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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia. Study Design: Retrospective single-site cohort study of patients diagnosed with SCD (ICD10 codes starting with D57) from Jan 2020 to December 2023.

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Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Study Design: This retrospective case series analysis utilized Vizient's clinical database data. Mixed models were used for analysis. Setting: AMCs within the US.

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Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

Annals of Family Medicine

Setting: Primary care clinics partnered with an academic health center. Intervention: We introduced a comprehensive collection of pre-configured nested order panels (xOrders) for the top 80% medication and laboratory orders in adult primary care. nurse practitioners and physician assistants).

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Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Annals of Family Medicine

Context: Despite a joint recommendation in 2003 by the AAMC and CDC that bioterrorism and mass-casualty training be included in the medical school curriculum, few medical schools have incorporated formal disaster training. Only 15% (n=5) received emergency response training outside of residency, with 3% (n=1) during medical school.

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What Does “NNT” Mean and Why Should You Care?

Family Medicine Initiative

Now, some context: The NNT was first introduced in the NEJM in 1988 as a useful measure to communicate and prioritize medical treatments. However, a 2020 analysis of 875 clinical trials showed that only 9% reported an NNT. 1 year vs. 10 years).

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. CareFirst Blue Cross Blue Shield joined the program in 2020.)