We are a comprehensive journal that matches the broad scope of general internal medicine (GIM) and we aim to promote advancements in clinical and health services research, medical education, and clinical practice in Internal Medicine.https://bsky.app/profile/journalgim.bsky.socialhttps://bsky.app/profile/journalgim.bsky.social/post/3muset6u7am2g1.3 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. @rkwadhera05 Sep 2026 21:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3muset6u7am2ghttps://bsky.app/profile/journalgim.bsky.social/post/3murozt5voz2mHospital 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/frLqU05 Sep 2026 14:32 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3murozt5voz2mhttps://bsky.app/profile/journalgim.bsky.social/post/3mupueiicmh2yPrediction 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/fqrYm04 Sep 2026 21:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mupueiicmh2yhttps://bsky.app/profile/journalgim.bsky.social/post/3mup6kw362z2pHave 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/fqrV604 Sep 2026 14:32 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mup6kw362z2phttps://bsky.app/profile/journalgim.bsky.social/post/3mundvgqatd2aAsk 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/fqrS803 Sep 2026 21:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mundvgqatd2ahttps://bsky.app/profile/journalgim.bsky.social/post/3mumo3y3qqq2yThere 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/fqrRz03 Sep 2026 14:32 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mumo3y3qqq2yhttps://bsky.app/profile/journalgim.bsky.social/post/3muktggkame2gIt'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/fmNpQ02 Sep 2026 21:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3muktggkame2ghttps://bsky.app/profile/journalgim.bsky.social/post/3mudw2p4r6q2kAI-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/fmIiL31 Aug 2026 03:00 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mudw2p4r6q2khttps://bsky.app/profile/journalgim.bsky.social/post/3mucrc77ddr2qDoes 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/fmMBg30 Aug 2026 16:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mucrc77ddr2qhttps://bsky.app/profile/journalgim.bsky.social/post/3mubdvox7vz2zFor Veterans with prediabetes, nearly 1 in 4 progressed to diabetes—despite low uptake of proven prevention interventions. Minoritized Veterans faced even greater risk, highlighting critical opportunities to improve diabetes prevention. @Medley,Katrina #Diabetes #Veterans30 Aug 2026 02:30 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mubdvox7vz2zhttps://bsky.app/profile/journalgim.bsky.social/post/3mua6zsgads2zWhat is it like for American Indian/Alaska Native (AI/AN) people accessing diabetes care in commercial health systems? Our study found positive experiences with providers—but persistent system-level barriers that make diabetes self-care harder. #HealthEquity #Diabetes rdcu.be/fmMPD29 Aug 2026 15:30 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mua6zsgads2zhttps://bsky.app/profile/journalgim.bsky.social/post/3mu6zc53ovn2kSupporting women physicians means supporting life beyond the hospital and clinic. This scoping review and key informant interviews identify priorities for addressing home-life demands—and highlight how little research has evaluated interventions to support women physicians at home rdcu.be/fke0E29 Aug 2026 04:15 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mu6zc53ovn2khttps://bsky.app/profile/journalgim.bsky.social/post/3mu5jloktey2aMore than 1 in 4 hospitalized patients with injection-related infections experienced patient-directed discharge. MOUD and withdrawal treatment were associated with lower rates—supporting integrated treatment of infection, OUD, and withdrawal. #OUD #AddictionMedicine rdcu.be/fkeaY28 Aug 2026 14:01 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mu5jloktey2ahttps://bsky.app/profile/journalgim.bsky.social/post/3mu3p4osy532aCould GLP-1 RAs offer benefits beyond glycemic control for patients with OUD + T2D? New findings suggest they may help mitigate both mental health & cardiometabolic complications in methadone-treated patients—an intriguing possibility for incretin-based therapies in opioid-related harm reduction27 Aug 2026 20:35 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mu3p4osy532ahttps://bsky.app/profile/journalgim.bsky.social/post/3mtyw3tbala2lAI could transform the Patient-Centered Medical Home across all 5 core domains—but the real opportunity lies in implementation. To deliver on its promise, we must address equity, workflow integration, and interoperability alongside innovation. #PrimaryCare #HealthAI rdcu.be/flu7A26 Aug 2026 18:01 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtyw3tbala2lhttps://bsky.app/profile/journalgim.bsky.social/post/3mtw55wv7xm27What drives high ED use among veterans experiencing homelessness? A study of 5,079 veterans points to clinical complexity & housing instability—but also something potentially modifiable: poorer primary care experiences were linked to greater future ED use @StefanKertesz rdcu.be/fkdJO #VeteransHealth25 Aug 2026 15:30 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtw55wv7xm27https://bsky.app/profile/journalgim.bsky.social/post/3mturksfjoc2mAlmost all IM residency programs have backup systems—but they’re under strain. PDs report culture shifts around illness and COVID impacts. Read “Who’s on Backup?” #MedEd #GME #IMResidency rdcu.be/fkd9s25 Aug 2026 02:30 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mturksfjoc2mhttps://bsky.app/profile/journalgim.bsky.social/post/3mtu7a5frto2dPreviously posted, but now in print! rdcu.be/eYnzh24 Aug 2026 21:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtu7a5frto2dhttps://bsky.app/profile/journalgim.bsky.social/post/3mtrvfvgd2c2aStatins helped transform cardiovascular prevention... ...but are we letting risk calculators make decisions that belong to patients? Read the 🆓 full-text of this #JGIM #Viewpoint ⬇️: rdcu.be/fluS723 Aug 2026 23:00 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtrvfvgd2c2ahttps://bsky.app/profile/journalgim.bsky.social/post/3mtpbnupl5s2kPre-admission care patterns may matter! In high-risk hospitalized patients, ≥2 healthcare encounters in the prior 14 days was associated with ~2x higher odds of harmful diagnostic error... ...An early signal of diagnostic vulnerability 🆓 full-text of this #JGIM #OriginalResearch ⬇️: rdcu.be/fluxt22 Aug 2026 22:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtpbnupl5s2khttps://bsky.app/profile/journalgim.bsky.social/post/3mtp6aeac742mIn this #JGIM #OriginalResearch, healthcare workers were more likely to report anxiety and depression and less likely to report receiving treatment Expanding access to mental health services may reduce untreated anxiety and depression 🆓 full-text ⬇️: rdcu.be/fizyk22 Aug 2026 21:00 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtp6aeac742mhttps://bsky.app/profile/journalgim.bsky.social/post/3mtmh4lfdlj2aTake a look at this #JGIM #QualitativeResearch study on building up the pipeline of academic PCPs and what can be learned in comparison to the pursuit of careers in hospital medicine! 🆓 full-text ⬇️: rdcu.be/fluaA21 Aug 2026 19:01 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtmh4lfdlj2ahttps://bsky.app/profile/journalgim.bsky.social/post/3mtjvlvmjpt2l22% of women in this study experienced a ≥90-day delay in breast cancer diagnosis Red flags? 🚩 Self-detected breast masses 🚩 Medicaid coverage 🚩 Missed/cancelled appointments Timely diagnosis is a systems issue... 🆓 full-text of this #JGIM #OriginalResearch ⬇️: rdcu.be/fo8Lx20 Aug 2026 18:43 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtjvlvmjpt2lhttps://bsky.app/profile/journalgim.bsky.social/post/3mtjtcmdbpc2hIn the post-knee/hip replacement setting, this #JGIM #OriginalResearch revealed that patients value the risks & benefits of anticoagulation differently, with 3 distinct preference phenotypes that have implications for individualizing therapy One size does not fit all! 🆓 full-text ⬇️: rdcu.be/fltgE20 Aug 2026 18:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtjtcmdbpc2hhttps://bsky.app/profile/journalgim.bsky.social/post/3mtjpxy7tqb2nA hip fracture shouldn’t be the end of the story... ...but for too many older adults with type 2 diabetes, it is This #JGIM #OriginalResearch showed that mortality was ⬆️ and guideline-concordant care was ⬇️ in the first year post-hip fracture in older adults with DM2 🆓 full-text ⬇️: rdcu.be/fo8T720 Aug 2026 17:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtjpxy7tqb2nhttps://bsky.app/profile/journalgim.bsky.social/post/3mtha5upszm23This #JGIM #BottomLineSummary showed that continuing aspirin use for chronic coronary heart disease can be harmful when used with other blood thinners 🆓 full-text ⬇️: rdcu.be/fo9eF19 Aug 2026 17:14 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtha5upszm23https://bsky.app/profile/journalgim.bsky.social/post/3mteidlwio22rHealth literacy challenges don’t start in old age... This #JGIM #OriginalResearch article showed in middle-aged primary care patients, limited health literacy was common and linked to poorer health self-management Midlife is a key window for intervention! 🆓 full-text link ⬇️: rdcu.be/fo8tE18 Aug 2026 15:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mteidlwio22rhttps://bsky.app/profile/journalgim.bsky.social/post/3mteidfbadw2zWe built it, they didn’t come... Across 12 hospitals, EHR tools alone didn’t boost MOUD Tech isn’t enough... ...culture, training, and real support drive change 🆓 full-text of this #JGIM #QualitativeResearch study ⬇️: rdcu.be/fo9cF18 Aug 2026 15:02 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mteidfbadw2zhttps://bsky.app/profile/journalgim.bsky.social/post/3mtbuiibbg323The transition to senior resident is a critical but underexplored step in IM training... This multi-institutional survey found persistent preparedness gaps and highlights experiential learning as a key educational strategy 🆓 full-text of this #JGIM #ConciseResearchReport ⬇️: rdcu.be/fn3RY17 Aug 2026 14:01 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mtbuiibbg323https://bsky.app/profile/journalgim.bsky.social/post/3mt2tttsezm2qHow do racial & ethnic disparities impact prediabetes care in Veterans? The authors in this #JGIM study looked at VA data to trace preventive therapy uptake - like the VA MOVE! program & metformin - and diabetes progression. Free Full Text👉️ rdcu.be/fn3ce14 Aug 2026 19:01 +0000at://did:plc:675rlsvblm6cv35q4lj2ekbf/app.bsky.feed.post/3mt2tttsezm2q