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Health Disparities

Internal Medicine and COVID-19

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

1 Credit CME

JAMA

Published Online: September 22/29, 2020

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Article Information and Disclosures

Rita F. Redberg, MD, MSc^1,2;

Mitchell Katz, MD^3,4;

Robert Steinbrook, MD^5,6

Author Affiliations

¹Division of Cardiology, Department of Medicine, University of California, San Francisco
²Editor, JAMA Internal Medicine
³New York City Health and Hospitals Corporation, New York, New York
⁴Deputy Editor, JAMA Internal Medicine
⁵Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
⁶Editor at Large and Online Editor, JAMA Internal Medicine

Read article on JAMA Network

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Neurology and COVID-19

S. Andrew Josephson, MD; Hooman Kamel, MD
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Dost Öngür, MD, PhD; Roy Perlis, MD, MSc; Donald Goff, MD
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Pediatrics and COVID-19

Dimitri A. Christakis, MD, MPH
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Cardiology and COVID-19

Robert O. Bonow, MD, MS; Patrick T. O’Gara, MD; Clyde W. Yancy, MD, MSc
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Surgery and COVID-19

Melina R. Kibbe, MD
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JAMA Network Open and COVID-19

Frederick P. Rivara, MD, MPH; Stephan D. Fihn, MD, MPH; Eli N. Perencevich, MD, MS
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Dermatology and COVID-19

Kanade Shinkai, MD, PhD; Anna L. Bruckner, MD, MSCS
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Otolaryngology and COVID-19

Jay F. Piccirillo, MD
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Nephrology and COVID-19

Wolfgang C. Winkelmayer, MD, MPH, ScD; Pascale Khairallah, MD; David M. Charytan, MD
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Oncology and COVID-19

Mary L. Disis, MD
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Ophthalmology and COVID-19

Neil M. Bressler, MD
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Health Policy and COVID-19

John Z. Ayanian, MD, MPP

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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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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

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.PubMed Google Scholar Crossref

RECOVERY Collaborative Group. Dexamethasone in hospitalized patients with Covid-19—preliminary report. N Engl J Med. Published online July 17, 2020. doi:10.1056/NEJMoa2021436 Google Scholar

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.2020.3030 PubMed Google Scholar

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.2020.3391 PubMed Google 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.PubMed Google Scholar Crossref

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.2020.4214 PubMed Google Scholar

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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.2020.3288 PubMed Google 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.