ACP IMpact

ACP IMpact is an online newsletter for ACP Medical Student Members interested in internal medicine. An ACP login is required to access these articles. Not a member? Membership is free for medical students. Join now.

October 2025

In Case You Missed It

Dr. Jokela on KevinMD: Physician Collective Action Today

Janet Jokela, MD, MPH, MACP, and former ACP treasurer, reflects on the evolution of physician unions and collective action in medicine. She recalls her own residency experience in the 1980s, when long hours and heavy workloads were accepted as the norm, and compares it to today's landscape, where resident education, wellness, and patient care are central. Read Dr. Jokela's article or listen to the accompanying podcast to learn more.

Feature

Nitrous Oxide Misuse No Laughing Matter

(from the September 17, 2025, ACP Hospitalist)

A clinical toxicologist offers advice for hospitalists on managing patients admitted for nitrous oxide misuse.

ACP Hospitalist is an online magazine for ACP members covering news and trends in hospital medicine. An ACP login is required to access this article.

I.M. Internal Medicine Spotlight

Spotlight: Lauren Beste, MD, MSc, FACP

Dr. Beste discusses her passion for working in the VA health care system.

Medical Student Perspective Essay

Conversations in Chaos

One morning in February, a group of 20 medical school faculty members sat inside the South Asian exhibit of a local art museum. The 11th-century sandstone sculpture they contemplated depicted the deity Vishnu, who in Hindu tradition periodically descends from the heavens in times of chaos to restore cosmic balance. The observers were prompted to consider what “chaos” looked like to them and what other feelings the word brought forth.

Advocacy Updates

ACP to Department of Education: Changes to Federal Student Loan Programs Threaten to Further Reduce the Physician Workforce

Recent changes to the federal student loan program threaten to decimate an already strained primary care pipeline further, and the American College of Physicians is actively working to protect medical students and the health care system from the downstream effects of these changes.

ACP Advocates for Physicians to Be Exempt From Proposed Immigration Policies

Proposed changes to the J-1 and H-1B visa application processes would restrict international medical graduates' ability to train and practice and ultimately affect access to care.

Analyzing Annals

Glucagon-Like Peptide-1 Receptor Agonists and Risk for Gastroesophageal Reflux Disease in Patients With Type 2 Diabetes. A Population-Based Cohort Study

(from September 2025 Annals for Educators)

Glucagon-like peptide-1 receptor agonists (GLP-1RAs), which are used to treat type 2 diabetes and obesity, are associated with delayed gastric emptying, which is a risk factor for gastroesophageal reflux disease (GERD). However, evidence linking these drugs to GERD is limited. This cohort study estimated the effect of GLP-1RAs versus sodium–glucose cotransporter-2 inhibitors on risk for GERD and its complications among patients with type 2 diabetes.

Annals for Educators is a Web Exclusives feature of Annals of Internal Medicine which includes activities using selected Annals articles to help medical educators in their teaching activities.

Winning Abstracts from the 2025 Abstract Competitions

Assessment of Shared Decision-making Tool for Eliciting Informed Goals of Care in the Hospitalized Elderly: A Randomized Trial (ASKmeGOC Study)

Up to 75% of patients lack decision-making capacity at the time of their serious illness, with less than 25% having communicated their treatment preferences to their HCP. As a result, many patients receive unwanted and unwarranted medical and surgical interventions. This omission may result in goal-discordant, low-value care, and unnecessary healthcare expenditures in one in eight patients who die in hospital.

Want to have your abstract featured here? ACP holds National Abstract Competitions as part of the ACP Internal Medicine Meeting every year. The deadline for all submissions/categories for next year's competition is November 17, 2025.

Get Involved

Countdown to Apply: Health Policy Intern, ACP's Council of Student Members, and Abstract/Case Report.

Build your experience, knowledge base, and CV with these exciting opportunities from ACP:

Apply to be a Health Policy Intern in ACP's Washington, DC, office by October 31. The internship provides a multifaceted opportunity for medical students to learn about the legislative process, health policy, and advocacy in organized medicine. Apply now.
Become a member of ACP's Council of Student Members, which advises ACP's Board of Regents and Board of Governors on products, programs, and services affecting medical students. Apply by November 1.
Submit an abstract by November 17 for your chance to showcase your research or a case report at next year's ACP National Abstract Competitions in San Francisco, CA. See details.

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