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Building Capacity for Complementary and Integrative Medicine Through a Large, Cross-Agency, Acupuncture Training Program: Lessons Learned from a Military Health System and Veterans Health Administration Joint Initiative Project.
Conclusion: The ATACS program provided a foundational template to increase CIM across the MHS and VHA. The lessons learned in the program's implementation will aid future CIM training programs and improve program evaluations. Future work is needed to determine the most efficient means of improving CIM credentialing and privileging procedures, standardizing and adopting uniform CIM EHR codes and documentation, and examining the effectiveness of CIM techniques in real-world settings. PMID: 29590483 [PubMed - as supplied by publisher]
Source: Military Medicine - March 29, 2018 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Disaster Medicine in Eye of Storm at IM Meeting Disaster Medicine in Eye of Storm at IM Meeting
Lessons learned after deadly hurricanes will be shared at the upcoming Internal Medicine (IM) Meeting, along with updates on hypertension, medical marijuana, and wearables.Medscape Medical News
Source: Medscape Medical News Headlines - April 12, 2018 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Integrative Korean medicine as a possible conservative treatment for mild cervical spondylotic myelopathy: One-year follow-up case report (CARE-compliant)
Rationale: Cervical spondylotic myelopathy (CSM) is the most common spinal cord disorder in older patients. The purpose of this case report is to introduce conservative treatment with integrative Korean medicine (KM) as a possible alternative to surgery in patients with mild CSM. Patient concerns: An 81-year-old male with both hand weakness and dysesthesia was diagnosed with CSM and was recommended laminectomy. However, considering the patient's age and the underlying disease, he refused immediate surgery and preferred KM treatment Diagnoses: The diagnosis of mild CSM was based on a modified Japanese Orthopedic Ass...
Source: Medicine - September 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Efficacy of Chinese herbal medicine in a case of geriatric urinary tract infections with pain of episiotomy scar inflammation
This study reports a case of UTI with pain of episiotomy scar inflammation for 10 years, which was successfully cured under traditional Chinese medicine (TCM) and showed no recurrence for 5 years. Patient concerns: A female patient, aged 71 years, experienced UTIs with pain of episiotomy scar inflammation for 10 years. Under antibiotics and external application of estrogen therapy, the patient still had no significant curative effect. Therefore, he was admitted to treatment with TCM for complementary therapy. Diagnosis: UTIs with pain of episiotomy scar inflammation. Interventions : This patient was treated with C...
Source: Medicine - December 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

When "Patient-Centered" is Not Enough: A Call for Community-Centered Medicine.
Abstract Before entering medicine, I was inspired by community organizing as a model for driving social change and improving public health. As a clinician, I remain inspired by this approach; however, I find that it has been more challenging to integrate into my day-to-day work than I expected. In this essay, I describe my journey from community organizer to primary care clinician and reflect on the lessons I've learned about the value of community organizing and ways that it can be incorporated into clinical practice. Ultimately, I propose a model for how clinicians and health centers can proactively partner with...
Source: Annals of Family Medicine - January 1, 2019 Category: Primary Care Authors: Morris JE Tags: Ann Fam Med Source Type: research

Advocacy Training for Residents: Insights From Tulane’s Internal Medicine Residency Program
Problem Physicians have unique insights into the impact of government policies on vulnerable populations. Sharing these with legislators can help them design policy solutions to address public health challenges such as the opioid epidemic, drug pricing, and gun violence. However, despite widespread interest among residents in advocacy and systems-based change, most physicians receive no formal training in the skills needed to become effective physician–advocates. Advocacy training curricula for residents can equip trainees with skills to bridge this gap. Approach The Advocacy and Leadership Track (ALT) of Tulane Uni...
Source: Academic Medicine - January 31, 2019 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

How artificial intelligence could redefine clinical trials in cardiovascular medicine: lessons learned from oncology
Personalized Medicine, Ahead of Print.
Source: Future Medicine: Personalized Medicine - March 5, 2019 Category: Genetics & Stem Cells Authors: Chayakrit Krittanawong Kipp W Johnson WH Wilson Tang Source Type: research

A Program to Support Scholarship During Internal Medicine Residency Training: Impact on Academic Productivity and Resident Experiences.
Abstract PROBLEM: Although scholarship during residency training is an important requirement from the Accreditation Council for Graduate Medical Education, efforts to support resident scholarship have demonstrated inconsistent effects and have not comprehensively evaluated resident experiences. INTERVENTION: We developed the Leadership and Discovery Program (LEAD) to facilitate scholarship among all non-research-track categorical internal medicine (IM) residents. This multifaceted program set expectations for all residents to participate in a scholarly project, supported faculty to manage the program, facilit...
Source: Teaching and Learning in Medicine - May 6, 2019 Category: Universities & Medical Training Authors: Carter AE, Anderson TS, Rodriguez KL, Hruska KL, Zimmer SM, Spagnoletti CL, Morris A, Kapoor WN, Fine MJ Tags: Teach Learn Med Source Type: research

Nonsurgical integrative Korean Medicine treatment of discal cyst: A case report and a retrospective chart review analysis
This study aims to report the spontaneous regression of discal cyst achieved through nonsurgical integrative Korean Medicine treatment and the clinical epidemiological features of discal cyst cases collected from 4 institutions. Patient concerns: A 31-year-old woman had low back pain and radiating pain equivalent to a numeral rating scale (NRS) of 8 and had limitations in daily work and activities. Diagnoses: The patient was diagnosed as having discal cysts that compressed the left S1 based on findings of L-spine magnetic resonance imaging (MRI) performed at our hospital. Interventions: The patient received nonsur...
Source: Medicine - July 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Successful treatment of refractory edema with traditional herbal medicine: A case report
Rationale: Refractory edema is characterized by persistent swelling which does not react to diuretic use and sodium restriction. Traditional herbal medicine, Gwack Rhyung Tang and Chunggan extract effectively treated refractory lower limb edema caused by cirrhosis and improved liver function. Patient concerns: A 64-year-old male patient with a history of hypertension, diabetes mellitus, hepatic encephalopathy, and cellulitis presented lower limb edema which did not react to diuretics for more than 7 months. Diagnoses: Refractory edema caused by cirrhosis. Interventions: The patient was treated for 25 days using ...
Source: Medicine - October 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Improving Oil Spill Preparedness and Response in Santa Barbara, CA: Workshop Report from the National Academies of Science, Engineering and Medicine and Sea Grant Oil Spill Workshop Series
Source: National Academies of Sciences, Engineering, and Medicine. Published: 8/2019. This 40-page report documents the outcomes of a West Coast workshop held in April 2019, which focused on Santa Barbara, CA, to identify research needs to improve oil spill preparedness and response with respect to public health, social disruption, and economic impacts. The workshop goals were to share lessons learned from the 2015 Refugio oil spill; examine opportunities for community involvement in oil spill response; review best practices; and improve future preparation. The workshop was sponsored by the National Academies of Sciences,...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - August 1, 2019 Category: International Medicine & Public Health Source Type: news

Educating military primary health-care providers in genomic medicine: lessons learned from the MilSeq Project
Genetics in Medicine, Published online: 10 July 2020; doi:10.1038/s41436-020-0865-7Educating military primary health-care providers in genomic medicine: lessons learned from the MilSeq Project
Source: Genetics in Medicine - July 9, 2020 Category: Genetics & Stem Cells Authors: Megan D. Maxwell Rebecca Hsu Rubaiya Islam Jill O. Robinson Stacey Pereira Cubby L. Gardner Robert C. Green Megan D. Maxwell Rebecca Hsu Jill O. Robinson Stacey Pereira Cubby L. Gardner Robert C. Green Mauricio De Castro Mauricio De Castro Source Type: research

Correction: Opportunities to implement a sustainable genomic medicine program: lessons learned from the IGNITE Network
Genetics in Medicine, Published online: 27 July 2020; doi:10.1038/s41436-020-0911-5Correction: Opportunities to implement a sustainable genomic medicine program: lessons learned from the IGNITE Network
Source: Genetics in Medicine - July 26, 2020 Category: Genetics & Stem Cells Authors: Kenneth D. Levy Kathryn Blake Colette Fletcher-Hoppe James Franciosi Diasuke Goto James K. Hicks Ann M. Holmes Sri Harsha Kanuri Ebony B. Madden Michael D. Musty Lori Orlando Victoria M. Pratt Michelle Ramos Ryanne Wu Geoffrey S. Ginsburg Source Type: research

Toward Historical Accountability and Remembrance: The German Society for Internal Medicine and Its Legacies From the Nazi Past.
Abstract After decades of silence, the German Society for Internal Medicine (DGIM) has made considerable efforts to come to terms with its role and actions during the Nazi era (1933 to 1945). This is particularly important because, with more than 27 000 members, the DGIM is the largest medical society in present-day Germany. Since 1882, the society's annual congress in Wiesbaden has provided a forum and focus for the key medical topics of the day. Based on ongoing historical research, this article is organized in 2 parts. The first describes how the DGIM willingly adapted to the ideology and politics of the Nazi ...
Source: Annals of Internal Medicine - August 31, 2020 Category: Internal Medicine Authors: Hofer HG, Forsbach R, Fölsch UR Tags: Ann Intern Med Source Type: research

Development of a Clinical Teaching Unit in Internal Medicine to Promote Interprofessional and Multidisciplinary Learning: A Practical Intervention.
Abstract Problem: Effective clinical workplace learning depends on interprofessional and multidisciplinary learning. However, traditional patient wards are centered around patient care and not so much around education. Other barriers such as time constraints also contribute to suboptimal interprofessional and multidisciplinary learning. Intervention: Six formal and informal learning activities that aimed at stimulation of interprofessional and multidisciplinary learning were designed and introduced in our patient ward to enable optimal integration of clinical practice and learning. Context: The study took place in...
Source: Teaching and Learning in Medicine - September 10, 2020 Category: Universities & Medical Training Authors: Hamoen EC, van Blankenstein FM, de Jong PGM, Ray A, Reinders MEJ Tags: Teach Learn Med Source Type: research