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Displaying 211 - 220 of 7509 in ACP Online

September 15, 2023

Individual and Systems Resources That Give Agency and Provide Nurturing Safe Spaces and Supportive Communities 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 Disress Hotline (1-800-985-5990).

October 18, 2019

Professional Fulfillment Zone

Celebrating Over 5 Years of ACP Well-being Champions!In September, we held a special event that celebrated the history of ACP's Well-being Champion Program.

Patients Before Paperwork

Advocacy in ActionThese are scary times for public healthBy Shari M. Erickson, MPH, for I.M. Matters from ACPActions taken by leadership at the Department of Health and Human Services are creating confusion and slowly killing off the science and research that public health depends on.Read here!

Noteworthy Resources for Well-being

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

In the News

Well-being Interventions for Rural Health Professionals: A Scoping ReviewThe Journal of Rural Health: Skye McKennon, PharmD, BCPS, ACSM-GEI; Suzanne Fricke, DVM, MLIS; Dawn DeWitt, MDMSc, CMedEd, MACP, FRACP, FRCP-LondonThe objective of this scoping review is to identify interventions to promote well-being that have been tried or proven effective to prevent or address burnout in rural health care professionals and trainees (HCPTs). Secondarily, we aimed to identify potentially applicable and feasible well-being interventions that could help rural HCPTs.

From the Trenches

Call for Collaboration: ACP Interchapter Rituals and Traditions Series 2025–2026The ACP Well-being Champion community is cordially invited to join the next session of the Rituals and Traditions Series on January 10, 2026. This innovative series, created by WBC alumnus Dr. Mukta Panda and Tennessee Governor Dr. Daniel Ely, invites participants to explore how rituals—through shared meals, storytelling, and cultural practices—serve as pathways to understanding others' lived experiences and worldviews.

November 21, 2025

ACP Well-being Champions: Promoting Well-being Through Awareness, Advocacy, and Action“Paying attention in new ways is a very healthy and potentially healing thing to do, although, as you wi

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

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

Hyperostosis Frontalis Interna | Annals of Internal Medicine: Clinical Cases

A 73-year-old woman with alcohol use disorder and breast cancer who presented with 2 months of progressive lethargy and generalized weakness initially was suspected of having acute metabolic encephalopathy attributable to alcohol-related liver disease. She ultimately was diagnosed with hyperostosis frontalis interna, a benign condition potentially contributing to her neurologic symptoms. This case underscores the importance of the recognition of hyperostosis frontalis interna for patients who are postmenopausal presenting with neuropsychologic symptoms and skull abnormalities to prevent misdiagnosis and unnecessary interventions.

Well-Demarcated Hypopigmented Genital Lesion | Annals of Internal Medicine: Clinical Cases

The presented image is of a rare reversible manifestation of secondary syphilis called leukoderma syphiliticum in which the skin lesions are hypopigmented instead of hyperpigmented, mimicking vitiligo over several parts of the body.

A Case of Xanthogranulomatous Pyelonephritis | Annals of Internal Medicine: Clinical Cases

Xanthogranulomatous pyelonephritis (XGP) is a rare chronic destructive renal disease. This case describes a patient with a history of poorly controlled type 2 diabetes mellitus, hypertension, and nephrolithiasis who presented with nonspecific symptoms of left abdominal pain, fever, nausea, and vomiting. A Computed tomography scan showed left XGP that was surgically resected. Xanthogranulomatous pyelonephritis has similar features to malignancy. Hence, it is important to identify and treat this disease given that its aggressive nature can result in multiorgan spread and dysfunction. Xanthogranulomatous pyelonephritis has an excellent prognosis if managed appropriately.

Nonserogroup-1 Legionella pneumophila Pneumonia: Navigating Diagnostic Challenges | Annals of Internal Medicine: Clinical Cases

A 59-year-old woman with newly diagnosed immune thrombocytopenia treated with steroids and rituximab presented with a cavitary lung lesion. Extensive work-up, including bronchoalveolar lavage and transthoracic lung biopsy, were unrevealing. Molecular testing on lung tissue ultimately diagnosed nonserogroup-1 Legionella pneumophila, underscoring the utility of advanced diagnostics in clinical conundrums.

Giant Cell Arteritis Associated With PD-1 Inhibitor Use | Annals of Internal Medicine: Clinical Cases

A 74-year-old woman with metastatic neuroendocrine tumor presented with unilateral vision loss while receiving nivolumab therapy. An ophthalmologic examination and transcranial Doppler were concerning for giant cell arteritis (GCA). Empiric pulse dose steroids were started, and temporal artery biopsy was consistent with GCA. Her immunotherapy was stopped in the setting of suspected immune-related adverse events from nivolumab, and her course was complicated by steroid-induced hyperglycemia. Tocilizumab was used as a steroid-sparing agent without relapse of GCA. Although rare, GCA induced by immune checkpoint inhibitors is an important consideration for patients who are receiving immunotherapy and can result in limited chemotherapeutic options and life expectancy.

More Than Pyelonephritis: A Rare Case of a Perinephric Abscess Secondary to Post-ERCP Duodenal Perforation | Annals of Internal Medicine: Clinical Cases

This case discusses the complication of duodenal perforation secondary to endoscopic retroperitoneal cholangiopancreatography (ERCP) with development of a retroperitoneal abscess. The patient was a 35-year-old woman who presented 1 week following ERCP with right-sided flank pain and right upper quadrant pain. Her condition was managed nonsurgically with antibiotics and drain placement and she subsequently had complete resolution of symptoms. It is vital to highlight this complication in patients following ERCP to avoid misdiagnosis, improve awareness and recognition, and shorten hospital stay.

Systemic Toxicity With Hyperglycemia or Diabetic Ketoacidosis After Enfortumab Vedotin: Single-Center Case Series | Annals of Internal Medicine: Clinical Cases

Enfortumab vedotin (EV) revolutionized management of metastatic urothelial carcinoma. Multiple-organ dysfunction is a rare adverse event associated with EV with unknown mechanisms. We report three cases of unusual EV systemic toxicity with hyperglycemia and/or diabetic ketoacidosis (DKA) shortly after EV administration. The first case demonstrated insulin-resistant DKA requiring large doses of insulin, high C-peptide levels consistent with intact pancreatic β-cell function, cutaneous eruption, and fatal hemodynamic shock. The second case presented with hyperglycemia, symmetrical muscle weakness, and diffuse cutaneous eruption. The third consisted of mild DKA, rash, jaundice, and confusion. We discuss these severe presentations and empirical therapeutic approaches.

Pheochromocytoma in a Postpartum Patient With Cardiogenic Shock From Epicardial Vasospasm Necessitating Mechanical Circulatory Support | Annals of Internal Medicine: Clinical Cases

A 25-year-old woman presented with pheochromocytoma crisis and cardiogenic shock. Her ejection fraction was severely reduced at 10%, and she needed venoarterial extracorporeal membrane oxygenation (VA-ECMO) for hemodynamic support. Coronary angiography demonstrated diffuse coronary vasospasm as the underlying mechanism for her cardiogenic shock. Her ejection fraction improved with nondihydropyridine calcium channel blockers for treatment of epicardial coronary vasospasm. Her adrenal crisis was treated with sequential use of alpha-blockers followed by beta-blockers after resolution of cardiogenic shock; a right adrenalectomy was then performed before discharge. This case highlights the importance of prompt diagnosis and treatment of a pheochromocytoma complicated by cardiogenic shock when mechanical circulatory support is essential.

Sternal Osteomyelitis Caused by Mycobacterium phlei: Case Report and Literature Review of a Rarely Pathogenic Nontuberculous Mycobacterium | Annals of Internal Medicine: Clinical Cases

Mycobacterium phlei is a nonpathogenic, rapidly growing, nontuberculous mycobacterium. We report a rare case of M phlei surgical site infection and sternal osteomyelitis following coronary artery bypass graft.

Significance Evaluating Coagulation-Fibrinolysis Dynamics in Chronic Thromboembolic Pulmonary Disease With Pulmonary Hypertension Caused by Heritable Thrombophilias: A Case Series | Annals of Internal Medicine: Clinical Cases

Precisely evaluating coagulation ability is crucial for managing hypercoagulation. Antithrombin resistance is a disease in which a missense variant of the prothrombin gene, prothrombin Yukuhashi, occurs in a hypercoagulation state. We present 2 parent-child cases of antithrombin resistance-induced chronic thromboembolic pulmonary disease with pulmonary hypertension. Thromboembolic events differed between the 2 patients, suggesting differences in coagulation abilities. Rotational thromboelastometry was useful for evaluating individual coagulation–fibrinolysis dynamics. Personalized management of anticoagulation therapy based on a precise evaluation of coagulation ability is needed in hypercoagulation states.

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Displaying 211 - 220 of 254 in ACP Store

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

Welcome Reception Ticket

Kick off your experience at Internal Medicine Meeting 2026 with your colleagues and friends. Come together before the 3-day meeting to network, interact with ACP Leadership, and celebrate the internal medicine community. Enjoy light bites, complimentary soft drinks, beer and wine for purchase, and live music!

Florida Chapter Resident & Medical Student Meeting 2026

Florida Chapter Resident & Medical Student Meeting 2026 Registration fee includes continental breakfast, lunch, all sessions and materials. Hotel Information Renaissance Orlando Resort & Spa - Disney Springs1905 Hotel Plaza Blvd, Lake Buena Vista,FL 32830 Group rate: $160.00 (S/D) Group cutoff date: March 13, 2026 Attendees can use the link below to make online reservations and/or call the hotel directly at (407) 828-2828. https://app.marriott.com/reslink?id=1769458748227&key=GRP&app=resvlink Category By 3/23 After3/23 ACPMember $50 $70 ACP Resident/Fellow Member $45 $65 ACP Medical Student Member $25 $45 ACP Affiliate Member $50 $70 Nonmember Physician $70 $90 Nonmember Resident* $65 $85 NonmemberMedical Student* ** $45 $65 Nonmember Allied Health Professional $70 $90 *NOTE:Nonmember residents andstudents must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **NOTE: Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students 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:AM2605 For additional information please contact Administrator of theFlorida ChapterShelly Hakesat SHakes@floridachapteracp.orgor (904) 355-0800.

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.

POCUS: Foundational Skills for Internal Medicine Physicians

POCUS: Foundational Skills for Internal Medicine Physicians This hands-on 2-day course is designed to teach core POCUS skills to internal medicine physicians, centering on the needed skills to use ultrasound as a patient assessment tool in a variety of settings. Registration Fees Register by September 1 Register on/after September 2 ACP Member, Life Member, FACP, MACP $1,847 $2,012 Nonmember Physician $2,350 $2,350 Prerequisite Learning Requirement In order to maximize hands-on instruction and opportunities for developing essential POCUS skills, participants in this course will be required to complete ACP's POCUS Online Learning Modules #1-7. 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 Support at 800-ACP-1915 or direct at 215-351-2600 (M-F, 9 a.m. - 5 p.m. ET). All cancellation requests must be received in writing by September 30, 2026 to obtain a full refund. An administrative fee 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.

Florida Chapter Abstract Fee

Florida Chapter Abstract Fee Participants may pay for up to10 abstracts. For each additional abstract you wish to submit, please add1 Additional Abstract Fee to your cart. After payment is submittedusing this form, you can access the submission form here. Category Price ACP Resident/Fellow Member $45 ACP Medical Student $25 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: AM2605A

Arkansas Chapter George Ackerman Reading Retreat 2026

Arkansas ChapterGeorge Ackerman Reading Retreat 2026 Saturday, April 11th - 8:00 AM to 6:00 PM CSTSunday, April 12th- 8:00 AM to 12:30 PM CST Registration Fees Register ACP Member $175 ACP Resident/Fellow Member $150 ACP Medical Student $150 ACP Affiliate Member $150 Nonmember Physician $250 Nonmember Resident* $250 Nonmember Medical Student* ** $250 Nonmember Allied Health Professional $250 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). *NOTE: Nonmember residents & students must call to register: 800-ACP-1915 (M-F, 9 AM - 5 PM ET) **NOTE: Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students For additional information please contact Executive Director of theArkansas Chapter Colleen Keeku at colleenkeekuacp@gmail.com. Course code: RR2601

North Carolina Chapter Scientific Meeting 2026

North CarolinaChapter Scientific Meeting 2026 Click here to view the meeting brochure. Your registration includes:• Friday evening Welcome Reception (Guests to the Reception are welcome at no charge!)• Saturday morning Breakfast• Choice between one ofthree Lunch Roundtable options on Saturday• Breakfast on Sunday• 8.75 AMA Category 1 CME credit(s)TM• Numerous networking opportunities and fun For an additional fee, we will offer two coaching sessions on Saturday, limited tosix participants each. See below more information. Medical students and non-physician affiliate members are not eligible for the coaching sessions Silence Your Inner CriticSaturday, 2/21, 3:00-4:00 PMJoin us for an engaging one-hour group coaching session designed to help you recognize and quite your inner critic both personally and professionally-and learn practical tools to build confidence and self-compassion. Finding Your Agency and VoiceSaturday, 2/21, 5:30-6:30 PMThis one-hour group coaching session is focused on building your personal and professional agency by helping you identify your priorities, focus your time and energy, and take actionable steps toward advocating for yourself and your goals. Please consider donating to Campbell University's Community Care Clinic, a charitable organizationproviding high-quality, compassionate healthcare to the medically underserved communities of North Carolina. Category By 12/31/25 After 12/31/25 ACP Member $299 $349 ACP Resident Member $25 $25 ACP Medical Student $25 $25 ACP Affiliate Member $249 $299 Nonmember Physician $374 $424 Nonmember Resident* $25 $25 Nonmember Medical Student*** $25 $25 Nonmember Allied Health Professional* $274 $324 Please note that refunds of registration fees will not be made after 2/6/26. Refunds, less $25, will be made for cancellations received prior to that date. Please note: Members whose dues were not paid for the current fiscal year will receive the nonmember registration rate. 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). *NOTE:Nonmember residents, students, and Allied Health Professionals must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **NOTE: Nonmember Students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students Course code:RM2656 For additional information please contact Chapter Executive Megan Eberle at meberle@ncmedsoc.org.

Networking Luncheon for Women Physicians - Internal Medicine Meeting 2026

Join us for the launch of ACP’s new Women in Medicine initiative at the 2026 Internal Medicine Meeting luncheon. This member-exclusive event is designed for post-training women physicians to learn, connect, and grow. Learn about opportunities to engage with ACP and access resources to support your personal and professional development. Enjoy an interactive luncheon, featuring Kerri Palamara, MD, MACP, that will explore the power of coaching as a tool to support women in medicine throughout your career span. Friday, April 17, 2026, 12 - 1:30 p.m. Registration required $25 per person

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