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New ACP Webinars

Resident Well-being During the COVID-19 Pandemic Irene Alluen-Metzner, MD, FACP; Suja Mathew, MD, FACP; Benjamin Mba, MBBS, FACP Wednesday, July 22, 2020, 3:00–4:00 p.m. ET

In the News

“Doctors are Covid's First Historians,” The New York Times By Ron Suskind, Illustrations by Lilli Carré, June 12, 2020 Over 40 physicians from NewYork–Presbyterian and Massachusetts General Hospital recorded 10-minute conversations with colleagues discussing their experiences, fears, and hopes as they battle the COVID-19 pandemic.

From the Trenches

Moving Professionalism and Wellness Into the Formal Residency Curriculum By Arielle Berger, MD, ACP Well-being Champion, Ontario

July 17, 2020

In these times of crisis, a community of well-being is increasingly important.

Patients Before Paperwork

The Centers for Medicare & Medicaid Services (CMS) recently posted additional FAQs for the Interoperability and Patient Access Final Rule. ACP was supportive of these efforts, as the FAQs are based on stakeholder feedback and provide current information about the policies included in the final rule.

Noteworthy Resources

Guidance Document: Actions and Activities that a Healthcare Organization Can Take to Support Its Physician Workforce Well-Being During COVID-19 and Beyond Prepared by the APA Committee on the Psychiatric Dimensions of Disaster, this guidance document provides practical measures that health care leaders and organizations can implement to sustainably support physician well-being.

In the News

Civility Saves Lives—The Impact and Importance of Civility in the Workplace By Joe Farmer and Penny Hurst On the Wards Blog, Australia

From the Trenches

Responding to Harassment and the Impact on Physician Wellness By Anne L. Becker, MD The elderly man approached me in the clinic hallway; pointed at my name badge; and said, “That says ‘Physician.’ You must have stolen that from someone!” As a woman physician, I am assumed to be not-a-doctor on a regular basis, and I felt a familiar swirling of emotions—confusion and disbelief, followed quickly by irritation and disgust—in response to his “joke.”

Minnesota Chapter Scientific Meeting 2026

Minnesota Chapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $400 ACP Resident/Fellow Member $0 ACP Medical Student $0 ACP Affiliate Member $200 Nonmember Physician $500 Nonmember Resident* $100 Nonmember Medical Student* ** (Medical student membership is free) $100 Nonmember Allied Health Professional* $300 Retired Physician Members*** $200 Cancellations must bemade via e-mail (help@acponline.org) and will not be accepted by telephone. Cancellations made after October 10th will result in a processing fee of $50.00. Individuals who fail to attend the course (no-shows) will not be entitled to any refund. 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: https://www.acponline.org/membership 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 Professionalsmust 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 ***NOTE:Retired Physician Members must use a code provided by the chapter to register at the discounted rate. Course code:RM2738 For additional information please contact Executive Director of theMinnesota Chapter Michelle Herbers at minnesota.acp@gmail.com.

Nevada Chapter Scientific Meeting 2026

NevadaChapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $120 ACP Resident/Fellow Member $0 ACP Medical Student $0 ACP Affiliate Member $80 Nonmember Physician $170 Nonmember Resident* $80 Nonmember Medical Student* ** $0 Nonmember Allied Health Professional* $80 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: https://www.acponline.org/membership 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 Professionalsmust 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:RM2726 For additional information please contact Executive Director of theNevada Chapter Katina Shehie at nvacpchaptered@gmail.com.

Southern California Chapters 1 & 2 Scientific Meeting 2026

Southern California Chapters 1 & 2 Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. Category Registration Fee ACP Member $195 ACP Resident/Fellow Member $65 ACP Medical Student $40 ACP Affiliate Member $195 Nonmember Physician $275 Nonmember Resident* $135 Nonmember Medical Student* $80 Nonmember Allied Health Professional $275 Cancellations made after9/6 will result in a 50% processing fee. 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: https://www.acponline.org/membership 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 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 Course code:RM2732 For additional information please contact Executive Director of theCalifornia Southern2 Chapter Monica Nagata at m.nagatasc2@gmail.com.

Virginia Chapter Scientific Meeting 2026

Virginia Chapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. For single-day registration, select Daily Rate - Select a Day from the drop-down menu on theRegistration Informationpage. Category By9/18 After 9/18 ACP Member $350 $375 ACP Resident/Fellow Member** $25 $25 ACP Medical Student** $25 $25 ACP Affiliate Member $350 $375 Nonmember Physician $410 $435 Nonmember Resident* $25 $25 Nonmember Medical Student* *** $25 $25 Nonmember Allied Health Professional $410 $435 Friday Only (Members) $235 $250 Friday Only (Nonmembers) $275 $290 Friday Only (Students and Residents)** $25 $25 Saturday Only (Members) $115 $125 Saturday Only (Nonmembers) $135 $145 Saturday Only (Students and Residents)** $25 $25 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: https://www.acponline.org/membership 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 and students must call to register: 800-ACP-1915 (M-F, 9AM - 5PM ET). **NOTE:Fees paid by resident and student members will be refunded at the meeting upon check-in at the registration desk. ***Nonmember students: Joining ACP as a medical student is free! Join Now: https://www.acponline.org/membership/medical-students Course code:RM2737 For additional information please contact Executive Director of theVirginia Chapter Sarah Wardrop at vaacp21@gmail.com.

Tri-Service Chapters Scientific Meeting 2026

Tri-ServiceChapters Scientific Meeting 2026 Registration fee includes coffee, snacks, all scientific sessions and materials, and CME documentation. For single-day registration, select Daily Rate - Select a Day from the drop-down menu on theRegistration Informationpage. Category By 7/26 After 7/26 & Onsite Single Day (You Choose) ACP Member $225 $350 $120 ACP Resident/Fellow Member $100 $150 $60 ACP Medical Student $0 $50 $20 ACP Affiliate Member $225 $350 $120 Nonmember Physician $325 $450 $175 Nonmember Resident* $150 $200 $75 Nonmember Medical Student* ** $100 $150 $60 Nonmember Allied Health Professional* $275 $375 $125 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: https://www.acponline.org/membership 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 Professionalsmust 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:RM2705

Missouri Internal Medicine Meeting 2026

Missouri Chapter Scientific Meeting 2026 Registration fee includes continental breakfast, lunch, all scientific sessions and materials, and CME documentation. For single-day registration, select Daily Rate - Select a Day from the drop-down menu on theRegistration Informationpage. Category Full Meeting Thursday Only Friday Only Saturday Only ACP Member $500 $200 $200 $150 ACP Resident/Fellow Member $0 $0 $0 $0 ACP Medical Student $0 $0 $0 $0 ACP Affiliate Member $500 $200 $200 $150 ACPRetired PhysicianMember* $325 $325 $325 $325 Nonmember Physician $575 $230 $230 $175 Nonmember Resident* $0 $0 $0 $0 Nonmember Medical Student* ** $0 $0 $0 $0 Nonmember Allied Health Professional $575 $230 $230 $175 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: https://www.acponline.org/membership 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 Retired Physician Members 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:RM2708 For additional information please contact Executive Director of the MissouriChapterSarah Luebbertat acpmissouri@gmail.com.

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.

South Dakota Chapter Scientific Meeting 2026

South DakotaChapter Scientific Meeting 2026 Registration fee includes continental breakfast (both days), lunch (both days), all scientific sessions, materials, Awards Dinner Banquet, and CME documentation. To secure the group room rate, registrants must call The Lodge at Deadwood directly at 605-584-4800 and reference the SD ACP block when making their reservation. Please note that the room block rates are only available until August 31, 2026, so be sure to book early to ensure availability. Category Registration Fee ACP Member $350 ACP Resident/Fellow Member $175 ACP Medical Student $175 ACP Affiliate Member $350 Nonmember Physician $350 Nonmember Resident* $175 Nonmember Medical Student* ** $175 Nonmember Allied Health Professional $350 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: https://www.acponline.org/membership 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 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 Course code:RM2711 For additional information please contact South DakotaChapterExecutive DirectorCherise Dunn at cherise.dunn@outlook.com.

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

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.

Widespread Coronary Aneurysm Formation Due to Hypereosinophilic Vasculitis | Annals of Internal Medicine: Clinical Cases

Hypereosinophilic vasculitis, a variant of eosinophilic granulomatosis with polyangiitis, affects small- and medium-sized arteries. Cardiac involvement may manifest as heart failure, pericarditis, or valvular insufficiency (1, 2). Eosinophilia affects the endothelium and microvasculature, leading to thrombosis and fibrosis involving the endocardium and valves (3). Coronary artery aneurysms due to hypereosinophilia are extremely rare and have been reported sparsely in the literature (4, 5). Here, we describe a patient with hypereosinophilic vasculitis and widespread coronary artery aneurysms.

A Peculiar Manifestation of Chronic Myelogenous Leukemia in Lymphoid Blast Crisis | Annals of Internal Medicine: Clinical Cases

A 61-year-old man with a history of factor V Leiden mutation, hypothyroidism, and transient ischemic attacks presented to his physician's office but could not recall the reason for his visit. Initial laboratory test results showed a slight leukocytosis with slight basophilia; neuro-immunologic, infectious, and metabolic work-up was unrevealing. Flow cytometry results showed atypical B lymphoblasts. Bone marrow biopsy results revealed a hypercellular bone marrow with CD10 staining lymphoblasts and Philadelphia chromosomal translocation. Hematologic malignancy fusion panel results revealed BCR/ABL1 fusion with p210 oncoprotein, establishing the diagnosis of chronic myelogenous leukemia in lymphoid blast crisis—a peculiar manifestation of a disease that usually manifests with significant leukocytosis.