Practice-based evidence for evidence-based practice. The official journal of the Society of General Internal Medicine.
Joined April 2012
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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 ⬇️:
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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 ⬇️:
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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 ⬇️:
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"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
Check out this new #JGIM #OriginalResearch by @Rivera2N highlighting the role of health literacy in colorectal cancer screening among Black and Hispanic patients
It's 🕰️ to develop communication strategies to improve screening!
🆓 full-text ⬇️:
buff.ly/lUdXk5s
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👉️ buff.ly/7yvddQy
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👉️ buff.ly/Kk6oPhs
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 w diffuse symptoms & low-titer ANA are dx'd w autoimmune disease despite no objective inflammation. This review in #JGIM examines how anchoring bias and diagnostic momentum contribute to misdiagnosis and unnecessary treatment. @SChatterjeeMD
buff.ly/d0iBSrn
A recent Think Tank explored how to better integrate clinical research into #PrimaryCare focused on expanding practice-based research networks, leveraging digital health technologies, &investing in the future of primary care research.
Read in #JGIM: buff.ly/eprWQgA
