November/December 2016

Illustration by David Cutler

Fixing the system to fight burnout

Leaders of medical societies, including ACP, and other stakeholders in the health care industry are looking at broad changes in the health care system to help doctors.

Advance care planning should be a standard

Good advance care planning should happen early in the treatment process to ensure that any treatment reflects the patient's values, goals, hopes, and fears.

Former EVP/CEO reflects on his tenure at the College

ACP's outgoing EVP/CEO reflects on his 6 years at the College's helm and his plans for the future.

How should internists address e-cigarette use?

Inconsistent data have divided expert opinion on the safety of electronic nicotine delivery systems.

Nominees named for College Officer and Regent positions

The Governance Committee of the American College of Physicians places in nomination candidates for Officer and Regent positions.

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.

Health policy after the election

The 2016 elections will have huge consequences for health policy.

Physicians pushing back on burnout

This issue covers such topics as making systemic changes to fight physician burnout, planning for end-of-life care, and addressing e-cigarettes with patients.

New warnings for opioids; approval for arthritis drug

This column reviews a warning on opioid pain drugs and cough medicines combined with benzodiazepines and approval of a new drug to treat multiple inflammatory diseases.

Chapter awardees

In recognition of their outstanding service, these exceptional individuals received chapter awards in the summer/fall of 2016.

Collections for the high-deductible (self-pay) patient

A high number of self-pay patients in the patient panel can lead to increased headaches for front-office staff.

MKSAP Quiz: Episode of blood in urine

A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past. She has no other symptoms such as abdominal pain or dysuria. Medical history is otherwise unremarkable, and she takes no medications. Following a physical exam and lab studies, what is the most appropriate next step in the evaluation of this patient?.