November/December 2025

Easing away from antibiotics for CAP
Physicians may want to consider holding off on prescribing antibiotics for lower-risk patients with viral pneumonia, according to a recently published American Thoracic Society guideline.
Soothing the signs of restless legs syndrome
More than 50% of prescriptions for restless leg syndrome are written by primary care physicians, yet many clinicians may be unaware of the risks of traditional therapies. An updated guideline could help.
Making a difference by choosing internal medicine
Providing quality care and enjoying and embracing the value of internal medicine will give physicians career fulfillment.
Searching for gratitude by changing one's attitude
A columnist engages in an exercise in gratitude during difficult times.
Offering a new option for PrEP
A safety-net hospital expanded its preexposure prophylaxis (PrEP) program to include both oral and long-acting injectable medications.
Figuring out family planning
Experts delved deeper into the obstacles to starting a family for early career physicians.
3-2-1: 3 exams, 2 minutes, 1 echocardiogram saved
A physical exam can save the need for an echocardiogram, an expert says.
FDA approves second generic form of mifepristone
This column reviews recent recalls, alerts, and approvals.
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination candidates for College governance.
I.M. Puzzled: November/December 2025
Test your knowledge in this month's superlative medical crossword puzzle.
MKSAP Quiz: 3-month history of shortness of breath, dry cough
A 58-year-old man is evaluated for a 3-month history of progressively worsening shortness of breath and dry cough. Following a physical exam and pulmonary function tests, what is the most appropriate step in management?
Endings and beginnings
I.M. Matters' final issue published both in print and online addresses community-acquired pneumonia guidelines and restless legs syndrome.
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, I.M. Matters Weekly from ACP.