Internal Medicine Journal

The Internal Medicine Journal is the official peer-reviewed publication of the College's Adult Medicine Division.

RACP members and staff have full access to Journal articles online, as well as Accepted Articles (unedited but citable articles available before publication in an issue).

Member access

The public can view Internal Medicine Journal abstracts online and have the option to purchase full-text articles from the Wiley Online Library.

Member access

Latest Issue

Internal Medicine Journal: Volume 56, Issue 10, October 2026

Internal Medicine Journal

In this issue:

  • Remifentanil versus fentanyl for analgo-sedation
  • Dealing with aggressive patients
  • Stress in referees during a football match
  • Would patients over 65 accept vaccination while hospitalised?
  • Specialist hypertension clinics

View journal


Editor's choice

Remifentanil versus fentanyl for analgo-sedation

Frailty transitions and their association with mortality in older adults

Background: Remifentanil-based sedation may help reduce the duration of mechanical ventilation and ICU stay for critically ill patients, but evidence on its cost-effectiveness remains limited and inconsistent.

Aims: This review evaluated the available evidence on the economic impact of remifentanil in mechanically ventilated ICU patients, with the aim of assessing its value for money and identifying areas where further research is needed.

View editor's choice (PDF)



Spotlight

Paul Bridgman

Dr Paul Bridgman
Editor-in-Chief

Paul is from Otago in the south of New Zealand. After training in Edinburgh and Boston he returned to Aotearoa as a general and echo cardiologist.

Paul is now Clinical Director of Cardiology in Christchurch. He is highly involved with the Cardiac Society and with the RACP. He has been both Chairman and Treasurer of the Cardiac Society in Aotearoa.

Following the Christchurch earthquakes, Paul gained extensive media coverage for his research interest in broken heart syndrome.


Advertise

Contact Wiley about advertising in the Internal Medicine Journal.


CPD participants are eligible to claim CPD hours for reading journals and texts.

Login to MyCPD to record your reading or for more information, see Continuing Professional Development.

Close overlay