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Displaying 221 - 230 of 7458 in ACP Online

ACP Webinars

Back to Basics—Preventing Burnout, Building Trust, and Coping With the EMR Mark Linzer, MD, MACP, and Sara Poplau

July 16, 2021

January 18, 2019

Announcements Dear ACP Well-being Champions:

Patients Before Paperwork

Over the years, the federal government has prioritized initiatives to improve the electronic exchange of health information and ensure that a patient's health information follows the patient across the health care continuum. ACP has been supportive of these goals and believes improved interoperability across the entire health care continuum will ultimately help decrease a lot of existing burden. However, it is not feasible for physicians to expend the time and resources necessary to become compliant with the recent health information sharing regulations given the ongoing COVID-19 pandemic.

Noteworthy Resources

Bibliotherapy Virtual Book Club Join your ACP colleagues and friends for a virtual book club! In January, the club is reading Quackery: A Brief History of the Worst Ways to Cure Everything by Lydia Kang, MD and Nate Peterson, with a Zoom discussion on January 31, 2021, at 5 p.m. EST. Discover what we can learn from wild, comical, and dangerous medical treatments prescribed by doctors in the past.

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

In the News

“National Physician Burnout Expert Shares Insights: ‘We Can Certainly Do Better’” By Christopher Cheney, HealthLeaders Dr. Tait Shanafelt discusses changes that need to be made at the organizational level and within the culture of medicine itself to help combat clinician burnout. While organizations must improve their health care delivery models, it is also important that individual physicians not see themselves as victims of a system they cannot control.

From the Trenches

By Brian Lich, Oklahoma Well-being Champion Though we are all glad to say goodbye to 2020, there is a lot that we should be proud of as we turn to the New Year. Twelve months ago, could you imagine that we as health care workers would be called superheroes? That there would be parades for us all around the country as we took a pandemic head-on? That you would bond with physicians across the world to take on a common enemy? Have you ever felt so close to your colleagues? To your patients? Have you ever had so many patients thank you for the work that you do?

January 15, 2021

Taking Care of Ourselves and Each Other

Well-being Activities at ACP Internal Medicine Meeting 2020

There are many well-being and professional fulfillment activities to choose from this year at the ACP Internal Medicine Meeting 2020. Browse the pre-courses, scientific programs, and nonticketed sessions at the Clinical Skills Center, and design an experience best suited to your interests and needs.

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Displaying 221 - 230 of 241 in ACP Store

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: 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). *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: 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). *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.

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.

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Displaying 221 - 230 of 499 in Annals of Internal Medicine: Clinical Cases

Necrotizing Pneumonia Causing Noniatrogenic Arterial Air Embolism Resulting in Acute Ischemic Stroke: A Case Report | Annals of Internal Medicine: Clinical Cases

A 65-year-old man with necrotizing pneumonia experienced acute neurologic changes immediately after some violent coughing. Computed tomography of the head showed bilateral gas emboli, which correlated with watershed, parasagittal cerebral infarcts noted on magnetic resonance imaging of the brain. Common etiologies of gas-embolic stroke were discarded. As a result of delayed recognition of the gas emboli, the patient did not receive hyperbaric oxygen therapy. Nevertheless, he did improve neurologically and was discharged to a rehabilitation facility. Gas-embolic stroke should be included in the differential when acute neurologic symptoms are observed in patients with necrotizing pneumonia accompanied by severe cough.

Incidentally Detected Chronic Left Ventricular Pseudoaneurysm After Subacute Inferior–Posterior Myocardial Infarction | Annals of Internal Medicine: Clinical Cases

We describe a 69-year-old man with subacute inferior myocardial infarction who had surgical repair for a left ventricular (LV) pseudoaneurysm incidentally detected by routine 6-month follow-up echocardiography. Although LV pseudoaneurysm is a rare complication after myocardial infarction, the delayed diagnosis and management can cause adverse patient outcomes. The present case suggests that patients with multiple risk factors for LV pseudoaneurysms, including advanced age, late presentation, and delayed revascularization, should receive intensive blood pressure control and closer examination using a multimodal imaging approach for early detection of aneurysmal formation and complications.

Vasculitis After a Vaccine: Rare Adverse Reaction Following a COVID-19 Vaccine | Annals of Internal Medicine: Clinical Cases

Fatigue, fever, localized soreness, urticaria, and rash are common adverse reactions of COVID-19 vaccines. However, the occurrence of serious autoimmune reactions is quite rare. Cutaneous small-vessel vasculitis is an autoimmune disorder that manifests with palpable purpura and petechiae involving extremities. It results from neutrophilic inflammation within and around dermal vessels and is usually self-limited. We report a 55-year-old woman presenting with a rash 48 hours after receiving the third (Moderna) COVID-19 vaccine dose. Blood investigations and a skin punch biopsy confirmed the diagnosis of COVID-19 vaccine–induced cutaneous small-vessel vasculitis. The patient ultimately improved after inpatient treatment with systemic steroids.

Delayed Malaria Recrudescence and Relapse in the Setting of COVID-19 | Annals of Internal Medicine: Clinical Cases

It is unknown whether COVID-19 can trigger malaria recrudescence or relapse. Although Plasmodium falciparum recrudescence occurring years after infection is extremely rare, delayed Plasmodium vivax and Plasmodium ovale relapse from the latent hypnozoite stage is well described. We report a case of acute P falciparum and P ovale co-infection that occurred 2 weeks after COVID-19 in an otherwise immunocompetent patient living in a malaria nonendemic country and without exposure to malaria in the preceding 5 years. This case highlights a potential mechanism by which COVID-19–associated immune depletion and/or dysregulation may trigger a delayed presentation of malaria.

Refractory Iron Deficiency Anemia Secondary to Angiodysplasia-Related Gastrointestinal Bleeding Successfully Treated With Bevacizumab | Annals of Internal Medicine: Clinical Cases

Rapidly recurrent iron deficiency anemia secondary to angiodysplasia-related gastrointestinal hemorrhage is usually difficult to treat. Management is limited to endoscopic techniques such as argon plasma coagulation, blood product transfusion, parenteral iron replacement, and elimination of drugs that predispose to bleeding. We describe 2 patients with gastrointestinal angiodysplasia and rapidly recurrent iron deficiency anemia secondary to chronic gastrointestinal bleeding who continued to be symptomatic despite multiple pharmacologic and supportive interventions. They both experienced a dramatic, rapid, and sustained response to bevacizumab. Clear guidelines on the use of bevacizumab in this setting are lacking.

Single-Lobe Re-Expansion Pulmonary Edema: A Rare Complication of Thoracentesis | Annals of Internal Medicine: Clinical Cases

A 46-year-old woman with metastatic ovarian serous carcinoma developed left-sided pleural effusion. The effusion was drained, producing 1.6 L of fluid. Two hours after the procedure, she began to develop shortness of breath and increased oxygen requirements. Radiograph of the chest demonstrated patchy infiltrates along the left heart border. She was managed supportively, as the pulmonary edema resolved on its own within 2 days.

Hyperviscosity and Rouleaux Formation in Waldenstrom Macroglobulinemia | Annals of Internal Medicine: Clinical Cases

Waldenstrom macroglobulinemia is a distinct lymphoproliferative disorder resulting in excess production of IgM. Excess IgM and its subsequent pentameric formation may lead to the development of rouleaux and the hyperviscosity syndrome, an oncologic emergency typified by the presence of neurological changes. Plasmapheresis remains the therapy of choice for patients with the hyperviscosity syndrome, marked elevation of serum IgM, or serum viscosity, even in the absence of symptoms.

Aortic Stenosis: A New Physiologic Approach With the Stress Aortic Valve Index | Annals of Internal Medicine: Clinical Cases

The stress aortic valve index is a new validated way for grading the severity of aortic stenosis. These measurements are based on physiologic (stress) conditions, rather than the traditional resting indices, used in echocardiography. The essence of these measurements is described in this case report.

Janeway Lesions as a Manifestation of Aortic Graft Abscess | Annals of Internal Medicine: Clinical Cases

A 39-year-old man with history of intravenous drug use presented with fevers and back pain. Physical examination revealed multiple painless, small, hemorrhagic macules on the left plantar surface consistent with Janeway lesions. Janeway lesions were likely secondary to embolic sequelae of infected aortic graft without evidence of classical endocarditis, as vegetations were excluded on transesophageal echocardiogram.

Elderly Brothers With Fabry Disease Exhibiting Cardiac and Renal Manifestations | Annals of Internal Medicine: Clinical Cases

Fabry disease (FD) is an X-linked disorder resulting in α-galactosidase A activity deficiency. Late-onset FD, especially in elderly patients without classical symptoms, is difficult to diagnose, with manifestations that resemble natural aging. We report late-onset FD in elderly brothers who showed left ventricular hypertrophy (LVH) with arrythmia. Only the younger brother had chronic kidney disease, but kidney sections from both showed significant glycosphingolipid deposition. LVH is most frequent in elderly patients with FD, leading to an earlier diagnosis and treatment. FD should be considered in all patients with LVH, even at older age, given the presence of a late-onset variant.

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