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

Annals of Family Medicine

Unfortunately, most individuals suffering from OUD do not have access to necessary care. While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD.

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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. Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period.

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Top studies of 2024 relevant to primary care: From the PEER team

Canadian Family Physician

Objective To identify and summarize the most impactful medical articles published in 2024 relevant to primary care. Main message Articles addressed various clinical areas in primary care. The table of contents of major medical journals were reviewed as well as medical email alert services.

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Challenges and Gains of AI in Primary Health Systems

Physician's Weekly

The main opportunities for AI in PHC involve improving diagnostic accuracy, refining screening efforts, and predicting diseases early to enhance service delivery. Extracted data on study characteristics, opportunities, challenges, and requirements were synthesized using thematic-framework analysis based on the PCET.

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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. Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot. Of those patients with an episode (i.e.,

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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.