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Journal of General Internal Medicine OnlineFirst articles

12.08.2020 | Bottom Line

Vitamin D Does Not Prevent Cancer or Cardiovascular Disease: The VITAL Trial

Manson JE, Cook NR, Lee IM, Christen W, Bassuk SS, Mora S, Gibson H, Gordon D, Copeland T, D’Agostino D, Friedenberg G, Ridge C, Bubes V, Giovannucci EL, Willett WC, Buring JE (2019) Vitamin D Supplements and Prevention of Cancer and Cardiovascular Disease. N Engl J Med 380 (1):33–44

Taking 2000 IU of vitamin D daily does not reduce the risk of cancer or cardiovascular events over 5 years in men over the ages of 50 years or women over the ages of 55 years.

MD Jeffrey A. Tice, MD Alexandra Halalau, MD Harry Burke

12.08.2020 | COVID-19 | Concise Research Report Zur Zeit gratis

Lobbying Expenditures of the Health Sector During the COVID-19 Pandemic

As of June 30, 2020, Congress had enacted six bills authorizing approximately $3 trillion in COVID-19 pandemic relief, representing the largest relief package in US history. The bills allocate funds to federal agencies, health care providers …

PhD, CPA Adam Olson, PhD, CPA John Barrick, PhD, CMA William B. Tayler, PhD Shivaram Rajgopal, PhD, CPA Ge Bai

12.08.2020 | Original Research

Increased Patient Safety-Related Incidents Following the Transition into Daylight Savings Time

Sleep deprivation results in a slowing of response speed and reduces alertness and vigilance. 1 Partial sleep deprivation resulting from reduced total sleep time over a 24-h period is associated with greater cognitive and motor impairment as …

MD FRCPsych Bhanu Prakash Kolla, PhD Brandon J. Coombes, MD Timothy I. Morgenthaler, MD Meghna P. Mansukhani

12.08.2020 | Editorial

From the Editors Desk: Climate Change in Clinic

MD Carol K. Bates

10.08.2020 | COVID-19 | Concise Research Report Zur Zeit gratis

Mobility and Mortality During the COVID-19 Pandemic

Social distancing and other behavioral interventions help limit the spread of infectious diseases. 1 These measures include school closures, cancellations of large gatherings, and travel restrictions. 1 We assessed the effectiveness of social …

MD, FRCPC Jonathan S. Zipursky, MD, FRCPC, MSHSR, FACP Donald A. Redelmeier

10.08.2020 | Perspective

Dealing with the Lack of Time for Detailed Shared Decision-making in Primary Care: Everyday Shared Decision-making

Policymakers and researchers are strongly encouraging clinicians to support patient autonomy through shared decision-making (SDM). In setting policies for clinical care, decision-makers need to understand that current models of SDM have tended to …

MD MPH Tanner J. Caverly, MD Rodney A. Hayward

10.08.2020 | Original Research

Readiness and Implementation of Quality Improvement Strategies Among Small- and Medium-Sized Primary Care Practices: an Observational Study

Quality improvement (QI) strategies play an essential role in transforming primary care practices to improve population health, enhance patient experiences and outcomes, reduce costs, and improve provider experience. 1 , 2 The main focus of QI …

PhD, MHA, MBA Tulay G. Soylu, PhD, MBA Alison E. Cuellar, PhD, MHA, MBA Debora G. Goldberg, MD, MHPE Anton J. Kuzel

10.08.2020 | Original Research

Clinician-Educator Training and Its Impact on Career Success: a Mixed Methods Study

Clinician-educator (CE) careers in academic medicine are heterogeneous, ranging from predominantly clinical careers with limited embedded teaching time to careers focused on education leadership and program development. In addition, CE paths for …

MD Daniella A. Zipkin, MBBS, MPH, PhD Subha Ramani, MD, MSEd Corrie A. Stankiewicz, MD Margaret C. Lo, MS, MD Alia Chisty, MD, MPH Irene Alexandraki, MD Maria Wamsley, PhD Scott D. Rothenberger, MS Kwonho Jeong, MD, MS Carla L. Spagnoletti

10.08.2020 | Original Research

A Multicenter VA Study of the Format and Content of Internal Medicine Morning Report

MD Daniel B. Heppe, MD Albertine S. Beard, MD Paul B. Cornia, MD Tyler J. Albert, MD Azadeh Lankarani-Fard, MD Joel M. Bradley, MD Michelle M. Guidry, MD Brian Kwan, MD Anand Jagannath, MD Matthew Tuck, MD Kathlyn E. Fletcher, Ph.D. Elizabeth S. Gromisch, MD Craig G. Gunderson

10.08.2020 | COVID-19 | Perspective Zur Zeit gratis

Searching for Human Connectedness During COVID-19

The COVID-19 pandemic has fundamentally transformed doctor-patient communication, stripping away moments of connection that define the humanism of medicine. The barrier of isolation has impacted patients and patient care, and has also affected the …

MD, Msc Margaret McNairy, BA Brooke Bullington, MD Kimberly Bloom-Feshbach

10.08.2020 | Capsule Commentary

Capsule Commentary on Pfoh et al.,the Impact of Systematic Depression Screening in Primary Care on Depression Identification and Treatment in a Large Health Care System: a Cohort Study

MD Gregory D. Brown, MD, MSHS Elizabeth Malcolm, MD, MBA Kevin P. Shah

10.08.2020 | Original Research

Daily Short Message Service Reminders Increase Treatment Compliance and Efficacy in Outpatients with Functional Dyspepsia: a Prospective Randomized Controlled Trial

Functional dyspepsia (FD) is one of the most prevalent functional gastrointestinal disorders (FGIDs). It is characterized by one or more of the following symptoms that are unexplained after a routine clinical evaluation: postprandial fullness …

PhD Bo Wang, PhD Qing-Qing Luo, B.S. Qing Li, B.S. Li Cheng, MD Sheng-Liang Chen

10.08.2020 | Viewpoint

Why Should Palliative Care Faculty Attend on General Medicine Teaching Services?

Effective internal medicine practice requires a palliative care skill set often developed during residency training. Most internists care for seriously ill patients who need effective pain and symptom management, particularly as they approach end …

MD Andrew J. Lawton, MD Leah B. Rosenberg

10.08.2020 | Original Research

Impact of an Opt-In eConsult Program on Primary Care Demand for Specialty Visits: Stepped-Wedge Cluster Randomized Implementation Study

Health care systems face a mismatch between supply and demand for specialty care, resulting in inadequate access to specialty expertise. To increase specialty access, institutions may implement eConsult programs: asynchronous, provider-to-provider …

MD, MS Sharon Rikin, PhD Chenshu Zhang, BA Daniel Lipsey, MD Joseph Deluca, MD Eric J. Epstein, MD Matt Berger, MD Yaron Tomer, MD, MPH Julia H. Arnsten

10.08.2020 | Innovations in Medical Education

A Mixed-Methods Evaluation of Medical Residents’ Attitudes Towards Interprofessional Learning and Stereotypes Following Sonography Student-Led Point-of-Care Ultrasound Training

Point-of-care ultrasound (POCUS) is the use of portable ultrasound technology by clinicians to enhance patient care. POCUS has many applications, with test characteristics that outperform traditional physical exam findings 1 and improved diagnostic …

MD Christopher J. Smith, DO, MBA Tabatha Matthias, PhD, RN Elizabeth Beam, MA, RT(R), RDMS, RVT Kathryn Wampler, PhD, MBA Lea Pounds, MD Devin Nickol, PhD Ronald J. Shope, PhD Kristy Carlson, MA, RT(R), RDMS, RVT, FSDMS Kimberly Michael

06.08.2020 | Original Research

Association of the Patient-Centered Medical Home Implementation with Chronic Disease Quality in Patients with Multimorbidity

Patients with multiple chronic diseases, or multimorbidity, comprise over half of those age > 65. 1 , 2 Multimorbid patients are a vulnerable population, with worse health outcomes and higher mortality. 3 – 5 Compared with those with fewer …

MD, MS Linnaea Schuttner, PhD Edwin S. Wong, MD, MS Ann-Marie Rosland, MD, MSHS Karin Nelson, MD, MS Ashok Reddy

05.08.2020 | Concise Research Report

Management of Elevated Troponin I Levels in Adult Medical Inpatients

The classification of elevated cardiac troponin levels has expanded with the advent of high sensitivity troponin assays over the last decade. 1 , 2 A type 2 myocardial infarction (T2MI) is defined by an ischemic event due to myocardial oxygen …

M.D. Tyler W. Wark, M.D. William R. Lang, M.D. Kate E. Cahill, M.D. Rebekah L. Gardner

05.08.2020 | Sars-CoV-2 | Concise Research Report Zur Zeit gratis

Association Between County-Level Racial and Ethnic Characteristics and COVID-19 Cases and Deaths in the USA

Coronavirus disease 2019 (COVID-19) has resulted in over 1.5 million infections and 100,000 deaths in the USA. Early reports indicated that communities with high proportions of racial and ethnic minorities may be disproportionately affected.

MD, PhD Christopher A. Scannell, MD, MPH Carlos Irwin A. Oronce, MD, PhD Yusuke Tsugawa

04.08.2020 | Letter to the Editor

Reply—Acknowledging Intersectionality and Historical Context in Medical Education Research

MD, MPH Alexander Chaitoff, MD, MS Josephine Volovetz, MD Blair Mitchell-Handley

04.08.2020 | Original Research

Medication Utilization for Alcohol Use Disorder in a Commercially Insured Population

Ph.D. Haiden A. Huskamp, Ph.D. Sharon Reif, M.D., M.P.H. Shelly F. Greenfield, Ph.D. Sharon-Lise T. Normand, M.D., M.S. Alisa B. Busch