Published in Journal of general internal medicine
The Liaison Committee on Medical Education (LCME) requires that well-being programs must be "effective." Yet most medical schools do not robustly assess their well-being programs. Most evaluate their programs using one question on the Association of American Medical College's annual Graduation Questionnaire (AAMC GQ) survey for fourth-year students...
Published in Journal of general internal medicine
Delirium is among the most prevalent harmful events in hospitals that is associated with an elevated risk for severe outcomes such as functional decline, falls, longer length of stay, and increased mortality. To evaluate the impact of the implementation of a multi-component delirium program on the prevalence of delirium and the incidence of falls a...
Published in Journal of general internal medicine
Ambulatory care sensitive conditions (ACSCs) are acute or chronic health issues that lead to potentially preventable hospitalizations when not treated in the outpatient primary care setting. To describe national hospitalization rates due to ACSCs among adult inpatients in the US. A retrospective cross-sectional analysis of the 2018 US National Inpa...
Published in Journal of general internal medicine
Published in Journal of general internal medicine
It is uncertain if the American College of Cardiology/American Heart Association (ACC/AHA) 2013 guidelines for the use of HMGCoA reductase inhibitors (statins) were associated with increased statin eligibility and prescribing across underserved groups. To analyze, by race, ethnicity, and preferred language, patients with indications for and presenc...
Published in Journal of general internal medicine
Methadone ameliorates opioid withdrawal among hospitalized patients with opioid use disorder (OUD). To continue methadone after hospital discharge, patients must enroll in an opioid treatment program (OTP) per federal regulations. Uncontrolled opioid withdrawal is a barrier to linkage from hospital to OTP. Describe a federally compliant In-Hospital...
Published in Journal of general internal medicine
Dementia and mild cognitive impairment (MCI) are prevalent but underdiagnosed. To compare new dementia/MCI diagnosis rates in geriatrics-focused primary care clinics and traditional primary care clinics. Secondary analysis of a prospective matched cohort study that spanned 2017-2021. Community-dwelling Veterans over 65 receiving primary care in a g...
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Patient understanding of their care, supported by physician involvement and consistent communication, is key to positive health outcomes. However, patient and care team characteristics can hinder this understanding. We aimed to assess inpatients' understanding of their care and their perceived receipt of mixed messages, as well as the associated pa...
Published in Journal of general internal medicine
Health systems are screening patients for health-related social needs (HRSN) but the optimal approach is unknown. To describe the variation in responding to an HRSN questionnaire delivered via patient portal, and whether referral to and resources provided by social workers differed by response status. Retrospective observational study. Primary care...
