@journalgim.bsky.social
We are a comprehensive journal that matches the broad scope of general internal medicine (GIM) and we aim to promote advancements in clinical and health services research, medical education, and clinical practice in Internal Medicine.
Sustaining #compassion in #healthcare is challenging
Doctors use a range of strategies to sustain their care for patients
Read this #JGIM #OriginalResearch for 🆓 ⬇️
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This #JGIM #QualitativeResearch study offers potential solutions to gaps in inter-hospital transfer processes
Read the 🆓 full-text ⬇️ to proactively identify potential barriers to these solutions & provide hospital system & clinician leaders with new insights to improve transfers
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😮 Among 114,000 US adults with unhealthy alcohol use, only 10% had a clinical AUD diagnosis
💊 AUD diagnosis had an 11-fold increase in odds of receiving medication
Read the 🆓 full-text of this #JGIM #OriginalResearch highlighting major gaps in recognition & treatment equity ⬇️
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🟢 Women Veterans with VA health care coverage have ⬆️ health-related social needs than women Veterans without VA coverage
🟢 Having more health-related social needs is associated with ⬆️ emergency care use & ⬇️ outpatient care use
🆓 full-text #JGIM #OriginalResearc article ⬇️
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This #JGIM #Original Research article showed that a history of military sexual trauma was associated with an ⬆️ incidence of gynecologic cancers
Read the 🆓 full-text to learn more about the need for early screening & engagement in #TraumaInformed gynecologic care for women Veterans
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Read the 🆓 full-text of this #JGIM #OriginalResearch that showed minimum wage legislation may reduce very low food security prevalence rates
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Networking is daunting, & clinician educators may struggle to establish the ties that are necessary components of a robust network
This #JGIM #Perspective outlines specific strategies that clinician educators can easily employ to develop relationships
Read the 🆓 full-text ⬇️:
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This #JGIM #OriginalResearch article showed that care disruption was associated with declines in blood pressure control, which could impact risk of cardiovascular outcomes
Read the 🆓 full-text ⬇️:
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Social factors such as neighborhood deprivation, housing insecurity, race/ethnicity, and sex impact which Veterans receive medication for quitting tobacco
Read how to mitigate these factors in this new #JGIM #OriginalResearch article at the 🆓 full-text link ⬇️:
rdcu.be/eYm1m
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