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Welcome to this week's issue of ACP HospitalistWeekly, an update for hospitalists published every Wednesday by the American College of Physicians.
In the News for the Week of April 16, 2014
Internal Medicine 2014 highlights
Disclosing errors the right way
It's important to choose your words carefully when disclosing medical errors to patients, said Wendy Levinson, MD, FACP, a professor in the department of medicine at the University of Toronto Institute of Health Policy, Management and Evaluation, in a session titled "Disclosing Medical Errors to Patients: Considering Where, When and How." More...
Make quality metrics work for you
Quality metrics are key to achieving fame and fortune as a hospitalist, attendees learned from Win Whitcomb, MD, a hospitalist and chief medical officer for Remedy Partners, a health care services company in New York City that administers bundled payments. More...
A tour of oncology horrors
In what he called a "whirlwind tour of the horrors of medical oncology," Christian T. Cable, MD, FACP, outlined the perils that may befall cancer patients, and what to do about them, in a session titled "Oncologic Emergencies." More...
Consider country, culture when caring for Latino patients
Cultural competence can be defined as patients and doctors coming together to talk about their concerns without cultural barriers, Olveen Carrasquillo, MD, MPH, told attendees at a panel on "Special Issues in Providing Care to Hispanic and Latino Patients." More...
From the College
ACP launches care coordination toolkit to improve communication between primary care, subspecialists
ACP has unveiled a High Value Care Coordination Toolkit designed to enable more effective and patient-centered communication between primary care and subspecialist doctors. More...
ACP offers recommendations for reducing gun-related injuries and deaths in the U.S.
A new ACP policy paper offers 9 strategies to address the societal, health care, and regulatory barriers to reducing firearms-related violence, injuries and deaths in the United States. "Reducing Firearm-Related Injuries and Deaths in the United States" appeared online April 10 in Annals of Internal Medicine. More...
Internists release policy paper on medical liability crisis
ACP released a policy paper on the medical liability crisis, which continues to have a profound effect on the medical system. "Medical Liability Reform—Innovative Solutions for a New Health Care System" provides an update of the medical liability landscape as well as state-based activity on medical liability reform and summarizes traditional and newer reform proposals and their ability to affect system efficiency and encourage patient safety. More...
Editor's note: This issue of ACP HospitalistWeekly summarizes coverage relevant to hospital medicine from Internal Medicine 2014, the annual scientific meeting of the American College of Physicians, held last week in Orlando, Fla.
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A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
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