Patterns of gastroenterology specialty referral for primary care patients with metabolic dysfunction-associated steatotic liver disease.

Background: As metabolic dysfunction-associated steatotic liver disease (MASLD) management extends into primary care, little is known about patterns of specialty referral for affected patients. We determined the proportion of primary care patients with MASLD that received a gastroenterology (GI) consultation and compared advanced fibrosis risk between patients with and without a referral.

Methods: This retrospective study of electronic health record data from a primary care clinic included patients with MASLD, no competing chronic liver disease diagnoses, and no history of cirrhosis.

A Multicenter Curricular Intervention to Address Resident Knowledge and Perceptions of Personal Finance.

Objectives: We evaluated internal medicine residents' confidence and knowledge of personal finance, perceptions of burnout, and relations between these issues before and after an educational intervention.

Methods: We surveyed internal medicine residents at two university-based training programs in 2018. We developed and implemented a curriculum at both sites, covering topics of budgeting, saving for retirement, investment options, and the costs of investing.

The Structure of Medical Intensive Care Units at Training Institutions.

Background: As a result of the 2011 Accreditation Council for Graduate Medical Education (ACGME) work hour guideline implementation, the structure of intensive care unit (ICU) teams at training institutions has been affected. The impact these changes have had on the current work environment has not been well described.

Methods: The authors conducted an online survey of internal medicine program directors in 2016.

Long-Term, Competitive Swimming and the Association with Atrial Fibrillation.

Background: Endurance exercise plays a role in cardiovascular risk reduction, but may also be a risk factor for atrial fibrillation. This study was performed to assess the prevalence of atrial fibrillation in a population of long-term, competitive swimmers compared with patients within an internal medicine clinic with known risk factors for atrial fibrillation such as diabetes mellitus and hypertension.

Methods: This cross-sectional study utilized survey data comparing the prevalence of atrial fibrillation in swimmers to a general internal medicine population.

Racial/ethnic differences in multiple diabetes outcomes in patients with type 2 diabetes in the southeastern United States.

Objective: To determine racial/ethnic differences in control of multiple diabetes outcomes in a large, diverse primary care sample.

Methods: 661 adults with type 2 diabetes (T2DM) were recruited from three primary care settings. The primary outcomes were individual and composite control of multiple diabetes outcomes.

Gender differences in composite control of cardiovascular risk factors among patients with type 2 diabetes.

Objective: Disparities in outcomes for cardiovascular disease (CVD) exist between men and women with type 2 diabetes mellitus (T2DM). We examined gender differences in composite control of cardiovascular risk factors in a sample of adults with T2DM.

Subjects And Methods: This was a cross-sectional study of 680 people recruited from three primary care settings.

Southern tick-associated rash illness: erythema migrans is not always Lyme disease.

Southern tick-associated rash illness (STARI) is a rash occurring after a tick bite. It is a form of erythema migrans, an annular rash with central clearing that is almost identical with the erythema migrans seen in Lyme disease. The etiologic agent is not known but may be a Borrelia species.