April 2019

Although its touted for antiemetic and pain-relieving effects in chronically ill patients marijuana may also cause real harms such as increasing the risk of acute coronary syndrome in patients with

Weighing benefits, harms of cannabis

Marijuana use has risen, so internists need to understand its real risks as well as its potential clinical uses, such as for chronic pain, chemotherapy-induced nausea and vomiting, and multiple sclerosis spasticity symptoms.

More options available for psoriatic arthritis

Internists are the first doctors patients see for joint pain, which means they can make a big difference in preventing the progression of joint diseases such as psoriatic arthritis.

At the end, a focus on values, purpose, attention, truth

In her final column, ACP's outgoing President looks ahead at the College's priorities and challenges to advance the dialogue that will move us into the coming decade.

Medicare for all, or for anyone who wants it?

Physicians can have an outsized influence on the debate around Medicare for All versus private insurance.

Simple conversations help strike staffing balance

A gradual shift toward value-based health care is putting a greater premium on the extra staff members who may be needed to achieve it, and there are simple ways for practices to make the staffing choices that are right for their practice and the real world.

What does a doctor look like?

Black doctors have responded to medical emergencies in public spaces, only to have their credentials questioned. One physician answers questions on her experience, and reflects on ways to improve the public perception of who might be a doctor.

A shifting focus on the role of patients' nonmedical needs

Two ACP position papers offer guidance on the role primary care physicians can play in addressing traditionally nonmedical issues, often known as the social determinants of health, and how they encourage the development of patient-centered care.

Boxed warning added to gout drug, more ARBs recalled

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

What's the benefit of patient, family engagement?

Four reasons can encourage physicians to put more effort into increasing partnership with patients and families, which in turn improves communication, transparency, and accountability.

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.

Keeping up with cannabis

This issue also covers psoriatic arthritis, staffing for primary care, and social determinants of health.

MKSAP Quiz: 6-month history of fatigue, arthralgia, myalgia

A 27-year-old woman is evaluated for a 6-month history of fatigue, arthralgia, and myalgia. She has a history of urinary tract infections. Medications are an oral contraceptive pill and as-needed naproxen for pain. Following a physical exam, lab studies, and urine microscopy, what is the most likely diagnosis?


Robert “Bob” B. Gibbons, MD, MACP, died on March 13, 2019, at age 81.