Reposted by Jeff LinderJulia Carrie Wong @joolia.bsky.social · 27/09/2026yes my bull went rogue in your china shop but I think we can all agree there’s no liability here it’s an agentic being 202706408
Jeff Linder @jefflinder.bsky.social · 24/09/2026This NEJM "Clinical Decisions" is about whether you should do a physical exam in an otherwise healthy person. How about the TOTALLY UNNECESSARY testing that's being done here. "Pursue a laboratory workup"?! For what!? ht: @ishaniganguli.bsky.social www.nejm.org/doi/10.1056/... 152
Reposted by Jeff LinderNU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026Please help us #congratulate Adam Williams, PhD for being Awarded Tenure in the division of Allergy and Immunology! #congratulations #departmentofmedicine #nmim 021
Reposted by Jeff LinderNU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026Please help us #congratulate Emily Szmuilowicz, MD for being promoted to Professor of Medicine in the division of Endocrinology! #congratulations #departmentofmedicine #nmim 021
Reposted by Jeff LinderNU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026Please help us #congratulate Natalie Cameron, MD for being promoted to Assistant Professor of Medicine in the division of General Internal Medicine! #congratulations #departmentofmedicine #nmim 031
Reposted by Jeff LinderMichael Ian Black @michaelianblack.bsky.social · 23/09/2026I've had life insurance for years. Haven't used it once. 2314505603
Jeff Linder @jefflinder.bsky.social · 23/09/2026Maybe by way of feedback, I was hoping this episode was going to bring some clarity and evidence to a mess of a landscape. It did not. podcasts.apple.com/us/podcast/t...podcasts.apple.com#539 TikTok Trends in MedicinePodcast Episode · The Curbsiders Internal Medicine Podcast · September 14 · 1h 25m 100
Jeff Linder @jefflinder.bsky.social · 17/09/2026I was not selected to serve on the US Preventive Services Task Force. It is also concerning that several of the appointed members, who are supposed to be evaluating primary care-based preventive services, appear to be specialists. www.nytimes.com/2026/09/17/w... 140
Jeff Linder @jefflinder.bsky.social · 11/09/2026Everyone: “You will die riding your bike to work in Boston.” So I asked a patient of mine who worked at a Center for Risk Analysis. Answer: “conservatively, you might be DOUBLING your risk of dying on your commute… …from 1 in 10,000 to 2 in 10,000.” Me: EASY choice to keep riding my bike. 020
Reposted by Jeff LinderJAMA Network Open @jamanetworkopen.com · 06/09/2026📈 Patients with a larger initial #ZDrug supply were more likely to continue filling these medications over time, indicating that initial prescribing decisions may have lasting implications for long-term use. ja.ma/4xeLO8W 011
Reposted by Jeff LinderPaul Williams @paulnwilliams.bsky.social · 06/09/2026Kind of an exhausting discussion for me. Not sure you can convince me that the "harms" of doing a physical examination outweigh the possible benefits, especially since this is nearly impossible to study in any kind of meaningful way. www.nejm.org/doi/full/10....nejm.orgPhysical Examination for Asymptomatic Adults | NEJMThis feature about a healthy person’s visit to a physician offers a case vignette accompanied by two essays, one recommending that the physician perform a routine physical examination and the other ..... 132
Jeff Linder @jefflinder.bsky.social · 08/09/2026In a new publication in @jamanetworkopen.com, Jon Cloughesy led our group in examining initial Z-drug prescriptions for insomnia as a predictor of future use. The amount of initial z-drugs fill was predictive of future z-drug fills, up to 7 years later! jamanetwork.com/journals/jam... 020
Reposted by Jeff LinderClaus Wilke @clauswilke.com · 30/08/2026I'm really frustrated by the constant fear-mongering about AI-designed superviruses. Can we focus on the things that should actually worry us, such as measles? blog.genesmindsmachines.com/p/im-sorry-y...blog.genesmindsmachines.comI'm sorry, you're not going to die from an AI-engineered supervirusGod save us from economists who think they can competently talk about biology 412557
Reposted by Jeff LinderPeter Tennant @pwgtennant.bsky.social · 27/08/2026Does the new shingles vaccine (Shingrix) protect against cardiovascular disease (CVD)? Yes, according to a new 'natural experiment' study in @natmed.nature.com. But the truth is sadly far less convincing! Pull up a chair and let's examine another peer review failure in a Nature journal. 1/10 🧵 817574
Reposted by Jeff LinderTimothy Caulfield @caulfieldtim.bsky.social · 07/08/2026As a grumpy supplement cynic, not surprised... 👇 The link between vitamin intake and depression largely vanishes when factoring in lifestyle www.psypost.org/the-link-bet... From study: "Only weak vitamin–depression associations were observed, and most diminished after adjusting for confounders..."psypost.orgThe link between vitamin intake and depression largely vanishes when factoring in lifestyleWhile higher vitamin intake is often linked to better mental health, a new study reveals that this relationship mostly disappears once socioeconomic status, daily habits, and overall physical health a... 03312
Jeff Linder @jefflinder.bsky.social · 22/07/2026The statement that the @ama-assn.org and the American Academy of Sleep Medicine "are (p)roponents of a single time" by @pbsnews.org and Deepti Hajela, as presented in this article, is deeply misleading. Both strongly advocate AGAINST permanent daylight savings time. www.pbs.org/newshour/nat...pbs.orgAmerica already tried permanent daylight saving time. Could it work now?It's an idea whose time, as it were, may have come — again. 100
Reposted by Jeff LinderScott Delaney @scott-delaney.bsky.social · 16/07/2026‼️ AHRQ is in the midst of a mass grant termination event. We (at Grant Witness) need your help to launch a tracker ASAP. If you received an AHRQ termination notice--or if you know of someone else who did--please submit information about the grant here: grant-witness.us/submit-nih.h... 28893
Jeff Linder @jefflinder.bsky.social · 17/07/2026Anyone notice that the IQAir forecast always seems to improve about 8 hours in the future? Makes me think they’re using a historical model rather than fire/atmospheric conditions to drive the prediction. www.iqair.com/air-quality/... 010
Jeff Linder @jefflinder.bsky.social · 16/07/2026Bummer, but right call. @chicagofire.bsky.social www.nytimes.com/athletic/745...nytimes.comChicago Fire vs. Vancouver postponed due to smoke, air quality; Lewandowski’s MLS debut delayedThe match was forced to be called off due to the smoke caused by the raging wildfires in Canada 110
Jeff Linder @jefflinder.bsky.social · 16/07/2026AHRQ was created by an act of congress. Is it legal for the Administration to unilaterally shut it down? www.ahrq.gov/cpi/about/br...ahrq.govAHRQ: A Brief History | Agency for Healthcare Research and QualityThe Agency for Healthcare Research and Quality (AHRQ) was created when Congress passed, and President Clinton signed, the Healthcare Research and Quality Act of 1999. 097
Reposted by Jeff LinderAcademyHealth @academyhealth.bsky.social · 16/07/2026AHRQ grant cancellations are no longer theoretical, they're happening. We've heard from many researchers and institutions affected by notices ending continuation funding for ongoing projects. Read what we know so far, why these cancellations matter, and how we're responding.buff.lyAHRQ Has Begun Canceling Research Grants. Here's What We Know.Researchers across the country have begun receiving official notices from AHRQ informing them that continuation funding for their grants will not be awarded. 037
Reposted by Jeff LinderGemma Altinger @gemmaaltinger.bsky.social · 26/06/2026Our systematic review on Default Nudges is one of BMJ Quality and Safety Top 10 papers of 2025! 🏆 Blog post here blogs.bmj.com/qualitysafet... Paper here qualitysafety.bmj.com/content/earl... @jefflinder.bsky.social @wiserhealthcare.bsky.socialqualitysafety.bmj.comEffectiveness of clinician-directed default nudges on reducing overuse of tests and treatments in healthcare: a systematic review of randomised controlled trialsObjective To evaluate the effectiveness of clinician-directed default nudges for reducing overuse of tests and treatments. Design A systematic review was conducted to synthesise evidence from randomi... 022
Reposted by Jeff LinderGregg Gonsalves @gregggonsalves.bsky.social · 24/06/2026Can we make it to 3000 letters to Congress today? Get a friend to send a letter, family members too. Russ Vought wants to take over all federal grant making and put his office in charge of spending at all agencies. A mad power-grab. Let's stop it in its tracks. actionnetwork.org/letters/oppo...actionnetwork.orgOppose OMB Proposal to Put ALL Federal Government Funding Decisions in the Hands of Political AppointeesOn May 29, 2026, the Office of Management and Budget issued a Notice of Proposed Rulemaking (NPRM), OMB-2026-0034, Regulation for Federal Financial Assistance. The scope of this proposed regulation is... 311263
Reposted by Jeff LinderGregg Gonsalves @gregggonsalves.bsky.social · 23/06/2026OK, people. It takes 2 minutes to write a letter to Congress, a few extra if you personalize it. Russ Vought's attempt to take over ALL federal grant funding is anti-democratic and dangerous. We need MORE letters. Let's tip it over 2000 today. actionnetwork.org/letters/oppo...actionnetwork.orgOppose OMB Proposal to Put ALL Federal Government Funding Decisions in the Hands of Political AppointeesOn May 29, 2026, the Office of Management and Budget issued a Notice of Proposed Rulemaking (NPRM), OMB-2026-0034, Regulation for Federal Financial Assistance. The scope of this proposed regulation is... 6253166
Jeff Linder @jefflinder.bsky.social · 23/06/2026Ok, so maybe the 2 lbs of spaghetti I had last night wasn't the best (there WAS salad involved)... ...but this @thecurbsiders.bsky.social with @joansalgeblake.bsky.social on nutrition had me laughing out loud on my long run this morning. Informative, fun, clear. thecurbsiders.com/curbsiders-p... 021
Reposted by Jeff LinderColette Delawalla, PhD @cdelawalla.bsky.social · 23/06/2026GOOD MORNING, DORKS! I have 18k followers and there are just over 8k comments. Which means 10k of you need to head to the link and STAND UP FOR SCIENCE (and democracy) by leaving your public comment. 🔗 fight2win.standupforscience.net @standupforscience.net 48135
Jeff Linder @jefflinder.bsky.social · 22/06/2026Much of this will be well-known to those of us in Primary Care. This is an engaging, authoritative read from Robert Kuttner. Including a cautionary tale about a certain New England health system. prospect.org/2026/06/01/c...prospect.orgCorporations and the Crisis of Care - The American ProspectThe U.S. suffers from a mass exodus of primary care doctors, as medical practice is dictated by corporate masters at the expense of physicians and patients. 274
Jeff Linder @jefflinder.bsky.social · 26/05/2026SAY WHAT NOW?! @jamanetworkopen.com published a study of what?! Did I miss something over the last 30 years about there being equipoise in the use of antibiotics for <rereads paper title> low back pain!?? jamanetwork.com/journals/jam...jamanetwork.comEfficacy of Antibiotics for Chronic Low Back Pain With Disc HerniationThis randomized clinical trial examines whether amoxicillin-clavulanate is effective in a subgroup of individuals who have chronic low back pain with disc herniation and bone changes detected on magne... 8134
Jeff Linder @jefflinder.bsky.social · 21/05/2026For a change, I am being a good spaced learner and have almost finished relistening to this @thecurbsiders.bsky.social episode with @jordybc.bsky.social. But a question... thecurbsiders.com/curbsiders-p... 331
Reposted by Jeff LinderCentre for Academic Primary Care (CAPC), Bristol @capcbristol.bsky.social · 19/05/2026Use of a rapid microbiological point-of-care test for respiratory infections did not lead to an expected overall reduction in same-day antibiotic prescribing in #PrimaryCare. Results of the RAPID-TEST clinical trial published in @jamainternalmed.com. 👉 Read the news: tinyurl.com/y3x3hv29tinyurl.com2026: Study questions usefulness of rapid microbiological respiratory test | Centre for Academic Primary Care | University of Bristol 11110
Jeff Linder @jefflinder.bsky.social · 19/05/2026This may be my "favorite" result from the study. Despite multiplex respiratory point-of-care testing changing WHICH patients got antibiotics -- in the testing arm, patients with an identified virus were less likely to get abx -- there was no difference in improvement in symptom severity. 210
Reposted by Jeff LinderCentre for Academic Primary Care (CAPC), Bristol @capcbristol.bsky.social · 19/05/2026@jefflinder.bsky.social & Julie Szymczak comment on the results of the RAPID-TEST clinical trial led by Alastair Hay in this related @jamainternalmed.com editorial. For the trial results, see: tinyurl.com/5f8vv3m9 #AMR #Antibiotics #AntimicrobialResistance #PrimaryCare #GPSky #PharmSky 031
Jeff Linder @jefflinder.bsky.social · 18/05/2026For antibiotic overuse, I've heard for YEARS about how we just need better tests. But it's not that simple. Julie Szymczak and I have a new editorial in @jamainternalmed.com on modern microbiological testing failing to reduce antibiotic prescribing. jamanetwork.com/journals/jam... 263
Jeff Linder @jefflinder.bsky.social · 30/04/2026Love this article and intervention! The editorialist put it best: “These findings highlight the critical need to refocus on delivering simple health care with quality, at scale.” www.nejm.org/doi/full/10....nejm.orgA Multicomponent Intervention to Improve Maternal Infection Outcomes | NEJMMaternal infection and sepsis are major causes of maternal death and severe illness worldwide, particularly in low- and middle-income countries. Inconsistent implementation of evidence-based recomm... 100
Jeff Linder @jefflinder.bsky.social · 29/04/2026With Sijia Wei and others @nuintmed.bsky.social @feinberg.northwestern.edu @dukemedschool.bsky.social @duke-university.bsky.social. We found that one of the potential mechanisms heart failure patients with higher SES achieve better outcomes is by having *better clinician networks*. 130
Jeff Linder @jefflinder.bsky.social · 29/04/2026Peer comparison feedback to hospitalists fails to reduce antibiotic prescribing or improve patient outcomes. WHY? From Witt and colleagues in @jamanetworkopen.com from @emorydeptofmed.bsky.social @emoryhealthcareatl.bsky.social @uofugim.bsky.social jamanetwork.com/journals/jam... 211
Jeff Linder @jefflinder.bsky.social · 29/04/2026Benjamin Gallagher from @yalesom.bsky.social in @journalgim.bsky.social writes that measured BPs are more effected by: 1. Regression to the mean 2. Hawthorne effect 3. Visit-to-visit variability Than medication 100
Reposted by Jeff LinderSeth Trueger @mdaware.org · 28/04/2026steroids are overprescribed for URI (colds, bronchitis)– unless it's kicking off an asthma or COPD flare, they don't help most patients + nontrivial side effects/harm great work by @jefflinder.bsky.social @nuintmed.bsky.social @feinberg.northwestern.edu @ipham.bsky.social in @jamanetworkopen.com ! 2144
Jeff Linder @jefflinder.bsky.social · 27/04/2026We conducted a multi-faceted stewardship program to address glucocorticoid prescribing for acute respiratory infections. Intervention consisted of a survey, education, feedback, and patient handouts. Glucocorticoid prescribing rate decreased from 20% to 8%. jamanetwork.com/journals/jam... 163
Reposted by Jeff LinderEli Perencevich @eliowa.bsky.social · 23/04/2026This benefit is under appreciated by doctors who have infinite sick leave and high salaries: “Paxlovid recipients had a shorter median time to early sustained recovery than the usual-care group (14 vs 21 days in PANORAMIC and 6 vs 9 days in CanTreatCOVID)” 172
Reposted by Jeff LinderMike Feigin 🥯 @mikefeigin.bsky.social · 22/04/2026I feel like I’m finally getting pretty good at writing grants right when they stopped giving grants away. 7775
Jeff Linder @jefflinder.bsky.social · 22/04/2026Bizarre. You want a ready, lethal fighting force, but let’s sacrifice operational effectiveness by not providing the most basic preventive cost-saving medical care. @huffpost.com www.huffpost.com/entry/flu-va...huffpost.com'Bizarre': Doctors Truly Can't Make Sense Of Pete Hegseth's Flu Vaccine AnnouncementDoctors break down why removing the flu vaccine requirement for U.S. troops is concerning — and "particularly weird." 110
Reposted by Jeff LinderDimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 22/04/2026If you can manage to turn your commute into biking (or running), it is one of the biggest quality of life upgrades I know of. 👇 1316
Jeff Linder @jefflinder.bsky.social · 21/04/2026Heartbreaking. And unnecessary. A reminder that measels causes subacute sclerosing panencephalitis that presents years after the initial infection and is fatal. www.nytimes.com/2026/04/21/o... 000
Reposted by Jeff LinderSociety of General Internal Medicine (SGIM) @societygim.bsky.social · 21/04/2026#SGIM26 Spotlight: Dr. Molly B. Conroy, Distinguished Professor of Women and Medicine. A leader in women’s health, prevention, and cardiovascular risk, her work advances research, mentorship, and care across the lifespan. 🔗 buff.ly/JyYBzy6 #SGIM26 #WomensHealth #GeneralInternalMedicine 011
Jeff Linder @jefflinder.bsky.social · 21/04/2026Under the 2026 ACC/AHA/Many others Guideline on the Management of Dyslipidemia, I'm going to start taking a statin myself. Wanted to call out this recommendation about supplements. "Not recommended." 100
Reposted by Jeff LinderJeremy Berg @jeremymberg.bsky.social · 19/04/2026Very good (if tragic) story from the Washington Post [GIft Link] wapo.st/3OONwh6 1/8wapo.stFor U.S. medical researchers, shrinking labs and bare budgets are the new realityThe Trump administration has slashed the number of grants from the National Institutes of Health, with far fewer focused on women, cancer and mental health. 310466
Jeff Linder @jefflinder.bsky.social · 20/04/2026A great, heartbreaking description of how changes at the NIH are hurting American science. NIH supported research WAS an American crown jewel. Despite what leadership is saying, they are letting it wither and featuring future scientific leadership. www.washingtonpost.com/science/2026...washingtonpost.comWhere U.S. science has been hit hardest after Trump’s first yearThe Trump administration has slashed the number of grants from the National Institutes of Health, with far fewer focused on women, cancer and mental health. 140
Reposted by Jeff LinderElizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 17/04/2026Science is a container ship carrying 200,000 tons of observations. The weight comes from years of hard work mining and refining these observations. The ship can’t turn on a dime, so scientific knowledge often changes slowly. And I think the public’s expectations don’t always match this truth. 1519739