Prevalence of Sexual Violence and Intimate Partner Violence Among US Military Veterans: Findings from Surveys with Two National Samples
ConclusionsUnderstanding veterans ’ experiences of SV and IPV can inform identification and intervention efforts, especially for women and sexual minorities. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research

Preferred Communication Strategies for People with Communication Disabilities in Health Care Encounters: a Qualitative Study
ConclusionsFor patients with CDs, it is critical to acknowledge and document the CD and individualize communication strategies during healthcare visits to facilitate communication. Studies are needed to evaluate whether improved communication strategy usage leads to improved health outcomes for this population. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research

Rural Veterans ’ Experiences with Social Risk Factors: Impacts, Challenges, and Care System Recommendations
ConclusionsVHA interventions should include active dissemination of information on social needs resources and navigation support to help Veterans access resources. Community-based organizations (e.g., Veteran Service Organizations) could be key partners in the design and implementation of future social need interventions. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research

Anti-hypertensive Medication Use Among People with and without Substance Use Disorders
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research

Training Primary Care Physicians in For-Profit, Value-Based Care Clinics
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research

Improved Utilization of Serial Testing Without Increased Admissions after Implementation of High-Sensitivity Troponin I: a Controlled Retrospective Cohort Study
ConclusionsImplementation of a hs-cTn intervention bundle was associated with an improvement in serial cTn testing, a neutral effect on probability of hospital admission, and a modest increase in ED LOS. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 22, 2023 Category: Internal Medicine Source Type: research

Exploring Models of Exposure to Primary Care Careers in Training: a Narrative Review
AbstractMultiple models of clinical exposure to primary care exist within undergraduate medical education (UME) and graduate medical education (GME). In this narrative review, we explore the evidence behind these different models of exposure, their alignment with positive promoters of primary care careers, and the pros and cons of each. Without positive exposure to primary care during training, sustaining the future primary care work force becomes increasingly challenging. Here, we explore multiple models of clinical exposure in UME, including longitudinal integrated clerkships, primary care tracks, and primary care clerks...
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

Decreased Anogenital Gonorrhea and Chlamydia in Transgender and Gender Diverse Primary Care Patients Receiving Gender-Affirming Hormone Therapy
ConclusionsGAHT delivered in primary care was associated with less STI morbidity in this TGD cohort over follow-up. Patients may benefit from individualized and tailored clinical care alongside GAHT to optimize STI outcomes. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

An Opportunity for Change: Principles for Reforming Internal Medicine Inpatient Conferences
AbstractInpatient educational conferences are a key part of internal medicine residency training. Many residencies made conferences virtual during the COVID-19 pandemic, and are now returning to in-person sessions. As we navigate this change, we can seize this opportunity to re-evaluate the role that inpatient conferences serve in resident education. In this paper, we briefly review the history of inpatient educational conferences before offering five recommendations for improvement. Our recommendations include grounding conference formats in educational theory, leveraging the expertise of all potential educators, broadeni...
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

Medication Abortion and the Role of Internal Medicine Physicians
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

Reducing the Risks of Nuclear War —the Role of Health Professionals
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

The Case for Rituals
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

Stereotype Threat and Gender Bias in Internal Medicine Residency: It is Still Hard to be in Charge
ConclusionsGender-based stereotype threat is highly prevalent among women IM residents. This phenomenon poses a threat to confidence and ability to execute patient care responsibilities, detracting from well-being and professional development. These findings indicate that, despite robust representation of women in IM training, further attention is needed to address gendered experiences and contributors to women ’s vulnerability to stereotype threat. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research

Catalyzing System Change: 100 Quality Improvement Projects in 1000 Days
ConclusionsWith appropriate QI infrastructure, scalable QI training models like Stanford PC-PEP can empower frontline workers to create meaningful changes across the IHI QA. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research

Affordability of Insulin for Non-Elderly Adults in the United States following $35 Monthly Out-of-Pocket Cap
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research