February 2020

Image by Omar Osman

How many stars for physician ratings?

Online physician ratings are not going away any time soon, despite very real and very negative consequences.

Doctors with disability reflect on challenges

Physicians with disabilities who applied to and eventually completed medical school reflect on the progress and accomplishments offered by the Americans with Disabilities Act during the past 30 years.

ACP's 2019 advocacy wins set stage for more this year

ACP's legislative wins include changing CMS reimbursement rules, boosting research into firearm injuries and deaths, and spurring development of generic drugs.

Bias, metacognition, and their roles in our critical thinking

Medical heuristics are strategies that lead in quicker fashion to decisions or conclusions, but they can also lead us to using only part of the information that a clinician might need.

Wrestling with wearables that screen for afib

Experts remain uncertain how to judge wearables and smartphone apps' cost-effectiveness, data quality, and clinical implications among pre-symptomatic patients diagnosed with atrial fibrillation.

Working together to stop superbugs

The battle against antimicrobial resistance requires a broad line of attack, prompting the CDC to fund projects to expand regional efforts against multidrug-resistant organisms.

Pros, cons of prolonged anticoagulation after a clot

Experts debate about provoked vs. unprovoked venous thromboembolism, and whether a once-high-risk patient can have that status removed later.

From C− to Nobel Prize for ACP Member

ACP Member William G. Kaelin Jr., MD, recounts an inauspicious start in lab research that led to him winning the Nobel Prize for medicine.

New warnings for gabapentinoids; other drugs approved

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

Telehealth expands reach of palliative care in rural areas

Some rural hospitals and palliative care programs are using telehealth to reach distant patients in an environment of clinician scarcity or budget constraints.

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.

MKSAP Quiz: 1-year history of edema, abdominal distention

A 72-year-old man is evaluated for a 1-year history of bilateral lower extremity edema and abdominal distention. Eight years ago he had esophageal carcinoma treated with radiotherapy. Medical history is otherwise significant for hypertension, type 2 diabetes mellitus, and hypercholesterolemia. Following a physical exam, lab studies, and chest radiographs, what is the most likely diagnosis?

Online reviews in a five-star culture

This issue also covers physicians with disability, conference coverage from the American Heart Association meeting, and rural health care.