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March 2014

Medical Student Perspectives: Lessons Learned from the Other Side

I was going to write about what it is like to lose a parent in medical school, but the more I thought about it, the more I realized how far that was, fortunately, from most students' experiences. So instead, I decided to write about what lessons I learned over the last 12 years as a family member of a patient with a rare terminal illness and hope that others can use these lessons too.

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My Kind of Medicine: Real Lives of Practicing Internists: Suchitra Behl, MD

Born in Mumbai, India, Dr. Behl shares her path to internal medicine in this unique Q & A edition of My Kind of Medicine.

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Analyzing Annals: Adult Vaccine Delivery & Recommended Immunization Schedule

Adults are at risk for vaccine-preventable disease, but vaccination rates in adults remain low. This survey of U.S. general internists and family physicians assessed barriers to stocking and administering vaccines, as well as physicians' practices in assessing patients' vaccination status.

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Advocacy Update: 2014: A Look Ahead in Advocacy

Review ACP's top priorities this year in advocacy.

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Winning Abstracts from the 2013 Medical Student Abstract Competition: Primary Care Physicians: Answering Clinical Questions in the Digital Age

With increased demands and limited time, doctors need quick and reliable resources to answer clinical questions regarding all aspects of patient care. The purpose of this study is to assess the information-seeking behavior and resource needs of primary care physicians at the point of care

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Subspecialty Careers: Gastroenterology

Gastroenterology encompasses the evaluation and treatment of patients with disorders of the gastrointestinal tract, pancreas, biliary tract, and liver. It includes disorders of organs within the abdominal cavity and requires knowledge of the manifestations of gastrointestinal disorders in other organ systems, including the skin. Additional content areas include nutrition and nutritional deficiencies, and screening and prevention, particularly for colorectal cancer.

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In the Clinic: Acute Gastrointestinal Bleeding

In the Clinic

Acute gastrointestinal (GI) bleeding is common in both the outpatient setting and the emergency department. Annual U.S. incidence rates over the past decade are approximately 90-108 per 100 000 persons (1), leading to approximately 300 000 hospitalizations annually. Most cases are due to nonvariceal sources of bleeding (e.g., peptic ulcers) and continue to be associated with significant mortality (3-14%) and health economic burden (1-3).

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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Highlights from ACP Internist庐 & ACP Hospitalist


Refusal can be frustrating for physicians, who likely see their medical advice as contributing toward healing and improving quality of life. But patients reserve the right to make informed decisions about their care, even if these decisions run counter to what's been recommended.


A recent survey showed that many psoriasis patients are not satisfied with their care, reporting inadequate relief from such symptoms as itching and scaling. Learn more about clues to diagnosis and suggestions on treating and managing symptoms of both mild and more severe disease.


Hospitalists must discern true drug-seeking behavior from a straightforward desire for pain relief.


A recent Institute of Medicine report said too few health care facilities have established indicators to guide decisions during crises.

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