October 2019

One way to screen women for sexual dysfunction is to ask a simple set of questions that can suffice for a basic assessment Image by FotografiaBasica

Take time to discuss women's sexual health

A women's sexual health equates to her overall health, and internists should ask about it and refer for it when needed.

Squeezing in the cancer screening talk

By making the most of team members and technology, internists can free up valuable physician-patient interaction time to most effectively apply cancer screening guidelines.

Osler, expertise, and phronesis personified

From residency onward throughout a physician's career, becoming a diagnostician requires the ability to distinguish important clues or details from those that are not as pertinent to the situation at hand, a slowly developed skill that ultimately is recognized as an “expertise.”

Uptake of herpes zoster vaccine linked to supply

Strong uptake led to short supply for the shingles vaccine. Learn how to educate patients and integrate best practices into your clinical routine.

New Mexico physicians care for migrants

New Mexico's department of health and physician volunteers are managing the medical needs of families with children crossing its border with Mexico, as well as recent immigrants from other states transported there by federal officials.

2019 International Forum highlights physician well-being

This year's Forum focused on “Global Experiences and Initiatives to Promote Physician Well-Being,” including globally shared challenges of technology, complexity, and burnout that could have similar solutions.

From internist to whistleblower on detention facilities

An FACP alerted the Senate to conditions at migrant detention centers.

Immunization is everyone's issue

ACP convened an Advisory Group to discuss barriers to adult immunization, with the goal of identifying potential ways for ACP to address them on a population health level.

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.

Proposed warnings on cigarettes would be first in 35 years

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

MKSAP Quiz: 2-month history of painless, violaceous skin nodules with edema

A 32-year-old man is evaluated for a 2-month history of painless, violaceous skin nodules with surrounding edema on the chest, back, and lower extremities. He reports that he has sex with men. Medical history is significant for AIDS, with a CD4 cell count of 54/µL. He is not following an antiretroviral therapy regimen. Following a physical exam, what is the most likely cause of these findings?

Authorization to treat and other quagmires

Authorization for medical decision making regarding end-of-life planning is something that patients need to consider both at the beginning of adulthood and in the later years of life.

Ask the question to find sexual dysfunction

This issue also covers making time for cancer screening, improving immunization rates, and health care for immigrants.