Section Of General Internal Medicine Research Articles

Web Exclusive. Annals On Call - First-Line Drug Therapy for Type 2 Diabetes.

Web ExclusivesFebruary 2023Annals On Call - First-Line Drug Therapy for Type 2 DiabetesFREERobert M. Centor, MD, Neda Laiteerapong, MD, MS, and Aaron N. Winn, PhDRobert M. Centor, MDHuntsville Regional Medical Campus, University of Alabama Birmingham School of Medicine, Birmingham, Alabama (R.M.C.)Search for more papers by this author, Neda Laiteerapong, MD, MSSection of General Internal Medicine and Center for Chronic Disease Research and Policy, Department of Medicine, University of Chicago, Chicago, Illinois (N.L.)Search for more papers by this author, and Aaron N. Winn, PhDMedical College of Wisconsin, Milwaukee, Wisconsin (A.N.W.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/A22-0004 CME/MOC SectionsAboutVisual Abstract ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this episode of Annals On Call, Dr. Centor discusses the cost-effectiveness of sodium–glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists in the treatment of patients with type 2 diabetes with Drs. Neda Laiteerapong and Aaron Winn.Annals articles discussed include...First-Line Therapy for Type 2 Diabetes With Sodium–Glucose Cotransporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists. A Cost-Effectiveness Study: https://www.acpjournals.org/doi/10.7326/M21-2941About Annals On CallAnnals On Call focuses on a clinically influential article published in Annals of Internal Medicine. Dr. Robert Centor shares his own perspective on the material and interviews topic area experts to discuss, debate, and share diverse insights about patient care and health care delivery.For more information on Annals On Call and for more episodes, visit go.annals.org/OnCall. Comments0 CommentsSign In to Submit A Comment Author, Article, and Disclosure InformationAffiliations: Huntsville Regional Medical Campus, University of Alabama Birmingham School of Medicine, Birmingham, Alabama (R.M.C.)Section of General Internal Medicine and Center for Chronic Disease Research and Policy, Department of Medicine, University of Chicago, Chicago, Illinois (N.L.)Medical College of Wisconsin, Milwaukee, Wisconsin (A.N.W.)Disclosures: All relevant financial relationships have been mitigated. Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=A22-0004.Editors' Disclosures: The editors have no relevant financial relationships to disclose. Individual forms may be viewed at www.annals.org/editorsdisclosures. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFirst-Line Therapy for Type 2 Diabetes With Sodium–Glucose Cotransporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists Jin G. Choi , Aaron N. Winn , M. Reza Skandari , Melissa I. Franco , Erin M. Staab , Jason Alexander , Wen Wan , Mengqi Zhu , Elbert S. Huang , Louis Philipson , and Neda Laiteerapong Metrics Current IssueFebruary 2023Volume 176, Issue 2 ePublished: 21 February 2023 Issue Published: February 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.Loading ...

Monica Peek: addressing diabetes health disparities

Monica Peek's diverse research portfolio has included diabetes, breast cancer, and COVID-19. The common thread running through her work is the impact of structural and interpersonal racism on people's lives and health. “Fighting racism…this is part of my core, essential to who I am”, says Peek, Professor of Medicine in the Section of General Internal Medicine at the University of Chicago, IL, USA. Her research has been instrumental in improving shared decision making between clinicians and low-income Black patients with diabetes. “Shared decision making is something that has historically been studied in Europe, Canada, and the USA among primarily white patient populations. Yet the largest power differentials between patients and their providers do not occur in race concordant relationships. It occurs between physicians, who are disproportionately affluent and white, and patients who have less power because of marginalised social identities such as race, national origin, or sexual orientation. That is where we need shared decision-making efforts the most”, she explains. Peek and her colleagues have created shared decision-making models, tools, videos, and standards that are now used by diabetes organisations. By any means necessary: why lowering insulin prices is relevant to racial health equityWhen young revolutionaries in the 1960s sought to free Black people in the USA from lives of structured racism (ie, the differential access to opportunity, goods, and services by race) “by any means necessary”,1 few people imagined this movement might one day include efforts to overcome exorbitant insulin prices. Yet organisations such as the Black Panther Party (BPP) understood long ago how poverty and other structural inequities lead to worse health, and were instrumental in creating a framework for cross-sector collaboration to address health disparities in low-income Black communities. Full-Text PDF

Policing, health care, and institutional racism: Connecting history and heuristics.

Health Services ResearchVolume 56, Issue 6 p. 1100-1103 DEBATE-COMMENTARY Policing, health care, and institutional racism: Connecting history and heuristics Nathaniel J. Glasser MD, MPP, Corresponding Author Nathaniel J. Glasser MD, MPP nathaniel.glasser@uchospitals.edu Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Correspondence Nathaniel J. Glasser, Section of General Internal Medicine, University of Chicago, 5841 S Maryland Avenue, MC 2007B, Chicago, IL 60637, USA. Email: nathaniel.glasser@uchospitals.eduSearch for more papers by this authorElizabeth L. Tung MD, MS, Elizabeth L. Tung MD, MS orcid.org/0000-0001-6898-1106 Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Center for Health and the Social Sciences, University of Chicago, Chicago, Illinois, USA Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, Illinois, USASearch for more papers by this authorMonica E. Peek MD, MPH, MS, Monica E. Peek MD, MPH, MS orcid.org/0000-0003-0434-7231 Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, Illinois, USA MacLean Center for Medical Ethics, University of Chicago, Chicago, Illinois, USA Center for the Study of Race, Politics and Culture, University of Chicago, Chicago, Illinois, USASearch for more papers by this author Nathaniel J. Glasser MD, MPP, Corresponding Author Nathaniel J. Glasser MD, MPP nathaniel.glasser@uchospitals.edu Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Correspondence Nathaniel J. Glasser, Section of General Internal Medicine, University of Chicago, 5841 S Maryland Avenue, MC 2007B, Chicago, IL 60637, USA. Email: nathaniel.glasser@uchospitals.eduSearch for more papers by this authorElizabeth L. Tung MD, MS, Elizabeth L. Tung MD, MS orcid.org/0000-0001-6898-1106 Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Center for Health and the Social Sciences, University of Chicago, Chicago, Illinois, USA Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, Illinois, USASearch for more papers by this authorMonica E. Peek MD, MPH, MS, Monica E. Peek MD, MPH, MS orcid.org/0000-0003-0434-7231 Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, Illinois, USA MacLean Center for Medical Ethics, University of Chicago, Chicago, Illinois, USA Center for the Study of Race, Politics and Culture, University of Chicago, Chicago, Illinois, USASearch for more papers by this author First published: 07 October 2021 https://doi.org/10.1111/1475-6773.13888 See related article by Alang et al. Funding information: National Heart, Lung, and Blood Institute, Grant/Award Number: 1K23HL145090; National Institute of Diabetes and Digestive and Kidney Diseases, Grant/Award Number: P30DK092949 Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume56, Issue6December 2021Pages 1100-1103 RelatedInformation

Racism and health: A call to action for health services research.

Health Services ResearchVolume 56, Issue 4 p. 569-572 DEBATE-COMMENTARY Racism and health: A call to action for health services research Monica E. Peek MD, MPH, MS, Corresponding Author Monica E. Peek MD, MPH, MS mpeek@medicine.bsd.uchicago.edu Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, Center for the Study of Race, Politics and Culture, The University of Chicago, Chicago, Illinois, USA Correspondence Monica E. Peek, MD, MPH, MS, Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, Center for the Study of Race, Politics and Culture, The University of Chicago, 5841 S. Maryland Avenue, MC 2007, Chicago, IL 60637, USA. Email: mpeek@medicine.bsd.uchicago.eduSearch for more papers by this author Monica E. Peek MD, MPH, MS, Corresponding Author Monica E. Peek MD, MPH, MS mpeek@medicine.bsd.uchicago.edu Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, Center for the Study of Race, Politics and Culture, The University of Chicago, Chicago, Illinois, USA Correspondence Monica E. Peek, MD, MPH, MS, Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, Center for the Study of Race, Politics and Culture, The University of Chicago, 5841 S. Maryland Avenue, MC 2007, Chicago, IL 60637, USA. Email: mpeek@medicine.bsd.uchicago.eduSearch for more papers by this author First published: 21 June 2021 https://doi.org/10.1111/1475-6773.13693Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume56, Issue4August 2021Pages 569-572 RelatedInformation

Sexual Orientation and Gender Identity Data Collection: Clinical and Public Health Importance

AffiliationsCarl G. Streed Jr is with the Department of Medicine, Center for Transgender Medicine and Surgery and the Section of General Internal Medicine, Boston University School of Medicine, Boston, MA. Chris Grasso, Sari L. Reisner, and Kenneth H. Mayer are with the Fenway Institute, Boston, MA. Sari L. Reisner is also with the Department of Medicine, Brigham and Women’s Hospital, Boston, MA. Kenneth H. Mayer is also with the Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.

The ‘waze’ of inequity reduction frameworks for organizations Marshall Chin Center for Health and the Social Sciences, University of Chicago Section of General Internal Medicine, University of Chicago

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)

Group Self-Reflection to Address Burnout: A Facilitator's Guide.

Inadequately supported clinicians risk burnout, which is prevalent among them. Balint-like groups can be utilized to address clinician stressors and augment interpersonal skills by exploring the clinician-patient relationship. In January 2012, we initiated the Clinical Case Discussion Group (CCDG), based on Michael Balint's Balint group, at the Boston University School of Medicine Section of General Internal Medicine. The CCDG is an interprofessional group discussion founded on self-reflection of patient cases designed to tease out ethical, psychosocial, and medical issues that impact the clinician-patient relationship. The format consists of a facilitator-led small group session including 5-10 minutes of case discussion followed by open group discussion. In April 2014, we conducted a cross-sectional survey of clinicians who participated in the CCDG to evaluate the group's ability to foster skills in self-reflection, empathy, response to patient challenges, personal awareness, and tolerance of uncertainty, and to address clinicians' personal and professional stressors. More than 75% of clinicians surveyed agreed that participation fostered skills in tolerating uncertainty, increasing empathy, and navigating difficult patient relationships. All respondents agreed the group developed skills in self-reflection. At least 40% of clinicians reported some degree of isolation, professional stress, and personal stress; group participation addressed these issues at least 70% of the time. This self-reflection case discussion group, incorporated into academic clinical practice, supports the professional development of a broad cadre of clinicians and addresses both personal and professional stressors. Clinical departments should consider systematically implementing similar groups in practice.

Financial stress among newly matriculated PA students

At the time this abstract was written, Kara Stencel was a student in the PA program at Yale University in New Haven, Conn. She now practices in the ED at MedStar Washington Hospital Center. Rosana Gonzalez-Colaso is an assistant professor in the Section of General Internal Medicine, Department of Internal Medicine, at Yale School of Medicine.

Functional impairment and Internet use among older adults: implications for meaningful use of patient portals.

Functional impairment and Internet use among older adults: implications for meaningful use of patient portals.

‘Kicking the can’: science, Congress and a Ponzi scheme

AIDS researcher Yuntao Wu, Professor of microbiology and infectious diseases at George Mason University (Manassas, VA USA), is finding imaginative ways to maintain his cell lines, not to mention his life's work on developing therapeutics against HIV infection. As his funding from the US National Institutes of Health (NIH) has dried up, Wu has become dependent on the kindness of strangers and friends to cover the US$3,000 a month he needs to keep his lab running. To help repay a US$35,000 loan from his university, he has so far raised more than US$21,000 on CrowdRise, a crowd‐sourced fundraising website. In previous years, Wu had little trouble funding his research the ‘usual’ way. He received more than US$1 million in grant money from NIH over the past 4 years, and his lab published 18 papers in that period. But his application to renew the grant for another 5 years was rejected this past spring. Wu blames the tight NIH budget. Desperate for funds, he is now applying to other sections of the US National Institute for Allergy and Infection Diseases to see whether they will be more forthcoming than the molecular biology section that did not renew his grant. He expects to hear this month whether he will receive any NIH money, as the 16‐day government shutdown in October last year delayed the grant review process. Wu's grant applications are not the only ones to be affected by the shutdown: The closure of the government temporarily delayed the assessment of 300,000 extramural research groups for funding. Another 14,000 NIH scientists—designated as ‘non‐essential’ federal employees—were sent home, virtually closing some laboratories. Though the obvious effects of the shutdown were temporary, there are concerns about the longer‐term consequences of the unstable funding environment. In an 11th hour deal, leaders from the conservative‐dominated House of Representatives …

A Measure of Care Coordination?

The Dartmouth Institute for Health Policy and Clinical Practice and Department of Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Section of General Internal Medicine and Robert Wood Johnson Foundation Clinical Scholars Program, Department of Medicine, Yale University School of Medicine and Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT, USA.

Proton Beam Therapy and Treatment for Localized Prostate Cancer: If You Build It, They Will Come

Proton Beam Therapy and Treatment for Localized Prostate Cancer: If You Build It, They Will Come

Marcella Nunez Smith, MD, MHS

Marcella Nunez Smith, MD, MHS, is assistant director of the Robert Wood Johnson Foundation Clinical Scholars Program and assistant professor of the Section of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.

Electronic monitors of drug adherence: tools to make rational therapeutic decisions

aFaculty of Pharmaceutical Sciences, Department for Pharmacology and Pharmacotherapy, Section for Social Pharmacy, and the Research Centre for Quality in Medicine Use, University of Copenhagen, Copenhagen, Denmark bBang and Olufsen Medicom A/S, Struer, Denmark cDepartment of Medicine, Section of General Internal Medicine, Stanford University, and Veteran Affairs Palo Alto Healthcare System, Palo Alto, California, USA

Mahmoud Moawad, MD, Mph, Facp, from the King Faisal Specialist Hospital in Saudi Arabia: An Interview by F. David Winter Jr., MD

Mahmoud Moawad (Figure ​(Figure11) is the head of the Section of General Internal Medicine at the King Faisal Specialist Hospital and Research Centre in Riyadh, Saudi Arabia. He is a recognized leader who established the first committee to study and disseminate information on evidence-based medicine in the hospital, as well as a consultant for complicated medical cases, an administrator, and a dedicated family man. He shared time with me during a recent visit to Saudi Arabia.

Prescription Drug Samples: Making Decisions with Imperfect Data

Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA; Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA; Section of General Internal Medicine, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.

Measuring Quality

From the Department of Medicine, Section of General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts. Contact: Arlene S. Ash, PhD, Health Care Research Unit, 801 Massachusetts Ave, 2nd floor, Boston, MA 02118. E-mail: [email protected].

Respecting the lifecycle: Rational workforce planning for a section of general internal medicine

Respecting the lifecycle: Rational workforce planning for a section of general internal medicine

Conclusions from the VA-HIT study

Conclusions from the VA-HIT study

PYOMETRA ASSOCIATED WITH RETAINED PRODUCTS OF CONCEPTION

Section of General Internal Medicine, Evans Department of Medicine, Boston University School of Medicine, Boston, Massachusetts; Department of Obstetrics and Gynecology, Boston Medical Center, Boston, Massachusetts; and Mallory Institute of Pathology, Boston, Massachusetts. Received July 10, 1998. Received in revised form September 11, 1998. Accepted October 8, 1998.