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RESOURCES FOR INTERNISTS Your Guide to ACP’s Programs, Products, and Services

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ACP Resources | Table of Contents

Introduction

Page 2

COVID-19 RESOURCES

Page X

MKSAP®18

Page 02

Annals of Internal Medicine

Page 04

ACP News Publications

Page 06

ACP JournalWise

Page 08

Internal Medicine Meeting 2021

Page X Page 09

CME & MOC Resources Podcasts

Page X

DynaMed

Page X

Clinical Resources

Page X

Resources for Practicing Internists

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Resources for Hospitalists

Page X

Resources for Educators

Page X

Board Prep Resources

Page X

Resources for Resident/Fellow Members

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Advocacy

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ACP Books

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ACP Logo Items Career Connection

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Financial Services

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acponline.org

facebook.com/ acpinternists

@ACPInternists

@acpinternists

ACP Resources | Introduction

ACP is here to support you now and in the future.

Your service and commitment to your patients and to internal medicine during this global pandemic are an inspiration and exemplify the values of ACP— thank you.

As you can see, the ACP resources catalog has a new look. We know how important it is for you to quickly access the resources you need to provide the best possible care to your patients, and to keep current with rapidly changing information. We’ve curated the content into helpful sections so that you can easily find wh t you need.

Throughout the catalog, highlighted links provide convenient, one-click access to our resource pages.

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ACP Resources | MKSAP® 18

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ACP Resources | MKSAP® 18

Medical Knowledge Self-Assessment Program®

MKSAP® 18 MKSAP is ACP’s flagship esource for selfassessment, board prep and recertific tion, and substantial CME/MOC. Members receive exclusive pricing. A comprehensive learning system, MKSAP 18 will help you at every stage of your career.

MKSAP 18 Print Peruse 11 comprehensive text chapters with high-value care recommendations, tables, and full-color images.

Plus, earn CME/MOC by answering more than 1,200 brand-new multiple-choice questions.

MKSAP 18 Digital Learn on-the-go with this digital version, which lets you sync your progress across any device, as well as work online or offline MKSAP 18 Digital includes enhanced features, such as the ability to filter content by topic highlight key content and questions for review in 3 distinct colors, and create custom quizzes. Plus, Digital includes regular updates and at least 200 additional questions over the 3-year lifespan of the product.

MKSAP 18 Complete In addition to both the Print and Digital resources, you’ll get more than 1,000 digital flashca ds, the Board Basics® textbook and e-book, and more than 400 high-resolution multimedia-based questions via Virtual Dx. MKSAP Money-Back Guarantee: Visit acponline.org/mksap18 to learn more about the guarantee, and order your MKSAP 18 subscription!

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ACP Resources | Annals of Internal Medicine

Annals of Internal Medicine Annals of Internal Medicine is the most influentia and widely cited journal focused on internal medicine and its sub¬specialties. Annals incorporates original practice-changing research, systematic evidence-based reviews, clinical guidelines, and more. ACP members receive full access to the digital edition of Annals, including its various multimedia content.

Monthly features: • In the Clinic®—proves in-depth coverage and evidence-based answers for management of common clinical conditions • ACP Journal Club®—summarizes the best internal medicine evidence from over 120 clinical journals along with brief, expertly balanced reviews • Annals for Hospitalists—Monthly alert includes key points about articles relevant to hospital medicine as well as “Inpatient Notes,” which offer unique perspectives on contemporary topics in hospital medicine page 04 | 2020

ACP Resources | Annals of Internal Medicine

Multimedia Content: • Annals Beyond the Guidelines—Based on Beth Israel Deaconess Medical Center Grand Rounds, this series explores unique case studies that don’t fit t aditional guidelines • Annals Consult Guys—Learn and laugh with the popular monthly medical consultation talk show • Annals Graphic Medicine—Provides thought-provoking, medically relevant, and original graphic narratives; comics; animation; and other creative visual media • Annals Latest—Podcast includes highlights from the most recent Annals issue • Annals On Call—Podcast hosted by Robert Centor, MD, MACP, with discussions and debates regarding clinically influential Annals articles with an expert guest • Annals Story Slam—Building on the popular Annals feature “On Being a Doctor,” storytellers share brief stories with an audience Keep Up With New Content Sign up for Annals Alerts.

• Annals for Educators Twice-monthly tips for using Annals in your teaching activities • Annals for Hospitalists Monthly e-mail highlighting Annals hospital medicine content • Annals Fresh Look Reflections by arly-career physicians on Annals • Annals: Trending Now Trending Annals content • Latest from Annals Weekly e-mail highlighting new Annals content

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ACP Resources | ACP News Publications

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March 2019 | www.acphospitalist.org July/August 2019 | Vol. 39 No. 7 | www.acpinternist.org

®

Bringing medicine to the streets

By Mollie Frost

T

Longtime street medicine practitioner and educator James S. Withers, MD, FACP, listens to the story of a woman who is experiencing homelessness.

here may be no place like home, but more than half a million people in this country don’t have one. And because people experiencing homelessness don’t connect with health care systems very well, some physicians and other clinicians are reaching out to them directly.

As part of a movement called street medicine, teams of physicians, students, and outreach specialists go to campsites and under bridges, providing direct patient care and following those who need to go to the ED or hospital. In addition to caring for the homeless wherever they are, street medicine programs train medical students and residents outside of the traditional four walls of clinics and hospitals. Longtime street medicine practitioner and educator James S. Withers, MD, FACP, calls it “a classroom of the streets.”

He founded the Street Medicine Institute

in 2009, and its student coalition now represents about 35 medical schools in the U.S. and Puerto Rico that reach out directly to people experiencing homelessness. During his 30 years on the faculty at UPMC (University of Pittsburgh Medical Center) Mercy and its predecessor, The Mercy Hospital of Pittsburgh, Dr. Withers has taught fourthyear medical students during a one-month elective at Pittsburgh Mercy Family Health Center, where he is founder and medical director of Pittsburgh Mercy’s Operation Safety Net. The latter program has provided medical and social service outreach to people experiencing homelessness in Pittsburgh and greater Allegheny County, Pa., for the last 26 years.

“I would regard [Dr. Withers] as the

A

That Cochrane review, which found no benefits and some harms from prescribing antibiotics in asymptomatic individuals, joins other analyses and guidelines highlighting how routine screening can create new dilemmas for physicians. In March, updated guidelines from the Infectious Diseases Society of America (IDSA) on the management of asymptomatic bacteriuria reiterated that routine screening and treatment, barring a few exceptions (such as for pregnant women or individuals prior to a urologic procedure), are not recommended.

Similar recommendations were made in the prior 2005 guidelines, but in some physician practices more frequent screening persists, said Kalpana Gupta, MD, a guideline coauthor and professor of medicine at Boston University School of Medicine. For instance, a urine test is sometimes added to a preoperative workup for a nonurological procedure such as a heart procedure or a hip replacement. The IDSA’s guidelines recommend against this practice, said Dr. Gupta, who

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INSIDE

Test Yourself with the MKSAP Quiz

noted that a positive culture might even delay surgery.

Once that test is run, “then there is this pressure to treat a positive test—that’s very strong and engrained in us,” she said. “One of the reasons this guideline got rewritten now is that there is greater awareness of the harms of antibiotics related to [Clostridioides difficile] infections, which are also increasing in community patients.”

In addition, unnecessary antibiotics pose other potential harms, such as side effects and allergic reactions, Dr. Gupta said.

“We want to avoid antibiotic use whenever we can if there is not going to be some benefit,” she said.

Thomas Finucane, MD, MACP, takes an even more stringent view, saying that antibiotics could be avoided more frequently even in patients who report symptoms and have significant bacteriuria—if the physician takes the time to convey the potential antibiotic  page  See UTI, 14

Antibiotic stewArdship tips

See Streets, page 15

Resist the urge to overtreat bacteriuria

By Charlotte Huff urinary tract infection is among the more common maladies that drive patients to primary care practices, yet despite screening and treatment guidelines, some experts still worry that overtreatment contributes to antibiotic resistance.

While these infections are quite common, with an epidemiological study published in the November 2000 Annals of Epidemiology finding that 11% of women reported at least one within the prior 12 months, emerging research into the urinary tract microbiome has revealed that most people harbor high levels of bacteria in their urine as determined through sophisticated genetic probe testing; the clinical implications of this are still unclear. Among women ages 60 years and younger, 3% to 5% will have asymptomatic bacteriuria based on available lab testing, and the likelihood is far higher in older women and men living in long-term care facilities, according to data cited in a 2015 Cochrane review looking at antibiotic use with asymptomatic bacteriuria.

FIghtIng resIstAnce In the IcU

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Leadership Day 2019

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Thinking about cognitive impairment

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ACP Internist

ACP Hospitalist

ACP Internist, ACP’s member newspaper, provides news and information for internists about the practice of medicine and reports on the policies, products, and activities of ACP. Some highlights include:

ACP Hospitalist provides news and information for hospitalists and other hospital-based physicians.

In-depth feature articles focus on clinical controversies, staffing and scheduling patient safety, and quality improvement.

Regular departments include:

Monthly features: • In-depth features on clinical issues in internal medicine • Q&As with experts • Practice management section • Perspectives from ACP leaders • Conference coverage from ACP’s annual meeting as well as other scientific meeting • Profiles o leaders in internal medicine ACP Internist is published 10 times per year.

Monthly features: • Success Story: Successful initiatives led by or involving hospitalists.

• Your Career: Trends, compensation, scheduling, and tips on improving career satisfaction.

• Your Practice: Practical information to help improve hospitalists’ daily work lives.

• Coding Corner: Advice on documentation for appropriate reimbursement.

• Conference Coverage: Developments at ACP, the Society of Hospital Medicine, and other professional societies.

• Brief Case: Summaries of real-life inpatient cases written by readers.

ACP Hospitalist is published 12 times per year.

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ACP Resources | E-Newsletters

Published on Tuesdays, ACP Internist Weekly is a free e-newsletter that keeps readers up-todate on the latest research from top academic journals, Medicare news, FDA drug actions, and legislative updates, as well as College news.

Subscribe to this free e-newsletter online.

ACP Hospitalist Weekly is a free e-newsletter published on Wednesdays. It keeps readers up-todate on the latest research and news relevant to hospitalists from top academic journals.

Subscribe to this free e-newsletter online.

Published each month, ACP Diabetes Monthly is a free e-newsletter that delivers a monthly summary of diabetes news and research.

Subscribe to this free e-newsletter online.

Published each month, ACP Gastroenterology Monthly is a free e-newsletter that delivers a monthly summary of news and research in gastroenterology and hepatology.

Subscribe to this free e-newsletter online.

Stay informed about ACP advocacy with the ACP Advocate, a biweekly e-newsletter that provides information about public policy issues affecting internal medicine.

View the e-newsletter.

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ACP Resources | ACP JournalWise

ACP JournalWise® ACP JournalWise searches and filters from the top 120 medical journals.

ACP JournalWise is a free benefit of ACP membership.

Not an ACP Member?

Free to ACP members, this personalized literature alert service uses a methodological review by topic experts, combined with a unique filtering system to only deliver the latest scientifically obust and clinically relevant content you choose from over 120 of the world’s top medical journals right to your inbox.

Key features include: • Customize your alerts by topic, rating threshold, and delivery frequency • Key points summarized in alert titles • Create folders to save and share with other JournalWise users • Searchable database of quality-assessed articles published as far back as 2003 • Mobile-friendly and accessible from any device

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ACP Resources | CME & MOC Resources

ACP CME 30 Package Comprising curated, online lectures originally scheduled for live presentation at Internal Medicine Meeting 2020, ACP CME 30 offers learners 30 hours of high-yield content and the ability to earn up to 30 AMA PRA Category 1 Credit(s)™ and 30 ABIM MOC points.

Recorded Lectures for At-Home Learning; Trusted Content From Expert Faculty View videos of online presentations and slides, and listen to audio narration of lectures by expert faculty. The comprehen¬sive and current content will span the core clinical topics in internal medicine and the subspecialties. The package includes some of the most popular and highly rated sessions offered at the annual meeting, such as: Update in Pulmonary Medicine

CME Credit and MOC Points The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates this enduring material for a maximum of 30 AMA PRA Category 1 Credit(s)™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 30 medical knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certific tion (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Update in Ambulatory General Internal Medicine Update in Critical Care Medicine Update in Gastroenterology Update in Geriatric Medicine Many other scientific and practice-related sessions

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Order the CME 30 Package.

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ACP Resources | ACP Logo Items

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1 ACP Face Mask (one size fits all) $14.99 2 ACP Embroidered Computer Backpack (fits up to 15.6”) $60.00 3 ACP Computer Portfolio (fits up to 15”) $48.00 4 Ladies v-neck T-Shirts (100% cotton) $16.00 5 ACP Mug (14 oz) $15.00

Shop all ACP Logo Items

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ACP Resources | ACP Logo Items

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