February 2017
HPV vaccine impacts disease, screening
While HPV immunization is recommended during adolescence, internists practicing in the postvaccine era have their own host of considerations: namely, screening for cervical cancer and providing catch-up vaccination.
‘Geriatric tsunami’ carries elderly obesity
By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.
ACP's international presence promotes better clinical care
The American College of Physicians has a significant international presence, with 19 international chapters.
Who loses if Obamacare is repealed? Just about everyone
Republican congressional leaders are beginning the process of enacting legislation to repeal the Affordable Care Act (ACA) in stages, using a process that has been called repeal, delay, and replace.
Managing medications in patients with heart failure
Internists can provide a medical home to patients with heart failure so that medications and supplements are regularly assessed and managed, according to experts.
Moving toward effective physical activity counseling
Physicians should determine patients' aerobic fitness, which may be an even better indicator of their risk for heart disease and premature death than smoking and hypertension, according to a scientific statement.
Internal Medicine Meeting 2017 offers new, rapid-fire session
At Internal Medicine Meeting 2017, expect to hear recent research findings, clinical pearls and pitfalls, and maybe the sound of a gong.
Doctor, your weight bias is showing
For heavier patients, interacting with the health care system (judgmental clinicians and the ever-present scale) can be downright daunting.
Guidelines get their own conference at G-I-N
A “high-stakes” effort is occurring in the pricey world of guideline development, as researchers around the globe seek to pool resources and find common ground.
Textbook edition reflects evolution of hospital medicine
The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
MKSAP Quiz: Impaired gait and balance
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
HPV vaccination now impacts practice later
This issue covers such topics as HPV vaccination, news from ObesityWeek, and a preview of upcoming events at Internal Medicine Meeting 2017.
Label change for pioglitazone-containing medications
This column reviews a label change for medicine that contain pioglitazone and a new indication for empagliflozin.
Navigating the improvement activity component of MIPS
The Quality Payment Program created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is not as intimidating as it sounds—at least for 2017, which is a transition year that will determine what internists are paid in 2019.