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It’s time for pain protocols to catch up with the opioid crisis

KevinMD

Every medical professional is now educated on the risks of opioids. Nearly every hospital has issued guidelines about careful prescribing. We are more than a decade into what has been called the deadliest drug epidemic in American history. And yet — at the bedside, some things haven’t changed.

Education 278
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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. Results: Robust legal, privacy, and technical processes were developed and applied to securely link and merge datasets.

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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. The pre-intervention no-show rate of TCM appointments at Wellstar MCG Health was 44% per month.

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Improving Scholarship in a Community Hospital Residency Program with a Curriculum featuring a Structured Roadmap, Indi [Education and training]

Annals of Family Medicine

Introduction The requirement of resident scholarship in all residency programs is mandated by the Accreditation Council of Graduate Medical Education (ACGME). Fulfilling this obligation remains a challenge for residency programs and is often highlighted by the Residency Review Committee (RRC).

Education 130
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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Outcome Measures: Regimen changes and medication related safety issues.

Clinic 130
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Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Annals of Family Medicine

Context: Despite a joint recommendation in 2003 by the AAMC and CDC that bioterrorism and mass-casualty training be included in the medical school curriculum, few medical schools have incorporated formal disaster training. We aim to highlight educational gaps for future pandemic preparedness.

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Clap Outs

Mere Mortal MD

Friday was a special day at the rehabilitation hospital as we had what’s called a “clap out.” ” This is somewhat organized–as in, we will get an overhead page or text when it’s about to happen–and occurs when a patient has been at the hospital for a very long time.

Hospital 204