Journal of General Internal Medicine

https://link.springer.com/journal/11606

List of Papers (Total 3,651)

Dynamics of Students’ Career Choice: a Conceptual Framework–Based Qualitative Analysis Focusing on Primary Care

Increasing primary care’s attractiveness as a career choice is an important task of socially accountable medical schools. Research has broadly studied influences on medical students’ career choice. However, a deeper understanding of the processes behind career decision-making could support medical schools in their efforts to promote primary care careers. To explore the dynamics...

Outcomes of Warfarin Home INR Monitoring vs Office-Based Monitoring: a Retrospective Claims-Based Analysis

Home INR testing (patient self-testing) is feasible and effective for warfarin patients but little is known about real-world differences in outcomes for patients using PST versus laboratory-based INR monitoring. To compare the safety/efficacy of patient self-testing of real-world warfarin therapy versus office/lab-based monitoring of therapy. A retrospective claims-based analysis...

Perspectives of California Legislators on Institutional Barriers and Facilitators to Non-Partisan Research Evidence Use in State Health Policymaking

Bridging the translational gap between research evidence and health policy in state legislatures requires understanding the institutional barriers and facilitators to non-partisan research evidence use. Previous studies have identified individual-level barriers and facilitators to research evidence use, but limited perspectives exist on institutional factors within legislatures...

Effects of Dapagliflozin in Chronic Kidney Disease Across the Spectrum of Age and by Sex

The sodium-glucose cotransporter type 2 inhibitor dapagliflozin reduces the risk of progressive kidney disease and cardiovascular events in patients with chronic kidney disease, with and without type 2 diabetes. Whether its effects are uniform across the spectrum of age and among men and women is unknown. We performed a pre-specified analysis in DAPA-CKD to evaluate efficacy and...

Improving Assessment and Learning Environments for Graduate Medical Trainees to Advance Healthcare Language Equity

Language-appropriate care is critical for equitable, high-quality health care, but educational standards to assure graduate medical trainees are prepared to give such care are lacking. Detailed guidance for graduate medical education is provided by the Accreditation Council for Graduate Medical Education through the following: (1) an assessment framework for competencies...

The Early HOSPITAL Score to Predict 30-Day Readmission Soon After Hospitalization: a Prospective Multicenter Study

The simplified HOSPITAL score is an easy-to-use prediction model to identify patients at high risk of 30-day readmission before hospital discharge. An earlier stratification of this risk would allow more preparation time for transitional care interventions. To assess whether the simplified HOSPITAL score would perform similarly by using hemoglobin and sodium level at the time of...

Does Sponsorship Promote Equity in Career Advancement in Academic Medicine? A Scoping Review

Sponsorship describes a set of actions wherein an influential champion (sponsor) uses their position to actively support a colleague’s career by helping them gain visibility, recognition, and/or positions. There is growing awareness of the importance of sponsorship for career advancement in academic medicine, particularly for women and those who are historically underrepresented...

Primary Care Physicians’ Perspectives on High-Quality Discharge Summaries

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. With the goal of improving care transitions, we explored primary care physicians (PCPs) perspectives on characteristics of high-quality discharge summaries. We conducted semi-structured...

“Anxiety, COVID, Burnout and Now Depression”: a Qualitative Study of Primary Care Clinicians’ Perceptions of Burnout

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. 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...

Prevalence of Sexual Violence and Intimate Partner Violence Among US Military Veterans: Findings from Surveys with Two National Samples

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. 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...

An Opportunity for Change: Principles for Reforming Internal Medicine Inpatient Conferences

Inpatient 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...

Stereotype Threat and Gender Bias in Internal Medicine Residency: It is Still Hard to be in Charge

Despite similar numbers of women and men in internal medicine (IM) residency, women face unique challenges. Stereotype threat is hypothesized to contribute to underrepresentation of women in academic leadership, and exploring how it manifests in residency may provide insight into forces that perpetuate gender disparities. To quantify the prevalence of stereotype threat in IM...

Association of Remote Patient Monitoring with Mortality and Healthcare Utilization in Hypertensive Patients: a Medicare Claims–Based Study

Hypertension management is complex in older adults. Recent advances in remote patient monitoring (RPM) have warranted evaluation of RPM use and patient outcomes. To study associations of RPM use with mortality and healthcare utilization measures of hospitalizations, emergency department (ED) utilization, and outpatient visits. A retrospective cohort study. Medicare beneficiaries...