7 issue! | ACP Hospitalist

Saying goodbye to manic Monday | ACP Hospitalist

A Rare Case of Hyperkalemia Following Magnesium Sulfate Therapy in a Pregnant Patient With Preeclampsia | Annals of Internal Medicine: Clinical Cases

A 21-year-old woman at 36 weeks’ gestation presented with preeclampsia and received intravenous magnesium sulfate for seizure prevention. Her magnesium level peaked at 7.4 mg/dL on day 2. By day 4, her potassium level peaked at 6.3 mmol/L, with peaked T waves on electrocardiogram. She was treated with potassium-lowering therapy, and her kidney function remained normal, though aldosterone levels were slightly low. Given the rise in her potassium level following hypermagnesemia and its normalization after her magnesium level decreased, hyperkalemia was attributed to an elevated magnesium level. This is the fourth reported case of hyperkalemia following magnesium administration.

Correction: Chronic Pulmonary Silicone Embolism Syndrome Following Saline Breast Implants | Annals of Internal Medicine: Clinical Cases

Correction: Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome | Annals of Internal Medicine: Clinical Cases

Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis | Annals of Internal Medicine: Clinical Cases

Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease presenting primarily in women of child-bearing age. It can occur sporadically or in association with tuberous sclerosis. Here, we discuss the case of a 29-year-old woman on oral contraceptive pills (OCPs) for years, who presented with sudden-onset chest pain and dyspnea found to have a pneumothorax. Serologic testing confirmed a diagnosis of LAM. An early diagnosis can lead to earlier treatment with sirolimus, which can improve lung function and survival among those with LAM.

Coccidioidal Peritonitis Masquerading as Acute Appendicitis | Annals of Internal Medicine: Clinical Cases

Coccidioidomycosis is a fungal infection resulting from the inhalation of arthroconidia produced by the genus Coccidioides. Most encounters with this fungus result in asymptomatic or undiagnosed pulmonary disease. A smaller percentage of individuals develop symptoms, typically respiratory. A small number have disseminated (extrathoracic) disease. A previously healthy woman presented with right lower quadrant abdominal pain, with computed tomography scan findings raising suspicion for acute appendicitis. Laparoscopic examination revealed miliary-type peritoneal nodules throughout the abdominal cavity, and endosporulating spherules pathognomonic for Coccidioides were identified on histologic examination. Treatment with triazoles led to satisfactory recovery, followed by relapse. We present an unusual presentation of disseminated coccidioidomycosis presenting as abdominal pain mimicking acute appendicitis.

Medullary Thyroid Cancer Discovered Through Elevated Carcinoembryonic Antigen Levels Post Colorectal Cancer Resection | Annals of Internal Medicine: Clinical Cases

Medullary thyroid carcinoma (MTC) is a rare malignancy accounting for approximately 5% of all thyroid cancers. Common predictors of aggressiveness of MTC include specific RET mutations and levels of calcitonin. Carcinoembryonic antigen is a tumor marker that can also provide diagnostic and prognostic information. We present the case of a 53-year-old woman with persistently elevated carcinoembryonic antigen levels 2 months post–curative colorectal cancer (CRC) resection. She was found to have MTC by fine-needle biopsy, incidentally detected on full-body 18F-fluorodeoxyglucose–positron emission tomography while investigating colorectal cancer recurrence.

A Case of Metastatic Breast Cancer to the Urinary Bladder | Annals of Internal Medicine: Clinical Cases

Metastatic breast cancer to the urinary bladder is uncommon. We report a case of lobular carcinoma of the breast presenting as a urinary bladder tumor. Urinary bladder metastases usually are present in the setting of widespread metastatic disease and confer a poor prognosis. Invasive lobular carcinoma has a greater predilection to spread to serosal and peritoneal surfaces compared with other histologic types. Loss of cellular adhesion contributes to local and distant spread. In patients with a history of breast cancer, particularly lobular carcinoma, who present with a bladder mass, metastatic disease is an important consideration for timely diagnosis and treatment.

Uremic Pericarditis as a Complication of Coral Reef Aorta | Annals of Internal Medicine: Clinical Cases

This is a case report of a 77-year-old man with a history of prostate cancer and hypertension who presented with progressively worsening weakness, pleuritic chest pain, shortness of breath, and oliguria. He was subsequently found to have renal failure with nearly complete occlusion of his aorta at the level of the renal arteries, a condition known as coral reef aorta. He unfortunately developed uremic pericarditis due to renal failure likely caused by the occlusive plaques. This report is meant to highlight a rare complication of an even rarer disease.

A Case of Heavy Chain Neuronal Intermediate Filament Autoimmune Encephalitis | Annals of Internal Medicine: Clinical Cases

A 66-year-old woman presented with 2 days of confusion, poor balance, and a recent ground level fall. She exhibited lower extremity weakness, urinary retention, and upper extremity resting tremor with cogwheel rigidity. Extensive work-up for electrolyte, infectious, and rheumatologic pathologies was unremarkable, and she was ultimately found to have heavy chain neuronal intermediate filament (NIF-H) antibodies in the cerebrospinal fluid, supporting a diagnosis of NIF autoimmune encephalitis (AE). An increased awareness of AE and a high index of suspicion are key to prompt diagnosis and treatment. If diagnosed, cancer screening is recommended, because AE can be a paraneoplastic process.

Acute Rheumatic Fever Presenting With Isolated Myocarditis and Right Coronary Artery Occlusion | Annals of Internal Medicine: Clinical Cases

Acute rheumatic fever (ARF) traditionally presents with carditis, usually involving valvulitis. This case report describes a 22-year-old man with an atypical ARF presentation: isolated myocarditis and coronary artery occlusion. He presented with chest pain and signs of cardiogenic shock. Initial electrocardiogram and elevated cardiac biomarkers led to a diagnosis of acute myocardial infarction due to 100% right coronary artery occlusion, which was managed with wire-based thrombus removal. Further work-up revealed elevated antistreptolysin-O titers and cardiac magnetic resonance imaging consistent with myocarditis. This case highlights an occurrence of such an unusual presentation of ARF.