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When Well-Done Is Not the Same: Dissecting Communication Skill Assessment in Virtual versus In-Person OSCEs Among Medicine Residents
Internal MedicineMedical Educationcommunication skills

When Well-Done Is Not the Same: Dissecting Communication Skill Assessment in Virtual versus In-Person OSCEs Among Medicine Residents

By MedXY|Sep 27, 2026

This study employs Item Response Theory to reveal that while overall communication scores in virtual and in-person OSCEs are similar, specific communication items like explaining jargon differ in proficiency thresholds across modalities, un

Optimizing Interpretation of Serial Aldosterone-to-Renin Ratio Measurements in Primary Aldosteronism Diagnosis
Diabetes & Endocrinologyprimary aldosteronismaldosterone-to-renin ratio

Optimizing Interpretation of Serial Aldosterone-to-Renin Ratio Measurements in Primary Aldosteronism Diagnosis

By MedXY|Sep 27, 2026

This article evaluates strategies for interpreting consecutive aldosterone-to-renin ratio tests in primary aldosteronism diagnosis, highlighting the diagnostic trade-offs and guiding clinical decision-making based on discordant or concordan

Unraveling the Clinical Complexity of Extremely High NT-proBNP in Hospitalized Adults: Beyond Heart Failure
Cardiologyheart failureHospital Mortality

Unraveling the Clinical Complexity of Extremely High NT-proBNP in Hospitalized Adults: Beyond Heart Failure

By MedXY|Sep 27, 2026

Extremely high NT-proBNP levels in hospitalized patients often indicate infection rather than heart failure, with a high mortality risk; interpretation requires comprehensive clinical context.

Evolving Competence in Goals-of-Care Discussions Among Internal Medicine Physicians: Insights from a Qualitative Study Across Training Levels
Critical Caregoals of careMedical Education

Evolving Competence in Goals-of-Care Discussions Among Internal Medicine Physicians: Insights from a Qualitative Study Across Training Levels

By MedXY|Sep 27, 2026

This qualitative study explores how internal medicine clinicians develop skills in discussing goals of care, revealing a progression from basic understanding to advanced, integrated communication approaches, and underscores the need for str

Tobacco Use Treatment: Key Points from the 2026 VA/DoD Clinical Practice Guideline
Internal Medicineelectronic nicotine delivery systemsVarenicline

Tobacco Use Treatment: Key Points from the 2026 VA/DoD Clinical Practice Guideline

By MedXY|Sep 27, 2026

A concise, clinician-friendly summary of the 2026 VA/DoD guideline for treating tobacco and nicotine use, focusing on evidence-based pharmacotherapy, counseling, and new recommendations for electronic and smokeless products.

Distinct Gut Microbiome Signatures Predict Short-term Hospitalisation Risk in Cirrhosis: Insights from a Global Metagenomic Study
Gastroenterologycirrhosismetagenomics

Distinct Gut Microbiome Signatures Predict Short-term Hospitalisation Risk in Cirrhosis: Insights from a Global Metagenomic Study

By MedXY|Sep 27, 2026

This multinational study reveals that specific gut microbiome profiles significantly correlate with 90-day hospitalisation risk in cirrhosis, enhancing prognostic accuracy beyond clinical features alone.

Rising Prevalence of Non-Cystic Fibrosis Bronchiectasis in US Primary Care: Insights from a Decade of Electronic Health Records
Internal Medicineprimary carebronchiectasis

Rising Prevalence of Non-Cystic Fibrosis Bronchiectasis in US Primary Care: Insights from a Decade of Electronic Health Records

By MedXY|Sep 25, 2026

Between 2015 and 2025, non-cystic fibrosis bronchiectasis prevalence in the US primary care population increased by 133%, predominantly affecting older, white, female patients with Medicare coverage.

Early and Elevated Systemic Physical Multimorbidity in Schizophrenia-Spectrum and Bipolar Disorders: Insights from a Queensland Hospital Cohort Study
Internal Medicineepidemiologyphysical multimorbidity

Early and Elevated Systemic Physical Multimorbidity in Schizophrenia-Spectrum and Bipolar Disorders: Insights from a Queensland Hospital Cohort Study

By MedXY|Sep 24, 2026

This statewide cohort study reveals significantly higher incidence and earlier onset of systemic physical multimorbidity among people with schizophrenia-spectrum or bipolar disorders compared to matched controls, highlighting urgent needs f

Physicians’ Perspectives on Managing Asymptomatic Elevated Blood Pressure in Hospitalized Patients: Insights from a Nationwide Survey
Cardiologyblood pressure treatment thresholdshospitalists

Physicians’ Perspectives on Managing Asymptomatic Elevated Blood Pressure in Hospitalized Patients: Insights from a Nationwide Survey

By MedXY|Sep 24, 2026

A nationwide survey of hospitalists reveals varied beliefs regarding treatment thresholds and approaches for asymptomatic elevated blood pressure in hospitalized patients, highlighting clinical uncertainty and practice variation.

Rising Burden of Non-Cystic Fibrosis Bronchiectasis in U.S. Primary Care: A Decade of Prevalence Trends and Demographic Insights (2015–2025)
Internal Medicineprevalencebronchiectasis

Rising Burden of Non-Cystic Fibrosis Bronchiectasis in U.S. Primary Care: A Decade of Prevalence Trends and Demographic Insights (2015–2025)

By MedXY|Sep 24, 2026

A large-scale EHR study reveals a 133% increase in non-cystic fibrosis bronchiectasis prevalence in U.S. adults from 2015 to 2025, with marked demographic disparities.

Escalating Antihypertensive Therapy in Early-Onset Severe Preeclampsia: Dynamic Marker of Maternal Risk During Expectant Management
Internal Medicineexpectant managementpreeclampsia

Escalating Antihypertensive Therapy in Early-Onset Severe Preeclampsia: Dynamic Marker of Maternal Risk During Expectant Management

By MedXY|Sep 23, 2026

Escalation of antihypertensive treatment in expectant management of early-onset preeclampsia with severe features correlates with increased maternal adverse outcomes, suggesting treatment trajectory as a dynamic risk indicator.

Overcoming Barriers to Medical-Legal Partnerships for Veterans Experiencing Intimate Partner Violence: Insights from the VA
Internal MedicineMedical-Legal PartnershipsIntimate Partner Violence

Overcoming Barriers to Medical-Legal Partnerships for Veterans Experiencing Intimate Partner Violence: Insights from the VA

By MedXY|Sep 22, 2026

This qualitative study explores barriers and facilitators to implementing medical-legal partnerships (MLPs) for veterans experiencing intimate partner violence (IPV) within the Veterans Health Administration, highlighting critical organizat

Sequential Lactulose and TeleTai-Chi to Prevent Falls in Cirrhosis: Insights from the LiveSMART Trial
GastroenterologycirrhosisLactulose

Sequential Lactulose and TeleTai-Chi to Prevent Falls in Cirrhosis: Insights from the LiveSMART Trial

By MedXY|Sep 21, 2026

The LiveSMART trial demonstrates that lactulose, with or without sequential TeleTai-Chi, significantly reduces fall risk and related harms in cirrhotic patients without prior overt hepatic encephalopathy.

Evaluating Non-Enteric-Coated Pancreatic Enzyme Therapy for Pain Relief in Chronic Pancreatitis: Insights from a Robust Randomized Trial
Gastroenterologypain managementpancreatic enzyme replacement therapy

Evaluating Non-Enteric-Coated Pancreatic Enzyme Therapy for Pain Relief in Chronic Pancreatitis: Insights from a Robust Randomized Trial

By MedXY|Sep 21, 2026

A recent double-blind, placebo-controlled trial found that non-enteric-coated pancreatic enzyme therapy does not significantly reduce pain in chronic pancreatitis patients, highlighting the need to revisit pain management strategies in this

From Alert to Action: Enhancing Diabetes Self-Management Referrals Through Electronic Health Record Alerts
Diabetes & EndocrinologydiabetesBest Practice Advisory

From Alert to Action: Enhancing Diabetes Self-Management Referrals Through Electronic Health Record Alerts

By MedXY|Sep 21, 2026

A cluster-randomized trial demonstrates that integrating best practice advisories (BPAs) and standing orders into electronic health records significantly improves referral rates to diabetes self-management education and support (DSMES) over

Innovative Clinical Research Training for Medical Undergraduates: Enhancing Competency through Authentic Mentorship and Practice
Internal MedicineY học dựa trên bằng chứngmedical undergraduates

Innovative Clinical Research Training for Medical Undergraduates: Enhancing Competency through Authentic Mentorship and Practice

By MedXY|Sep 21, 2026

A novel educational model embedding clinical research training within real-world trials improves medical students’ research skills, fosters evidence-based thinking, and bridges clinical and academic integration.

Enhancing Interprofessional Teamwork in ICU: Developing Entrustable Professional Activities for Trainees and Advanced Practice Providers
Critical CareEntrustable Professional ActivitiesAdvanced Practice Providers

Enhancing Interprofessional Teamwork in ICU: Developing Entrustable Professional Activities for Trainees and Advanced Practice Providers

By MedXY|Sep 21, 2026

This article discusses the design and evaluation of entrustable professional activities (EPAs) promoting effective teamwork and psychological safety among trainees and advanced practice providers in ICU settings.

Ethics and Professionalism in AI and Medical Practice: Key Guidance from the American College of Physicians (2026 Position Paper)
AIAI ethicsphysician responsibility

Ethics and Professionalism in AI and Medical Practice: Key Guidance from the American College of Physicians (2026 Position Paper)

By MedXY|Sep 21, 2026

The ACP’s 2026 position paper offers clinician-focused ethical guidance for AI use in medicine, emphasizing relationality, self-governance, and competence to safeguard patient welfare, equity, transparency, and clinical judgment.

A Synopsis of the 2025 VA/DoD Lipid Management Guideline: What Clinicians Need to Know
Cardiologycardiovascular risklipids

A Synopsis of the 2025 VA/DoD Lipid Management Guideline: What Clinicians Need to Know

By MedXY|Sep 19, 2026

Concise review of the 2025 VA/DoD lipid guideline: new risk tool (PREVENT), CAC and one-time Lp(a) for risk refinement, statins for selected primary prevention groups (including people with HIV), and intensified combination therapy for very

Impact of Hospital Transfer-In Prevalence on Risk-Adjusted Outcomes: Insights from a National Retrospective Cohort Study
Clinical Updateshealth services researchRisk Adjustment

Impact of Hospital Transfer-In Prevalence on Risk-Adjusted Outcomes: Insights from a National Retrospective Cohort Study

By MedXY|Sep 21, 2026

This review synthesizes evidence on how hospitals’ prevalence of transfer-in patients relates to risk-adjusted mortality, length of stay, and charges, highlighting complex interplay between patient case mix and hospital performance me

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