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Displaying 211 - 220 of 7608 in ACP Online

In the News

We Need a National Strategy to Help Health Workers Recover From the Stress of the Pandemic By Victor J. Dzau, MD The Los Angeles Times In this opinion article in The Los Angeles Times, Dr. Victor Dzau, Chair of the National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience, argues for a national strategy to measure and respond to clinician burnout.

From the Trenches

By Kerri Palamara, MD, MACP Some call it burnout. Some call it languishing. Others call it loneliness. Regardless of the term you use, it is increasingly clear that the struggle we face as physicians is not only more prevalent but also different from how it's ever been. Many say, “I can't wait for things to go back to normal.” To that, I say, “It had better not!” Rather than things going back to a place where burnout is the norm for physicians, we have an opportunity to create a new normal focused on physician thriving rather than struggling.

May 21, 2021

ACP is offering targeted interventions designed for well-being leaders.

Professional Fulfillment Zone

Internal Medicine Meeting 2025 Recap

Patients Before Paperwork

Advocacy in Action New ACP Policy Paper Offers Guidance to Reduce Disparities and Improve Access to Health Care in Rural Communities ACP Advocate, April 2025 As rural communities continue to face disparities in health and access to health care, the American College of Physicians is urging policymakers to take action and offers guidance in a new policy paper published in Annals of Internal Medicine.

Noteworthy Resources for Well-being

ACP: Design Your Own Well-being Program Explore these tools to create a well-being program tailored to any organization's needs and budget. View here!

In the News

May Is Mental Health Awareness Month! Please explore the links below for information and toolkits on mental health:

From the Trenches

Learn the Importance of Self-Awareness and System Change “Truly Attending: Cultivating Attention, Presence and Self-Awareness Through Narrative Medicine Workshops” Rhode Island Medical Journal: Mariah Stump, MD, MPH, FACP, Marion Mull McCrary, MD, FACP, and Fariha Shafi, MD, FACP

May 16, 2025

Promoting Mental Health Awareness & ACP Internal Medicine Meeting 2025 Recap

Patients Before Paperwork

With the April 5, 2021, Information Blocking deadline just weeks away, ACP has focused its attention on reinforcing members' understanding of these regulations and supporting efforts to improve interoperability and health information access for patients and physicians.

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Displaying 211 - 220 of 500 in Annals of Internal Medicine: Clinical Cases

Mental Status Changes in Severe Babesiosis | Annals of Internal Medicine: Clinical Cases

Babesiosis is a tick-borne disease caused by an intraerythrocyte protozoon. We present a unique case of a patient who was infected with babesiosis and subsequently developed severely altered mental status, which dramatically improved after erythrocyte exchange transfusion. This case illustrates that mental status changes can be a diagnostic marker of severe babesiosis and may indicate the need for erythrocyte exchange transfusion.

Dermoid Cysts and Refractory Warm Autoimmune Hemolytic Anemia in Pregnancy | Annals of Internal Medicine: Clinical Cases

Autoimmune hemolytic anemia (AIHA) is a rare disorder during pregnancy. The management of AIHA in pregnancy is not well established and remains challenging. A 30- year-old woman presented with severe AIHA at 10 weeks of gestation. Bilateral adnexal cysts were identified on pelvic ultrasound. She received prednisone and intravenous immunoglobulin without any improvement. She developed preeclampsia at 26 weeks of gestation and delivered at 29 weeks. She received rituximab postpartum and showed no signs of improvement. Five months later, she developed abdominal pain. Computed tomographyof the abdomen and pelvis revealed cholelithiasis, splenomegaly, and bilateral adnexal cystic masses. The removal of bilateral ovarian dermoid cysts successfully resolved the AIHA. It is important to recognize that dermoid cysts can potentially lead to AIHA during pregnancy. To reduce health risks for the mother and fetus, it may be necessary to promptly remove these cysts through surgery instead of resorting to unnecessary immunosuppressive treatments.

A Young Patient With Lupus Nephritis and Cryptococcemia Lacking Central Nervous System Involvement | Annals of Internal Medicine: Clinical Cases

There has been a recent increase in the prevalence of cryptococcal infections worldwide due to increased prevalence of immunosuppressed individuals secondary to AIDS, autoimmune disease, or neoplastic disease. Cryptococcus neoformans infection typically presents as a meningoencephalitis; however, there is low incidence of cryptococcemia in the absence of central nervous system and other organ involvement. Here we present a case of a 26-year-old female patient with lupus nephritis on immunosuppressants found to have asymptomatic cryptococcemia in the absence of meningoencephalitis and other organ involvement.

Neurologic Manifestations of Germline GATA2 Deficiency: A Report of Two Cases | Annals of Internal Medicine: Clinical Cases

Germline pathogenic mutations in the GATA2 gene, a critical transcription factor in hematopoietic and neurologic development, are known to cause various syndromes characterized by both hematopoietic (for example, monocytopenia, myelodysplastic syndrome) and extra-hematopoietic (for example, lymphedema, atypical and mycobacterial infections) manifestations. Neurologic features of this disease need to be better understood. We describe 2 patients with germline GATA2 deficiency who developed a progressive neurologic illness characterized by upper motor neuron weakness, bulbar and cerebellar dysfunction, pronounced white matter magnetic resonance imaging abnormalities, and noninfectious leukoencephalopathy with cerebellar degeneration. These neurologic findings may be a novel extra-hematopoietic manifestation of germline GATA2 deficiency.

A Confirmed Case of Ignatzschineria larvae Bacteremia From a Myiatic Wound Infection in Kentucky | Annals of Internal Medicine: Clinical Cases

Myiasis, or the infection of a fly larva (maggot) in a human tissue is a rare occurrence in the United States. Rarer yet is bacteremia arising from such infection. In this case report, we discuss a case of Ignatzschineria larvae bacteremia that we believe is only the second of its kind reported in the United States, both being from the state of Kentucky. We provide more information regarding exposure, risk factors, and clinical manifestations of the disease, along with insight into the pharmacologic approach to treatment based on known susceptibilities.

Miliary Never-Smoking Lung Adenocarcinoma With Large Pleural Effusion Mimicking Tuberculosis | Annals of Internal Medicine: Clinical Cases

Miliary nodules are an uncommon pattern of hematogenous metastasis to the lung. Here, we present a case of 54-year-old nonsmoking woman with history of previous tuberculosis exposure who was found to have a metastatic miliary lung adenocarcinoma and a unilateral large pleural effusion. This case provides an example of an uncommon constellation of radiographic findings that were shown to be due to metastatic lung adenocarcinoma.

Floccillation: A Diagnostic Clue to Delirium | Annals of Internal Medicine: Clinical Cases

Delirium is common among elderly individuals. Patient interview remains the main diagnostic tool, although accurate information can be difficult to obtain in patients with communication disorders. Here, we describe the presence of new-onset floccillation as a specific sign of new-onset delirium in a 91-year-old man with recurrent acute stroke in the right middle cerebral artery territory. Therefore, floccillation may be useful to diagnose early-onset hypoactive or hyperactive delirium.

Renovascular Hypertension: Unraveling a Case of Mixed Histiocytosis | Annals of Internal Medicine: Clinical Cases

Renovascular hypertension is a cause of secondary hypertension. Atherosclerotic renal artery stenosis and fibromuscular dysplasia are the main causes, but other rare entities can involve the renal arteries. Erdheim-Chester disease is a non-Langerhans cell histiocytosis with a heterogenous clinical presentation and prognosis. We report a case of a 63-year-old woman with a history of Langerhans cell histiocytosis presenting with difficult-to-treat hypertension. A literature review is presented, and owing to the pathophysiology and anatomical characteristics of the vascular attainment, we propose that angioplasty with stenting, as preconized for atherosclerotic renal artery stenosis, should be the preferred treatment approach.

Recurrent Plaque Erosion in a Young Patient | Annals of Internal Medicine: Clinical Cases

Plaque erosion is one of the important mechanisms of acute coronary syndromes. We report the first case of recurrent plaque erosion in a different vessel 9 years after the initial episode.

Left-Sided Acute Appendicitis With Situs Inversus Totalis | Annals of Internal Medicine: Clinical Cases

Left-sided appendicitis is difficult to diagnose, but a delayed diagnosis may have a fatal outcome. We describe a patient case of acute appendicitis with situs inversus totalis and left lower quadrant abdominal pain. Unexpected faint heart sounds in their typical location and chest radiograph demonstrating dextrocardia prompted the suspicion of situs inversus totalis and left-sided appendicitis.

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Displaying 211 - 220 of 226 in ACP Store

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.

Washington Chapter Inpatient Virtual Precourse

WashingtonChapter Inpatient Virtual Precourse Registration fee includes all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Physician 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:RM2736B For additional information please contact Executive Director of theWashington Chapter Liz Truong at liz@aminc.org.

Washington Chapter Scientific Meeting 2026 (Virtual)

WashingtonChapter Scientific Meeting 2026 (Virtual) Registration fee includes all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Physician or Retired PhysicianMember $425 ACP Resident/Fellow Member $30 ACP Medical Student $0 ACP Affiliate Member $425 Nonmember Physician or Retired PhysicianNonmember $525 Nonmember Resident* $30 Nonmember Medical Student* ** $0 Nonmember Allied Health Professional $525 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:RM2736A For additional information please contact Executive Director of theWashington Chapter Liz Truong at liz@aminc.org.

Washington Chapter Scientific Meeting 2026 (In Person)

WashingtonChapter Scientific Meeting 2026 (In Person) Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Watch Party for Day 2 of the meeting will be held at the Initai Foundation in Seattle. Category Registration Fee ACP Physician or Retired PhysicianMember $425 ACP Resident/Fellow Member $30 ACP Medical Student $0 ACP Affiliate Member $425 Nonmember Physician or Retired PhysicianNonmember $525 Nonmember Resident* $30 Nonmember Medical Student* ** $0 Nonmember Allied Health Professional $525 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:RM2736 For additional information please contact Executive Director of theWashington Chapter Liz Truong at liz@aminc.org.

Alabama-Mississippi Chapters Scientific Meeting 2026

Alabama & Mississippi Chapters Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, reception,all scientific sessions and materials, and CME documentation. Category By 5/15 After5/15 ACP Member $350 $400 ACP Resident/Fellow Member $0 $0 ACP Medical Student $0 $0 ACP Affiliate Member $350 $400 Nonmember Physician $400 $450 Nonmember Resident* $0 $0 Nonmember Medical Student* $0 $0 Nonmember Allied Health Professional* $150 $200 Cancellations made after May 15, 2026 will result in a processing fee of $50. 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 professionalsmust call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). For additional information please contact Chapter Staff for theAlabama & MississippiChapters Christi Long at alamedgroups@gmail.com. Course code:RM2665

Idaho Chapter Scientific Meeting 2026

IdahoChapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Please help us help the Idaho Humane Society Adoption Center in Boise by donating a can of food, treats, or a monetary donation. Give at the registration desk. Category Registration Fee ACP Member $200 ACP Resident Member $0 ACP Medical Student $0 ACP Affiliate Member $200 Nonmember Physician $250 Nonmember Resident* $25 Nonmember Medical Student*** $0 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). *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:RM2651 For additional information please contact Idaho Chapter Executive Director Kelly Hess at elisabethhess49@gmail.com.

How to Get Your Research Published in the Best Medical Journals

Led by expert faculty, including editors from Annals of Internal Medicine, New England Journal of Medicine, and Gastroenterology, this new course will equip clinical researchers with the practical skills and strategic knowledge necessary to prepare and present their work to increase the probability of publication in their chosen, respected medical journal. Held over the course of two days at the American College of Physicians headquarters in Philadelphia, PA, attendees will benefit from highly interactive small group sessions and individual feedback to refine their own research manuscript draft currently in process. Participants must submit an in-progress manuscript by September 10, 2026, in order to receive feedback on their work during this course. Your submission should include the draft title, abstract, and any tables and figures. Space is limited. ACP members save on registration.

Leadership Day 2026 in Washington, D.C.!

Leadership Day is being held at The Westin Washington, DC Downtown Hotel. This event enables the College to increase its presence on Capitol Hill and bringimportant issues impacting internal medicine physicians to Congress. This two-day event provides ACP members with advocacy training, an update on the College's legislative priorities, briefings from Members of Congress, and an opportunity to meet with your state's congressional delegation. There is a $99 registration fee for Leadership Day. ($25 for ACP Medical Student Members and Resident/Fellows-in-Training Members). This event is open to ACP Members only. Leadership Day ProgramDraft Meeting Schedule Tuesday, May 12 10:00 AM- 10:30 AM: Opening Remarks 10:30 AM - 12:00 PM:Advocacy Skill Development 1:00PM - 5:30 PM: Congressional Meeting Prep and Training Wednesday, May 13 7:15 AM - 9:00 AM: Briefing by Members of Congress 9:30 AM - 5:00 PM:Congressional Meetings

Practical POCUS Skills for Internal Medicine Physicians

Practical POCUS Skills for Internal Medicine Physicians Advance your POCUS training beyond the foundations with next-level instruction from expert faculty, tailored to your clinical practice setting. Choose from two clinical tracks: inpatient and outpatient. An optional 15-minute hands-on assessment of core POCUS skills will be available on a first-come, first-served basis at the end of the course. Registration Fees Register by September 1 Register on/after September 2 ACP Member, Life Member, FACP, MACP $937 $1,020 Nonmember Physician $1,434 $1,434 Prerequisite Learning Requirement All registrants must have completed ACP's POCUS: Foundational Skills for Internal Medicine Physicians course. Alternate 2-day introductory courses that include a minimum of 50% hands-on time might be considered as a surrogate for and ACP course. A course agenda and certificate of completion must be submitted for approval. Attestation of significant experience might also be considered as a surrogate at the course director’s discretion. Please submit this information to ACPPOCUS@acponline.org. You will receive a response within 10 days. If you are not approved for the course, you will receive a full refund. In order to maximize hands-on instruction and opportunities for developing advanced POCUS skills, participants in this course will be required to complete ACP's POCUS Online Learning Modules #1-13. Learners and faculty have consistently emphasized that completing these modules is essential for optimizing the value of hands-on participation in the course. Questions? If you have trouble registering online, please contact Member andProduct Supportat 800-ACP-1915 or direct at 215-351-2600 (M-F, 9am - 5pm ET). All cancellation requests must be received in writing by September 30, 2026 to obtain a full refund. An administrativefee of $100 will be deducted if the request is received from October 1 to October 29, 2026. After October 29, 2026,no refunds will be processed. Individuals who fail to attend the course (no-shows) will not be entitled to any refund. ACP reserves the right to cancel courses due to the unlikely event of insufficient enrollment or other unforeseen circumstances. If a meeting is at capacity, cancelled, or postponed, the College will refund registration fees but cannot be held responsible for other costs or expenses, including cancellation/change charges assessed by airlines, travel agencies, or hotels.

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