Can a technician in the home paired with remote geriatricians keep older adults out of nursing homes? Evaluating the hybrid "TeleGRACE" model shows promising results and a few surprising trade-offs. Free Full Text👉️ rdcu.be/pzChwmQ3HD7a
Journal of General Internal Medicine
@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.
Guidelines recommend NT-proBNP screening to catch heart failure early in diabetes but why is real-world adoption lagging? Experts from 10 countries share practical roadmaps for bridging the gap from guideline to clinical practice. Free Full Text👉️ rdcu.be/EUhNxk6Hc7Qa
New research published in #JGIM finds that large language models can be optimized to effectively predict which patients will leave the hospital, revolutionizing the way hospitals may approach discharge planning. Read here: buff.ly/yq8x23R
Many patients with diffuse symptoms & low-titer ANA are diagnosed with autoimmune disease despite no objective inflammation. This review in #JGIM examines how anchoring bias and diagnostic momentum contribute to misdiagnosis and unnecessary treatment. Read here: buff.ly/d0iBSrn
A recent Think Tank explored how to better integrate clinical research into #PrimaryCare focused on (1) expanding practice-based research networks, (2) leveraging digital health technologies, and (3) investing in the future of primary care research. Read in #JGIM: rdcu.be/7oak7rY6vGCa
Want to learn how to support Junior Faculty in their growth to become mentors? Read about the JUnior Faculty Mentoring Program (JUMP) in #JGIM: rdcu.be/fBOMV
Spotlighting UCSF IHPS Faculty: Elizabeth Dzeng, PhD, MD, MPH Research from Sohn et al., published in @journalgim.bsky.social, examines "Healthcare Staff Perspectives and Experiences of Racism's Impact on Care for Hospitalized Black Adults: A Qualitative Study."
Successful #APP integration in academic internal medicine requires intentional design, clear roles, and interprofessional training. These partnerships help prepare residents for the realities of modern #PrimaryCare. #MedEd Read in #JGIM: rdcu.be/fBOMe
Global cardiovascular risk calculators often fail African populations. This perspective highlights why miscalibration occurs and outlines practical, achievable solutions for locally relevant CVD risk prediction in Africa. Read in #JGIM: rdcu.be/fBOKy
Shouldn't be surprise for any #PCP: Transportation needs were associated with increases in missed or late cancelled #PrimaryCare appointments. Read in #JGIM: rdcu.be/fBOvf
Disparities in #COVID19 vaccination underscore imperative for health systems to fill the gap during federal policy turmoil. @CRBMD #SDOH #Vaccines Read in #JGIM: rdcu.be/fBOtP
Family caregivers are the backbone of hospice care, yet Medicare's hospice structure often limits the support they receive. Looking back at the origins of the Hospice Benefit highlights opportunities to better care for patients & families. Read in #JGIM: rdcu.be/fzyee
What do you think about this finding? Rustagi et al report that #veterans (50+) reported more cannabis use than their non-veteran counterparts. Authors suggest that vets may need tailored interventions to address their #cannabis use. Read in #JGIM: rdcu.be/fzygX
Want to strengthen the #PrimaryCare pipeline? Start in medical school. Improving the ambulatory GIM experience means authentic longitudinal clinical experiences, mentorship, stronger faculty support, and advocacy. A call to action for medical schools and Departments of Medicine. rdcu.be/fzyxj
General medicine research has a strong pipeline—but it needs support. A national survey found training gaps alongside impressive graduate successes. Stronger support + collaboration are critical to sustaining the next generation of researchers. @KiraRyskinaMD rdcu.be/fzyhN #MedEd #GME
Medicaid expansion didn’t benefit everyone equally. A new study finds single sexual minority adults saw disproportionate gains in insurance coverage following expansion @SarahPetry8 rdcu.be/fzyv9
In this cross-sectional study of 5479 US trainees and practicing physicians, a majority of trainees and approximately half of practicing physicians reported favorable attitudes regarding unionization. @ColinWestMDPhD rdcu.be/QodQTQmq3kda #MedEd #GME
Just 4.8%of U.S. adults with alcohol or opioid use disorder received FDA-approved medication treatment last year. Those who did were more likely to end up in the ER or hospital Why? A new study highlights a striking gap between treatment and outcomes. rdcu.be/8eqcWiV8D3Va
Likes, comments, DMs—but can they replace being there in person? Researchers at Oregon State University found that in-person social support was nearly 10× as strongly related to loneliness as social-media-based support. Digital connection ≠ connection in real life. rdcu.be/fyyYV
How do we get residents talking about nutrition? Technology-enhanced “Nutri” training increased residents’ intention to discuss diet vs. traditional training. What they need: **a clear role, a framework & point-of-care tools.** @UTexasNutrition rdcu.be/rKHnKxoW1zQa
A positive stool test is only step 1. How do we get patients to the colonoscopy that comes next? Our meta-analysis finds patient navigation works, particularly in safety-net and underserved settings where follow-up often lags. @DGonzalezMMD rdcu.be/jEbX3onkzaaa
What does Internal Medicine POCUS education look in Canada? 🇨🇦 Our first nationwide evaluation found: 🔹 Lots of variability in curricula 🔹 A feasible assessment tool for future use A step toward more consistent POCUS education for Internal Medicine trainees. @StevenMontague rdcu.be/f6ryWXqj3D8a
1 in 4 home health aides report burnout. 1 in 4 face racism. 1 in 4 experience violence. And still—87% are proud of the work they do. They show up every day to care for our loved ones. We need to show up for them. New study in @JournalGIM #HHA #OlderAdults #Workforce @lsinvani rdcu.be/fyyWD
This #JGIM #OriginalResearch study found very few adults with a non-traumatic fracture received medical treatment for secondary osteoporosis fracture prevention Read the 🆓 full-text ⬇️ to find out why expanded quality improvement efforts are needed to close the osteoporosis care gap: rdcu.be/fyyQi
#SDOH screening identifies inequities but rarely leads to action This #JGIM #OriginalResearch by tested a community health worker (CHW) led diabetes program in Hispanic churches CHWs improved access to insurance, clinics, and eye exams! 🆓 full-text ⬇️: rdcu.be/fyyOR
🟢Focus On ME🟢 This learning collaborative between state, academic, and community partners was associated with increased evidence-based treatment of women's behavioral health in primary care Read the #JGIM #OriginalResearch at the 🆓 full-text ⬇️: rdcu.be/fyyMt
1/4 adults feel lonely 😔 1/5 adults lack social support🥺 This is even more prevalent among socioeconomically disadvantaged adults and those in fair/poor health Read the 🆓 full-text of this #JGIM #ConciseResearchReport ⬇️ to learn how we can reduce the burden!: rdcu.be/fweKh
Financial strain affects 1 in 10 adults with diabetes and is independently associated with higher A1c ❗️This difference is comparable to adding a second glucose-lowering medication❗️ Read the 🆓 full-text of this #JGIM #ConciseResearchReport ⬇️: rdcu.be/fweJP
Preventive care was disrupted and delayed during the early COVID-19 pandemic... ...cancer screenings were no exception This #JGIM #OriginalResearch at what happened long-term and asks what still needs to be done. Check it out! 🆓 full-text ⬇️ rdcu.be/fweCe
Does hospital price transparency work? Unlike prior studies on price levels, this new #JGIM #ConciseResearchReport tracks price changes after the price transparency rule It showed a 6% decrease in commercially negotiated and cash prices for shoppable services 🆓 full-text ⬇️: rdcu.be/fweeC