• Mark L Wieland, Jason H Szostek, Majken T Wingo, Jason A Post, and Karen F Mauck.
• Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, Mayo Clinic School of Medicine, Rochester, Minn. Electronic address: wieland.mark@mayo.edu.
• Am. J. Med. 2018 Aug 1; 131 (8): 896-901.

AbstractClinicians are challenged to identify new practice-changing articles in the medical literature. To identify the practice-changing articles published in 2017 most relevant to outpatient general internal medicine, 5 internists reviewed the following sources: 1) titles and abstracts from internal medicine journals with the 7 highest impact factors, including New England Journal of Medicine, Lancet, Journal of the American Medical Association, British Medical Journal, Public Library of Science Medicine, Annals of Internal Medicine, and JAMA Internal Medicine; 2) synopses and syntheses of individual studies, including collections in the American College of Physicians Journal Club, Journal Watch, and Evidence-Based Medicine; 3) databases of synthesis, including Evidence Updates and the Cochrane Library. Inclusion criteria were perceived clinical relevance to outpatient general medicine, potential for practice change, and strength of evidence. This process yielded 140 articles. Clusters of important articles around one topic were considered as a single-candidate series. A modified Delphi method was utilized by the 5 authors to reach consensus on 7 topics to highlight and appraise from the 2017 literature.Copyright © 2018 Elsevier Inc. All rights reserved.

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