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Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2018
Majken T Wingo1, Jason H Szostek2, Karna K Sundsted2
1Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn.
The American Journal of Medicine
|March 12, 2019
Summary
Identifying practice-changing medical literature in general internal medicine is challenging. This study synthesized key articles to facilitate clinical updates for outpatient internal medicine physicians.
Area of Science:
- General Internal Medicine
- Clinical Practice Guidelines
- Evidence-Based Medicine
Background:
- General internal medicine encompasses a broad range of clinical topics, making it difficult to identify impactful medical literature.
- Keeping up-to-date with practice-changing research is essential for effective outpatient internal medicine care.
- Synthesizing relevant articles and their implications can significantly aid clinical decision-making.
Purpose of the Study:
- To identify and synthesize practice-changing medical literature relevant to general internal medicine outpatient practice.
- To facilitate clinical updates for physicians by highlighting key research findings.
- To establish a consensus on the most impactful articles for current medical practice.
Main Methods:
- A systematic review of high-impact general internal medicine clinical outpatient journals was conducted.
- Titles and abstracts were screened by six internal medicine physicians.
- A modified Delphi method was employed to achieve consensus on article selection based on clinical relevance, practice impact, and evidence strength.
- Synthesized collections and databases were also reviewed, including NEJM Journal Watch and Cochrane Reviews.
Main Results:
- Seven practice-changing articles were identified and included in the synthesis.
- Articles were clustered by topic for a comprehensive overview.
- Consensus was reached through debate regarding article quality and importance.
Conclusions:
- The study successfully identified a curated selection of practice-changing articles for general internal medicine.
- This synthesis provides a valuable resource for outpatient internal medicine physicians seeking to update their clinical practice.
- The findings underscore the importance of evidence-based synthesis in managing the vast medical literature.
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