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

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President's Columns


Molly Cooke/2013-14

ACP remains committed to securing patient access to care

ACPís president rebuts a recent opinion piece disparaging the Collegeís advocacy on the issue of access to care. More

Transparent charts and opening the problem list to patients

Doctors use the patientís medical chart as a notepad of sorts, to record clinical impressions and thinking. But the recordís increasingly open nature requires physicians to reconsider how they document the patientís history and what they might be willing to share with the patient. More

ACP services satisfy a broad array of internists' needs

The Chair of ACPís Board of Regents fills a guest spot, answering questions about how ACPís many products, programs and services add value to membership. More

Maintenance of certification is needed, but it needs to change

ACP will continue to press for a process that ensures physicians remain up-to-date on clinical knowledge, but in a much less burdensome way than the current methods. More

How to handle talking politics with patients

While physicians should not inflict their political opinions on patients, how this plays out in the exam room depends on the doctor. More

The bad, the ugly and the good of electronic health records

EHRs have significant pluses and minuses. More

Graduate medical education and the new accreditation system

Residency program directors serve an intimidating number of masters, leading them to worry about the “go-live” of the new accreditation system for graduate medical education. More

Professional excellence, service make ACP essential

In her first column, ACP’s incoming president reflects on how internists can make themselves essential to their patients through membership in the College. More

David L. Bronson/2012-13

Reflecting on a busy year and on returning home

ACP’s outgoing president reflects on his year serving the College’s membership and the joys of rededicating himself full-time to his patients. More

Internists should pursue innovative practice models

The patient-centered medical home and the accountable care organization allow internists to do a better job caring for patients, and there is at least some early evidence that they may reduce the costs of care. More

College continues to evolve to meet its members’ needs

The American College of Physicians has changed its governance structure to streamline itself, meet current and future needs of members, and define a strategic plan that positions itself for future successes. More

Together internal medicine and the subspecialties are stronger

Members of the American College of Physicians met with the leaders of subspecialty societies to develop ways to better coordinate care, redesign medical education and support the medical profession. More

Expanding Medicaid is the right thing to do for public health

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

Leadership, character and taking a stance for the right reasons

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

Stories of real patients reinforce the values of medicine

Three patients’ stories remind a physician why he chose to become a doctor, and of the rewards and responsibilities that accompany that. More

Team performance defines practice success

An entire team of clinicians is responsible for good patient care, and it is time to consider practice models and medical society memberships that reflect this necessity in the modern era. More

The Court, the College and an inevitable health care revolution

The Supreme Court is considering the constitutionality of health care reform. Regardless of its decision, health care will change from economic pressures and a desire to make the system better from within. More

Membership in ACP is no more important than ever

ACP's incoming president urges his fellow physicians to promote membership in the College—the “doctor's doctors” in internal medicine. More

Virginia L. Hood/2011-12

Transitions don't mean a loss of continuity for ACP's mission

As ACP's outgoing president contemplates the upcoming change of leadership, she realizes that while the people may change, the organization still requires its leaders and its members to continue. More

Changes to a practice also provide personal transformation

The change to a patient-centered medical home model enabled one internist to practice medicine to his fullest extent. The extra income and relaxed atmosphere are added benefits. More

Global outlook toward improving America's health care system

The College's educational programs, products and services are recognized and valued internationally, even as the College takes on a decidedly global membership. More than 30% of the College's members are international medical graduates. More

Medical professionalism faces new challenges, opportunities

Ten years later, a physician charter challenges doctors to accept commitments to professional competence, improved quality and access to care, and professionalism in conduct. More

Evaluating what is important about performance measures

Connecting with patients and improving their health should be the key factor behind implementing performance measures in the health care system. More

Electronic medical records have yet to fulfill their potential

An admittedly technophobic internist recounts her first day using an electronic health record. Her lesson learned: Internists must take control of their design and use to make the most of these new systems. More

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. More

How today's health care teams can play to win

Chronic, complex diseases require a team approach. The size of these teams is growing, as are the types of people involved in them. Internists must be key players to provide high-value, cost-conscious care. More

Time away from the office an investment in the time spent in it

A recap of events at Internal Medicine 2011 provides insights into clinical knowledge and the problems facing internal medicine. More

Reclaiming who we are: Internal medicine’s central role

Internists must use their admirable heritage to provide the best care for patients and reclaim internal medicine’s central role in delivering health care. More

J. Fred Ralston/2010-11

Off-service note from ACP’s outgoing president

ACP has made tremendous strides in the past 100 years, and must make many more in the next 100 in order to achieve its goals of caring for patients in an effective health care environment. More

ACP chapters offer myriad opportunities for involvement

ACP’s chapters form the core of member involvement with the organization, as well as offer benefits in networking, learning and managing. More

Report on nurses’ scope of practice requires clarification

An Institute of Medicine report comes at a transformational time for health care in America. How this report changes scope of practice issues and nurses’ interactions with physicians will affect the team-based approach sought from new health care models. More

An international meeting highlights domestic health care

ACP’s international membership has much to offer the domestic roster, and vice versa. More

Change for the future and a look at the past

A look back at where internal medicine has been provides insight into the future of what health care might become. More

EHRs could solve resource overuse, free up physician time

Electronic health records can help physicians with the administrative burdens of practice, allowing them to focus on the clinical aspects of caring for patients. More

ACP can be a medical home for all aspects of internal medicine

Physicians with widely disparate backgrounds and interests can function together and share a passion for expanding primary care under the auspices of a patient-centered medical home. More

ACP’s president converting to a medical home for quality care

Pilot studies of the patient-centered medical home show success and satisfaction for the doctors willing to make the change. ACP’s president begins his own conversion, and shares the results with the entire membership. More

‘Reform’ hasn’t always equaled improvement of health care

ACP’s incoming president lays out his agenda for the upcoming year and how the patient-centered medical home improves the enjoyment found in practicing primary care internal medicine. More


Joseph W. Stubbs/2009-10

Reflecting on a year of service, leadership, honor and privilege

ACP’s president offers his final thoughts on a year of service to the College, the passage of health care reform, and the modern version of the Hippocratic Oath. More

‘Preventive’ measures don’t translate properly to the public

Prevention is an important tool, but it must be placed in the context of evidence and value. The cost of ignoring that is false reassurance and the politicization of medical care. More

Best patient care gets lost amid the health care delivery system

A primary care doctor measures the benefits that he can provide to his patients: continuity of care and a complete “story” to tell about each one. More

A better Board of Regents for a better health care system

ACP’s Board of Regents will reorganize to meet the future needs of the organization. More

Physicians can help patients decide about end-of-life issues

The recent decrying of “government death panels” undercuts patient welfare, patient autonomy and social justice, and physicians have a duty to take a leadership role in the debate over health care reform. More

Excessive consults stem from lack of time for primary care

The pressure to see patients every 15 minutes does not leave much time to work complex diagnoses or manage chronic diseases. And haphazard referrals drive up the cost of care for everyone. Health care reform needs to incentivize quality of care rather than amounts of care. More

Economic pressures turn art of medicine into rote practice

While much of a clinician’s stature among peers depends on encyclopedic understanding of the scientific literature, his or her effectiveness depends largely on well-honed skills of communication and relationship building. Never have such skills been more critical or more challenging than they are today. More

Universal care frees doctors to take ‘all measures required’

The ability of physicians to meet the new demands of a modern Hippocratic oath requires universal coverage as outlined by ACP. More

Sharing knowledge is part of a modern Hippocratic Oath

Recent scandals challenge physicians’ abilities to embrace the incredible volume of information information and translate new research into bedside practice. More

Rural experience, global perspective for health care reform

In the midst of an economic recession and escalating health care costs, the College develops directions and solutions for health care reform. More


Jeffrey P. Harris/2008-09

Unresolved health care reform issues mask real progress

ACP's outgoing president reflects on the past year with confidence that within the turbulent environment of primary care lies great opportunity. More

Meetings offer doctors personal, professional enrichment

ACP provides internists with a wealth of learning opportunities at Internal Medicine 2009. More

Strength in numbers, building influence through coalitions
The American College of Physicians joins with government, quality groups and other medical societies to increase the volume of internal medicine's voice. More

ACP programs provide best practices to ensure the best care A number of quality improvement programs available from the College can help. More

Strengthen primary care to heal the U.S. health care system
Internists need to keep elected officials on-track for reforming health care. More

Presidentís Message
Finding treatment for a broken leg while overseas offers a first-hand look at health care reform in America. More

Presidentís Message
Patients, generalists and subspecialists all gain from PCMH, by Jeffrey P. Harris, FACP
September í08

Discontent leads to medical home models
Returning primary care to the foundation of health care delivery and adopting the patient-centered medical home as the central hub for each patient's care holds great promise for fostering a system that patients welcome and young physicians find appealing. More

Presidentís Message
Amid D.C.ís din, ACP makes sure internistsí voices are heard
June í08

Presidentís Message
New president outlines ACPís novel approaches to timeless issues
May '08


David C. Dale/2007-08

Presidentís Message
Passing the baton to ACPís next president
April í08

strong>Presidentís Message
ACPNET brings continuing medical education into the clinic
March í08

Presidentís Message
February '08

President’s Message (January 2008)

Rigorous review goes into ACP's clinical guidelines (November/December 2007)

Primary care decline threatens realization of medical home model (October 2007)

ACP develops guiding principles for customized MOC (September 2007)

ACP International: an organization worth recognizing (July-August 2007)

ACP’s vision for the patient-centered medical home (June 2007)

Leadership Day: An opportunity to advocate for health care reforms. (May 2007)

College looks to the horizon and plans for the future. (April 2007)

Lynne M. Kirk/2006-07

46 million uninsured present an intolerable situation. (March 2007)

Quality measures shouldn't conflict with quality care. (January-February 2007)

Charter calls physicians to work toward social justice. (December 2006)

Advocacy tops busy agenda of a College president. (November 2006)

Low health literacy can be harmful to patients’ health. (October 2006)

Turning the advanced medical home vision into reality
Physicians need to partner with patients to manage and coordinate care in what has been a fragmented system. (September 2006)

Who will take care of you and me? Facing that crisis. (July-August 2006)

As medicine moves forward, training must keep pace
Today's internal medicine residents are still being trained much the way we were almost three decades ago. (June 2006)

Internist as patient advocate: You can make a difference
Advocacy is an essential obligation to patients--and adds significantly to professional satisfaction. (May 2006)

How should we define the value of internal medicine?
Our core values include scientific rigor and compassionate care. (April 2006)

C. Anderson Hedberg/2005-06

Members nationwide meet practice challenges head-on. (March 2006)

Merging the humanities with the science of medicine
In practicing the art of medicine, we must combine science with the humanities to treat those who come to us for help. (January-February 2006)

A New Year's resolution: learn how to savor time
Managing a day of medical practice is a high-stakes art form that is not easily understood, or quickly learned. (December 2005)

Rediscovering generalists as complex care specialists
General internists feel that the value of their work is not being acknowledged. (November 2005)

The need for payment reform takes on new urgency
The payment system has undervalued the work of general internal medicine specialists and some subspecialists. (October 2005)

Keeping pace with emerging health care innovations
ACP's main objective is to make sure any coming changes enhance quality improvement. (September 2005)

How the changing face of CME will affect internists
What modifications must be made to CME to make sure physicians stay on top of their game, and patients get high quality care. (July-August 2005)

Maintaining our professionalism in the face of change
The major medical organizations that help define us as physicians are placing a new emphasis on the concept of professionalism. (June 2005)

Finding the art within the science of internal medicine
The practice of medicine is both a science and a humanistic art. (May 2005)

ACP membership: United to meet today's challenges
The issue of unity has been a key factor in the growth of internal medicine, going back more than 100 years. (April 2005)

Charles K. Francis/2004-05

Balancing individual care with our social obligations
The scope of the tsunami disaster sparked an instinctive realization of how vulnerable life can be. (March 2005)

A New Year's resolution: Tackle the problem of obesity
For many of us, the holidays mean overeating and an intemperate use of alcohol. (January-February 2005)

College promotes new model to manage chronic care
Designing a new chronic care model is key to improving American health care quality and stretching health care dollars. (December 2004)

Is there a business case for information technology?
With financial incentives, physician investment in information technology could prove to be a sound business choice, as well as a key clinical tool. (November 2004)

Defining a core ideology for the specialty and College
One unifying concept emerges from all our profession's goals: ensuring quality health care. (October 2004)

Heeding the public's call for better quality and safety
Patients and payers alike are insisting that physicians demonstrate ongoing clinical competency throughout our careers. (September 2004)

On ACP's policy agenda: Medicare fees, access, more. (July-August 2004)

To unify internal medicine, look to professionalism
Professionalism is not subject to the vagaries of a payment system, market-driven policies or unprecedented scientific advances. (June 2004)

Focusing on values in internal medicine, not on names
Attempts to reach a unifying definition of the specialty may have been undermined by a focus on names rather than on values. (May 2004)

The College's roots as a vital foundation for its future
Internal medicine has a long history of ambiguity and conflict. (April 2004)

Munsey S. Wheby, FACP/2003-04

How ACP is reaching out to all of internal medicine
ACP has pledged itself to be the recognized leader in education, advocacy and career satisfaction for all of internal medicine. (March 2004)

ACP's long, continuing fight for better reimbursement
The College continues its efforts to advocate for better reimbursement for internists. (January-February 2004)

Why compassion is such an important part of practice
Physicians needs to use compassion to help heal patients and tap their own source of professional satisfaction. (December 2003)

Performance measures should help, not punish, doctors
How ACP is getting involved to make sure that physician input is included in new measures. (November 2003)

Working to close the racial and ethnic 'health gap'
Why equality in our society—and medicine—still eludes us. (October 2003)

To revitalize internal medicine, look back to its roots
A look at the issues behind the specialty's problems with identity and career satisfaction. (September 2003)

To best serve our patients, we must embrace advocacy
Congress needs to see and hear from physicians if we want change in the national political agenda on health care. (July-August 2003)

With new name, ACP moves ahead with united strength
The new name recalls the College's historical roots, but it's also informed by ASIM's activism and advocacy to improve the practice environment. (June 2003)

What can physicians do to regain the public's trust?
Our only real means of repairing and preventing further damage to public trust is to renew our commitment to professionalism. (May 2003)

Overcoming the irony of progress to find joy in medicine
It's ironic that we have witnessed amazing progress in medicine, yet experience so little satisfaction and joy as a result (April 2003)


Sara E. Walker, MACP/2002-03

Want to make a difference? Try volunteering overseas
Donating time and skills can make a big difference to patients abroad—and to the physicians who volunteer (March 2003)

How the College is working to reduce the hassle factor
By meeting with regulatory body representatives and insurers, the College has successfully reduced some regulatory burdens (February 2003)

How health care for the elderly has gone awry in Alaska
Elderly patients in Alaska are having difficulty finding a physician, and the situation will likely become worse (January 2003)

How the College is helping its medical student members
College programs and services aim to attract more students to careers in internal medicine (November 2002)

Something on your mind? ACP-ASIM wants to know
Communicate your concerns with the College (October 2002)

With advocacy, one internist can make a difference
There is no substitute for individual involvement in the political process (July-August 2002)

How does ACP-ASIM help practicing internists?
ACP-ASIM provides a wealth of practical services for members that would cost a fortune in the private sector (June 2002)

What to help improve access? Become a volunteer
Until universal coverage becomes a reality in America, volunteer physicians will play a critical role in providing a health safety net (May 2002)

How the College's Foundation is improving medicine
The ACP-ASIM Foundation has funded 14 projects to promote goals including educating medical students and patients and boosting professionalism (April 2002)


William J. Hall, FACP/2001-02

Three milestones of change confronting internists
The concepts of systems, chaos and loss of professionalism form a backdrop of change that is impinging on physicians (March 2002)

The path to attaining a 'virtuous' professional life
It is critical to understand our own values that guide our communication with patients (February 2002)

Epiphanies and the human side of health care policy
The looming crisis in health care goes beyond affordable access to acute medical services. The real trouble ahead lies in caring for chronically ill patients (January 2002)

The ethical dilemma of accepting gifts from drug makers
Changes in the industry's marketing strategies give us ample reason for concern (December 2001)

How can internists respond in the wake of Sept. 11?
After the violent attacks, physicians need some point of reference to get on with life (November 2001)

The link between trust and physician satisfaction
By improving our skills in eliciting trust, we address a major quality concern and emerge more satisfied professionally (October 2001)

How we can better care for an aging population
While time is our key diagnostic and therapeutic tool, it is sadly in short supply (September 2001)

The secret of happiness for internists
Improving physicians' morale can begin by learning the secrets of satisfied internists (July/August 2001)

What we can do to prevent errors and improve patient safety
Improving systems—and our own practice habits—can reduce medical errors (June 2001)

Fewer hassles, better quality: four promises from the College
The College will help members with skill-building, the practice environment and improving care quality (May 2001)

Internal medicine: healers for adults
Reflections on the noble calling of healing patients (April 2001)


Sandra Adamson Fryhofer, MACP/2000-01

The year in review: ACP-ASIM's efforts on antibiotics, immunization and access to health care
This year, the College has brought public health issues to the forefront (March 2001)

ACP-ASIM advocates real coverage for those without—and with—insurance
How the College is working to promote access to affordable health insurance for all (February 2001)

ACP-ASIM launches new initiative to boost adult immunization rates
Despite the economic disincentive to immunize patients, vaccines play a large role in preventing disease (January 2001)

How some internists are surviving the corporatization of medicine
Some internists are leaving corporate controlled medicine to put the joy back into what they do (November 2000)

How ACP-ASIM is working to combat the growing overuse of antibiotics
Efforts to reduce patient demand and change physician prescribing habits (October 2000)

A look at the College's success in promoting gender diversity (September 2000)

Leadership Day 2000: a view of election year politics at work (July-August 2000)

Annual Session: a time to renew clinical skills and rich traditions (June 2000)

Why doctors of internal medicine are the best choice for women's health (May 2000)

The Internist of Today campaign: educating patients—and helping you (April 2000)


Whitney W. Addington, FACP/1999-2000

How the College is working to resolve differences with subspecialists (March 2000)

How chapter meetings provide chances for internists to connect (February 2000)

What we can do to help patients keep their expectations realistic (January 2000)

Why we need a systems approach to prevent deadly medical errors (November 1999)

How ACP-ASIM is strengthening ties with IMGs and African American doctors (October 1999)

Why the College must speak up for the nation's uninsured (September 1999)

Two events, one voice: Leadership Day, OIG meeting showcase the 'new' College (July-August 1999)

How innovation at Annual Session is helping to build a better meeting (June 1999)

Restoring the joy of practice by attacking hassle factors (May 1999)

An agenda for the new millennium: improved care and more members (April 1999)


Harold C. Sox, FACP/1998-99

Competition in health care: a look at what went wrong (March 1999)

Defined contribution programs and their effects on Medicare (February 1999)

Finally, doing the right thing: Risk adjustment under Medicare (January 1999)

Preventing pain in the dying: our role in a sacred trust (December 1998)

New data support an old adage: Remember to take your vitamins (November 1998)

Attacking physician-assisted suicide at the expense of patient care (September 1998)

The ACP-ASIM merger: the best of two cultures (July/August 1998)

The national war on drugs: Build clinics, not prisons (June 1998)

The dilemma of internists: caught in a box with technology (May 1998)

Controversy in the office: dealing with close calls (April 1998)


Guest Columns

What have you done for me lately? A look at the College's services (December 2000)

How giving to the ACP-ASIM Foundation can help your patients—and your finances (December 1999)

How controlling your money can help more than your finances (October 1998)

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