Clinic and Illness - Primary Care Digest

"We feel alone and not listened to": Somali, Hmong and Latin American Parents Perspectives on Pediatric Serious Illness [Child and adolescent health]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The experience of ethnically diverse parents of children with serious illness in the US healthcare system has not been well studied. Participants: Twenty-six parent participants (eight Somali, ten Hmong, and eight Latin American) of children with serious illness were recruited through local clinics and hospitals.

Illness

Illness Medical Staff Community Healthcare

Sustainability of health professionals' intention to have serious illness conversations at 1 and 2 years after training [Dissemination and implementation research]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To measure the sustainability of health professionals' intention to have conversations about serious illness after CPD with an individual-focused approach compared to one with an interprofessional team-based approach. Results are reported according to CONSERVE (2021) guidelines.

Illness

Illness Individual Primary Care Clinic

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. This study offers insight into the practice patterns of boutique clinic primary care physicians, as well as the estimated public costs of this business model in Ontario. Study Design and Analysis.

Clinic

Clinic Referral Primary Care Physician Primary Care

The Case of the Dropping Albumin

A Country Doctor Writes

MAY 29, 2025

Back in March, Glenda became very ill very quickly and was first admitted to our local hospital and within 24 hours they transferred her to Cityside. Maine has a health information exchange where most hospital systems upload their clinic notes, imaging and laboratory results. Lo and behold, it is now normal.

Illness

Illness Hospital Appointment Complication

Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

FEBRUARY 27, 2022

By: Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers. Today we are going to talk about Illness scripts ! Define an illness script 2.- Describe the core components of an illness script 3.- Demonstrate the utility of an illness script in clinical reasoning 4.- So let’s dive in!

Illness

Illness Clinic Utilities Diagnosis

Association between substance use and acute rhinosinusitis in a multisite trial pilot study [Clinical trial]

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were enrolled at 1-21 days of illness and followed via daily symptom survey. 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. For illicit drug use, in the RAN group 7.0%

Clinic

Clinic Illness Primary Care Provider

Intersections Between Gender, Race/Ethnicity and Marital Status Associations with Depression Symptoms [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Results may identify groups at particular risk of depression; further exploration of sociodemographic intersections and mental health is warranted to fully understand clinical implications. However, males, Asian, AA participants, and NH White individuals did not exhibit the same results.

Illness

Illness Mental Health Individual Utilities

Symptoms of Long-COVID and their impact on primary care patients livelihoods - Part 2 of 3 [COVID-19]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Using purposive sampling from a long-COVID clinic, we conducted semi-structured interviews with English-speaking, adult primary care patients describing symptoms of long-COVID. brain fog, shortness of breath, fatigue), or a worsening of previous illnesses (i.e.,

Primary Care

Primary Care Patients Relationship Illness

Clinician perception of the relationship between mental health, health-related social needs, and diabetes outcomes [Diabetes and endocrine disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Outcome Measures: Emergent themes.

Mental Health

Mental Health Diabetes Relationship Primary Care

Clinical Strategies and Challenges of Psychiatrists in Accra, Ghana [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

While Ghana has made rigorous efforts to expand psychiatric care for hard-to-reach communities, there is limited knowledge about the experiences of the country’s psychiatrists regarding their current clinical approaches and the barriers they face in delivering care. Conclusions.

Clinic

Clinic Illness Mental Health Finance

Risk of Acute Rhinosinusitis Progression Based on Duration of Symptoms, Method of Care, and Setting of Care [Acute respiratory infections]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: One of the most common primary care illnesses is acute rhinosinusitis (ARS). Patients recruited in primary versus urgent care clinics had similar rates of progression to ARS, but the community rate was lower (69% vs 65% vs 45%, p=0.085).

Telemedicine

Telemedicine Primary Care Emergency Room Patient-Centered

Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: We designed an hour-long student-led workshop to present to event attendees, focusing on narrative structures, their powerful influence on the illness experience, and the concept of narrative humility. 5) that they intended to incorporate aspects of narrative humility into their clinical practice.

Education

Education Medical Medical Student Primary Care

Sun Safety Tips: Protect Skin & Stay Hydrated

Edge Family Medicine

JUNE 23, 2025

Dehydration can worsen sun-related illnesses—stay ahead by sipping all day. Supporting Your Summer Health: Beyond Sun Safety Familiarize yourself with heat illness symptoms , such as dizziness or cramps; seek medical attention at the first sign. Stay Hydrated Heat + sun exposure increases dehydration risk. Some medications (e.g.,

Family Medicine

Family Medicine DO Appointment Family

Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist [Geriatrics]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Given limited critical care resources and an aging population, early interventions to prevent critical illness are vital. In this interdisciplinary collaboration, primary care and critical care clinician researchers came together with informatics and implementation experts to design this community-based pilot project.

Illness

Illness Electronics Primary Care Nurse Practitioner

Episode 349 – Clinical Unknown – Fatigue & Petechiae

The Clinical Problem Solvers

AUGUST 15, 2024

Skip to content About Us Our Team CPSolvers Academy Shop Mobile App Podcast Morning Report Resources Diagnostic frameworks Illness scripts Residency Match Spaced Learning Languages Español Português Deutsche Search for. Embark on this diagnostic journey with us! Type your email… Subscribe Continue reading %d

Clinic

Clinic Illness

AATD Treatment Improvement Demands Disease-Specific PROMs

Physician's Weekly

JUNE 17, 2025

The genetic disorder Alpha-1 antitrypsin deficiency (AATD) can result in a range of illnesses, of which chronic obstructive pulmonary disease ( COPD ) is one of the most common. Additionally, they found that, over the past decade, only two PROMS have been used in clinical trials of AATD treatments.

Illness

Illness Physicals Patients Healthcare

Episode 228: Clinical unknown with Travis, Anand, and Simone

The Clinical Problem Solvers

MARCH 16, 2022

Skip to content About Us Our Team CPSolvers Academy Shop Mobile App Podcast Morning Report Resources Diagnostic frameworks Illness scripts Residency Match Spaced Learning Languages Español Português Deutsche Search for.

Clinic

Clinic Illness

Episode 90: Clinical unknown with Rabih and Reza at MUSC – fever

The Clinical Problem Solvers

MAY 20, 2020

[link] Rabih and Reza tackle a clinical unknown at MUSC with host, Dr. Marc Heincelman. Teaching Points: Rocky mountain spotted fever (RMSF) is an acute, life-threatening febrile illness caused by the intracellular pathogen, Rickettsia rickettsii.

Clinic

Clinic Internal Medicine Diagnosis Illness

What Are the Most Common Preventive Services? A Complete Guide

Mesa Family Physician

MARCH 13, 2025

At Mesa Family Physicians, we believe that preventing illness is always better than treating it. Understanding Preventive Health Services: The Foundation of Wellness Preventive health services encompass medical care specifically designed to prevent illnesses, detect conditions early, and promote overall wellness.

Preventative Care

Preventative Care Preventive Care Family Physician Screening

Episode 6 – Clinical Unknown with Rabih – Raynaud’s Syndrome

The Clinical Problem Solvers

DECEMBER 27, 2018

[link] Episode Description Dr. Erin Chew presents a clinical unknown to Rabih Download CPSolvers App here Schemas Illness Script Tweetorial #1 Tweetorial #2 Show Notes References Guest Erin Chew, M.D. Dr. Chew graduated from Baylor College of Medicine.

Clinic

Clinic Internal Medicine Illness Families

Flu vaccine 36 percent effective against influenza A(H3N2)-related illnesses during 2021-2022 flu season

Medical Xpress

JANUARY 4, 2023

For the 2021 to 2022 influenza season, influenza vaccines were 36 percent effective against influenza A(H3N2)-related illnesses, according to a study published online Dec. 12 in Clinical Infectious Diseases.

Illness

Illness Vaccination Clinic

What Does Behavioral Health Provider Practice in Primary Care Look Like? [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Observe integrated BHPs and report on clinical activities, workflows and team interactions. Population Studied: Integrated BHPs (N = 13) each observed over the course of one randomly selected full clinic day by a trained research assistant. Behavioral Health Providers, BHPs). Intervention: NA.

Primary Care

Primary Care Provider Illness Consulting

3 Ways AI Can Detect Vital Signs From Your Face

The Medical Futurist

JUNE 19, 2025

Recently, a new trend has emerged where artificial intelligence (AI)-based apps are detecting vital signs as well as possible illness indicators from patients’ faces alone. Despite its promise, FaceAges isn’t yet ready for use in a real-world clinical setting as it requires further testing.

Individual

Individual Clinic Medical Patients

Self-management support as an add-on to usual care for adults experiencing anxiety: A pragmatic randomized clinical trial [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Anxiety disorders are common and disabling, and they are characterized by fluctuating symptom levels throughout the lifecourse. Self-management support (SMS) is a complementary intervention to evidence-based treatments that promotes self-efficacy and empowerment.

Management

Management Illness Clinic Mental Health

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

Providers were alerted of positive screens by rooming staff to either assess further or refer to our Pediatric SUD Clinic to manage. For patients screened positive, chart reviews were conducted and the number of referrals to SUD Clinic was tracked. No patients were referred to the SUD Clinic.

Primary Care

Primary Care Screening Referral Wellness Visit

Looking for Patterns, Looking for Change and Looking for Incongruity

A Country Doctor Writes

APRIL 17, 2025

The art of diagnosis is said to be 80% the art of taking a good history of the clinical symptoms. Incongruity can be an issue of what’s around in the home, how a person talks or moves when they are distracted from describing how ill they feel, and many more things. A Country Doctor Writes: is a reader-supported publication.

Diagnosis

Diagnosis Illness Provider IT

Episode 3 – Clinical Unknown with Reza – Fever in a Returning Traveler

The Clinical Problem Solvers

DECEMBER 9, 2018

Skip to content About Us Our Team CPSolvers Academy Shop Mobile App Podcast Morning Report Resources Diagnostic frameworks Illness scripts Residency Match Spaced Learning Languages Español Português Deutsche Search for. Type your email… Subscribe Continue reading %d

Clinic

Clinic Illness

Pilot of Family Medicine Parent Partnership: Supporting mothers with depressive symptoms and promoting child development [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To pilot a novel approach pairing a light-touch parenting intervention for patients with young children with a standard primary care clinic protocol for screening and addressing depression. Study Design: Mixed-method (survey and focus group).

DO

DO Family Medicine Family Families

What Does Team Function Look Like in Primary Care Integrated Behavioral Health? [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

1) Team leadership: clinic-level leadership strongly supports IBH, valuing ongoing integration, helping establish positive atmosphere and coordinate and plan improvements. (2) Intervention: N/A for this portion; therapeutic services were provided by IBH providers to patients. Big Five of Teamwork" Framework.

Primary Care

Primary Care Illness Mental Health Medical Provider

CPSolvers Blog Intro – Dan Minter

The Clinical Problem Solvers

AUGUST 18, 2019

That’s why we’re launching a new blog from the Clinical Problem Solvers! We hope for this to serve as a space where we can further explore the many clinical, diagnostic, and educational pearls discussed on the podcast, as well as highlight some of the off-air content that we’ve been busy working on.

Illness

Illness Clinic Education

AI voice coach shows promise in psychotherapy for depression and anxiety

Medical Xpress

MAY 17, 2023

With scarce clinical resources unable to keep pace with elevated rates of mental illness, technological solutions could help decrease waitlists and disparities in access to therapy. Recent advances in artificial intelligence have fueled interest in the use of chatbots and virtual assistants for mental health treatment.

Mental Health

Mental Health Illness Clinic

Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Understanding these patterns can help inform clinical care and policy decisions potentially leading to streamlined care and cost-savings. Conclusions: Patients receiving ambulatory BH care may have important differences based on the presence of comorbid chronic medical conditions.

Referral

Referral Chronic Condition Medical Chronic Disease

Features of Effective Implementation of Integrated Behavioral Health: Primary Care Practice Members Weigh In [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

All clinicians and staff at CIBH+ participating clinics completed an online survey on feasibility, acceptability, and appropriateness of CIBH+ (descriptive statistical analysis); Semi-structured interviews with leaders, clinicians and staff involved in CIBH+ implementation (iterative constant comparative analysis).

Primary Care

Primary Care Illness Comprehensive Care Telehealth

Problem Representation

The Clinical Problem Solvers

JUNE 12, 2022

Clinical Reasoning Corner: Problem Representation By: Marcela A. de Oliveira Santana and Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers! The problem representation during the clinical reasoning process The PR is linked to hypothesis-generation and can act as a guide during the diagnostic journey.

Diagnosis

Diagnosis Illness Clinic Diabetes

Episode 11 – Clinical Unknown with Reza – Fever and rash

The Clinical Problem Solvers

JANUARY 23, 2019

[link] Episode description Arsalan, Sharmin, and Rabih present a clinical unknown to Reza. Download CPSolvers App here Schema Illness Script Show Notes References

Clinic

Clinic Illness

Aftershock in Academia: Assessing COVID-19s Impact on Schizophrenia Patients in Academic Medical Centers [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data. Objective: To examine the epidemiology and mortality among schizophrenia patients discharged from AMCs in the U.S. from Oct 2019 to Dec 2023. Mixed models were used for analysis.

Patient-Centered

Patient-Centered Patients Medical Illness

New RSV vaccine may prevent illness in infants, seniors

Medical Xpress

APRIL 6, 2023

An RSV vaccine developed by Pfizer provides safe and effective protection in both seniors and newborns, clinical trial results show.

Vaccination

Vaccination Illness Clinic Provider

"Investigating White Culture": a Phenomenological Study on How Culture Shapes Behavioral Health Processes in Primary Care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

A person-centered approach and cultural humility were described as essential in building rapport to learn about patients’ cultures and adapt existing approaches to increase engagement and improve clinical outcomes.

Primary Care

Primary Care Behavioral Health Services Patient-Centered Illness

A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

AUGUST 25, 2019

Welcome back, Clinical Problem Solvers! In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). Clinical Manifestations We often think of GPA as a pulmonary-renal syndrome, but, while many patients develop renal complications, a much smaller percentage present with them.

Illness

Illness Complication Diagnosis Clinic

Episode 222: RLR – The Phone Call

The Clinical Problem Solvers

FEBRUARY 9, 2022

[link] RR discuss an important patient phone call For more RLR episodes, consider subscribing to Patreon: The Clinical Problem Solvers is creating podcasts, videos, schemas, illness scripts and more | Patreon

Illness

Illness Clinic Patients

Statin Use Linked to Reduced Mortality for Patients With Sepsis

Physician's Weekly

JUNE 12, 2025

THURSDAY, June 12, 2025 (HealthDay News) — For critically ill adults with sepsis, statin use is associated with reduced mortality, according to a study published online June 5 in Frontiers in Immunology.

Patients

Patients Hospital Illness Medical

Special Episode 382 – Reza interviews Dr. Elmer Holzinger

The Clinical Problem Solvers

MARCH 10, 2025

Skip to content About Us Our Team CPSolvers Academy Shop Mobile App Podcast Morning Report Resources Diagnostic frameworks Illness scripts Residency Match Spaced Learning Languages Español Português Deutsche Search for. Type your email… Subscribe Continue reading %d

Specialization

Specialization Illness Clinic

Episode 4 – Clinical Unknown with Rabih – Splenomegaly

The Clinical Problem Solvers

DECEMBER 9, 2018

[link] Episode Description Reza presents a clinical unknown to Rabih. Download CPSolvers App here Clinical Reasoning Schema Illness Script References

Clinic

Clinic Illness

COVID-19 Series (Part Two) with Dr. Laura Bishop

Louisville Lectures

MAY 8, 2020

She covers practical aspects of evaluating patients including appropriate personal protective equipment (PPE) usage and finishes this segment with clinical exam/laboratory/imaging findings. Clinical Characteristics of 138 Hospitalized Patietns with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. Watch on YouTube.

Internal Medicine

Internal Medicine Healthcare Professional Patient-Centered Clinic

"We feel alone and not listened to": Somali, Hmong and Latin American Parents Perspectives on Pediatric Serious Illness [Child and adolescent health]

Sustainability of health professionals' intention to have serious illness conversations at 1 and 2 years after training [Dissemination and implementation research]

Trending Sources

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

The Case of the Dropping Albumin

Clinical Reasoning Corner: Illness Script

Association between substance use and acute rhinosinusitis in a multisite trial pilot study [Clinical trial]

Intersections Between Gender, Race/Ethnicity and Marital Status Associations with Depression Symptoms [Behavioral, psychosocial, and mental illness]

Symptoms of Long-COVID and their impact on primary care patients livelihoods - Part 2 of 3 [COVID-19]

Clinician perception of the relationship between mental health, health-related social needs, and diabetes outcomes [Diabetes and endocrine disease]

Clinical Strategies and Challenges of Psychiatrists in Accra, Ghana [Behavioral, psychosocial, and mental illness]

Risk of Acute Rhinosinusitis Progression Based on Duration of Symptoms, Method of Care, and Setting of Care [Acute respiratory infections]

Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Sun Safety Tips: Protect Skin & Stay Hydrated

Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist [Geriatrics]

Episode 349 – Clinical Unknown – Fatigue & Petechiae

AATD Treatment Improvement Demands Disease-Specific PROMs

Episode 228: Clinical unknown with Travis, Anand, and Simone

Episode 90: Clinical unknown with Rabih and Reza at MUSC – fever

What Are the Most Common Preventive Services? A Complete Guide

Episode 6 – Clinical Unknown with Rabih – Raynaud’s Syndrome

Flu vaccine 36 percent effective against influenza A(H3N2)-related illnesses during 2021-2022 flu season

What Does Behavioral Health Provider Practice in Primary Care Look Like? [Behavioral, psychosocial, and mental illness]

3 Ways AI Can Detect Vital Signs From Your Face

Self-management support as an add-on to usual care for adults experiencing anxiety: A pragmatic randomized clinical trial [Behavioral, psychosocial, and mental illness]

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

Looking for Patterns, Looking for Change and Looking for Incongruity

Episode 3 – Clinical Unknown with Reza – Fever in a Returning Traveler

Pilot of Family Medicine Parent Partnership: Supporting mothers with depressive symptoms and promoting child development [Behavioral, psychosocial, and mental illness]

What Does Team Function Look Like in Primary Care Integrated Behavioral Health? [Behavioral, psychosocial, and mental illness]

CPSolvers Blog Intro – Dan Minter

AI voice coach shows promise in psychotherapy for depression and anxiety

Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Features of Effective Implementation of Integrated Behavioral Health: Primary Care Practice Members Weigh In [Behavioral, psychosocial, and mental illness]

Problem Representation

Episode 11 – Clinical Unknown with Reza – Fever and rash

Aftershock in Academia: Assessing COVID-19s Impact on Schizophrenia Patients in Academic Medical Centers [Behavioral, psychosocial, and mental illness]

New RSV vaccine may prevent illness in infants, seniors

"Investigating White Culture": a Phenomenological Study on How Culture Shapes Behavioral Health Processes in Primary Care [Behavioral, psychosocial, and mental illness]

A deeper dive into GPA – Jack Penner

Episode 222: RLR – The Phone Call

Statin Use Linked to Reduced Mortality for Patients With Sepsis

*Special* Episode 382 – Reza interviews Dr. Elmer Holzinger

Episode 4 – Clinical Unknown with Rabih – Splenomegaly

COVID-19 Series (Part Two) with Dr. Laura Bishop

Stay Connected

Special Episode 382 – Reza interviews Dr. Elmer Holzinger