President's Message


Intended consequences

ACP's awards, though not always instrumental in propelling a recipient's career, can inspire, validate, and assure the recipients that their hard work will not go unnoticed, and that they are on the right track.

Consider seniors and the role they might play in ACP

ACP's senior members have an enormous amount to offer.

Another tag line—almost as good

ACP's president addresses the investment in and commitment to bedside diagnosis and physical exam skills.

Minding your P's and M's

In medicine, internists need to mind not just their "P's and Q's" but their "P's and M's," that is, evidence-based practice and evidence-based medicine.

Courage, sacrifice, and internal medicine—a year in review

ACP's president reflects on his year of tenure and shares his convocation speech from Internal Medicine Meeting 2017.

8 ways that members can guide College activities

ACP's members can meet the challenges of today's world by becoming more involved in their local chapters, serving on national committees, or running for leadership positions within the national organization.

ACP's international presence promotes better clinical care

The American College of Physicians has a significant international presence, with 19 international chapters.

After the election, a time for reflection

The new administration the Congress will force us to rethink our priorities, values, and approach to economic, geopolitical, environmental, educational, religious, and social issues.

Behind the scenes at ACP, policy can improve patient care

By carefully crafting evidence-based policies, ACP can influence regulatory agencies and advocate for better patient care.

Time to curb the rising costs of prescription drugs

The U.S. will see the largest increase in per capita costs in pharmaceuticals among developed markets through 2018. The CREATES Act: Ending Regulatory Abuse, Protecting Consumers, and Ensuring Drug Price Competition would approve federal and state regulation on costs to allow for return on investment by manufacturers but ensure affordability for patients.

GME needs serious financial and structural reform

The current system and critical elements of undergraduate and graduate medical education are in need of serious financial and structural reform.

Internal medicine can slow climate change, improve health

ACP is once again proactively addressing an issue of importance to human health: climate change.

Internists tasked with implementing the triple aim

The Centers for Medicare & Medicaid Services is transitioning toward new practice models, and the overarching theme of these programs is the triple aim of health care: better patient experience, improved population health, and higher quality at lower cost.

Clarity of vision sets the stage for ACP's work

Much has been achieved in the past year, such as repealing the sustainable growth rate formula. New goals include advocating for further changes to Maintenance of Certification and helping physicians transition to new models of care delivery.

Signs of progress for MOC, but more work needed

The past year's worth of advocacy to improve the Maintenance of Certification process has succeeded, in part, but the issue will remain in front of ACP leadership in coming years.

ACP helps transform practices to value-based care

ACP is 1 of 10 Support and Alignment Networks that received grants from the Centers for Medicare and Medicaid Services to support physicians as they improve patients' experience of care, improve the health of populations, and reduce the per capita cost of health care through the expansion of quality improvement capacity.

Multitasking at the heart of ACP's many roles

ACP is an organization that can balance multiple goals of administrative acumen and strength, robust public policy development, and a proven track record of improving the lives of the patients served by its members.

Improving the practice environment and payment reform

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.

Firearm-related injuries, deaths in Charleston and beyond

A reflection on recent tragedies leads to embracement of initiatives meant to stem the tide of gun violence.

"Doctor, can I get an MRI?" ... Not so fast

ACP seeks to educate and encourage shared decision making with patients, rather than have physicians order screening tests out of habit.

With the SGR gone, are ACP members all in?

ACP has been part of a major legislative victory in the repeal of the sustainable growth rate. The organization has embraced quality improvement and high-value care as the future of internal medicine, and it seeks the same commitment from its members.

Imperturbability, preparation for internal medicine's future

In a guest column, the Chair of ACP's Board of Regents explains how student well-being and resiliency should be part and parcel of medical training, and how this lifelong learning will help them overcome some of the burnout issues facing medicine today.

Celebrating ACP's history, embracing its future

By taking note of how far the American College of Physicians has come in the past 100 years, one can get a better sense of how much farther the organization needs to go.

ACP's "Mission: Not Impossible"

Changes to the Maintenance of Certification process advocated by College leadership are the beginning of meaningful reform of the process, not the end.

Quality and cost at the end of life

Success in end-of-life care begins with how effectively physicians communicate with patients and their loved ones.

Excellent internal medicine takes time

The Chair of ACP's Board of Regents, in a guest column, explains how internists often feel pressured to see patients in less time than patients need, creating dissatisfaction on both sides. The American College of Physicians is advocating for that time, to enhance the quality of each visit and allow for thoroughness and for reflection on the encounter.

Students and residents are also burning out

Burnout and the loss of joy in being a doctor have become an ever-expanding concern and a major part of our rhetoric these days. For many physicians, it begins in training.

ACP's international presence reflects familiar domestic needs

Internists globally share many of the same problems and concerns as those in the U.S., so ACP plays an immensely important role in influencing the growth, practice, and sustainability of internal medicine in many other countries.

Institute of Medicine report falls short on primary care training

Organized medicine reacted with concern to a proposal to restructure graduate medical education that did not take into account the looming shortage in primary care.

Employer exemptions can create gaps in preventive services

The prospect of universal health insurance coverage was threatened when the Supreme Court carved out exemptions to employer-based health coverage, ACP's president says in his column about the College's support of the Affordable Care Act and preventive services without cost sharing.

Are internists ready to respond, or asleep at the concert?

ACP's president argues the importance of ensuring the graduation of lifelong learners and internists who are prepared for the profession not only in knowledge and skill, but also in wisdom.

Maintaining the sanity of maintenance of certification

ACP seeks ways to make maintenance of certification more educational, professionally fulfilling, and relevant to the practice of internal medicine.

And so it begins: The long but not-so-lonely road

ACP's incoming president reflects on the coming year, concerns about the future of internal medicine, and goals of the College.

ACP and the "house of medicine"

ACP's outgoing president reflects on her past year, milestones the College has achieved, and what future goals remain.

Make the most of time spent at Internal Medicine 2014

Learning is a progressive, contextual, social and active process. Time spent at ACP's Internal Medicine 2014 meeting is well spent.

ACP remains committed to securing patient access to care

ACP's president rebuts a recent opinion piece disparaging the College's advocacy on the issue of access to care.

Transparent charts and opening the problem list to patients

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

ACP services satisfy a broad array of internists' needs

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

An international meeting highlights domestic health care

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

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.

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.

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.

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.

"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.

"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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Meetings offer doctors personal, professional enrichment

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

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.

ACP programs provide best practices to ensure the best care

A number of quality improvement programs available from the College can help.

Strengthen primary care to heal the U.S. health care system

Internists need to keep elected officials on-track for reforming health care.

A broken leg offers a first-hand look at health care reform

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

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.