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Calmer talk needed about mammography

Calmer talk needed about mammography

By Kathy Holliman

Controversy about implementing new mammography guidelines shouldn’t cloud talks between doctors and the women they counsel. Clarify what the guidelines really say, and share the decision-making with patients, experts counsel.

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Latest Blog Posts

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You can date your patients after all.
Posted Feb 08 at 12:59 PM by Stacey Butterfield
QD: News Every Day--Obama calls for a health reform summit
Posted Feb 08 at 10:11 AM by Ryan DuBosar
Medical News of the Obvious
Posted Feb 08 at 8:00 AM by Stacey Butterfield

Featured Articles

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Online Exclusive

Expert lays out controversies for cardio care

Expert lays out controversies for cardio care

By Val Jones, MD

February is National Heart Disease Awareness Month, and the field is wide open to controversies seemingly without resolution when it comes to invasive versus therapeutic regimens. Bill Kussmaul, FACP, an associate editor of Annals of Internal Medicine, addressed some of the hottest controversies in cardiology.

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Medical Education

Med schools promoting care for underserved

Med schools promoting care for underserved

By Stacey Butterfield

To encourage primary care careers, medical schools are offering students shortened specialty rotations in favor of fast-track graduation, half-tuition forgiveness and having students follow patients wherever they go in the health system. Different teaching models emphasize continuity of care over snapshots of diagnoses, and place students in the clinics where they can fulfill the nation’s need for rural care.

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Infectious Diseases

Army physicians on the front line of infectious disease research

Army physicians on the front line of infectious disease research

By Kathy Holliman

Walter Reed’s infectious disease unit travels the globe to identify and combat the world’s deadliest infectious diseases. Initiated to find vaccines that protect troops stationed overseas, the work quickly benefits civilian populations, too.

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Perspectives

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Practical Genomics

Filling in the GAPPs will strengthen evidence-based medicine

Filling in the GAPPs will strengthen evidence-based medicine

By W. Gregory Feero, MD, PhD

Few data support the use of genomic testing in areas such as warfarin dosing. Paradoxically, that lack of evidence leaves open the potential for the misuse of direct-to-consumer genomics tests, or for their premature adoption by clinicians.

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President’s Message

Best patient care gets lost amid the health care delivery system

By Joseph W. Stubbs, FACP

A primary care doctor measures the benefits that he can provide to his patients: continuity of care and a complete “story” to tell about each one.

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Practice Management

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Quality Improvement

Practice uses ACP survey for peer review, quality improvement

Practice uses ACP survey for peer review, quality improvement

By Jan Bowers

True North Health Center in Maine surveyed every patient who came through the doors from March through May last year to give each of its 28 practitioners information on outcomes. Proprietary surveys are expensive, so True North turned to ACP’s tools. The results helped those performing best to teach their peers about best practices.

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Practice Rx

Making sense of CMS’ new policy on consultation billing

Making sense of CMS’ new policy on consultation billing

By Debra Lansey

CMS stopped recognizing CPT consultation codes and issued instructions to physicians only a few days before the new policy took effect. ACP’s practice management staff digest what internists need to know to stay on top of billing for 2009, documentation, the “3-year rule” and crosswalks for services previously billed as consultations.

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College Watch

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Obituaries

Obituaries

By ACP staff

Notes on John J. Hoesing, FACP, and Stephen M. Ayres, FACP.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused during this period. Physical examination reveals bruises over the upper and lower extremities and palatal petechiae. Laboratory studies indicate a hemoglobin of 7.2 g/dL (72 g/L), leukocyte count of 9600/μL (9.6 × 109/L), platelet count of 12,000/μL (12 × 109/L), and serum lactate dehydrogenase concentration of 1700 U/L. The peripheral blood smear is shown. Plasma exchange is unavailable. What is the most appropriate next step in management?

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ACP Internist Weekly

From the February 9, 2010 edition

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