For clinicians involved in discharge planning, this review walks through the major post-acute care settings and the practical distinctions among them. #hmsky #imsky

Really great piece on pneumococcal vaccines.
#medsky

Figure 2: Interventions for Hispanic/Latino patients with MASLD/MASH, focusing on social support (SNAP, WIC), multidisciplinary care (nutrition), and medications (Glucagon, Resmetirom). It emphasizes tailored social services and community health workers.

This Review explores the factors that predispose Hispanic/Latino patients to metabolic dysfunction–associated steatotic liver disease and metabolic dysfunction–associated steatohepatitis.

ja.ma/4nlpAhp

Targeting MASLD and MASH in the US Hispanic/Latino Population Interview with Sammy Saab, MD, MPH, author of Targeting MASLD and MASH in the US Hispanic/Latino Population: A Review. Hosted by Eve Rittenberg, MD.

In the latest episode of JAMA Internal Medicine Author Interviews, author Sammy Saab, MD, MPH, and guest expert Guadalupe Garcia-Tsao, MD, discuss metabolic-associated steatotic liver disease with Eve Rittenberg, MD.

Listen now: ja.ma/4pxWbSy

Diagnostic Imaging Orders Canceled by Radiology: A Study of Over 7 Million Orders From a Single Health System | AJR

We published a study in @ajrradiology.bsky.social.
Study of 7.5M imaging orders shows radiology cancellations (3.4%) are shaped by patient, exam, and system factors—highlighting opportunities to improve imaging workflows + efficiency.
ajronline.org/doi/10.2214/...

New AJR Accepted Manuscript:

"Diagnostic Imaging Orders Canceled by Radiology: A Study of Over 7 Million Orders From a Single Health System"

By Dr Kneifati-Hayek & team #Columbia

ajronline.org/doi/10.2214/...

@ajrradiology.bsky.social

Call for Applications: Teachable Moment Editorial Fellowship

📢 Deadline Extended

Applications for the 2025-2026 academic year Internal Medicine Teachable Moment Editorial Fellowship Program are open.

Chief residents with interest in high value care and medical education or research are encouraged to apply. ja.ma/43waddw

JAMA Internal Medicine is now on BlueSky! @jamainternalmed.bsky.social #MedSky

A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting This Review proposes a person-centered framework to improve independence and quality of life for people using supplemental oxygen and summarizes supplemental oxygen evidence and landscape in the outpa...

Process of ordering supplemental oxygen and advising patients is very confusing. This outstanding review will teach physicians how to navigate the process and advocate for their patients. jamanetwork.com/journals/jam...

A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting Podcast Episode · JAMA Internal Medicine Author Interviews · 04/07/2025 · 13m

Check out this #JAMAInternalMed podcast that I had the opportunity to guest-host: A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting.

#medsky #imsky

podcasts.apple.com/us/podcast/a...

Diagnosis and Management of Monoclonal Gammopathy of Undetermined Significance This Review summarizes evidence on the diagnosis and management of monoclonal gammopathy of unknown significance to guide clinical decision-making.

Excellent Review Article:
Diagnosis and Management of Monoclonal Gammopathy of Undetermined Significance (MGUS)
Emphasis on identifying those with clinically indolent disease with low risk of progression--and avoiding excessive diagnostic testing jamanetwork.com/journals/jam...

The Evolving Case for Skin Failure—Beyond Pressure Injury This Viewpoint discusses the concept of skin failure, the breakdown of skin in aging and critically ill patients; how it differs from pressure injury; and future areas of research regarding the proces...

Fascinating perspective on "Pressure ulcers"--Is skin injury always the result of pressure? Authors argue that like any organ, the skin can fail towards the end of life--and this is sometimes not preventable jamanetwork.com/journals/jam...

Variation in Emergency Department Physician Admitting Practices and Subsequent Mortality This cross-sectional study using Veterans Affairs data from more than 2 million patient emergency department visits over 8 years examines the variation in physicians’ admission propensities and how th...

Really great article in JAMA IM about variation in admitting practices and subsequent mortality. #HMsky

jamanetwork.com/journals/jam...

How to Increase Living Kidney Donation—A Tale of Two Donors This Viewpoint describes constraints to living kidney donation in the US and ways to improve the process for both donors and recipients.

Donating a kidney is such an amazing act of generosity. Compelling essay provides a roadmap for fairly addressing the financial barriers faced by donors. jamanetwork.com/journals/jam...

When Can a MRSA Nares Swab Guide Antibiotic Stewardship? This Clinical Insights discusses how the methicillin-resistant Staphylococcus aureus (MRSA) nares swab may be used alongside disease prevalence and clinical factors to determine when MRSA coverage is ...

Really great Clinical Insights piece in JAMA IM on the use of a MRSA nares swab to guide antibiotic stewardship! #HMSky #MEDSky

jamanetwork.com/journals/jam...

Implementation of Electronic Triggers to Identify Diagnostic Errors in Emergency Departments This retrospective medical record review study develops and implements a portfolio of electronic triggers and examines their performance for identifying missed opportunities in diagnosis in emergency ...

Our new study led by @viralvaghani.bsky.social finds rules-based e-triggers useful for post hoc detection of diagnostic errors in ED visits @jama.com IM

Interventions must support ED patient-clinician encounters to minimize harm from diagnostic errors. 
#Medsky
jamanetwork.com/journals/jam...

Recommendations to Ensure Safety of AI in Real-World Clinical Care This Viewpoint provides recommendations for health care organizations (HCOs) and clinicians to facilitate the use of artificial intelligence (AI)–enabled systems, including electronic health records w...

Our pragmatic recommendations in @jama.com on how health care delivery systems and clinicians should ensure safe AI and safe use of AI. Need rigorous local monitoring and oversight so AI can improve patient and system outcomes. #medsky
With @deansittig.bsky.social jamanetwork.com/journals/jam...

VERY timely data, with impending #Medicare coverage of weight loss drugs: JAMA Internal Medicine study shows nearly half of older persons would have been excluded from pivotal trials, largely due to comorbidity burden. bit.ly/4eKxcoJ. @jama.com congrats to authors Lily Bessette, Tim Anderson!

This is a really great piece in JAMA IM on MASLD. #IMsky

Screenshot of Medical News in Brief for "Trial Supports Acupuncture for Chronic Sciatica Pain."

Acupuncture might be an effective treatment for patients with chronic sciatica from a herniated disk.

Read JAMA News in Brief: https://ja.ma/4fUtucU