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



Community-based teaching | Graduate medical education | Internal medicine curriculum | Match | Overseas education | Recertification | Miscellaneous | Columns by Frank Davidoff, MACP

Community-based teaching


Med schools promoting care for underserved

To encourage primary care careers, medical schools are offering students shortened specialty rotations in favor of fast-track graduation, half-tuition forgiveness and having students follow patients wherever they go in the health system. Different teaching models emphasize continuity of care over snapshots of diagnoses, and place students in the clinics where they can fulfill the nation’s need for rural care. More

How to make teaching in the office more time efficient
Developing a teaching culture that doesn't interfere with the practice's business goals. (July-August 2003)

One man's effort to teach cradle-to-grave patient care (Annual Session News 2002)

Community-based teaching: good for medicine and community
The program better prepares internists for life outside hospital wards (July/August 1998)

How teaching students affected me—and my patients
Not only did patients enjoy seeing their doctor in a teaching role, at times they even felt like educators themselves (November 1997)

Help! There's a medical student in my office
Preceptors learn that to be effective, their teaching methods have to be adapted for the ambulatory setting (October 1995)


Graduate medical education


Getting to quality and safety by ‘degrees’

Programs in quality and patient safety initiatives have come to the fore as graduate-level degrees, adding prestige to a new body of knowledge that has emerged in the past decade. More

Women trail men in top academic posts. (December 2006)

Work hour rules rile educators—and residents
Forced to watch the clock, some housestaff say they feel 'cheated' out of chances to learn. (October 2003)

Tips to teach young physicians about more than just disease
How chief residents and educators can make the most of teaching opportunities and encourage professionalism (Annual Session News 2003)

Members share their views on liability insurance and attracting students to internal medicine (February 2003)

What can internal medicine do to attract more students to careers in primary care?
Concerns about income and lifestyle are driving some students away from the specialty (December 2002)

A coming shortage of foreign-trained doctors?
Residencies have enough IMGs, but some see trouble ahead (September 2001)

At risk: Medicare funding for GME
Why educators are nervous about a proposal to move GME funding (March 1999)

Managed care and academia join to build 'teaching HMOs'
Medical schools want to train students to work with managed care, while HMOs see a marketing opportunity (April 1995)



Internal medicine curriculum


What peers are made of and why it matters to medical education

A resident reflects on the importance of his peers to the learning process—guiding, helping and supporting one another. More

‘Rights, privileges and responsibilities appertaining thereto’

An internal medicine resident reflects on his recent graduation, a cross-country move and the new responsibilities he now carries. More

Serve your trainees a feedback sandwich

The end of residency rotation isn't the only opportunity to teach. Assessing physicians should occur continuously, with a clear plan for a conversation between the attending and the trainee. More

Build your own ultrasound-guided thoracentesis simulator

Pork ribs and a handheld ultrasound device are all that's needed to save thousands of dollars in learning a life-saving medical procedure. Step-by-step instructions explain how. More

Building the medical home starts in school

Four medical schools revamped their residency programs to include concepts of the patient-centered medical home. The changes resulted in teamwork, continuity of care, and more intense clinical rotations. More

Tread lightly: Discussing obesity difficult for internists

Physicians are ill-equipped to dicuss obesity with their patients, a problem created by a lack of training in medical school, no clear guidelines on what screening should consist of, and a lack of confidence that patients would act on such counseling. But done properly, such discussions help twice as many patients lose weight. More

Med school debt becomes budgeting burden for primary care

A newly minted primary care physician graduates with a budget that can leave him or her $800 in the red each month. The debt leaves primary care physicians feeling undervalued compared to their subspecialist counterparts, especially since they consider their work to be as hard and as important. More

An easy screen for an overlooked disease

Despite poor awareness and a lack of training on handling peripheral artery disease, internists can and should be able to recognize the symptoms and manage 95% of cases. Experts advise how to diagnose and treat the condition. More

Learning to learn: Ophthalmoscopic skills taught by simulation

Creating an ophthalmoscopic examination simulation model is easy, inexpensive and goes a long way toward improving this basic clinical skill set. Acquaint yourself with abnormalities seen in the office, as well as the motor skills involved with proper use of the instruments. More

Med schools promoting care for underserved

To encourage primary care careers, medical schools are offering students shortened specialty rotations in favor of fast-track graduation, half-tuition forgiveness and having students follow patients wherever they go in the health system. Different teaching models emphasize continuity of care over snapshots of diagnoses, and place students in the clinics where they can fulfill the nation’s need for rural care. More

ACP supports debt relief for geriatricians in training. (July-August 2004)

College releases electronic curriculum guide (July-August 2002)

Internal medicine's new curriculum
FCIM's guide for educators will be voluntary, but it is making waves (September 1996)

Why internal medicine needs a collaborative curriculum
A comprehensive curriculum is needed to help us make sense of the breadth of knowledge, to set priorities and to respond to change (September 1996)

Why the FCIM curriculum document—and why now (September 1996)




Match: Internal medicine still lukewarm draw for grads
Lifestyle, income and mentoring concerns remain the chief reasons for the strong appeal of subspecialties. (May 2006)

In the Match, internal medicine sees slight uptick in U.S. graduates
After sliding for several years, the number of U.S. seniors matching to internal medicine residencies is again on the rise. (May 2004)

Members discuss changing the College's name, recent Match results, diuretics and e-consults. (July-August 2003)

In this year's Match, internal medicine continues to lose U.S. graduates
Internal medicine continued its six-year slide in the Match, due in part to students concerns about income and lifestyle. (May 2003)

Pay and hours driving losses in this year's Match
Hardest hit were primary internal medicine and med-peds tracks. (May 2002)

Match shows continuing decline in primary care
While internal medicine programs saw a 1.5% decrease, family medicine residencies took a 17% hit (May 2001)

Third consecutive loss in the Match has primary care asking questions
Internal medicine appears stable, but it posts a small decline (May 2000)

Match results: a 'blip' or a trend?
Internal medicine held its own—barely—but educators still optimistic (May 1999)



Overseas education


Cuba is just across the water, but medically, a different world

ACP Member Paul Drain explored Cuba’s medical system and finds primary care broken down much differently than in the U.S., with more access resulting in less of a need for inpatient care. But the politics of re-establishing relations with the country are no less tenuous today than they’ve previously been. More

IMGs get acculturation advice from a veteran

In an already overwhelming time period of residency, international medical graduates face extra burdens: confusing slang from patients, questioning authority when needed, and interacting with more knowledgeable subordinates. Cultural barriers have to be crossed to adapt to life in a U.S. residency. More

Internists work on Russian health and international relations
June 08

Travel makes medical education a little less foreign
U.S. students find ways to broaden their horizons
Bringing lessons from the heartland to the homeland (October 2007)

How the College is helping Russian health care
The College's Eurasian Medical Education Program trains physicians who in turn train others (December 2001)

How we can help Russian physicians help themselves
A new College effort will teach doctors how to treat chronic diseases that plague their country (September 1998)

Poor conditions—but hope—in post-Communist Albania
Reflections from a physician who spent nine months on a Fulbright lectureship in Albania (December 1995)




Years after leaving practice, some doctors choose to return

Physicians sometimes take up the stethoscope again, years or even decades after having involved themselves in other personal or professional pursuits. Programs exist to draw these doctors back into clinical practice, where they are needed. More

MKSAP option part of enhanced recertification program
New modules will give immediate feedback about whether the answer is right or wrong. (April 2005)

College and ABIM outline ongoing evolution in recertification
Recent discussions between ACP and the ABIM have led to new options for recertifying physicians and a rapid evolution in the recertification process. (September 2004)

The forces driving recertification in internal medicine. (April 2004)

ACP and ABIM launch pilot CME project for Practice Improvement Modules. (March 2004)

Need help recertifying? (March 2004)

College's efforts to streamline the recertification process
Recent gains include tests offered via computer and a new member benefit to help answer recertification questions. (January-February 2004)

Board exams about to make the move to computers. (November 2003)

A look at ABIM, recertification and quality measures
The Board's new leader says the specialty needs to take the lead in measuring physicians before someone else does. (October 2003)

College, ABIM are working together on recertification
The organizations' leaders describe how a new agreement will help them cooperate (January 2003)

College, ABIM reach new agreement on recertification
In the future, internists will be able to get credit for answering MKSAP questions and take the exam via computer (December 2002)

As a measure of physician competence, recertification receiving mixed response
Some internists, along with hospitals and health plans, are opting out of the process. (November 2002)

Strategies to help you prepare for recertification
Physicians who have been through the recertification process share their best tips. (July-August 2002)

As recertifiation deadline nears, concerns keep growing
Complaints that recertification is inconvenient and irrelevant are giving way to new anxieties (November 2000)





Programs start early to promote health careers

Rural facilities are recruiting their next generation of doctors early—from high school. They're offering paid, entry-level jobs to immerse the youngest scholars in a health care environment with the hope they'll pursue careers in the field. More

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. More

Book takes a look at medicine's future (October 2007)

Internship programs connect students to primary care
Physician role models for minority students and hands-on experience help kindle students' interest early on. (December 2006)

Chapter meetings offer education, networking. (September 2004)

Internal medicine takes a hard look at itself during summit on revitalization
Leaders at a two-day meeting on revitalizing the specialty discuss ways to re-tool education, reimbursement and the practice environment. (December 2003)

For physicians in search of an edge, MBAs are an answer
While some want to avoid mistakes that colleagues have made, others are looking for a new perspective (March 2003)

One teacher's secret: Use challenges, not humiliation (Annual Session News 2002)

Teaching empathy for the disabled through experience
Dr. Conill gives program participants a taste of being disabled and new skills to provide compassionate care. (February 2002)

Tips to give—and receive—feedback
Feedback is a critical teaching tool that both teaching physicians and residents need to master (May 2001)

For some students, medical school just isn't enough
A growing number are getting degrees like PhDs, MBAs and MPHs to learn—and earn—more (September 1998)



Columns by Frank Davidoff, MACP


ACP's former Senior Vice President for Education and former Editor of Annals of Internal Medicine

Training to competence—so crazy it might just work
Why are most medical education programs equal in length for all comers—the late bloomers and the fireballs? (October 1995)

Mystery, murder and medicine: reading the clues
Detection and diagnosis have many similarities: observing keenly, asking the right questions and seeing patterns (September 1995)

Information and education—filling in the blanks
The challenge is not how to get information but how to filter it, fit it into the right slots and keep it where it belongs (June 1995)

Why is teaching valued less than research?
It is hard to explain the extraordinary hold of research over the values and reward systems of academe (May 1995)



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