Journal Of General Internal Medicine Research Articles

Fostering Medical Students’ Commitment to Beneficence in Ethics Education

Fostering Medical Students’ Commitment to Beneficence in Ethics Education

General practice-related MeSH terms in main journals: a bibliometric analysis from 2011 to 2021.

There are various Medical Subject Headings (MeSH) terms used to index general practice research, without consistency. To understand how general practice-related research is indexed in the main general practice journals between 2011 and 2021, and to analyse the factors that influenced the choice of the general practice-related MeSH. This was a quantitative bibliometric study conducted on MEDLINE. MeSH were selected according to the international definition of General Practice/Family Medicine: 'General Practice', 'Primary Health Care', 'Family Practice', 'General Practitioners', 'Physicians, Primary Care', and 'Physicians, Family'. Their use was studied from 2011 to 2021 on MEDLINE, reviewing the 20 general practice journals with the highest impact factors. A descriptive and analytical approach was used; the association of the country, journal, and year with the choice of general practice-related MeSH terms was analysed. A total of 8514 of 150 286 articles (5.7%) were using one of the general practice-related MeSH terms. The most used were 'Primary Health Care' (4648/9984, 46.6%) and 'General Practice' (2841/9984, 28.5%). A total of 80.0% (6172/7723) of the articles were related to the UK or US and 71.0% (6055/8514) of the articles came from four journals (BJGP, BMJ, Journal of General Internal Medicine, and Annals of Family Medicine). Two main country clusters emerged from the use of general practice-related MeSH: a British cluster mainly using 'General Practice' and an American cluster using 'Primary Health Care'. The journals also mainly differed in their used of these two MeSH terms. Important variations in the indexation of general practice research were found. Researchers should consider combining 'Primary Health Care' and 'General Practice' in their PubMed searches to access all the general practice research, regardless of their country of origin.

The level of the gender gap in academic publishing varies by country and region of affiliation: A cross-sectional study of articles published in general medical journals.

Women are generally under-represented as authors of publications, and especially as last authors, but this under-representation may not be uniformly distributed across countries. We aimed to document by country and region the proportion of female authors (PFA) in high-impact general medical journals. We used PyMed, a Python library that provides access to PubMed, to retrieve all PubMed articles published between January 2012 and December 2021 in the fifty general internal medicine journals with the highest 2020 impact factor according to Journal Citation Reports. We extracted first/last authors' main country of affiliation for all these articles using regular expressions and manual search, and grouped the countries into eight regions (North/Latin America, Western/Eastern Europe, Asia, Pacific, Middle East, and Africa). We used NamSor to determine first/last authors' gender and computed the PFA for each country/region. We retrieved 163,537 publications for first authors and 135,392 for last authors. Gender could be determined for 160,891 and 133,373 publications, respectively. The PFA was 41% for first authors and 33% for last authors, but it varied widely by country (first authors: >50% for eight countries, maximum = 63% in Romania, minimum = 19% in Japan; last authors: >50% for two countries, maximum = 53% in Romania, minimum = 9% in Japan). The PFA also varied by region. It was highest for Eastern Europe (first authors = 53%, last authors = 40%), and lowest for Asia (36% and 29%) and the Middle East (35% and 27%). We found that the PFA varied widely by country and region, and was lowest in Asia, particularly Japan, and the Middle East. The under-representation of women as authors of publications, especially in these two regions, needs to be addressed and correcting persistent gender discrimination in research should be a top priority.

Addressing the Maternal Mental Health Crisis Through a Novel Tech-Enabled Peer-to-Peer Driven Perinatal Collaborative Care Model

Addressing the Maternal Mental Health Crisis Through a Novel Tech-Enabled Peer-to-Peer Driven Perinatal Collaborative Care Model

Research Priorities to Support Women Veterans' Reproductive Health and Health Care Within a Learning Health Care System.

Research Priorities to Support Women Veterans' Reproductive Health and Health Care Within a Learning Health Care System.

Googling Patients

Googling Patients

"You can't touch, you can't bond": Exploring COVID-19 pandemic impacts on rheumatoid arthritis patient goals and communication with clinicians.

"You can't touch, you can't bond": Exploring COVID-19 pandemic impacts on rheumatoid arthritis patient goals and communication with clinicians.

What was the participation of Latin authors in TOP journals in internal medicine during 2021? A brief bibliometric analysis.

In the field of medical scientific research and publication, there are few Latin American countries whose production is remarkable, although not comparable to that of high-income countries. The lack of investment for innovation is recognized as the main cause. Despite this, there are Latin authors who are making their contribution to the scientific heritage with high-quality studies.1 But how much participation do Latin authors have in research published by TOP internal medicine journals? Answering this question is part of the actions to achieve the current goals set by academic medicine regarding scientific development of low- and middle-income countries.2 A bibliometric analysis was carried out based on the information available on the journals in the TOP five belonging to the subject area and category: internal medicine; according to the Scimago Journal & Country Rank (SJR), in order to assess the participation of Latin authors during the last year (2021) in articles published in internal medicine journals with the greatest impact worldwide, according to 2020 metrics. The journals analyzed were selected based on SJR indicator, H index according to Scopus, highest percentile according to Scopus and H5 index according to Google Scholar: JAMA Internal Medicine (SJR: 5.140), Annals of Internal Medicine (SJR: 3.839), Hypertension (SJR: 2.986), Journal of Internal Medicine (SJR: 2.625) and Journal of General Internal Medicine (SJR: 1.746). Metrics and data on the number of published articles, participating authors, Latin authors and publications according to typology were extracted. The considered typology of publications for classification was: original articles, reviews (narrative, systematic and meta-analysis) and other types (any other type of manuscript, e.g. letters to the editor). The participation of collaborative groups was not considered.

The concept of errors in medical education: a scoping review.

The purpose of this scoping review was to explore how errors are conceptualized in medical education contexts by examining different error perspectives and practices. This review used a scoping methodology with a systematic search strategy to identify relevant studies, written in English, and published before January 2021. Four medical education journals (Medical Education, Advances in Health Science Education, Medical Teacher, and Academic Medicine) and four clinical journals (Journal of the American Medical Association, Journal of General Internal Medicine, Annals of Surgery, and British Medical Journal) were purposively selected. Data extraction was charted according to a data collection form. Of 1505 screened studies, 79 studies were included. Three overarching perspectives were identified: 'understanding errors') (n = 31), 'avoiding errors' (n = 25), 'learning from errors' (n = 23). Studies that aimed at'understanding errors' used qualitative methods (19/31, 61.3%) and took place in the clinical setting (19/31, 61.3%), whereas studies that aimed at 'avoiding errors' and 'learning from errors' used quantitative methods ('avoiding errors': 20/25, 80%, and 'learning from errors': 16/23, 69.6%, p = 0.007) and took place in pre-clinical (14/25, 56%) and simulated settings (10/23, 43.5%), respectively (p < 0.001). The three perspectives differed significantly in terms of inclusion of educational theory: 'Understanding errors' studies 16.1% (5/31),'avoiding errors' studies 48% (12/25), and 'learning from errors' studies 73.9% (17/23), p < 0.001. Errors in medical education and clinical practice are defined differently, which makes comparisons difficult. A uniform understanding is not necessarily a goal but improving transparency and clarity of how errors are currently conceptualized may improve our understanding of when, why, and how to use and learn from errors in the future.

Article Review – Short Communication on Probiotic Claim Substantiation

This article review focused on the analysis of the journal article “More Information Needed on Probiotic Supplement Product Labels” by Merenstein et al., 2019, published in the Journal of General Internal Medicine. The aim of such a review was to communicate a short critique as well as highlighting the need for fieldwork in regulatory compliance. Here, the review started with a general summary of the article, but also in conjunction with the literature review that the authors established. This was necessary to understand the article in its field of expertise whilst giving a clearer purpose on the need for more fieldwork of this kind. Without such understanding, it would have been difficult to understand the regulatory compliance of dietary supplement label regulations in the US. Then, a thorough analysis and deconstruction of the articles structure, as well as article critique, were established. The authority of the paper and other topics such as authority, accuracy, relevance, etc., were examined for effectiveness in conveying the research question that the authors were concerned with; that more information may be needed for product labels in probiotic supplements in the US. Lastly, the graphs, tables, and figures were evaluated to make a conclusion about the study as well as a discussion on the recent advances related to the label compliance of probiotic supplements. The paper, albeit was on the shorter side, was effective and was also simple in establishing a need for more information on the label. Thus, more transparency on clinical substantiation is needed.

Addiction treatment needed in hospitals and EDs: Study

Emergency departments (EDs) are being faced with a 30% increase in the number of visits by patients for alcohol and substance use disorders, and hospitalizations of patients with those disorders increased by 57%, from 2014 to 2018, a recent study has found. However, the study, published Sept. 13 in the Journal of General Internal Medicine, suggests that neither EDs nor hospitals are prepared for these patients, most of whom are complex.

Systematic reviews in high impact general internal medicine journals.

Abstract The search uses the 5 highest impact General and Internal Medicine journals that publish systematic reviews from the 2011 Journal Citation Reports in combination with the SRs subset in PubMed and a modified version of 5-term “balanced” optimized search strategy for identifying SRs by Montori et al. It was limited to 2008-2012.

Routine Cancer Screening Rates Rebound After Deep Drop From Pandemic Fear.

Routine Cancer Screening Rates Rebound After Deep Drop From Pandemic Fear.

Reckoning with Our Trustworthiness, Leveraging Community Engagement.

Population Health ManagementVol. 25, No. 1 Points of ViewReckoning with Our Trustworthiness, Leveraging Community EngagementDarrell M. Gray II, Timiya S. Nolan, O.N. Ray Bignall II, John Gregory, and Joshua J. JosephDarrell M. Gray IIAddress correspondence to: Darrell M. Gray II, MD, MPH, FACG, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, College of Medicine, The Ohio State University, 1590 N High St., Suite 525, Columbus, OH 43201, USA E-mail Address: dgrayiimd@gmail.comhttps://orcid.org/0000-0003-2506-3465Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA.Search for more papers by this author, Timiya S. NolanCollege of Nursing, Martha S. Pitzer Center for Women, Children & Youth, The Ohio State University, Columbus, Ohio, USA.Search for more papers by this author, O.N. Ray Bignall IIDivision of Nephrology and Hypertension, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.Search for more papers by this author, John GregoryThe National African American Male Wellness Agency, Columbus, Ohio, USA.Search for more papers by this author, and Joshua J. Josephhttps://orcid.org/0000-0001-9169-8261Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA.Search for more papers by this authorPublished Online:2 Feb 2022https://doi.org/10.1089/pop.2021.0158AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Reckoning with Our Trustworthiness, Leveraging Community Engagement." Population Health Management, 25(1), pp. 6–7FiguresReferencesRelatedDetailsCited byHow to Get Involved With Community Engagement, Community Service, and Patient Advocacy During GI FellowshipClinical Gastroenterology and Hepatology, Vol. 21, No. 3Predictors of Scientific Civic Engagement (PSCE) Survey: A Multidimensional Instrument to Measure Undergraduates’ Attitudes, Knowledge, and Intention to Engage with the Community Using Their Science SkillsCBE—Life Sciences Education, Vol. 22, No. 1Using a multicultural and multilingual awareness-raising strategy to enhance enrollment of racially underrepresented minoritized communities – the PassITON trial7 December 2022 | Journal of Clinical and Translational Science, Vol. 7, No. 1Virtual Community Engagement for Retention of Black Men in Clinical Research10 January 2023 | American Journal of Men's Health, Vol. 17, No. 1Diversity of Participation in Clinical Trials and Influencing Factors: Findings from the Health Information National Trends Survey 202022 September 2022 | Journal of General Internal Medicine, Vol. 557Community-Based Participatory Research to Improve Cardiovascular Health Among US Racial and Ethnic Minority Groups11 July 2022 | Current Epidemiology Reports, Vol. 9, No. 3Association of Socioeconomic Status With Ideal Cardiovascular Health in Black MenJournal of the American Heart Association, Vol. 10, No. 23The importance of offering vaccine choice in the fight against COVID-1920 October 2021 | Proceedings of the National Academy of Sciences, Vol. 118, No. 43 Volume 25Issue 1Feb 2022 InformationCopyright 2022, Mary Ann Liebert, Inc., publishersTo cite this article:Darrell M. Gray II, Timiya S. Nolan, O.N. Ray Bignall II, John Gregory, and Joshua J. Joseph.Reckoning with Our Trustworthiness, Leveraging Community Engagement.Population Health Management.Feb 2022.6-7.http://doi.org/10.1089/pop.2021.0158Published in Volume: 25 Issue 1: February 2, 2022Online Ahead of Print:July 16, 2021Keywordscommunity engagementhealth equityCOVID-19 vaccinationmedical mistrustsocial determinants of healthPDF download

Words matter: Labelling, bias and stigma in nursing

Words matter: Labelling, bias and stigma in nursing

Evinacumab Approval Adds a New Option for Homozygous Familial Hypercholesterolemia With a Hefty Price Tag

Evinacumab Approval Adds a New Option for Homozygous Familial Hypercholesterolemia With a Hefty Price Tag

Distributive Justice as a Means of Combating Systemic Racism in Healthcare

Distributive Justice as a Means of Combating Systemic Racism in Healthcare

22 Coping with Medicines After Hospital Discharge; the Invisible Work of Older Patients and Their Care-Givers

Abstract Introduction Older patients often experience medication-related problems following discharge from hospital. These can be categorised as issues with obtaining medication, taking medication, medication effects or problems with communication or care co-ordination (Nicosia et al., Journal of General Internal Medicine, 2019, https://doi.org/10.1007/s11606-019-05463-z). The aim of this study was to explore older adults’ experiences of post-discharge medicines management, including the strategies they use to safely manage their changed medicines. Methods Following ethical approval, patients aged 75 and above, with a change in their long term medicines, were recruited during admission to one of two hospitals in Yorkshire. Semi-structured interviews took place with the participants in their own homes, approximately two weeks after discharge. Interviews were audio recorded and transcribed. Data were analysed using the Framework method. Results Twenty-seven patients (mean age 85 years; 6 males) consented to be interviewed. They described multiple self-management and safety strategies used to support medicines management in the early post-discharge phase. The work done included adaptations (to routines, the home environment and action plans), scaffolding (where patients and their care-givers support the primary care system by providing additional documentation or prompts to ensure medicines were supplied on time and were correct) and error avoidance (seeking information, performing checks and balances). Conclusion Older patients experience gaps in their post-discharge medicines-related care which they had to bridge through implementing their own strategies or by enlisting support from others. This study shines a spotlight on to the invisible work that patients have to do in order to make post-discharge medicines management fit for purpose. Further work should consider those patients who are not able to carry out these tasks or who do not have any care-givers available for support and how this potential gap in care can be addressed.

New Information Revealed about the Trial of the Discontinued Vaccine Astrazeneca-Oxford Project. Losing Hopes

The currently practiced medical care results are [ 1]: Expert Opinion: COVID-19 Vaccine Rollout. Unlikely Before Fall 2021. October 1, 2020 | McGill University. Experts working in the field of vaccine development tend to believe that an effective vaccine is not likely to be available for the general public before the fall of 2021. In a paper published recently in the Journal of General Internal Medicine, a McGill-led team published the results of a recent survey of 28 experts working in vaccinology[ 2].

Really, really tired: burnout and COVID-19

British Journal of Healthcare ManagementVol. 26, No. 8 EditorialReally, really tired: burnout and COVID-19Jennifer BromleyJennifer BromleyCorrespondence to: Jennifer Bromley; E-mail Address: [email protected]University of Bradford and Bradford Teaching Hospitals Foundation Trust, Bradford, UKSearch for more papers by this authorJennifer BromleyPublished Online:7 Aug 2020https://doi.org/10.12968/bjhc.2020.0123AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Panagioti M, Panagopoulou E, Bower P et al.. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Internal Medicine. 2017;177(2):195–205. https://doi.org/10.1001/jamainternmed.2016.7674 Crossref, Google ScholarSalyers MP, Bonfils KA, Luther L et al.. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. Journal of General Internal Medicine. 2017.:32(4):475–482. https://doi.org/10.1007/s11606-016-3886-9 Crossref, Google ScholarWorld Health Organization. 2019. Burn-Out an “Occupational Phenomenon”: international classification of diseases. https://www.who.int/mental_health/evidence/burn-out/en/ (accessed 24 July 2020) Google Scholar FiguresReferencesRelatedDetails 2 August 2020Volume 26Issue 8ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 7 August 2020 Published in print 2 August 2020 Information© MA Healthcare LimitedAcknowledgementsI would like to thank Cordy Gaubert and David Cobben for their assistance in writing this piece.PDF download