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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/28822044/capsule-commentary-on-phelan-et-al-medical-school-factors-associated-with-changes-in-implicit-and-explicit-bias-against-gay-and-lesbian-people-among-3492-graduating-medical-students
#1
https://www.readbyqxmd.com/read/28819933/nutcracker-syndrome-and-sickle-cell-trait
#2
Sean Verma, Mustafa Khaliqi, Kellee L Oller
No abstract text is available yet for this article.
August 17, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28815485/screening-for-osteoporosis-in-older-men-operating-characteristics-of-proposed-strategies-for-selecting-men-for-bmd-testing
#3
Susan J Diem, Katherine W Peters, Margaret L Gourlay, John T Schousboe, Brent C Taylor, Eric S Orwoll, Jane A Cauley, Lisa Langsetmo, Carolyn J Crandall, Kristine E Ensrud
BACKGROUND: The optimal approach for selecting men for bone mineral density (BMD) testing to screen for osteoporosis is uncertain. OBJECTIVE: To compare strategies for selecting older men for screening BMD testing. DESIGN: Prospective cohort study. PARTICIPANTS: A total of 4043 community-dwelling men aged ≥70 years at four US sites. MAIN MEASURES: BMD at the total hip, femoral neck, and lumbar spine using dual-energy x-ray absorptiometry (DXA)...
August 16, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808942/primary-care-providers-opening-of-time-sensitive-alerts-sent-to-commercial-electronic-health-record-inbaskets
#4
Sarah L Cutrona, Hassan Fouayzi, Laura Burns, Rajani S Sadasivam, Kathleen M Mazor, Jerry H Gurwitz, Lawrence Garber, Devi Sundaresan, Thomas K Houston, Terry S Field
BACKGROUND: Time-sensitive alerts are among the many types of clinical notifications delivered to physicians' secure InBaskets within commercial electronic health records (EHRs). A delayed alert review can impact patient safety and compromise care. OBJECTIVE: To characterize factors associated with opening of non-interruptive time-sensitive alerts delivered into primary care provider (PCP) InBaskets. DESIGN AND PARTICIPANTS: We analyzed data for 799 automated alerts...
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808923/evidence-based-precision-medicine-is-needed-to-move-toward-general-internal-precision-medicine
#5
Evrim Jaccard, Jacques Cornuz, Gérard Waeber, Idris Guessous
No abstract text is available yet for this article.
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808869/hospitalizations-and-nursing-facility-stays-during-the-transition-from-ckd-to-esrd-on-dialysis-an-observational-study
#6
Maria E Montez-Rath, Yuanchao Zheng, Manjula Kurella Tamura, Vanessa Grubbs, Wolfgang C Winkelmayer, Tara I Chang
BACKGROUND: There is little information on hospital and nursing facility stays during the transition from pre-dialysis kidney disease to end-stage renal disease treated with dialysis. OBJECTIVES: To examine hospital and nursing facility stays in the years pre- and post-dialysis initiation, and to develop a novel method for visualizing these data. DESIGN: Observational study of patients in the US Renal Data System initiating dialysis from October 2011 to October 2012...
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808863/warm-handoffs-a-novel-strategy-to-improve-end-of-rotation-care-transitions
#7
Harry S Saag, Jingjing Chen, Joshua L Denson, Simon Jones, Leora Horwitz, Patrick M Cocks
BACKGROUND: Hospitalized medical patients undergoing transition of care by house staff teams at the end of a ward rotation are associated with an increased risk of mortality, yet best practices surrounding this transition are lacking. AIM: To assess the impact of a warm handoff protocol for end-of-rotation care transitions. SETTING: A large, university-based internal medicine residency using three different training sites. PARTICIPANTS: PGY-2 and PGY-3 internal medicine residents...
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808856/validation-of-veterans-affairs-electronic-medical-record-smoking-data-among-iraq-and-afghanistan-era-veterans
#8
Patrick S Calhoun, Sarah M Wilson, Jeffrey S Hertzberg, Angela C Kirby, Scott D McDonald, Paul A Dennis, Lori A Bastian, Eric A Dedert, Jean C Beckham
BACKGROUND: Research using the Veterans Health Administration (VA) electronic medical records (EMR) has been limited by a lack of reliable smoking data. OBJECTIVE: To evaluate the validity of using VA EMR "Health Factors" data to determine smoking status among veterans with recent military service. DESIGN: Sensitivity, specificity, area under the receiver-operating curve (AUC), and kappa statistics were used to evaluate concordance between VA EMR smoking status and criterion smoking status...
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28808852/patient-experience-with-the-patient-centered-medical-home-in-michigan-s-statewide-multi-payer-demonstration-a-cross-sectional-study
#9
Issidoros Sarinopoulos, Diane L Bechel-Marriott, Jean M Malouin, Shaohui Zhai, Jason C Forney, Clare L Tanner
BACKGROUND: The literature on patient-centered medical homes (PCMHs) and patient experience is somewhat mixed. Government and private payers are promoting multi-payer PCMH initiatives to align requirements and resources and to enhance practice transformation outcomes. To this end, the multipayer Michigan Primary Care Transformation (MiPCT) demonstration project was carried out. OBJECTIVE: To examine whether the PCMH is associated with a better patient experience, and whether a mature, multi-payer PCMH demonstration is associated with even further improvement in the patient experience...
August 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28798997/high-stakes-for-the-health-of-sexual-and-gender-minority-patients-of-color
#10
Judy Y Tan, Arshiya A Baig, Marshall H Chin
As clinicians, educators, and researchers, our ability to provide the best possible care to our patients who are sexual and gender minority (SGM) people of color is increasingly challenged. Relative to the general population, SGM patients often have worse health outcomes, and among SGM patients, racial and ethnic minorities are particularly vulnerable. Healthcare policies proposed by the current administration, along with an increasingly hostile and dangerous social climate, have the potential to seriously harm SGM patients of color...
August 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28785989/chad-is-dead-pragmatic-utility-of-the-cha2ds2-vasc-score-in-non-valvular-atrial-fibrillation
#11
EDITORIAL
T Raymond Foley, Mori J Krantz
No abstract text is available yet for this article.
August 7, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28785988/capsule-commentary-on-o-malley-et-al-providers-experiences-with-chronic-care-management-ccm-services-and-fees-a-qualitative-research-study
#12
Ari Hoffman
No abstract text is available yet for this article.
August 7, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28785987/competency-based-clinical-shoulder-examination-training-improves-physical-exam-confidence-and-knowledge-in-common-shoulder-conditions
#13
Michal Kalli Hose, John Fontanesi, Manjulika Woytowitz, Diego Jarrin, Anna Quan
BACKGROUND: Deficiencies in musculoskeletal knowledge are reported at every stage of learning. Medical programs are looking for effective ways to incorporate competency-based training into musculoskeletal education. AIM: To evaluate the impact of bedside feedback on learner's shoulder examination skills, confidence, and knowledge of common shoulder conditions. SETTING: Four-week musculoskeletal clinic rotation. PARTICIPANTS: UCSD third year medical students and internal medicine residents...
August 7, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28770379/checkpoint-inhibitor-associated-hypophysitis
#14
Lee-Shing Chang, Maria A Yialamas
No abstract text is available yet for this article.
August 2, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28766126/partnering-with-psychiatry-to-close-the-education-gap-an-approach-to-the-addiction-epidemic
#15
Jeanette M Tetrault, Ismene L Petrakis
Addiction has reached epidemic proportions in the U.S., yet the workforce prepared to care for this population is woefully inadequate. Of the 23 million Americans suffering from addiction, only 11% receive treatment, creating a substantial treatment gap. There have been calls to improve addiction education at all levels of training in order to prepare medical providers with the skills to identify patients with substance use, briefly treat if indicated, and/or refer more complex cases to specialty care. These calls have been put forth to address the education gap, wherein physicians in training are exposed to numerous patients who are suffering from addiction but have few curricular hours dedicated to the identification and management of this population...
August 1, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28766125/medical-school-factors-associated-with-changes-in-implicit-and-explicit-bias-against-gay-and-lesbian-people-among-3492-graduating-medical-students
#16
Sean M Phelan, Sara E Burke, Rachel R Hardeman, Richard O White, Julia Przedworski, John F Dovidio, Sylvia P Perry, Michael Plankey, Brooke A Cunningham, Deborah Finstad, Mark W Yeazel, Michelle van Ryn
BACKGROUND: Implicit and explicit bias among providers can influence the quality of healthcare. Efforts to address sexual orientation bias in new physicians are hampered by a lack of knowledge of school factors that influence bias among students. OBJECTIVE: To determine whether medical school curriculum, role modeling, diversity climate, and contact with sexual minorities predict bias among graduating students against gay and lesbian people. DESIGN: Prospective cohort study...
August 1, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28755099/engaging-with-communities-to-reduce-diabetes-development
#17
EDITORIAL
Shari D Bolen, Randall D Cebul
No abstract text is available yet for this article.
July 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28755098/opioids-and-substance-abuse-education-or-just-regulation
#18
EDITORIAL
Rebecca Andrews, Eric M Mortensen
No abstract text is available yet for this article.
July 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28755097/provider-experiences-with-chronic-care-management-ccm-services-and-fees-a-qualitative-research-study
#19
Ann S O'Malley, Rumin Sarwar, Rosalind Keith, Patrick Balke, Sai Ma, Nancy McCall
BACKGROUND: Support for ongoing care management and coordination between office visits for patients with multiple chronic conditions has been inadequate. In January 2015, Medicare introduced the Chronic Care Management (CCM) payment policy, which reimburses providers for CCM activities for Medicare beneficiaries occurring outside of office visits. OBJECTIVE: To explore the experiences, facilitators, and challenges of practices providing CCM services, and their implications going forward...
July 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28752359/irrational-exuberance-in-medicine
#20
EDITORIAL
Richard L Kravitz
No abstract text is available yet for this article.
July 27, 2017: Journal of General Internal Medicine
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