Can stronger case management lower healthcare costs even when readmissions and ED visits don't budge? New findings suggest it might. More research is needed to identify the most effective interventions. Read in #JGIM: rdcu.be/fguGO
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.
Based on the date from this #JGIM paper, the 2024 OMB update to combine race & ethnicity questions will likely better align w/ many #Latino individuals’ identities. When feasible, a write-in race question offers ⬆️ accurate and complete data. Read here: rdcu.be/fe5P4
Healthcare access should not depend on where you live. Over 60% of safety-net hospital closures occurred in Medicaid non-expansion states, with rural and marginalized communities bearing the greatest impact. We must act to preserve these essential lifelines. @chavononumah rdcu.be/fe1tO
The carceral healthcare system is increasingly faced with the question of how to make treatment decisions for decisionally incapacitated patients. We explore this question and offer an answer to it. @NIHClinicalCntr rdcu.be/fe2ka
Conversations fade. Decisions endure. Long-term follow-up of the CLEAR trial found shared decision-making checklists supported lasting code status decisions, even as patients' knowledge declined over time. #PalliativeCare rdcu.be/fdQVO
Burnout doesn't just affect physicians—it can push future physicians out before they begin. Among U.S. MD students, burnout was associated with 2–3x higher odds of leaving medical school, with differences in disengagement and exhaustion across student groups. @MytienTNguyen rdcu.be/fe1Mr
Can a prescription for fruits and vegetables improve more than diet? We found that Produce Rx—including home delivery and nutrition coaching—improved diet quality and reduced loneliness compared with SNAP alone. #FoodIsMedicine #HealthEquity rdcu.be/fdQ1o
Screening for social needs is only the first step. Our VA study found that connecting veterans to resources depends on trusted community partners, stronger community ties, and greater awareness of how social needs affect health #HealthEquity rdcu.be/fdQYK
Burnout isn't one-size-fits-all. Among its dimensions, only cynicism independently predicted physicians' intention to leave practice—an important target for workforce retention efforts. #PhysicianWellbeing #HealthWorkforce rdcu.be/fdQ2s
Burnout isn't one-size-fits-all. Among its dimensions, only cynicism independently predicted physicians' intention to leave practice—an important target for workforce retention efforts. #PhysicianWellbeing #HealthWorkforce buff.ly/iaNPNFT
Can patients accurately judge a clinician's non-English language proficiency? Our study found patient ratings had low reliability and validity, while clinician self-assessments performed better and may be sufficient for research. #MedEd #HealthEquity rdcu.be/fdQXW
Advanced care planning documentation ≠ goal-concordant care. This study examined whether ED-initiated video advance care planning improved both in a multicenter study #AdvanceCarePlanning #EM rdcu.be/fe5J9
Would you be surprised to know that the future physician workforce is still planning on working full-time? In a national study of medical students (2016–2021), 86% planned full-time patient care rdcu.be/fbDl3 #MedEd
AI tools in medical education are rapidly evolving... This national survey of IM Clerkship Directors highlights the need for institutions to educate their faculty in AI so that they can lead students through this new era Read the 🆓 full-text of this #JGIM #OriginalResearch ⬇️: rdcu.be/fbDi1
Medicine is losing its bedside Burnout, productivity quotas, and administrative overload are turning physicians into documentation managers 🟢 Protect bedside teaching 🟢 Restore trust 🟢 Save the future of medicine 🆓 full-text of this #JGIM #Viewpoint ⬇️: rdcu.be/fbC1j
Rural primary care clinicians face challenges when inheriting patients on high-dose opioids following work-related injuries This #JGIM #QualitativeResearch explores the tensions between relationship-centered care & opioid regulations that make deprescribing difficult 🆓 full-text ⬇️: rdcu.be/fbCx7
This #JGIM #OriginalResearch article showed lower and more rapidly declining telehealth use among Hispanic adults post-COVID... ...language barriers explained much of this pattern Read the 🆓 full-text article ⬇️: rdcu.be/fbBGh
Medical breakthroughs like #GLP1 and #SGLT2 inhibitors are transforming diabetes and heart disease care... ...but who actually gets them? This #JGIM #Editorial argues that innovation only matters if access is equitable 🆓 full-text ⬇️: rdcu.be/famx7
>85% of physician residents in a national survey believe APP care is lower quality than physician care... What do these perceptions mean for the future healthcare workforce? This #JGIM #Editorial argues the answer isn't ⬇️ collaboration, it's better team-based training 🆓 full-text ⬇️: rdcu.be/famv7
📊 Education alone won't dramatically boost vaccine uptake, but it's still essential Trust, relationships, and everyday clinician-patient conversations remain the foundation of changing health behavior Read more in the 🆓 full-text of this #JGIM #Editorial ⬇️: rdcu.be/famvM
Primary care doesn’t just improve health... ...it helps people live longer! This #JGIM #Editorial highlights how having a usual source of primary care is associated with 2+ years longer median survival in older adults The science is clear, now policy must catch up 🆓 full-text ⬇️: rdcu.be/famuT
This #JGIM #BottomLineSummary shares a great tip for patients: "Albuterol‑budesonide combination is better than albuterol alone for mild asthma" Read the 🆓 full-text ⬇️: rdcu.be/famtA
In this issue of #JGIM, the #HealingArts article is a visual arts piece on #ImposterSyndrome rdcu.be/famst
In June 2025, HHS Sec. RFK Jr. removed all sitting members of the CDC's vaccine advisory committee (ACIP), alleging industry conflicts. But did the data back up his claim? The authors of this #JGIM work investigated the actual payments to voting members. Free Full Text 👉️ rdcu.be/famjt
This #JGIM study examines the usage of Entrustable Professional Activities (EPAs) in the Acting Internship in US medical schools—and the role they play in the UME-GME transition. Does your program use EPAs? Free Full Text 👉️ rdcu.be/famgL
Does your doctor's age affect your opioid prescription? 💊 Do older clinicians often prescribe higher or lower doses? This #JGIM study reveals how clinician age may shape opioid care. Free Full Text 👉️ rdcu.be/famdT
Can a specialized clinic actually improve quality of life for patients battling Long COVID brain fog? 🩺🧠 The authors tracked 150 patients over 6 months to see if a combination of rehab, therapy, and education makes a measurable difference in their recovery. Free Full Text 👉️ rdcu.be/fambw
Does your doctor’s race affect how you plan for the end of life? 🏥 We know racial disparities exist in healthcare, but how do patient and provider races—and whether they match—impact crucial hospital conversations? Free Full text 👉️ rdcu.be/fal9B
Think opioids are a quick fix for acute back or neck pain? Early use prolongs disability, and emergency visits are costing patients hundreds. So, what role should they play in acute recovery? Read on to find out! Free Full text 👉️ rdcu.be/fal6M
When it’s time to stop a medication, are doctors and patients on the same page? We know what they think separately, but new research looks inside the clinic room to see if they actually agree. Spoilers: there's room for misunderstanding. Free full text: 👇 rdcu.be/e9bTE