Journal of General Internal Medicine
@journalgim.bsky.social
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.
Higher #diabetes fatalism predicts lower mental health scores over time. Emotional distress worsens HbA1c and physical & mental health. These effects persist—emotional distress is especially harmful.
Read in #JGIM: rdcu.be/eOQdM #DiabetesCare #HealthOutcomes
Read in #JGIM: rdcu.be/eOQdM #DiabetesCare #HealthOutcomes
November 25, 2025 at 10:02 PM
Higher #diabetes fatalism predicts lower mental health scores over time. Emotional distress worsens HbA1c and physical & mental health. These effects persist—emotional distress is especially harmful.
Read in #JGIM: rdcu.be/eOQdM #DiabetesCare #HealthOutcomes
Read in #JGIM: rdcu.be/eOQdM #DiabetesCare #HealthOutcomes
Clinicians took a 1-hr online course + received monthly steroid-use reports. Result: significant drop in inappropriate prescribing.
Read in #JGIM: rdcu.be/eOP8f
Read in #JGIM: rdcu.be/eOP8f
November 25, 2025 at 3:32 PM
Clinicians took a 1-hr online course + received monthly steroid-use reports. Result: significant drop in inappropriate prescribing.
Read in #JGIM: rdcu.be/eOP8f
Read in #JGIM: rdcu.be/eOP8f
VA's Learning Health System supports innovative practice change to support #Veterans with #diabetes in real-world practice @DurhamADAPT
Read in#JGIM: rdcu.be/eOPYq
Read in#JGIM: rdcu.be/eOPYq
November 24, 2025 at 10:02 PM
VA's Learning Health System supports innovative practice change to support #Veterans with #diabetes in real-world practice @DurhamADAPT
Read in#JGIM: rdcu.be/eOPYq
Read in#JGIM: rdcu.be/eOPYq
Only 4% of older adults hospitalized with heart failure or COPD had a documented social needs diagnosis—yet those who did faced significantly higher odds of ED visits or hospital readmissions. #SocialDeterminants #HealthEquity #HospitalReadmissions rdcu.be/eNGYs
November 24, 2025 at 3:00 AM
Only 4% of older adults hospitalized with heart failure or COPD had a documented social needs diagnosis—yet those who did faced significantly higher odds of ED visits or hospital readmissions. #SocialDeterminants #HealthEquity #HospitalReadmissions rdcu.be/eNGYs
VA's Learning Health System supports innovative practice change to support Veterans with diabetes in real-world practice @DurhamADAPT #VeteranHealth #DM
Read in #JGIM: rdcu.be/eOPYq
Read in #JGIM: rdcu.be/eOPYq
November 23, 2025 at 10:02 PM
VA's Learning Health System supports innovative practice change to support Veterans with diabetes in real-world practice @DurhamADAPT #VeteranHealth #DM
Read in #JGIM: rdcu.be/eOPYq
Read in #JGIM: rdcu.be/eOPYq
AI in primary care is still early-stage. Of 61 studies we reviewed, most were model-development; only a handful involved trials or real-world use. Current AI focuses on diagnosis + risk prediction, leaving big workflow + cognitive support gaps. #AI #DigitalHealth rdcu.be/eNGJq
November 23, 2025 at 1:30 AM
AI in primary care is still early-stage. Of 61 studies we reviewed, most were model-development; only a handful involved trials or real-world use. Current AI focuses on diagnosis + risk prediction, leaving big workflow + cognitive support gaps. #AI #DigitalHealth rdcu.be/eNGJq
How does transfusion practice compare between teaching and non-teaching hospitals? In this retrospective cohort study, authors report over two-fold increase in red cell transfusion for patients with sickle cell disease at non-teaching hospitals @razasn #SickleCell #TransfusionMedicine rdcu.be/eNGA5
November 22, 2025 at 6:01 PM
How does transfusion practice compare between teaching and non-teaching hospitals? In this retrospective cohort study, authors report over two-fold increase in red cell transfusion for patients with sickle cell disease at non-teaching hospitals @razasn #SickleCell #TransfusionMedicine rdcu.be/eNGA5
Partnering with community health workers (CHWs) significantly reduces 30-day hospital readmissions in high-risk patients. Effects vary by study design, CHW roles & local resources. More RCTs are needed! #PublicHealth #CHW #HospitalReadmissions @theLoftyRheum rdcu.be/eNGxL
November 21, 2025 at 4:02 PM
Partnering with community health workers (CHWs) significantly reduces 30-day hospital readmissions in high-risk patients. Effects vary by study design, CHW roles & local resources. More RCTs are needed! #PublicHealth #CHW #HospitalReadmissions @theLoftyRheum rdcu.be/eNGxL
📄 New article highlights persistent health workforce shortages in immigration detention facilities—an urgent gap with real consequences. @Jnwadiuko #JGIM #PublicHealth
November 20, 2025 at 11:01 PM
📄 New article highlights persistent health workforce shortages in immigration detention facilities—an urgent gap with real consequences. @Jnwadiuko #JGIM #PublicHealth
📄 Our latest manuscript breaks down the creation of a survey designed to capture the clinician and organizational factors that shape goals-of-care communication. Excited to share this work! @ArpanPatelMD #PalliativeCare #PatientCentered rdcu.be/eNGn1
November 17, 2025 at 3:01 PM
📄 Our latest manuscript breaks down the creation of a survey designed to capture the clinician and organizational factors that shape goals-of-care communication. Excited to share this work! @ArpanPatelMD #PalliativeCare #PatientCentered rdcu.be/eNGn1
Food insecurity affects multiple facets of health and well-being for US medical students
Read the 🆓 full-text of this #JGIM #QualitativeResearch study of #FoodInsecurity among Harvard medical students ⬇️:
rdcu.be/eMyN1
Read the 🆓 full-text of this #JGIM #QualitativeResearch study of #FoodInsecurity among Harvard medical students ⬇️:
rdcu.be/eMyN1
November 16, 2025 at 11:00 PM
Food insecurity affects multiple facets of health and well-being for US medical students
Read the 🆓 full-text of this #JGIM #QualitativeResearch study of #FoodInsecurity among Harvard medical students ⬇️:
rdcu.be/eMyN1
Read the 🆓 full-text of this #JGIM #QualitativeResearch study of #FoodInsecurity among Harvard medical students ⬇️:
rdcu.be/eMyN1
Expanding Medicaid contracts can improve cancer care access!
After Dana Farber Cancer Institute contracted with a large Medicaid plan, the annual number of patients with the plan at Dana Farber doubled
🆓 full-text of this #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAzJ
After Dana Farber Cancer Institute contracted with a large Medicaid plan, the annual number of patients with the plan at Dana Farber doubled
🆓 full-text of this #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAzJ
November 15, 2025 at 10:01 PM
Expanding Medicaid contracts can improve cancer care access!
After Dana Farber Cancer Institute contracted with a large Medicaid plan, the annual number of patients with the plan at Dana Farber doubled
🆓 full-text of this #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAzJ
After Dana Farber Cancer Institute contracted with a large Medicaid plan, the annual number of patients with the plan at Dana Farber doubled
🆓 full-text of this #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAzJ
A Medicare push to curb antipsychotic use in nursing homes also reduced prescribing in hospice, where these drugs can ease distress
This #JGIM #ConciseResearchReport highlights the potential unintended consequences for end-of-life care
🆓 full-text ⬇️:
rdcu.be/eMAyi
This #JGIM #ConciseResearchReport highlights the potential unintended consequences for end-of-life care
🆓 full-text ⬇️:
rdcu.be/eMAyi
November 15, 2025 at 9:01 PM
A Medicare push to curb antipsychotic use in nursing homes also reduced prescribing in hospice, where these drugs can ease distress
This #JGIM #ConciseResearchReport highlights the potential unintended consequences for end-of-life care
🆓 full-text ⬇️:
rdcu.be/eMAyi
This #JGIM #ConciseResearchReport highlights the potential unintended consequences for end-of-life care
🆓 full-text ⬇️:
rdcu.be/eMAyi
What can #MachineLearning tell us about the patient/physician experience?
This new #JGIM #OriginalResearch study found that listening carefully is the physician behavior most strongly linked to patients feeling compassion in the ED.
🆓 full-text ⬇️:
rdcu.be/eMshG
This new #JGIM #OriginalResearch study found that listening carefully is the physician behavior most strongly linked to patients feeling compassion in the ED.
🆓 full-text ⬇️:
rdcu.be/eMshG
November 14, 2025 at 8:01 PM
What can #MachineLearning tell us about the patient/physician experience?
This new #JGIM #OriginalResearch study found that listening carefully is the physician behavior most strongly linked to patients feeling compassion in the ED.
🆓 full-text ⬇️:
rdcu.be/eMshG
This new #JGIM #OriginalResearch study found that listening carefully is the physician behavior most strongly linked to patients feeling compassion in the ED.
🆓 full-text ⬇️:
rdcu.be/eMshG
During the 2025 U.S. measles outbreaks, Google searches for “Vitamin A Measles” hit record highs, surpassing general treatment terms
This #JGIM #ConciseResearchReport explores the #PublicHealth implications of this surge in #VitaminA interest
🆓 full-text ⬇️:
rdcu.be/eMAqM
This #JGIM #ConciseResearchReport explores the #PublicHealth implications of this surge in #VitaminA interest
🆓 full-text ⬇️:
rdcu.be/eMAqM
November 13, 2025 at 7:03 PM
During the 2025 U.S. measles outbreaks, Google searches for “Vitamin A Measles” hit record highs, surpassing general treatment terms
This #JGIM #ConciseResearchReport explores the #PublicHealth implications of this surge in #VitaminA interest
🆓 full-text ⬇️:
rdcu.be/eMAqM
This #JGIM #ConciseResearchReport explores the #PublicHealth implications of this surge in #VitaminA interest
🆓 full-text ⬇️:
rdcu.be/eMAqM
How do abortion bans affect mental health?
This #JGIM #ConciseResearchReport found poor mental health days increased among reproductive-aged women in states that implemented abortion bans...
...a change that was most pronounced among those with lower incomes
🆓 full-text ⬇️:
rdcu.be/eMAoq
This #JGIM #ConciseResearchReport found poor mental health days increased among reproductive-aged women in states that implemented abortion bans...
...a change that was most pronounced among those with lower incomes
🆓 full-text ⬇️:
rdcu.be/eMAoq
November 13, 2025 at 6:13 PM
How do abortion bans affect mental health?
This #JGIM #ConciseResearchReport found poor mental health days increased among reproductive-aged women in states that implemented abortion bans...
...a change that was most pronounced among those with lower incomes
🆓 full-text ⬇️:
rdcu.be/eMAoq
This #JGIM #ConciseResearchReport found poor mental health days increased among reproductive-aged women in states that implemented abortion bans...
...a change that was most pronounced among those with lower incomes
🆓 full-text ⬇️:
rdcu.be/eMAoq
What if I told you...
...a rural hospital in Northern California found that they could decrease readmissions by 64% through a substance use navigator program?
Read more about Marshall Hospital and the CA Bridge program in this #JGIM #OriginalResearch study for 🆓 ⬇️:
rdcu.be/eMAlc
...a rural hospital in Northern California found that they could decrease readmissions by 64% through a substance use navigator program?
Read more about Marshall Hospital and the CA Bridge program in this #JGIM #OriginalResearch study for 🆓 ⬇️:
rdcu.be/eMAlc
November 12, 2025 at 5:04 PM
What if I told you...
...a rural hospital in Northern California found that they could decrease readmissions by 64% through a substance use navigator program?
Read more about Marshall Hospital and the CA Bridge program in this #JGIM #OriginalResearch study for 🆓 ⬇️:
rdcu.be/eMAlc
...a rural hospital in Northern California found that they could decrease readmissions by 64% through a substance use navigator program?
Read more about Marshall Hospital and the CA Bridge program in this #JGIM #OriginalResearch study for 🆓 ⬇️:
rdcu.be/eMAlc
What happens when autistic older adults are hospitalized for falls?
⬇️ likely to receive OT
⬆️ 30-day readmission rates
Read the 🆓 full text #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAkd
⬇️ likely to receive OT
⬆️ 30-day readmission rates
Read the 🆓 full text #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAkd
November 11, 2025 at 4:03 PM
What happens when autistic older adults are hospitalized for falls?
⬇️ likely to receive OT
⬆️ 30-day readmission rates
Read the 🆓 full text #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAkd
⬇️ likely to receive OT
⬆️ 30-day readmission rates
Read the 🆓 full text #JGIM #ConciseResearchReport ⬇️:
rdcu.be/eMAkd
Latino/a/x patients experience racism in healthcare...
...so what can we do about it?
This #JGIM #QualitativeResearch study offers practical & crucial insights to shape anti-racism curricula in medical education
🆓 full-text ⬇️:
rdcu.be/eMAjS
...so what can we do about it?
This #JGIM #QualitativeResearch study offers practical & crucial insights to shape anti-racism curricula in medical education
🆓 full-text ⬇️:
rdcu.be/eMAjS
November 11, 2025 at 3:04 PM
Latino/a/x patients experience racism in healthcare...
...so what can we do about it?
This #JGIM #QualitativeResearch study offers practical & crucial insights to shape anti-racism curricula in medical education
🆓 full-text ⬇️:
rdcu.be/eMAjS
...so what can we do about it?
This #JGIM #QualitativeResearch study offers practical & crucial insights to shape anti-racism curricula in medical education
🆓 full-text ⬇️:
rdcu.be/eMAjS
How do rural hospital closures disproportionately affect primary care?
This #JGIM #OriginalResearch study showed that location in a county with 2 hospital closures was negatively associated with receipt of preventive services among older adults
🆓 full-text ⬇️:
rdcu.be/eMAjk
This #JGIM #OriginalResearch study showed that location in a county with 2 hospital closures was negatively associated with receipt of preventive services among older adults
🆓 full-text ⬇️:
rdcu.be/eMAjk
November 10, 2025 at 2:04 PM
How do rural hospital closures disproportionately affect primary care?
This #JGIM #OriginalResearch study showed that location in a county with 2 hospital closures was negatively associated with receipt of preventive services among older adults
🆓 full-text ⬇️:
rdcu.be/eMAjk
This #JGIM #OriginalResearch study showed that location in a county with 2 hospital closures was negatively associated with receipt of preventive services among older adults
🆓 full-text ⬇️:
rdcu.be/eMAjk
EMBRACE was a cluster- RCT evaluating whether a theory -informed multi-component strategy increased out-of-office testing for HTN dx. This study looked at why its implementation modestly increased ABPM but not home BP monitoring vs usual care. What do you think they found?
Full text 👉 rdcu.be/eLyhy
Full text 👉 rdcu.be/eLyhy
November 4, 2025 at 2:42 PM
EMBRACE was a cluster- RCT evaluating whether a theory -informed multi-component strategy increased out-of-office testing for HTN dx. This study looked at why its implementation modestly increased ABPM but not home BP monitoring vs usual care. What do you think they found?
Full text 👉 rdcu.be/eLyhy
Full text 👉 rdcu.be/eLyhy
Calling all clinical reasoning nerds: we know atypical presentations in studies of diagnostic errors have high heterogeneity. A new "PSUC" approach to classify atypical presentations may be useful! Check out PSUC here 👉 rdcu.be/eLyiT
November 3, 2025 at 9:09 PM
Calling all clinical reasoning nerds: we know atypical presentations in studies of diagnostic errors have high heterogeneity. A new "PSUC" approach to classify atypical presentations may be useful! Check out PSUC here 👉 rdcu.be/eLyiT
📈 Meta-analysis confirms: ⬆️ serum uric acid (SUA) levels are ➕ linked to ⬆️ risk of MAFLD.
🧪 SUA may serve as a biomarker — and even a therapeutic target — in MAFLD mgmt
#MAFLD #Hepat #EBM
Read in #JGIM: rdcu.be/eKohC
🧪 SUA may serve as a biomarker — and even a therapeutic target — in MAFLD mgmt
#MAFLD #Hepat #EBM
Read in #JGIM: rdcu.be/eKohC
October 31, 2025 at 2:32 PM
📈 Meta-analysis confirms: ⬆️ serum uric acid (SUA) levels are ➕ linked to ⬆️ risk of MAFLD.
🧪 SUA may serve as a biomarker — and even a therapeutic target — in MAFLD mgmt
#MAFLD #Hepat #EBM
Read in #JGIM: rdcu.be/eKohC
🧪 SUA may serve as a biomarker — and even a therapeutic target — in MAFLD mgmt
#MAFLD #Hepat #EBM
Read in #JGIM: rdcu.be/eKohC
📊 FI-lab outperforms HALP in predicting in-hospital mortality.
🔍 HALP still effectively flags risk in older adults on Gen Med wards.
🧪 Automatically calculated lab scores could be powerful tools for managing diverse older inpatients.
Read in #JGIM: buff.ly/V9lItOE
🔍 HALP still effectively flags risk in older adults on Gen Med wards.
🧪 Automatically calculated lab scores could be powerful tools for managing diverse older inpatients.
Read in #JGIM: buff.ly/V9lItOE
October 30, 2025 at 9:02 PM
📊 FI-lab outperforms HALP in predicting in-hospital mortality.
🔍 HALP still effectively flags risk in older adults on Gen Med wards.
🧪 Automatically calculated lab scores could be powerful tools for managing diverse older inpatients.
Read in #JGIM: buff.ly/V9lItOE
🔍 HALP still effectively flags risk in older adults on Gen Med wards.
🧪 Automatically calculated lab scores could be powerful tools for managing diverse older inpatients.
Read in #JGIM: buff.ly/V9lItOE
This nationwide cohort study showed that in T2D patients without CV disease, SGLT2 inhibitor use is associated with a lower risk of coronary ❤️ disease, stroke, heart failure and CV events in those with HTN.
@ChihChengHsu1and @yenfushun1
Read in #JGIM:
@ChihChengHsu1and @yenfushun1
Read in #JGIM:
October 29, 2025 at 2:32 PM
This nationwide cohort study showed that in T2D patients without CV disease, SGLT2 inhibitor use is associated with a lower risk of coronary ❤️ disease, stroke, heart failure and CV events in those with HTN.
@ChihChengHsu1and @yenfushun1
Read in #JGIM:
@ChihChengHsu1and @yenfushun1
Read in #JGIM: