Journal of General Internal Medicine OnlineFirst articles

21-05-2024 | Original Research

Patterns of Care Following a Positive Fecal Blood Test for Colorectal Cancer: A Mixed Methods Study

Colorectal cancer (CRC) is the second most common cancer-related cause of death in the United States and one of the top five leading causes of cancer-related deaths worldwide. 1 , 2 CRC screening with fecal blood tests (i.e., high-sensitivity …

Authors:: Erin E. Hahn, PhD, Corrine E. Munoz-Plaza, MPH, Christopher D. Jensen, PhD, Nirupa R. Ghai, PhD, Katherine Pak, MS, Britta I. Amundsen, MA, Richard Contreras, MS, Nancy Cannizzaro, PhD, Jessica Chubak, PhD, Beverly B. Green, MD, Celette Sugg Skinner, PhD, Ethan A. Halm, MD, Joanne E. Schottinger, MD, Theodore R. Levin, MD

Open Access 20-05-2024 | Heart Failure | Original Research

Advance Care Planning (ACP) in Medicare Beneficiaries with Heart Failure

Since the advent of advance care planning (ACP) billing codes in 2016, policies increasingly tie their use to healthcare quality measures in value-based payment models. 1 , 2 Since the Centers for Medicare and Medicaid Services (CMS) established …

Authors:: Seuli Bose Brill, MD, Sean R. Riley, MA, MSc, Laura Prater, PhD, MHA, Patrick M. Schnell, PhD, Anne L. R. Schuster, PhD, Sakima A. Smith, MD, MPH, Beth Foreman, DO, Wendy Yi Xu, PhD, Jillian Gustin, MD, Yiting Li, PhD, Chen Zhao, M.S, Todd Barrett, MD, MBA, J. Madison Hyer, MS

20-05-2024 | Viewpoint

Disability Education

Authors:: Harry Doernberg, MM, Nora O’Neill, AB, Erin Nozetz, MD

20-05-2024 | Hypoglycemia | Original Research

Food Insecurity and Hypoglycemia among Older Patients with Type 2 Diabetes Treated with Insulin or Sulfonylureas: The Diabetes & Aging Study

Food insecurity occurs when people don't have enough to eat and don't know where their next meal will come from; in the United States, food insecurity affects over 44 million people. 1 Rates of “economic food insecurity”, defined as a lack of …

Authors:: Andrew J. Karter, PhD, Melissa M. Parker, MS, Elbert S. Huang, MD, MPH, Hilary K. Seligman, MD, MAS, Howard H. Moffet, MPH, James D. Ralston, MD, MPH, Jennifer Y. Liu, MPH, Lisa K. Gilliam, MD, PhD, Neda Laiteerapong, MD, MS, FACP, Richard W. Grant, MD, MPH, Kasia J. Lipska, MD, MHS

20-05-2024 | Original Research: Qualitative Research

The “Difficult” Inpatient, a Qualitative Study of Physician Perspectives

Studies have consistently shown that clinicians experience up to 15% of ambulatory clinic patients as difficult. 1 – 5 Somaticizing patients and those with underlying mental health disorders, personality disorders, poor functional status, greater …

Authors:: Jeffrey L. Jackson, MD, MPH, Mary G. Murphy, BS, Kathlyn E. Fletcher, MD, MA

Open Access 17-05-2024 | Telemedicine | Original Research

Visit Experience and Fulfillment of Care Needs in Primary Care Differs for Video Visits Compared to In-person and Chat Visits

During the last decade, direct to consumer (DTC) telemedicine through digital platforms for video and chat communication has increased in primary health care. 1 , 2 The use accelerated further during the COVID-19 pandemic. 3 , 4 …

Authors:: Daniel Söderberg, MD, Stephanie E. Bonn, PhD, Linnea Sjöblom, MSc, Anna Dahlgren, MSc, Irene Muli, MSc, Isis Amer-Wåhlin, MD, PhD, Bo C. Bertilson, MD, PhD, Nasim Farrokhnia, MD, PhD, Helena Hvitfeldt, PhD, Marina Taloyan, PhD, Maria Hägglund, PhD, Ylva Trolle Lagerros, MD, PhD

17-05-2024 | Perspective

Hospitalization Through the Lens of Incarceration

The Unites States (US) has the highest rate of imprisonment worldwide. 1 Such mass incarceration results in half of American families having a member who has been in jail or prison. 2 While some health care can be provided within carceral …

Authors:: Anna-Maria South, MD, Lawrence A. Haber, MD, Justin Berk, MD, MPH, MBA

17-05-2024 | Lactation | Clinical Vignette

Inducing Lactation in a Transgender Woman Without Galactagogues: A Case Report

Breastfeeding has well-established benefits for both mother and child and is supported by numerous organizations including the American Academy of Pediatrics, 1 the American College of Obstetricians and Gynecologists, 2 the Center for Disease …

Authors:: Baila Elkin, MD, Alisa Duran, MD, FACP, Kevin Rauwerdink, PharmD, BCPP, Elizabeth S. Goldsmith, MD, PhD

16-05-2024 | Healing Arts

Rolling with the Undertow

Author:: Justin A. Dower, MD

16-05-2024 | Original Research

Financial Hardship Among Traditional Medicare and Medicare Advantage Enrollees With and Without Food Insecurity

Authors:: Sungchul Park, PhD, MPH, Seth A. Berkowitz, MD, MPH

15-05-2024 | Original Research

Patient-Physician Sex Discordance and “Before Medically Advised” Discharge from Hospital: A Population-Based Retrospective Cohort Study

Every year, about 500,000 hospitalizations in the United States end in departure from hospital before completion of medical treatment 1 , 2 . Such departures are described as patient-initiated, patient-directed, “against medical advice,” or before …

Authors:: Mayesha Khan, MA, Ying Yu, PhD, Daniel Daly-Grafstein, MSc, Hiten Naik, MD FRCPC, Jason M. Sutherland, PhD, Karen C. Tran, MD, MHSc, FRCPC, Trudy Nasmith, MDCM, MSc, FRCPC, Jennifer R. Lyden, MD, John A. Staples, MD, MPH, FRCPC, FACP

14-05-2024 | Position Paper

Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM)

Biomedical research has advanced medicine but also contributed to widening racial and ethnic health inequities. Despite a growing acknowledgment of the need to incorporate anti-racist objectives into research, there remains a need for practical …

Authors:: Christopher J. Gonzalez, MD, MS, Sudarshan Krishnamurthy, BS, Francois G. Rollin, MD, MPH, Sarah Siddiqui, MD, MPH, Tracey L. Henry, MD, Meghan Kiefer, MD, Shaowei Wan, PhD, MS, Himali Weerahandi, MD, MPH

14-05-2024 | SARS-CoV-2 | Correction

Correction to: Impact of SARS-CoV-2 Infection on Long-Term Depression Symptoms among Veterans

Authors:: Jason I. Chen, PhD, David Bui, PhD, Theodore J. Iwashyna, MD, PhD, Troy A. Shahoumian, MPH, PhD, Alex Hickok, MS, Megan Shepherd-Banigan, PhD, Eric J. Hawkins, PhD, Jennifer Naylor, PhD, Diana J. Govier, MPH, PhD, Thomas F. Osborne, MD, Valerie A. Smith, DrPh, C. Barrett Bowling, MD, MSPH, Edward J. Boyko, MD, MPH, George N. Ioannou, BMBCh, MS, Matthew L. Maciejewski, PhD, Ann M. O’Hare, MA, MD, Elizabeth M. Viglianti, MD, MPH, Amy S.-B. Bohnert, PhD, Denise M. Hynes, MPH, PhD, RN, for the V. A. HSRDSARS-C.O.V.-2 Observational Research Collaboratory (CORC)

Open Access 09-05-2024 | Original Research: Qualitative Research

How Social Connectedness Helps Patients Stay Home After Hospital at Home Enrollment: A Mixed Methods Study

Hospital at Home (HaH) programs provide hospital-level care within patients’ homes for a limited period of time as an alternative to hospital stays. 1 , 2 HaH programs enable hospitals to accelerate the discharge of admitted patients by providing …

Authors:: Christy J. W. Ledford, PhD, FACH, Lauren A. Cafferty, MA, Eunice Lee, BS, Hailie C. Hayes, BS, Destine C. Ede, BS, Brandon P. Hodges, BS, BSEd, Grant C. Whitebloom, BS, David W. Walsh, MD, Thad Wilkins, MD, MBA

Open Access 09-05-2024 | Original Research

Growth of Community Outpatient Care in the Veterans Affairs System After the MISSION Act

The Veterans Affairs (VA) health care system cares for more than 9 million Veterans through its national integrated delivery system of outpatient clinics and hospitals. Care is purchased from community providers when services are not available at …

Authors:: Jean Yoon, PhD, MHS, Kritee Gujral, PhD, Clara Dismuke-Greer, PhD, Jennifer Y. Scott, MS, Hao Jiang, MS

08-05-2024 | Editorial

Addressing Clinician-Perpetuated Interpersonal Racism Against Black Patients with Serious Illness in Clinical Settings

Author:: Joni S. Williams, MD, MPH

Open Access 08-05-2024 | Triage | Original Research

Assessment of EHR Efficiency Tools and Resources Associated with Physician Time Spent on the Inbox

Physicians spend a substantial portion of their workday in the electronic health record (EHR). Over 20% of a physician’s time in the EHR can be attributed to management of their inbox. 1 A physician’s inbox is treated as a catch-all application for …

Authors:: Richa Bundy, MPH, Adam Moses, MHA, Elisabeth Stambaugh, MD, Paschal Stewart III, MD, Lauren Witek, MStat, Lindsey Carlasare, MBA, Gary Rosenthal, MD, Christine Sinsky, MD, Ajay Dharod, MD

08-05-2024 | Original Research

Association of Patient-Reported Social Needs with Emergency Department Visits and Hospitalizations Among Federally Qualified Health Center Patients

Social determinants of health (SDOH) are the economic and social structures in which people are born, grow, work, and play 1 that affect conditions of daily life and drive health outcomes, 2 , 3 utilization, 4 – 7 and disparities. 8 SDOH shape …

Authors:: Connor Drake, PhD, MPA, Jorge Morales Alfaro, MPP, Abigail Rader, BS, Matthew L. Maciejewski, PhD, Michael S. Lee, BS, Hanzhang Xu, PhD, RN, Lauren E. Wilson, PhD, Seth A. Berkowitz, MD, MPH, Howard Eisenson, MD

07-05-2024 | Concise Research Report

Internal Medicine Program Directors’ Awareness of Sexual Harassment Among Internal Medicine Residents in the USA

IM PDs from programs whose residents participated in the 2022 IM In-Training Examination (IM-ITE®) were invited to participate in a web-based survey administered as part of the American College Physicians 2022 Internal Medicine Program Director …

Authors:: Cecile Schreidah, Andrea L. Oliverio, MD, MSc, Kaitland M. Byrd, PhD, Kathleen T. Lee, MPH, Lisa M. Meeks, PhD, Susan Hingle, MD, Elizabeth M. Viglianti, MD, MPH, MSc

06-05-2024 | Constipation | Bottom Line Summary

EBM BLS: Kiwifruit may Improve Constipation in Patients with Functional Gastrointestinal Disorders

Functional gastrointestinal (GI) disorders including functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C) cause significant discomfort to patients including abdominal pain, bloating and reduced stool frequency. 1 …

Authors:: Kari C. Tyler, MD, Jeremy P. Smith, MD, Jason T. Alexander, MD

Keynote webinar | Spotlight on medication adherence

Springer Medicine