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

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ACP Internist - October 2010

Featured Articles

Diabetes Management

Monitoring glucose minute by minute

Continuous glucose monitoring presents challenges not only to patients, but to internists learning how best to teach their patients how to use it. But without enough endocrinologists to care for the 1 million patients with type 1 diabetes, internists have to pick up the slack.

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Patient Care Models

House calls becoming a viable practice model

Think of it as the patient-centered medical home’s ultimate evolution—care inside the patient’s own home. More doctors are making house calls, either to patients who don’t travel easily, or to improve the quality of care they could deliver in an office.

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Irritable Bowel

Expressive writing could help erase irritable bowel syndrome

Expressive writing, used for other illnesses with a known psychological component, is now being studied to control the symptoms of irritable bowel syndrome.

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Medical Education

Learning to learn: Simulators are easy, inexpensive to make

There’s no need to spend hundreds of dollars on learning simulators when they can be made with supplies that cost pocket change and a few hours of time. Examples from the Herbert S. Waxman Clinical Skills Center provide step-by-step instructions for learning to drain an abscess.

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Industry & Influence

Guidelines getting tougher on industry, but physicians are not

A survey of physicians found that respondents were comfortable with industry-sponsored lunches and other gifts, despite their institutions’ prohibition against such practices. One physician discusses how to align medicine’s ethical goals with physicians’ attitudes.

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FDA Update

Emergency contraception drug, flu vaccines approved

Recalls, warnings, approvals and other regulatory news.

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Perspectives

Editor’s Note

Continuous glucose monitoring—A good fit for primary care?

Continuous glucose monitoring is a complex task, even for physicians. Internists will have to step in to help endocrinologists manage the rising population of type 1 diabetics.

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Mindful Medicine

When patients don’t tell all: The diagnostic challenge

Patients don’t always disclose aspects of their history that may be shameful or stigmatizing, posing a challenge of attribution errors for physicians.

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President’s Message

Change for the future and a look at the past

A look back at where internal medicine has been provides insight into the future of what health care might become.

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Washington Perspective

Health care reform, PCMHs forge a new path for primary care

A new focus by health care reform advocates on the patient-centered medical home will forge a path toward financing and delivering primary care.

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Practice Management

Practice Rx

Annual ICD-9 diagnosis code revisions take effect in October

A review of the annual updates to the ICD-9 code set finds that there are more codes affecting internists than in years past. ACP digests these, as well as category headings and exclusion notes.

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CPII Tips

Another security risk: The copy machine

Many office photocopiers permanently store every image they’ve ever scanned, copied or faxed. Those images stay with the machine after it’s re-sold, and the images can be easily hacked. Learn how to maintain security over medical records, taxes, bank statements—or any other document that’s ever been copied.

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College News

Chapter Awards

Chapter Awards

In recognition of their outstanding service, individuals received chapter awards in September and October 2010.

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