Journal of General Internal Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Internal Medicine Resident Addiction Training at the Veteran ’s Health Administration: A Qualitative Evaluation of Site Directors’ Response to the 2022 ACGME Requirements
ConclusionsDeveloping competent clinical champions and leveraging VHA addiction specialists from non-IM settings would create more addiction training opportunities for IM trainees at VHA sites. These insights can likely be applied to IM training at non-VHA sites. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 1, 2024 Category: Internal Medicine Source Type: research

Evaluating the Quality of Virtual Urgent Care: Barriers, Motivations, and Implementation of Quality Measures
ConclusionsWe identified variation in quality measurement use and content by virtual urgent care programs. With the rapid growth in this approach to care delivery, more work is needed to identify optimal quality metrics. A standardized approach to quality measurement will be key to identifying variation in care and help focus quality improvement by virtual urgent care programs. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 1, 2024 Category: Internal Medicine Source Type: research

Operationalizing Equity, Inclusion, and Access in Research Practice at a Large Academic Institution
ConclusionsDiversity, inclusion, and access are critical values for research conduct that promotes justice and equity. These values can be operationalized through organizational commitment that combines bottom-up and top-down approaches and through partnerships across organizations that promote mutual learning and synergy. While our guidelines represent best practices at one time, we recognize that practices evolve and need to be evaluated continuously for accuracy and relevance. Our intention is to bring awareness to these critical topics and form a foundation for important conversations surrounding equitable and inclusiv...
Source: Journal of General Internal Medicine - February 1, 2024 Category: Internal Medicine Source Type: research

Differential Effect of Patient- and Provider-Level Factors on Patient Satisfaction Scores in Academic General Internal Medicine Clinics
ConclusionsIn this academic general internal medicine clinic, top-box satisfaction scores were more strongly associated with provider-level factors, including provider race/ethnicity, provider type, and service type, as opposed to patient-level factors. Further research is needed to confirm these findings and identify potential system-level interventions. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 1, 2024 Category: Internal Medicine Source Type: research

Racial and Ethnic Disparities in the Prescribing of Pain Medication in US Primary Care Settings, 1999 –2019: Where Are We Now?
ConclusionsThese findings suggest that additional intervention strategies, or better implementation of existing strategies, are needed to eliminate ethnic and racial disparities in pain treatment towards the goal of equitable healthcare. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 1, 2024 Category: Internal Medicine Source Type: research

Gender Differences in Work-Based Assessment Scores and Narrative Comments After Direct Observation
ConclusionsContrasting prior studies, we found entrustment rating differences in a simulated WBA which persisted after adjusting for the resident ’s scripted performance. There were also linguistic differences by gender after adjusting for entrustment ratings, with feminine terms being used more frequently in comments about women in some, but not all narrative comments. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 30, 2024 Category: Internal Medicine Source Type: research

Navigating Uncertainty in Clinical Practice: A Structured Approach
AbstractThe practice of clinical medicine is imbued with uncertainty. The ways in which clinicians and patients think about, communicate about, and act within situations of heightened uncertainty can have significant implications for the therapeutic alliance and for the trajectory and outcomes of clinical care. Despite this, there is limited guidance about the best methods for physicians to recognize, acknowledge, communicate about, and manage uncertainty in clinical settings. In this paper, we propose a structured approach for discussing and managing uncertainty within the context of a clinician-patient relationship. The ...
Source: Journal of General Internal Medicine - January 29, 2024 Category: Internal Medicine Source Type: research

Rethinking Substance Use as Social History: Charting a Way Forward
AbstractPhysicians have traditionally asked about substance use within the Social History section of the consultation note. Drawing on social science theory and using the authors ’ own experiences as generalists and addiction scholars, we consider the possible unintended harms associated with this approach. The inclusion of the substance use history within the Social History reproduces the discourse of substance use disorders as “life-style choices” rather than medical conditions, and reinforces stigma among healthcare workers through the attribution of personal responsibility for complications associated with proble...
Source: Journal of General Internal Medicine - January 29, 2024 Category: Internal Medicine Source Type: research

The Chicagoland Free Clinics Consortium: A Model for Student-Run Free Clinic Collaboration
DiscussionTo our knowledge, CFCC is the first student-led organization to promote sustained collaboration across SRFCs in a metropolitan area. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 29, 2024 Category: Internal Medicine Source Type: research

Impact of Comorbidities on the Risk of Polypharmacy and Potentially Inappropriate Medications in Older Patients
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 29, 2024 Category: Internal Medicine Source Type: research

Patient // patient
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 29, 2024 Category: Internal Medicine Source Type: research

Empathy Among Physicians and Nurses in Japan: A Nationwide Cross-sectional Study
ConclusionsPhysicians had significantly lower scores on the JSE than nurses in Japan. Higher age, self-identified female gender, having children, working at a small hospital, having a mother who is a physician, and having a father who is a nurse or co-medical professional were factors associated with the level of empathy. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 26, 2024 Category: Internal Medicine Source Type: research

Exploring Clinical Lessons Learned by Experienced Hospitalists from Diagnostic Errors and Successes
ConclusionsThe study identifies key lessons learned from the errors and successes encountered in patient care by clinically experienced hospitalists. These findings may prove helpful for individuals and groups that are authentically committed to moving along the continuum from diagnostic competence towards excellence. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 26, 2024 Category: Internal Medicine Source Type: research

A Pragmatic Approach to Identifying and Profiling Primary Care Clinicians and Primary Care Practices in the USA
ConclusionsOur approach offers a pragmatic and consistent alternative to the diverse methods currently used to identify and profile primary care workforce and organizations in the USA. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 25, 2024 Category: Internal Medicine Source Type: research

Associations of Primary Care Provider Burnout with Quality Improvement, Patient Experience Measurement, Clinic Culture, and Job Satisfaction
ConclusionsCreating provider-team relationships and environments where providers have the time and space necessary to discuss changes to improve care, ideas are shared, leadership supports QI, and QI is monitored and discussed were related to not being burned out. Reducing time pressures and improving support needed for providers to address the high-need levels of FQHC patients can also decrease burnout. Such leadership and support to improving care may be a separate protective factor against burnout. Research is needed to further examine which aspects of leadership drive down burnout and increase provider involvement in c...
Source: Journal of General Internal Medicine - January 25, 2024 Category: Internal Medicine Source Type: research