In a natl survey, physicians and dentists perceived high risk for medical and dental school applicants who disclose past substance use, even when framed as recovery or motivation to help others—highlighting persistent stigma in healthcare.
Read in #JGIM: rdcu.be/e78so
Outpt EHR research shows 🚺️ physicians spend ⬆️ time in EHR and messaging➡️ higher burnout. New inpt data echo this: Saey et al. find ⬆️ secure messaging use-> ? ⬆️ after-hours work & burnout. ~1/3 of messages may be unnecessary.
Read in #JGIM: buff.ly/6QegslY
With growing time and resource constraints in evaluating acute abdominal pain, we need new research to optimize history-taking and the physical exam for today’s fast-paced, triage-driven clinical settings.
Read in #JGIM: buff.ly/slY0tnA
Ideal pt–clinician relationship? Built on shared decision-making & mutual respect. Challenging inpatient behaviors can be disruptive. Many of these behaviors may reflect adaptive responses to illness, vulnerability, & perceived ⬇️ control.
Read in #JGIM: buff.ly/28r7P68
Integrating peer recovery specialists into hospital-based addiction care is a cost-effective approach to easing financial strain by enhancing patient engagement, lowering readmission rates, and reducing the need for costly downstream care.
Read in #JGIM: buff.ly/RXiEatw
"Oh SNAP—the Biopolitics of Soup Kitchens and Food Insecurity" 🍲
A look at how food assistance programs don’t just feed people, but reflect deeper questions of power, policy, and who gets access to care. rdcu.be/e7MWY
Effective decision-making begins with listening: "patients want to be heard, understood, and respected as individuals." Shared decision-making isn’t dependent on shared identity or agreement—it rests on shared humanity: buff.ly/doSAZuz#JGIM
Inadequate access to ambulatory care isn’t just inefficient—it’s a quality and safety problem. Health systems should be incentivized to track and improve access metrics just as they do medication errors and hospital-acquired infections #JGIM#PrimaryCarebuff.ly/Xjj7XxY
PSA screening has evolved, but cutpoints still shape primary care decisions.
This article revisits the history of PSA testing, current recommendations, and how clinicians can optimize screening in everyday practice: buff.ly/s21a3OZ#JGIM#ProstateCancer
“As a physician, I’ve had countless difficult conversations with families. But when it is your own family member, the words become elusive, even painful.”
A reflection from a doctor about his father & the experience of being on the other side of medicine: rdcu.be/e7MQC
GLP-1RA meds are transforming obesity & diabetes care but do they affect cancer risk? This study found GLP-1RAs may actually reduce the incidence of certain cancers such as cancers of liver or pancreas. @ZRashidMD@timpawlik@Mujtabakhalil@Shahzaibzindani#JGIM#GLP1
📞Can telephone-based programs improve equitable access to lifestyle interventions?
A national program successfully engaged a diverse Veteran population, including women, racial/ethnic minorities, and rural Veterans. buff.ly/ZKXYKzC#JGIM#VeteransHealth
Even the best falls recommendations only work if they’re completed. In this interdisciplinary falls clinic, many weren’t—prompting future efforts focused on high-yield interventions like PT and bone health buff.ly/JYzRlfm#JGIM
Can a text improve healthy food access? Bilingual reminders were linked to ⬆️ attendance at a produce market. The study highlights the promise of low-cost digital outreach & importance of multimodal strategies to avoid reinforcing inequities @desroolliebuff.ly/gN6MiOd