American College of Physicians: Internal Medicine — Doctors for Adults ®



Treating glycemic control in the elderly

Treating glycemic control in the elderly

By Stacey Butterfield

The challenge in diabetes treatment used to be getting patients’ blood glucose low enough. But recent evidence has shown that, at least for elderly diabetics, hypoglycemia may be as much or more of a problem as hyperglycemia.



Latest Blog Posts

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Clinical practice guidelines, autism, and ordering of tests
Posted Oct 21 at 9:00 AM by Alexander M. Djuricich, MD, FACP
We physicians need a Ganesh attitude
Posted Oct 20 at 11:00 AM by Robert Centor, MD
Donning and doffing
Posted Oct 20 at 9:00 AM by Eli Perencevich

Featured Articles

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Release of Medicare pay data raises questions

By Charlotte Huff

The release of a massive amount of data about how much physicians had received from Medicare in 2012 was a sign of price transparency to some and an unwelcome intrusion to others. The raw data didn’t tell the entire tale, critics said.



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President’s Message

Institute of Medicine report falls short on primary care training

By David A. Fleming, MD, MA, FACP

Organized medicine reacted with concern to a proposal to restructure graduate medical education that did not take into account the looming shortage in primary care.


Washington Perspective

Government dysfunction: It’s enough to make a grown man cry

By Robert B. Doherty

Federal and state governments have taken a dysfunctional approach toward issues with a direct impact on health care.


Practice Management

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Practice Rx

Accurate coding of the Initial Preventive Physical Examination

By Brian Outland

It is important for internists to understand and plan for the Initial Preventive Physical Examination, a one-time visit for new Medicare beneficiaries.


Practice Tips

Is ‘secure’ texting an oxymoron or a possibility?

By Margo Williams

Electronic health communication in health care must be secure. Text messaging is not, but it’s how many patients want to talk with their doctors. Consider the ramifications of a message that gets misplaced, and then consider other ways of communicating.


Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 60-year-old man is evaluated for chest pain of 4 months’ duration. He describes the pain as sharp, located in the left chest, with no radiation or associated symptoms; it occurs with walking one to two blocks and resolves with rest. Occasionally, the pain improves with continued walking or occurs during the evening hours. He has hypertension. Family history does not include cardiovascular disease in any first-degree relatives. His only medication is amlodipine. Following a physical examination and electrocardiogram, what is the most appropriate diagnostic test to perform next?


ACP Internist Weekly

From the October 21, 2014 edition

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