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November 2011

Feature: New Educational Items for Medical Students

Several new and updated educational items are now available from ACP for medical students for use in the third year internal medicine (IM) clerkship and to help in preparation for the USMLE Step 2 examination.

These materials have been created by IM clerkship directors and medical educators based on the Clerkship Directors in Internal Medicine (CDIM) core curriculum for the third year, so they focus specifically on the content you need to know.

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ACP National Abstract Competition Deadline December 1

The College sponsors local and national abstract competitions for Associate and Medical Student Members. Winning entries in both the National Clinical Vignette and National Research Paper competitions are featured each year at the annual scientific meeting, Internal Medicine on April 19-21 in New Orleans, Louisiana.

Abstracts are divided into four categories: Clinical Vignette, Basic Research, Clinical Research, and Quality Improvement - Patient Safety. Read the FAQs.

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Medical Student Perspectives: How to Submit to IMpact

Did you know that ACP accepts submissions from Medical Student Members for various sections of IMpact?

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My Kind of Medicine: Real Lives of Practicing Internists: Douglas S. Paauw, MD, MACP

Douglas S. Paauw, MD, MACP

Dr. Douglas Paauw laughs when he recalls his first day of kindergarten in the United States, after living in Indonesia until he was five. His family initially worried that he would not speak English to the other students. "Since Indonesian was the first language that I learned, my parents had to keep reminding me to speak English in school." His father was a developmental economist and worked with government planning associations, which allowed their family to in live a variety of interesting locales, including Indonesia, the Philippines and the Washington D.C. area. His family eventually settled in Michigan when his father took the position of Chairman of the Economics Department at Wayne State University in Detroit.

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Nominate your Favorite Internist to be Featured in My Kind of Medicine

Do you have a favorite internist? Maybe a program director that has inspired you? Or maybe just a doctor with fascinating story?

Nominate an internist today!

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Internal Medicine Interest Group of the Month: Southern Illinois University School of Medicine

The Internal Medicine Interest Group is one of the largest, most active student organizations at Southern Illinois University School of Medicine. With help from our amazing faculty and a committed group of students, we have established a wide array of annual events from informational sessions for students to community service events to professional development and networking.

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Ask the Program Director: Failing

If an applicant were to fail a subject in a P/F grading medical school curriculum, what is the most likely impact on competitiveness in the residency application process?

See what six different Program Directors have to say!

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Advocacy Update: What does Super Committee failure mean for health care?

On Nov. 21 the congressional Joint Select Committee on Deficit Reduction (a.k.a., the Super Committee) announced that they were unable to reach agreement on recommendation for how to cut the federal budget.

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Winning Abstracts from the 2011 Medical Student Abstract Competition: Atropine Prophylaxis a Risk Factor for Post-Carotid Artery Stenting Hypotension

Hemodynamic Depression (HD) is a worrisome complication following Carotid Artery Stenting (CAS). Prophylactic atropine helps mitigate the risk of post-stent bradycardia. We assessed the hypothesis that pre-operative systolic BP and prophylactic atropine use are predictive for post-CAS HD.

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Subspecialty Careers: Transplant Hepatology

Transplant Hepatology training involves one year of additional clinical training after completion of both residency in internal medicine and fellowship training in gastroenterology. Candidates must also complete the following procedural requirements: performance of at least 30 percutaneous liver biopsies, including allograft biopsies; interpretation of 200 native and allograft liver biopsies; and knowledge of indications, contraindications, and complications of allograft biopsies.

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In the Clinic: Preoperative Evaluation

In the Clinic

Although every surgical procedure carries some degree of risk, most surgeries carry minimal risk. The goal of preop erative risk assessment is to identify procedure and patient factors that significantly elevate the risk for complications. Careful, directed preoperative evaluation enables implementation of strategies to mitigate risk.

In the Clinic is a monthly feature in Annals of Internal Medicine that focuses on practical management of patients with common clinical conditions. It offers evidence-based answers to frequently asked questions about screening, prevention, diagnosis, therapy, and patient education and provides physicians with tools to improve the quality of care. Many internal medicine clerkship directors recommend this series of articles for students on the internal medicine ambulatory rotation.

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Virtual Dx - Interpretive Challenges from ACP

Which of the following is the most likely diagnosis for this chronic, slightly pruritic skin finding?

  1. Candida cellulitis
  2. Erythema migrans
  3. Erythrasma
  4. Intertrigo
  5. Tinea cruris
Answer

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Highlights from ACP Internist® & ACP Hospitalist®


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.



Why should I spend my entire career working 60 hours a week? Is that necessary to maintain my skills? Is it worth the cost to my family and my personal life? I


Today's physicians may spend more time at a computer than at the bedside, but not if they volunteer abroad.


One thousand years before Hippocrates, healers knew that the passing of too much urine was a bad sign.

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