Practice-based evidence for evidence-based practice. The official journal of the Society of General Internal Medicine.
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Although intended as short-term fixes to #EHR challenges, workarounds can shape clinical practice long after an EHR transition. New research examines what that means for VA and other health systems transitioning from one EHR to another.
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Do you want to learn how to strengthen the HIV clinician workforce? Read about the model these authors created.
In #JGIM: buff.ly/mIWmRrN
One in three physicians had a mental health visit during their residency, with females more likely to seek care compared to males, mimicking the non-physician population. @Msood99M
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Patients will make adjustments to their longterm meds based on their own sx &experiences. W/O input from their healthcare team, there is a real risk of patient harm. How can we create more collaborative and patient-centered care frameworks?
Read in #JGIM: buff.ly/T0zjGSm
JGIM Journal of General Internal Medicine retweeted
Penn medical students are helping to build a framework for writing about patients with care. Citing Penn’s Listening Lab as a model, a paper this year in @journalGIM, opens conversations about the thoughtful handling of consent. spr.ly/6014BHl6tO
JGIM Journal of General Internal Medicine retweeted
🆕in @JournalGIM: NO observable change in medical debt among the privately insured following the No Surprises Act
Zimetbaum Fellow Marcos Gomez Ambriz et al. find that the NSA’s impact on medical debt has yet to materialize 🔗doi.org/10.1007/s11606-026-1…
In a safety-net setting, transportation barriers were the strongest and most consistent predictors of future acute care use.
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This paper in #JGIM highlights significant opportunities to increase use of high-quality SNFs among older adults. @BBurkeMD
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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.
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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 ⬇️:
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