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Annals of Internal Medicine ACP Hospitalist ACP Internist ACP Electronic Advertising ACP Custom Publishing Internal Medicine Meeting 2018 Support Opportunities 2018 ACP Pharmaceutical Advertising Rate Information www | 2016 ch Mar g .acphospitalist.or w E D P S UM I R I EL NG I TT O P M G SCRE N E D OO EENING T QUICK UM NEW I R I EL LS M

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Page 1: DEELIRIUM M NNEW QUICK SCREENING T EENING TOOLS › files › opportuniti… · Impact Factor: 17.202. The most recent (2016) Impact Factor for Annals of Internal Medicine is the

Annals of Internal Medicine

ACP Hospitalist

ACP Internist

ACP Electronic Advertising

ACP Custom Publishing

Internal Medicine Meeting 2018 Support Opportunities

2018ACP Pharmaceutical Advertising Rate Information

www| 2016 ch Mar

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2018 About American College of Physicians

The American College of Physicians (ACP) is a nationalorganization of internists and is the largest medical spe-cialty organization and second-largest physician groupin the United States. ACP has chapters in all 50 statesand 18 chapters internationally. Its membership num-bers over 148,000 and includes internists, internal medicine subspecialists, medical students, residents,and fellows.

Internists complete a three-year internal medicine train-ing program after medical school that focuses on how to prevent, diagnose, and treat diseases that primarily affect adults. Subspecialty internists complete additionaltraining in allergy and immunology, cardiology, criticalcare medicine, endocrinology, gastroenterology, geriatrics, hematology, hospice and palliative medicine,infectious diseases, nephrology, oncology, pulmonology,and rheumatology.

The ACP produces 3 medical publications. Annals ofInternal Medicine is a peer-reviewed medical journalpublished twice monthly in print and weekly online. Itsmajor review articles, incisive original research, andthought-provoking editorials make Annals the mostwidely cited medical specialty journal in the world. ACPHospitalist, a monthly publication, provides articles of interest to hospitalists and career opportunities. ACPInternist, published 10 times per year, presents newsabout clinical medicine, practice trends, the business ofmedicine, and national advocacy efforts for internists.

� Annals of Internal Medicine 1

� ACP Hospitalist 10

� ACP Internist 15

� Other ACP Advertising Opportunities 20

� ACP Electronic Advertising Opportunities 21

� ACP Custom Publishing 24

� Internal Medicine Meeting 2018 News 25

� Internal Medicine Meeting 2018

Support Opportunities 28

� ACP Advertising Policies 29

� ACP Contacts 32

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

Journal ProfilePublisher: American College of Physicians

Editor: Christine Laine, MD, MPH, FACP

Established: 1927

Frequency: Twice monthly in print, and weekly online

Audience: Internists, internal medicine subspecialists

2018 Projected Circulation: 101,515

CME/MOC: multiple options in every issue

Audited by: Business Publishers Association (BPA). For a current copy of our Business Publishers Statement,please contact the Director of Advertising Sales.

Manuscript Submissions:Over 3,000 manuscript submissions annually.

Impact Factor: 17.202. The most recent (2016) ImpactFactor for Annals of Internal Medicine is the highest ofany specialty journal in the Clarivate Analytics’ Generaland Internal Medicine category. Annals of InternalMedicine is ranked 5th among 154 general medicinejournals. It is one of the most highly cited and influentialjournals in the world.

Annals of Internal Medicine, which has been publishedfor over 90 years, is a peer-reviewed journal and is listedin Index Medicus.

Annals of Internal Medicine’s mission is to promote ex-cellence in medicine, enable physicians and other healthcare professionals to be well-informed members of themedical community and society, advance standards inthe conduct and reporting of medical research, and con-tribute to improving the health of people worldwide.

To achieve this mission, Annals disseminates scholarly,trusted, and provocative content tailored to key seg-ments of its audience and links scholarly knowledge topractice.

Annals publishes original research; scholarly, evidence-based reviews; clinical guidelines; commentaries; andeditorials. In addition, the journal publishes papers related to medical education, health policy, ethics, the history of medicine, and essays that convey the art ofmedicine.

Audience Focus Annals of InternalMedicine’s audience includes over 148,000physician members of theAmerican College ofPhysicians. In addition,many other physiciansread Annals via individualor institutional subscrip-tions. Annals’ content fo cuses on topics of greatrelevance to the practiceof internal medicine and its subspecialties: allergy and immunology, cardiology, critical care medicine, endocrinology, gastroenterology, geriatrics, hematology,hospice and palliative medicine, infectious diseases,nephrology, oncology, pulmonology, and rheumatology.

Internists prescribe approximately one billion prescrip-tions annually. Thus, Annals is an ideal venue for adver-tisers who wish to reach high-prescribing clinicians whotreat adults.

Editorial Focus Christine Laine, MD, MPH, FACP, Editor in Chief ofAnnals of Internal Medicine, is a nationally renowned academic general internist and a clinical associate pro-fessor of medicine in the Division of Internal Medicine at Jefferson Medical College in Philadelphia, where shecontinues to teach and see patients. She received hermedical degree from State University of New York atStony Brook, completed residency training in internalmedicine at The New York Hospital (Cornell University),and earned a fellowship in general internal medicineand clinical epidemiology at Beth Israel Hospital(Harvard University). In addition, Dr. Laine earned hermaster's degree in public health with a concentration inquantitative methods and clinical epidemiology atHarvard University.

Dr. Laine was named President of the Council of ScienceEditors (CSE) in May 2010. The CSE is an organization com-posed of editorial professionals dedicated to the responsi-ble and effective communication of scientific subjects.

Letters 855Complete Contents I-11

ORIGINAL RESEARCHAntibiotic Prescribing for Nonbacterial Acute UpperRespiratory Infections in Elderly Persons

765

Hepatitis C Virus Infection AmongReproductive-AgedWomen and Children in the United States, 2006 to 2014

775

Comparative Effectiveness of Routine Invasive CoronaryAngiography forManaging Unstable Angina

783

Hepatitis B Virus Reactivation AssociatedWith Direct-ActingAntiviral Therapy for Chronic Hepatitis C Virus: A Review ofCases Reported to the U.S. Food andDrug AdministrationAdverse Event Reporting System

792

REVIEWMindfulness-Based Stress Reduction for Treating LowBackPain. A Systematic Review andMeta-analysis

799

BEYOND THE GUIDELINESShould This Patient HaveWeight Loss Surgery? GrandRoundsDiscussion FromBeth Israel DeaconessMedical Center

808

CLINICAL GUIDELINETreatment of LowBoneDensity or Osteoporosis to PreventFractures inMen andWomen: A Clinical Practice GuidelineUpdate From the American College of Physicians

818

IDEAS AND OPINIONSThe Importance of InternationalMedical Graduates in theUnited States

840

Realizing the Value (and Profitability) of Digital Health Data 842

EDITORIALSAntibiotic Overuse: Clinicians Are the Solution 844

Hearing From the Silent Epidemic 846

Does Knowledge of the Coronary Anatomy Save Lives inPatientsWith Unstable Angina?

848

Making DoWithWhatWeHave 850

Clinical Practice Guidelines for Osteoporosis: TranslatingData to Patients?

852

ON BEING A DOCTORMore Than a Rape Kit 854

IN THE CLINICIrritable Bowel Syndrome ITC81

Annals.org

AnnalsofInternalM

edicine6June

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e166

Num

ber

11(Pag

es765–856)

Annals.org

Annals of Internal Medicine�

6 June 2017 • Volume 166 • Number 11 ESTABLISHED IN 1927 BY THE AMERICAN COLLEGE OF PHYSICIANS

Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

Widely respected in the field of medical journalism, Dr. Laine also serves as Secretariat for the InternationalCommittee of Medical Journal Editors and is an activemember of the Ethics Committee of the WorldAssociation of Medical Editors.

Dr. Laine has authored many articles on such subjects aspatient-centered communication, preventive care, qual-ity of care, women in medicine, and care of patients withHIV and AIDS.

Dr. Laine is a proven innovator who has conceived andimplemented several well-received features in Annals, including Summaries for Patients and the In the Clinicsection. She will continue to develop innovative formatsand mechanisms of delivery so that the journal is an accessible and trusted source of health information for both physicians and the public around the globe.

Annals of Internal Medicine remains a must-read for internists, as well as one of the most highly cited peer-reviewed journals in internal medicine. The followingfeatures of the journal illustrate why Annals of InternalMedicine is the authoritative source for physicians:

n ACP Journal Club: The best new evidence in internalmedicine from over 130 clinical journals, appearing inthe second issue of each month.

n In the Clinic: Evidence-based information aboutscreening, prevention, diagnosis, therapy, and patienteducation for the practical management of patientswith common clinical conditions. Appearing in thefirst issue of each month, In the Clinic offers answersto frequently asked questions and tools to improvethe quality of patient care.

n Structured Abstracts: A concise summary of the im-portant information in every article so that physicianscan quickly and efficiently find useful content.

n Improving Patient Care: Articles about quality im-provement and patient safety that emphasize the organization of practice rather than the clinical content of care.

n Summaries for Patients: Easily understood, evidence-based clinical content that internists can pass on totheir patients.

n ACP Clinical Practice Guidelines: Articles that focus on common problems in primary care and provide clear,concise recommendations that promote evidence-based care.

n Online CME Quizzes: Quizzes that accompany up to 3 articles from each issue and are designated forCategory 1 credit.

n On Being a Doctor/On Being a Patient: Stories that reflect the trials and triumphs of practice in today’s world.

n Ad Libitum and Personae: Original poetry and photography by practicing physicians.

n Comparative Effectiveness Reviews: Reports pro-duced by the Agency for Healthcare Research andQuality's Effective Health Care Program draw on completed scientific studies to make head-to-headcomparisons of different health care interventions.

In the Clinic®

AtrialFibrillation

Diagnosis

Treatment

Newoptions for managing atrial fibrilla-tion have become available since De-cember 2010, when In the Clinic last

considered this subject. For example, theCHA2DS2-VASc score has become the standardfor predicting thromboembolic risk. In addition,non–vitamin K–dependent oral anticoagulantshave been approved for prophylaxis againstthromboembolic disease, and agents to reversethese drugs are becoming available. Moreover,catheter ablation is being used more frequentlyto prevent recurrent atrial fibrillation, and clo-sure of the left atrial appendage with a devicecan now be done for patients who are unable toreceive systemic anticoagulation.

The CME quiz is available at Annals.org. Complete the quiz to earn up to 1.5 CME credits.

Physician WriterPeter Zimetbaum, MD

doi:10.7326/AITC201703070

CMEObjective: To review current evidence for diagnosis, treatment, and practiceimprovement of atrial fibrillation.

Funding Source: American College of Physicians.

Disclosures:Dr. Zimetbaum, ACP Contributing Author, reports boardmembership, experttestimony, and grants/grants pending outside the submittedwork. Disclosures can also beviewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2200.

With the assistance of additional physician writers, the editors of Annals of Internal Medi-cine develop In the Clinic usingMKSAP and other resources of the American College ofPhysicians.

In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinicalguidelines, please go to https://www.acponline.org/clinical_information/guidelines/.

Annals of Internal Medicine�

© 2017 American College of Physicians

Icons

General InternalMedicine, FamilyPractice, GeneralPracticeAllergy &ImmunologyCritical CareCardiologyDermatologyEmergencyMedicineEndocrinologyGeriatricsGeneticsGastroenterologyHematology/ThromboembolismHospitalistsInfectious DiseaseMental HealthNeurologyNephrologyOncologyOccupational/EnvironmentalHealthPulmonologyPhysicalMedicine &RehabilitationPublic HealthRheumatologyTropical & TravelMedicine

Guideline: Insufficient evidence exists on screening for obstructive sleep apnea inasymptomatic adults JC50

Review: In children and adults, vitamin D3 supplementation reduces risk for acuterespiratory tract infection JC51

Review: In COPD, injectable polyvalent pneumococcal vaccines reduce risk forcommunity-acquired pneumonia JC52

In C difficile infection, adding IV bezlotoxumab to standard antibiotics reducedrecurrence at 12weeks JC53

Review: After coronary DES, ≤ 6mo and 1 y of dual-antiplatelet therapy do notdiffer for CV events at 1 y JC54

Review: Targeting SBP lowering to<140mmHg reducesMACEmore thantargeting SBP to≥140 in hypertensive patients ≥ 65 y JC55

In oldermenwith low testosterone levels and age-associatedmemory impairment,testosterone did not improvememory JC56

Bariatric surgery improvedHbA1c at 5 ymore than intensivemedical care alone inobese patients with T2DM JC57

Review: Strategies to improve provider adoption and implementation of clinicalpractice guidelines were assessed JC58

Review: Interventions improve hospital antibiotic prescribing and reduce hospitalstay but do not affectmortality JC59

Glossary JC60

EditorBrianHaynes,MD, PhDDeputy EditorsThomas Agoritsas,MD, PhDJames Douketis, MDAlfonso lorio,MDMitchell Levine,MDLori Ann Linkins,MD,MScAssociate EditorsEric Bates,MDChristopherR.Carpenter,MD,MScEdmond Chouinard,MDCatherine Clase,MB, BChirDeborah Cook,MDJohn F. Cox, III, MDCarolyn J. Crandall, MD,MSChris DelMar,MB, BChir,MDTracey E. Doering,MDAndrewDunn,MDDonna Fedorkow,MDAmit Garg,MD, PhDJohnGeddes,MD

Hertzel Gerstein,MDPaul Glasziou,MBBS, PhDAnupamGoel,MDGordon Guyatt, MDLawrence Hart, MDCalvin H. Hirsch,MDRichard Hoffman,MDAnneHolbrook,MD, PharmDRoman Jaeschke,MDEddy S. Lang,MDMark Loeb,MDLorraineMacdonald,MDJohnMarshall, MDMaureenMeade,MDVictorMontori, MDDavidMorgan,MDHarvey J.Murff, MD,MPHJamesNishikawa,MDWieslawOczkowski,MDGaryM. Onady,MD, PhDTejas Patel, MDDominic Raco,MDRussell L. Rothman,MD,MPP

Holger Schunemann,MD, PhDPaul Shekelle,MD, PhDMadhusree Singh,MDMatthew Stanbrook,MD, PhDDaniel Steinberg,MDMartin Stockler,MBBSSharon Straus,MDKenUchino,MDStephanieG.Wheeler,MD,MPHLaura R.Willett, MDAndrewWorster,MDResearch AssociatesCynthia Lokker, PhDJeanMackay,MA,MScLorraineWeise-Kelly, PhDManaging EditorSusanMarks, BA, BEdProduction SupervisorDawn JedraszewskiEditorial AssistantNorma Brown

16 May 2017 • Volume 166 • Number 10

ACPJournal Club®

The Best New Evidence for Patient Care

For Purpose and Procedure, Business and Subscription Information, and How to Cite ACP Journal Club, log on to Annals.org.

© 2017 American College of Physicians

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

0%

10%

20%

30%

40%

50%

60%

70%

80%

FEDCBAnnals of Internal Medicine

63%

52%58%

49%44% 47%

Source: Kantar Media, June 2017 Internal Medicine Office and Hospital, Tables 110 and 210

Annals has the most readers of the internal medicineuniverse.

Percentage of Total Readers

0%

10%

20%

30%

40%

50%

60%

70%

80%

FEDCBAnnals of Internal Medicine

78%71% 74%

65% 65%59%

More readers receive Annals than other internal medicine publications.

Percentage Who Receive Journal

0%

10%

20%

30%

40%

50%

FEDCBAnnals of Internal Medicine

44%39% 40%

33%30% 32%

Annals has the highest percentage of ProjectedAverage Issue Readers compared to other internalmedicine publications.

Percentage Projected Average Issue Reader

0%

20%

40%

60%

80%

100%

FEDCBAnnals of Internal Medicine

81%73%

78% 75%67%

80%

81% of the physicians who receive Annals read it.

Readers as a Percentage of Receivers

2017 Readership Information

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

Rates and Dates

2018 ANNALS Black and White RATES

Description Full Page 2/3 Page 1/2 Page 1/3 Page 1/4 Page

1x $8,500 $7,655 $6,370 $5,525 $4,245

3x $8,470 $7,625 $6,340 $5,490 $4,225

6x $8,440 $7,580 $6,330 $5,475 $4,220

12x $8,360 $7,530 $6,295 $5,420 $4,140

18x $8,160 $7,365 $6,140 $5,285 $4,120

24x $7,950 $7,145 $5,960 $5,140 $3,980

36x $7,755 $6,960 $5,815 $5,015 $—

48x $7,565 $6,810 $5,665 $4,915 $—

60x $7,375 $6,640 $5,535 $4,795 $—

72x $7,225 $6,505 $5,420 $4,695 $—

96x $7,080 $6,370 $5,310 $4,605 $—

120x $6,940 $6,255 $5,205 $4,515 $—

144x $6,805 $6,120 $5,100 $4,420 $—

168x $6,665 $6,000 $5,005 $4,335 $—

192x $6,530 $5,880 $4,895 $4,245 $—

Rates are effective January 1, 2018.

Bleed is available at no extra charge. Please refer to me-chanical specifications for page size and bleed informa-tion. For rates at higher frequencies, please contact theDirector of Advertising Sales.

2018 Color Charges Add to Earned Description Black-and-White Ad Unit Cost

Second Color $775

Matched Color $1,200

3- and 4-color $2,595

Five Color $3,950

Color charges are commissionable.

Insert Rates

Description 2-Page 4-Page 6-Page 8-Page

1x $17,200 $34,200 $51,200 $68,200

3x $17,140 $34,080 $51,020 $67,960

6x $17,080 $33,960 $50,840 $67,720

12x $16,920 $33,640 $50,360 $67,080

18x $16,520 $32,840 $49,160 $65,480

24x $16,100 $32,000 $47,900 $63,800

36x $15,710 $31,220 $46,730 $62,240

48x $15,330 $30,460 $45,590 $60,720

60x $14,950 $29,700 $44,450 $59,200

72x $14,650 $29,100 $43,550 $58,000

96x $14,360 $28,520 $42,680 $56,840

120x $14,080 $27,960 $41,840 $55,720

144x $13,810 $27,420 $41,030 $54,640

168x $13,530 $26,860 $40,190 $53,520

192x $13,260 $26,320 $39,380 $52,440

A quantity run of 107,000 inserts is required for a full domestic run.

Premium Position Charges

Add to Earned

Black-and-White

Description Ad Unit Cost

Back Cover 50%

Cover 2 50%

Page Facing First Reading 25%

Page Facing Table of Contents 20%

Page Facing/Following In the Clinic 40%

Page Facing/Following ACP Journal Club 40%

Page Facing Summaries for Patients 15%

Any Other Special Requested Position 15%

Rates are effective January 1, 2018. Premium positionsare contracted for a 1-year period. Failure to fulfill thiscontract will result in forfeiture of the advertiser’s right offirst refusal for the forthcoming year. All commitment let-ters for premium positions in 2018 must be received bythe Director of Advertising Sales by November 1, 2017.

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

n Minimum size: 2-page insert.

n Demographic and regional splits count towardearned frequency on full-run advertising pages andCorporate Rewards.

n A maximum of 4 demographic or regional splits areavailable for each issue.

n Call the Director of Advertising Sales for insert quanti-ties. A 10% overage amount is required for spoilagepurposes.

2018 Production Charges

Demographic and Regional Split Production Charges

(noncommissionable)

Bindery-mailing stop charge $365 Label processing fee $2,125 Plate-change charge per color $365

Up to 15,000 Circulation

1 Page BW 1 Page 4C 2-Page 4-Page 6-Page 8-Page

ROB ROB Insert Insert Insert Insert

1x $3,485 $6,080 $6,970 $13,940 $20,910 $27,880

3x $3,475 $6,070 $6,950 $13,900 $20,850 $27,800

6x $3,465 $6,060 $6,930 $13,860 $20,790 $27,720

12x $3,425 $6,020 $6,850 $13,700 $20,550 $27,400

18x $3,345 $5,940 $6,690 $13,380 $20,070 $26,760

24x $3,260 $5,855 $6,520 $13,040 $19,560 $26,080

36x $3,180 $5,775 $6,360 $12,720 $19,080 $25,440

48x $3,100 $5,695 $6,200 $12,400 $18,600 $24,800

60x $3,025 $5,620 $6,050 $12,100 $18,150 $24,200

72x $2,965 $5,560 $5,930 $11,860 $17,790 $23,720

96x $2,900 $5,495 $5,800 $11,600 $17,400 $23,200

120x $2,845 $5,440 $5,690 $11,380 $17,070 $22,760

144x $2,790 $5,385 $5,580 $11,160 $16,740 $22,320

168x $2,735 $5,330 $5,470 $10,940 $16,410 $21,880

192x $2,680 $5,275 $5,360 $10,720 $16,080 $21,440

15,001–25,000 Circulation

1 Page BW 1 Page 4C 2-Page 4-Page 6-Page 8-Page

ROB ROB Insert Insert Insert Insert

1x $4,335 $6,930 $8,670 $17,340 $26,010 $34,680

3x $4,320 $6,915 $8,640 $17,280 $25,920 $34,560

6x $4,305 $6,900 $8,610 $17,220 $25,830 $34,440

12x $4,265 $6,860 $8,530 $17,060 $25,590 $34,120

18x $4,160 $6,755 $8,320 $16,640 $24,960 $33,280

24x $4,055 $6,650 $8,110 $16,220 $24,330 $32,440

36x $3,960 $6,555 $7,920 $15,840 $23,760 $31,680

48x $3,855 $6,450 $7,710 $15,420 $23,130 $30,840

60x $3,760 $6,355 $7,520 $15,040 $22,560 $30,080

72x $3,685 $6,280 $7,370 $14,740 $22,110 $29,480

96x $3,610 $6,205 $7,220 $14,440 $21,660 $28,880

120x $3,540 $6,135 $7,080 $14,160 $21,240 $28,320

144x $3,470 $6,065 $6,940 $13,880 $20,820 $27,760

168x $3,400 $5,995 $6,800 $13,600 $20,400 $27,200

192x $3,330 $5,925 $6,660 $13,320 $19,980 $26,640

25,001–50,000 Circulation

1 Page BW 1 Page 4C 2-Page 4-Page 6-Page 8-Page

ROB ROB Insert Insert Insert Insert

1x $5,100 $7,695 $10,200 $20,400 $30,600 $40,800

3x $5,085 $7,680 $10,170 $20,340 $30,510 $40,680

6x $5,065 $7,660 $10,130 $20,260 $30,390 $40,520

12x $5,015 $7,610 $10,030 $20,060 $30,090 $40,120

18x $4,895 $7,490 $9,790 $19,580 $29,370 $39,160

24x $4,770 $7,365 $9,540 $19,080 $28,620 $38,160

36x $4,655 $7,250 $9,310 $18,620 $27,930 $37,240

48x $4,540 $7,135 $9,080 $18,160 $27,240 $36,320

60x $4,425 $7,020 $8,850 $17,700 $26,550 $35,400

72x $4,335 $6,930 $8,670 $17,340 $26,010 $34,680

96x $4,250 $6,845 $8,500 $17,000 $25,500 $34,000

120x $4,165 $6,760 $8,330 $16,660 $24,990 $33,320

144x $4,080 $6,675 $8,160 $16,320 $24,480 $32,640

168x $4,000 $6,595 $8,000 $16,000 $24,000 $32,000

192x $3,915 $6,510 $7,830 $15,660 $23,490 $31,320

Demographic and Regional SplitsRun-of-Book and Inserts New insertion orders and match files for demo-graphic splits must be submitted 10 business daysbefore the insertion order due date shown in theschedule of Publication and Closing Dates.

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

50,001–75,000 Circulation

1 Page BW 1 Page 4C 2-Page 4-Page 6-Page 8-Page

ROB ROB Insert Insert Insert Insert

1x $5,950 $8,545 $11,900 $23,800 $35,700 $47,600

3x $5,930 $8,525 $11,860 $23,720 $35,580 $47,440

6x $5,910 $8,505 $11,820 $23,640 $35,460 $47,280

12x $5,850 $8,445 $11,700 $23,400 $35,100 $46,800

18x $5,710 $8,305 $11,420 $22,840 $34,260 $45,680

24x $5,565 $8,160 $11,130 $22,260 $33,390 $44,520

36x $5,430 $8,025 $10,860 $21,720 $32,580 $43,440

48x $5,295 $7,890 $10,590 $21,180 $31,770 $42,360

60x $5,160 $7,755 $10,320 $20,640 $30,960 $41,280

72x $5,060 $7,655 $10,120 $20,240 $30,360 $40,480

96x $4,955 $7,550 $9,910 $19,820 $29,730 $39,640

120x $4,860 $7,455 $9,720 $19,440 $29,160 $38,880

144x $4,765 $7,360 $9,530 $19,060 $28,590 $38,120

168x $4,665 $7,260 $9,330 $18,660 $27,990 $37,320

192x $4,570 $7,165 $9,140 $18,280 $27,420 $36,560

Publication and Closing Dates

Ad Materials Publication Insertion Due to Cenveo Inserts Supplied toDate Order Date Publisher LSC Communications

Jan 2 12/1 12/7 12/11

Jan 16 12/15 12/21 12/26

Feb 6 1/11 1/18 1/19

Feb 20 1/26 2/1 2/2

Mar 6 2/9 2/15 2/16

Mar 20 2/23 3/1 3/2

Apr 3 3/9 3/15 3/16

Apr 17 3/23 3/29 3/30

May 1 4/6 4/12 4/13

May 15 4/20 4/26 4/27

Jun 5 5/11 5/17 5/18

Jun 19 5/25 5/31 6/1

Jul 3 6/8 6/14 6/15

Jul 17 6/22 6/27 6/28

Aug 7 7/6 7/12 7/13

Aug 21 7/20 7/26 7/27

Sep 4 8/10 8/16 8/17

Sep 18 8/24 8/29 8/30

Oct 2 9/7 9/13 9/14

Oct 16 9/21 9/27 9/28

Nov 6 10/12 10/18 10/19

Nov 20 10/26 11/1 11/2

Dec 4 11/9 11/13 11/14

Dec 18 11/21 11/29 12/3

Jan 1 12/7 12/12 12/13

Jan 15 12/21 12/26 12/27

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

2018 Advertising Incentive Programs

One Free with ThreeAdvertise in 3 consecutive issues of Annals of InternalMedicine and receive a fourth consecutive ad free.

n Does not apply to cover positions.

n Ads must be for the same product.

n If ads of different sizes are run, the free ad will be calcu-lated on the average of the 3 qualifying ad units.

n A full page is the minimum qualifying size.

n Free ads count toward earned frequency.

n Cannot be combined with Better than a Baker’s Dozen orSecond Issue Discount.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December 2018.

Better than a Baker’s Dozen BuyAdvertise in any 12 issues of Annals of Internal Medicineand receive 2 additional ad insertions free.

n Ads must be for the same product.

n If ads of different sizes are run, the free ads will be calculated on the average of the 12 qualifying adunits.

n A full page is the minimum qualifying size.

n Free ads count toward earned frequency.

n Paid ads must run before free ads are placed.

n Cannot be combined with One Free with Three.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December2018.

Second Issue DiscountAdvertise in the first issue ofAnnals of Internal Medicine inany month and receive 25% off the net cost of an ad forthe same product in the second issue of the same month.

n A full page is the minimum qualifying size.

n Second ad must be the same size or smaller than thefirst ad.

n Cannot be combined with One Free with Three orBetter than a Baker’s Dozen.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December2018.

Prescribing Information (PI) Page DiscountRun 3 or more PI pages and receive 50% off the blackand white per page rate starting with page 3.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December2018.

ACP Sister Publication Combo BuyAdvertise in either monthly issue of Annals of InternalMedicine and receive a 20% discount off the net cost ofan ad in the same or following month’s issue of ACPInternist and/or ACP Hospitalist.

n Ads must be for the same product.

n A full page is the minimum qualifying size.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December2018.

Corporate RewardsBased on gross billings in 2017, an advertiser or sub-sidiary will be eligible for a bonus percentage discountin 2018.

Gross billings include combined revenue for Annals ofInternal Medicine; ACP Internist; ACP Hospitalist;reprints; and ads placed in ACP sponsorship publica-tions, such as the Internal Medicine 2017 ScientificProgram and Internal Medicine Meeting 2017 News.

Gross Billings Discount %

$150,001–$250,000 1.25

$250,001–$500,000 1.75

$500,001–$750,000 2.50

$750,001–$1,000,000 3.00

$1,000,001–$1,250,000 4.00

$1,250,001 and over 5.00

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

Mechanical Specifications and Insert Production Requirements

Mechanical Specifications—ROB Ads

Annals of Internal Medicine uses Web offset reproduction.Trim Size: 8 1/4" x 10 13/16"

Live Area: Keep important images and text at least .25"from trim.

Binding: Perfect

Paper Stock: Cover: 8-Point Sterling Ultra Gloss CoverInside Pages: 45-lb Capri Silk Text

Ad Unit Size Nonbleed With Bleed

Width x Depth Width x Depth

Full Page 7" x 10" 8 5/8" x 11 1/4"

Full Page (trim) 8 1/4" x 10 13/16"

2/3 page 4 1/2" x 10" —

1/2 Page Horizontal 7" x 4 7/8" 8 5/8" x 5 1/16"

1/2 Page Vertical 3 7/16" x 10" 3 5/8" x 11 1/4"

1/3 Page Vertical Column 2 1/8" x 10" —

1/4 Page 3 7/16" x 4 7/8" —

Submitting Display Ads ElectronicallyFor information on submitting ads directly to the AnnalsFTP site, contact John Carney at [email protected] 215-351-2419 and Theresa Englehart [email protected] or 215-351-2663.

If files are submitted to the FTP, a color proof should still be sent to Cenveo and an email notification of theupload should be sent to John Carney.

All ads should be supplied as single page format, including spreads. For a complete guide to aid you in the digital art creation/submission process, visit thefollowing Web site: www.lsccom.com/prepress/prepare/for-magazine-printing/.

DO NOT send your files before thoroughly reviewing the information provided in the Guidelines and InSite tabs atthe Web site listed above.

If your ad files do not conform to these specifications,we cannot guarantee placement in the issue originallyrequested.

Insertion Orders, Electronic Files, Contracts, andAd Copy to Be Sent by AdvertiserSupply Insertion Orders to:John Carney at [email protected] and Theresa Englehart at [email protected].

Display ads created electronically should be sent ondisk.

Supply electronic files with color proof and writteninstructions, including the name of publication anddate of insertion, to:Leslie Richardson, Account ManagerCenveo Publisher Services2905 Byrdhill RoadRichmond, VA 23228 804-261-3098 [email protected]

Supply contracts and ad copy to: John Carney Advertising Production CoordinatorACP190 N. Independence Mall WestPhiladelphia, PA 19106-1572800-523-1546, ext. [email protected]

1/4 Page

Hal

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Half Page (H)

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Annals of Internal Medicine | www.annals.org | 2018 Advertising Rate Card

Insert Production Requirements� Multiple-page inserts MUST be furnished folded.

Sizes:� 2-page (1-leaf)

Untrim, 8 1/2" x 11 1/4"Trim, 8 1/4" x 10 13/16"

� 4-page (2-leaf)Untrim, 17 1/8" x 11 1/4"Trim, 16 1/2" x 10 13/16"(folded to 8 1/2" x 11 1/4")

Trim Allowance:� 1/8" head, 5/16" foot

� 1/8" front, 1/8" back

� When perforation is required in an insert, 1/2" shouldbe allowed along the gutter edge so that the insertmay be removed freely from the journal. All insertsjog to the head.

Stock Weights Acceptable:� 70 lb or less (25" x 28" basis)

� Thickness not to exceed 0.004"

Miscellaneous:� A sample or dummy of the proposed new insert must

be submitted to the Advertising Production Coordinatorfor approval no less than 30 days before the issue date.

� A quantity of 107,000 inserts is required for eachissue for the domestic run. The quantity should beverified with the Advertising Production Coordinatorfor each issue. The publisher does not assumeresponsibility for shortages of insert shipment.

� It may be necessary to limit the number of suppliedinserts per issue. If this occurs, clients will be given theoption to run the insert in the next consecutive issue.

� There is no charge for insert tip-in or handling.

� A PDF of the insert should be sent to [email protected] [email protected].

Shipping: All inserts for all issues of Annals of Internal Medicine must be shipped to:

Annals of Internal MedicineLSC CommunicationsAttn: Jackie Barlow1600 North Main StreetPontiac, IL [email protected]

The following information MUST appear on the outside of EACH carton:

� Annals of Internal Medicine

� Advertiser and product name

� Issue date for insertion

� Insert size and quantity in each carton

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ACP Hospitalist | www.acphospitalist.org | 2018 Advertising Rate Card

Journal ProfilePublisher: American College of Physicians

Executive Editor: Jennifer Kearney-Strouse

Editor-in-Chief: Stacey Butterfield

Established: 2007

Frequency:Monthly in print and online

Audience: Hospital-based internists, hospital-based in-ternal medicine subspecialists, third-year internal medi-cine residents, residency program directors

2018 Projected Circulation: 32,588

Audited by: Business Publishers Association (BPA)

ACP Hospitalist is the resource that hospital-based in-ternists and third-year internal medicine residents readfor news and information about the practice of hospitalmedicine, including:

n Advances in health care technology

n Clinical controversies

n Staffing and scheduling innovations

n Salary trends

n Reimbursement news affecting hospitalists

n Patient safety and quality-of-care issues

n Evidence-based medicine

n Latest research news

Audience FocusACP Hospitalist is written for hospital-based internistsand third-year residents. The number of hospitalistspracticing today is growing as more hospitals recognizethe benefit of hosting or employing doctors who cangive increased attention to individual patients. Over 75% of all hospitalists are trained in general internalmedicine.

Editorial Focus Stacey Butterfield is an award-winning journalist who hasworked on ACP Hospitalist since its inception in 2007and became editor-in-chief of the magazine in 2015. Shehas a master's degree in communication, policy, andhealth from the University of Pennsylvania.

Departments include:

n Success Story:Features successfulinitiatives led by orinvolving hospitalists.

n Your Career: Reportson practice trends,compensation, andscheduling, as well as tips on how to improve career satisfaction.

n Your Practice: Provides practical information to helphospitalists improve their daily work lives in such ar-eas as transitions of care and patient interactions.

n Coding Corner: Advises readers on documentingconditions to receive appropriate reimbursement.

n Clinical Medicine: Brings hospitalists content that theycan trust, including content from ACP's extensiveknowledge base, such as the “Test Yourself” featurefrom MKSAP.

n Recent Research: Makes it easier for busy physiciansto keep current by summarizing recently publishedstudies that are relevant to hospital practice.

n Conference Coverage: Keeps hospitalists informedabout developments at ACP, the Society of HospitalMedicine, and other professional societies.

n Perspectives: Provides a forum for readers to publish ar-ticles on self-identified topics of interest to hospitalists.

n Brief Case: Features summaries of real-life inpatientcases written by hospital physician readers.

ACP Hospitalist’s affiliated e-newsletter, ACP HospitalistWeekly, keeps readers up to date on hospital medicinenews, clinical guidelines, and the latest research from topacademic journals.

ACP Hospitalist won the 2017 Bronze Award for BestIllustration from the American Society of HealthcarePublication Editors. An ACP Hospitalist feature story wasa 2017 finalist for the National Institute for Health CareManagement Foundation's Health Care Print JournalismAward in the trade publication category.

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ACP Hospitalist | www.acphospitalist.org | 2018 Advertising Rate Card

Rates and Dates

ROB Black and White Ad Rates

Description Full Page 1/2 Page 1/4 Page

1x $3,275 $2,450 $1,625

3x $3,235 $2,445 $1,620

6x $3,215 $2,425 $1,600

12x $3,175 $2,380 $1,595

18x $3,165 $2,375 $1,590

24x $3,150 $2,370 $1,585

36x $3,110 $2,340 $—

48x $3,030 $2,280 $—

60x $3,020 $2,275 $—

72x $2,980 $2,230 $—

96x $2,950 $2,205 $—

120x $2,915 $2,180 $—

144x $2,895 $2,130 $—

168x $2,855 $2,100 $—

192x $2,820 $2,060 $—

Rates are effective with the January 2018 issue.

Bleed is available at no extra charge. Please refer to mechanical specifications for page size and bleed information.

Color Charges

Add to Earned

Description Black-and-White Ad Unit Cost

Second Color $685

Matched Color $820

3- and 4-Color $1,365

Insert RatesOnly 1 bound-in insert is permitted in each issue, and 2 tip-inscan be accepted. The bound-in insert is limited to the centerspread and must be at least 4 pages in size. A quantity of35,500* inserts is required for a full domestic run.

*Bonus distribution for March and April will require additional inserts. Contact Adverting ProductionCoordinator for quantities.

Size Total

2-Page Tip-in $7,245

4-Page $13,310

8-Page $26,355

Premium Position Charges

Add to Earned Description Black-and-White Ad Unit Costt

Cover 2 50%

Center Spread 50%

Cover 4 50%

Page Facing Table of Contents 20%

Any Other Special Requested Position 15%

Rates are effective January 1, 2018. Premium positionsare contracted for a 1-year period. Failure to fulfill thiscontract will result in forfeiture of the advertiser’s right offirst refusal for the forthcoming year. All commitment let-ters for premium positions in 2018 must be received bythe Director of Advertising Sales by November 1, 2017.

Publication and Closing DatesACP Hospitalist is published on the 15th day of themonth.

Ad Materials Due Inserts Supplied

Insertion to ACP Advertising to Cenveo

Publication Order Production Publisher

Date Date Coordinator Services

Jan 12/5 12/17 12/22

Feb 1/9 1/22 1/26

Mar 2/8 2/19 2/26

Apr 3/13 3/21 3/27

May 4/12 4/23 4/30

Jun 5/10 5/22 5/29

Jul 6/6 6/18 6/25

Aug 7/12 7/24 7/30

Sep 8/9 8/21 8/27

Oct 9/11 9/19 9/26

Nov 10/11 10/23 10/30

Dec 11/6 11/20 11/28

See page 20 for Bonus Distribution.

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ACP Hospitalist | www.acphospitalist.org | 2018 Advertising Rate Card

Advertising Incentive Programs

Buy 10, Get 2 FreeAdvertise in each issue of ACP Hospitalist from Januarythrough October and receive a free advertisement in theNovember issue and December issue.

n Ads must be for the same product.

n If ads of different sizes are run, the free ads will be cal-culated on the average of the 10 paid advertisements.

n A full page is the minimum qualifying size.

n Paid ads must run before free ads are placed.

n Free ads count toward earned frequency andCorporate Rewards.

n This program ends with the December 2018 issue.

ACP Sister Publication Combo BuyAdvertise in either monthly issue of Annals of InternalMedicine and receive a 20% discount off the net cost ofan ad in the same or following month’s issue of ACPInternist and/or ACP Hospitalist.

n Ads must be for the same product.

n A full page is the minimum qualifying size.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of December2018.

Corporate RewardsBased on gross billings in 2017, an advertiser or sub-sidiary will be eligible for a bonus percentage discountin 2018.

Gross billings include combined revenue for Annals ofInternal Medicine; ACP Internist; ACP Hospitalist;reprints; and ads placed in ACP sponsorship publica-tions, such as the Internal Medicine 2017 ScientificProgram and Internal Medicine Meeting 2017 News.

Gross Billings Discount %

$150,001–$250,000 1.25

$250,001–$500,000 1.75

$500,001–$750,000 2.50

$750,001–$1,000,000 3.00

$1,000,001–$1,250,000 4.00

$1,250,001 and over 5.00

Mechanical Specifications and Insert Production Requirements

Mechanical Specifications—ROB Ads

ACP Hospitalist uses sheet-fed offset reproduction.Trim Size: 8 1/4" x 10 13/16"

Live Area: Keep important images and text at least .25"from each side.

Binding: Saddle-Stitched

Paper Stock: Cover: 80-lb Cenveo Gloss TextInside Pages: 45-lb Liberty Gloss Text

Ad Unit Nonbleed With Bleed

Size Width x Depth Width x Depth

Full Page 7" x 10" 8 5/8" x 11 1/4"

Full Page (trim) 8 1/4" x 10 13/16"

1/2 Page Horizontal 7" x 4 7/8" 8 5/8" x 5 1/16"

1/2 Page Vertical 3 7/16" x 10" 3 5/8" x 11 1/4"

1/4 Page (trim) 3 7/16" x 4 7/8"

Colors and Color DensitiesOn 4-color pages, only 1 color may be solid and noother color should exceed 85%. The total density of all 4colors cannot exceed 300%.

1/4 Page

Hal

f Pa

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(V)

Full Page

Half Page (H)

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ACP Hospitalist | www.acphospitalist.org | 2018 Advertising Rate Card

Submitting Display Ads ElectronicallyIf using Quark on a Mac platform:

Please supply a Press-optimized PDF, version 1.4 orlower, along with the native Quark file in single page for-mat, including spreads. Include linked images and fonts.

For more detailed instructions or if using any applicationother than Quark, go to the Web site cpc.cadmus.com/ads/index.asp and follow the directions for creating a PDF.

DO NOT send your files before thoroughly reviewing theinformation provided at the Web site listed above.

If your ad files do not conform to these specifications,we cannot guarantee placement in the issue originallyrequested.

Insertion Orders, Electronic Files, Contracts, andAd Copy to Be Sent by AdvertiserSupply Insertion Orders to:John Carney at [email protected] and Theresa Englehart at [email protected].

Display ads created electronically should be sent ondisk with color proofs and written instructions.

Supply electronic files, contracts, ad copy, and original art, together with complete mechanical and written instructions that include the name of the publication and date of insertion, to:

ACP HospitalistJohn CarneyAdvertising Production CoordinatorACP190 N. Independence Mall WestPhiladelphia, PA 19106-1572800-523-1546, ext. [email protected]

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ACP Hospitalist | www.acphospitalist.org | 2018 Advertising Rate Card

Insert Production Requirements n Multiple-page inserts MUST be furnished folded.

Bound-in Specifications:Acceptable sizes: 4-page (2 leaves) or 8-page (4 leaves)

Folded Untrimmed:Low Folio, 8 3/4" x 11 1/4"High Folio, 8 3/4" x 11 1/4"

Trim Allowance:n 1/8" head, 5/16" foot

n 1/8" front

n When perforation is required in an insert, 1/2" shouldbe allowed along the gutter edge so that the insertmay be removed freely from the journal. All insertsjog to the head.

n 3/8" binding lap

Tip-in Specifications:n Acceptable sizes: 2-page (1 leaf) or 4-page (2 leaves)

n Trim Size 8 1/4" x 10 13/16"

n Trim Allowance Head, Face, Foot 1/8"

n Full deliverable size 8 3/8" x 11 1/16"

Stock Weights Acceptable:n 70-lb or less (25 x 28 basis)

n Thickness not to exceed 0.004"

Miscellaneous:n A sample or dummy of the proposed new insert

must be submitted to the Advertising ProductionCoordinator for approval no less than 30 days beforethe issue date.

n A quantity of 35,500 inserts are required for each is-sue for domestic run only. The quantity should be ver-ified with the Advertising Production Coordinator foreach issue. The publisher does not assume responsi-bility for shortages of insert shipment.

n Only 1 bound-in insert and 2 tip-ins can be acceptedin each issue. The bound-in insert is limited to thecenter spread and must be 4 pages in size.

n Insert rates may be combined with run-of-book ratesfor frequency discounts.

n There is no charge for insert tip-in or handling.

n A PDF of the insert should be sent to [email protected] [email protected].

ShippingAll inserts for all issues of ACP Hospitalist must beshipped to:

ACP HospitalistCenveo Publisher Services2901 Byrdhill RoadRichmond, VA 23228Attn: Kevin [email protected]

The following information MUST appear on the outside of each carton:

n ACP Hospitalistn Advertiser and product namen Issue date for insertionn Insert size and quantity in each carton

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ACP Internist | www.acpinternist.org | 2018 Advertising Rate Card

Journal ProfilePublisher: American College of Physicians

Executive Editor: Jennifer Kearney-Strouse

Established: 1981

Frequency: 10 times per year in print; combinedJuly/August and November/December

Audience: Internists, internal medicine subspecialists

2018 Projected Circulation: 73,384

ACP Internist is the official tabloid-sized member publication of the American College of Physicians.

Audience FocusACP Internist is written for general internists and internalmedicine subspecialists and is a benefit of paid ACPmembership. Many internists are primary care physicianswho provide disease prevention services, diagnosis, andtreatment to adults and adolescents. Others have chosento specialize in one of internal medicine’s 15 subspecial-ties: cardiology, gastroenterology, nephrology, en-docrinology, hematology, rheumatology, neurology,pulmonary medicine, oncology, infectious diseases, allergy and immunology, sports medicine, critical caremedicine, hospice and palliative medicine, or geriatrics.The 249,237 general internists and subspecialists work-ing in the United States wrote approximately one billionprescriptions and are more than twice the number offamily practice and general practice physicians (119,800).This group constitutes the ideal market for advertiserswho wish to reach high-prescribing clinicians who treatadult patients.

Editorial Focus Jennifer Kearney-Strouse became editor of ACP Internistin 2009. She has worked in medical publishing for 20years, most recently as the editor of ACP Hospitalist,which she helped launch as a monthly magazine. Sheholds a master's degree in journalism from TempleUniversity.

ACP Internist features a wealth of information on the clinical and business aspects of running a practice.Some of the highlights include:

n In-depth features onthe latest news andclinical issues in internal medicine.

n A practice manage-ment section with expert commen-taries and practicaladvice on running apractice.

n Perspectives from ACP leaders, youngphysicians, and oth-ers in the medicalcommunity.

n Conference cover-age from ACP’s annual meeting and other scientificmeetings, focusing on subspecialties as well as healthcare policy.

ACP Internist won a Bronze award in the AmericanSociety of Healthcare Publication Editors' (ASHPE) 2017competition in the category of Best Newsletter. ACPInternist also won a 2017 Bronze EXCEL Award in thecategory of Newspapers: General Excellence and a2017 Gold EXCEL Award in the category of Newspapers:Editorial Excellence from Association Media &Publishing. The EXCEL Awards recognize excellence andleadership in nonprofit association media, publishing,marketing, and communications. ASHPE recognizes edi-torial excellence and achievement in the field of healthcare publishing.

ACP Internist has a strong Web presence and maintainsan active Twitter stream. Its blog is updated frequentlyby expert columnists with posts on medical topics aswell as humorous and offbeat posts. The affiliatedweekly e-newsletter, ACP Internist Weekly, won a 2016Silver Award from ASHPE for Best E-Newsletter. It keepsmembership up to date on clinical guidelines, the latestresearch from top academic journals, Medicare news,FDA drug actions, and legislative news that affects internists. The e-newsletter also directs readers to recent items of interest in other College resources andpublications.

May 2017 | Vol. 37 No. 5 | www.acpinternist.org

®

Managing superbugsin your communityBy Mollie Durkin

The escalating problem of antimicro-bial resistance in the U.S. is becomingmore dire each year.

2016’s watershed moment may havebeen the country’s first report of mcr-1, thegene that confers resistance to colistin, foundin a sample of Escherichia coli cultured froma patient with a urinary tract infection (UTI).Fortunately, the infection was susceptible toother antibiotics.

In 2017, however, January’s big resist-ance news was all the more harrowingbecause it involved a patient’s death. ANevada woman in her 70s died lastSeptember of a wound infection that wasresistant to all 26 antibiotics available in theU.S. The culprit pathogen was found to beKlebsiella pneumoniae, part of the infa-mous “superbug” group of carbapenem-resistant Enterobacteriaceae (CRE), which

have also been implicated in prior pan-resistant gram-negative bacterial infections.

Although general internists would notbe on the frontlines of critical care for sucha patient, they are poised to assume a keyrole in tackling the increasingly formida-ble threat of antimicrobial resistance,experts said.

“Primary care internists are supposed tobe the tip of the spear. Even though you maynot solve the entire problem, you set thechain of events in motion so that the problemcan be solved,” said ACP Member AshwinVasan, MD, PhD, MSc, an assistant professorof population health and medicine at theColumbia University Mailman School ofPublic Health and College of Physicians andSurgeons in New York.

Despite an increasing need for outpa-tient physicians in the U.S., hospitalwards continue to serve as internal

medicine’s primary training grounds.In effect, this inpatient training model

prepares residents to be inpatient doctorsrather than primary care physicians, saidFred N. Pelzman, MD, an associate professorof medicine at NewYork-PresbyterianHospital in New York City. “In residency, Igot really good at acute myocardial infarc-tions and getting people out of diabeticketoacidosis and sepsis. These were peoplewho were incredibly sick, lying in a hospitalbed,” he said. “But that isn’t where mosthealth care happens.”

Most patient visits and more than 60%of procedures now occur in the outpatientsetting, according to a 2014 Council onGraduate Medical Education (COGME)report. “Still, the focus in the hospital is onreally critically ill patients … and there hasn’tbeen a commensurate change to the volumeof time and the attention that is needed in the

outpatient world to train the residents,” Dr.Pelzman said.

Primary concernsBy 2030, the shortfall in primary care

physicians is projected to be between 7,300and 43,100, according to a 2017 report com-missioned by the Association of AmericanMedical Colleges (AAMC).

The COGME has pinned 40% as the idealproportion of U.S. medical graduates enteringcareers in primary care (e.g., general internalmedicine, family medicine, geriatric medi-cine, and pediatrics). However, as of 2010,only about 32% of physicians in the U.S. prac-ticed primary care, according to the group.

There is widespread but delayed recog-nition of the primary care physician shortage,as well as the need to reform training andrecruit a new generation of medical studentsto go into primary care, said Allan Goroll, MD,MACP, a professor of medicine at HarvardMedical School and an internist atMassachusetts General Hospital in Boston.

“We are about 20 years late. We have let pri-mary care training decline in intensity, bothin terms of funding and in terms of structureand function,” Dr. Goroll said.

The Accreditation Council for GraduateMedical Education (ACGME) requires thatinternal medicine residents complete at leastone-third of their training in the ambulatorysetting and 130 distinct half-day outpatientsessions over a period of 30 months or more.

Despite the outpatient mandates, clinictime is often seen as secondary to the bulk ofresidents’ work, said Heather Brislen, MD,FACP, clinical assistant professor at theUniversity of New Mexico and the NewMexico VA Health Care System. “It’s not easyfor programs and residents to meet outpatienttraining requirements because you’re mixingambulatory education time into a predomi-nantly inpatient work environment wherehospitals rely heavily on medical residents torun their inpatient wards,” she said.

Prepping IM residents for primary careBy Mollie Durkin

See Superbugs, page 11

Internists are poised to assume a key role in tackling the increasingly formidable threatof antibiotic resistance. Pictured above is a biofilm of Candida and methicillin-resistantStaphylococcus aureus.

See Primary care, page 10

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What’s nextfor healthcare reform?

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Keys tohealthyaging

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ACP Internist | www.acpinternist.org | 2018 Advertising Rate Card

Rates and Dates

ROB Black and White Ad RatesFull Run

Desc Tab 3/4 1/2 “A”-Size 1/4 1/8 Page

Page Page Page Page Page (1/2 Col)

1x $6,065 $5,040 $3,395 $3,800 $2,520 $1,915

3x $5,890 $4,895 $3,330 $3,675 $2,480 $1,865

6x $5,720 $4,745 $3,200 $3,555 $2,385 $1,720

12x $5,535 $4,580 $3,110 $3,425 $2,295 $1,605

18x $5,465 $4,555 $3,080 $3,415 $2,285 $1,600

24x $5,405 $4,455 $3,045 $3,356 $2,275 $-

36x $5,220 $4,345 $2,990 $3,295 $– $–

48x $5,155 $4,270 $2,925 $3,235 $– $–

60x $5,095 $4,235 $2,905 $3,220 $– $–

72x $5,065 $4,230 $2,900 $3,180 $– $–

96x $5,060 $4,155 $2,855 $3,150 $– $–

120x $5,020 $4,135 $2,825 $3,125 $– $–

144x $4,985 $4,110 $2,810 $3,105 $– $–

168x $4,950 $4,090 $2,785 $3,075 $– $–

192x $4,910 $4,070 $2,765 $3,050 $– $-

Color Charges

Add to Earned

Description Black and White Ad Unit Cost

Second Color $780

Matched Color $950

3- and 4-Color $2,200

Insert Rates

Only 1 bound-in insert is permitted in each issue, and 2tip-ins can be accepted. The bound-in insert is limited tothe center spread and must be at least 4 pages in size. Aquantity of 78,000* inserts is required for a full domesticrun.*Bonus distribution for March and April will require addi-tional inserts. Contact Advertising Production Coordinatorfor quantities.

“A”-Size Inserts

Size Total

2-Page $9,720

4-Page $15,990

6-Page $22,620

8-Page $28,645

Tabloid-Size Inserts

Size Total

2-Page $14,530

4-Page $24,685

6-Page $35,115

8-Page $44,780

Premium Position Charges

Description Add to Earned

Black-and-White Ad Unit Cost

Cover 2 50%

Center Spread 50%

Back Cover (full tabloid size only) 50%

Page Facing Table of Contents 15%

Any Other Special Requested Position 15%

Rates are effective January 1, 2018. Premium positionsare contracted for a 1-year period. Failure to fulfill thiscontract will result in forfeiture of your right of first re-fusal for the forthcoming year. All commitment letters forpremium positions in 2018 must be received by theDirector of Advertising Sales by November 1, 2017.

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ACP Internist | www.acpinternist.org | 2018 Advertising Rate Card

Publication and Closing DatesACP Internist is published on the first day of the month.There are combined issues published for the months ofJuly and August and for November and December.

Publication Insertion Ad Materials Due Inserts Supplied Date Order to ACP Advertising to Cenveo Date Production Publisher Coordinator Services

Jan 12/5 12/11 12/20

Feb 1/5 1/12 1/22

Mar 2/6 2/12 2/22

Apr 3/6 3/12 3/19

May 4/3 4/9 4/17

Jun 5/7 5/11 5/21

Jul/Aug 6/5 6/11 6/18

Sep 8/6 8/13 8/20

Oct 9/5 9/11 9/21

Nov/Dec 10/5 10/11 10/22

See page 20 for Bonus Distribution

Advertising Incentive Programs

Buy 6, Get 10Advertise in the 6 issues of ACP Internist from Januarythrough June and receive 4 additional ad insertions free.

n Does not apply to cover positions.

n Ads must be for the same product.

n If ads of different sizes are run, the free ads will be cal-culated on the average of the 6 qualifying ad units.

n A full page is the minimum qualifying size.

n Paid ads must run before free ads are placed.

n Free ads count toward earned frequency andCorporate Rewards.

n This program ends with the last issue of 2018.

ACP Sister Publication Combo BuyAdvertise in either monthly issue of Annals of InternalMedicine and receive a 20% discount off the net cost of an ad in the same or following month’s issue of ACPInternist and/or ACP Hospitalist.

n Ads must be for the same product.

n A full page is the minimum qualifying size.

n Does not apply to Annals of Internal MedicineDemographic and Regional Splits.

n This program ends with the last issue of 2018.

Corporate RewardsBased on gross billings in 2017, an advertiser or subsidiary will be eligible for a bonus percentage discount in 2018.

Gross billings include combined revenue for Annals ofInternal Medicine; ACP Internist; ACP Hospitalist;reprints; and ads placed in ACP sponsorship publica-tions, such as the Internal Medicine 2017 ScientificProgram and Internal Medicine Meeting 2017 News.

Gross Billings Discount %

$150,001–$250,000 1.25

$250,001–$500,000 1.75

$500,001–$750,000 2.50

$750,001–$1,000,000 3.00

$1,000,001–$1,250,000 4.00

$1,250,001 and over 5.00

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ACP Internist | www.acpinternist.org | 2018 Advertising Rate Card

Mechanical Specifications and Insert Production Requirements

Mechanical Specifications—ROB AdsACP Internist uses Web offset reproduction.

Trim Size: 10 7/8" x 14 7/8"

SLive Area: Keep important images and text at least .25"from each side.

Binding: Saddle-Stitched

Paper Stock: St. Regis 40-lb Cenveo Gloss

Ad Size Trim Size*

“King” Page 10 7/8" x 14 7/8"“King Spread” 21 3/4" x 14 7/8"“A” Page 7 3/8" x 9 5/8"3/4 Horizontal (4 columns) 9 7/8" x 10"3/4 Vertical (3 colocolumns) 7 1/8" x 13"1/2 Horizontal (4 columns) 9 7/8" x 6 5/8"1/2 Horizontal Spread 20 3/4" x 6 5/8"1/2 Vertical (2 columns) 4 7/8" x 13"1/4 Horizontal (3 columns) 7 3/8" x 5"1/4 Vertical (2 columns) 4 7/8" x 6 5/8"

1/4 Vertical (1 column) 2 5/16” x 13”

1/8 Vertical 2 5/16” x 6 5/8”

*For Bleed, please add at least .25" to all 4 sides of trimsize.

Colors and Color DensitiesOn 4-color pages, only 1 color may be solid and noother color should exceed 85%. The total density of all 4colors cannot exceed 300%.

Submitting Display Ads ElectronicallyIf using Quark on Mac platform:

Please supply a Press-optimized PDF in a single pageformat, version 1.4 or lower, along with the native Quarkfile. Include linked images and fonts.

For more detailed instructions or if using any application otherthan Quark, go to the Web site cpc.cadmus.com/ads/index.aspand follow the directions for creating a PDF.

DO NOT send your files before thoroughly reviewing theinformation provided at the Web site listed above.

If your ad files do not conform to these specifications,we cannot guarantee placement in the issue originallyrequested.

Insertion Orders, Electronic Files, Contracts, andAd Copy to Be Sent by AdvertiserSupply Insertion Orders to:John Carney at [email protected] and Theresa Englehart at [email protected].

Display ads created electronically should be sent ondisk with color proofs and written instructions.

Supply electronic files, contracts, ad copy, and original art, together with complete mechanical and written instructions that include the name of thepublication and date of insertion, to:

ACP InternistJohn CarneyAdvertising Production CoordinatorACP190 N. Independence Mall WestPhiladelphia, PA 19106-1572800-523-1546, ext. [email protected]

1/4 Page

“A” Page

Hal

f Pa

ge

(V)

“King” Page

Half Page (H)

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ACP Internist | www.acpinternist.org | 2018 Advertising Rate Card

Insert Production Requirements n Multiple-page inserts MUST be furnished folded.

Publication will accept one 4- or 8-page insert and a limited number of 2-page tip-ins per issue as follows:

Sizes:n Tabloid Size (4, 8 pages)

Untrimmed:High Folio and Closed Head, 11 1/4" x 15 1/4"

Trimmed:10 7/8" x 14 7/8"

n “A”-Page Size (4, 8 pages) Trim, 8" x 11"

n Tip-In Size: Minimum 8" x 10"; Maximum 10 1/2" x 14"

Trim Allowance:n All 4-page undersize inserts to be furnished folded

and trimmed.

n All 8-page undersize inserts to be furnished foldedand trimmed with closed head.

Stock Weights Acceptable:n 70 lb or less (25 x 28 basis)

n Thickness not to exceed 0.004"

Keep Inserts Separate:n Multiple-issue supplies or 2 different kinds of an insert

must be separated individually and the quantity perissue noted.

n Separation can be attained by skidding separately orby placing a definitive divider.

Miscellaneous:n A sample or dummy of the proposed new insert

must be submitted to the Advertising ProductionCoordinator for approval no less than 30 days beforethe issue date.

n A quantity of 78,000 inserts is required for each issue.This quantity should be verified with the AdvertisingProduction Coordinator for each issue. The publisherdoes not assume responsibility for shortages of insertshipment.

n It may be necessary to limit the number of suppliedinserts or tip-ins per issue. If this occurs, clients will begiven the option to run the insert in the next availableissue.

n Insert rates may be combined with run-of-book ratesfor frequency discounts.

n There is no charge for insert tip-in or handling.

n A PDF of the insert should be sent to [email protected] [email protected].

ShippingAll inserts for all issues of ACP Internist must beshipped to:

ACP InternistCenveo Publisher Services2901 Byrdhill RoadRichmond, VA 23228Attn: Kevin [email protected]

The following information MUST appear on the outside of each carton:

n ACP Internistn Advertiser and product namen Issue date for insertionn Insert size and quantity in each carton

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Other ACP Advertising Opportunities

Bonus DistributionACP will be exhibiting and distributing bonus copies ofAnnals of Internal Medicine, ACP Hospitalist, and ACPInternist at the following meetings:

Meeting Annals of ACP ACP Internal Hospitalist Internist Medicine Issue Issue Issue

Internal Medicine Meeting 2018 Apr 03 Apr AprPri-Med South, Ft. Lauderdale, FL Jan 16 Jan JanAmerican College of Cardiology Mar 06 Feb FebPri-Med Southwest, Houston, TX May 01 Apr AprPri-Med West, Anaheim, CA May 15 May MaySociety of Hospital Medicine Apr 03 Mar MarAmerican Thoracic Society May 15 Apr AprDigestive Disease Week May 15 May MayAmerican Society of Clinical Oncology May 15 May MayAmerican Diabetes Association Jun 19 Jun JunInfectious Diseases Society of America Oct 03 Sep SepPri-Med East, Boston, MA Sep 03 Aug Jul/AugPri-Med Midwest, Rosemont, IL Oct 01 Sep SepAmerican Society of Nephrology Oct 17 Oct OctAmerican College of Rheumatology Oct 17 Oct Oct

Additional meetings to be announced.

Bonus copies of the 3 publications will be available atmeetings of ACP chapters held throughout the year.These meetings are regularly attended by member andnonmember internists.

Classified AdvertisingClassified advertising and physician products and servicesads are accepted by ACP publications as a service to ourreaders. For more information, please contact Maria Fitzgerald at 215-351-2667, Sean Corrigan at 215-351-2768, or Vera Bensch at 215-351-2630, or visit ourWeb site at www.acponline.org/ advertising-information.

Advertising Information and Complimentary Copy RequestsTo be added to the complimentary copy list for one ofour journals, contact:

Kevin A. BolumDirector of Advertising SalesAmerican College of Physicians190 N. Independence Mall WestPhiladelphia, PA 19106E-mail: [email protected]: 215-351-2440Fax: 215-351-2686

ReprintsReprints of ACP publications are available in print form and for online use by contacting Helen Canavan, Reprint Coordinator, at 215-351-2842 (phone), 215-351-2799 (fax), or [email protected] or [email protected].

For international and translated reprints contact:Ray ThibodeauContent Ed [email protected] (phone)

Mailing ListsMember list and subscription list for ACP publicationsare available for purchase. For information and cost,please contact ACP’s list broker, Medical MarketingService, Inc., at [email protected] or 800-633-5478.

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ACP Electronic Advertising Opportunities

Annals.orgAnnals.org is the online version of Annals of InternalMedicine, the most highly cited peer reviewed journal ininternal medicine. Annals.org publishes practice-defin-ing studies, cutting edge commentary, and evidence-based reviews. Annals.org offers opportunities forreaders to interact with authors, editors, and each other.The site delivers a mix of material that addresses the sci-ence and art of medicine and helps physicians improvethe health of their patients.

ACPInternist.orgACPInternist.org provides news and information for in-ternists about the practice of medicine and the policies,products, and activities of ACP.

ACPHospitalist.org ACPHospitalist.org covers the latest trends in hospitalmedicine, including advances in health technology, clini-cal controversies, staffing and scheduling innovations,salary trends, reimbursement news affecting hospitalists,patient safety and quality of care issues, evidence-basedmedicine, and new drug approvals.

ACP Career ConnectionDiscover ACP's job search advantage. Access thousandsof classified ads from ACP publications in one place.Career Connection compiles thousands of employmentclassifieds for a variety of specialties in an easy-to-use,very specific, searchable database.

The American College of Physicians Digital NetworkThe ACP Digital Network provides advertisers with an exceptional opportunity to reach their target audience in multi-ple locations along with the flexibility to optimize placements for the greatest performance possible. With ad positionsabove the fold, placement within the ACP network ensures that no impressions are wasted and that ads are deliveredto trusted Web properties with professional audiences. Sites included in the network are:

ACP Web Sites

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ACP Electronic Advertising Opportunities

ACP Digital Sponsorship Opportunities

Interstitial Advertising A high-performance, unique sponsorship opportunitythat puts your ad front and center in an exclusive placement on ACP sites, interstitial sponsorships helpadvertisers command a user’s attention. Each interstitialsponsorship lasts for a two-week period to coincide withthe release of each print issue.

Annals.org Homepage RoadblocksOwn 100% of the digital advertising space on theAnnals.org homepage through this exclusive advertisingopportunity consisting of a top banner (728 x 90) and aside box (300 x 250). Each homepage roadblock lasts fortwo weeks to coincide with the release of each new issueof Annals of Internal Medicine.

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ACP Electronic Advertising Opportunities

ACP Electronic Newsletter OpportunitiesReach a mass audience in their inbox with ACP e-mailed newsletter opportunities. ACP provides both ACP mem-bers and nonmembers with opt-in e-mail updates thatkeep subscribers up to date with the latest informationavailable from ACP. With 100% share of voice andabove-average open rates, ACP e-mails are a great wayfor advertisers to expand their reach.

n Latest from Annals

Provides subscribers with anearly notification of the tableof contents for the upcomingissue of Annals of InternalMedicine. This electronic notification is e-mailed twicemonthly to subscribers andmembers who have asked toreceive it.

n ACP Internist Weekly

Keeps our membership up todate on Medicare news, FDAdrug actions, clinical guide-lines, and the latest researchfrom top academic journals.The e-newsletter also directsreaders to other online resources and exclusive Web content.

n ACP Hospitalist Weekly

Delivers a summary of theweek’s most compelling news stories for hospitalists, including the latest researchand clinical news as well asregulatory alerts. The service is invaluable to busy hospital-ists who may not have time to scan the many scientificjournals and other medical publications that comeacross their desks.

n Annals for Hospitalists

Written by and for hospital-ists, this new monthly onlinefeature includes commen-tary, an e-newsletter alert,summaries of Annals articlesof particular interest to hospitalists, and highlights of ACP Journal Club articles.Annals for Hospitalists is developed in collaborationwith the University of Michigan.

n ACP Diabetes Monthly

Delivers a monthly summary of the most compelling newsstories about diabetes, including the latest researchand clinical news, clinicalguidelines, and FDA drugactions. The e-news letter isdelivered on the secondFriday of the month and is invaluable to busy clinicians.

n ACP Gastroenterology Monthly

Delivers a monthly summaryof the most relevant news in gastroenterology and hepatology, including thelatest research, clinicalguidelines, and FDA drugactions. The e-newsletter isdelivered on the fourthFriday of the month.

n Internal Medicine Meeting 2018 News

Provides on-site coverage ofInternal Medicine Meeting2018, April 19-21, 2018. Thisdaily e-newsletter, sent to attendees as well as nonat-tendees, offers updates fromthe meeting, includingbreaking news, coverage ofnoteworthy sessions, and in-formation on upcoming events.

For rates and specifications, pharmaceutical advertisersshould contact Kevin Bolum at [email protected] 215-351-2440.

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ACP Custom Publishing

ACP Custom PublishingACP offers specialty publishing opportunities in Annalsof Internal Medicine, ACP Hospitalist, and ACP Internistto aid in brand building and product awareness. Pleasecontact the Director of Advertising Sales for more infor-mation about advertising and sponsorship opportuni-ties, such as:

Sponsorship of promotional advertising outserts n Materials that are polybagged with our journals grab

the attention of the recipient physician. Enclose yourpromotional advertisement, educational monograph,or educational DVD as a ride along with our printedjournals. All ride alongs are subject to the publisher’sapproval.

Belly band program n Belly bands allow you to place your message on a

4"-wide strip across the front and back of our publica-tion. The belly band must be removed by the readerto gain full access to the publication’s content. Bellybands can be secured on an issue-by-issue basis andplaced on ACP member subscriptions or your tar-geted list.

Cover tip programn Cover tips offer an outstanding opportunity to

appear on the cover of the magazine, increasing your products’ exposure and recognition.

Your Cover Tip Here

Your Cover Tip Here

Your Belly Band Here

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Internal Medicine Meeting 2018 News | 2018 Advertising Rate Card

Journal ProfilePublisher: American College of Physicians

Editor: Jennifer Kearney-Strouse

Established: 2001

Frequency: 3 times (Thursday, Friday, Saturday)

Audience: Attendees of Internal Medicine Meeting 2018

Circulation: 7,500 per issue

The American College of Physicians, the world’s largestmedical specialty organization, will hold its national med-ical conference, Internal Medicine Meeting 2018, in NewOrleans, LA, from April 19-21, 2018. With more than 200CME offerings presented, Internal Medicine Meeting 2018will attract more than 7,000 physicians from internal medi-cine or one of its subspecialties, medical students, andother health professionals from the United States andaround the world.

Internal Medicine Meeting 2018 News is the official publication of ACP Internal Medicine Meeting 2018.Attendees rely on Internal Medicine Meeting 2018 News tomake last-minute plans, review the previous day’s lectures,or choose the symposia they want to attend. The News alsoprovides timely information from leadership meetings,summaries of the keynote address and other highlightedsessions, exhibit hall listings and map, and other pertinentinformation to increase the satisfaction of physicians attending the 3-day meeting.

Audience Focus Internal Medicine Meeting 2018 News is written to helpthe busy attendees of ACP’s Internal Medicine Meeting2018 maximize their experience at the meeting. Over 75%of the attendees at ACP’s annual meetings are general in-ternists, 15% represent the 15 internal medicine subspe-cialties, and about 8% are medical students and otherhealth care professionals.

The goal of the ACP meeting is to provide internists withpractical medical knowledge for improving patient care.Sessions are varied and appeal to physicians with differentlearning styles. There are large and small lectures, informalworkshops, interactive case-based sessions that use an au-dience-response system, informal discussions with expertfaculty at breakfast and lunch sessions, and clinical appli-cations at hands-on computer tutorials. The Herbert S.Waxman Clinical Skills Center offers physicians the oppor-

tunity to update skills andlearn physical examinationtechniques, communicationskills, office-based proce-dures, and more. Advertisingin Internal Medicine Meeting2018 News ensures that yourmessage is seen by physicianswho are on the front lines ofpatient care and helps you:

n Increase traffic to yourbooth.

n Advertise your industry-supported symposia.

n Announce new products.

DistributionThis year, ACP will publish Internal Medicine Meeting2018 News on Thursday, Friday, and Saturday. InternalMedicine Meeting 2018 News will be handed out to at-tendees as they walk into the lobby and placed in strate-gically located bins throughout the convention center. Inaddition, Internal Medicine Meeting 2018 News will beplaced on the buses that attendees ride to the Ernest N.Morial Convention Center. Attendees will have no troublekeeping current on meeting news and your news.

Thursday’s EventsOpening Ceremony

Hall D9:30 a.m.-10:30 a.m.

Keynote Address:Anthony S. Fauci, MD, MACP

Exhibit Hall10:00 a.m.-4:30 p.m.

Herbert S. Waxman Clinical Skills Center

Hall A 8:30 a.m.-6:00 p.m.

ACP Dragon’s Lair: Breathing Fire into

Health Care Transformation

Room 14 11:15 a.m.-12:45 p.m.

ConvocationHall D

6:00 p.m.

News coverage is online at www.acpinternist.org/

immeeting

Follow our Twitter feeds at http://twitter.com/

acpinternist and http:// twitter.com/acphospitalist, and use #im2017 for your

meeting tweets.

By Stacey Butterfield

Quality improvement can’t be mastered in a day, warned the speakers at yesterday’s

one-day precourse “QI Champion Training: Save Time, Money, Pa-tients and Peace of Mind.”

“You as leaders can do this, but it’s small steps at a time,” said

Marie T. Brown, MD, FACP, course co-director and associate professor in the department of internal medi-cine at Rush University in Chicago.

Dr. Brown gained her QI knowl-edge the hard way, at a two-physi-cian practice she had for 20 years before going to Rush. “This is where I learned to do this, on a small, re-luctant team that really didn’t want to change,” she said.

Getting the whole team on board is one of the most crucial steps to practice improvement, precourse speakers agreed. They also offered a slightly more counterintuitive piece of advice—the doctor does not have to be the head of the QI team. “Your role, when you go back home, may not be the team leader,” said Doron Schneider, MD, FACP, course co-director and chief

By Mollie Durkin

To achieve the best possible out-comes in patients with chronic coronary artery disease (CAD),

internists must emphasize optimal medical therapy and a lifestyle that does not counter what medicines might accomplish.

Stephen L. Kopecky, MD, offered tips on how to follow these patients and tweak lipid goals and medical treatments along the way during Wednesday’s precourse “Cardiol-ogy for the Internist 2017: The Key Points.” Among other topics, he cov-ered how to optimize statin therapy and when to use the newer class of PCSK9 inhibitors.

Dr. Kopecky, a professor of medi-cine in the department of cardio-vascular diseases at Mayo Clinic in Rochester, Minn., said patients’ lifestyles play a critical role in the ef-fectiveness of statin therapy. A 2012 study in Circulation showed that patients on statins who adhered to the healthiest diet compared to the unhealthiest diet reduced their risk of cardiovascular death, myocar-dial infarction, stroke, or congestive heart failure by 24%, Dr. Kopecky said. “But 40% of patients in this 20,000-patient study did not benefit. So the point is, if you’re not eating

healthy, the benefits of a statin are greatly reduced,” he said.

The same concept applies to phys-ical fitness. “I tell patients that being physically fit enhances the benefit of the statin, and the statin does not replace lifestyle,” Dr. Kopecky said.

As if getting patients to adhere to healthy lifestyle changes weren’t challenging enough, statin intoler-ance remains a challenge for the

substantial amount of patients who report myalgia with statin therapy. “There’s no gold standard for [di-agnosing] statin intolerance—that’s the problem,” said Dr. Kopecky, who runs a statin intolerance clinic. In recent trials, he said, about 75% of patients are able to tolerate some statin therapy.

Small steps for big leaps in higher-quality care

How to use statins, PCSK9 inhibitors in chronic CAD

Dr. Kopecky: “I tell patients that being physically fit enhances the benefit of the statin.”

Dr. Brown suggested that practices can save time and improve outcomes by, for example, arranging for lab tests to be done before a patient’s next visit.

Continued on page 14

Thursday, March 30San Diego

NEWS

Continued on page 11

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Internal Medicine Meeting 2018 News | 2018 Advertising Rate Card

Rates and Dates

Internal Medicine Meeting 2018 News 3-DayAdvertising Rates*

Description Display Rates

Tabloid $9,890

“A” Size $6,770

3⁄4 Page $7,540

1⁄2 Page $6,270

1⁄4 Page $4,900

*Rates include all 3 issues.

Color Charges

Description Add to Earned

Black-and-White Ad Unit Cost

Second Color $580

Matched Color $750

3- and 4-Color $1,180

Internal Medicine Meeting 2018 NewsInsert OptionsThis year, Internal Medicine Meeting 2018 News offers 2high-profile insert options to present your message.

n Tabloid Raffle Advisory Insert ACP will include a date-specific raffle advisory onheavy stock in each Internal Medicine Meeting 2018News issue. This single tabloid-size insert will extend1/2" beyond the top and right edges of the newspa-per and will contain daily raffle information. The frontside of the insert will be printed with your tabloid-sizeadvertisement. The back side will contain informationabout the raffle prizes and the location of the rafflebooth. Attendees will have to register daily to be eligible for daily prize drawings. Past years’ experi-ence has shown that attendees are eager to partici-pate in these ACP-sponsored raffles. Youradvertisement will receive high-priority attention.

n A-Size Insert or Blow-In You may provide an A-size or smaller insert or a blow-in for inclusion in Internal Medicine Meeting 2018News each day. This option provides you with the op-portunity to announce your product, booth, or sympo-sium in full color to our attendees. Or, you couldprovide a printed reference card with valuable infor-mation for our attendees to use in their practices.

Insert Rates

Rate for Single Day Rate for 3 Days

Raffle Advisory Insert $12,300 $32,780

2-Page A-size Insert or Blow In $8,610 $21,075

Insertions in Internal Medicine Meeting 2018 Newscount toward earned frequency and bonus programs.

Premium Positions ChargesInternal Medicine Meeting 2018 News offers a variety ofpremium positions, including belly bands.

The rates below include the 3-day advertising displayrate and color charges.

Description Rate per page for 3 days

Back Cover $17,055

Inside Front Cover $17,055

Center Spread 2 pages $13,080

Front cover Strip Ad (2" x 10") $10,950 Belly Band* $35,130

(for single day) $12,605

*Does not include the belly band printing.

Insertion Orders, Electronic Files, Contracts, andAd Copy to Be Sent by AdvertiserSupply Insertion Orders to:John Carney at [email protected] and Theresa Englehart at [email protected].

Display ads created electronically should be sent ondisk with color proofs and written instructions.

Supply electronic files, contracts, ad copy, and original art, together with complete mechanical and written instructions that include the name of thepublication and date of insertion, to:

Internal Medicine Meeting 2018 NewsJohn CarneyAdvertising Production CoordinatorACP190 N. Independence Mall WestPhiladelphia, PA 19106-1572800-523-1546, ext. [email protected]

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Internal Medicine Meeting 2018 News | 2018 Advertising Rate Card

Special OfferWhen you advertise in a March 2018 issue of Annals ofInternal Medicine, ACP Hospitalist, or ACP Internist, youwill receive a 10% discount off the same ad in InternalMedicine Meeting 2018 News.

These conditions apply:

n A full page is the minimum qualifying size.

n Ads must be identical.

n Advertisements must be booked at the same timeand on the same insertion order.

Closing Dates

Publication Issue Closing

Date

Internal Medicine Meeting 2018 News Apr 19, 20, 21 Mar 19

Annals of Internal Medicine Apr 17 Mar 16ACP Internist Apr Mar 6ACP Hospitalist Apr Mar 13

Specifications for Internal Medicine Meeting2018 News

Internal Medicine Meeting 2018 News uses Web offset reproduction.Trim Size: 11" x 15"

Ad Unit Size Width x Depth

Tabloid Page 9 3/4"x 13 3/4"3/4-Page Horizontal 9 3/4" x 10"3/4-Page Vertical 7 1/8" x 13 1/2"1/2-Page Horizontal 9 3/4" x 7 1/8"1/2-Page Vertical 4 1/2" x 13"“A”-Size Page 7 1/8" x 10"1/4-Page Vertical 4 3/4" x 7 1/8"1/4-Page Horizontal 7 1/8" x 4 1/2"Bellyband 5" (high) x 25" (long)

Saturday’s EventsHerbert S. Waxman

Clinical Skills Center

Hall A8:00 a.m.-3:00 p.m.

Exhibit Hall10:00 a.m.-2:30 p.m.

ACP Annual Business Meeting

Room 14AB12:45 p.m.-1:45 p.m.

Internal Medicine Meeting 2017

Highlights: KeyMessages You’ll

Want to Take Home and Doctor’s DilemmaTM: The FinalsBallroom 20BC

5:15 p.m.-6:30 p.m.

News coverage is online at www.acpinternist.org/

immeeting

Follow our Twitter feeds at http://twitter.com/

acpinternist and http:// twitter.com/acphospitalist, and use #im2017 for your

meeting tweets.

Continued on page 6

Continued on page 11

Steven Weinberger, MD, MACP, and Lucy Kalanithi, MD, FACP, discuss the death of Dr. Kalanithi’s husband, Paul, a neurosurgeon who suffered from lung cancer.

A few simple tips that every internist can implement are effective for counseling patients about obesity. Diet works well for weight loss, and exercise helps keep the pounds off, said Dr. Hynes.

Saturday, April 1San Diego

NEWS

By Stacey Butterfield

Many of the speakers at Internal Medicine Meeting 2017 are internists, but it’s likely only

one of them has also published a current New York Times bestseller. Lucy Kalanithi, MD, FACP, wrote the epilogue to “When Breath Becomes Air,” the memoir of her late husband, Paul Kalanithi, MD.

On Friday morning, in a session titled “In the Patient’s Voice: Finding Inspiration in Patient Partnership,” Dr. Kalanithi and Steven Weinberger, MD, MACP, ACP’s CEO emeritus, discussed the book and her obser-vations from the illness and death of her husband, who was diagnosed with stage 4 lung cancer during his neurosurgical residency.

The session began with a short video that allowed attendees to catch a glimpse of Dr. Paul Kalanithi, who died at age 37 and whose book is still on the bestseller list more than year since its posthumous publication. “The book that he wrote is about that experience of being on both sides of the physician-patient relationship and thinking about mortality,” said Dr. Lucy Kalanithi.

She has been on a tour for the book, generally talking to lay audi-

ences, and said she was excited to discuss the book with fellow physi-cians. “I remember being here [at the ACP annual meeting] as a medical student over a decade ago … hoping to be an internist,” Dr. Kalanithi said.

Asked by Dr. Weinberger for some take-home lessons for physicians from her husband’s illness, she described how it changed his ap-proach to informed consent, when he returned to practice after his initial cancer treatment.

“He used to concentrate more on

especially the rare but serious side effects—bleeding, infection, and death,” said Dr. Kalanithi. “Once he was a patient, he was describing for patients what was most likely, what would they actually feel like when they woke up from the surgery, what would it be like to be in the ICU, and how long would it really take until they got back to work.”

A night that her husband spent in the hospital also changed her

Lessons learned from a doctor’s death

By Ryan DuBosar

When Marijane Hynes, MD, ACP Member, first became interested in counseling

obese patients, her bosses let her start by allocating four hours a week to the undertaking. In 2009, she opened a full-time weight loss clinic. Today, it’s a fully staffed, multidis-ciplinary clinic including physical therapists, dieticians, and even medi-cal students.

Weight loss used to be boring, she recalled. Now everyone wants to do it.

“Nutrition is exciting,” she said dur-ing her Friday-morning talk, “Nutrition and the Gut: You Are What You Eat,” at Internal Medicine Meeting 2017.

Simple tipsPeople most at risk of obesity

include minorities, women with less money and education (such as those

What works well for weight loss

who don’t finish college), and people who take certain medications associ-ated with weight gain (such as selec-tive serotonin reuptake inhibitors and antihistamines) or have disordered sleep, stress, mental illness, or a

sedentary lifestyle.A few simple tips, which every

internist can implement, can go a long way toward treating obesity,

Friday’s EventsHerbert S. Waxman Clinical Skills Center

Hall A8:00 a.m.-6:00 p.m.

PechaKuchaTM

Ballroom 20BC9:30 a.m.-10:30 a.m.

Exhibit Hall10:00 a.m.-4:30 p.m.

Safer Opioid Prescribing for the

GeneralistRoom 6A

11:15 a.m.-12:45 p.m.

Multiple Small Feedings of the Mind

Ballroom 20BC2:15 p.m.-3:45 p.m.

• Cardiology• Sleep Medicine

• Infectious Diseases

News coverage is online at www.acpinternist.org/

immeeting

Follow our Twitter feeds at http://twitter.com/

acpinternist and http:// twitter.com/acphospitalist, and use #im2017 for your

meeting tweets.

Continued on page 13

By Jennifer Kearney-Strouse

At her Thursday-morning session “Gynecology for the Internist,” Christine

Isaacs, MD, estimated that the tally of breast exams she’s performed over her 20-year career stands at approximately 20,000.

“That’s a lot of breast ex-ams,” said Dr. Isaacs, who is an associate professor in the department of obstetrics and gynecology at Virginia Com-monwealth University Medical Center in Richmond. “Surely I did that with great value and great purpose. I didn’t just feel a lot of breasts because my chief resident told me to do this and some attending said ‘Yep, that’s what we do.’”

During her talk, Dr. Isaacs dis-cussed the practice of regular breast exams, both by clinicians and by patients, and whether the evidence supports them. For decades, she said, clinicians have encouraged women to do regular breast self-exams. “We’ve all seen versions of this and counseled women on breast

Backing off breast exams for average-risk women

exams and sent them off with the charge of ‘Thou shalt do a breast exam every month on the day of your birthday.’ This is what I’ve explained to women throughout the years. But was that the right thing to do?”

Recent evidence suggests that for average-risk women, it wasn’t, Dr. Isaacs said. For such women, expert groups now recommend against self-

breast exams, due to “some pretty good research,” she noted. She pointed to two large studies, the Shanghai Trial and the Russian WHO Trial, that found higher rates of biopsy in women who were randomly assigned to breast self-exam instruc-tions or education versus those who were not. Over 10 and 15 years of follow-up, respectively, no significant difference in cancer mor-tality was seen between groups.

Dr. Isaacs pointed out that women who perform breast self-exams will inevi-tably feel the natural char-acteristics of the breast, most of which are normal.

“When we charged women with this task and we tagged the message of ‘If you feel anything, it could be cancer,’ we parlayed that up into a lot of overdiagnosis and a lot of interventions,” she said. “But at the finish line, they didn’t come out any better or with any better outcomes

Continued on page 11

Friday, March 31San Diego

NEWS

the “N” spot demarking tendons atop the foot. Each is an important anatomical guidepost to distinguish among the many maladies of mobil-ity, she said.

To diagnose foot pain, start with

By Ryan DuBosar

Joan Bowes Ritter, MD, FACP, a general internist at Walter Reed Medical Center in Bethesda,

Md., said she sees more than her share of soldiers and sailors—peo-ple who “exercise for a living” and are often highly motivated athletes who push themselves in high-im-pact sports such as running, tennis, or the martial arts. These activities take a toll on their feet.

The lessons she has learned from diagnosing these patients apply to all her patients, she said, including the families of military patients and those in the general population, whom she also treats. “There are some easy things that you can do as an internist” to make the correct di-agnosis among the many maladies that can affect the feet, she said.

Dr. Ritter delivered her talk, “Best Foot Forward: Common Foot Com-plaints that Walk into the Office,”

on Thursday at Internal Medicine Meeting 2017. She came to her talk also prepared with a cure for the common malady of long medical lectures. Halfway through speaking, she had the audience pull off their shoes to review features of the foot: the Achilles, the calcaneus, and

Easier diagnosis for common foot disorders

Dr. Ritter offered tips on foot pain from her experience treating athletes, soldiers, and their families.

Research has led experts to recommend against breast self-exams for average-risk women, said Dr. Isaacs.

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Internal Medicine Meeting 2018 | Meeting Support Opportunities

Internal Medicine Meeting 2018 Support OpportunitiesACP Internal Medicine Meeting 2018 will be held in New Orleans, from April 19-21, 2018. The more than 200scientific sessions offered at our meeting annually attractthousands of practicing physicians, 75% of whom are di-rectly involved in primary patient care.

Many sponsorship opportunities are available at InternalMedicine Meeting 2018. Sponsoring one of these ACPevents guarantees that your company and your supportof our meeting are recognized and that your message isamong those noticed by attendees.

Be sure to check ACP’s Web site at im2018.acponline.org/exhibitors-sponsors/meeting-support-opportunities orcall the Director of Advertising Sales for details aboutthese and other sponsorships:

n Internal Medicine Meeting 2018 Scientific Program

n Internal Medicine Meeting 2018 App

n Exhibit Hall aisle signs

n Exhibit Hall entrance carpets and floor clings

n Advertising Meter Board

n Promotional banners

n Convention Center Wifi

n Lanyard for meeting identification badge

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ACP Advertising Policies

ACP Advertising Policiesn Independence. ACP’s educational programs, prod-

ucts, services, policies, and advocacy positions are in-dependent of outside influence, and preserve theindependent judgment and professionalism of mem-bers, and are sensitive to the potential for perceivedconflicts of interest (COI). Neither sponsors nor adver-tisers develop or influence ACP content.

n Recognition and Disclosure. ACP recognizes the sup-port of sponsors in a manner clearly distinguishablefrom scientific or clinical content, and discloses suffi-cient detail to enable others to reach independentconclusions about potential conflicts of interest.

n Alignment. ACP accepts sponsorship and grants onlyfor activities that are consistent with its Mission.

n Balance and Reliance. ACP favors multiple and variedsponsors and takes steps to obtain sponsorship orgrants for single activities from more than one entity.ACP monitors the amount of funding from sponsorsto assure it is not overly reliant on support from exter-nal entities.

n Content/Advertising Distinction. Advertising in ACPproducts, publications, and digital properties is easilydistinguishable from editorial content. At live meet-ings advertising and exhibits are separate and clearlydistinguishable from ACP-endorsed scientific or clini-cal content.

General Guidelinesn Ads will be accepted for products or services not in

any of the categories listed below in AcceptableAdvertising for Products and Services but closely re-lated to the practice of medicine, provided they meetall other requirements.

n ACP does not assume responsibility concerning ad-vertisers or their positions, practices, services, orproducts, nor does the publication of advertisementsconstitute or imply endorsement.

n ACP is not liable for failure to print, publish, or circu-late any accepted ad. ACP will try to place such ads insubsequent issues of ACP publications.

n ACP reserves the right to hold the advertiser and/orits ad agency jointly and separately liable for moneydue and payable to the publisher.

n ACP reserves the right to change its advertising poli-cies at any time.

n For products not previously advertised in ACP publi-cations and for products previously advertised but be-ing submitted with new copy or layout, the followingmust be submitted to the Advertising ProductionCoordinator at least 2 weeks before closing date:

• 2 copies of the proposed ad.

• 2 copies of the FDA-approved package insert for pharmaceuticals and biologicals.

n Ads containing claims for superiority must be sup-ported by evidence available to ACP and to readersof ACP publications upon request.

n For ads containing citations, the following parametersapply:

• Reference material should be published or in press.

• Cited material may not reference articles “submit-ted for publication” or “data on file.” To be ac-cepted, citations must reference the title of thearticle, publication, and date, or include a URL ad-dress where the citation may be found.

Acceptable Advertising for Products and ServicesAdvertising will be accepted for products or services di-rectly relevant to the practice of medicine, including:

n Products approved by the FDA for prescription or ap-plication by physicians and announcement advertis-ing for pending products that comply with FDAguidelines.

n Drugs approved by the FDA for nonprescription(over-the-counter) sales.

n Nutritional products, if the ad relates the product tomedical care and the promotion of good health.

n Equipment directly applicable to medical practice,such as diagnostic devices; devices with scientificallyestablished efficacy; and equipment, hardware, andsoftware for practice or business management.

n Books, journals, and products related to the acquisi-tion of medical information.

n Medical services and physician-support services.

n Medical positions offered and sought.

n Any ACP-approved product, program, or service.

n Advertising will be accepted as a service and must berelevant to the practice of medicine or services di-rected to physicians, such as public service messagesor positions with equal opportunity employers.

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ACP Advertising Policies

Unacceptable Advertisingn Ads for tobacco products.

n Ads not in accord with the ethical principles of the ACPEthics Manual and College policy.

n Ads that convey ethnic, religious, gender, sexual orientation, or age bias or prejudice.

n Ads that resemble editorial material, content, or format.

n Ads for drugs and diagnostic tests that are not FDA approved for general use.

n Ads that represent or imply single sponsorship of editorial content.

n Ads that contain exaggerated or extravagantly wordedcopy.

Digital Advertising Guidelinesn Advertising on article pages is not sold against a par-

ticular article’s content and is not positioned on anypage where CME/MOC is offered. Specific advertise-ments may not be sold to be intentionally juxtaposedwith or appear in line with or adjacent to a particulararticle on the same topic. Because digital advertise-ments rotate in various positions, adjacency may occur coincidentally or at random.

n Specialty or topic-specific advertising can be accepted for online article collections and for associ-ated e-alerts. Multiple ad positions on each page areavailable, and advertising is always solicited frommore than one organization.

n Advertising must not resemble editorial material, con-tent, or format. Digital advertisements must be readilydistinguishable from editorial content and the word

“Advertisement” must be displayed. Digital advertise-ments may link off-site to a commercial or other Website; however, Web sites shall not prevent the viewerfrom returning to the ACP Web site or other previ-ously viewed screens and shall not redirect the viewerto a Web site the viewer did not intend to visit. ACPreserves the right to not link to and to remove links toother Web sites.

n All advertising (including print, e-mail, and online ad-vertisements) must be reviewed and approved by theEditorial and Publishing staff; rights are reserved toreject or cancel any advertisement at any time.

n Advertising for products that are not directly relatedto health care is permitted, and a group of staff atACP (Editor of Annals of Internal Medicine, Senior VPfor Medical Education, VP for Publishing, and Directorof the Center for Ethics and Professionalism) have theresponsibility to decline advertising requests that mayconflict with the mission of ACP, are inconsistent withACP policy, may reflect poorly upon the organization,or may damage medical professionalism.

n ACP does not assume responsibility for advertisers’positions, practices, services, or products, nor doesthe publication of advertisements constitute or implyendorsement.

n ACP is not liable for failure to print, publish, or circu-late any accepted ad. ACP will try to place such ads insubsequent issues of ACP publications.

n ACP attempts to obtain multiple and varied advertis-ers/sponsors in all cases for all products, services,events, and publications.

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ACP Advertising Policies

Rights Reserved by ACPn To seek the opinions of consultants in determining the

eligibility of products and suitability of claims. ACP ex-pects the medical department of a company to ap-prove both product and ad copy before submission.

n To require submission of scientific documentation thatsupports the medical use of any product representedby a submitted ad.

n To reject any ad or classified notice.

n To make the final decision regarding the acceptabilityof all products, ad copy, and services to be advertisedor exhibited.

n To change these standards in light of developments inmedicine and industry.

n To request a change in position for an ad if the ad willbe adjacent to related editorial material.

n To make the final decision regarding the acceptabilityof all products, ad copy, and services to be advertisedor exhibited.

n To change these standards in light of developments inmedicine and industry.

Advertising Billing Policies

Agency Commission15% net 30 days.

Earned Rate PolicyACP will continue to calculate earned frequencies on thebasis of an individual advertiser’s parent company’s (andrelated subsidiaries’) total pages placed in all ACP publica-tions. The total number of full or fractional pages used inany ACP journal within the contract year determines thefrequency rate.

Advertisers will be billed at the 1-time rate unless theysend a contract or letter to the Director of AdvertisingSales stating the number of pages that will be used in a12-month period. Subsidiaries and/or parent companiesconsidered as 1 advertiser are entitled to a combined ratewhen requested. Insert rates may be combined with run-of-book rates for calculating frequency discounts.

All contracts are based on a calendar year (Januarythrough December) unless otherwise requested in writing.

Payment PolicyPrepayment may be required on or before the closingdate for the first 3 advertisements for new clients.Appropriate credit referrals may be requested.

Short Rates and RebatesIf the number of ad pages contracted for are not usedwithin a 12-month period (from contract start date), theadvertiser will be short-rated. Advertisers will receive arebate if, within the 12-month period, they have usedsufficient additional insertions to earn a lower rate thanthat which they had been billed. The publisher agreesthat there are no hidden rates, rebates, or agreementsaffecting rates and that rates stated are minimum.

Advertising Incentive ProgramsAdvertisers are responsible for managing and advisingpublisher of advertising incentive program usage.

Ad PlacementCompetitive products are separated by no fewer than 4pages, contingent on the requirements of a specific is-sue. Inserts in Annals are placed at form breaks. Insertsin ACP Internist and ACP Hospitalist are placed in thecenter spread only and tip-ins are placed at form breaks.Annals advertisements are placed within the front andback sections, separated by the editorial section.

Every attempt is made to rotate the run-of-book ads toensure fairness and equality. Actual rotation is contin-gent on the composition and number of similar productsappearing within each issue.

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32

ACP Contacts

Contact Phone E-Mail Fax

Advertising and Sales

Kevin A. Bolum 215-351-2440 [email protected] 215-351-2686Director of Advertising Sales

Jeannie Frank Teller 215-351-2441 [email protected] 215-351-2686Administrator

Kenneth D. Watkins III 973-785-4839 [email protected] 973-785-8884National Account ExecutiveWatkins Representation Group

Advertising OperationsBrian Barker 215-351-2662 [email protected] 215-351-2686Advertising Operations Manager

Production and Billing—PrintJohn Carney 215-351-2419 [email protected] 215-351-2686Advertising Production Coordinator

Theresa EnglehartAdvertising Production Coordinator 215-351-2663 [email protected] 215-351-2686

Production and Billing—DigitalDiana Di Gioia 215-351-2664 [email protected] 215-351-2686Digital Advertising Coordinator

Classified Display SalesMaria Fitzgerald 215-351-2667 [email protected] 215-351-2738Advertising Sales Representative

Sean Corrigan 215-351-2768 [email protected] 215-351-2685Advertising Sales Representative

Vera Bensch 215-351-2630 [email protected] 215-351-2641Advertising Sales Representative

Reprint SalesHelen Canavan 215-351-2842 [email protected] 215-351-2799Reprint Coordinator

Internal Medicine Meeting 2018 Teresa Lerch 215-351-2542 [email protected] 215-351-2528Exhibit Program ManagerExhibit Space and Symposia

Kevin A. Bolum 215-351-2440 [email protected] 215-351-2686Director of Advertising SalesInternal Medicine 2018 Sponsorships

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Published by ACP

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Phone: 800-523-1546, 215-351-2400

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