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Internal Medicine and COVID-19

Educational Objective
To understand the role internal medicine is playing in detecting and managing COVID-19
1 Credit CME

Although the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is novel, many clinicians would consider coronavirus disease 2019 (COVID-19) an internal medicine disease, with striking similarities to the early days of the HIV/AIDS pandemic nearly 40 years ago. Evaluating the protean manifestations of COVID-19 and determining the optimal approach to treating patients are basic elements of internal medicine. Hypoxia that can progress to acute respiratory distress syndrome, renal failure, myocarditis, and thrombosis are conditions that internists have always treated.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Rita F. Redberg, MD, MSc, Department of Medicine, University of California, San Francisco, 505 Parnassus Ave, PO Box 0214, San Francisco, CA 94143 (rita.redberg@ucsf.edu).

Conflict of Interest Disclosures: Dr Redberg reported receiving research funding from the Arnold Ventures Foundation, the Greenwall Foundation, the Flight Attendant Medical Research Institute, and the National Institutes of Health. No other disclosures were reported.

References
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Wu  C , Chen  X , Cai  Y ,  et al.  Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China.   JAMA Intern Med. 2020;180(7):934-943.PubMedGoogle ScholarCrossref
2.
RECOVERY Collaborative Group.  Dexamethasone in hospitalized patients with Covid-19—preliminary report.   N Engl J Med. Published online July 17, 2020. doi:10.1056/NEJMoa2021436Google Scholar
3.
Thompson  AE , Ranard  BL , Wei  Y , Jelic  S .  Prone positioning in awake, nonintubated patients with COVID-19 hypoxemic respiratory failure.   JAMA Intern Med. Published online June 17, 2020. doi:10.1001/jamainternmed.2020.3030PubMedGoogle Scholar
4.
Weinberger  DM , Chen  J , Cohen  T ,  et al.  Estimation of excess deaths associated with the COVID-19 pandemic in the United States, March to May 2020.   JAMA Intern Med. Published online July 1, 2020. doi:10.1001/jamainternmed.2020.3391PubMedGoogle Scholar
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Havers  FP , Reed  C , Lim  T ,  et al.  Seroprevalence of antibodies to SARS-CoV-2 in 10 sites in the United States, March 23-May 12, 2020.   JAMA Intern Med. Published online July 21, 2020. doi:10.1001/jamainternmed.2020.4130PubMedGoogle Scholar
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Sterling  MR , Tseng  E , Poon  A ,  et al.  Experiences of home health care workers in New York City during the coronavirus disease 2019 pandemic: a qualitative analysis.   JAMA Intern Med. Published online August 4, 2020. doi:10.1001/jamainternmed.2020.3930PubMedGoogle Scholar
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Grabowski  DC , Mor  V .  Nursing home care in crisis in the wake of COVID-19.   JAMA. 2020;324(1):23-24.PubMedGoogle ScholarCrossref
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Jeremias  A , Nguyen  J , Levine  J ,  et al.  Prevalence of SARS-CoV-2 infection among health care workers in a tertiary community hospital.   JAMA Intern Med. Published online August 11, 2020. doi:10.1001/jamainternmed.2020.4214PubMedGoogle Scholar
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Sickbert-Bennett  EE , Samet  JM , Clapp  PW ,  et al.  Filtration efficiency of hospital face mask alternatives available for use during the COVID-19 pandemic.   JAMA Intern Med. Published online August 11, 2020. doi:10.1001/jamainternmed.2020.4221PubMedGoogle Scholar
10.
Jeffery  MM , D’Onofrio  G , Paek  H ,  et al.  Trends in emergency department visits and hospital admissions in health care systems in 5 states in the first months of the COVID-19 pandemic in the US.   JAMA Intern Med. Published online August 3, 2020. doi:10.1001/jamainternmed.2020.3288PubMedGoogle Scholar
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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