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Displaying 271 - 280 of 7460 in ACP Online
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
November 20, 2020
Resources to help you thrive and navigate the way forward.
Patients Before Paperwork
ACP Advocate Newsletter highlights that affect physician well-being and professional fulfillment. ACP Urges Senate to Pass Legislation Aimed at Combating Workplace Violence in Health Care Settings As violence against health care workers continues to threaten lives, the American College of Physicians is calling for a decisive response from the U.S. Senate, which is considering vital legislation.
Noteworthy Resources
Advocacy Toolkit: Modernizing License and Credentialing Applications to Not Stigmatize Mental Health ACP Advocacy Toolkit Included in this toolkit are tools and resources that clinicians can use to advocate for organizations and state medical boards to change or remove inappropriate medical licensing and application questions that perpetuate the stigma about receiving mental health care or having a mental health diagnosis, which may result in physicians not receiving care. View here!
In the News
How Health Systems Can Improve Relationships with Their Doctors By Michael R. Rose, Robert L. Colones, and Kathleen MacDonald Harvard Business Review McLeod Health, a health system that serves patients in South Carolina and North Carolina, has worked for a decade in forging a collaborative partnership with 903 physicians. This article shares the process that McLeod Health used to achieve that alignment. By applying its approach, other health systems can reduce physician burnout and improve clinical, operational, and financial performance.
From the Trenches
Invitation to Submit Quality and Well-being Champion Posters The annual Quality and Well-being Champion Reception is a wonderful opportunity to showcase your QI or well-being initiatives and network with fellow champions. Poster presenters will have the opportunity to present their project outcomes to ACP Governance and Leadership, ACP Advance coaches, faculty, and fellow QI and Well-being Champions. The reception will take place on Friday, April 28, 2023, from 6:00 to 7:30 p.m. Pacific Time.
ACP Multimedia Education
Game Plan Refresh Series for Trained WBCs Marion McCrary, MD, FACP, and NC Well-being Champion (WBC), revisits strategies learned during your WBC training and new skills to grow your toolkit to support you and your colleagues. Logistics for Well-being Champions Watch Video
Displaying 271 - 280 of 6914 in Annals of Internal Medicine
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Displaying 271 - 280 of 3165 in IM Matters
Displaying 271 - 280 of 2449 in ACP Hospitalist
Displaying 271 - 280 of 499 in Annals of Internal Medicine: Clinical Cases
A Case of Pseudo-Pseudo Meigs Syndrome as the Initial Presentation of Systemic Lupus Erythematosus | Annals of Internal Medicine: Clinical Cases
Systemic lupus erythematosus (SLE) is a multigenic disease leading to chronic inflammatory states within organ systems. When associated with ascites, pleural effusions, and elevated CA-125 levels, it is known as pseudo-pseudo Meigs syndrome. It is a clinical diagnosis without findings of benign or malignant ovarian tumors in patients with SLE. We present a patient case of a 42-year-old woman who presented with episodic and progressively worsening ascites, bilateral pleural effusions, and elevated CA-125 levels without any evidence of benign or malignant tumors as the initial manifestation of SLE.
When Community-Acquired Pneumonia Guidelines Provide Misguided Guidance | Annals of Internal Medicine: Clinical Cases
Limited diagnostic testing and empirical antimicrobial therapy are recommended in practice guidelines for adults with community-acquired pneumonia (CAP). Although following CAP guidelines is cost-effective with high cure rates, consideration should be given to the possibility that CAP is caused by pathogens not effectively treated by the recommended antibiotic regimens. Expanding the differential diagnosis based on potential pathogen exposures and comorbid conditions can prevent delays in diagnosis and appropriate treatment. As an example, mucormycosis should be considered in a patient presenting with pneumonia in the setting of diabetic ketoacidosis.
A Case of Isolated Cardiac Sarcoidosis: An Underdiagnosed Disease With Little Diagnostic Consensus | Annals of Internal Medicine: Clinical Cases
Sarcoidosis is a rare cause of cardiomyopathy and can be missed when there is no pulmonary involvement. We present the case of a 55-year-old woman with isolated cardiac sarcoidosis who presented with symptoms of worsening intermittent dyspnea, weight gain, and lower extremity swelling. Cardiac evaluation showed a nonischemic cardiomyopathy secondary to an inflammatory cause. Cardiac magnetic resonance and positron emission tomography scans were performed that led to the diagnosis of isolated cardiac sarcoidosis. Recent updates in diagnostic criteria have allowed the use of imaging modalities alone to confirm the diagnosis in place of biopsy.
New-Onset Tongue Weakness Due to Skull Base Metastases to Bilateral Hypoglossal Canals | Annals of Internal Medicine: Clinical Cases
Hypoglossal nerve palsy is a rare disorder resulting in dysarthria and tongue weakness, usually caused by direct nerve compression or injury. Malignant invasion of the skull base can rarely lead to bilateral hypoglossal nerve compression at the exit of the hypoglossal canals. We report the case of a 40-year-old man with stage IV colorectal cancer who presented with tongue weakness and dysphagia and was discovered to have new metastases to his skull base with invasion of his bilateral hypoglossal canals.
A Rare Case of Surfer's Myelopathy in an Athletic Intermediate Surfer | Annals of Internal Medicine: Clinical Cases
Surfer's myelopathy is a nontraumatic spinal cord injury sustained in the setting of prolonged periods of hyperextension with intermittent Valsalva when transitioning from a prone to standing position on a surfboard. This condition almost exclusively occurs in first-time, unathletic surfers. This case report is unique in that an 18-year-old experienced female volleyball player developed surfer's myelopathy after, not her first, but eighth time surfing. In this way, we are contributing to medical education through a case report on the presentation, diagnostics, and treatment of surfer's myelopathy in a non–first-time surfer.
Multisystem Inflammatory Syndrome Leading to Myocardial Infarction After SARS-CoV-2 Vaccination | Annals of Internal Medicine: Clinical Cases
The most common adverse effects of SARS-CoV-2 vaccines are injection site reactions and systemic symptoms, such as fever and malaise, which are typically self-limiting. Multisystem inflammatory syndrome after SARS-CoV-2 vaccination (MIS-V) is rare. In this report, we describe a case of a 22-year-old man who developed MIS-V with myocardial infarction. Optical coherence tomography (OCT) showed blurring of intravascular structure, intimal thickening, and medial vessel destruction. High-dose glucocorticoid and antithrombotic therapy were effective as shown through improvement in OCT findings.
Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease | Annals of Internal Medicine: Clinical Cases
A man whose diet was limited to consumption of chicken, fish, and bread was admitted for weight loss, dyspnea, and cutaneous lesions. Findings of the physical examination included lower-extremity purpura. Initial work-up demonstrated severe ferropenic anemia, hyperbilirubinemia, vertebral fracture, and dilation of the inferior vena cava and right cardiac chambers. Vitamin C deficiency was documented and, after adequate supplementation, the anemia, hyperbilirubinemia, and bleeding resolved. This case demonstrates the wide, unspecific, and reversible systemic manifestations associated with scurvy, its potential as a great mimicker, and the relevance of nutritional deficiencies even in an apparently nutrient-rich environment.
Sandwich-Associated Lactic Acidosis: A Case Report of a Young Adult With Pyruvate Dehydrogenase Complex Deficiency | Annals of Internal Medicine: Clinical Cases
Pyruvate dehydrogenase complex deficiency is a rare genetic disorder that can lead to severe metabolic consequences. We present the case of a young adult with pyruvate dehydrogenase complex deficiency who presented with progressive shortness of breath and subsequently required intubation in the setting of severe lactic acidemia. After resuscitation and extubation, a targeted history identified that the patient had eaten 3 grilled cheese sandwiches just before admission. In these rarely encountered cases, both detailed clinical history-gathering as well as multidisciplinary provider coordination is essential in ultimately implementing specialized dietary recommendations and thus preventing accelerated morbidity and mortality.
A Couple With False Hellebore Poisoning | Annals of Internal Medicine: Clinical Cases
Veratrum album is a poisonous plant with steroidal alkaloids. It is often confused with Allium tricoccum (ramps), which is used as an alternative to scallion/spring onions. This is a case series of a 43-year-old woman and a 54-year-old man poisoned after consuming raw and cooked false hellebore (Veratrum album), most likely confused with Allium tricoccum, ramps, or wild scallions/onions. They presented with complaints of nausea and vomiting and were noted to be bradycardic and hypotensive on examination. They received intravenous fluids and atropine but one of the patients required admission to the medical intensive care unit after responding poorly to management.
A Case of Emphysematous Cholecystitis | Annals of Internal Medicine: Clinical Cases
An 85-year-old man with no history of biliary intervention or cholecystenteric fistulas presented to the emergency department with right hypochondralgia. Imaging revealed pneumobilia and an emphysematous gallbladder wall, consistent with the presentation of emphysematous cholecystitis. Pneumobilia is a rare finding with emphysematous cholecystitis. Gas production by anaerobic bacteria in the biliary tract could be the cause of pneumobilia.