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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/28210918/nutcracker-syndrome-and-sickle-cell-trait-a-perfect-storm-for-hematuria
#1
Amier Ahmad, Samuel K McElwee, Ryan R Kraemer
We describe the case of a 27-year-old woman with a history of sickle cell trait (SCT) who presented with several months of hematuria and was found to have nutcracker syndrome (NCS). While SCT is a common cause of hematuria resulting from renal papillary necrosis, our patient had concomitant abdominal pain and anemia, prompting further evaluation and the subsequent diagnosis of NCS. Interestingly, the anoxia in the left renal vein from NCS predisposes patients with SCT to sickling. Our case highlights key clinical features of both NCS and SCT and the relationship between the two disease processes...
February 16, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28197967/year-end-clinic-handoffs-a-national-survey-of-academic-internal-medicine-programs
#2
Erica Phillips, Christina Harris, Wei Wei Lee, Amber T Pincavage, Karin Ouchida, Rachel K Miller, Saima Chaudhry, Vineet M Arora
BACKGROUND: While there has been increasing emphasis and innovation nationwide in training residents in inpatient handoffs, very little is known about the practice and preparation for year-end clinic handoffs of residency outpatient continuity practices. Thus, the latter remains an identified, yet nationally unaddressed, patient safety concern. OBJECTIVES: The 2014 annual Association of Program Directors in Internal Medicine (APDIM) survey included seven items for assessing the current year-end clinic handoff practices of internal medicine residency programs throughout the country...
February 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28194690/impact-of-pregnancy-and-gender-on-internal-medicine-resident-evaluations-a-retrospective-cohort-study
#3
Megan L Krause, Muhamad Y Elrashidi, Andrew J Halvorsen, Furman S McDonald, Amy S Oxentenko
BACKGROUND: Pregnancy and its impact on graduate medical training are not well understood. OBJECTIVE: To examine the effect of gender and pregnancy for Internal Medicine (IM) residents on evaluations by peers and faculty. DESIGN: This was a retrospective cohort study. SUBJECTS: All IM residents in training from July 1, 2004-June 30, 2014, were included. Female residents who experienced pregnancy and male residents whose partners experienced pregnancy during training were identified using an existing administrative database...
February 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28194689/exploring-physician-perspectives-of-residency-holdover-handoffs-a-qualitative-study-to-understand-an-increasingly-important-type-of-handoff
#4
Jonathan A Duong, Trevor P Jensen, Sasha Morduchowicz, Michelle Mourad, James D Harrison, Sumant R Ranji
BACKGROUND: The term "holdover admissions" refers to patients admitted by an overnight physician and whose care is then transferred to a new primary team the next morning. Descriptions of the holdover process in internal medicine are sparse. OBJECTIVE: To identify important factors affecting the quality of holdover handoffs at an internal medicine (IM) residency program and to compare them to previously identified factors for other handoffs. DESIGN: We undertook a qualitative study using structured focus groups and interviews...
February 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28194688/emergency-department-initiated-buprenorphine-for-opioid-dependence-with-continuation-in-primary-care-outcomes-during-and-after-intervention
#5
Gail D'Onofrio, Marek C Chawarski, Patrick G O'Connor, Michael V Pantalon, Susan H Busch, Patricia H Owens, Kathryn Hawk, Steven L Bernstein, David A Fiellin
BACKGROUND: Emergency department (ED)-initiated buprenorphine/naloxone with continuation in primary care was found to increase engagement in addiction treatment and reduce illicit opioid use at 30 days compared to referral only or a brief intervention with referral. OBJECTIVE: To evaluate the long-term outcomes at 2, 6 and 12 months following ED interventions. DESIGN: Evaluation of treatment engagement, drug use, and HIV risk among a cohort of patients from a randomized trial who completed at least one long-term follow-up assessment...
February 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28188571/implementation-science-workshop-barriers-and-facilitators-to-increasing-mammography-screening-rates-in-california-s-public-hospitals
#6
Cassidy Clarity, Gato Gourley, Courtney Lyles, Sara Ackerman, Margaret A Handley, Dean Schillinger, Urmimala Sarkar, Joseph Conigliaro
No abstract text is available yet for this article.
February 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28185201/increased-access-to-professional-interpreters-in-the-hospital-improves-informed-consent-for-patients-with-limited-english-proficiency
#7
Jonathan S Lee, Eliseo J Pérez-Stable, Steven E Gregorich, Michael H Crawford, Adrienne Green, Jennifer Livaudais-Toman, Leah S Karliner
BACKGROUND: Language barriers disrupt communication and impede informed consent for patients with limited English proficiency (LEP) undergoing healthcare procedures. Effective interventions for this disparity remain unclear. OBJECTIVE: Assess the impact of a bedside interpreter phone system intervention on informed consent for patients with LEP and compare outcomes to those of English speakers. DESIGN: Prospective, pre-post intervention implementation study using propensity analysis...
February 9, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28181170/capsule-commentary-on-shortell-et-al-a-multilevel-analysis-of-patient-engagement-and-patient-reported-outcomes-in-primary-care-practices-of-accountable-care-organizations
#8
George L Jackson
No abstract text is available yet for this article.
February 8, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28181169/international-perspectives-on-general-internal-medicine
#9
EDITORIAL
Jessica Greene, Mitchell D Feldman
No abstract text is available yet for this article.
February 8, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28168540/association-of-intrinsic-motivating-factors-and-markers-of-physician-well-being-a-national-physician-survey
#10
Hyo Jung Tak, Farr A Curlin, John D Yoon
BACKGROUND: Although intrinsic motivating factors play important roles in physician well-being and productivity, most studies have focused on extrinsic motivating factors such as salary and work environment. OBJECTIVE: To examine the association of intrinsic motivators with physicians' career satisfaction, life satisfaction, and clinical commitment, while accounting for established extrinsic motivators as well. DESIGN AND PARTICIPANTS: A nationally representative survey of 2000 US physicians, fielded October to December 2011...
February 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28168539/assessment-of-residents-readiness-to-perform-lumbar-puncture-a-validation-study
#11
Mikael Johannes Vuokko Henriksen Md, Troels Wienecke Md PhD, Helle Thagesen Md, Rikke Vita Borre Jacobsen Md PhD, Yousif Subhi Md, Charlotte Ringsted Md PhD, Lars Konge Md PhD
BACKGROUND: Lumbar puncture is a common procedure in many specialties. The procedure serves to diagnose life-threatening conditions, often requiring rapid performance. However, junior doctors possess uncertainties regarding performing the procedure and frequently perform below expectations. Hence, proper training and assessment of performance is crucial before entering clinical practice. OBJECTIVE: To develop and collect validity evidence for an assessment tool for lumbar puncture performance, including a standard to determine when trainees are ready for clinical practice...
February 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28168538/price-transparency-in-primary-care-can-patients-learn-about-costs-when-scheduling-an-appointment
#12
Brendan Saloner, Lisa Clemans Cope, Katherine Hempstead, Karin V Rhodes, Daniel Polsky, Genevieve M Kenney
BACKGROUND: Cost-sharing in health insurance plans creates incentives for patients to shop for lower prices, but it is unknown what price information patients can obtain when scheduling office visits. OBJECTIVE: To determine whether new patients can obtain price information for a primary care visit and identify variation across insurance types, offices, and geographic areas. DESIGN: Simulated patient methodology in which trained interviewers posed as non-elderly adults seeking new patient primary care appointments...
February 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28160188/disparities-in-hypertension-associated-with-limited-english-proficiency
#13
Eun Ji Kim, Taekyu Kim, Michael K Paasche-Orlow, Adam J Rose, Amresh D Hanchate
BACKGROUND: Limited English proficiency (LEP) is associated with poor health status and worse outcomes. OBJECTIVE: To examine disparities in hypertension between National Health and Nutrition Examination Survey (NHANES) respondents with LEP versus adequate English proficiency. DESIGN: Retrospective analysis of multi-year survey data. PARTICIPANTS: Adults 18 years of age and older who participated in the NHANES survey during the period 2003-2012...
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28160187/a-multilevel-analysis-of-patient-engagement-and-patient-reported-outcomes-in-primary-care-practices-of-accountable-care-organizations
#14
Stephen M Shortell, Bing Ying Poon, Patricia P Ramsay, Hector P Rodriguez, Susan L Ivey, Thomas Huber, Jeremy Rich, Tom Summerfelt
BACKGROUND: The growing movement toward more accountable care delivery and the increasing number of people with chronic illnesses underscores the need for primary care practices to engage patients in their own care. OBJECTIVE: For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, we examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. DESIGN: Cross-sectional multilevel observational study of 16 randomly selected practices in two large accountable care organizations (ACOs)...
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28160186/capsule-commentary-on-haas-et-al-primary-care-providers-beliefs-and-recommendations-and-use-of-screening-mammography-by-their-patients
#15
Daniel Meyer
No abstract text is available yet for this article.
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28155043/can-appealing-to-patient-altruism-reduce-overuse-of-health-care-services-an-experimental-survey
#16
Kevin R Riggs, Peter A Ubel, Brendan Saloner
BACKGROUND: A challenge to reducing overuse of health services is communicating recommendations against unnecessary health services to patients. The predominant approach has been to highlight the limited benefit and potential harm of such services for that patient, but the prudent use of health resources can also benefit others. Whether appealing to patient altruism can reduce overuse is unknown. OBJECTIVE: To determine whether altruistic appeals reduce hypothetical requests for overused services and affect physician ratings...
February 2, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28155042/skeletal-tuberculosis
#17
Saate Shakil, Elliot Dickerson, Rabih Geha
No abstract text is available yet for this article.
February 2, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28150098/physician-and-patient-views-on-public-physician-rating-websites-a-cross-sectional-study
#18
Alison M Holliday, Allen Kachalia, Gregg S Meyer, Thomas D Sequist
BACKGROUND: Numerical ratings and narrative comments about physicians are increasingly available online. These physician rating websites include independent websites reporting crowd-sourced data from online users and health systems reporting data from their internal patient experience surveys. OBJECTIVE: To assess patient and physician views on physician rating websites. DESIGN: Cross-sectional physician (electronic) and patient (paper) surveys conducted in August 2015...
February 1, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28138876/capsule-commentary-on-salyers-et-al-the-relationship-between-professional-burnout-and-quality-and-safety-in-health-care-a-meta-analysis
#19
Shana F Sandberg
No abstract text is available yet for this article.
January 30, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28138875/electronic-detection-of-delayed-test-result-follow-up-in-patients-with-hypothyroidism
#20
Ashley N D Meyer, Daniel R Murphy, Aymer Al-Mutairi, Dean F Sittig, Li Wei, Elise Russo, Hardeep Singh
BACKGROUND: Delays in following up abnormal test results are a common problem in outpatient settings. Surveillance systems that use trigger tools to identify delayed follow-up can help reduce missed opportunities in care. OBJECTIVE: To develop and test an electronic health record (EHR)-based trigger algorithm to identify instances of delayed follow-up of abnormal thyroid-stimulating hormone (TSH) results in patients being treated for hypothyroidism. DESIGN: We developed an algorithm using structured EHR data to identify patients with hypothyroidism who had delayed follow-up (>60 days) after an abnormal TSH...
January 30, 2017: Journal of General Internal Medicine
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