The American College of Physicians is the largest medical specialty organization in the United States, boasting members in over 172 countries worldwide. ACP's membership encompasses 163,000 internal medicine physicians, related subspecialists, and medical students. Internal medicine physicians are specialists who utilize scientific knowledge and clinical expertise for diagnosing, treating, and providing compassionate care to adults, spanning from those in good health to individuals with complex illnesses. Stay connected with ACP on X @ACPIMPhysicians, Facebook, LinkedIn, and Instagram @acpimphysicians.
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
On March 31, 2011, CMS issued a proposed rule to implement a section of the Patient Protection and Affordable Care Act (ACA) that requires the HHS Secretary to establish a Medicare Shared Savings Program. Under the proposed rule, eligible providers and …
ACP: How accountable care is a team sport
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
There are over 11 million undocumented immigrants in the United States — about 3.7% of the U.S. population — according to a 2011 report from the Pew Hispanic Center.
Although there are many reasons why immigrants elect to come …
ACP: National immigration policy and health care
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
Last month, my KevinMD.com column introduced a concept paper published in the Annals of Internal Medicine by Owens and colleagues titled High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions. …
ACP: Benefits, harms, and quality in high value, cost conscious care
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
There were two reports from the recent 2011 International Stroke Conference that got my attention.
One report noted the sharp increase in the incidence of strokes in children and young adults. The second, in the Los Angeles Times (“Mild strokes may …
ACP: High value, cost conscious care
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
The recently enacted American Recovery and Reinvestment Act (ARRA, 2009) and Patient Protection and Affordable Care Act (PPACA, 2010) contain provisions that, if implemented, will fundamentally change the way that medicine will be practiced in the future.
As I indicated in a …
ACP: Clinical decision support – is it time?
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
The Patient Protection and Affordable Care Act (PPACA) has important provisions – improved access, safety and quality among them – that have the real potential to improve health and health care and, lower costs.
Two recent reports remind us of the …
ACP: Health care innovation in the Affordable Care Act
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
The campaigning for the mid-term elections reminds us once again of the state of civility – or lack of civility – in American politics. By civility, I mean showing regard for others. We are beset by campaign …
ACP: Doctors as leaders – the value of civility
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by John Tooker, MD, MBA, MACP
The Annals of Internal Medicine recently published an article by Mullan and colleagues on the social mission of medical schools. In the article, medical schools were ranked on their record of educating and training physicians …
ACP: Primary care education and training: Time for change?
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by Steven Weinberger, MD, FACP
In this era of health care reform, much has been written and discussed about the shortage of primary care physicians in the United States, which is projected to get substantially worse over the coming years.
A number of different types of physicians have been …
ACP: Increasing the attractiveness of general internal medicine
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by Steven Weinberger, MD, FACP
The Council of Medical Specialty Societies (CMSS) recently developed its “Code for Interactions with Companies,” which outlined the principles that should guide relationships between medical societies and commercial entities, including pharmaceutical companies and medical device manufacturers. Although a subsequent editorial in the New …
ACP: Can medical societies interact ethically with commercial entities?
A guest column by the American College of Physicians, exclusive to KevinMD.com.
by Steven Weinberger, MD, FACP
Since the Accreditation Council for Graduate Medical Education (ACGME) instituted its Outcome Project approximately 10 years ago, residency training programs have progressively focused on how well their residents have acquired knowledge, skills and attitudes in six broad domains. These “general competencies” include medical knowledge, patient …
ACP: Challenges for a competency-based framework for residency training
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
The New England Journal of Medicine‘s March 11 issue included an interesting “Clinical Decisions” article. Looking at a hypothetical case of an endocrinologist with time-unlimited board certification, the editors posed the question of whether he should voluntarily …
ACP: To whom are physicians accountable?
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
In December 2008 the Institute of Medicine (IOM) released its report entitled “Resident Duty Hours: Enhancing Sleep, Supervision, and Safety,” in which it proposed a number of changes to the current regulations developed and enforced by the …
ACP: Resident work hours – Managing a precarious balance
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The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
At times of calendar transitions, e.g., at the onset of a new year or a new decade, the popular press often takes a broad view in looking retrospectively at the outstanding or defining events and people of the past …
ACP: 10 major challenges that confront medical education over the next decade
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
It is difficult to find a medical guideline that has garnered so much press and controversy as the recent recommendations about breast cancer screening developed by the U.S. Preventive Services Task Force (USPSTF) and published in Annals …
ACP: Teasing out science, politics, and emotion about the mammography guidelines
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
Many would argue that lack of universal coverage is the primary problem with health care in the United States, accompanied by the logistical and financial difficulties of obtaining coverage for someone with a pre-existing medical condition. Others would argue …
ACP: How to fix the primary care problem in health care
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
In the Fall of 2009, we physicians should perhaps change the Biblical phrase, “Physician, heal thyself” to “Physician, immunize thyself” and then follow the phrase twice – once for seasonal influenza and once for H1N1. To date, physicians and other health care workers have too often been lax …
Flu and H1N1 influenza vaccine recommendations for doctors and health care workers
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
The unfettered debate about ideas that characterizes the democratic process in the United States operates best when there is a truthful presentation of the issues, and when the process is civil and respectful. Unfortunately, the debate about health care reform has evolved to the point that it …
Health care reform: The uncivil war dividing America
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
“Effectiveness” has become a buzzword these days in discussions about healthcare reform. It is often accompanied by different preceding modifiers, such as “cost” or “comparative,” each conjuring up different images in the minds of physicians, patients, insurers, and the pharmaceutical industry. Some say that cost effectiveness and comparative …
ACP: Putting effectiveness into the health care equation: Rational or rationing?
The following is part of a series of original guest columns by the American College of Physicians.
by Steven Weinberger, MD, FACP
In his column in the June 1 issue of The New Yorker, Dr. Atul Gawande used the example of McAllen, Texas, to illustrate the widely disparate spending on health care around the country. This oft cited article captured the attention of President Obama, who reportedly has made it required …
ACP: Embracing a culture of cost-effective health care
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