To reduce risks in opioid-naïve hospitalized patients, consider subcutaneous over IV opioids when oral isn't an option. At @YNHH, a QI initiative across 12 medicine units led to a 62% drop in IV opioid use without worsening pain #MedTwitter #Opioids #QIMedicine rdcu.be/eEbaU

New study finds discrimination harms refugee health, per national survey. Workplace bias was most common—women, Hispanic individuals, and those in the U.S. South reported higher impact. @MGHNeurology @MonganInstitute @MassGenBrigham @ElnickiDM rdcu.be/eAWjX

New @journalgim.bsky.social study: VA clinicians cite evidence uncertainty, patient expectations, and system barriers as drivers of low-value care. Clearer guidance, education & aligned incentives may help reduce it. link.springer.com/article/10.1...

Promoting patient #trust in clinicians can improve health outcomes, and promoting clinician #trust in patients may empower patients in their care and reduce clinician burnout Read the free full-text of this #JGIM #QualitativeResearch study on organizational factors that impact trust ⬇️ rdcu.be/eAWeX

This #JGIM #OriginalResearch study found a significant inverse relationship between #SelfCompassion & #ImpostorSyndrome in female physician trainees Read the free full-text article ⬇️: rdcu.be/eAWd1

This #JGIM #ConciseResearchReport describes how physician emigration from conflict-affected countries has increased more than sevenfold between 2006-2021, totaling nearly 25k physicians globally Read more for free ⬇️: rdcu.be/ezVrn

This #JGIM #ConciseResearchReport showed that half of patients filled their initial #PrEP prescription... ...yet only a quarter remained adherent at 6 months Read more for free ⬇️ about PrEP adherence by Area Deprivation Index: rdcu.be/ezVqY

This #JGIM #ConciseResearchReport describes a cross-sectional analysis of ambulatory visits for hypertension between 2021–2022 🟢Most individuals did not have a telehealth visit 🟢Similar antihypertensive medication prescription patterns were observed among telehealth users & non-users rdcu.be/ezVqv

This #JGIM #OriginalResearch study aimed to establish expert consensus on the potential utility of various implementation strategies to support Screening, Brief Intervention, and Referral to Treatment (#SBIRT) for patients with opioid use disorder Read more ⬇️: rdcu.be/ezVqf

This #JGIM #OriginalResearch study by showed the use of evidence-based type 2 diabetes medications by adults with heart disease or kidney disease remains low, though improving, especially in older people Reassuringly, there are no major differences by rurality Read more ⬇️: rdcu.be/ezVqa

This new #JGIM #ConciseResearchReport revealed gaps in primary care for Deaf patients, highlighting need to improve communication & care access ASL interpreters are often available, but many staff don’t know about these resources Read more for free ⬇️: rdcu.be/ezVpE

Want to learn how to integrate health equity into routine medical education, specifically in a journal club? Check out this #JGIM article to see how one academic medical center pulled this off with a novel framework! Full text 👉 rdcu.be/ezVkW

Check out this narrative review that was done to better understand the nature of the My Life, My Story (MLMS) initiative implementation, its impact on providers and patients, and gaps in knowledge! Full text 👉 rdcu.be/ezVjP

In this latest #JGIM study, Prasad and team found that most MDs using virtual scribes had improved wellbeing and relationships with patients, w/ greatest satisfaction among male and non-primary care docs. Full text 👉 rdcu.be/ezViT

The authors of this #JGIM study including @lsmorales.bsky.social, tried to estimate the proportion of Latino patients that developed Long COVID, identify patient subgroups at high risk, & characterize symptoms among those with Long COVID. What do you think they found? Full text 👉 rdcu.be/ezVhg

This #JGIM study looked at how race-based discrimination contributes to chronic pain symptoms among Black, Latino, and Asian American adults, beyond generic life stressors. What do you think they found? Full text👉 rdcu.be/ezVge

This study of primary care appointments found that of over 1.1 million patients, 15.4% exclusively used telemedicine and that these patients were more likely to experience known barriers to in-person care. How many of your pts are exclusively telehealth? Full text 👉 rdcu.be/ezVdM

This novel #JGIM study wanted to investigate the direct and indirect relationships between food insecurity and glycemic control, focusing on three possible pathways: body composition, anthropometrics, and healthy eating. What do you think they found? Full text 👉 rdcu.be/ezVc1

Captain Planet and the 5 Academic Missions Read in #JGIM: rdcu.be/ezVcu

Up to 45% of older adults w obesity may be excluded from GLP1 trials d/t factors like depression or prior CA. Claims data show similar trends to natl surveys. To ⬆️ equity, FDA now requires diversity plans, 7CMS could assist by covering GLPs under “Coverage w Evidence Development.” rdcu.be/eyUgu

Faith-based program run entirely by community members improved BMI, waist/hip size, and HbA1c, despite an unexpected rise in blood pressure. Findings warrant further investigations, especially of weight loss, in this era of weight loss medications. @PavanKhosla_ Read in #JGIM: rdcu.be/eyUff

Stanford researchers found GPT-4o can create Spanish ❤️ patient discharge instructions as effectively as professional translators. This tech could help hospitals provide faster, more equitable care. #AIinMedicine Read in #JGIM: rdcu.be/eyUa8

How did an art piece by Robert Rauschenberg help Dr. Sam Woodworth solve a clinical dilemma? Read how in #JGIM: rdcu.be/eyT46 See the art piece, Untitled (Early Egyptian) below.

New study finds patients with non-English language preference use telemedicine less, particularly those with fewer comorbidities. This suggests communication/tech barriers. Healthcare systems must enhance accessibility with multilingual support. @amandapluff Read in #JGIM: rdcu.be/eyT4j

Physicians with high emotional intelligence earn stronger patient trust, better outcomes & face less burnout. So why does it take tragedy to remind us how vital EI really is? #EmotionalIntelligence #HealthcareLeadership #BurnoutPrevention Read in #JGIM:

Academic promotion can be lengthy and challenging. A “Roadmap to Promotion” offers guidance for generalists seeking successful advancement. @EmoryHospMed Read in #JGIM:

Most #Medicare beneficiaries lack continuity with a primary care provider—especially in #MedicareAdvantage PPOs. ACO affiliation doesn’t help. Low PCP continuity may hinder care coordination, cost savings & quality improvements. #HealthPolicy #PrimaryCare #ACO #Medicare Read in #JGIM: rdcu.be/eyT0J

How should we approach screening for endemic health conditions in the US #immigrant and refugee population? This pilot study demonstrates the implementation of a curriculum on H. pylori screening in an effort to highlight screening disparities. Read in #JGIM: rdcu.be/eyTZ8

Most clinical guidelines don’t fit older adults w/multiple chronic conditions. Why? Because they ignore what matters to the patient. Patient Priorities Care (PPC) flips the script—aligning treatment with individual values, not just diseases. Read more: rdcu.be/eyTGR #Geriatrics #PatientCenteredCare

Is health care different from other services and goods in our economy? A new JGIM analysis describes 8 characteristics that make health care exceptional, even unique, with profound implications for physicians, patients, and health system reform rdcu.be/eyTcu

What is planetary health stewardship? Why it needs to be part of a physician’s professional responsibility? Read this article by @HardeepSinghMD to find out! rdcu.be/eyTeT

Lung cancer screening navigators ⬆️ outcomes—but how do they make a difference? A new qualitative study in VA health centers reveals the key: 🔑 Organizational support & strong team relationships help navigators drive enrollment & growth Read more #LungCancer #VHA #HealthSystems rdcu.be/eyLjk

A major health system boosted Medicare Wellness Visits by 20% in 2 years—but racial/ethnic disparities persisted. Why did gaps remain, even after progress? What factors helped—and hurt—visit completion? Read the full study to find out. #HealthEquity #Medicare #PrimaryCare rdcu.be/eyLim

Med students with disabilities are 3x more likely to take a leave of absence (LOA)—especially those who are non-White and low-income. Reframing LOAs as a standard and supported part of med ed training is critical #MedEd #DisabilityJustice @DocsWith @MytienTNguyen rdcu.be/eyLiy

A new model for treating Alcohol Use Disorder (AUD) in primary care by @jel1109 shows promise! ✅ Reached 54 patients 💊 70% got meds for AUD 🧠 58% accessed behavioral health 📉 Hospitalizations dropped from 48% to 13% after care #PrimaryCare #AddictionMedicine rdcu.be/eyLh7

🏥 Can a simple EHR alert save lives? A new study shows that a clinical decision support (CDS) tool ⬆️ naloxone co-prescribing for high-risk opioid discharges by 5 per 100 Rx. Small nudge. Big potential. Explore how CDS can make inpatient care safer. #OpioidCrisis #PatientSafety rdcu.be/eyTZc

Twas was the Night Before Sign Out....an attending prays for no last minute calls!🙏 This fun poem captures the night before sign out feels! rdcu.be/eyLhx

🩺 What makes pain care truly patient-centered? This study found the keys: 🤝 Strong clinical relationships 🗣️ Shared treatment planning 🚪 Accessible options 💬 Clear communication 🔗 Coordinated care Patient experience matters. #PainCare #Healthcare rdcu.be/eyLhj

This #JGIM #OriginalResearch study found similar sociodemographic variation in monoclonal antibody treatment for COVID-19 in universally-insured patients as in the general US population, suggesting drivers beyond insurance Read the full text for free ⬇️: rdcu.be/eyLgk

Taking a critical approach to the tests we order is paramount Using a validated score to stratify patients, this #JGIM #OriginalResearch article showed that nearly 20% of renal ultrasounds are performed in patients at low risk of obstructive AKI Read more for free ⬇️: rdcu.be/eyLex

Transitions of care provide opportunities for error and potential patient harm Silver and colleagues are trying to make them easier by asking inpatient clinicians what they want to see in discharge summaries Read the free full-text of this #JGIM #OriginalResearch ⬇️: rdcu.be/eyKwe

Given widespread stigma around obesity, #PatientCentered approaches are critical for ensuring effective care for this chronic disease Learn these principles in this #JGIM #Perspective ⬇️: rdcu.be/eyH35

New data from the Intern Health Study found that US presidential elections significantly impacted the mental health of young physicians The lowest mood scores were in 2024, with liberal-leaning physicians most affected Read the free full-text of this #JGIM #ConciseResearchReport ⬇️: rdcu.be/ewSL6

This Bayesian meta-analysis, which incorporated the findings of the recent large negative RCT, nonetheless demonstrated a high probability of mortality benefit for corticosteroids in severe community acquired pneumonia Read the free full-text of this #JGIM #ConciseResearchReport ⬇️: rdcu.be/ewSLR

This #JGIM #ConciseResearchReport found low utilization of ferritin testing & iron supplementation among a sample of women with fatigue. They also found a high yield of positive results among those who did undergo ferritin testing Read more ⬇️: rdcu.be/ewSLm

"Nobody told me that it’s hard to start an IV on a dead person" This powerful #JGIM #HealingArts article details how a medical student navigated her first resuscitation attempt Read the free full-text ⬇️: rdcu.be/ewSJ5

This #JGIM #HealingArts article describes the "the quiet army that keeps the world alive" 🩸Blood donors 🩸Phlebotomists 🩸Lab techs 🩸Apheresis specialists 🩸Transfusion medicine doctors Read this beautiful essay ⬇️: rdcu.be/ewSKO

This #JGIM #InnovationsInMedicalEducation article describes a partnership structure that could serve as a model for others within #GME to improve residents' ability to provide culturally inclusive care for Indigenous patients Read more ⬇️: rdcu.be/ewSJ0

This outstanding case underscores the importance of shared-decision making and sheds light on newer research about perioperative estrogen management in transgender patients. Free full text 👉 rdcu.be/ewSI2

This wonderful #JGIM piece from the leaders of the @societygim.bsky.social Immigrant and Refugee Health Interest Group describes why state-based coverage expansion is both economically prudent and advantageous for public health. Free full text 👉 rdcu.be/ewSJy