All rights reserved.. Internal medicine physicians, gastroenterologists and any inner medicine subspecialists using procedural sedation can take part in quality improvement through the AGA Procedural Sedation/Individual Safety PIM to generate maintenance of certification practice efficiency credit. The AGA Procedural Sedation/Patient Protection PIM is the first independently developed PIM in neuro-scientific gastroenterology to be accepted by the ABIM for MOC points toward the self-evaluation of practice functionality necessity.Alcohol More Harmful than Heroin: U.K. Study Alcohol is more threatening than illegal drugs want heroin and crack cocaine, according to a fresh study. British experts evaluated substances including alcohol, cocaine, heroin, ecstasy and marijuana, ranking them based on how destructive they are to the average person who takes them and to society as a whole. Experts analyzed how addictive a medication can be and how it harms our body, in addition to other criteria like environmental damage caused by the drug, its part in splitting up families and its financial costs, such as health care, social solutions, and prison.