Annals of Family Medicine

NOVEMBER 20, 2024

Context Journal Club serves as an essential platform in medical education for enhancing critical thinking skills, promoting evidence-based practice, and fostering scholarly discussions among residents. Last year, our Family Medicine Residency Program restructured the Journal Club to incorporate a more resident-driven approach.

Education 130

Education Family Medicine DO Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Study population were patients having one or more chlamydia and/or gonorrhea infections between 2018 and 2022 identified with a confirmed, positive test result from the electronic medical records. Outcome Measures: The primary outcome was the first date of CDC-recommended medication administered within 30-days.

Primary Care 130

Primary Care Families Family Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Study Design: This retrospective case series analysis utilized Vizient's clinical database data.

Patient-Centered 130

Patient-Centered Patients Medical Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. This mismatch is worsened in rural communities.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. 1.32) and hospitalizations (aIRR 1.14, 95% CI: 1.03-1.27).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

It is paramount to understand the barriers faced by the AI/AN community to better serve their medical needs. The impact of long-standing inadequate access to basic healthcare coupled with generational trauma has contributed to community distrust of western medicine. Population Studied: AI/AN patients residing in the USA.

Primary Care 130

Primary Care Utilities Community Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. This study utilized harmonized, de-identified, structured EHR data in aggregate counts of patients who meet inclusion and exclusion criteria, from multiple health centers across the United States. Setting or Dataset. Conclusions.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context UT Southwestern utilizes community engagement strategies to improve health and integrate stakeholder priorities in clinical care and research. However, given the vast size of our medical center, many community engagement initiatives exist in silos and overlap in community areas creating inefficiency, inconsistency, and redundancy.

Community 130

Community Utilities Relationship Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Lehigh Valley Practice and Community Based Research Network(LV-PCBRN) conducts weekly meetings to engage members in discussion about active and future research, and quality improvement projects conducted by colleagues, residents, and medical students.

Medical Student 130

Medical Student Utilities Community Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Patient Navigator Program (PNP) is a unique medical student-run program providing services for persons experiencing homelessness (PEH) in Dallas, Texas, at United Gospel Mission (UGM) clinics. Objective: This study investigates client navigation goal completion and considers if medical student navigators are inadequately trained.

Medical Student 130

Medical Student Patients Healthcare Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

A retrospective cohort study design was utilized to assess changes in A1c levels over the course of one year pre-enrollment and one year post-enrollment, comparing enrolled and not enrolled patients; a mixed effects interrupted time series model was employed for analysis.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The number of physicians in primary care is declining, with fewer medical students pursuing the field. Study Design This IRB-approved cross-sectional study utilizes survey data from four classes of medical students attending a medical school in Dallas, TX at the beginning of their education. rural, urban).

Education 130

Education Medical Student Primary Care Medical Specialty 130

Annals of Family Medicine

NOVEMBER 20, 2024

The top three themes were 1) establishing workflow norms with different teams, in particular with medical assistants; 2) boundary-setting with patients, other clinicians, and with themselves; and 3) message classification heuristics that allowed clinicians to mentally categorize messages that required follow-up, messages that could be quickly deleted (..)

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Variables used in the model include demographics, past medical history, ejection fraction, and lab values. Conclusions: We have successfully utilized Machine Learning predictive modeling, applied within primary care, to identify patients with hypertension who are at the highest risk of a cardiovascular admission in the future.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: We utilized a scoping review approach, which is a non-exhaustive selection of literature pertaining to and examining a specific topic. We conducted a literature search using PubMed for Medical Subject Headings (MeSH) terms "(addiction) and (portrayal)" (n=58) and "(addiction) and (portrayal) and (media)" (n=37).

Primary Care 130

Primary Care Individual Utilities IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions: In-person visits remain the preferred option, not only from a medical standpoint, but also because of the interpersonal interaction that such visits provide, including interdisciplinary care from other team members such as a social worker.

Patients 130

Patients Clinic Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis This study utilized data from NHANES 2011-2019 to calculate two ASCVD risk scores for each eligible individual: one using the race-based PCE and the other using the race-agnostic PREVENT equation. This could impact prescribing and deprescribing medications for primary prevention.

Individual 130

Individual Utilities Clinic Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The COVID pandemic disrupted global healthcare, impacting Academic Medical Centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

Patient-Centered 130

Patient-Centered Medical Utilities Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area.

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. 8% (n= 1,146) were ordered for medical condition management. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The impact of the COVID-19 pandemic on individuals with schizophrenia who are admitted to academic medical centers (AMCs) has not been previously reported. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data. from Oct 2019 to Dec 2023.

Patient-Centered 130

Patient-Centered Patients Medical Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Using race to guide clinical decision-making is a controversial practice and efforts to revise medical equations incorporating race are underway. Population studied: Actively practicing North Carolina internal medicine and family medicine physicians. Setting: Video interviews, audio recorded and transcribed.

Primary Care Physician 130

Primary Care Physician Internal Medicine Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Estimates of LCS have relied on medical records which may underestimate true prevalence. Objective: This study aimed to characterize populations with COVID-19 and LCS, describes symptoms, and health care utilization by presenting symptoms. Population Studies: In March 2022, members of a MFC were surveyed.

Healthcare 130

Healthcare Community Primary Care Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The COVID pandemic disrupted global healthcare, impacting academic medical centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

Utilities 130

Utilities Healthcare Patient-Centered Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Health care professions students must learn to work as an IP health care team and use advanced communication techniques to address medical misinformation. Intervention: Misinformation toolkit with OSCE highlighting medical misinformation. Results: Forty students participated (20 medical and pharmacy).

Education 130

Education Utilities Relationship Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Approximately $50 billion dollars are spent on medical costs related to falls in US older adults every year and fatal falls are on the rise. We utilized Amazon Sagemaker Canvas to design our machine learning model. Model design Variables included: blood pressure values, medications, chronic conditions and history of fractures.

Patients 130

Patients Hypertension Primary Care Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design & Analysis We used a screening questionnaire to purposively select interview participants. Within primary care most administrative work requires both information management and clinical judgment. Therefore, we developed a typology as part of the analysis.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

We utilized AI tools in the qualitative software program Atlas.ti to complete an analysis of qualitative data collected from primary care clinician and staff perspectives on the use of anti-obesity medications.

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

The sensitivity and specificity of medical tests vary between primary care (PC) and SC settings. Context: Most diagnostic tests are evaluated in secondary care (SC). This is due to diverse influences from factors at patient, test, study, and setting levels.

Primary Care 130

Primary Care Utilities Clinic Patients 130

Permanente Medicine

MAY 20, 2025

Khang Nguyen, MD, chief transformation officer of the Southern California Permanente Medical Group, discusses how AI can increase clinicians’ joy in medicine and improve patient outcomes with Chris Grant, chief operating offer and executive vice president of Kaiser Permanente, The Permanente Federation, and host of the Permanente Medicine Podcast.

Patient-Centered 52

Patient-Centered Patients Medical IT 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Here are some ways family physicians can collaborate with health care systems and community organizations to tackle food insecurity within Minnesota: Expand Food Insecurity Screenings: Train staff to use tools like Hunger Vital Signs and integrate food insecurity screenings into routine care.

Family Physician 52

Family Physician Community Families Family 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. We didn’t have medications that were effective with a few side effects. I think she’s the creator of the mini cog. Is that right, Soo? Soo 00:32 Thanks.

Screening 119

Screening Primary Care Patient-Centered IT 119

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Setting The study was conducted at UC Davis Medical Center, a tertiary academic medical center in Sacramento, CA, serving a diverse, multicultural population.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130