Journal of General Internal Medicine

This #JGIM #Original Research study suggests that #WholeHealth services offered by VHA including meditation, acupuncture, clinical hypnosis, & coaching may be an effective means of empowering veterans to reduce their tobacco utilization

🆓 full-text ⬇️:
rdcu.be/eYm0y

This trial integrated a machine learning and informatics algorithm into clinical and language services workflows to increase the use of in-person interpreters among complex inpatients with non-english language preference! Would this work at your institution?
Free Full Text 👉 rdcu.be/eYmYG

Check out how one FQHC implemented Learning Health System strategies to align research with health care service priorities, enable clinician involvement in research, support data analysis, disseminate findings, and seek research funding! This is truly impressive work!

Free Full Text 👉 rdcu.be/eYmWY

How can history-taking help identify life-threatening abdominal conditions? This prospective study looked at asking how quickly pain peaked (“time-to-peak assessment”) compared to asking whether pain started suddenly. What do you think the authors found?

Free Full Text 👉 rdcu.be/eUepE

We have all had encounters with difficult patient behaviors but how should approach them?

This #JGIM narrative review takes a look at these challenging behaviors, discusses potential underlying causes, and most importantly, provides management recommendations!

Free full text 👉 rdcu.be/eUeoW

Colorectal cancer rates are rising in adults under 50. This team mailed culturally tailored FITs for patients 45-49... but did it work? Check out this awesome study and the visual abstract! #ColorectalCancerAwarness #FITtest #PreventiveCare
Free Full text 👉 rdcu.be/eUenJ

While clinical outcomes are often the focus, a new national study explores which patient-reported social factors actually drive obesity rates among high-risk Veterans. What do you think the authors found? What have you noticed in your experience?

Free full text 👉 rdcu.be/eUem1

My latest in @journalgim.bsky.social: Medicaid Coverage Restrictions & On-Label Buprenorphine Rx’ing for Chronic Pain. Current restrictive policies are associated with lower historical uptake of buprenorphine products that are FDA-approved for chronic pain, a safer alternative to traditional opioids

Thanks! We're trying our best!

Setting the table in shared decision-making is so important.
What options are and aren't disclosed at the outset is often ignored but really matters. Check out this work by Dr. Dickert and co for more!

Full text 👉 rdcu.be/eUems

This #JGIM study looked to characterize the epidemiological patterns of PAD diagnosis and examine the clinical and socioeconomic characteristics of patients diagnosed with PAD in US primary care settings. What do you think they found?

Full text 👉 rdcu.be/eUejy

In older community adults, ~60% of the extra total healthcare costs (THC) associated with cognitive impairment (CI) were due to impaired function & frailty. Studies should test if addressing function & frailty in such adults with CI will lower THC.

Read in #JGIM: rdcu.be/eUebh

Providers and payers should prioritize adherence to guidelines for blood pressure control, statin and aspirin therapy, and smoking cessation for stroke prevention. Enhancing adherence to these guidelines would be cost and life-saving. @WenYe_leaf

Read in #JGIM: rdcu.be/eUd70

PSA reference ranges influence downstream care and should be selected thoughtfully. @stensy

Read in #JGIM: rdcu.be/eUdZW

Implementing an interdisciplinary #delirium algorithm didn’t change delirium prevalence, but it was assoctd with ⬇️ antipsychotic prescribing & greater use of non-pharm strategies. Continued QI efforts are needed to realize its full potential in acute care.

Read in #JGIM: rdcu.be/eUdST

New WA State study: HIV prevention is largely absent in re-entry support for people leaving prison/jail. Integrating HIV prevention into SUD care could help close gaps between carceral & community systems. @ejcallen

Read in #JGIM: rdcu.be/eT6rB

Less than one-third of patients with uncontrolled BP received increased #hypertension medication doses. Targeted interventions to address the identified barriers are needed to improve BP control. @jaejin_an1

Read in #JGIM: rdcu.be/eT6q1

Turns out, chatbots might sound more empathic than physicians 🤖🩺 But if patients think a physician wrote the reply—even when it was #AI—empathy ratings are even higher. It’s not just what’s said. It’s who we think said it. @mollieruben

Read in #JGIM: rdcu.be/eT6qK

These authors found that the Serious Illness Conversations Guide is adaptable to Crisis Situations.

Read in #JGIM: rdcu.be/eT6qr

LLMs are not neutral second opinions. They generate responses based on patterns learned from massive amounts of human-written text.
That means they can also reproduce our cognitive biases and blind spots. They reflect collective human reasoning — including its flaws. #AI
Read in #JGIM: rdcu.be/eTbtU

Does the choice of a premed’s undergraduate major influence their specialty choice years later? A #JGIM study finds that premeds who studied population health & health systems in addn to premed reqs were more likely to enter #Primary Care.

Read: rdcu.be/eTbsX

Which CBT format works best for people with diabetes?
A new systematic review finds digital-assisted CBT leads for depression/anxiety, while group and guided self-help formats benefit HbA1c and distress. rdcu.be/eTbqE #Diabetes #MentalHealth #JGIM

Exhibit A:

Balancing ACGME requirements with individualized IM training is tough.
UCSF’s approach (Inpatient Threads + Block 2.0) shows how it can be done—really clear, helpful figures in this article: rdcu.be/eTbpp #MedEd #GME #JGIM

Opioid overdose risk isn’t evenly distributed.
U.S. adults with work disabilities face elevated fatal overdose risk—particularly older adults, women, and Hispanic individuals. 🔗 rdcu.be/eTbqq #OUD #JGIM

🍎 Screening for food insecurity ≠ understanding nutrition needs.
As health systems focus on health related social needs, the "N-HART" offers a structured way to tailor nutrition support beyond financial barriers. rdcu.be/eTbh0 #FoodisMedicine #PrimaryCare #JGIM

Since COVID-19 began, alcohol-related hospital admissions have grown more severe than in pre-pandemic years. Read more of @YaseenWid work here: rdcu.be/eTbk1 #JGIM #HospitalMedicine

🗣️ Language access isn’t guaranteed.
Only 54% of U.S. primary care practices always offer services for patients with limited English proficiency—despite legal mandates. @stacy0chen rdcu.be/eTbj8 #JGIM

Telehealth peer support reaches nearly 1 in 3 Medicaid beneficiaries with SUD. Uptake is higher for rural residents, women, those with mental health disorders, and people with multiple SUD diagnoses. Access is critical! 🔗 rdcu.be/eTbrY #SUD #JGIM #Telehealth

“Difficult” isn’t setting-specific.
Patients labeled difficult by inpatient doctors are often seen the same way by their primary care providers. Find out more: rdcu.be/eTbb9 #JGIM