Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2018.

Authors:
Majken T Wingo
Majken T Wingo
Mayo Clinic
Jason H Szostek
Jason H Szostek
Mayo Clinic
Rochester | United States
Karna K Sundsted
Karna K Sundsted
Mayo School of Graduate Medical Education
United States
Jason A Post
Jason A Post
Mayo Clinic
United States
Karen F Mauck
Karen F Mauck
Mayo Clinic
United States
Mark L Wieland
Mark L Wieland
Mayo Clinic
United States

Am J Med 2019 Mar 8. Epub 2019 Mar 8.

Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn.

The expansive scope of general internal medicine makes it difficult to identify practice-changing medical literature. Clinical updates can be facilitated by synthesizing relevant articles and implications for practice. Six internal medicine physicians reviewed the titles and abstracts in the 7 general internal medicine clinical outpatient journals with the highest impact factor and relevance to the internal medicine outpatient physician: New England Journal of Medicine (NEJM), Lancet, Annals of Internal Medicine, Journal of the American Medical Association (JAMA), JAMA-Internal Medicine, British Medical Journal (BMJ), and Public Library of Science (PLoS) Medicine. The following collections of article synopses and databases were also reviewed: American College of Physicians Journal Club, NEJM Journal Watch, BMJ Evidence-Based medicine, McMaster/DynaMed Evidence Alerts, and Cochrane Reviews. A modified Delphi method was used to gain consensus on articles based on clinical relevance to outpatient Internal Medicine, potential impact on practice, and strength of evidence. Article qualities and importance were debated until consensus was reached. Clusters of articles pertinent to the same topic were considered together. In total, 7 practice-changing articles were included.

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Source
https://linkinghub.elsevier.com/retrieve/pii/S00029343193021
Publisher Site
http://dx.doi.org/10.1016/j.amjmed.2019.02.023DOI Listing
March 2019
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