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.
📄 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
Tech-driven DM intervention (TIDES) showed early promise in ⬇️ A1c among African American adults w poorly controlled T2DM
📉 Initial ⬇️ at 3 mos, no sig diff at 12 mos vs usual care.
‼️ Need sustained support&stronger booster strategies.
Read in #JGIM:
📉 Initial ⬇️ at 3 mos, no sig diff at 12 mos vs usual care.
‼️ Need sustained support&stronger booster strategies.
Read in #JGIM:
Technology-Intensified Diabetes Education Study (TIDES) for African American Adults with Type 2 Diabetes: A Randomized Controlled Trial
rdcu.be
November 1, 2025 at 2:32 PM
Tech-driven DM intervention (TIDES) showed early promise in ⬇️ A1c among African American adults w poorly controlled T2DM
📉 Initial ⬇️ at 3 mos, no sig diff at 12 mos vs usual care.
‼️ Need sustained support&stronger booster strategies.
Read in #JGIM:
📉 Initial ⬇️ at 3 mos, no sig diff at 12 mos vs usual care.
‼️ Need sustained support&stronger booster strategies.
Read in #JGIM:
📈 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
#HPV self-collection is comparably accurate compared to clinician testing for #CervicalCancer screening—now FDA-approved and supported by #USPSTF draft guidelines. A game-changer for access and adherence. #EBM #WomensHealth #HPV #CancerPrevention @EricJNolanMD
Read in #JGIM: rdcu.be/eKnWD
Read in #JGIM: rdcu.be/eKnWD
EBM BLS: Self-collected Human Papillomavirus Cervical Cancer Screening Is Non-Inferior to Clinician-Collected Samples
rdcu.be
October 30, 2025 at 5:11 PM
#HPV self-collection is comparably accurate compared to clinician testing for #CervicalCancer screening—now FDA-approved and supported by #USPSTF draft guidelines. A game-changer for access and adherence. #EBM #WomensHealth #HPV #CancerPrevention @EricJNolanMD
Read in #JGIM: rdcu.be/eKnWD
Read in #JGIM: rdcu.be/eKnWD
How do consumer-grade wearables fit in the US’s largest learning health system? Providers see potential in using wearable data for better outcomes but worry about data overload and workflow strain. Investments in infrastructure are key. @DrGarrettAsh1
Read in #JGIM:
Read in #JGIM:
Integrating Consumer-Grade Wearable Devices and Patient-Generated Health Data into Clinical Care: Perspectives from Healthcare Professionals at a Learning Health System
rdcu.be
October 29, 2025 at 9:02 PM
How do consumer-grade wearables fit in the US’s largest learning health system? Providers see potential in using wearable data for better outcomes but worry about data overload and workflow strain. Investments in infrastructure are key. @DrGarrettAsh1
Read in #JGIM:
Read in #JGIM:
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:
Despite previous calls to increase GIM mentoring, new findings suggest it remains uncommon. When such relationships exist, physicians experience a stronger sense of autonomy, purpose, and wellbeing, with lower burnout risk. @sanjaysaint
Read in #JGIM: rdcu.be/eKooO
Read in #JGIM: rdcu.be/eKooO
October 28, 2025 at 7:17 PM
Despite previous calls to increase GIM mentoring, new findings suggest it remains uncommon. When such relationships exist, physicians experience a stronger sense of autonomy, purpose, and wellbeing, with lower burnout risk. @sanjaysaint
Read in #JGIM: rdcu.be/eKooO
Read in #JGIM: rdcu.be/eKooO
Adherence to longitudinal #CancerScreening — for colorectal, cervical, and lung — drops off over time.
📉 As testing rounds increase, follow-through declines.
🏥 System-level solutions are essential to improve outcomes.
Read in #JGIM: rdcu.be/eKmFp
📉 As testing rounds increase, follow-through declines.
🏥 System-level solutions are essential to improve outcomes.
Read in #JGIM: rdcu.be/eKmFp
October 28, 2025 at 2:31 PM
Adherence to longitudinal #CancerScreening — for colorectal, cervical, and lung — drops off over time.
📉 As testing rounds increase, follow-through declines.
🏥 System-level solutions are essential to improve outcomes.
Read in #JGIM: rdcu.be/eKmFp
📉 As testing rounds increase, follow-through declines.
🏥 System-level solutions are essential to improve outcomes.
Read in #JGIM: rdcu.be/eKmFp
🤖 LLMs show variation in inpt care recs-across models & even w/in same one.
Clinicians shld treat LLMs as 1️⃣ perspective, not final answer.
🔍 Sampling multiple models + re-prompting may help.
Read in #JGIM: rdcu.be/eKonl
Clinicians shld treat LLMs as 1️⃣ perspective, not final answer.
🔍 Sampling multiple models + re-prompting may help.
Read in #JGIM: rdcu.be/eKonl
October 27, 2025 at 9:03 PM
🤖 LLMs show variation in inpt care recs-across models & even w/in same one.
Clinicians shld treat LLMs as 1️⃣ perspective, not final answer.
🔍 Sampling multiple models + re-prompting may help.
Read in #JGIM: rdcu.be/eKonl
Clinicians shld treat LLMs as 1️⃣ perspective, not final answer.
🔍 Sampling multiple models + re-prompting may help.
Read in #JGIM: rdcu.be/eKonl
📊 Based on 2024 insurer pricing data:
• Avg. commercial price for a level 3 primary care visit =
$145 (new pts) | $102 (established pts)
• Higher prices: corporate-owned, large practices, younger PCPs
• Lower prices: older PCPs, lower-income areas, less complex patients
Read in #JGIM: rdcu.be/eLykG
• Avg. commercial price for a level 3 primary care visit =
$145 (new pts) | $102 (established pts)
• Higher prices: corporate-owned, large practices, younger PCPs
• Lower prices: older PCPs, lower-income areas, less complex patients
Read in #JGIM: rdcu.be/eLykG
October 27, 2025 at 2:32 PM
📊 Based on 2024 insurer pricing data:
• Avg. commercial price for a level 3 primary care visit =
$145 (new pts) | $102 (established pts)
• Higher prices: corporate-owned, large practices, younger PCPs
• Lower prices: older PCPs, lower-income areas, less complex patients
Read in #JGIM: rdcu.be/eLykG
• Avg. commercial price for a level 3 primary care visit =
$145 (new pts) | $102 (established pts)
• Higher prices: corporate-owned, large practices, younger PCPs
• Lower prices: older PCPs, lower-income areas, less complex patients
Read in #JGIM: rdcu.be/eLykG
Using 5 years of data from an urban Level I trauma center, our study found racial inequities in inpatient restraint use.
American Indian/Alaska Native & Hispanic/Latinx patients were more likely to be restrained; Hispanic/Latinx patients spent ~30 hrs longer restrained.
#JGIM rdcu.be/eJ3Zg
American Indian/Alaska Native & Hispanic/Latinx patients were more likely to be restrained; Hispanic/Latinx patients spent ~30 hrs longer restrained.
#JGIM rdcu.be/eJ3Zg
October 26, 2025 at 3:02 PM
Using 5 years of data from an urban Level I trauma center, our study found racial inequities in inpatient restraint use.
American Indian/Alaska Native & Hispanic/Latinx patients were more likely to be restrained; Hispanic/Latinx patients spent ~30 hrs longer restrained.
#JGIM rdcu.be/eJ3Zg
American Indian/Alaska Native & Hispanic/Latinx patients were more likely to be restrained; Hispanic/Latinx patients spent ~30 hrs longer restrained.
#JGIM rdcu.be/eJ3Zg
Suicide risk screening alone isn’t enough—many veterans underreport suicidal thoughts, especially those with distress or barriers to care. Strong, trusting clinician relationships remain vital for accurate disclosure and prevention rdcu.be/eJlIp #SuicidePrevention #Veterans #MentalHealth
October 25, 2025 at 8:01 PM
Suicide risk screening alone isn’t enough—many veterans underreport suicidal thoughts, especially those with distress or barriers to care. Strong, trusting clinician relationships remain vital for accurate disclosure and prevention rdcu.be/eJlIp #SuicidePrevention #Veterans #MentalHealth