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Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Setting: Primary care clinics partnered with an academic health center. nurse practitioners and physician assistants).

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Effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in practice [Education and training]

Annals of Family Medicine

Context: Brief dermoscopy training has been shown to improve diagnostic accuracy on image recognition tests, but few, if any, studies have examined its effect on clinician behavior and clinical outcome measures. Setting: Divisions of Family Medicine and Community Internal Medicine at a large academic medical center in Southeast Minnesota.

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The Power of Words, 16 Years Later

A Country Doctor Writes

There, as medical director, I had a friend and ally in the behavioral health director, and both our departments underwent years of rapid growth. If a primary care patient was going through a difficult time with their social life or mental health, we would walk them down the hall to meet a therapist right then and there.

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Primary Care Provider Perspectives at an Academic Medical Center: Are Telemedicine Visits as Effective as In-person Care? [Survey research or cross-sectional study]

Annals of Family Medicine

Context: As academic medical centers purposefully integrate telemedicine visits into primary care, efficacy studies are needed to appropriately guide resource allocation and triage processes. Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023).

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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

Objective This study fills a knowledge gap by asking: What is the adherence, acceptability, and feasibility of poverty screening administered by providers to patients of an NB primary care clinic? Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Setting The study was set at St.

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Using a typology to understand and address primary care administrative workload in Atlantic Canada [Practice management and organization]

Annals of Family Medicine

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

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Drowning in Paperwork: The Burden of Administrative Responsibilities in Primary Care [Qualitative research]

Annals of Family Medicine

Context: For over 25 years, the burden of clinical administrative services has been cited as contributing to the stress and burnout experienced by family physicians. Participants perceived administrative burden as contributing to burnout and their declining joy in practicing comprehensive care.