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March 2010
Featured Articles
Cover story
Treating HCAP is not a snap
Pop quiz: Do you know the guidelines for treating health care-associated pneumonia? And is your clinical practice in accordance with those guidelines? If the answer to either of those questions is no, you’re not alone.
Your practice
Act quickly and listen a lot
What to do when a patient wants to leave against medical advice.
Q&A
There is a doctor in the ‘House’
Lisa Sanders, ACP Member, is a technical adviser on the T.V. show “House, M.D.”
Internal Medicine 2010 preview
Practice airway access and PICC insertion at Internal Medicine 2010
New hands-on training opportunities are ideal for hospitalists.
Physician profile
Award-winning physician was made for hospital medicine
Peter Nock, ACP Member, explains why hospital medicine is the perfect fit.
Success story
System catches codes before they’re called
Mercy Hospital Anderson in Cincinnati used a scoring system to reduce the number of code blues called outside the ICU.
Perspectives
Letter from the editor
When clinical guidelines aren’t followed, it’s tempting to think physicians either don’t know them, or lack easy protocols to observe them. In the case of health care-associated pneumonia, however, there may be more to the story.
Letter to the editor
A reader responds to our cover story on bundled payments.
Newman’s notions
The fascinating foxglove
We were rounding on the hospital service when one of our patients, already hypotensive, went into atrial fibrillation. The most appropriate drug wound up being one with a long and illustrious history.
Student hospitalist
23 and thee
A medical student reflects on the implications of increased access to genetic information.
Your Practice
Inpatient medication: Too much information, or not enough?
A recent study showed that many inpatients don’t know what medications they’re given in the hospital.
Technology traps
Understanding and interpreting pulmonary artery catheter waveforms
To interpret the wedge tracing of a pulmonary artery catheter correctly, you need to understand your patient’s respiratory physiology.
Coding Corner
Documenting and billing for critical care services
To avoid rejection of critical care codes, physicians must be familiar with coding definitions, and documentation must reflect the professional services that support the codes.
Clinical Medicine
Test yourself
Pneumonia
The following cases and commentary, which address pneumonia, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP14).
FDA update
Major recall of Tylenol and other McNeil products; concerns about BPA in infants, kids
Drug recalls, warnings, approvals
Research news
Journal watch
Recent studies of note.
In the news
Heart failure readmissions, and more.
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ACP Hospitalist Weekly
From the September 1, 2010 edition
- Statin prescriptions at discharge increasing in patients with intracerebral hemorrhage
- Black and low-income patients more likely to leave hospital against medical advice, be readmitted
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
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!
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!