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Comprehensive and Focus Practice changes in the Family Physician Workforce in Ontario:1993-2022 [Population health and epidemiology]

Annals of Family Medicine

physicians who work <44 days per year with <5 patients per day) followed a U-shaped distribution, starting at 20.5% From 1993 to 2022, the average number of comprehensive primary care patient visits per physician steadily increased from 4,318 to a peak of 5,070 in 2010/2011, but then, gradually decreased to 4,215 in 2021/2022.

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Endocarditis in patients with cocaine or opioid use disorder increased markedly from 2011 to 2022

Medical Xpress

The incidence rate of infective endocarditis—a rare but often fatal inflammation of the heart valves—among patients with cocaine use disorder or opioid use disorder increased from 2011 to 2022, with the steepest increase occurring from 2021 to 2022, a new study reports.

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Medicaid expansion is in the eye of the beholder

The Health Policy Exchange

To supporters of the Affordable Care Act, legislative expansion of the Medicaid program is a welcome financial and health care bonanza for states and uninsured patients. In fiscal year 2011, Medicaid spending totaled $414 billion, with two-thirds going to services for disabled elderly persons.

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Cancer patients who don't respond to immunotherapy may lack crucial immune cells

Medical Xpress

In advanced melanoma, for example, the most fatal form of skin cancer, the five-year survival rate has risen from less than 10% to more than 50% since immunotherapy was introduced in 2011. Still, only about half of melanoma patients respond to immunotherapy, and those who do not respond face a difficult future.

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Validation of Mood and Anxiety Disorder Case Definitions using Primary Care Electronics Medical Records [Big data]

Annals of Family Medicine

Population: 1,692,987 patients from seven Canadian provinces with a visit between January 1, 2011, and December 31, 2021. Intervention/Instrument: The reference set included 2,488 randomly selected patients, including 434 (17.4%) positive cases (i.e. spec, 80.7, PPV, 51.0), however alone schizophrenia had high agreement (sen 93.3,

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GeneSight® Mental Health Monitor Results

Myriad Genetics

  Whitnee Brown, a PMHNP and Doctor of Nursing Practice in Birmingham, Alabama, and her patient Lisa Roberts of Huntsville, shared their stories in support of the survey results, which can be viewed here.  He was elected to serve AAPOR as its Vice President, President, and Past President from 2011-2014.

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Using technology to reclaim our time

Today's Hospitalist

For many of us, the emergence of medical scribes, both in-person and remote, provided a valuable solution, offloading documentation and allowing us to have more focused patient interactions. It can differentiate between a physician’s questions and a patient’s responses and even filter out non-relevant small talk.