From the Editor

May 2023

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Dr. Google v. Dr. ChatGPT

From the Editor Dr. Google v. Dr. ChatGPT Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Finding reliable and trustworthy sources of information—and debunking, when necessary, misinformation and disinformation—remains a growing challenge that health professionals face routinely. From one of my last jobs, I received a mug as a parting gift that said, “Please don’t confuse your Google search with my medical degree”—a sarcastic quip relevant to a time when physicians ...

April 2023

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Expressions of Equity and Inclusivity: Bias in Scholarly Language

From the Editor Expressions of Equity and Inclusivity: Bias in Scholarly Language Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum The April 2023 issue of SGIM Forum offers readers an e-collection of articles on biased language in our everyday work as general internal medicine physicians. The relevance and importance of using non-judgmental and unbiased language in our professional development from performance evaluations to letters of support—is paramount in career ...

March 2023

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Physician Digital Well-Being

From the Editor Physician Digital Well-Being Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum After I purchased a new smartphone during the COVID-19 pandemic a few years ago, I paid little attention to one item on the Settings menu: Digital Well-being . At some point, perhaps after a system update, I started getting prompts to inform me of how many more minutes (or hours) I used my smartphone compared to last week. Tapping on that reminder led me to a screen that ...

February 2023

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Ask ChatGPT: What Is the Future of Medicine?

From the Editor Ask ChatGPT: What Is the Future of Medicine? Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum In the spirit of Valentine’s Day 2023, I asked ChatGPT 1 a burning question: How does one find romance? ChatGPT gave me a thoughtful bit of wisdom in reply after a shortlist of five suggestions on finding romance: “Focusing on your own happiness and well-being can help attract positive experiences and relationships into your life.” As some readers may already ...

January 2023

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Time to Lead

From the Editor Time to Lead Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Happy New Year! As another New Year transition passes, there is a familiar sense of renewal that I expect and look forward to each year. Already two years ago, I suggested that the 2020-21 New Year’s transition would be a perfect opportunity for us to resolve to “promote our health and that of our colleagues.” 1 During the 2021-22 transition, I reflected on SGIM Forum commitments to adhere ...

December 2022

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Learning State of Mind

From the Editor Learning State of Mind Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum As 2022 comes to an end, the last quarter’s SGIM Forum articles have explored various aspects of medical education that stemmed from the October theme issue on “Medical Education Innovations and Explorations” and provided vital updates from SGIM leadership on future meeting planning. As 2023 approaches, honing and nurturing our learning state of mind ensures that we are prepared ...

November 2022

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More to Learn, More to Teach

From the Editor More to Learn, More to Teach Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Preparing this month’s issue of SGIM Forum —a second volume on the theme of “Medical Education Innovations and Explorations” from October 2022—happily coincided with a singularly important medical education milestone in the annual life cycle of SGIM: the #SGIM23 submission deadline for clinical updates, workshops, and interest groups. The Special Symposium submission deadline ...

October 2022

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Dimensions of Innovation in Education

From the Editor Dimensions of Innovation in Education Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum For this SGIM Forum theme issue—“Medical Education Innovations and Explorations,”—I was impressed by the breadth and scholarly achievement of SGIM members. In all our theme issues over the last couple of years, I commented on the passion and response of our membership in their writing and initiatives on climate change and health; systemic racism and medicine; team ...

September 2022

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Sea, Sky, and the Spaces between and Beyond

From the Editor Sea, Sky, and the Spaces between and Beyond Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum We don’t spend nearly as much time in nature—or even simply outdoors—as we should. During summer break, in a moment of child-like curiosity, I found joy in the simplicity of watching the stereotyped locomotion of a caterpillar across a rock, moving from flat line, pulling its backside forward to make an omega shape of its body, then extending its front end ...

August 2022

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#SGIM22 From Cyberspace to Homecoming

From the Editor #SGIM22 From Cyberspace to Homecoming Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum “It’s been such a homecoming being at SGIM this year. I’m really excited to have a lot of students and residents and trainees here—it’s just incredible to see them shine and connect with colleagues from around the country!” said Wei Wei Lee, MD, MPH, associate professor of medicine and Associate Dean of Students and Professional Development at The University of Chicago ...

July 2022

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Impact Beyond One Patient-Physician Encounter

From the Editor Impact Beyond One Patient-Physician Encounter Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Recently invited to review essays on humanism in health care, I found numerous small, great moments of care and connection in petite packages. They reminded me of a starting student or intern, drinking from the proverbial fire hose of medical knowledge and skill, learning not only how to doctor but to be a doctor. That is, they grow into this professional ...

June 2022

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Diversifying Our Communities of Practice

From the Editor Diversifying Our Communities of Practice Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Although I didn’t visit any amusement parks during the SGIM Annual Meeting in Orlando a few months ago, I distinctly recall a greeting that launched the end-of-night music, light, and fireworks show during an earlier visit in December: “ Ladies and gentleman, boys and girls… ” I was pleasantly surprised to hear, only one week before the annual meetings, that the ...

May 2022

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A Yearly Tradition

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.” ...

April 2022

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Time to Return Home

From the Editor Time to Return Home Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum What will it be like returning to an in-person conference? I have no doubt that this question has been on each of our minds as the SGIM 2022 Annual Meeting nears. Only days away, the annual meeting promises to be a memorable event. The last in-person SGIM meeting was in 2019 in Washington, DC, and feels like so very long ago. After all, the COVID-19 pandemic managed not only to distort ...

March 2022

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The Things We Do Not Say

From the Editor The Things We Do Not Say Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum I tried not to write another COVID-19 related column. This is hard: The Netherlands just began to re-emerge in mid-January from its strict COVID-19 regulations. Again . Going for another post-lockdown trim of my mane, conversational wayfinding to another topic with my usual hair stylist was impossible. This is our present, when a deceivingly simple, “How are you?” evolves into ...

February 2022

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Will You Strengthen Our Team?

From the Editor Will You Strengthen Our Team? Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum As I walked home from the local farmer’s market, I passed a sign on the sidewalk looking to hire staff at a cafe: “ Wil jij ons team versterken? ” (which translates to “ Do you want to strengthen our team? ”) This struck me as a perfect fit for the philosophy behind this month’s theme issue on “Team and Interprofessional Care.” While strengthening a team can take on a variety ...

January 2022

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Our Steppingstones to the Future

From the Editor Our Steppingstones to the Future Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum “When you can see obstacles for what they are, you never lose faith in the path it takes to get you where you want to go. Because this I know for sure: who you’re meant to be evolves from where you are right now. So learning to appreciate your lessons, mistakes, and setbacks as stepping stones to the future is a clear sign you are moving in the right direction.” —Oprah ...

December 2021

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Pass the Humankindness, Please

From the Editor Pass the Humankindness, Please Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum One year ago, I quoted a philosopher, Heraclites: “The only constant is change.” As 2021 ends, sometimes it feels as if not enough has changed, or not quickly enough: COVID-19 cases are surging (again) despite the availability of vaccines for one year; the wide-reaching threats of disinformation persist; and some public health and systems of care are again being tested to ...

November 2021

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What Can BTS Tell Us about Compassion Fatigue?

From the Editor What Can BTS Tell Us about Compassion Fatigue? Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum At the end of September, BTS, the famous K-pop group, visited the United Nations as newly appointed South Korean special presidential envoys. At first glance, this seemed like just another celebrity spotlight, capitalizing on influencer culture—a phenomenon that can be grossly distorted into platforms for profit, misinformation dissemination, or civil disruption. ...

October 2021

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Well-being For All

From the Editor Well-being For All Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum As fall begins, marking the end of September (also Suicide Prevention and Awareness Month), SGIM Forum almost imperceptibly shifts from last month’s “Physician and Patient Well-being and Mental Health” theme issue. Observant readers might have noticed that last month’s articles offered a prismatic view of experiences and perspectives focusing on physician well-being. An abundance of ...

September 2021

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Learn How to Do Nothing

From the Editor Learn How to Do Nothing Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Just after beginning summer vacation this July, I shared a story with my spouse I had not thought of in years. In high school, I was proud of serving as the Features section editor of the school newspaper—perhaps a foreshadowing of my present role—finding joy and laughter in the silly shenanigans of that age among journalistically inclined friends and classmates. One year, the school ...

August 2021

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Finding Family in #MyFirstSGIM

From the Editor Finding Family in #MyFirstSGIM Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum One could say I was a late bloomer. When I think about #MyFirstSGIM , I am reminded of the period of my early career when I started to recognize the importance of finding a professional home. Before graduating residency, I had been gently encouraged to consider applying for a GIM fellowship, but at the time had not pursued it for personal reasons. I had been only one of ...

July 2021

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Start Your Engines!

From the Editor Start Your Engines! Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum In U.S. academic medicine, July is a vital time of transition, marked by caution and excitement, according to Monica Lypson, SGIM President. She reminds us that the so-called July Effect does not lead to poorer patient outcomes or errors. In fact, it is a time of renewal, restarting a cycle notable for learning, activation, and empowerment for individuals and academic medical centers ...

June 2021

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Practicing Multilingual Medicine

From the Editor Practicing Multilingual Medicine Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum “Hoe kan ik u helpen?” I asked a Dutch physician communications teacher, playing the role of a patient. “How can I help you?” was one way I greeted patients in primary care practice. But her response communicated, “What do you mean?” Language translation is often fraught with such nuances where literal translation loses cultural context and leads to confusion or the ...

May 2021

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Publishing in SGIM Forum: Crediting Your Scholarly Work

From the Editor Publishing in SGIM Forum: Crediting Your Scholarly Work Maria G. Frank, MD, FACP; David Walsh, MD, FHM; Shanu Gupta, MD, FACP; Joseph Conigliaro, MD, MPH; Tiffany I. Leung, MD, MPH, FACP, FAMIA; and the SGIM Forum Associate Editors. Drs. Frank, Walsh, and Gupta are SGIM Forum Associate Editors. Dr. Conigliaro is immediate past Editor in Chief of SGIM Forum. Dr. Leung is current Editor in Chief of SGIM Forum. “Peer-reviewed or non-peer-reviewed? Indexed or non-indexed? ...

April 2021

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Keep Calm and Keep On Learning

From the Editor Keep Calm and Keep On Learning Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum I recently had the tedious administrative task of counting and collecting certificates for my continuing medical education (CME) hours for professional reporting purposes. Over time, a great deal of our work has come to count as CME: these include searching for point-of-care clinical information to support patient care decisions to routine professional activities, like reading ...

March 2021

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Making Climate Commitments

From the Editor Making Climate Commitments Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Not long before writing this column, The Washington Post published an article noting that 2020 tied with 2016 as Earth’s hottest year. 1 This occurred even as U.S. greenhouse gas emissions in 2020 dropped by more than 10% during the year as a result of intermittent COVID-19-related lockdowns and its consequences, including, in part, more working from home, less car commuting, ...

February 2021

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Physicians’ Identity Formation

From the Editor Physicians’ Identity Formation Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum At a panel session, I once introduced myself as an American-born Asian (Chinese) woman, whose pronouns are she/her, married, previously divorced, a wife, non-mother (so far, by choice), and a daughter of immigrants. I’m also an emigrant, having ventured elsewhere some years after my training. Last year’s events unearthed another aspect of identity that emerged into prominence ...

January 2021

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Mangomoments, Double Taps, and Other New Year’s Resolutions

From the Editor Mangomoments, Double Taps, and Other New Year’s Resolutions Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Welcome to 2021! Although we are not celebrating a miraculous, groundbreaking transition into the New Year, this transition from 2020 nevertheless offers us the promise of a renewed beginning. This year, we can look towards the bright spots of a COVID-19 vaccine, a refreshed presidential administration, and our continued dedication to SGIM’s vision ...

December 2020

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The Only Constant Is Change

From the Editor The Only Constant Is Change Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum The year 2020 will be unforgettable in many ways. In this final Forum issue of 2020, we reflect on numerous national and global shifts and upheavals. At the time of this writing, various countries still address a prolonged first wave of COVID-19 cases while other regions, like Europe, are in their second wave, and the United States, in its third. If there are any silver linings ...

November 2020

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Affirmations for Change

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 ...

October 2020

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Leadership—Big and Small

From the Editor Leadership—Big and Small Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum The interconnected leader sees [theirself] as the generator of impulses into an interconnected system to realize the purpose of the organization —Dalai Lama & Laurens van den Muyzenberg, The Leader’s Way Reflecting on global events and the continuing work of SGIM members to address our ongoing health disparities and challenges, I see the creativity and impact ...

September 2020

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Looking in the Mirror

From the Editor Looking in the Mirror Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum Racism is a public health emergency As this year’s events continue to unfold, a pandemic crashed into and forced wide open the deep and long festering wounds of our country’s racist history, policies, and systems. As anti-racism demonstrations spread across the country and the world, doctors, clinicians, and community advocates had already been speaking out advocating for our ...

August 2020

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Our 2020 “New Normal”

From the Editor Our 2020 “New Normal” Tiffany I. Leung, MD, MPH, FACP, FAMIA, Editor in Chief, SGIM Forum This has been a year of tumultuous and painful change. Headlines, social media, and other platforms constantly remind us of the societal drive towards a “new normal.” During this tumultuous time, I receive the metaphorical gavel as incoming Editor-in-Chief of SGIM Forum from Joseph Conigliaro, MD, MPH, with deep gratitude and sense of duty to amplify the diverse and powerful voices ...

July 2020

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Oh, the Places You’ll Go!

From the Editor Oh, the Places You’ll Go! Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum You’re off to Great Places! Today is your day! Your mountain is waiting, So... get on your way! —Dr. Seuss, Oh, the Places You’ll Go! Thirty-three years ago, this past June, I graduated medical school. I was the first and only child of eight siblings to attend college and one of only two physicians in my family. I started residency knowing that I wanted to do academic general ...

COVID-19 2020

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A Change Is Gonna Come

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, ...

June 2020

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You Can’t Go Home Again

From the Editor You Can’t Go Home Again Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum “When things are at their worst is when you will see the good, the bad, and the ugly. Where people are under pressure you see like the true essence will come out and some people will break your heart, people who you expected to react differently will just break your heart and disappoint you but then other people who you expected nothing from will show you a strength and a resilience that just ...

May 2020

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Nessun Dorma!

FROM THE EDITOR Nessun Dorma! Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum Nobody shall sleep!... Nobody shall sleep! Even you, oh Princess, in your cold room, watch the stars, that tremble with love and with hope. But my secret is hidden within me, my name no one shall know... No!...No!... On your mouth, I will tell it when the light shines. And my kiss will dissolve the silence that makes you mine!... (No one will know his name and we must, alas, die.) Vanish, ...

April 2020

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Photographs

From the Editor Photographs Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum We keep this love in a photograph We made these memories for ourselves Where our eyes are never closing Hearts are never broken And time’s forever frozen still. . . — Photograph by Ed Sheeran — Giuseppe Conigliaro, Porto Empedocle, Sicily, circa 1962 I recently needed to go through hundreds of family photographs, some going as far back as the last 70 years. It was both sad ...

March 2020

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Too Smart for Your Own Good

From the Editor Too Smart for Your Own Good Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum When did you get so clever? When I realized I wasn’t as clever as I thought. —John Connolly, The Infernals I recently spoke to a potential recruit for a faculty position in one of our academic practices. Although predominantly a clinical position, there was also the opportunity to precept residents and teach medical students. This particular applicant was one year out of ...

February 2020

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A Day in the Life

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. ...

January 2020

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Correcting the Record on Medicare for All

LETTER TO THE EDITOR CORRECTING THE RECORD ON MEDICARE FOR ALL David U. Himmelstein, MD Dr. Himmelstein (dhimmels@hunter.cuny.edu) is a distinguished professor at the City University of New York at Hunter College and Lecturer in Medicine at Harvard Medical School. Block and Bedell’s description of Medicare for All in the September 2019 SGIM Forum includes some important oversights, errors, and misconceptions.1 They ignore the well-documented savings on administrative costs in hospitals ...

Happy New Year!

From the Editor Happy New Year! Joseph Conigliaro, MD, MPH, Editor in Chief, SGIM Forum As we enter 2020, SGIM Forum continues to present a varied and outstanding collection of articles relevant to general internists whether they be clinicians, educators, researchers, or any combination. Eric Rosenberg starts us off with highlights of the upcoming national meeting in Birmingham. It’s a testimony to the hard work and ingenuity of the program Chairs and Planning Committee to consistently ...

Forum Editor

Tiffany Leung, MD, MPH, Editor in Chief

Welcome to the SGIM Forum, the official newsletter of the Society of General Internal Medicine!

Forum offers articles, essays, thought pieces and editorials that reflect on health care trends, report on Society activities, and explore important issues for general internists in U.S. healthcare and globally.

The content published in Forum is an avenue for both creative and scholarly expression, created by and for SGIM members. The landscape of healthcare is evolving with the times, and our global communities are shifting in ways like never before in response to emerging diseases, rapid dissemination of knowledge and innovations, and amplified calls to counter disinformation and to take a stand for universal human values, justice, and equality.

Academic GIM, our patients, our learners, and society are adapting with the times, and the SGIM community’s values offer clear pathways forward. From advancing the latest medical science, partnering with and advocating for vulnerable and marginalized communities, designing and researching health service innovations, reducing administrative burdens in innovative ways, improving patient-physician-care team communication, embracing diversity, equity, and inclusion among our patient and professional communities -- and so much more! -- we are one cohesive voice for the values of the SGIM community.

I encourage you to contact me with ideas and comments on Forum content at Editor.SocietyGIMForum@gmail.com.

Forum is dedicated to serving the needs of its members by engaging in thoughtful debates, sharing clearly articulated perspectives, and presenting innovations in research, education, advocacy, and clinical practice. The collective experiences of the clinicians, educators and researchers in the Society, as well as the consistent commitment of the Society to patients, will serve us well as we navigate our constantly changing and dynamic times.

Thank you for your contributions to Forum, which keep our collective values as general internists vibrant and growth-oriented. You are our cohesive and powerful voice for the Society’s membership. Let’s act together and as allies and advocates for each other and our patients alike! Please join us as we amplify our community’s voice and values on the local, regional, and global stages.

With kindest regards,

Tiffany I. Leung, MD, MPH, FACP, FAMIA

Forum is always looking for contributors and associate editors. To submit articles/artwork to SGIM Forum, or to apply to be an Associate Editor, contact Editor-in-Chief, Tiffany I. Leung, at Editor.SocietyGIMForum@gmail.com.

Forum Associate Editors

Yousaf Ali, MD, MS
Seki Balogun, MD, FACP
Lauren Block, MD, MPH
Alfred Burger, MD, MS
Ricardo Correa, MD,FACP,FACR,CMQ
Elaine Cruz, DO
Michele Fang, MD
Maria (Gaby) Frank, MD, FACP
Kittu Jindal Garg, MD
Shanu Gupta, MD
Tracey L. Henry, MD, MPH, MS
Christopher D. Jackson, MD, FSSCI
Francine Jetton, MA
Eric Kutscher, MD
Megan McNamara, MD, MSc
Somnath Mookherjee, MD
Susana R. Morales, MD
Jorge A. Rodriguez, MD
Shobha L. Rao, MD
Gaetan Sgro, MD
Elisa Sottile, MD
David Walsh, MD

Managing Editor:
Frank Darmstadt