American College of Physicians: Internal Medicine — Doctors for Adults ®

MKSAP ® 15
Assess your knowledge, prep for the boards, and earn CME credits and MOC points with the best self-assessment program.

November 2009

Featured Articles

Cover story

Top Docs

Meet our 2009 Top Hospitalists

Welcome to our second annual Top Hospitalists issue.

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Your practice

A deviant approach to hospital challenges

Positive deviance is a bottom-up, rather than top-down, approach to solving seemingly intractable problems in an institution or a community. It’s based on the observation that certain individuals or groups (positive deviants) have found better solutions to these problems than their peers have.

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Is it observation or inpatient?

Three new ways to answer the age-old question

The question of “observation or inpatient” has perplexed hospital physicians for some time, but it’s recently acquired greater financial significance. Recovery audit contractors paid by Medicare will be looking at hospitals’ one-day admissions to determine whether patients were appropriately admitted or should have been under observation status.

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Success Story

Homemade computer program improves glucose control

The Medical University of South Carolina Medical Center in Charleston, S.C., developed a nurse-driven Web-based insulin infusion protocol to manage blood glucose in the intensive care unit, as well as in the rest of the hospital

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Perspectives

Letter from the editor

This issue features the results of our second annual Top Hospitalists competition. The 10 hospitalists in our cover feature, chosen by our editorial advisory board, are a varied group of professionals working in different ways to make the field of hospital medicine better. You may recognize some of the names and faces of our Top Ten, but we also hope that some will be new to you.

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Newman’s notions

Fight the noise

We all know the difficulty in functioning within a noisy hospital. But in hospitals we don’t always have the option of suggesting that we move our discussion to a quiet coffee shop instead. Noise pollution in hospitals is an issue that confronts us all as hospital workers.

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Your Practice

Technology traps

The hazards of invasive arterial pressure monitoring

Our columnist outlines 10 possible sources of error.

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Coding Corner

Using observation services

Hospitals often struggle to achieve compliance with CMS’ regulations for determining whether a patient should be classified as an inpatient or an outpatient with observation services.

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Your Career

Pulse On™ Chapel Hill, N.C.

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Pulse On™ Salt Lake City

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Clinical Medicine

Test yourself

Hematology/oncology

The following cases and commentary, which address hematology/oncology, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP15).

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FDA update

Tracheal tubes, catheters, defibrillators recalled; lymphoma drug approved

Recalls, label changes, safety reviews

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Research news

Journal watch

Recent studies of note.

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In the news

Test result documentation in discharge summaries, and more.

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Hospitalist Archives
Quick Links

ACP Hospitalist Weekly

From the September 1, 2010 edition

View issue

Cartoon Caption Contest

This issue's winning cartoon caption was submitted by Patricia J. Peterson, FACP, in practice in Longview, Wash., who will receive a $50 gift certificate good toward any ACP product, program or service. Thanks to all who voted!

"Did you say you were a little horse? Or a little hoarse?"

ACP Career Connection

Looking for a new hospitalist position?

ACP Career Connection can help you find your next job in hospital medicine. Search hospitalist positions nationwide that suit your criteria and preferences. Jobs are posted about two weeks before print publication of Annals of Internal Medicine, ACP Internist, and ACP Hospitalist. Exclusive “Online Direct” opportunities are updated weekly. Check us out online.

Register Now For Your ACP Fall Chapter Meeting

Register Now For Your ACP Fall Chapter Meeting

Attend your fall chapter meeting, earn CME credit, and find out what your local ACP Chapter has to offer! See the Chapter calendar or find out more, including the answers to frequently asked questions about ACP Chapters and regions.

Test Your Medical Knowledge on Your Mobile Device with ACP’s Doctor's Dilemma™ Game!

Test Your Medical Knowledge on Your Mobile Device with ACP’s Doctor's Dilemma™ Game!

This new online game is based on the popular ACP Doctor's Dilemma™ Competition from ACP’s annual Internal Medicine meetings. The game is simple to play but challenging to master. Start now!