Journal of General Internal Medicine
@journalgim.bsky.social
2.2K followers 890 following 380 posts
We are a comprehensive journal that matches the broad scope of general internal medicine (GIM) and we aim to promote advancements in clinical and health services research, medical education, and clinical practice in Internal Medicine.
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A multidisciplinary model integrating community-based case management, telemedicine, & social care showed strong engagement & improved mental health in #Medicaid patients with complex needs

#CalAIM
#CareManagement

Read this #JGIM #OriginalResearch article for 🆓⬇️:
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This #JGIM #Perspective shares practical recommendations for how learning health systems can incorporate equity into implementation science

Full-text 🆓⬇️:
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This #JGIM #ResearchAndReportingMethods paper identified 4️⃣ structures & 5️⃣ activities that leaders used to support a Geriatric Learning Health System (#LHS) — offering lessons to inform future LHS initiatives

Full-text 🆓⬇️:
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Check out this #JGIM #Editorial applying a relationship-centered framework to assess relationship-building & perspective-taking for compassionate care!

Full-text link 🆓⬇️:
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Ever #ASPIRE to integrate evidence-based interventions, such as self‑measured blood pressure devices into routine clinical care in a sustainable way?

Read how in this 🆓 full-text #JGIM #Editorial ⬇️:
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Treatment of anal HSIL in people living with HIV reduces progression to anal cancer

⚓ Findings from the ANCHOR trial support a targeted, proactive approach to cancer prevention in a population at high risk of anal cancer

Read the full-text of this #JGIM #BottomLineSummary 🆓⬇️:
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This #JGIM #ConciseResearchReport found that US healthcare workers with disabilities were less likely to vote or register, especially in midterms & among lower-income staff

This highlights the need for inclusive workplace policies to support civic engagement

Full-text 🆓⬇️:
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✅ Emotional Intelligence
✅ Ask for Help
✅ Master the Details
✅ Embrace Writing
✅ Own the Overlooked

In this #JGIM #Viewpoint, @charlie-wray.bsky.social describes five lessons to help early career faculty navigate the often-unspoken rules of academic medicine

Full-text 🆓⬇️:
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This #JGIM #HealingArts article describes a medical student's experience navigating a life surrounded by drug addiction...

"A few months later, Erin and her son returned; that visit from a sober mother with her bright blue-eyed little boy illuminated the unit that day"

Full-text 🆓⬇️:
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This analysis highlighted the substantial financial & health burden of #InfectiveEndocarditis to the tune of $2B for 67k hospitalizations

Read the full text of this #JGIM #ConciseResearchReport 🆓⬇️:
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Intersectional Demographic Trends in Infective Endocarditis Among Adults in the US, 2012–2021
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Medical student Ryan Wexler reflects: Hospital routines often disrupt healing—windowless rooms, sleep interruptions, and pre-round wakeups. We must rethink practices that treat rest and sunlight as luxuries, not necessities. #MedTwitter #PatientCare #HospitalCulture Read in #JGIM: rdcu.be/eEbh9
Obesity affects 41.7% of Americans and drives up healthcare costs. Tirzepatide, a dual GLP-1/GIP agonist, shows promise by curbing appetite and improving insulin response. #Obesity #Tirzepatide #GLP1 #PublicHealth #Diabetes
Read in #JGIM: rdcu.be/eEbhj
Once tech tools enter clinical workflows, they’re hard to roll back. Before deploying LLMs for EHR messaging, we must consider impacts on patients, clinicians, society—and the environment. Lessons from EHR adoption matter.

Read in #JGIM: rdcu.be/eEbg0
Primary care is at a crossroads. To meet today’s challenges, we need team-based models, proactive care transitions, and smart virtual care tools. Let’s push for policies that reward quality, not quantity. #PrimaryCare #HealthInnovation #ValueBasedCare
Read in #JGIM: rdcu.be/eEbgP
For older adults with #Medicaid expansion coverage moving to #Medicare at age 65 may be unwanted, complicated, and for those who do not meet the more stringent criteria for supplemental Medicaid, financially burdensome. Read in #JGIM: rdcu.be/eEbgm
In a multicenter U.S. study, treatment patterns for alcohol withdrawal syndrome exhibited considerable variability, suggesting an opportunity for comparative effectiveness studies to optimize treatment regimens. Read in #JGIM: rdcu.be/eEbfz
Since 2020, 340B restrictions have driven up medication costs for people with type 2 diabetes in community health centers. Patients now call for navigation support & culturally competent pharmacy care. Family-focused programs may resonate more than individual ones. Read in #JGIM:
Navigating Access to Medications for Diabetes Mellitus in the Era of 340B Drug Pricing Program Restrictions: A Bilingual Qualitative Study of Patients’ Perspectives
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Clinicians have unease and discomfort in treating #ChronicPain and managing opioids. eConsults are most helpful for low complexity, discrete questions from clinicians focused on reducing harm @Laila_PMD

Read in #JGIM: rdcu.be/eEbdm
This paper in #JGIM highlights key disparities in mental health & substance use among people with recent homelessness or incarceration vs. the general population. The MNEHRC data model offers a collaborative, real-time approach to public health data. #PublicHealth #HealthEquity

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Dr. Angelides reminds us: "...language doesn’t just distance—it diminishes. But presence restores. Every patient deserves a hand to hold, a sign that their suffering matters, no matter their age or circumstance."

Read in #JGIM: rdcu.be/eEbcC
Not all opioid overdoses end in death—some leave survivors with severe brain injury. From 2016–21, ~5% of opioid overdose hospitalizations involved hypoxic-ischemic brain injury, with high mortality and lasting disability. #OpioidCrisis rdcu.be/eAWmc
This #JGIM #QualitativeResearch study highlighted that for technological interventions to be feasible among underserved older adults, considerations of access to devices and technology skills will be needed

Read more for free ⬇️:
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CGMs improve outcomes in type 2 diabetes. But if primary care isn’t set up to manage them, patients may miss out. @VA_CHOIR studied PCPs’ perspectives after the VA’s 2023 CGM policy change #Diabetes #PrimaryCare rdcu.be/eEbbw
Aggregated EHR data sound like a goldmine for research—but are they? This paper highlights hidden challenges, best practices, & when pooling across health systems may (or may not) make sense. #ClinicalResearch rdcu.be/eAWkj
#Medicare Advantage vs. traditional Medicare: does either reduce disparities in preventive care? Our study shows Black and Hispanic beneficiaries with cardiovascular disease or risk factors still received fewer services than White beneficiaries. #HealthEquity rdcu.be/eAWjj