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Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2019
Majken T Wingo1, Shari L Bornstein2, Jason H Szostek2
1Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn.
The American Journal of Medicine
|April 6, 2020
Summary
Physicians can stay updated on medical literature through a curated selection of high-impact journals and evidence-based resources. A modified Delphi method identified 7 practice-changing articles for internal medicine clinicians.
Area of Science:
- Internal Medicine
- Medical Literature Synthesis
- Evidence-Based Practice
Background:
- Clinicians face challenges keeping up with the rapid pace of new medical research.
- Synthesizing practice-changing information from numerous sources is difficult for general internists.
Purpose of the Study:
- To identify and synthesize practice-changing articles relevant to outpatient general internal medicine.
- To facilitate knowledge updates for clinicians in general internal medicine.
Main Methods:
- A systematic review of 7 high-impact general internal medicine journals was conducted.
- Additional review of key evidence-based medicine resources (e.g., ACP Journal Club, NEJM Journal Watch, DynaMed, Cochrane Reviews).
- A modified Delphi method was employed to achieve consensus on article selection based on clinical relevance, practice impact, and evidence strength.
Main Results:
- A total of 7 practice-changing articles were identified and included in the synthesis.
- Articles were clustered by topic for a comprehensive overview.
- Consensus was reached through rigorous debate on article quality and importance.
Conclusions:
- This curated selection provides essential updates for outpatient general internal medicine.
- The methodology ensures the identification of high-impact, evidence-based clinical practice recommendations.
- Facilitates efficient knowledge translation for improved patient care.
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