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Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2015

  Identifying new practice-changing articles is challenging. To determine the 2015 practice-changing articles most relevant to outpatient general internal medicine, 3 internists independently reviewed the titles and abstracts of original articles, synopses of single studies and syntheses, and databases of syntheses. For original articles, internal medicine journals with the 7 highest impact factors were reviewed: New […]

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Integrating Physical Activity in Primary Care Practice (video)

Exercise plays a crucial role in being healthy and preventing disease. Because of their close relationship to patients, primary care physicians (PCPs) can act as a catalyst to help people be more active through physical activity counseling; however, doctors often encounter barriers to being able to properly address inactivity. A new paper from The American […]

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The Five-Minute Moment

In today’s hospital and clinic environment, the obstacles to bedside teaching for both faculty and trainees are considerable. As electronic health record systems become increasingly prevalent, trainees are spending more time performing patient care tasks from computer workstations, limiting opportunities to learn at the bedside. Physical examination skills rarely are emphasized, and low confidence levels, […]

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A Diagnosis at Hand: Pulmonary Arterial Hypertension

A classic physical examination finding pointed to underlying disease in a 43-year-old Hispanic woman. On presenting to the Emergency Department, she reported progressive shortness of breath, fatigue, and chest pressure. One month earlier, she could exercise without limitation. However, in the ensuing interval, she developed increasing dyspnea and constant, nonexertional, left-sided chest pressure. A review […]

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Restricting Symptoms Before and After Admission to Hospice

  Prior work has shown that symptoms leading to restrictions in daily activities are common at the end of life. Hospice is a Medicare benefit designed to alleviate distressing symptoms in the last 6 months of life. The effect of hospice on the burden of such symptoms is uncertain. Methods From an ongoing cohort study […]

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