Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

In this presentation, we share successes (including two initial funders) and challenges of Year One. Setting or Dataset: We hosted a series of meetings with thought leaders in primary care research and relationship science. Results: We describe the need to build (or rebuild) greater meaning & purpose in primary care.

Relationship 130

Relationship Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Large-scale electronic health record (EHR) programs have reported a number of issues to their implementation in primary care including physician patient-centredness and clinical performance. Setting: An academic primary care clinic based in a hospital. Sessions were virtual and recorded over Zoom.

Electronics 130

Electronics Education Patients Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning. Results of testing and evaluation will be presented.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included. Population Studies had to include adults (≥ 18 years old) with a clinical diagnosis of acute pyelonephritis.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. Intervention ECHO Pain started in June 2014 and offered weekly 90-minute sessions that include a didactic lecture followed by a de-identified patient case presentation.

Management 130

Management Telehealth Education Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Participants were enrolled from primary care settings including outpatient clinics and urgent care from 6 practice-based research networks distributed across the United States. Additional data will be presented on the substance use and illness trajectories of the pilot study.

Clinic 130

Clinic Illness Primary Care Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Setting: Seven family medicine practices in one Colorado USA health system.

Primary Care 130

Primary Care Provider Illness Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: This study was conducted at the 2023 annual Primary Care Leadership Track retreat for Johns Hopkins School of Medicine, and at the 2023 GHHS Northeast Regional Conference. 5) that they intended to incorporate aspects of narrative humility into their clinical practice. Respondents strongly agreed (4.8/5)

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective The primary aims of this study are to (1) Explore the beliefs, attitudes, and perceptions of clinical staff who are participating in healthcare activities that address health inequities, and (2) Develop recommendations for healthcare institutions engaging in HE work to minimize harms and maximize benefits to clinical staff.

Primary Care 130

Primary Care Medical Management Screening 130

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. No patients were referred to the SUD Clinic. Design: Convenience survey design.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

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. Population Studied: Patients at a large primary care practice in the Mayo Clinic Health System located in Mankato, MN.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The COVID-19 pandemic created many barriers for clinicians to deliver primary care and for parents/caregivers to access primary care for their young children. Outcome Measures: Innovative primary care programs and services for children < 6 years old during the COVID-19 pandemic.

Primary Care 130

Primary Care Provider Finance Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: New ACGME guidelines in Family Medicine Residency training newly encourage training in point-of-care ultrasonography (POCUS). In accordance with ACGME recommendations, we performed a community needs assessment to inform POCUS curriculum development within a Family Medicine residency.

Community 130

Community Family Medicine DO Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

This presentation explores the work to implement a practice-driven QI project, what resources and education was needed, and what constraints exist for primary care physicians to conduct QI. Analysis meetings with co-investigators resolved any disagreements in coding for each transcript and developed code consensus.

Primary Care 130

Primary Care Primary Care Physician Education Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, using race to guide clinical decisions is now controversial, potentially impacting clinician use of this tool. Study design: Qualitative descriptive study conducted using ten 45-minute semi-structured interviews with primary care physicians in North Carolina between March and April 2022.

Primary Care Physician 130

Primary Care Physician Internal Medicine Family Medicine DO 130

Common Sense Family Doctor

MARCH 18, 2025

Smith, a general internist and professor of medicine and psychiatry at Michigan State University, explains why our medical system consistently prioritizes physical over emotional health and presents some ambitious proposals for how to rectify this harmful disparity. This relatively slim volume is divided into three parts.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: 953 community-based primary care clinics in a national network from 25 states across the United States. Population: Adults 18+ years old with ≥1 primary care ambulatory visit in the network from 2012-2020, with at least one high-risk condition (heart, vascular, or chronic kidney disease, or diabetes).

Hypertension 130

Hypertension Community Primary Care Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To compare, through patient-reported outcomes, the efficacy of oral antibiotics (amoxicillin-clavulanate) and intranasal corticosteroids (INCS) for clinical improvement of ARS among patients who do not improve with supportive care alone. Lessons learned will inform refinements to the study protocol.

Management 130

Management Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To identify challenges and facilitators to collaborations between a NPO and primary healthcare partners. Setting: A NPO and its partners in the healthcare (primary care clinics), social services, and community networks in a rural context. Study design: An instrumental case study design.

Healthcare 130

Healthcare Finance Integrated Care Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background Researchers use card studies to obtain observational data about primary care provider (PCP) knowledge, attitudes, and behaviors on a variety of topics. Card studies have been influential in changing clinical practice, such as the reduction of antibiotics in patients with upper respiratory infections.

PCP 130

PCP PCP Primary Care Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: Determine referral patterns from primary care (PC) to integrated behavioral health (BH) for populations with and without multiple CCs; Identify post-referral treatment initiation patterns for integrated BH among patients with and without CCs.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Welcome, Liz, to the GeriPal Podcast. Elizabeth: Nice to be here.

Specialization 104

Specialization Medical Patient-Centered Provider 104

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. And the presentation for GERD varies by age.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices are often the first location a patient seeks treatment for substance use disorder (SUD). Addiction medicine consult services have emerged to help address the shortage in access to SUD treatment. Population Studied Primary care practice teams. per clinic (SD=6.4) at baseline to 8.5 (SD=10.2,

Primary Care 130

Primary Care Consulting Medical Illness 130

BMJ

JUNE 1, 2021

By Malte Kohns Vasconcelos, MD MSc on behalf of the authors Reference: Kohns Vasconcelos M , Weil K , Vesterling-Hörner D , et al, Paediatric primary care in Germany during the early COVID-19 pandemic: the calm before the storm, Family Medicine and Community Health 2021; 9: e000919.

Primary Care 40

Primary Care Provider Patients Families 40

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. Preventive care is most effective when it’s consistent and proactive.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. Should GPs actually be treated as the stars of medicine? As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. Emily 03:59 Medicine is both a science and an art. We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. Ricky 11:23 Yeah.

IT 107

IT Community Patients Families 107

GeriPal

MAY 1, 2025

Our second guest, Meredith Greene, is a geriatrician and researcher who focuses on care of older adults living with HIV, in the US and Africa. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. Millions of lives are at stake. Alex 00:03 This is Alex Smith.

Primary Care 94

Primary Care IT Clinic Provider 94