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Celebrating Ten Years of ECHO Ontario Chronic Pain and Opioid Stewardship [Pain management]

Annals of Family Medicine

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. In 2014, amidst a national opioid crisis and debate surrounding opioid guidelines, ECHO Ontario Chronic Pain and Opioid Stewardship (‘ECHO Pain’), the first ECHO in Canada, was launched.

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Churning out of insurance among patients with diabetes served in US Community Health Centers [Economic or policy analysis]

Annals of Family Medicine

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. 46,844 patients were diagnosed with diabetes during study period. Study Design: Retrospective observational cohort study.

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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

In 2014, Endeavor Health (formerly NorthShore University HealthSystem) launched the Center for Personalized Medicine to catalyze the delivery of personalized medicine. Population Studied: Ambulatory patients who participated in Endeavor Health Center for Personalized Medicine genomic services.

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Empowerment Self-Defense Arms ED Staff Against Rising Workplace Violence

Physician's Weekly

For physicians, nurses, medical assistants, and support staff, workplace violence (WPV) is now a daily hazard, inflicting physical injury, emotional trauma, and eroding the quality of patient care. As The Pitt illustrates, unchecked violence in the ED leads to moral injury, staff attrition, and compromised patient care.

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Direct Primary Care - Role for the Future of Healthcare

The Direct Doctors Difference

Looking back to 2014, when we began, there were less than 100. The strength also comes from a group of physicians who want something more and something better - improved work-life balance, return of joy to practicing medicine, and a renewal of the pure physician-patient relationship where the doctor knows his or her patient well.

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Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

Why is this important for patients and caregivers ? A brief message from the principal investigator We studied close to a thousand patients with acute gastroenteritis in ten U. We found that probiotics did not improve patient outcomes when compared to placebo. 2018 Nov 22;379(21):2002-2014. N Engl J Med. Freedman et al.

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Is DCIS Cancer or Not?

AMMD

My first breast cancer scare was in 2014, when they discovered calcifications for the first time during a routine mammogram. This is why conventional physicians treat DCIS in patients with surgery, radiation, and sometimes chemotherapy. A simple blood test to screen for cancer risk in patients is growing in demand.

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