Challenges for Internal Medicine as the American College of Physicians Celebrates Its 100th Anniversary
Authors: Steven E. Weinberger
Journal: Annals of Internal Medicine (2015)

Ideas and Opinions21 April 2015Challenges for Internal Medicine as the American College of Physicians Celebrates Its 100th AnniversarySteven E. Weinberger, MDSteven E. Weinberger, MDFrom the American College of Physicians, Philadelphia, Pennsylvania.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M14-2905 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail As the American College of Physicians (ACP) celebrates its 100th anniversary in 2015, it is an appropriate time to reflect on the current challenges and opportunities that face internal medicine specialists and subspecialists, their patients, and American society. The panoply of changes in health care delivery, new and proposed payment models, increasing regulatory requirements for physicians, and the unsustainable costs of health care certainly raise questions about future directions for health care and, specifically, for internal medicine. I highlight what I consider to be 3 leading issues for internal medicine and for ACP as it enters its second century and ...References1. Stevens R. Issues for American internal medicine through the last century. Ann Intern Med. 1986;105:592-602. [PMID: 3530080] LinkGoogle Scholar2. What is internal medicine? American College of Physicians. 2015. Accessed at www.acponline.org/about_acp/defining_internal_medicine on 18 December 2014. Google Scholar3. Doherty RB, Crowley RA; Health and Public Policy Committee of the American College of Physicians. Principles supporting dynamic clinical care teams: an American College of Physicians position paper. Ann Intern Med. 2013;159:620-6. [PMID: 24042251] doi:10.7326/0003-4819-159-9-201311050-00710 LinkGoogle Scholar4. Zuger A. Dissatisfaction with medical practice. N Engl J Med. 2004;350:69-75. [PMID: 14702431] CrossrefMedlineGoogle Scholar5. Institute of Medicine. The Healthcare Imperative: Lowering Costs and Improving Outcomes. Washington, DC: National Academies Pr; 2010. Google Scholar6. Owens DK, Qaseem A, Chou R, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. High-value, cost-conscious health care: concepts for clinicians to evaluate the benefits, harms, and costs of medical interventions. Ann Intern Med. 2011;154:174-80. [PMID: 21282697] doi:10.7326/0003-4819-154-3-201102010-00007 LinkGoogle Scholar7. High Value Care. American College of Physicians. 2015. Accessed at https://hvc.acponline.org/ on 18 December 2014. Google Scholar8. Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their care. JAMA. 2012;307:1801-2. [PMID: 22492759] doi:10.1001/jama.2012.476 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the American College of Physicians, Philadelphia, Pennsylvania.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2905.Corresponding Author: Steven E. Weinberger, MD, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.Author Contributions: Conception and design: S.E. Weinberger.Drafting of the article: S.E. Weinberger.Critical revision of the article for important intellectual content: S.E. Weinberger.Final approval of the article: S.E. Weinberger.This article was published online first at www.annals.org on 27 January 2015. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDiagnostic Reasoning in Internal Medicine. Cynefin Framework Makes Sense of Clinical ComplexityDiagnostic reasoning in internal medicine: a practical reappraisalGiants in Chest Medicine 21 April 2015Volume 162, Issue 8Page: 585-586KeywordsHealth careHospitalizationsNursesOutpatientsPatientsPrevention, policy, and public healthReasoningSub-specialty careTraditional medicine ePublished: 21 April 2015 Issue Published: 21 April 2015 CopyrightCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...