The sobering decline in U.S. life expectancy reaffirms the exigency of health care reform anchored in a proactive and comprehensive approach.
Alcohol use disorder is often linked to poverty, unemployment, social isolation, and other social determinants of health, and medicine must address these underlying factors to genuinely reduce the risks associated with alcohol.
Despite a recommendation to screen for intimate partner violence and the many tools available to physicians, barriers to implementation remain.
ACP is launching a new campaign to educate about the depth and diversity of internal medicine and highlight the value that all internal medicine physicians bring to health care.
We do advocacy work on a daily basis when we see patients, and we have to approach our interactions with legislators in a similar way.
Current trends in health care emphasize the importance of our continued advocacy efforts for our patients and our profession.
Everyone, regardless of their sexual orientation or gender identity, deserves equal access to all of the resources, all of the benefits, and all of the protections available to others.
Diversity without inclusivity is incomplete, but inclusivity can be tough to measure, and subtle in its effect.
The playing field in a meritocracy is not always level because it is at least partly class-based, with wealthy parents affording their children advantages that they might believe were earned instead of inherited.
International medical graduates are crucial to the practice of health care in America and around the world.
ACP's President continues his series of columns exploring themes of diversity, equity, and inclusion.
ACP's outgoing President reflects on her life, her career, the past year, and the lessons it has taught her.
The COVID-19 pandemic has exposed an inadequate and antiquated reimbursement system for primary care, compounded by a neglected public health system.
Addressing the COVID-19 pandemic has cast a bright light on the value of the internist's comprehensive case management skills, among them symptom identification, accurate diagnosis, and disease management.
Physicians facing crises of a pandemic, economic losses, and social unrest should offer hope to patients as they are treated for the consequences of these and other ailments.
ACP leadership has developed a new vision for the future of American health care in order to achieve universal coverage and improve access, reduce costs, improve the dysfunctional payment system, and reduce administrative burdens and excessive complexity.
Medical heuristics are strategies that lead in quicker fashion to decisions or conclusions, but they can also lead us to using only part of the information that a clinician might need.
The future of the general medicine specialist is in fact bright, but it will require a significant effort on an individual, professional, and societal level.
Experience gained during residency training alongside so many other specialists and a role as care coordinators makes internal medicine specialists become uniquely qualified to serve as the conductor of this patient care orchestra.
From residency onward throughout a physician's career, becoming a diagnostician requires the ability to distinguish important clues or details from those that are not as pertinent to the situation at hand, a slowly developed skill that ultimately is recognized as an “expertise.”
The term “health care provider” implies that health care can be conceptualized as just another commodity, when it is really about helping people who are suffering, managing complex problems, and counseling them how to live.
In her final column, ACP's outgoing President looks ahead at the College's priorities and challenges to advance the dialogue that will move us into the coming decade.
Myriad aspects of life impact health, and these social determinants include multiple models that include more than the physical body.
ACP's president discusses physician burnout and the College's efforts to address it.
ACP can serve as a virtual agora where the different professional branches can draw from their common root of internal medicine, and bridge differences by providing a space where members can talk through and think through different perspectives while remaining connected to patient care.
ACP is working to identify and address the root causes of the problem that most affect the practice of internal medicine and creating a network of support for distressed internists.
ACP's senior members have an enormous amount to offer.
ACP's president reflects on his year of tenure and shares his convocation speech from Internal Medicine Meeting 2017.
The American College of Physicians has a significant international presence, with 19 international chapters.
By carefully crafting evidence-based policies, ACP can influence regulatory agencies and advocate for better patient care.
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.
ACP is once again proactively addressing an issue of importance to human health: climate change.
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.
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.
ACP is providing access to leading clinical resources and facilitating local interaction and education through its international chapters, which continue to expand. The College's total international membership now exceeds 13,000, an increase of almost 8% from 1 year ago. Currently, there are 18 international chapters.
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.
A reflection on recent tragedies leads to embracement of initiatives meant to stem the tide of gun violence.
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.
Student well-being and resiliency should be part and parcel of medical training, and this lifelong learning will help them overcome some of the burnout issues facing medicine today.
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.
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.
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.
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.
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.
ACP seeks ways to make maintenance of certification more educational, professionally fulfilling, and relevant to the practice of internal medicine.
Learning is a progressive, contextual, social and active process. Time spent at ACP's Internal Medicine 2014 meeting is well spent.
ACP's president rebuts a recent opinion piece disparaging the College's advocacy on the issue of access to care.
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.
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.
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.
EHRs have significant pluses and minuses.
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.
In her first column, ACP's incoming president reflects on how internists can make themselves essential to their patients through membership in the College.
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.
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.
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 will be a state-by-state effort on the part of ACP members.
For members of the College, taking the right stance on behalf of patients comes before any political principles or self-interests.
Three patients' stories remind a physician why he chose to become a doctor, and of the rewards and responsibilities that accompany that.
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.
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.
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.
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.
Ten years later, a physician charter challenges doctors to accept commitments to professional competence, improved quality and access to care, and professionalism in conduct.
Connecting with the patient and improving their health should be the key factor behind implementing performance measures in the health care system.
An admittedly technophobic internist recounts her first day using an electronic health records. Her lesson learned: Internists must take control of their design and use to make the most of these new systems.
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.
Politicians have markedly disparate visions for the government's role in health care. The outcomes of the 2012 elections will have an impact on what eventually happens.A recap of events at Internal Medicine 2011 provide insights into clinical knowledge and the problems facing internal medicine.
Internists must use their admirable heritage to provide the best care for patients and reclaim internal medicine's central role in delivering health care.
ACP's chapters form the core of member involvement with the organization, as well as offer benefits in networking, learning and managing.
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.
The patient-centered medical home might be health care next transformational innovation, one that will allow primary care to survive and thrive.
ACP's international membership has much to offer the domestic roster, and vice versa.
Electronic health records can help physicians with the administrative burdens of practice, allowing them to focus on the clinical aspects of caring for patients.
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.
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.
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.
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.
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.
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.
ACP's Board of Regents will reorganize to meet the future needs of the organization.
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.
The recent decrying of â€œgovernment death panelsâ€ 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.
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.
While much of a clinicianâ€™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.
The ability of physicians to meet the new demands of a modern Hippocratic oath requires universal coverage as outlined by ACP.
Recent scandals challenge physiciansâ€™ abilities to embrace the incredible volume of information information and translate new research into bedside practice.
In the midst of an economic recession and escalating health care costs, the College develops directions and solutions for health care reform.
ACP's outgoing president reflects on the past year with confidence that within the turbulent environment of primary care lies great opportunity.
ACP provides internists with a wealth of learning opportunities at Internal Medicine 2009.
The American College of Physicians joins with government, quality groups and other medical societies to increase the volume of internal medicine's voice.
A number of quality improvement programs available from the College can help.
Internists need to keep elected officials on-track for reforming health care.
Finding treatment for a broken leg while overseas offers a first-hand look at health care reform in America.
When discussing the PCMH as a model for delivering health care in the U.S. three questions commonly arise.
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.
Amid D.C.â€™s din, ACP makes sure internistsâ€™ voices are heard.
Historical perspectives written at varying times over the Collegeâ€™s 93 years.
We all appreciate that studying and learning are lifetime essentials for being a good physician.
Chapter meetings have underlying similarities and distinctive features, too.
In its policy paper, ACP made eight major recommendations based on comprehensive analyses of eight pluralistic systems and four single-payer systems.