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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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Implementation and Uptake of the Virginia Mental Health Access Program [Child and adolescent health]

Annals of Family Medicine

Increasing access to primary care clinicians who are better able to screen and treat pediatric mental health conditions can improve mental health and reduce unnecessary ED visits. of clinicians received any support by VMAP between 2016-2023. Results: 20.2%

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Diagnostic accuracy of electrocardiography and NT-proBNP for mild cardiac dysfunction among long-term breast cancer survivors [Cardiovascular disease]

Annals of Family Medicine

This ideally should be detected in primary care, since most specialist follow-up care for breast cancer is discontinued after five years. While echocardiography is the gold standard to diagnose LVSD, its limited accessibility in primary care poses challenges. For NT-proBNP, a sensitivity of 50.9% were found.

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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 121
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CDC Emphasizes Opioid Guideline is Voluntary and Should Support, Not Supplant, Patient Care

FDA Law Blog

Houck — On November 4th, CDC issued its revised guideline on prescribing opioids for pain as an expansion and update of its 2016 CDC Opioid Prescribing Guideline. We blogged on the 2016 guideline here in March 2016, and the proposed guideline here on March 18th). By Larry K. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R.,

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

Wait, first of all, what’s the incidence of calling EMS for falls over almost a decade, I think like 2007 to 2016, and what happens to people afterwards? They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

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Aging and Homelessness: Margot Kushel

GeriPal

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. Than someone who is perhaps dependent on all their ADLs. Check your Eurocentric, middle class thinking. So they basically stayed housed.