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Patients Before Paperwork

Patients Before Paperwork Update:

Noteworthy Resources

Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees By Mark Linzer, MD; Cynthia D. Smith, MD; Susan Hingle, MD; et al JAMA Network Open

New ACP Webinars

Well-being Champion Webinar: Interprofessional Happy Hours as a Wellness Experience During the COVID-19 Pandemic Diana McNeill, MD, MACP; Kristin Dickerson December 2, 2020, 3:00-4:00 p.m. EST

In the News

Dr. Mom: Time to Decompress, Grace E. Farris, MD “Primary Care in the Time of COVID-19” By Washington Post Live, The Washington Post

From the Trenches

Fariha Shafi, MD, FACP, Missouri Well-being Champion and Wellness Committee Co-Chair

Patients Before Paperwork

ACP Advocate Newsletter Feature: New Vision of CMS Innovation Center Aligns With ACP Priorities for Payment Systems In a new strategy paper, CMS says Innovation Center will evaluate aspects of proposed payment systems, including equity, care delivery transformation, and patient outcomes. ACP's Chapter Advocacy Toolkit

Noteworthy Resources

General Team Care Toolkit ACP has developed this toolkit to share best practices and real-life examples of successful team-based clinical care models that include internal medicine physicians working with nurse practitioners, physician assistants, and other members of the clinical care team. This toolkit includes resources to help foster productive and purposeful internal medicine teams. View here!

In the News

Protective equipment for physicians' mental health By Mollie Frost, ACP Internist

From the Trenches

Podcasts Developed by Well-being Champions A podcast series on diversity, equity, and inclusion (DEI) in medicine that sparks discussion and provides practice-changing data and stories for a physician, student, allied health professional, and health care leader audience Led by California and the Netherlands.

November 19, 2021

Embracing Community Connection Through Brief and Meaningful Actionable Well-being Videos and Other Resources If you or someone you know is in crisis, help is available 24/7. Text 741741 or call the National Suicide Prevention Lifeline (988 or 1-800-273-8255) or Disaster Distress Hotline (1-800-985-5990).

A Case of Gas-Containing Brain Abscess, From Superficial to Deep | Annals of Internal Medicine: Clinical Cases

Gas-containing brain abscess is a rare clinical emergency. Brain abscess with a distant history of mastoid surgery is uncommon. Management of this rare condition involves clinical vigilance, prompt diagnosis, surgical drainage, and antibiotics treatment. We report a case of a 45-year-old Filipino woman with tympanomastoidectomy 2 months prior who presented with headache and right retroauricular wound with discharge. Prompt diagnosis and surgical drainage resulted in excellent neurologic outcome. The knowledge of characteristics of pathogens is vital in pharmacologic management.

COVID-19–Induced Left Ventricular Thrombus in a Functionally Normal Heart | Annals of Internal Medicine: Clinical Cases

Left ventricular (LV) thrombus is a complication primarily associated with significant left ventricular dysfunction and/or other identifiable medical conditions. This clinical vignette presents the first case of an isolated left ventricular thrombus caused by minimally symptomatic COVID-19 in a functionally normal heart of previously healthy individual.

Chronic Eosinophilic Pneumonia With Multiple Drug-Related Risk Factors: Diagnosis and Management | Annals of Internal Medicine: Clinical Cases

Chronic eosinophilic pneumonia is a rare illness characterized by pneumonic infiltrates with peripheral eosinophilia. The underlying cause is unknown, but it is associated with multiple medications. The present article reports a woman in her 60s with a history of chronic sinusitis and asthma who presented with subacute cough and hemoptysis and significant peripheral and bronchioalveolar eosinophilia. This patient also had anxiety and depression treated chronically with trazodone and venlafaxine, which are associated with eosinophilic pneumonia. Symptoms promptly resolved within 24 hours following steroid treatment. This article highlights the diagnostic challenge eosinophilic pneumonia presents.

Double Coronary–Cameral Fistula: Right Coronary Artery and Circumflex to Left Atrium | Annals of Internal Medicine: Clinical Cases

Coronary fistulas are an abnormal communication of the coronary arteries with the cardiac chambers or any vascular structure. Most are detected incidentally. Transthoracic echocardiogram is essential for evaluation, coronary computed tomography angiography can be useful in planning the procedure, allowing excellent anatomical delineation, and cardiac magnetic resonance imaging can help to outline the anatomy; however, the gold standard is coronary angiography. Treatment can be pharmacologic, surgical, or transcatheter. We present the case of a 71-year-old woman with angina and dyspnea in whom the diagnostic approach demonstrated the presence of coronary–cameral fistulas for which pharmacologic management was decided.

Pain as a Clinical Presentation of Osteopoikilosis | Annals of Internal Medicine: Clinical Cases

Osteopoikilosis, or disseminated condensing osteopathy, is an osteosclerosing dysplasia that is a rare genetic disorder of autosomal-dominant genetic transmission, and recent research suggests that the possible cause of osteopoikilosis might be the loss of function of the LEM domain-containing gene 3 (LEMD3). We describe the case of a young man with arm pain associated with increased volume, functional limitation, and fever who presented to the emergency department. Radiographic and magnetic resonance images are provided, which reveal bilateral periarticular osteosclerotic lesions in the pelvis, humeral head, and scapular region, showing no signs of malignancy.

Spontaneous Resolution of Myocardial Inflammation in Cardiac Sarcoidosis: A Case Report | Annals of Internal Medicine: Clinical Cases

Sarcoidosis is a multisystem disease characterized by granulomatous inflammation of virtually any organ or tissue. Atrioventricular block, arrhythmias, cardiomyopathies, and sudden cardiac death are known manifestations of cardiac sarcoidosis (CS), and, thus, diagnosis of CS is considered an absolute indication to initiate treatment of sarcoidosis with disease-modifying anti-inflammatory immunosuppressives. To our knowledge, spontaneous resolution of CS has not been documented. Here, we report what we believe is the first documented case of spontaneous-resolution CS-related myocardial inflammation without corticosteroid or other immunosuppressive therapy for nearly 5 years following initial presentation.

Low-Molecular-Weight Heparin–Induced Skin Necrosis Without Thrombocytopenia | Annals of Internal Medicine: Clinical Cases

Heparin-induced skin necrosis is an immune-based entity that appears secondary to exposure to unfractionated heparin or low-molecular-weight heparin, consisting of the appearance of erythematous lesions that can progress to necrosis at the point of heparin inoculation or in remote places. A case of a patient with the appearance of necrotic erythematous lesions in the lower limbs 10 days after the introduction of enoxaparin at an anticoagulant dose is presented.

Rifampin-Associated Renal Failure | Annals of Internal Medicine: Clinical Cases

Rifampin is an effective and widely used for the treatment of both active and latent tuberculosis. Although significant side effects are rare, severe side effects such as acute renal failure have been reported in the literature, usually secondary to acute interstitial nephritis. We report a case of rifampin-induced acute renal failure due to heme pigment–related injury in a patient who was receiving daily rifampin as therapy for latent tuberculosis. The patient case illustrates considering rifampin as a potential cause of acute renal failure when no other cause is identified.

Vitamin C Deficiency as a Mimicker of Vasculitis: A Case | Annals of Internal Medicine: Clinical Cases

Scurvy causes poor wound healing, hemarthrosis, petechiae, perifollicular hemorrhages, and nonspecific myalgia. Although studies report that scurvy can mimic vasculitis on physical examination, the disease lacks the laboratory evidence for vasculitis. We introduce a patient with scurvy whose clinical presentation and laboratory findings mimicked vasculitis, which led to a delayed diagnosis and high resource expenditure. This case highlights the importance of early dietary history in patients with concern for vasculitis. Early dietary history and involvement of the nutrition team can significantly decrease invasive and costly testing procedures and improve diagnosis and patient outcomes.

Post Mortem: Solving History's Great Medical Mysteries, 2nd Edition

Post Mortem: Solving History's Great Medical Mysteries, 2nd Edition

ACP Physician Peer Coaching: Finding Your Voice to Ask for What You Want (Women in Medicine)

Offered through the ACP Women in Medicine Professional Development initiative, this interactive group coaching session helps you strengthen the crucial communication skills needed to clearly express your goals, advocate for your needs, and navigate challenging professional conversations with confidence. Note: Members will be required to accept the terms of program participation in order to participate.

Internal Medicine Meeting 2027 Virtual

Join us virtually online. Experience an extraordinary curation of top peer educators, clinically pertinent education to improve your knowledge and practice, and the best learning in internal medicine. Access over 100 livestreamed sessions led by expert faculty during the 3-day event. Continue to learn and earn CME/MOC with on-demand access to all recorded sessions for 30 days after the event. For your best value, choose the Premium Access add-on to receive post-meeting recordings for one year after the Meeting.

ACP Physician Peer Coach Training: Coaching Skills to Enhance Your Professional Development

This 3-hour ACP Physician Peer Coach Training virtual workshop, led by Kerri Palamara, MD, MACP, will provide an overview of core coaching skills and how to integrate them into your professional role. Learn how to leverage these skills to make you a better leader and more effective communicator. Experience the opportunity to practice integrating coaching skills into conversations with your peers. This dynamic workshop will incorporate group coaching, led by ACP-trained coaches, to support you in designing a personalized plan to integrate coaching into your role and support your career goals. Learning Objectives Define the core coaching skills Identify 2-3 ways to integrate coaching skills into your professional role Develop a vision statement and goals for your professional development

ACP Physician Peer Coach Training: Building a Coaching Culture at Your Institution

This 4-hour ACP Physician Peer Coach Training virtual workshop, led by Kerri Palamara, MD, MACP, will provide exclusive training on how to build a culture of coaching at your institution. This program is ideal for individuals who have experience with coaching and want to build a coaching program at their institution. The workshop will provide an overview of how to get buy-in from key stakeholders to build a coaching program, how to structure the coaching program, and the business 101 needs for establishing and sustaining a program at your institution. Learning Objectives Articulate the rationale for establishing a coaching program Develop a plan to get multi-stakeholder buy-in to support building a culture of coaching at your institution Design a plan to advance coaching at your institution

Kansas Chapter Scientific Meeting & Hospitalist Day Bundle 2026

Kansas Chapter Scientific Meeting & Hospitalist Day Bundle2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $250 ACP Resident/Fellow Member $135 ACP Medical Student $0 ACP Affiliate Member $100 Nonmember Physician $350 Nonmember Resident* $185 Nonmember Medical Student* ** $0 Nonmember Allied Health Professional* $375 Please note: Members whose dues are not active will receive the nonmember registration rate. To take advantage of the member rate, we encourage you to renew your dues or join ACP. Questions?If you have trouble registering online, please contact Member andProduct Supportat 800-ACP-1915 or direct at 215-351-2600 (M-F, 9 a.m. - 5 p.m. ET). *Nonmember residents, students and Allied Health Professionals must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students Course code:RM2719A For additional information please contact Kansas Chapter CoordinatorJennifer Loefflerat jloeffler@kmsonline.org.

Kansas Chapter Hospitalist Day 2026

Kansas Chapter Hospitalist Day 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $80 ACP Resident/Fellow Member $80 ACP Medical Student $0 ACP Affiliate Member $80 Nonmember Physician $100 Nonmember Resident* $100 Nonmember Medical Student* ** $25 Nonmember Allied Health Professional $100 Please note: Members whose dues are not active will receive the nonmember registration rate. To take advantage of the member rate, we encourage you to renew your dues or join ACP. Questions?If you have trouble registering online, please contact Member andProduct Supportat 800-ACP-1915 or direct at 215-351-2600 (M-F, 9 a.m. - 5 p.m. ET). *Nonmember residents andstudents must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students Course code:AC2703 For additional information please contact Kansas Chapter CoordinatorJennifer Loefflerat jloeffler@kmsonline.org.

Kansas Chapter Scientific Meeting 2026

Kansas Chapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $185 ACP Resident/Fellow Member $25 ACP Medical Student $0 ACP Affiliate Member $80 Nonmember Physician $260 Nonmember Resident* $125 Nonmember Medical Student* ** $0 Nonmember Allied Health Professional* $300 Please note: Members whose dues are not active will receive the nonmember registration rate. To take advantage of the member rate, we encourage you to renew your dues or join ACP. Questions?If you have trouble registering online, please contact Member andProduct Supportat 800-ACP-1915 or direct at 215-351-2600 (M-F, 9 a.m. - 5 p.m. ET). *Nonmember residents, students and Allied Health Professionals must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students Course code:RM2719 For additional information please contact Kansas Chapter CoordinatorJennifer Loefflerat jloeffler@kmsonline.org.

ACP Physician Peer Coaching: Thriving in the Now: How to be Content Where You Are

Reflect on your current personal and professional circumstances and explore practical ways to cultivate greater satisfaction and find fulfillment in where you are today.