Current Issue - September 2016
Climate Change
Clearing the air about climate change
Climate change is a public health issue, and physicians should be aware of the potential medical consequences and be able to communicate those to patients.
Chronic Illness
Fibromyalgia characterized by controversy
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
Latest Blog Posts
- Hearsay
- Posted Sep 26 at 9:00 AM by Kimberly Manning, MD, FACP
- A message to all of those eager young medical students and residents who want to 'transform health care'
- Posted Sep 22 at 9:00 AM by Suneel Dhand
- Palliative care is our responsibility to patients
- Posted Sep 21 at 9:00 AM by Robert Centor, MD
Conference Coverage
Digging into the causes and fixes of resistant hypertension
An enduring challenge is figuring out why patients appear to have resistant hypertension and how to cure them of it.
Success Story
System-wide changes improve diabetes care
To improve metrics of diabetes care, 4 employed primary care practices at a health system in Texas worked to systematically improve HbA1c testing and started a “Saving Toes” campaign.
President's Message
GME needs serious financial and structural reform
The current system and critical elements of undergraduate and graduate medical education are in need of serious financial and structural reform.
Washington Perspective
Making MACRA better, in intent and implementation
The Medicare Access and CHIP Reauthorization Act makes significant improvements in how Medicare links payment to reporting of quality measures. Will CMS actually implement the law in a way that truly simplifies reporting?
Screening and Prevention
Integrating routine HIV screening into practice
Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.
Letters to the Editor
New insulin questioned; carbon emission price proposed
Readers address insulin dosing and propose going further on climate change.
Editor's Note
Climate change and clinical practice
This issue covers such topics as how internists can address climate health issues in their practice, what internists can do for patients with fibromyalgia, and how to identify and manage resistant hypertension.
FDA Update
Recalls for oral docusate sodium, INR monitoring system
This column reviews a recall of an oral liquid docusate sodium solution because of contamination and of an international normalized ratio monitoring system because it may provide significantly lower results than another method.
Practice Tips
New overtime rules take effect December 2016
New overtime pay rules will affect employees whose annual salary is less than $47,476 and who work more than 40 hours per week.
College Watch
ACP's new EVP/CEO talks burnout prevention, future focus
Darilyn Moyer, MD, FACP, ACP's first female EVP/CEO, addresses her plans for the organization, the evolution of health care, and how her experience will guide her efforts.
College Elections
Candidates announced for Board of Governors Chair-elect Designee
George M. Abraham, MD, MPH, FACP, and Gregory C. Kane, MD, FACP, are seeking election as Chair-elect Designee of the Board of Governors. The Governors will be casting ballots next month, and the results will be announced in late October.
Test Yourself
From the MKSAP case studies
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/μL (80-100 × 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?
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