A Physician Struggles with Dementia in ‘From the Other Side’
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 4, 2024 Category: Internal Medicine Source Type: research

Experiences of Aging with Opioid Use Disorder and Comorbidity in Opioid Treatment Programs: A Qualitative Analysis
ConclusionsOlder adults with OUD reported increasing social isolation and declining health while experiencing multilevel stigma and discrimination. The US healthcare system must transform to deliver age-friendly care that integrates evidence-based geriatric models of care incorporated with substance use disorder treatment and addresses the intersectional stigma this population has experienced in healthcare settings. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 4, 2024 Category: Internal Medicine Source Type: research

Black Veterans Experiences with and Recommendations for Improving Weight-Related Health Care: A Photovoice Study
ConclusionsPhotovoice resulted in concrete targets that could reduce health disparities. Institutions should consider Photovoice and similar approaches to build trust with and incorporate input from marginalized communities. This approach requires sustained commitment from leaders to engage stakeholders and implement solutions. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 4, 2024 Category: Internal Medicine Source Type: research

A Physician Struggles with Dementia in ‘From the Other Side’
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 4, 2024 Category: Internal Medicine Source Type: research

The Procedural Yips
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 1, 2024 Category: Internal Medicine Source Type: research

The Primary Care Workforce Training Pipeline Has Two Ends
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 1, 2024 Category: Internal Medicine Source Type: research

The Procedural Yips
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 1, 2024 Category: Internal Medicine Source Type: research

The Primary Care Workforce Training Pipeline Has Two Ends
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - March 1, 2024 Category: Internal Medicine Source Type: research

Health-Related Quality of Life for Patients with Post-Acute COVID-19 Syndrome: Identification of Symptom Clusters and Predictors of Long-Term Outcomes
ConclusionsPatients with PASC have distinct HRQL symptom profiles which were able to differentiate across COVID-19 severity and symptoms. Improvement over 12  months differed by profile. These profiles may be used to better understand the mechanisms behind PASC. Future research should evaluate their ability to guide treatment decisions to improve HRQL. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

Building Climate Change into Medical Education: A Society of General Internal Medicine Position Statement
AbstractBuilding expertise in climate and planetary health among healthcare professionals cannot come with greater urgency as the threats from climate change become increasingly apparent. Current and future healthcare professionals —particularly internists—will increasingly need to understand the interconnectedness of natural systems and human health to better serve their patients longitudinally. Despite this, few national medical societies and accreditation bodies espouse frameworks for climate change and planetary health –related education at the undergraduate (UME), graduate (GME), and continuing (CME) medical edu...
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

A Systematic Review of the Single-Item Burnout Question: Its Reliability Depends on Your Purpose
DiscussionThe SIBOQ ’s usually adequate explanatory abilities allow “hot-spotting” to identify subgroups with high or low burnout within a single, homogenous survey fielding. However, the predictive ability of the SIBOQ indicates insufficient reliability in comparing local results to external benchmarks. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

Impact of Evidence-Based Quality Improvement on Tailoring VA ’s Patient-Centered Medical Home Model to Women Veterans’ Needs
ConclusionsEBQI effectiveness varied, with WH-PACTs experiencing broader benefits and PC-PACTs improving basic WH care readiness. Lower confidence delivering WH care by PC-PACT members warrants further study.Trial RegistrationThe data in this paper represent results from a cluster randomized controlled trial registered in ClinicalTrials.gov (NCT02039856). (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

Racial and Ethnic Disparities in Opioid Prescribing on Hospital Discharge Among Older Adults: A National Retrospective Cohort Study
Conclusions and RelevanceBlack older adults were less likely to fill a new opioid prescription after hospital discharge when compared to White older adults and received lower total MMEs. The factors contributing to these differential prescribing patterns should be investigated further. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

Pregnancy Rates Among Women Treated with Medication for Opioid Use Disorder
ConclusionsThe association between MOUD and odds of conception among birthing people varied by type of MOUD, with extended-release naltrexone associated with higher odds of conceiving compared to no treatment. Clinical studies are urgently needed to investigate these findings further. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research

Relational Harm Reduction for Internists: A Call to Action
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - February 29, 2024 Category: Internal Medicine Source Type: research