ACP Internist - September 2011
Internists healing tsunami's aftereffects
Six months after an earthquake and tsunami, Japan's populace and its clinicians are sizing up the long-term health effects of the physical injuries, the mental trauma and the damage to the nation's health care facilities. Internists describe the aftermath in their own words.
Alzheimer's markers make management tougher
Diagnostic advances are identifying Alzheimer's disease and its precursors much earlier. The bad news is that, for now at least, these improvements may only create more dilemmas for general internists, who could find themselves fielding questions on how and whether new guidelines apply to clinical practice.
Primary care integral to new national viral hepatitis action plan
Experts hope a new plan launched in May by the U.S. Department of Health and Human Services will target hepatitis from a number of fronts, including education, treatment and prevention, and increased training of clinicians to diagnose and treat hepatitis and immunize patients.
Project ECHO expands the reach of primary care
To improve local care of hepatitis, Project ECHO uses videoconferencing and case-based learning to connect front-line primary care physicians with skilled and knowledgeable specialists.
New dosing for ESAs and oseltamivir, warning on pioglitazone
Recalls, warnings, approvals and other regulatory news.
Cancer's cure may be found by using the right diagnostic tree
Advances in the understanding of the molecular pathogenesis of cancer, rooted in knowledge of the genetic derangements underpinning each tumor type, lead to the question of whether clinicians should classify cancers by their tissue of origin, or their mutation of origin. Which diagnostic tree is the better example?
Collaborations gather disparate organizations together
The American College of Physicians collaborates with other medical societies about how internists can enable members to provide better patient experiences and outcomes, as well as increase access to affordable, available, high-quality, cost-conscious care.
Debt deal could hurt programs crucial to internal medicine
Legislative wrangling over the debt ceiling threatens health care spending on government programs that train primary care physicians, as well as the oversight capabilities of the Centers for Disease Control and Prevention and the Food and Drug Administration, and could even trigger across-the-board cuts to Medicare payments.
Letters to the Editor
Better skills needed for diagnoses, taking blood pressure
Readers respond to ACP Internist's coverage.
Six months post-disaster, challenges remain for Japanese medicine
Now that the immediate crisis of an earthquake and tsunami has passed, Japan's internists face the long-term effects of infectious diseases and mental health issues.
ACP disputes federal valuation of primary care observation codes
ACP disputes the relative values assigned to observation care codes, believing that they do not fully account for the physician work involved in providing the services. ACP advocacy and members' input are critical to helping improve internal medicine physicians' recognition for the care they provide.
Set up your flu clinic now
Setting up an influenza vaccine clinic is a simple way to immunize all patients in a practice. It's easy to achieve that goal if the practice is well organized. Here is a step-by-step guide to running a successful flu vaccine clinic.
Board of Governors Chair-elect candidates
Susan T. Hingle, FACP, and Robert M. McLean, FACP, are seeking election as Chair-elect of the Board of Governors. The Governors will be casting ballots online shortly, with the winner to be announced in October.
A list of former ACP leaders who have passed.
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