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This chest CT shows new left upper lobe groundglass opacity.

Case Report: Could Myocarditis + Shortness of Breath = EGPA?

Ambreesh Chawla, MD, Ashwini Komarla, MD, & Sujatha Vuyyuru, MD  |  August 16, 2019

Eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome or allergic granulomatosis and angiitis, is a rare small- and medium-vessel vasculitis. This disease was first described by American pathologists Jacob Churg and Lotte Strauss in 1951.1 Although the vasculitis is often not apparent in the initial phases of the disease, EGPA can affect any…

Filed under:Conditions Tagged with:eosinophilic granulomatosis with polyangiitis (EGPA)myocarditis

Learn to Navigate the Seas of Uncertainty in Rheumatology Training

Richard Zamore, MD, MPH  |  August 16, 2019

Rheumatology is a field rife with uncertainty. With regard to both diagnosis and treatment, we live in a world of rare diseases that are difficult to study. As a result, we are often left without an answer to our diagnostic dilemmas and without clarity when deciding the best treatment options for our patients. For rheumatologists…

Filed under:Career DevelopmentEducation & TrainingProfessional Topics Tagged with:Fellows-in-Training

5 Questions Aspiring Rheumatologists Should Ask Themselves

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  August 16, 2019

Congratulations! You’ve decided to become a rheumatologist and, in so doing, join the ranks of some of the most intelligent, empathic and dynamic physicians out there. But between your decision today and where you see yourself in three, five or 10 years, many more decisions must be made. Arguably, the most important is the decision…

Filed under:Career DevelopmentEducation & TrainingProfessional Topics Tagged with:Fellows-in-Training

Rheumatology Drugs at a Glance, Part 3: Rheumatoid Arthritis

Mary Choy, PharmD, BCGP, FASHP  |  August 16, 2019

Over the past few years, bio­similars and other new drugs have been introduced to treat rheumatic illnesses. Some of the conditions we treat have numerous drug options, others have few or only off-label options. This series, “Rheumatology Drugs at a Glance,” provides streamlined information on the administration of biologic, biosimilar and small molecule inhibitor drugs…

Filed under:ConditionsDrug UpdatesRheumatoid Arthritis Tagged with:abataceptadalimumabanakinrabaricitinibCertolizumab PegoletanerceptGolimumabinfliximabrituximabsarilumabtocilizumabTofacitinib

Bending, Not Breaking

Philip Seo, MD, MHS  |  August 16, 2019

“And of course, I am not telling you to do it. That would be illegal.” As a general rule, I try not to instruct my patients to break the law. My business model depends on repeat customers, so placing a patient at risk of getting arrested—even if that risk is remote—doesn’t seem like a good…

Filed under:EthicsOpinionRheuminationsSpeak Out Rheum Tagged with:Canadian drugsdrug costs

Calvin R. Brown Jr., MD

Lessons from a Master Clinician: An Interview with Dr. Calvin Brown

Jason Liebowitz, MD, FACR  |  August 16, 2019

We just learned that Dr. Brown passed away at his home Sunday night, Dec. 1. We are reposting this recent story in his honor. He will be missed.

Filed under:Career DevelopmentProfessional TopicsProfiles Tagged with:Calvin R. BrownLessons from Master CliniciansRole Models in Rheumatology

Proposed 2020 E/M Codes Include Reimbursement Changes

Susan Bernstein  |  August 16, 2019

Increased reimbursement would reflect value of cognitive care and other time-intensive services provided by rheumatologists.

Filed under:Billing/Coding Tagged with:Billing & CodingCenters for Medicare & Medicaid Services (CMS)Colin C. EdgertonPhysician fee scheduleTimothy J. Laing

CMS 2020 Quality Payment Program Proposed Rule Contains Key Changes to MIPS Reporting

From the College  |  August 16, 2019

The CMS 2020 Proposed Rule for the Quality Payment Program, released July 29, contains several key changes relevant to MIPS-eligible clinicians.

Filed under:From the CollegePractice SupportQuality Assurance/Improvement Tagged with:Centers for Medicare & Medicaid Services (CMS)MIPSQuality Payment Program

Multiple Interferons, Including IFNB1, May Play a Role in SLE

Carina Stanton  |  August 14, 2019

A recent gene expression analysis found an enriched downstream interferon signature, with predominantly IFNB1 signatures in systemic lupus erythematosus (SLE) patients. The study also found lower expression of all downstream interferon signatures in the kidneys of lupus nephritis patients…

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:interferonSLEsystemic lupus erythematosus (SLE)

Medical Professionals Link the Word ‘Career’ with Men

Tamara Mathias  |  August 7, 2019

(Reuters Health)—Researchers who examined implicit and explicit gender biases in the U.S. medical community found professionals of both genders are more likely to associate the word career with men and the word family with women. And U.S. surgeons broadly see surgery as a man’s career and family medicine as a woman’s field, the researchers also…

Filed under:Professional Topics Tagged with:biasCareerCareer developmentGender

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