Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2018

Am J Med. 2019 Aug;132(8):926-930. doi: 10.1016/j.amjmed.2019.02.023. Epub 2019 Mar 8.


The expansive scope of general internal medicine makes it difficult to identify practice-changing medical literature. Clinical updates can be facilitated by synthesizing relevant articles and implications for practice. Six internal medicine physicians reviewed the titles and abstracts in the 7 general internal medicine clinical outpatient journals with the highest impact factor and relevance to the internal medicine outpatient physician: New England Journal of Medicine (NEJM), 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. 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 on articles based on clinical relevance to outpatient Internal Medicine, potential impact on practice, and strength of evidence. Article qualities and importance were debated until consensus was reached. Clusters of articles pertinent to the same topic were considered together. In total, 7 practice-changing articles were included.

Keywords: 2018; General internal medicine; Outpatient; Practice-changing evidence.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care / methods*
  • Evidence-Based Medicine / trends*
  • Female
  • Humans
  • Internal Medicine / methods
  • Internal Medicine / standards
  • Mass Screening / methods*
  • Mass Screening / trends
  • Middle Aged
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / physiopathology
  • Uterine Cervical Neoplasms / diagnosis