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    32529 results match your criteria Annals of internal medicine[Journal]

    1 OF 651

    Creating Entrustable Professional Activities to Assess Internal Medicine Residents in Training: A Mixed-Methods Approach.
    Ann Intern Med 2018 Apr 17. Epub 2018 Apr 17.
    University of Illinois at Chicago, Chicago, Illinois (Y.S.P., A.T.).
    Background: Competency-based medical education has not advanced residency training as much as many observers expected. Some medical educators now advocate reorienting competency-based approaches to focus on a resident's ability to do authentic clinical work.

    Objective: To develop descriptions of clinical work for which internal medicine residents must gain proficiency to deliver meaningful patient care (for example, "Admit and manage a medical inpatient with a new acute problem"). Read More

    The Drug Overdose Epidemic and Deceased-Donor Transplantation in the United States: A National Registry Study.
    Ann Intern Med 2018 Apr 17. Epub 2018 Apr 17.
    Johns Hopkins University School of Medicine and Johns Hopkins School of Public Health, Baltimore, Maryland, and Scientific Registry of Transplant Recipients, Minneapolis, Minnesota (D.L.S.).
    Background: The epidemic of drug overdose deaths in the United States has led to an increase in organ donors.

    Objective: To characterize donors who died of overdose and to analyze outcomes among transplant recipients.

    Design: Prospective observational cohort study. Read More

    Acute Colonic Diverticulitis.
    Ann Intern Med 2018 May;168(9):ITC65-ITC80
    From the University of Washington School of Medicine, Seattle, Washington. (S.M.S., L.L.S.).
    Acute colonic diverticulitis is a gastrointestinal condition frequently encountered by primary care practitioners, hospitalists, surgeons, and gastroenterologists. Clinical presentation ranges from mild abdominal pain to peritonitis with sepsis. It can often be diagnosed on the basis of clinical features alone, but imaging is necessary in more severe presentations to rule out such complications as abscess and perforation. Read More

    Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients.
    Ann Intern Med 2018 May 1. Epub 2018 May 1.
    Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (K.L.G., R.B.D., J.Y., E.R.M., S.J.H.).
    Background: Many experts believe that hospitals with more frequent readmissions provide lower-quality care, but little is known about how the preventability of readmissions might change over the postdischarge time frame.

    Objective: To determine whether readmissions within 7 days of discharge differ from those between 8 and 30 days after discharge with respect to preventability.

    Design: Prospective cohort study. Read More

    National Institutes of Health Pathways to Prevention Workshop: Methods for Evaluating Natural Experiments in Obesity.
    Ann Intern Med 2018 May 1. Epub 2018 May 1.
    Colorado School of Public Health, Aurora, Colorado (J.M.S.).
    On 5 and 6 December 2017, the National Institutes of Health (NIH) convened the Pathways to Prevention Workshop: Methods for Evaluating Natural Experiments in Obesity to identify the status of methods for assessing natural experiments to reduce obesity, areas in which these methods could be improved, and research needs for advancing the field. This article considers findings from a systematic evidence review on methods for evaluating natural experiments in obesity, workshop presentations by experts and stakeholders, and public comment. Research gaps are identified, and recommendations related to 4 key issues are provided. Read More

    Long-Term Effectiveness of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality in Women and Men: A Randomized Trial.
    Ann Intern Med 2018 Apr 24. Epub 2018 Apr 24.
    University of Oslo Institute of Clinical Medicine and Cancer Registry of Norway, Oslo, Norway, and Telemark Hospital, Skien, Norway (G.H.).
    Background: The long-term effects of sigmoidoscopy screening on colorectal cancer (CRC) incidence and mortality in women and men are unclear.

    Objective: To determine the effectiveness of flexible sigmoidoscopy screening after 15 years of follow-up in women and men.

    Design: Randomized controlled trial. Read More

    Automated and Clinical Breast Imaging Reporting and Data System Density Measures Predict Risk of Screen-Detected and Interval Cancers.
    Ann Intern Med 2018 May 1. Epub 2018 May 1.
    Mayo Clinic College of Medicine, Rochester, Minnesota (C.G.S., S.W., M.R.J., F.F.W., C.M.V.).
    Background: In 30 states, women who have had screening mammography are informed of their breast density on the basis of Breast Imaging Reporting and Data System (BI-RADS) density categories estimated subjectively by radiologists. Variation in these clinical categories across and within radiologists has led to discussion about whether automated BI-RADS density should be reported instead.

    Objective: To determine whether breast cancer risk and detection are similar for automated and clinical BI-RADS density measures. Read More

    Achieving Gender Equity in Physician Compensation and Career Advancement: A Position Paper of the American College of Physicians.
    Ann Intern Med 2018 Apr 17. Epub 2018 Apr 17.
    Southern Illinois University School of Medicine, Springfield, Illinois (S.T.H.).
    Women comprise more than one third of the active physician workforce, an estimated 46% of all physicians-in-training, and more than half of all medical students in the United States. Although progress has been made toward gender diversity in the physician workforce, disparities in compensation exist and inequities have contributed to a disproportionately low number of female physicians achieving academic advancement and serving in leadership positions. Women in medicine face other challenges, including a lack of mentors, discrimination, gender bias, cultural environment of the workplace, imposter syndrome, and the need for better work-life integration. Read More

    Methods for Evaluating Natural Experiments in Obesity: A Systematic Review.
    Ann Intern Med 2018 May 1:1-10. Epub 2018 May 1.
    Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (W.L.B., R.F.W., A.Z., E.T., E.A.K., H.K., E.A.S., O.S., E.B.B., L.J.C.).
    Background: Given the obesity pandemic, rigorous methodological approaches, including natural experiments, are needed.

    Purpose: To identify studies that report effects of programs, policies, or built environment changes on obesity prevention and control and to describe their methods.

    Data Sources: PubMed, CINAHL, PsycINFO, and EconLit (January 2000 to August 2017). Read More

    The Short-Lived Epidemic of Botulism From Commercially Canned Foods in the United States, 1919 to 1925.
    Ann Intern Med 2018 Apr;168(8):579-584
    Michigan Medicine, University of Michigan, Ann Arbor, Michigan (P.K.).
    In 1919, three deadly outbreaks of botulism caused by consumption of canned olives packed in California captured national headlines. In all of the outbreaks, which occurred in separate locales, unsuspecting people died after consuming tainted food during a banquet or family meal. The press's sensational portrayal of canned food as hazardous aroused alarm among consumers at a time when commercial canning was becoming more common. Read More

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