December 2008 PDF Version. Signs of the Times: PRISM Two Mentors Weigh in on Questions Commonly Facing Junior Faculty. President's Column: Change as a New Way of Life in Health Care. Editorial: Developing Academic Hospitalists. National Meeting Report: Why Should I Write a Case Report or Clinical Vignette. Outpatient Morning Report: A 24 Year-old-Man With Complaint of Dysphagia. Editorial: Preserving the Core Hours of Internal Medicine Despite Duty Hour Limitations. Viewpoint: Another View on Night Float Rotation HIV Care as a Generalist. Editorial: All Safety Net Hospitals Are Not At Risk.