journal
Journals Journal of General Internal Me...

Journal of General Internal Medicine

https://read.qxmd.com/read/38051480/experiences-of-physicians-investigated-for-professionalism-concerns-a-narrative-review
#1
REVIEW
David S Im, Carrie M Tamarelli, Mary R Shen
Growing attention is being paid to physician health and behavior, including the occurrence of mental health issues and burnout in medical providers, physician impairment, and alleged disruptive behavior in physicians. In any of these areas, a physician may become the subject of an investigation. Studying the experience of investigated physicians is important to identify and mitigate any potential adverse personal and practice impacts, which in turn can hinder patient care. The purpose of this review is to (1) summarize the published scientific literature to date regarding the experiences of physicians who have been investigated, and (2) based on these findings consider strategies to mitigate any adverse effects of the investigatory process for physicians...
December 5, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38051479/affirmative-action-ends-and-the-imperative-to-diversify-medicine-must-intensify
#2
EDITORIAL
Elisa Sottile, Amirala S Pasha, Eloho Ufomata, Tanya Nikiforova, Anna K Donovan, Afifah Khan, Rachel Bonnema
No abstract text is available yet for this article.
December 5, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38049655/delays-in-accessing-healthcare-across-the-gender-spectrum-in-the-all-of-us-research-program
#3
JOURNAL ARTICLE
Phoebe Finneran, Mabel P Toribio, Pradeep Natarajan, Michael C Honigberg
BACKGROUND: Gender minorities and cisgender women face barriers to healthcare access. Prior work suggests cost may represent a particular barrier to accessing care for transgender and gender diverse (TGD) individuals. OBJECTIVE: To examine odds of delaying care for any reason and, secondarily, for 7 specific reasons among TGD individuals and cisgender women compared with cisgender men in the All of Us Research Program. DESIGN: We calculated the odds of delayed care by gender identity relative to cisgender men using multivariable-adjusted logistic regression, with adjustment for age, race, income, education, and Charlson comorbidity index...
December 4, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38049654/the-leave-safe-with-doacs-randomized-controlled-trial
#4
LETTER
Alok Kapoor
No abstract text is available yet for this article.
December 4, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38038890/exploring-ward-team-handoffs-of-overnight-admissions-key-lessons-from-field-observations
#5
JOURNAL ARTICLE
Justin J Choi, Lars G Osterberg, Janet D Record
BACKGROUND: The diagnostic process is a dynamic, team-based activity that is an important aspect of ward rounds in teaching hospitals. However, few studies have examined how academic ward teams operate in areas such as diagnosis in the handoff of overnight admissions during ward rounds. This study draws key lessons from team interactions in the handoff process during ward rounds. OBJECTIVE: To describe how ward teams operate in the handoff of patients admitted overnight during ward rounds, and to characterize the role of the bedside patient evaluation in this context...
December 1, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38038889/learning-to-see
#6
JOURNAL ARTICLE
Karin Eli
No abstract text is available yet for this article.
December 1, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38030822/disparities-in-primary-care-no-shows-for-patients-with-limited-english-proficiency-at-a-safety-net-hospital-retrospective-cohort-analysis
#7
LETTER
Vivian González Cueto, Lucinalda Perez Sanchez, Victor Cueto, Luis Alzate-Duque, Ana Natale-Pereira
No abstract text is available yet for this article.
November 29, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010465/anti-hypertensive-medication-use-among-people-with-and-without-substance-use-disorders
#8
LETTER
Bryant Shuey, Katie J Suda, Alyssa Halbisen, Hefei Wen, James Frank Wharam, Ann-Marie Rosland, Jane M Liebschutz
No abstract text is available yet for this article.
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010464/primary-care-physicians-perspectives-on-high-quality-discharge-summaries
#9
JOURNAL ARTICLE
Brittany Chatterton, Jennifer Chen, Eleanor Bimla Schwarz, Jennifer Karlin
BACKGROUND: Successful transitions of care require communication between inpatient and outpatient physicians. The discharge summary is the main communication tool used by physicians during these transitions. OBJECTIVE: With the goal of improving care transitions, we explored primary care physicians (PCPs) perspectives on characteristics of high-quality discharge summaries. DESIGN: We conducted semi-structured individual interviews in this qualitative study and surveyed participants for sociodemographic characteristics...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010463/-anxiety-covid-burnout-and-now-depression-a-qualitative-study-of-primary-care-clinicians-perceptions-of-burnout
#10
JOURNAL ARTICLE
Debora Goetz Goldberg, Tulay Soylu, Carolyn Faith Hoffman, Rachel E Kishton, Peter F Cronholm
BACKGROUND: Clinician burnout has become a major issue in the USA, contributing to increased mental health challenges and problems with quality of care, productivity, and retention. OBJECTIVE: The objective of this study was to understand primary care clinicians' perspectives on burnout during the COVID-19 pandemic as well as their perspectives on the causes of burnout and strategies to improve clinician well-being. APPROACH: This qualitative research involved in-depth interviews with 27 primary care clinicians practicing in a range of settings across the USA...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010462/preferred-communication-strategies-for-people-with-communication-disabilities-in-health-care-encounters-a-qualitative-study
#11
JOURNAL ARTICLE
Erin Hickey, Bernice Man, Kaila V T Helm, Steven Lockhart, Jennifer Duffecy, Megan A Morris
BACKGROUND: People with communication disabilities (CDs), which includes disabilities in speech, language, voice and/or hearing, experience health and healthcare disparities. A barrier to accessing high-quality, equitable care is the lack of effective communication between patients and their providers. OBJECTIVE: In designing a patient-prompted tool to facilitate communication, we analyzed qualitative feedback on communication strategies and the experience of people with CDs, caregivers, and providers in healthcare encounters...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010461/training-primary-care-physicians-in-for-profit-value-based-care-clinics
#12
EDITORIAL
David E Velasquez, Khin-Kyemon Aung, Ali Khan
No abstract text is available yet for this article.
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010460/prevalence-of-sexual-violence-and-intimate-partner-violence-among-us-military-veterans-findings-from-surveys-with-two-national-samples
#13
JOURNAL ARTICLE
Katherine M Iverson, Whitney S Livingston, Dawne Vogt, Brian N Smith, Shannon M Kehle-Forbes, Karen S Mitchell
BACKGROUND: Sexual violence (SV) and intimate partner violence (IPV) experiences are major social determinants of adverse health. There is limited prevalence data on these experiences for veterans, particularly across sociodemographic groups. OBJECTIVE: To estimate the prevalence of SV before, during, and after military service and lifetime and past-year IPV for women and men, and explore differences across sociodemographic groups. DESIGN: Data are from two national cross-sectional surveys conducted in 2020...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010459/rural-veterans-experiences-with-social-risk-factors-impacts-challenges-and-care-system-recommendations
#14
JOURNAL ARTICLE
Ida Griesemer, Jennifer A Palmer, Risette Z MacLaren, Kimberly L L Harvey, Mingfei Li, Amisha Garikipati, Amy M Linsky, David C Mohr, Deborah Gurewich
BACKGROUND: Social risk factors, such as food insecurity and financial needs, are associated with increased risk of cardiovascular diseases, health conditions that are highly prevalent in rural populations. A better understanding of rural Veterans' experiences with social risk factors can inform expansion of Veterans Health Administration (VHA) efforts to address social needs. OBJECTIVE: To examine social risk and need from rural Veterans' lived experiences and develop recommendations for VHA to address social needs...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/38010458/benefits-and-harms-of-mammography-screening-in-75%C3%A2-%C3%A2-women-to-inform-shared-decision-making-a-simulation-modeling-study
#15
JOURNAL ARTICLE
Jinani Jayasekera, Sarah Stein, Oliver W A Wilson, Kaitlyn M Wojcik, Dalya Kamil, Eeva-Liisa Røssell, Linn A Abraham, Ellen S O'Meara, Nancy Li Schoenborn, Clyde B Schechter, Jeanne S Mandelblatt, Mara A Schonberg, Natasha K Stout
BACKGROUND: Guidelines recommend shared decision-making (SDM) around mammography screening for women ≥ 75 years old. OBJECTIVE: To use microsimulation modeling to estimate the lifetime benefits and harms of screening women aged 75, 80, and 85 years based on their individual risk factors (family history, breast density, prior biopsy) and comorbidity level to support SDM in clinical practice. DESIGN, SETTING, AND PARTICIPANTS: We adapted two established Cancer Intervention and Surveillance Modeling Network (CISNET) models to evaluate the remaining lifetime benefits and harms of screening U...
November 27, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37993739/improved-utilization-of-serial-testing-without-increased-admissions-after-implementation-of-high-sensitivity-troponin-i-a-controlled-retrospective-cohort-study
#16
JOURNAL ARTICLE
Laura Warren, Brett G Fischer, Amos Shemesh, Jean Scofi, Nekee Pandya, Robert J Kim, Caroline Andy, Sophie Rand, Jim Yee, Stacia Semple, Amy Chadburn, He S Yang, Peter A D Steel, Zhen Zhao
BACKGROUND: Guidelines recommend high-sensitivity cardiac troponin (hs-cTn) for diagnosis of myocardial infarction. Use of hs-cTn is increasing across the U.S., but questions remain regarding clinical and operational impact. Prior studies have had methodologic limitations and yielded conflicting results. OBJECTIVE: To evaluate the impact of transitioning from conventional cardiac troponin (cTn) to hs-cTn on test and resource utilization, operational efficiency, and patient safety...
November 22, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37989821/reducing-the-risks-of-nuclear-war-the-role-of-health-professionals
#17
EDITORIAL
Kamran Abbasi, Parveen Ali, Virginia Barbour, Kirsten Bibbins-Domingo, Marcel G M Olde Rikkert, Andy Haines, Ira Helfand, Richard Horton, Bob Mash, Arun Mitra, Carlos Monteiro, Elena N Naumova, Eric J Rubin, Tilman Ruff, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski
No abstract text is available yet for this article.
November 21, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37989820/decreased-anogenital-gonorrhea-and-chlamydia-in-transgender-and-gender-diverse-primary-care-patients-receiving-gender-affirming-hormone-therapy
#18
JOURNAL ARTICLE
Sari L Reisner, Madeline B Deutsch, Kenneth H Mayer, David R Pletta, Juwan Campbell, Jennifer Potter, Alex S Keuroghlian, Jaclyn M W Hughto, Andrew Asquith, Dana J Pardee, Alexander Harris, Meg Quint, Chris Grasso, Alex Gonzalez, Asa Radix
BACKGROUND: Transgender and gender diverse (TGD) adults in the U.S. experience health disparities, including in anogenital sexually transmitted infections (STI). Gender-affirming hormone therapy (GAHT) is known to be medically necessary and improve health. Few studies have assessed the effect of GAHT on STI diagnoses. OBJECTIVE: To evaluate the effect of GAHT delivered in primary care as an intervention to improve STI outcomes for TGD adults. DESIGN: LEGACY is a longitudinal, multisite cohort study of adult TGD primary care patients from two federally qualified community health centers in Boston, MA, and New York, NY...
November 21, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37989819/exploring-models-of-exposure-to-primary-care-careers-in-training-a-narrative-review
#19
REVIEW
D Rani Nandiwada, Amy H Farkas, Tanya Nikiforova, Peggy B Leung, Anna K Donovan, Katherine Killian, Mary L Thomas, Mamta K Singh, Benjamin Gallagher, David M Callender
Multiple 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 clerkships...
November 21, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37989818/the-case-for-rituals
#20
JOURNAL ARTICLE
Hannah Decker
No abstract text is available yet for this article.
November 21, 2023: Journal of General Internal Medicine
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