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Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2020
Authors:Majken T Wingo  Jill M Huber  Jason H Szostek  Shari L Bornstein  Jason A Post  Karen F Mauck  Mark L Wieland
Institution:1. Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn;2. Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn;1. Center for Medical Training, Ehime Seikyo Hospital, Japan;2. Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Japan;1. Department of Internal Medicine, Yale School of Medicine, New Haven, Conn;2. Department of Pharmacy and Health Systems Science, Northeastern School of Pharmacy, Boston, Mass;3. Leon H. Charney Division of Cardiology, Department of Medicine;4. Division of Healthcare Delivery Science, Department of Population Health, New York University School of Medicine, New York, NY;5. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester;1. Department of Cardiovascular Medicine, University of Texas Medical Branch, Galveston;2. Division of Cardiology, Weill Cornell Medicine-Qatar, Doha, Qatar;3. Division of Cardiothoracic Surgery, Baylor School of Medicine, Houston, Tex;4. Division of Cardiovascular Medicine, Mayo Clinic, Rochester, Minn;5. Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston;6. Department of Cardiovascular Medicine, University of Kentucky, Lexington;7. Division of Cardiology, Baylor School of Medicine, Houston, Tex;2. University of Arizona Department of Medicine, Tucson;4. Department of Medicine, New York Medical College/Westchester Medical Center Health Care System, Valhalla, NY;1. Unit for Thrombosis and Drug Research, Department of Cardiology;2. Unit Clinical Biostatistics, Aalborg University Hospital, Aalborg, Denmark;3. Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark;4. Department of Oncology, Aalborg University Hospital, Aalborg, Denmark;5. Marie Curie Palliative Care Research Centre, Cardiff University, Cardiff, UK;6. Division of Cardiovascular Medicine, Brigham and Women''s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Abstract:In a time of rapidly shifting evidence-based medicine, it is challenging to stay informed of research that modifies clinical practice. To enhance knowledge of practice-changing literature, a group of 7 internists reviewed titles and abstracts in 7 internal medicine journals with the highest impact factors and relevance to outpatient general internal medicine. Coronavirus disease-19 research was purposely excluded to highlight practice changes beyond the pandemic. New England Journal of Medicine (NEJM), The 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 were reviewed. 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 based on relevance to outpatient internal medicine, impact on practice, and strength of evidence. Clusters of articles pertaining to the same topic were considered together. In total, 7 practice-changing articles were included.
Keywords:General internal medicine  Practice-changing evidence  Outpatient  2020 update
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