Debates over sepsis and immigration

This issue brings you controversies in sepsis care and our first-ever Twitter chat.


We're bringing you some hot-button issues to start off the new year. For the cover story, I gathered the findings and feelings of a host of sepsis experts. They clarified the main disagreements in the field, which include the optimal use of antibiotics and IV fluids, and offered their perspectives on policy and predictions for practice. Read the story to learn what all the fuss is about and then join us on Tuesday, Jan. 29, at 5 p.m. eastern for a Twitter chat about it. Follow us on Twitter and then exchange ideas on sepsis with experts using #ACPHospitalistchat.

The U.S. government's immigration policy has caused more than a fuss over the past two years. A feature article in this issue looks at how changes in immigration regulations have affected physicians from outside the U.S. who want to train or practice here, and by extension, their potential colleagues and patients. The article explains how the public debate over immigration policy has touched even the physicians who are still able to get the necessary visas, making some of them feel less welcome.

Elderly abuse touches a shockingly high number of Americans, with as many as one in 10 elderly patients being abused. An article explains how hospitalists can help reduce that statistic. Experts say hospitalization is an opportunity to identify abuse, and better yet, prevent it by working to support patients and their families.

Shifting focus from old age to youth, this month's conference coverage offers ideas for improving students' and physicians' diagnostic skills, brought to you thanks to staff writer Mollie Frost (née Durkin) attending the Diagnostic Error in Medicine 11th International Conference in New Orleans in November. Contact her or anyone on our staff anytime by emailing acphospitalist@acponline.org.

Sincerely,
Stacey Butterfield
Editor-in-Chief