iiinova — where your digital self keeps evolving

Journal of General Internal Medicine @journalgim.bsky.social · 05/10/2026

Can a technician in the home paired with remote geriatricians keep older adults out of nursing homes? Evaluating the hybrid "TeleGRACE" model shows promising results and a few surprising trade-offs. Free Full Text👉️ rdcu.be/pzChwmQ3HD7a

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Journal of General Internal Medicine @journalgim.bsky.social · 05/10/2026

Guidelines recommend NT-proBNP screening to catch heart failure early in diabetes but why is real-world adoption lagging? Experts from 10 countries share practical roadmaps for bridging the gap from guideline to clinical practice. Free Full Text👉️ rdcu.be/EUhNxk6Hc7Qa

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Journal of General Internal Medicine @journalgim.bsky.social · 04/10/2026

New research published in #JGIM finds that large language models can be optimized to effectively predict which patients will leave the hospital, revolutionizing the way hospitals may approach discharge planning. Read here: buff.ly/yq8x23R

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Journal of General Internal Medicine @journalgim.bsky.social · 04/10/2026

Many patients with diffuse symptoms & low-titer ANA are diagnosed with autoimmune disease despite no objective inflammation. This review in #JGIM examines how anchoring bias and diagnostic momentum contribute to misdiagnosis and unnecessary treatment. Read here: buff.ly/d0iBSrn

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Journal of General Internal Medicine @journalgim.bsky.social · 03/10/2026

A recent Think Tank explored how to better integrate clinical research into #PrimaryCare focused on (1) expanding practice-based research networks, (2) leveraging digital health technologies, and (3) investing in the future of primary care research. Read in #JGIM: rdcu.be/7oak7rY6vGCa

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Journal of General Internal Medicine @journalgim.bsky.social · 03/10/2026

Want to learn how to support Junior Faculty in their growth to become mentors? Read about the JUnior Faculty Mentoring Program (JUMP) in #JGIM: rdcu.be/fBOMV

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Journal of General Internal Medicine @journalgim.bsky.social · 03/10/2026

Congratulations!! We're so glad it was with us!

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Reposted by Journal of General Internal Medicine

ucsf-ihps.bsky.social @ucsf-ihps.bsky.social · 02/10/2026

Spotlighting UCSF IHPS Faculty: Elizabeth Dzeng, PhD, MD, MPH Research from Sohn et al., published in @journalgim.bsky.social, examines "Healthcare Staff Perspectives and Experiences of Racism's Impact on Care for Hospitalized Black Adults: A Qualitative Study."

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Journal of General Internal Medicine @journalgim.bsky.social · 02/10/2026

Successful #APP integration in academic internal medicine requires intentional design, clear roles, and interprofessional training. These partnerships help prepare residents for the realities of modern #PrimaryCare. #MedEd Read in #JGIM: rdcu.be/fBOMe

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Journal of General Internal Medicine @journalgim.bsky.social · 02/10/2026

Global cardiovascular risk calculators often fail African populations. This perspective highlights why miscalibration occurs and outlines practical, achievable solutions for locally relevant CVD risk prediction in Africa. Read in #JGIM: rdcu.be/fBOKy

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Journal of General Internal Medicine @journalgim.bsky.social · 01/10/2026

Shouldn't be surprise for any #PCP: Transportation needs were associated with increases in missed or late cancelled #PrimaryCare appointments. Read in #JGIM: rdcu.be/fBOvf

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Journal of General Internal Medicine @journalgim.bsky.social · 01/10/2026

Disparities in #COVID19 vaccination underscore imperative for health systems to fill the gap during federal policy turmoil. @CRBMD #SDOH #Vaccines Read in #JGIM: rdcu.be/fBOtP

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Journal of General Internal Medicine @journalgim.bsky.social · 30/09/2026

Family caregivers are the backbone of hospice care, yet Medicare's hospice structure often limits the support they receive. Looking back at the origins of the Hospice Benefit highlights opportunities to better care for patients & families. Read in #JGIM: rdcu.be/fzyee

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Journal of General Internal Medicine @journalgim.bsky.social · 30/09/2026

What do you think about this finding? Rustagi et al report that #veterans (50+) reported more cannabis use than their non-veteran counterparts. Authors suggest that vets may need tailored interventions to address their #cannabis use. Read in #JGIM: rdcu.be/fzygX

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Journal of General Internal Medicine @journalgim.bsky.social · 28/09/2026

Want to strengthen the #PrimaryCare pipeline? Start in medical school. Improving the ambulatory GIM experience means authentic longitudinal clinical experiences, mentorship, stronger faculty support, and advocacy. A call to action for medical schools and Departments of Medicine. rdcu.be/fzyxj

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Journal of General Internal Medicine @journalgim.bsky.social · 27/09/2026

General medicine research has a strong pipeline—but it needs support. A national survey found training gaps alongside impressive graduate successes. Stronger support + collaboration are critical to sustaining the next generation of researchers. @KiraRyskinaMD rdcu.be/fzyhN #MedEd #GME

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Journal of General Internal Medicine @journalgim.bsky.social · 26/09/2026

Medicaid expansion didn’t benefit everyone equally. A new study finds single sexual minority adults saw disproportionate gains in insurance coverage following expansion @SarahPetry8 rdcu.be/fzyv9

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Journal of General Internal Medicine @journalgim.bsky.social · 26/09/2026

In this cross-sectional study of 5479 US trainees and practicing physicians, a majority of trainees and approximately half of practicing physicians reported favorable attitudes regarding unionization. @ColinWestMDPhD rdcu.be/QodQTQmq3kda #MedEd #GME

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Journal of General Internal Medicine @journalgim.bsky.social · 25/09/2026

Just 4.8%of U.S. adults with alcohol or opioid use disorder received FDA-approved medication treatment last year. Those who did were more likely to end up in the ER or hospital Why? A new study highlights a striking gap between treatment and outcomes. rdcu.be/8eqcWiV8D3Va

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Journal of General Internal Medicine @journalgim.bsky.social · 24/09/2026

Likes, comments, DMs—but can they replace being there in person? Researchers at Oregon State University found that in-person social support was nearly 10× as strongly related to loneliness as social-media-based support. Digital connection ≠ connection in real life. rdcu.be/fyyYV

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Journal of General Internal Medicine @journalgim.bsky.social · 24/09/2026

How do we get residents talking about nutrition? Technology-enhanced “Nutri” training increased residents’ intention to discuss diet vs. traditional training. What they need: **a clear role, a framework & point-of-care tools.** @UTexasNutrition rdcu.be/rKHnKxoW1zQa

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Journal of General Internal Medicine @journalgim.bsky.social · 23/09/2026

A positive stool test is only step 1. How do we get patients to the colonoscopy that comes next? Our meta-analysis finds patient navigation works, particularly in safety-net and underserved settings where follow-up often lags. @DGonzalezMMD rdcu.be/jEbX3onkzaaa

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Journal of General Internal Medicine @journalgim.bsky.social · 22/09/2026

What does Internal Medicine POCUS education look in Canada? 🇨🇦 Our first nationwide evaluation found: 🔹 Lots of variability in curricula 🔹 A feasible assessment tool for future use A step toward more consistent POCUS education for Internal Medicine trainees. @StevenMontague rdcu.be/f6ryWXqj3D8a

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Journal of General Internal Medicine @journalgim.bsky.social · 21/09/2026

1 in 4 home health aides report burnout. 1 in 4 face racism. 1 in 4 experience violence. And still—87% are proud of the work they do. They show up every day to care for our loved ones. We need to show up for them. New study in @JournalGIM #HHA #OlderAdults #Workforce @lsinvani rdcu.be/fyyWD

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Journal of General Internal Medicine @journalgim.bsky.social · 21/09/2026

This #JGIM #OriginalResearch study found very few adults with a non-traumatic fracture received medical treatment for secondary osteoporosis fracture prevention Read the 🆓 full-text ⬇️ to find out why expanded quality improvement efforts are needed to close the osteoporosis care gap: rdcu.be/fyyQi

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Journal of General Internal Medicine @journalgim.bsky.social · 19/09/2026

#SDOH screening identifies inequities but rarely leads to action This #JGIM #OriginalResearch by tested a community health worker (CHW) led diabetes program in Hispanic churches CHWs improved access to insurance, clinics, and eye exams! 🆓 full-text ⬇️: rdcu.be/fyyOR

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Journal of General Internal Medicine @journalgim.bsky.social · 19/09/2026

🟢Focus On ME🟢 This learning collaborative between state, academic, and community partners was associated with increased evidence-based treatment of women's behavioral health in primary care Read the #JGIM #OriginalResearch at the 🆓 full-text ⬇️: rdcu.be/fyyMt

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Journal of General Internal Medicine @journalgim.bsky.social · 18/09/2026

1/4 adults feel lonely 😔 1/5 adults lack social support🥺 This is even more prevalent among socioeconomically disadvantaged adults and those in fair/poor health Read the 🆓 full-text of this #JGIM #ConciseResearchReport ⬇️ to learn how we can reduce the burden!: rdcu.be/fweKh

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Journal of General Internal Medicine @journalgim.bsky.social · 17/09/2026

Financial strain affects 1 in 10 adults with diabetes and is independently associated with higher A1c ❗️This difference is comparable to adding a second glucose-lowering medication❗️ Read the 🆓 full-text of this #JGIM #ConciseResearchReport ⬇️: rdcu.be/fweJP

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Journal of General Internal Medicine @journalgim.bsky.social · 17/09/2026

Preventive care was disrupted and delayed during the early COVID-19 pandemic... ...cancer screenings were no exception This #JGIM #OriginalResearch at what happened long-term and asks what still needs to be done. Check it out! 🆓 full-text ⬇️ rdcu.be/fweCe

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Journal of General Internal Medicine @journalgim.bsky.social · 16/09/2026

Does hospital price transparency work? Unlike prior studies on price levels, this new #JGIM #ConciseResearchReport tracks price changes after the price transparency rule It showed a 6% decrease in commercially negotiated and cash prices for shoppable services 🆓 full-text ⬇️: rdcu.be/fweeC

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Journal of General Internal Medicine @journalgim.bsky.social · 15/09/2026

Check out this new #JGIM #OriginalResearch study that showed #SSRIs achieved modest improvements in agitation versus second generation #antipsychotics among US nursing home residents with dementia Consider these as pharmacologic alternatives! 🆓 full-text ⬇️: rdcu.be/fwedE

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Journal of General Internal Medicine @journalgim.bsky.social · 15/09/2026

This #JGIM #QualitativeResearch study showed that routine inpatient care can trigger or worsen medical trauma through distressing procedures, perceived bias, and communication gaps Read the 🆓 full-text ⬇️ for patient-derived recommendations for inpatient teams: rdcu.be/fwdR4

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Journal of General Internal Medicine @journalgim.bsky.social · 14/09/2026

#CoolFirst #TransportSecond This #JGIM #SystematicReview highlights how #ColdWaterImmersion is still the gold standard treatment for rapidly reducing core temperature to prevent permanent organ damage 🆓 full-text ⬇️: rdcu.be/ftZGP

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Journal of General Internal Medicine @journalgim.bsky.social · 08/09/2026

Telehealth boomed during the pandemic—but did it actually reach cancer care? Analyzing 60,000+ Veterans over 7 years, this #JGIM study uncovers surprising adoption rates for virtual prostate cancer visits and who is being left behind. Free Full Text👉️ rdcu.be/ftgpB

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Journal of General Internal Medicine @journalgim.bsky.social · 08/09/2026

What does the "ideal" mix of virtual and in-person mental healthcare actually look like? The authors interviewed 47 VA clinicians across the US to uncover how to optimize hybrid care for Veterans with depression—and where virtual care hits its limits. Free Full Text👉️ rdcu.be/ftgqL

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Journal of General Internal Medicine @journalgim.bsky.social · 07/09/2026

Looking for low-barrier ways to support transgender patients? Check out a recently featured article, "Body Piercing for Gender Affirmation: Expanding Physicians’ Perspectives" Free Full text👉️ rdcu.be/ftgzv

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Journal of General Internal Medicine @journalgim.bsky.social · 07/09/2026

Stigmatizing language hurts patient trust. A new study by the nation’s largest public health system identified negative language instances and developed a strategy to revise medical records and improve equitable care for all patients. Read in #JGIM: rdcu.be/frLZ2

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Journal of General Internal Medicine @journalgim.bsky.social · 07/09/2026

How does intimate partner violence impact essential healthcare? Analyzing 14,000+ adults over 120,000+ observations, this longitudinal study reveals a stark link between IPV, skipped health checkups, and unmet medical needs. Read the findings here 👉️ rdcu.be/frL1O

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Journal of General Internal Medicine @journalgim.bsky.social · 06/09/2026

Widespread statin use means more cases of statin-induced myotoxicity in everyday practice. Awareness of the spectrum, from benign myalgias to severe myopathy, is essential for timely diagnosis and management. Read in #JGIM: rdcu.be/frLVT

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Journal of General Internal Medicine @journalgim.bsky.social · 05/09/2026

1.3 million older working-age adults aged 55 to 64 years are at risk of losing SNAP benefits under H.R. 1’s expanded work requirements, and 2 in 3 experience poor physical health. @rkwadhera

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Journal of General Internal Medicine @journalgim.bsky.social · 05/09/2026

Hospital addiction consult services improve access to medications for opioid use disorder—without increasing length of stay or 30‑day readmissions. Better care, no added hospital burden. #OUD #AddictionMedicine Read in #JGIM: rdcu.be/frLqU

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Journal of General Internal Medicine @journalgim.bsky.social · 04/09/2026

Prediction is not enough. Before predictive AI is embedded in routine care, it must show measurable clinical benefit and better patient outcomes in rigorous randomized clinical trials. Read in #JGIM: rdcu.be/fqrYm

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Journal of General Internal Medicine @journalgim.bsky.social · 04/09/2026

Have you heard about the OWL checklist? It is a novel assessment tool to help clinician educators improve their evaluations of Whiteboard Mini Lectures. #MedEd Check it out in #JGIM: rdcu.be/fqrV6

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Journal of General Internal Medicine @journalgim.bsky.social · 03/09/2026

Ask patients about health advice they’re getting online. Be curious, not judgmental. Explain why they may seek alternative advice. Be proud of being evidence-seeking. Protect trust—remain their guide, even if they choose a different path. Read in #JGIM: rdcu.be/fqrS8

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Journal of General Internal Medicine @journalgim.bsky.social · 03/09/2026

There is a growing burden of existential distress among older adults w multimorbidity. #PrimaryCare provides an optimal setting to recognize & address existential distress in collab w mental health & spiritual care specialists. @AbuHawa3 Read in #JGIM: rdcu.be/fqrRz

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Journal of General Internal Medicine @journalgim.bsky.social · 02/09/2026

It's the #JGIM Bottom Line: 12 Months of Low-dose Apixaban Decreased #VTE Recurrence After 3 Months of Initial Treatment of a Triggered Venous Thromboembolism with Continuing Risk Factors Read it all: rdcu.be/fmNpQ

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Journal of General Internal Medicine @journalgim.bsky.social · 31/08/2026

AI-enabled ambient documentation shows promise for reducing clinician documentation burden—but the technology alone isn’t enough. A 6-month evaluation of 2 tools highlights the importance of stability, integration, product fit, support, &resources for successful implementation. rdcu.be/fmIiL

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Journal of General Internal Medicine @journalgim.bsky.social · 30/08/2026

Does a sense of racial, ethnic, or cultural belonging shape the patient experience? U.S. adults with REC belonging reported higher-quality patient-centered communication. REC belonging also varied across race/ethnicity, age, sexual orientation, political views, & marital status. rdcu.be/fmMBg

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