2023, Clinic, DO and Screening - Primary Care Digest

Pajama Time: The Association of EHR Documentation Time with Family Medicine Resident Outcomes [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Multiple studies have identified that working on the electronic health record (EHR) after clinic hours ("pajama time") is a source of burnout and decreasing professional satisfaction. Study Design and Analysis: Survey of US family medicine (FM) residents. Population Studied: PGY2 and above US FM residents. Overall, 33.6%

DO

DO Family Medicine Families Family

Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

The American Academy of Pediatrics recommends universal screening; however studies have found inconsistencies in screening of FI, documentation of FI, and referral to appropriate resources. Comparison of FI for paired patients in 2022 and 2023. Documented ICD-10 of food insecurity positive screenings 4.

Primary Care

Primary Care Screening Referral Utilities

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Tele-legal services were provided by one full time poverty lawyer and paralegal January 2021-June 2023. Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach.

Medical

Medical Referral Screening Internal Medicine

AAA screening rates in Internal Medicine and Family Medicine at UNMC [Clinical research (other)]

Annals of Family Medicine

NOVEMBER 20, 2024

The USPSTF recommends 1-time screening for AAA with ultrasonography in men aged 65 to 75 years who have ever smoked. (B Setting: Criteria Time Frame: 2013-01-01 to 2023-12-31. Number of patients who meet inclusion criteria at Family Medicine Clinics: 6,551 Patients. cm or larger. are White or Caucasian.

Internal Medicine

Internal Medicine DO Family Medicine Screening

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

NOVEMBER 20, 2024

There is a gap in the literature on understanding experiences of food insecurity in rural dwelling older adults and the role primary care providers can play in systematically screening older adults for age related food issues. Data were analyzed using reflexive thematic analysis.

Primary Care

Primary Care Screening Family Doctor Mental Health

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

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening.

Primary Care

Primary Care Referral Routine Screenings Patients

Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: PC teams (clinical and non-clinical roles) attended 12 online monthly OUD sessions. Population studied: PC teams (clinical and non-clinical roles). Intervention: 12 monthly online OUD sessions held from April 2023 to March 2024.

Primary Care

Primary Care Education Individual Screening

Machine learning models for atrial fibrillation detection in primary care using electronic health records: systematic review [Cardiovascular disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. Objective: To synthesize data on the effectiveness, generalizability, and clinical relevance of ML models in detecting AFib cases using EHR in primary care settings.

Primary Care

Primary Care Electronics Screening Clinic

Artificial Intelligence in Health Care

Integrated Care News by CFHA

MAY 1, 2025

Bridging the 17‑Year Research–Practice Gap Implementation scientists estimate that it takes about seventeen years for new evidence to become routine care (Rubin, 2023). How are you integrating AI into your clinical, teaching or supervisory work? Annals of Family Medicine , 23(1), 5–6. References Menchaca, J. Traylor, D.

Patient-Centered

Patient-Centered Integrated Care Primary Care Healthcare Professional

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

Annals of Family Medicine

NOVEMBER 20, 2024

In the years following the PHE, rates of screening for tobacco use decreased, particularly during telehealth visits. It is unknown if these changes in screening persist. 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.

Primary Care

Primary Care Screening Telehealth Community

Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. A score ≥2 constitutes a positive screen for possible substance misuse.

Primary Care

Primary Care Screening Referral Wellness Visit

Poverty screening implementation in a Canadian primary care clinic: acceptability and feasibility for patients and providers [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Nearly all missed screens were attributed to forgetfulness (94.4%).

Primary Care

Primary Care Screening Provider Clinic

Feasibility of the Diabetes Self-Management Coaching Program for Individuals with Type 2 Diabetes in Primary Care. [Diabetes and endocrine disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Quantitative data were collected from screening reports, session attendance, and intervention records. Population Studied: Individuals with type 2 diabetes from November 1, 2022, to April 30, 2023. Conclusion: The Diabetes Self-Management Coaching Program was feasible, acceptable, and implementable in primary care in Ethiopia.

Primary Care

Primary Care Diabetes Individual Management

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives. Setting or Dataset: A tracking document used to manage the social needs screening and referral system.

Primary Care

Primary Care Referral Screening Patient-Centered

A Framework for AI-enabled Digital Twins in Clinical Decision-making [Systematic review, meta-analysis, or scoping review]

Annals of Family Medicine

NOVEMBER 20, 2024

Despite the growing interest in DTs, the healthcare sector lacks unified frameworks that can explain the development, evaluation, and implementation of DTs in clinical decision-making. Dataset: We systematically searched PubMed, Embase (Ovid), and IEEE Xplore on August 4, 2023.

Clinic

Clinic Electronics Screening Physicals

Partnering with federally qualified health centers to increase cervical cancer screening guideline knowledge and confidence [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

medical assistants) to deliver high quality cervical cancer screening (CCS). Setting or Dataset: In 4 clinics in a multi-site FQHC serving predominantly Chinese and Latina women, 23 IDIs, 24 pre-surveys (11 PCPs, 13 staff), 21 post-surveys (7 PCPs, 14 staff) were conducted in June 2023.

Education

Education Screening Patient-Centered Primary Care

A Change of Mind on MOUD: Impact of Messages to Motivate Expanded Access to Buprenorphine in Primary Care Settings [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

The primary video addressed key barriers and negative perceptions of buprenorphine prescribing; two supplementary videos centered on clinical and societal benefits (external motivation) or personal and professional rewards (internal motivation). Participants endorsed a greater likelihood to screen patients for OUD.

Primary Care

Primary Care Education Patient-Centered Chronic Disease

Feasibility and Acceptability of Implementing a Digital Cognitive Assessment for Alzheimer Disease and Related Dementias in Primary Care [Original Research]

Annals of Family Medicine

MAY 27, 2025

PURPOSE We assessed the feasibility and acceptability of implementing a digital cognitive assessment (DCA) for Alzheimer disease and related dementias (ADRD) screening into primary care. We also assessed the prevalence of positive screens and measured diagnostic and care outcomes after a positive DCA result.

Primary Care

Primary Care Diagnosis Screening Utilities

Discontinuation versus continuation of statins: a systematic review [Cardiovascular disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To examine the impact of discontinuation of statins compared to continuation on clinical outcomes. We searched MEDLINE, Embase, Cochrane Central Registry of Trials (inception to August 2023). Two independent reviewers screened titles/abstracts, full-text articles, and extracted data. Quality assessment (RoB 2.0

Screening

Screening Clinic Individual Provider

Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

MAY 30, 2025

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

Primary Care

Primary Care Screening Family Physician Family Medicine

Parental Awareness of and Agreement With the American Academy of Pediatrics Clinical Practice Guideline for Obesity Treatment [Obesity, exercise and nutrition]

Annals of Family Medicine

NOVEMBER 20, 2024

In 2023, the American Academy of Pediatrics released new clinical practice guidelines (CPG) for the evaluation and treatment of pediatric obesity. Nearly half (44%) screened positive for financial insecurity. Context: Primary care providers (PCPs) frequently treat children and adolescents with obesity.

Clinical Practice

Clinical Practice Clinic Education Primary Care

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. It is a screening? LaVera: I trained at UCSF in family medicine. Okay, I don’t necessarily want to stay clinical, but I really love that spiritual work and what’s the closest profession.

IT

IT Patient-Centered Families Family

Primary Care Digest

Pajama Time: The Association of EHR Documentation Time with Family Medicine Resident Outcomes [Education and training]

Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Trending Sources

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

AAA screening rates in Internal Medicine and Family Medicine at UNMC [Clinical research (other)]

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

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

Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Machine learning models for atrial fibrillation detection in primary care using electronic health records: systematic review [Cardiovascular disease]

Artificial Intelligence in Health Care

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

Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Poverty screening implementation in a Canadian primary care clinic: acceptability and feasibility for patients and providers [Social determinants and vulnerable populations]

Feasibility of the Diabetes Self-Management Coaching Program for Individuals with Type 2 Diabetes in Primary Care. [Diabetes and endocrine disease]

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

A Framework for AI-enabled Digital Twins in Clinical Decision-making [Systematic review, meta-analysis, or scoping review]

Partnering with federally qualified health centers to increase cervical cancer screening guideline knowledge and confidence [Education and training]

A Change of Mind on MOUD: Impact of Messages to Motivate Expanded Access to Buprenorphine in Primary Care Settings [Education and training]

Feasibility and Acceptability of Implementing a Digital Cognitive Assessment for Alzheimer Disease and Related Dementias in Primary Care [Original Research]

Discontinuation versus continuation of statins: a systematic review [Cardiovascular disease]

Lung cancer screening in primary care: more pragmatic research needed

Parental Awareness of and Agreement With the American Academy of Pediatrics Clinical Practice Guideline for Obesity Treatment [Obesity, exercise and nutrition]

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

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