Annals of Family Medicine

NOVEMBER 20, 2024

Context: The pooled cohort equations (used in the ASCVD risk calculator) are race-stratified equations that estimate an individual’s ten-year risk of ASCVD. However, using race to guide clinical decisions is now controversial, potentially impacting clinician use of this tool.

Primary Care Physician 130

Primary Care Physician Internal Medicine Family Medicine DO 130

The Clinical Problem Solvers

JUNE 26, 2023

Beach was elected as a Hastings Center Fellow; and in 2023 was awarded the Excellence in Ethics Award from the Society of General Internal Medicine. Dr. Pooja Lagisetty received her medical degree from the Johns Hopkins School of Medicine and completed her internal medicine residency at Massachusetts General Hospital.

Electronics 52

Electronics Internal Medicine Patient-Centered Healthcare 52

ABIM

JUNE 30, 2025

While some expressed approval for the recent enhancements to the LKA, others inquired whether ABIM would consider instituting a break or “year off” between five-year cycles and questioned how ABIM ensures the relevance of assessment questions to highly specialized clinical practice.

Board-Certified 52

Board-Certified Government Community Internal Medicine 52

Physician's Weekly

JUNE 12, 2025

from the New York University Grossman School of Medicine in New York City, and colleagues conducted a prospective, multicenter, cross-sectional observational study enrolling asymptomatic adults aged 45 to 85 years. Aasma Shaukat, M.D.,

Screening 52

Screening Individual Clinic Medical 52

The Clinical Problem Solvers

JUNE 9, 2021

[link] Summary In this special episode of the Antiracism in Medicine Series, originally recorded for the 2021 Society of General Internal Medicine Annual Meeting, the CPSolvers Antiracism team discusses what must be done to make medical education more antiracist. The Clinical Problem Solvers Podcast. June 10, 2021.

Education 52

Education Medical Community Patient-Centered 52

Physicians Alliance of Connecticut

MARCH 5, 2025

After completing medical school, they must complete a three-year residency in internal medicine. Clinic location and hours: If you have a chronic endocrine condition, you’ll likely see your endocrinologist regularly. He is board-certified in Internal Medicine and Endocrinology and is a member of the Endocrine Society.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

ABIM

APRIL 24, 2025

Thousands of subspecialists are also using the LKA to reinstate their lapsed certifications in internal medicine. ABIM does not contact individual programs with a lower pass rate to initiate changes to the program. The need for further research in this area with physician input is essential.

Board-Certified 40

Board-Certified Board-Certified Physicians Community Government 40

GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

SEPTEMBER 6, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

NOVEMBER 9, 2023

” Eric: It strikes me that there also seems to be a difference between coaching a team, like many of us are familiar with, and this individual coaching, although there may be group coaching as well. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

MAY 11, 2023

Should do medicine?” ” Because I loved internal medicine. There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. They’re not a lot of randomized clinical trials. I presented this at the big clinical trials meeting in November in San Francisco.

Physicals 85

Physicals IT Hypertension Education 85

The Clinical Problem Solvers

MAY 2, 2022

Individuals who believe that genetic differences explain racial differences in health outcomes are more likely to practice race-based medicine. Although it had not been objectively measured, their clinical and personal experiences indicated that security responses were more often utilized for minoritized patients in the hospital. “It

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential. Eric 00:59 Why did you choose this song?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

ABIM

JUNE 24, 2025

Of note, 14,777 physicians have been ABIM Board Certified in Hematology since it was first offered in 1972, with 10,730 currently maintaining valid certification and 7,445 simultaneously maintaining certification in internal medicine. Most (49.5%) are in single-specialty group practice or multi-specialty group practice (38%).

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

ABIM

JUNE 11, 2025

Some members of the Specialty Board were interested in the LKA experience, participant survey results—particularly responses about fairness—and how LKA performance data might reflect on clinical outcomes. ABIM’s website features expansive sections on research related to assessment and clinical outcomes.

Board-Certified 52

Board-Certified Government Community Education 52

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? What did your clinic look like?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 18, 2023

Alex: And we’re delighted to welcome Todd Semla, who is a clinical pharmacist and associate professor at the Feinberg School of Medicine at Northwestern University. So in those clinical situations, you should consider avoiding that drug. You have to take that into consideration clinically. Todd: Thank you.

Medical 97

Medical IT Patients Clinic 97

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Clinical experience. So we created these heat maps where you could see for each individual what actually happened in the days and you.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

DECEMBER 8, 2022

And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA. Working with our clinical decision support team and thinking about where that could be. She’s a clinical research coordinator trained for many years.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Some of them are really deeply individual experiences.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

DECEMBER 15, 2022

And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA. Working with our clinical decision support team and thinking about where that could be. She’s a clinical research coordinator trained for many years.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. So, that part was not surprising.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. Prior-auth forms?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

MAY 29, 2025

And I think this just hasn’t made it into, like, our academic clinical training space. So I think the examples that we’ve seen is an individual will all of a sudden start using humor in a particular way or will using wry humor and that is reminiscent of the kind of humor the person used prior to developing dementia.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. And in addition, my work in palliative care, I also am a clinical ethicist. Ivermectin to treat cancer.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. So their caregivers did focus groups. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 3, 2024

How the act of drawing can help us sloooow down, pay attention to the people and world around us, and ultimately let go… The possibility of incorporating drawings in research and even clinical care. I cracked myself in my head of these individuals. She has illustrations of clinician moral distress and coping. Did anybody ask for them?

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 31, 2022

And you can just think about them as this… Often in medicine these days we’re come to think of our work, for some people as a conveyor belt, just one after another. So all of that, the language dimension of clinical work is, it seems to me very much more fine tuned or refined. It’s more of a precision instrument.

IT 70

IT Patients Medical Illness 70

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? The folks that we were seeing either in clinic or inpatient, were probably a lot sicker than the ones that we’re seeing now.

Family 106

Family Families Patient-Centered IT 106

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Eric 08:37 And that’s because you randomized clinics, you didn’t randomize patients interventions. We did it by the clinic level. And so everyone who’s in that clinic was.

Primary Care 79

Primary Care IT Clinic Illness 79