From the Editor

November 2020

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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 ...

October 2020

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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 of our long-established ...

September 2020

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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 most ...

August 2020

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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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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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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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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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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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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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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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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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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 ...
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

profile_LeungTiffany.jpgTiffany 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.