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

Physician's Weekly

JUNE 17, 2025

The PATHWEIGH trial aims to embed structured obesity care into primary care, addressing barriers and boosting clinician confidence and patient outcomes. Barriers include time constraints, lack of training in obesity treatment, limited reimbursement, and the absence of structured care pathways.

Primary Care 52

Primary Care Management Primary Care Physician Chronic Disease 52

A Country Doctor Writes

MAY 18, 2025

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. My theory is that the behavioral health staff members felt isolated and not integrated with the primary care providers.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 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

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

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

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

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

Integrated Care News by CFHA

MAY 1, 2025

Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). How are you integrating AI into your clinical, teaching or supervisory work? References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 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

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., Patients were seen by the BHPs for a wide variety of presenting concerns.

Primary Care 130

Primary Care Provider Illness Consulting 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

The Clinical Problem Solvers

APRIL 17, 2019

She is passionate about medical education and is excited to be staying at UAB next year doing both adult primary care and pediatric hospital medicine. [link] Episode description Drs. In her spare time she enjoys reading (and is proud of the book club she started in Birmingham), doing calligraphy, and traveling. Dr. Robert Centor Dr.

Clinic 52

Clinic Internal Medicine Primary Care Education 52

A Country Doctor Writes

APRIL 3, 2025

In fact, I’ve been doing it ever since, in a gesture of generosity and solidarity, I volunteered to try fifteen minute visits during a lean spell in the clinic about twelve years ago. Primary care is a lot like Jeopardy. What will the EKG show?

Primary Care 130

Primary Care Primary Care Physician Appointment Clinic 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.

Primary Care 130

Primary Care Screening Referral Wellness Visit 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

The Clinical Problem Solvers

SEPTEMBER 12, 2024

[link] In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Diagnosis 52

Diagnosis Internal Medicine Primary Care Medical Student 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

The Clinical Problem Solvers

NOVEMBER 23, 2019

[link] Episode description Dr. Stephanie Sherman presents a Human Dx case to Rabih and Brigham and Women’s Drs. Her clinical interests include pulmonary and critical care, the care of geriatric patients in the ICU, ethics and communication, and medical education. Sophia Hayes and Pooja Mehta.

Internal Medicine 52

Internal Medicine Primary Care Education Patient-Centered 52

Physician's Weekly

JUNE 11, 2025

If low bone density is present, it’s often treated alongside a weight loss program. How might primary care physicians coordinate this care in settings with limited specialist access? Some older adults may need access to a structured intensive behavior therapy delivered by a trained primary care clinician.

Management 52

Management Primary Care Physicals Telehealth 52

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

The Clinical Problem Solvers

JULY 12, 2023

[link] In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Jorge Salazar presents a case to Dr. Monica Gandhi of a transgender woman with a recent diagnosis of HIV presenting with fatigue and weight loss. She also serves as the medical director of the HIV Clinic at SFGH (“Ward 86”).

Patients 52

Patients Internal Medicine Primary Care Education 52

The Clinical Problem Solvers

MARCH 19, 2024

[link] In this clinical reasoning Rafael Medina Subspecialty episode, Dr. Mark Heslin presents a case to Dr. Tony Breu of a man presenting with facial swelling. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Internal Medicine 52

Internal Medicine Education Primary Care Clinic 52

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

Objective: 1) prioritize community needs by analyzing EHR metrics of the residency clinic site; 2) map AAFP curriculum topics to EHR results to identify training gaps; 3) triangulate EHR results with resident and faculty survey data. Full results to be reviewed at presentation. Intervention/Instrument: The survey was developed de novo.

Community 130

Community Family Medicine DO Education 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

The Clinical Problem Solvers

JANUARY 30, 2024

John Landefeld presents a case to Dr. Sarah Goglin of a 74 year old woman presenting with headache. Session facilitator: Şeyma Yıldırım The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world.

Internal Medicine 52

Internal Medicine Primary Care Education Clinic 52

Medical Xpress

NOVEMBER 21, 2022

In a clinical report issued by the American Academy of Pediatrics and the American Academy for Cerebral Palsy and Developmental Medicine, published online Nov. 21 in Pediatrics, recommendations are presented for identifying and managing cerebral palsy (CP).

Management 71

Management Primary Care Provider Clinic 71

The Clinical Problem Solvers

SEPTEMBER 5, 2023

Allyson Richardson presents a case to Dr. Ryan Flanagan of a 68 year old woman presenting with chronic diarrhea. Session facilitator: Şeyma Yıldırım The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world.

Internal Medicine 52

Internal Medicine Primary Care Education Consulting 52

The Clinical Problem Solvers

MAY 11, 2023

Rafa presents a nephrology clinical unknown to Drs. The goal of this series is to expand access to subspecialty, primary care and internal medicine-adjacent specialty education to learners around the world. Ashita Tolwani and Mustafa Muhammad. And now incoming internal medicine resident at the University of Colorado.

Internal Medicine 52

Internal Medicine Primary Care Education Community 52

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

The Clinical Problem Solvers

APRIL 19, 2020

[link] Dr. Anand Jagannath presents a Human Dx unknown to Reza and U of C residents – Drs. He wishes to thank Dr. Juan Lessing for his amazing mentorship and inspiring his interest in clinical reasoning – and introducing him to Rabih and Reza! Alec and Austin Rezigh. calcium carbonate).

Internal Medicine 52

Internal Medicine Medical Student Patient-Centered Primary Care 52

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