January 2019

To increase screening uptake internists and health systems can do more than opportunistic patient education and encouragement instead targeting patients outside of the clinic and aiming for a world

Increasing colorectal cancer screening

Screening rates increased from 2000 to 2015 but continue to lag behind goal levels.

IMGs face uncertainty amid politics, rhetoric

Proposed changes to U.S. immigration policy have had a ripple effect on the medical field.

Looking back and looking forward

As the year begins, ACP's President shares where ACP has been and where membership voices have guided ACP to engage in the coming year.

‘This Is Our Lane’ must become a movement, not a moment

If any issue is a public health one, gun violence certainly is.

A defense of proton-pump inhibitors

Data on their risks may seem persuasive, but one expert is not convinced.

Functional gut disorders become clearer as models emerge

One major finding is that irritable bowel syndrome and functional dyspepsia are connected.

Going beyond ‘less is more’ to improve diagnosis

Clinicians need general principles to follow in addition to lists of tests to avoid.

Proper diagnosis takes time, reflection

A new format for the inpatient history of present illness may help, one expert said.

International Forum focuses on social determinants of health

The discussion at Internal Medicine Meeting 2018 was organized around the nine policy positions highlighted in ACP's recent position paper, “Addressing Social Determinants to Improve Patient Care and Promote Health Equity.”

Is telehealth ready for prime time?

Recent surveys have found that a sizable share of internists and primary care physicians have implemented technology for one or more telehealth services.

More recalls, information on impurity found in ARBs

This column reviews details on recent recalls, warnings, and approvals.

MKSAP Quiz: 2-week history of bloody diarrhea

A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.

Uptake of CRC screening leaves room for improvement

This issue also covers IMGs and immigration policy, along with conference coverage on gastroenterology and the art of diagnosis.

Chapter awardees recognized for outstanding service

Chapters honor Members, Fellows, and Masters of ACP who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, or service to their community, their chapter, and ACP.

Obituary for Harold “Hal” J. Fallon, MD, MACP

Harold “Hal” J. Fallon, MD, MACP, died on Nov. 17, 2018, at the age of 87.