Journal of General Internal Medicine
@journalgim
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.
In June 2025, HHS Sec. RFK Jr. removed all sitting members of the CDC's vaccine advisory committee (ACIP), alleging industry conflicts. But did the data back up his claim? The authors of this #JGIM work investigated the actual payments to voting members. Free Full Text 👉️ rdcu.be/famjt
This #JGIM study examines the usage of Entrustable Professional Activities (EPAs) in the Acting Internship in US medical schools—and the role they play in the UME-GME transition. Does your program use EPAs? Free Full Text 👉️ rdcu.be/famgL
Does your doctor's age affect your opioid prescription? 💊 Do older clinicians often prescribe higher or lower doses? This #JGIM study reveals how clinician age may shape opioid care. Free Full Text 👉️ rdcu.be/famdT
Can a specialized clinic actually improve quality of life for patients battling Long COVID brain fog? 🩺🧠 The authors tracked 150 patients over 6 months to see if a combination of rehab, therapy, and education makes a measurable difference in their recovery. Free Full Text 👉️ rdcu.be/fambw
Does your doctor’s race affect how you plan for the end of life? 🏥 We know racial disparities exist in healthcare, but how do patient and provider races—and whether they match—impact crucial hospital conversations? Free Full text 👉️ rdcu.be/fal9B
Think opioids are a quick fix for acute back or neck pain? Early use prolongs disability, and emergency visits are costing patients hundreds. So, what role should they play in acute recovery? Read on to find out! Free Full text 👉️ rdcu.be/fal6M
When it’s time to stop a medication, are doctors and patients on the same page? We know what they think separately, but new research looks inside the clinic room to see if they actually agree. Spoilers: there's room for misunderstanding. Free full text: 👇 rdcu.be/e9bTE
Food insecurity doesn't exist in isolation. It intersects with intergenerational poverty, racism, trauma, and other health-related social needs. For clinicians, addressing both the roots and the branches can improve health. Read more in #JGIM: rdcu.be/e9bSV
Authors analyzed original research published in the NEJM, JAMA, and The Lancet from 2002 to 2022 and found that over 90% of the pubs came from countries with a very high Human Development Index. @SmitaBhatia10 Read in #JGIM: rdcu.be/e9bRp
AI and technology are reshaping healthcare—but what about the human side of medicine? Adi Friedman highlights the need to more fully integrate medicine’s humanistic foundations into medical education. Read more in #JGIM: rdcu.be/e9bPv
New research shows that increased levels of loneliness is associated with increased cancer mortality in rural more than urban counties. Read in #JGIM: buff.ly/mdq5twR
Can a virtual, #primarycare–embedded program help older adults safely reduce benzodiazepine use? Our study suggests YES. Pharmacist-led tapering + mindfulness-informed CBT was feasible, acceptable, and associated with reduced use. Read in #JGIM: rdcu.be/e9bLz
Despite value based payment reforms, physician pay remains “stuck” in old fee for service habits. Over 70% of U.S. #PrimaryCare practices still tie physician pay to productivity. Quality pay remains minimal. Read in #JGIM: rdcu.be/e9bJD
Tax exemptions should translate into community benefit. Evidence suggests some nonprofit hospitals may fall short, highlighting the need for stronger oversight and accountability. In #JGIM rdcu.be/e9bIp
Outpatient teaching comes with real challenges—high patient volume and limited time among them. This study highlights how individualized faculty development can help educators make small, sustainable changes that enhance teaching in busy clinical settings. #MedEd rdcu.be/e9bxR
Federally Qualified Health Centers serving more socially vulnerable communities have substantially ⬇️ breast, cervical, and colorectal cancer screening rates—especially for CRC. Targeted support may be needed to close these gaps. Read in #JGIM: rdcu.be/e9bHa
How can we improve DCHS sub-internship rotations? Faculty highlighted practical solns: cap pt vols when students are present, add structured afternoon learning activities, create efficiency-enhancing org tools, & clarify expectations. Read more in #JGIM: rdcu.be/e9bF1
Geography still matters. Patients living in rural areas were significantly less likely to receive ambulatory ECG monitoring for palpitations, despite similar utilization across race, ethnicity, and insurance groups. #RuralHealth #HealthEquity rdcu.be/e9bvp
Is it time to rethink "precipitated withdrawal"? This article introduces a buprenorphine-associated opioid withdrawal (BAOW) model based on pharmocokinetics, offering a more nuanced framework for understanding withdrawal during injectable buprenorphine initiation. #AddictionMedicine rdcu.be/e9bxe
Teaching POCUS is only half the challenge—how do we know learners are truly competent? An EPA-based assessment tool showed strong evidence for validity, reliability, and feasibility, providing IM programs with a practical way to assess bedside POCUS skills. #POCUS #MedicalEducation rdcu.be/e9bsp
For patients with complex care needs, fragmented care can be a major barrier. A technology-enabled, multidisciplinary care model showed promising improvements in clinical and patient-reported outcomes while fostering stronger partnerships between health and social care providers rdcu.be/e9bt1
Who is doing the interpreting? Among hospitalized patients with limited English proficiency, ad hoc interpreters were frequently used, especially for less common languages. Findings highlight the need for stronger language access workflows and professional interpretation services rdcu.be/e9bv7
When seconds matter, POCUS can change the course of a code. In most inpatient cardiac arrests, teams found it clinically useful—helping identify pseudo-PEA, uncover occult V-fib, confirm asystole, and inform pulse checks. #POCUS #Resuscitation rdcu.be/e9bzg
Need an observation tool for chalk talks? In this JGIM original research article, the authors validate the Optimizing Whiteboard Lectures (OWL) Checklist - the first assessment tool for chalk talks in GME rdcu.be/e9byv
Geography should not be a diagnosis. Yet 66 million rural Americans face higher mortality rates than those living in urban areas. Mobile health, AI-driven care, and the $50B Rural Health Transformation Program offer a path toward more equitable outcomes. #RuralHealth #HealthEquity rdcu.be/e9bwP
New systematic review & meta-analysis from @_nisargshah_ and co-authors shows that utilization of SGLT2 inhibitors and GLP-1 receptor agonists varies significantly by social determinants of health. Learn more here: rdcu.be/e9brn
This new #JGIM #QualitativeResearch study showed that IM residents understand the value of #TraumaInformedCare, but they have a reduced ability to implement it Simulation using clinical frameworks is crucial for strengthening patient trust in medical care 🆓 full-text ⬇️: rdcu.be/e9bqq
In this new #JGIM #ConciseResearchReport, approximately 1/4 of US adults, including women of reproductive age, did not consider cannabis use during pregnancy to be completely unsafe Read more at the 🆓 full-text link ⬇️: rdcu.be/e9bpq
Are graduates of accelerated 3y MD programs as prepared for residency as 4y graduates? This #JGIM #OriginalResearch study using ACGME Milestones 2.0 in Internal Medicine showed they are equivalent, potentially better, in #PatientCare & Professionalism competencies. 🆓 full-text ⬇️: rdcu.be/e9boC