Practice-based evidence for evidence-based practice. The official journal of the Society of General Internal Medicine.
Joined April 2012
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Can intensive glycemic control prevent diabetic peripheral neuropathy? A new review suggests little to no effect on incident DPN risk, while blood pressure-lowering and multifactorial interventions need further study.
Read in #JGIM: buff.ly/IuI0h4Z
Should IV opioids be used to treat opioid withdrawal in hospitalized patients? Read the lastest #JGIM Viewpoint from Michael Rose, MD, MPH to learn when they should be considered and best practices for their use.
Read here: buff.ly/aCHFLdR
QI can help reduce inequities in palliative care. SPHERE-Stanford clinicians found mentorship, teamwork & local adaptation key to implementation across diverse services. #PalliativeCare #QI @DomenicaDisal12 @meera_agar @KGiannitrapani
Read in #JGIM: buff.ly/sP0hbPY
Does whole-body MRI benefit healthy ppl? A new meta-analysis finds its value for populn-level screening remains unknown: most scans (78%) show something, yet only 1.4% find cancer & downstream benefits and harms are unproven. @danyalahsan
In #JGIM: buff.ly/xReWNX4
Social needs screening only works if patients trust the process. Veterans found VA screening acceptable, but emphasized clear communication, timely resources, and guidance to access support. Screening must connect patients to meaningful help. buff.ly/2Gt94B7
Trauma-informed care starts with training. A new study finds gaps in practice between medical students and clinical instructors. We must embed TIC throughout medical education @weil_amy buff.ly/Nc4r97y
Cannabis use disorder may carry a serious health risk: increased mortality. A new cohort study found higher all-cause, injury-related, and illness-related mortality, highlighting the need for targeted prevention strategies buff.ly/FcChfwy
Can cannabis laws affect opioid prescribing? Among ~2 million veterans with chronic pain, medical and recreational cannabis laws were linked to modest reductions in opioid prescribing, including high-dose and long-term use. @Zach_Mannes buff.ly/SfNCSn4
How do we scale whole-person care for chronic pain?
The VA’s wHOPE study highlights sustainable implementation: strong interdisciplinary teamwork, clear clinician roles, integrated referral pathways, & dedicated administrative support buff.ly/g9Df6Dd
How can we better support queer adults in healthcare? 🏳️🌈
A new Double Diamond design study identifies 3 key areas for HCP education:
🔹 Inclusive relationships & chosen family
🔹 Structural barriers & institutionalized othering
🔹 Trust, disclosure & patient safety
Affirming care starts with listening to lived experience buff.ly/jLeF9dA
How do patients with substance use disorder respond to team-based chronic pain and opioid dose reduction strategies?
This #JGIM #OriginalResearch reports it's similar to individuals without SUD
Read more at the 🆓 full-text ⬇️:
buff.ly/pn9x5cH
Acute care encounters are #GoldenOpportunities for OUD intervention...
...but Black & Hispanic Medicaid pts are ⬇️ likely to receive or stay on buprenorphine after discharge
Read the 🆓 full-text of this #JGIM #OriginalResearch by @DrMichelleLin ⬇️:
buff.ly/SQjbcn4
Removing South Carolina's Medicaid prescription cap was associated with ⬆️ HIV medication use & adherence
What are the implications for YOUR state's future?
Read the 🆓 full-text of this #JGIM #OriginalResearch by @FangliGeng and comment ⬇️:
buff.ly/iGoYQZt
This new #JGIM #SystematicReview found that visual impairment is associated with increased odds of delirium across diverse adult populations & care settings
How will this impact the care that YOU provide?
Check out the 🆓 full-text and comment ⬇️:
buff.ly/L0ZYatv
Does #WellDone mean the same thing in virtual and in-person OSCEs? 🤔
This new #JGIM #OriginalResearch found that while overall communication scores are similar, individual ratings may tell a different story
🆓 full-text ⬇️:
buff.ly/Qu375Hz
"Hey doc, your patient's BP is 185/92"
"Is she symptomatic?"
"No..."
Only 27% of hospitalists nationwide agree treating asymptomatic BP is important, and guidance on when to treat is unclear
Read the 🆓 full-text of this #JGIM #OriginalResearch ⬇️:
buff.ly/Vg0g9aJ
➕️ Academic medicine leaders are committed to & frequently engage in sponsorship
➖️ Lack of time, clear expectations, & institutional support are barriers
Check out this new #JGIM #QualitativeResearch on #sponsorship
🆓 full-text ⬇️:
buff.ly/zeGvB7O
🟢Volatility
🟢Uncertainty
🟢Complexity
🟢Ambiguity
This #JGIM #Viewpoint by @mlypson uses #VUCA to describe how when the future is uncertain, breadth becomes a leadership advantage
Read the 🆓 full-text ⬇️:
buff.ly/O4ZrVas
Fewer than 1/2 of patients who went to the ED for diabetes had outpatient follow-up within 1 month!
Check out this #JGIM #OriginalResearch by @AustinKilaru to see how care coordination is needed for patients discharged from the ED
🆓 full-text ⬇️:
buff.ly/dwTrMNa
