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

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Archive - November/December 2012


Diabetic Nephropathy

‘Goldilocks’ goal for diabetics and CKD

‘Goldilocks’ goal for diabetics and CKD

By Charlotte Huff

Managing kidney disease in diabetes requires meeting individualized parameters and balancing risks in nephrology and cardiology. Learn whether more aggressive treatment is warranted in this population.

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Obesity Counseling

Doctors don’t have to dread discussing dieting

Doctors don’t have to dread discussing dieting

By Stacey Butterfield

Many internists are not discussing obesity and weight loss with their patients, even though they have the best opportunity to offer counseling about diet and new drugs that are now available to help.

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Infectious Diseases

Spare the emergency visit for skin and soft-tissue infections

Spare the emergency visit for skin and soft-tissue infections

By Terri D’Arrigo

Internists can save patients the anxiety, time and expense of an emergency department visit by screening for severity of most infections, experts say. The focus should be on acuteness and the factors surrounding onset of symptoms.

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Patient-Centered Care

Pilot program offers a road map for PCMH model of care

By Stacey Butterfield

Internists who have attempted to convert to a patient-centered medical home model have quickly learned the process isn’t always easy. But a pilot program found the results appeared worth it: fewer emergency visits and patients who take better care of their own health.

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FDA Update

Generic pioglitazone, new HIV combination pill approved

Generic pioglitazone, new HIV combination pill approved

By Stacey Butterfield

This regulatory update covers approvals of the first generic form of pioglitazone and a combination form of emtricitabine, tonofavir and two new drugs for patients new to HIV treatment.

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President’s Message

Expanding Medicaid is the right thing to do for public health

By David L. Bronson, MD, FACP

Expanding Medicaid will be a state-by-state effort on the part of ACP members.

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Washington Perspective

Spending on physician services, take two

By Robert B. Doherty

Reform is required in how physicians are paid, including a more rigorous analysis of the relative value of services and compensation for the cognitive work done outside of the patient encounter.

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Letter to the Editor

Patients’ stories vital to medicine

A reader laments that changes in health care result in physicians no longer knowing their patients as well as they used to, but only as episodes of care.

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Editor’s Note

New research, drugs may change care of common conditions

By Jennifer Kearney-Strouse

Developments in fields such as diabetic nephropathy and weight loss share a common theme: There is no magic bullet. The solution is to offer care tailored to the patient.

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Practice Rx

Variety of coding changes loom for 2013

Variety of coding changes loom for 2013

By Debra Lansey

A partial freeze on diagnosis coding updates has been extended one year, while new care management codes will be introduced in 2013.

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CPII Tips

Small practices prepare for ACOs

By ACP Staff

Small practices are wondering how they will fit into the larger networks of accountable care organizations that are springing up nationwide. There are three small steps practices can take as the issue sorts itself out.

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College Watch

Nominees named for College Officer, Treasurer and Regents

The Governance Committee of the American College of Physicians placed in nomination candidates for leadership positions.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 68-year-old man was admitted to the hospital 3 days ago for a non-ST-elevation myocardial infarction and underwent cardiac catheterization via the right groin. Today, the patient reports pain in his left toes and diffuse soreness in the left calf. Following a review of the medical history, physical exam and lab values, what is the most likely diagnosis?

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