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Displaying 201 - 210 of 7608 in ACP Online

Well-being Champion Poster Competition

We are thrilled to be able to showcase the winners of the Well-being Champion poster competition virtually on our Well-being and Professional Fulfillment webpage. The four winning proposals reflect the range of activities and experiences that our Champions engage in, from organizing scenic hikes to hosting conferences. Join us in congratulating our winners, and thank you to everyone who participated in our competition! View the winning proposals!

Patients Before Paperwork

Patients Before Paperwork Update: COVID-19 Administrative and Regulatory Relief Advocacy Over the course of the pandemic, ACP has been advocating for administrative and regulatory relief to remove unnecessary burden on physicians so they are able to focus their efforts on addressing the COVID-19 crisis. The College has focused its advocacy on a broad array of regulatory relief topics. The College's specific correspondence includes:

Noteworthy Resources

New ACP Webinars

Listening to Understand, Not to Fix Kerri Palamara, MD, FACP June 12, 10:00–11:00 a.m. ET

In the News

The Joint Commission Statement on Removing Barriers to Mental Health Care for Clinicians and Health Care Staff On May 12, The Joint Commission issued a statement urging organizations to remove barriers that prevent health care workers from seeking mental health treatment.

From the Trenches

Well-being Champions Support Clinician Well-being Through COVID-19 Crisis We appreciate and applaud all our Well-being Champions for the work they are doing on the front lines of this pandemic and on the front lines of fighting burnout and supporting well-being. Below, we wanted to highlight just a few of the many ways our Champions are making a difference.

May 29, 2020

Supporting You Through These Difficult Times

Patients Before Paperwork

On April 9, 2021, ACP co-hosted the Evaluation and Management (E/M) State of the Note Summit with the Electronic Health Record Association (EHRA) to discuss clinical documentation best practices considering the recent 2021 E/M documentation updates. The Summit was attended by various physician societies and EHR vendors. Among other things, a goal of the collaborative work was to identify answers to such questions as how much detail is necessary without adding additional documentation burden and note bloat.

Noteworthy Resources

ACP Well-being Champion Library of Interventions ACP's new Library of Well-being Interventions for Well-being Champions and ACP chapter leaders can assist Well-being Champions in their mission of battling burnout and increasing professional fulfillment in their chapters. Curated resources are grouped into categories that include advocacy; peer support; diversity, equity, and inclusion; organizational interventions; and more. These interventions are easy to implement and can help you with your ACP chapter work.

New ACP Webinars

Back to Basics – Preventing Burnout, Building Trust, and Coping with the EMR Mark Linzer, MD, MACP, and Sara Poplau June 1, 2021, 11 a.m.–Noon ET

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Displaying 201 - 210 of 500 in Annals of Internal Medicine: Clinical Cases

Unilateral Diaphragm Paralysis Following COVID-19 Infection: A Case Report | Annals of Internal Medicine: Clinical Cases

We report a patient case of unilateral diaphragm paralysis following COVID-19 infection. A 55-year-old healthy man was infected with SARS-CoV-2 before the availability of a vaccine. He was intubated and pronated for respiratory failure. He experienced new debilitating dyspnea and orthopnea for 6 months after recovery. Dynamic chest radiography demonstrated a new hemidiaphragm paralysis. After surgical plication of the diaphragm, the patient's symptoms resolved. This patient case demonstrates the importance of thorough evaluation for diaphragm paralysis in patients who have suffered COVID-19 infection when there is persistent dyspnea or orthopnea, as well as the neuroinvasive potential of the virus that has yet to be fully explained.

Central Nervous System Nocardiosis Due to Nocardia farcinica | Annals of Internal Medicine: Clinical Cases

Nocardia is an opportunistic aerobic, filamentous, gram-positive branching rod that infects immunocompromised hosts. Infections usually stem from the pulmonary, integumentary, or, rarely, gastrointestinal systems. Nocardia farcinica has a noted predilection for neural tissue, thought to represent secondary dissemination from prior infection.

Pseudogout, Neutropenia, and Splenomegaly: A Case of Felty Syndrome | Annals of Internal Medicine: Clinical Cases

Felty syndrome is a rare entity of rheumatoid arthritis, neutropenia, and splenomegaly. Patients typically develop the syndrome years after a diagnosis of rheumatoid arthritis. Here, we present a case of a 76-year-old man with history of chronic calcium pyrophosphate crystal deposition disease, or pseudogout, who presented with neutropenic fever. Given his progressive arthralgias and symmetric synovitis on physical examination, serologies were sent and identified a new diagnosis of rheumatoid arthritis. This, together with exclusion of other causes of neutropenia and discovered splenomegaly, led to diagnosis of Felty syndrome.

Reexpansion Pulmonary Edema After Intrapleural Fibrinolytic Therapy | Annals of Internal Medicine: Clinical Cases

We report an empyema treated with antimicrobial therapy that developed reexpansion pulmonary edema after intrapleural fibrinolytic and enzyme therapy. Rapid evacuation of pleural fluid likely contributed to the development of reexpansion pulmonary edema.

Unmasked by Fever: Diagnosing Brugada Syndrome After Ventricular Fibrillation Arrest | Annals of Internal Medicine: Clinical Cases

A 65-year-old man presented to the emergency department after he was resuscitated from cardiac arrest due to ventricular fibrillation. Coronary angiography demonstrated no evidence of coronary artery disease. Follow-up electrocardiograms (ECGs) were also unremarkable until the patient developed a fever, and a new ECG demonstrated a rapidly upsloping ST-segment followed by a downsloping, coved ST-segment in leads V1-V2. The diagnosis of Brugada syndrome was made after a procainamide challenge. The Brugada pattern on ECG can be transient and can manifest in the setting of fever or after taking medications with sodium channel blocking effects.

Platypnea-Orthodeoxia Syndrome: A Rare Cause of Hypoxia | Annals of Internal Medicine: Clinical Cases

A 23-year-old woman with a history of surgically repaired pulmonary atresia and subsequent severe tricuspid, pulmonic regurgitation, and obesity class II (body mass index, 37.5 kg/m2) presented with 4 months of unexplained hypoxemia and dyspnea that began after an uncomplicated laparoscopic cholecystectomy. Further evaluation found hypoxia in the upright position that promptly resolved in the supine position consistent with platypnea-orthodeoxia syndrome. She was found to have a patent foramen ovale that was percutaneously closed with resolution of symptoms. Platypnea-orthodeoxia syndrome incited by laparoscopic abdominal surgery has been rarely reported in literature, but should be considered in the differential of postoperative dyspnea.

Tacrolimus Toxicity in Two Renal Transplant Recipients Treated With Nirmatrelvir/Ritonavir: A Case Series | Annals of Internal Medicine: Clinical Cases

Since the onset of the SARS-CoV-2 (COVID-19) pandemic, significant effort has been devoted toward developing therapeutics that decrease the morbidity and mortality of COVID-19 infection. The antiviral nirmatrelvir/ritonavir (Paxlovid) has shown success in reducing hospitalization and death in patients with mild-to-moderate COVID-19 infection. However, enthusiasm over nirmatrelvir/ritonavir's ability has been met with caution as the result of potential drug–drug interactions. Here, we present 2 cases of tacrolimus toxicity, both in renal transplant recipients, following nirmatrelvir/ritonavir use. These cases are significant because, although the potential for pharmacologic interactions with nirmatrelvir/ritonavir is known, few cases of actual harm have been documented.

Lactobacillus Endocarditis With Mixed Glomerulonephritis: A Case Report | Annals of Internal Medicine: Clinical Cases

We present a case of Lactobacillus prosthetic valve endocarditis with associated antineutrophil cytoplasmic antibody glomerulonephritis. A 41-year-old man presented with recurrent dark brown urine, lower-extremity rash, and acute kidney injury. Kidney biopsy confirmed the diagnosis of glomerulonephritis, with pathologic findings concerning for an infectious cause. Blood cultures returned positive for Lactobacillus species, and transesophageal echocardiogram findings were positive for prosthetic valve vegetation. Antimicrobial and low-dose steroid therapy were initiated to treat the endocarditis with confidence that resolution of his glomerulonephritis also would occur.

Lisinopril-Induced Burning Mouth Syndrome | Annals of Internal Medicine: Clinical Cases

Burning mouth syndrome (BMS) is defined as an uncomfortable burning sensation in the mouth and/or tongue in the absence of any oral mucosa lesions, sores, or other abnormalities. We describe a case in which a patient had a burning sensation in her mouth for several years with no identifiable cause. Two weeks after her primary care physician switched her lisinopril to another antihypertensive medication, she noted significant improvement in her symptoms and an improved quality of life. It is imperative for physicians to recognize angiotensin-converting enzyme inhibitors, specifically lisinopril, as a possible cause of burning mouth syndrome in symptomatic patients.

Periorbital Ecchymosis in a Patient With Nephrotic Syndrome | Annals of Internal Medicine: Clinical Cases

Amyloid light-chain amyloidosis is a rare multiorgan disorder characterized by amyloid deposits in various organs and extracellular tissues. If untreated, it can have progressive and irreversible consequences, ultimately leading to death. When amyloid protein is deposited in the perivascular tissues and the vessels become fragile, the skin shows purpuric changes due to vascular collapse. The “raccoon eyes” appearance can be the first manifestation of amyloid light-chain amyloidosis and should not be overlooked.

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Displaying 201 - 210 of 225 in ACP Store

ACP Physician Peer Coaching: Finding Your Agency and Your Voice

Build your personal and professional agency. Identify your priorities, focus your time and energy, and take actionable steps toward advocating for yourself and your goals.

ACP Physician Peer Coaching: How to Silence Your Inner Critic

Recognize and quiet your inner critic both personally and professionally and learn practical tools to build confidence and self-compassion

ACP Physician Peer Coaching: Finding Your Agency and Your Voice

Build your personal and professional agency. Identify your priorities, focus your time and energy, and take actionable steps toward advocating for yourself and your goals.

ACP Physician Peer Coaching: Re-imagine Your Future

This one-hour group coaching session is focused on helping you define a compelling vision for your personal and/or professional life and learn practical strategies to help you set meaningful goals that align with that vision and outline next steps.

ACP Physician Peer Coaching: How to Silence Your Inner Critic

Recognize and quiet your inner critic both personally and professionally and learn practical tools to build confidence and self-compassion.

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.

ACP Physician Peer Coaching: Navigating Career Transitions as a Mid-Career Physician

This one-hour group coaching session for mid-career physicians is focused on helping you set your career goals and creating an action plan to take the next step in your career.

ACP Physician Peer Coach Training Program

Learn evidence-based, validated coaching skills to support your professional development and help your peers. Receive hands on training and personalized feedback from expert physician coaches. This 12-month program offers: Live, virtual coach training (8 hours) Session 1: January 29, 2027, 12:00-2:00PM ET Session 2: February 5, 2027, 12:00-2:00PM ET Session 3: February 12, 2027, 12:00-2:00PM ET Session 4: March 12, 2027, 12:00-2:00PM ET Follow upgroup check-in calls to re-enforce coaching skills Group Check-in 1: June 4, 2027, 1:00-2:00PM ET Group Check-in 2: September 14, 2027, 4:00-5:00PM ET Group Check-in 3: December 8, 2027, 3:00-4:00PM ET 1 year of access to ACP’s Coach Training Curriculum Individualized feedback for practice coaching sessions from trained ACP coaches Access to a private online communityNote: Members will be required to accept the terms of program participation in order to participate.

19th Global Forum: Advancing Internal Medicine Through AI: Global Insights on Clinical Practice and Education

The 19th Annual ACP Global Forum brings together internal medicine physician leaders from ACP and around the world for an in-depth discussion on “Advancing Internal Medicine Through AI: Global Insights on Clinical Practice and Education.” The session will explore key questions on AI’s impact on clinical practice and medical education, followed by an interactive dialogue with attendees. Open to all meeting participants; space is limited and registration is required.

Washington Chapter Outpatient Virtual Precourse

WashingtonChapter Outpatient Virtual Precourse Registration fee includes all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member or Retired PhysicianMember $200 ACP Affiliate Member $200 Nonmember Physician or Retired PhysicianNonmember $250 Nonmember Allied Health Professional $250 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). Course code:RM2736C For additional information please contact Executive Director of theWashington Chapter Liz Truong at liz@aminc.org.

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