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Should We Screen for Atrial Fibrillation? ESC Says Yes (2024), Evidence Says…?

Family Medicine Initiative

In November 2024, two new RCTs were published that investigated whether atrial fibrillation screening using an ECG is effective. A limitation was that only 49% of those invited participated in the screening. What does the new 2024 ESC Guideline recommend? Both showed no significant benefit. Here are some insights.

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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. A Compass Rose episode was automatically generated in the patient’s medical record in Epic if patients indicated that they had at least one of the four social risk factors on the screening tool.

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

Annals of Family Medicine

Intervention: 12 monthly online OUD sessions held from April 2023 to March 2024. 4 expert faculty members developed session curriculum: screening and diagnosis, using behavioral health/counseling, addressing harm reduction, among others. Setting: 20 PC practices located in various regions across the US.

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San Luis Obispo Physician Launches New Medical Practice with Exclusive Service Program from Concierge Choice Physicians

Concierge Choice Physicians

Greenough’s private cell number; patient advocacy and enhanced coordination with specialists and other health providers; and a comprehensive annual exam with customized screenings for each patient. “Welcoming my patients to this new style of medicine has been overwhelmingly positive,” Dr. Greenough adds.

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

Annals of Family Medicine

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.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Results: Among 119,926 patients, 40% did not have SDOH assessed; 31% had 3 or more social needs identified during screening, 11% had 2, 7% had 1, and 11% had no social needs.

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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

Population Studied: Licensed, actively practicing Internal Medicine and Family Medicine physicians and Non-physician practitioners in Kentucky. Participants endorsed a greater likelihood to screen patients for OUD. Continuing education (CME) credit and up to $75 reimbursement were provided.