New laws in Kentucky meant to curb opioid misuse were drafted from the standpoint of law enforcement and not medical practice, leading to areas of confusion for clinicians and their staff. ACP created a model that practices could follow to improve care for patients.
Internists are in position to screen for and spot signs of post-traumatic stress disorder following life-threatening medical events such as heart attack and stroke. Yet this is not always part of usual care.
An important and emerging need for medical students is developing the ability to apply knowledge and use it to determine the correct diagnoses for individual patients. Diagnostic reasoning has only recently begun to be specifically taught in medical school and residency.
Recent examples and accomplishments of ACP advocacy toward improving the practice environment include increasing payments to internists, reducing administrative burdens, promoting continuity of care and access to physicians, and reducing the costs of prescription drugs.
Physicians have always been charged as agents to advocate for patients' best interests. Simultaneously, however, they are tasked with considering using resources wisely. These commitments can sometimes conflict and create tradeoffs in clinical decision making.
The cost of medications can be a significant barrier for many patients who are on a fixed income or who might be taking multiple, sometimes expensive drugs. Medicare Advantage and Medicare Part D plans might provide a solution for your patients, and there are tools to help with the enrollment process.
The Governance Committee of the American College of Physicians places in nomination candidates for President-elect, Treasurer, and other positions.
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically refractory colonic Crohn disease. She has not had small-bowel involvement, and her ostomy output has been stable since surgery. Following a physical exam and skin findings, what is the most likely cause?