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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. Conclusions: Brief dermoscopy training can improve primary care providers' skin lesion diagnostic accuracy in clinical practice.

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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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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. 104 PHC clinics across 14 regions of Quebec, Canada.

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Optimizing participation in the OECD PaRIS Project: Lessons learned in Saskatchewan [Survey research or cross-sectional study]

Annals of Family Medicine

Context: Leading the OECD PaRIS Project in Saskatchewan (SK) was an integrated primary care collaborative team consisting of primary care providers (PCPs), people with lived experience (PWLE) aka patients, health system partners and researchers. Setting: Primary care clinics across Saskatchewan.

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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

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Setting The study was set at St. Of screened patients, 94.4%

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The Power of Words, 16 Years Later

A Country Doctor Writes

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. The organization now employs a single psychiatric nurse practitioner for medication management. No counseling is offered.

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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).