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

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Archive - October 2012


Patient Communication

Patients and prayer amid medical practice

Patients and prayer amid medical practice

By Paula S. Katz

It’s more important than ever to recognize and understand cultures and spiritual beliefs, including and beyond the end of life.

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Gastroenterology

PPI’s benefits can outweigh their possible risks

PPI’s benefits can outweigh their possible risks

By Janet Colwell

The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.

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Hypertension

White coat hypertension presents an elusive challenge

White coat hypertension presents an elusive challenge

By Diane Donofrio Angelucci

Although white coat hypertension is chalked up to general anxiety, it may be the medical setting, and specifically the physician, that acts as the trigger.

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Medicolegal issues

What’s your malpractice risk? Depends on your specialty

What’s your malpractice risk? Depends on your specialty

By Stacey Butterfield

A research letter uncovers how often physicians face malpractice claims, and builds a case for policy reform that ensures fair compensation for patients who are harmed and less time spent on cases that are eventually dismissed.

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FDA Update

HIV prophylaxis and new weight loss drug approved

HIV prophylaxis and new weight loss drug approved

By Stacey Butterfield

This regulatory update covers label changes for dalfampridine and approvals for the first generic versions of montelukast sodium for asthma.

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Gray Matters

Metacognition and its impact on physician self-diagnosis

Metacognition and its impact on physician self-diagnosis

By Jerome Groopman, MD, FACP, and Pamela Hartzband, MD, FACP

A physician tried to self-diagnose his symptoms of a feeling of suffocation and a change in gait. Experts review the cognitive biases that made the doctor overlook the right diagnosis.

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President’s Message

Leadership, character and taking a stance for the right reasons

By David L. Bronson, MD, FACP

For members of the College, taking the right stance on behalf of patients comes before any political principles or self-interests.

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Washington Perspective

2012 election to decide four critical health care questions

By Robert B. Doherty

Medicaid, Medicare, funding for medical education and guarantees of health insurance coverage for all Americans are on the line in the upcoming presidential election.

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Editor’s Note

Spirituality may play a larger role in new health care environment

By Jennifer Kearney-Strouse

Physicians who are comfortable with their own spirituality may find it easier to incorporate patients’ beliefs into clinical practice.

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Practice Rx

Take advantage of ICD-10 codes being delayed once more

Take advantage of ICD-10 codes being delayed once more

By Debra Lansey

Compliance with the switch to ICD-10 diagnosis coding has been delayed to Oct. 1, 2014. The delay will let doctors, software developers and vendors fully test the new coding set in the office setting.

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CPII Tips

Will you be ready for ICD-10?

By ACP Staff

Even though ICD-10 has been delayed, it is important to continue planning for the eventual transition.

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From the MKSAP case studies

From the MKSAP case studies

A 77-year-old man has a 1-year history of increasing fatigue. He has not seen a physician for at least 3 years. Medical and family histories are unremarkable, and he takes no medications. The patient appears pale. Based on lab values, a bone marrow aspiration and peripheral blood smear and bone marrow biopsy, what is the most likely diagnosis?

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