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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD. Post-session measures assessed practical knowledge, management, and expertise gained from the sessions.

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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Post-rotation, 64% of residents felt more comfortable diagnosing OUD.

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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

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. The qualitative descriptive approach was used to analyze focus group discussions.

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“Practice at the Top of your License?”

A Country Doctor Writes

It was a call to reimagine, reinvent and reinvigorate primary care. Many of the comments were saying that Direct Primary Care is the solution to today’s primary care crisis. There are a few problems with primary care today. So this was a hot topic and two years later it’s still hot.

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Prevalence and management of symptom diagnoses in children in general practice

Canadian Family Physician

Objective To explore the prevalence of symptom diagnoses in children in general practice and the management strategies performed by GPs. Participants Participant data registered in a Dutch practice-based primary care research network (Family Medicine Network [FaMe-Net]). Design Retrospective cohort study.

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The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy [Hypertension]

Annals of Family Medicine

Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension. However, 29% of HBPMs are inaccurate by 10 mmHg or more. This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Population Adults who own a HBPM.