title: Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2015.
abstract: Identifying new practice-changing articles is challenging. To determine the 2015 practice-changing articles most relevant to outpatient general internal medicine, 3 internists independently reviewed the titles and abstracts of original articles, synopses of single studies and syntheses, and databases of syntheses. For original articles, internal medicine journals with the 7 highest impact factors were reviewed: New England Journal of Medicine, Lancet, Journal of the American Medical Association (JAMA), British Medical Journal, Public Library of Science Medicine, Annals of Internal Medicine, and JAMA Internal Medicine. For synopses of single studies and syntheses, collections in American College of Physicians Journal Club, Journal Watch, and Evidence-Based Medicine were reviewed. For databases of synthesis, Evidence Updates and the Cochrane Library were reviewed. More than 100 articles were identified. Criteria for inclusion were as follows: clinical relevance, potential for practice change, and strength of evidence. Clusters of important articles around one topic were considered as a single-candidate series. The 5 authors used a modified Delphi method to reach consensus on inclusion of 7 topics for in-depth appraisal.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn. Electronic address: szostek.jason@mayo.edu.
authors.forename: Jason H
authors.initials: JH
authors.lastname: Szostek
authors.affiliation: Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Wieland
authors.affiliation: Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Post
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn.
authors.forename: Karna K
authors.initials: KK
authors.lastname: Sundsted
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn.
authors.forename: Karen F
authors.initials: KF
authors.lastname: Mauck
mesh_terms: D015706:Bibliometrics; D019317:Evidence-Based Medicine; D006801:Humans; D007388:Internal Medicine; D010045:Outpatients
keywords: 2015; Medicine; Outpatient; Practice-changing; Review