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Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

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Training a diverse physician workforce: a survey of alumni of a medical education program focused on underserved populations [Education and training]

Annals of Family Medicine

Context: Concerns about declining diversity among medical students have emerged due to the Supreme Court’s 2023 ruling against race-based affirmative action in college admissions. Data collection took place between June of 2023 and May of 2024. reported providing clinical care for underserved populations.

Education 130
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Tobacco Use Screening In Community-Based Primary Care Clinics By Visit Modality During The Covid-19 Pandemic [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 541 community-based clinics across 17 states in the OCHIN network from 01/01/2019-5/31/2023. In the months following the PHE declaration >50% were telehealth, leveling to 25% at the end of the study period (March 2022-May 2023).

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The role of primary care teams in identifying modifiable risk factors for food insecurity in rural dwelling older adults [Screening, prevention, and health promotion]

Annals of Family Medicine

Intervention: Our findings have been used to refine a food insecurity screening and assessment tool that we co-designed, pilot tested, and evaluated in partnership with community paramedics embedded in a FHT in 2023-24.

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Community Driven Needs Assessment for POCUS Curriculum [Education and training]

Annals of Family Medicine

Prior studies focus on the perceived needs of learners rather than needs of the patients or communities in which these residents practice. In accordance with ACGME recommendations, we performed a community needs assessment to inform POCUS curriculum development within a Family Medicine residency.

Community 130
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Position Statement on Measurement Based Care

Integrated Care News by CFHA

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes. What is MBC? 3, 4) Why is MBC important?

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Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

Population Studied: Patients at a large primary care practice in the Mayo Clinic Health System located in Mankato, MN. Outcome Measures: Program reach, descriptive information on the patient population, and HEC effort spent on cases, community engagement, administrative tasks, and presentations.