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President’s Column 2020 Reflections: It is about Our People Karen DeSalvo, MD, President, SGIM My year as SGIM president has been a rewarding and stimulating time learning to represent not only the members and our interests but also to balance the expectations coming at us from all directions. As I reflect on SGIM, one of the things I love about this organization is that our people are a priority—the members, the staff, and the communities we serve. As I write this, I am closing ...
WEB EXCLUSIVE 2020: THE NEXT LEAHP (LEADERSHIP IN HEALTH POLICY) YEAR Anders Chen, MD, MHS; Jennifer Cowart, MD; Latonya Riddle-Jones, MD; Sarah Candler, MD In 2017, SGIM launched the Leadership in Health Policy (LEAHP) program, a first-of-its kind career development initiative to train the next generation of internist health policy leaders to advocate for the Society’s core missions in clinical practice, education and research.1 As the LEAHP program opens for applications for the 2020-2021 ...
MORNING REPORT A BEWILDERING BACTEREMIA: AN EXERCISE IN CLINICAL REASONING WITH COGNITIVE AUTOPSY Ankita Tandon, DO; Francisco Alvarado, MD (presenters); Kellee L Oller, MD, FACP A 60-year-old Hispanic man with a history of insulin-dependent diabetes mellitus presented for six days of abdominal pain, nausea, and vomiting. Broadly, his symptoms can be categorized into two initial diagnostic categories: gastrointestinal etiologies or a gastrointestinal manifestation of systemic disease. ...
Sign of the Times: Part II Academic Hospitalist Burnout during the COVID-19 Pandemic Anthi Katsouli, MD, MPH; Sameer Qazi, MD; Monica Komorowski, MD Dr. Katsouli ( anthi.katsouli@lumc.edu ) is an assistant professor in the Department of Medicine at the Loyola University Medical Center, Maywood, IL. Dr. Qazi ( sameer.Qazi@lumc.edu ) is an associate professor in the Department of Medicine at the Loyola University Medical Center, Maywood, IL. Dr. Komorowski ( MKOMORO@lumc.edu ) is an assistant ...
Perspective: Part II A Call for COVID-19 Test Counselors Eric Kutscher, MD; Mat Kladney, MD Dr. Kutscher ( eric.kutscher@nyulangone.org ) is a resident physician in primary care internal medicine at NYU Langone Health. Dr. Kladney ( mathew.kladney@nyulangone.org ) is a clinical assistant professor of internal medicine at NYU Langone Health practicing at Bellevue Hospital. In the first month of the pandemic, I spent countless hours answering phone calls on a free COVID-19 hotline in New ...
Perspective: Part II A Call to Action: Promoting Visibility, Inclusion, and Empowerment of LGBTQIA+ Medical Trainees Subhashree Nayak, MD Dr. Nayak ( subhashree.nayak@jhsmiami.org ) is a third-year resident in the Internal Medicine/Pediatrics Combined Residency at the University of Miami/Jackson Memorial Hospital System and currently is an Urban Health Track scholar. A Growing SGM Physician Workforce Inclusion and empowerment of sexual and gender minority (SGM) medical trainees ...
PERSPECTIVE: PART I A CALL TO ACTION: SUPPORT OUR FEMALE INTERNAL MEDICINE RESIDENTS Amanda Simone, MD; Lauren Block, MD, MPH; Nancy LaVine, MD The issue of gender bias and women in medicine has become a “hot topic” in the medical field today, and rightfully so. As of 2019, women now make up more than 50% of incoming medical students; yet, female physicians are still dealing with a gender pay gap and a disparity amongst leadership positions held within healthcare institutions.1 Fewer ...
From the Editor A Change Is Gonna Come Francine Jetton, MA Ms. Jetton ( jettonf@sgim.org ) is the director of communication & publications at the Society of General Internal Medicine. Those words hung in the air over the video call. It’s not like I wasn’t expecting it; I knew it was coming, having been part of SGIM’s COVID-19 response team that had met daily for the past two weeks. The night before, the CDC had banned group meetings of more than 50 people. Birmingham, Alabama, ...
BEST PRACTICES ACHIEVING EQUITABLE CARE FOR YOUNG ADULTS Laura C. Hart, MD, MPH; Mariecel Pilapil, MD, MPH; Sara Mixter, MD, MPH; Jonathan Tolentino, MD, FACP, FAAP Although not always apparent, young adults—both those who are healthy and those with chronic medical conditions—constitute a uniquely vulnerable population. Young adulthood refers to the ages of approximately 18 to 26 years old and represents a critical time of social, economic, physical, and mental development. Many health ...
Best Practices/Medical Education: Part II A Clear Path Forward: Reflections on Social Determinants of Health through a Resident-Led QI Project Jonathan Salud, MD, MPH Dr. Salud (jsalud@uw.edu) is clinical instructor of medicine at the University of Washington School of Medicine, practicing in the Hospital and Consultative Medicine Program at University of Washington Medical Center. The fields of Quality Improvement (QI) and Social Determinants of Health (SDH) sometimes seem to reside ...
From the Editor A Day in the Life Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum ... the newspapers of Utopia, he had long ago decided, would be terribly dull. —Arthur C. Clarke, 2001: A Space Odyssey I get my news from a smattering of sources but mostly from lead stories curated on Google’s news feed. I try to be selective and cognizant of the source of information and to include stories from legitimate sources that do not necessarily share the same views as me. ...
PRESIDENT’S COLUMN ADDRESSING THE SOCIAL DETERMINANTS WITH PARTNERS AND HUMILITY Karen DeSalvo, MD, President, SGIM . . . partnership is such an important theme of the NAM report. It is also an essential component of the broad-er work we must all do to address the social determinants of health. I firmly believe that medicine, particularly academic health centers and their associated medical schools, plays a key role in addressing SDOH. However, this is not medicine’s work alone, and ...
HEALTH POLICY: PART I ADVOCACY FOR PATIENTS WITH VULNERABLE LEGAL STATUS: PILOTING IMMIGRATION LEGAL NAVIGATION IN PRIMARY CARE Sarah Kimball, MD; Mehar Maju; Lily Sonis, LCSW, MPH; Mara Eyllon, PhD The climate of fear created by anti-immigrant rhetoric and immigration policies that target vulnerable immigrant populations critically undermines the health and wellbeing of immigrant patients. Healthcare professionals have an ethical and professional obligation to provide care to anyone ...
FROM THE EDITOR ADVOCACY: SGIM AND ITS MEMBERS LOUD AND CLEAR!! Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum SGIM members never cease to amaze me. Last fall, when I announced on GIMConnect that April would be Forum’s Advocacy Issue to coincide with the national meeting’s theme of “Courage to Lead: Equity, Engagement, and Advocacy in Turbulent Times,” I never imagined the response we would receive … Download the full article below. #Year2019 #April
Researchers’ Corner Advocating for LGBTQ+ Health and Well-Being: From the Clinic to the Streets Carl G. Streed, Jr, MD, MPH; Ryan W. Nall, MD; Danielle F. Loeb, MD, MPH; Helene Hedian, MD; Christopher Terndrup, MD Dr. Streed ( carl.streed@bmc.org ) is an assistant professor of medicine in the Section of General Internal Medicine at Boston University School of Medicine and research lead of the Center for Transgender Medicine and Surgery at Boston Medical Center. Dr. Nall ( Ryan.Nall@medicine.ufl.edu ...
From the Editor Affirmations for Change Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum “Your voice is kind and you seem really knowledgeable,” said a patient during a recent video visit for routine care. I felt like I was just doing my job, so his comment struck me as gratuitous; yet, it also affirmed the importance of clear communication by healthcare professionals at an individual level and more broadly. This year, we have experienced significant changes in our global ...
Perspective: Part I After COVID Peaks: Views from Four Global Regions Tiffany I. Leung, MD, MPH, FACP, FAMIA; Yousaf Ali, MD, MS; Evelyne Bischof, MD; Agustina Sosa Belaustegui, MD; Maria G. Frank, MD, FACP Dr. Leung ( t.leung@maastrichtuniversity.nl ) is an assistant professor at the Faculty of Health, Medicine and Life Sciences and a PhD candidate at the Care and Public Health Research Institute at Maastricht University in The Netherlands. Dr. Ali ( yousaf_ali@urmc.rochester.edu ) is a ...
FROM THE EDITOR A GUN VIOLENCE MOONSHOT Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum Columbine, CO, Sandy Hook, CT, Aurora, CO, Sutherland Springs, TX, Killeen, TX, Pittsburgh, PA, Las Vegas, NV, Orlando, FL, El Paso, TX. Some of these places I’ve visited and some I’ve never heard of before. At least not before they hit the news as places where mass shootings have occurred. The Gun Violence Archive, a nonprofit research group that tracks shootings in the United States, defines ...
Perspective A Journey across Sealed Borders! Mohammed Afraz Pasha, MBBS, MD Dr. Pasha ( apasha@namccares.com ) is a second-year Internal Medicine resident at North Alabama Medical Center, Florence, Alabama. “Congratulations, you have matched,” read my e-mail at the beginning of the Match week marking it as one of the joyous days of my life. Having longed to see this message in my inbox, the competitive nature of the match instilled a sense of luck and accomplishment. But this year was unique, ...
Perspective: Part II A Lasting Legacy: Why Internists Should Know about Adverse Childhood Experiences Rachel D’Amico, MD; Jennifer DeSalvo, MD; Mariecel Pilapil, MD, MPH; Sara Mixter, MD, MPH; Laura Hart, MD, MPH Dr. D’Amico ( Rachel.D’Amico@nationwidechildrens.org ) is a fourth-year Internal Medicine-Pediatrics resident, The Ohio State University/Nationwide Children’s Hospital. Dr. DeSalvo ( Jennifer.Desalvo2@nationwidechildrens.org ) is a third-year Internal Medicine-Pediatrics resident, ...
Leadership and Healthcare Administration A Medical Director’s Quest to Maximize Interprofessional Care in a Resident Clinic: Lessons Learned Jason Ehrlich, MD Dr. Ehrlich ( jehrlich@northwell.edu ) is associate program director of the Zucker Hofstra/Northwell Residency Program at North Shore Manhasset and Long Island Jewish Hospitals and medical director of the Medicine Specialties at Glen Oaks, the teaching clinic for Long Island Jewish Medical Center. Scholars of the Patient Centered ...
MEDICAL EDUCATION A MEDICAL STUDENT APPROACH TO A HEALTH POLICY AND ADVOCACY ELECTIVE Michael Luke, BE; Sara Abrahams, BA; Danielle Llanos, BA; Danielle Howell, BA; Lauren Block MD, MPH Literature suggests the majority of medical students feel they are not appropriately educated in health policy, yet there are currently no mandatory health policy curricula in medical schools. Healthcare reform training has been shown to help prepare medical students for the growing role of advocacy in ...
Breadth: Part II America’s Scorching Melting Pot Taylor Hollis, BA Ms. Hollis ( taylor.hollismi@gmail.com ) is a research assistant in the Stanford School of Medicine Division of Primary Care and Population Health and will be an MD candidate, Fall 2022. The following poem was one of the top three Arts and Humanities submissions presented at the SGIM Northwest/California-Hawaii Regions’ Annual Meeting in January 2022. #Year2022 #May
FROM THE EDITOR AN APPRECIATION OF THOSE WHO MADE A DIFFERENCE Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum We have all lost people in our lives, and we each find our own personal ways to manage their loss and remember them. Over the last year, four of my friends and colleagues passed away: three, from my medical school class, and one with whom I was currently working. I am still of an age where my contemporaries dying is not at all usual and, therefore, not at all easy to ...
LEADERSHIP PROFILE/IN CONVERSATION AN INTERVIEW WITH DR. PETER BOLING—THE 2019 DISTINGUISHED PROFESSOR OF GERIATRICS Patricia Harris, MD, MS At the 2019 meeting, Dr. Peter Boling gave the annual Distinguished Professor in Geriatrics (DPG) address. We were treated to the story of his career as a home visit physician and of the development of homebased medical care over his career. The following is a postDPG interview by Dr. Harris via email, with Dr. Boling… Download the full article ...
Medical Education: Part I Application of One Minute Preceptor to Teaching Social Determinants of Health Frank Cacace, MD, FACP Dr. Cacace ( fcacace@northwell.edu ) is an associate professor of medicine at the Zucker School of Medicine at Hofstra Northwell and associate chief for education, Division of General Internal Medicine, Northwell Health. In this article, an adaptation of the One Minute Preceptor to teach about social determinants will be proposed. The application of the technique ...
President’s Column Appreciating the Promise of Our Future LeRoi S. Hicks, MD, MPH, FACP, President, SGIM “Despite the many challenges of the past two years, I have witnessed the tireless efforts of our SGIM staff members to deliver educational and research content to SGIM members in continued support of our collective efforts to derive benefit from our membership in support of the patients we serve despite the circumstances thrust upon us. I am honored to be able to continue my work as part ...
MEDICAL EDUCATION A QUALITATIVE REPORT OF RESIDENTS’ IMPRESSIONS OF A HIGH-VALUE CARE CURRICULUM Tanya Nikiforova, MD, MS; Maggie K. Benson, MD, MS; Megan E. Hamm, PhD; Anna K. Donovan, MD, MS Nearly 30% of U.S. healthcare spending is considered wasteful and potentially avoidable, and physicians are responsible for helping curtail these costs. Internal medicine (IM) programs are mandated to train residents in high-value care (HVC), but optimal methods for teaching these concepts are not ...
Breadth: Part I / Perspective: Part II A Scarce Resource Lauren Block, MD, MPH Dr. Block (( lblock2@northwell.edu ) is an associate professor of medicine and science education at Zucker School of Medicine at Hofstra/Northwell in Hempstead, NY. One of the privileges of primary care is getting to know patients over time. Mr. B was a patient who brought a smile to my face whenever he called or came to see me. At 93, he lived independently, had a girlfriend, and always arrived wearing ...
Ask an Ethicist Ask an Ethicist: Returning to Work after COVID-19 Kyle E. Karches, MD, MA Dr. Karches ( kyle.karches@health.slu.edu ) is chair of the SGIM Ethics Committee and an associate professor of internal medicine and healthcare ethics at Saint Louis University. “Ask an Ethicist” is a new SGIM Forum department that provides answers to questions in clinical ethics posed by SGIM members. Members of the SGIM Ethics Committee respond to real ethics cases and questions submitted by SGIM ...
From the Society: Part IV A Special Thank You Eric I. Rosenberg, MD, MSPH, FACP, and Benjamin B. Taylor, MD, MPH, Chairs of the SGIM 2020 Annual Meeting Program Committee The past six months have introduced substantial changes into all of our professional and personal lives and unfortunately led to SGIM not being able to host the eagerly anticipated 2020 Annual Meeting in Birmingham. As chair and co-chair of the SGIM Program Committee, we were honored to contribute to the planning of ...
Medical Education Association between Electronic Cigarette Use and Safety Beliefs among Physicians and Medical Students Sushmita Malik, MD; Lydia M. Andrawis, MD; Richard L. Amdur, PhD; Jillian S. Catalanotti, MD, MPH Dr. Malik (Sushmita.x.malik@kp.org) is a resident physician at Kaiser Permanente Mid-Atlantic States, Gaithersburg, MD. Dr. Andrawis (landraw1@jhmi.edu) is a resident physician at Johns Hopkins University, Baltimore, MD. Dr. Amdur (ramdur@mfa.gwu.edu) is a clinical professor of ...
Perspective: Part I A Tribute to Mi Familia: He/She/Them, Whoever They Want to Be and Love, I Stand with You Lucille M. Torres-Deas, MD Dr. Torres-Deas ( lmt2183@cumc.columbia.edu ) is an assistant clinical professor in the department of medicine, director of the Community and Population Health, and co-chair of the Diversity, Equity, and Inclusion Committee in division of Internal Medicine at the Allen Hospital at Columbia University Vagelos College of Physicians and Surgeons. As early ...
ANNUAL MEETING UPDATE: PART III ATTENDING SGIM19 AS A FORMER YOUNG SCHOLAR IN GIM Joan Bosco, MD Among physicians, it is increasingly common to feel detached from patients and work, with decreasing feelings of motivation, inspiration, or purpose. From day to day, it is sometimes difficult to see the big picture, the why rather than the how or when. In particular, general internists are at high risk, with 49% of internists who responded to a 2019 Medscape survey1 reporting having experienced ...
Breadth A Virtual Village Catherine Myong, AB; Rebecca B. Newman, MD, FACP Ms. Myong ( crm2226@cumc.columbia.edu ) is a third-year medical student at Columbia University Vagelos College of Physicians & Surgeons. Dr. Newman ( rnewman@stamhealth.org ) is an associate clinical professor of medicine at Columbia University Vagelos College of Physicians & Surgeons and an associate program director of the Internal Medicine Residency Program at Stamford Hospital. There are already several ...
MORNING REPORT AVOID THE PITFALLS OF AGE-BASED PRECONCEPTIONS: SUICIDE ATTEMPT IN A NONAGENARIAN Seki A. Balogun, MBBS, FACP, AGSF A 92-year-old Caucasian woman is a resident in a continuing care retirement community and was transferred to the nursing home section after acute hospitalization for recurrent right-sided malignant pleural effusion for which she had a tunnel pleural catheter inserted. Prior to this, she was in the independent living section and was independent of all basic ...
PRESIDENT’S COLUMN A YEAR IN REVIEW Giselle Corbie-Smith, MD, MSC, President, SGIM I have been incredibly honored to serve SGIM as your president. SGIM has given me so much since I became a member in 1996, so I am grateful to have had the opportunity to give back in this way to my professional home. Over this last year, I’ve been fortunate to be surrounded by SGIM staff and leaders who have supported me and the challenging work we have undertaken. I want to express my sincere gratitude ...
From the Editor A Yearly Tradition Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum On March 18, 2022, U.S. President Biden signed the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 1667) into law. Under law, key objectives for the Department of Health and Human Services will include: “improving mental and behavioral health among health care providers, removing barriers to accessing care and treatment, and identifying strategies to promote resiliency.” 1 Our ...
FROM THE EDITOR BEAM ME UP, SCOTTY!! Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum This month’s SGIM Forum is dedicated to the subject of point-of-care ultrasound (POCUS) and how internists teach and use it. I don’t know how to use an ultrasound. But I do know how to use a stethoscope! I have often thought that the stethoscope was the ultrasound of my age or at least the age of providers who were around when it was introduced. The stethoscope was invented in Paris, France, in ...
Committee Update: Part I Becoming Anti-racist in Medical Education: Embracing Discomfort, Acknowledging Culpability, Moving toward Change Eloho Ufomata, MD, MS; Aditi Puri, MD, MS; Rani Nandiwada, MD, MS; Carla Spagnoletti, MD, MS; Rachel Bonnema, MD, MS Dr. Ufomata ( ufomataeo@upmc.edu , twitter @ella_Noir ) is an assistant professor of medicine at the University of Pittsburgh School of Medicine and an advisory dean and co-leader of Social Medicine Thread for the curriculum committee. Dr. ...
Medical Education: Part I Bedside Rounding: Rolling with Resistance Mel L. Anderson, MD; Sarita S. Warrier, MD; Attila S. Nemeth, MD; Jeremy P. Smith, MD Dr. Anderson ( Melver.Anderson@va.gov ) is associate professor of medicine, Division of Hospital Medicine, University of Colorado Department of Medicine and Hospital Medicine Section, Minneapolis VA Healthcare System. Dr. Warrier ( Sarita_Warrier@brown.edu ) is assistant professor of medicine and medical science, assistant dean of medical ...
Perspective: Part III Behavioral Health and Needs Assessment at a Homeless Shelter  Sanah Ali, MD Dr. Ali (sanah.ali@stonybrookmedicine.edu) is a second-year internal medicine resident at Stony Brook University Hospital. What does a homeless person need? A home. Chronically sheltered homeless individuals, a vulnerable and marginalized population, disproportionately suffer from preventable diseases such as metabolic syndrome. They experience high rates of psychiatric illnesses, ...
Perspective: Part II Being a Patient during the COVID-19 Pandemic: A Masked Experience Madeline H. Carney, BA Ms. Carney ( mcarney@usf.edu ; @MadelineHCarney ) is a fourth-year medical student at the University of South Florida Morsani College of Medicine. Approximately two months after the World Health Organization declared COVID-19 was a pandemic, I was dropped off at the front of Tampa General Hospital for the resection of an L3 schwannoma. I would be staying in the hospital for at ...
PRESIDENT’S COLUMN BEING IN IT FOR THE LONG HAUL Giselle Corbie-Smith, MD, MSC, President, SGIM My father loves words. As my siblings and I were growing up, he gave each of us a phrase or adage that he thought we would need or would find to be a source of comfort. After I missed being valedictorian in high school by a fraction of a point in my GPA, he told me to remember, “The race is not for the swift but for the sure” … Download the full article below. #Year2019 #March
Perspective: Part I Being Known: Spiritual Health and Blessing for Transgender Patients Meredith Cox, MDiv, MA Rev. Meredith Cox ( meredith.cox@vumc.org ) is a staff chaplain at Vanderbilt University Medical Center, offering spiritual companionship to LGBTQIA+ patients and families seeking gender-affirming interventions and primary care. The first time I had my primary care appointment at the transgender clinic, I left feeling more at ease than I ever had before in health care. When the ...
Perspective: Part II Being There Amy D. Lu, MD Dr. Lu (Amy.Lu@ucsf.edu) is a VA Quality Scholar at the San Francisco VA Medical Center and clinical instructor at the University of California, San Francisco. (Patient names and specific identifiers were changed or concealed to protect patient privacy. The views and opinions expressed in this article are those of the author and do not reflect the official position of the Department of Veterans Affairs or any agency of the U.S. government. ...
Medical Education Beyond Didactic Teaching: Implementing an Obesity Medicine Clinic for Internal Medicine Residency Education Jamie Kane, MD; Jennifer Verbsky, MD; Frank Cacace, MD; Joseph Conigliaro, MD, MPH Dr. Kane ( jkane1@northwell.edu ) is an assistant professor in internal medicine at the Zucker School of Medicine at Hofstra/Northwell and chief of the Section of Obesity Medicine at Northwell Health. Dr. Verbsky ( jverbsky@northwell.edu ) is an assistant professor in internal medicine ...
Sign of the Times Black Students Are Transforming American Medical Schools Osose Oboh, BS, MPH Ms. Oboh ( president@snma.org ) is a fourth-year medical student at Michigan State University College of Human Medicine and serves as the National President of the Student National Medical Association (SNMA). When I gaze upon the (virtual) fresh faces of students starting medical school, I am struck by the few Black faces present. As president of the Student National Medical Association (SNMA), ...
President’s Column | From the Society Blind Spots Jean S. Kutner, MD, MSPH; Eric B. Bass, MD, MPH Dr. Kutner ( jean.kutner@cuanschutz.edu ) is President of SGIM and Dr. Bass ( basse@sgim.org ) is CEO of SGIM. We must identify and acknowledge our blind spots to ensure we have appropriately comprehensive policies on diversity and inclusion. July 18, 2020 This issue of Forum is just one example of SGIM’s purposeful approach to diversity and inclusion. As Dr. Kutner stated in ...
BOOK REVIEW BOOK REVIEW: ATTENDING: MEDICINE, MINDFULNESS, AND HUMANITY Elisa M. Sottile, MD, FACP I recently read Attending: Medicine, Mindfulness, and Humanity by Dr. Ronald Epstein last fall while preparing for a lecture. I had been tasked to speak to a large group of internists, specialists and trainees about restoring the joy in practice. I had just reread Epstein’s 1999 Mindful Practice. In this landmark article, he had proposed that mentoring and guidance is essential for teaching ...