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

Annals of Family Medicine

Context: In the US, opioid use disorder (OUD) presents significant and urgent public health concerns. Unfortunately, most individuals suffering from OUD do not have access to necessary care. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue.

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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

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.

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Episode 353: Rafael Medina Subspecialty Series – AMS “Treat before Diagnosis”

The Clinical Problem Solvers

[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.

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Episode 295: Rafael Medina Subspecialty Series – fatigue in patient living with HIV

The Clinical Problem Solvers

[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”).

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Development and external validation of the FluScoreVax risk score for influenza that incorporates vaccine status (EAST-PC) [Acute respiratory infections]

Annals of Family Medicine

Objective: To develop and externally validate a simple risk score for influenza diagnosis based only on vaccination history and patient-reported symptoms. Study design and Analysis: Derivation of a risk score in one population and prospective external validation in a second population. Calibration was excellent.

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

Annals of Family Medicine

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. 8% (n= 1,146) were ordered for medical condition management.

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Episode 79: Human Dx unknown with Reza & U of C residents – abdominal pain

The Clinical Problem Solvers

[link] Dr. Anand Jagannath presents a Human Dx unknown to Reza and U of C residents – Drs. Dr. Austin Rezigh Austin Rezigh is a third-year internal medicine, primary care track resident at the University of Colorado. He is also a Section Editor for adult medicine cases at the Human Diagnosis Project. calcium carbonate).