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Electronic Health Record Use and Patient-Centredness [Education and training]

Annals of Family Medicine

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. Intervention: Participants each completed two simulated patient scenarios with instructions to document their encounters in the EHR.

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Claire Lupini-Gohl Medical Student [Education and training]

Annals of Family Medicine

Context When it comes to advanced directives, research has shown that providers should initiate the conversation for their patients, however completion rates for these conversations are very low. It is important to decrease these barriers for providers, so that patients are able to benefit from these conversations.

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Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Annals of Family Medicine

Context: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

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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. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Conclusions: Implementing ECHO OUD team-based sessions could support the improved management of patients with OUD.

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Outcomes of a virtual CGM initiation service (virCIS) for primary care patients with diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

However, its adoption has been slower in primary care settings compared to endocrinology practices, resulting in unequal access for patients with diabetes. Implementation of a virtual CGM initiation service can be valuable for enhancing CGM access to primary care patients with diabetes. Setting: Primary care practices in Colorado.

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Celebrating Ten Years of ECHO Ontario Chronic Pain and Opioid Stewardship [Pain management]

Annals of Family Medicine

Extension for Community Healthcare Outcomes (ECHO) is a health professions education model that uses telehealth technology to bridge specialists to community clinicians to disseminate best practices and foster interprofessional collaboration.

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Barriers and Facilitators in Implementing Training in Shared Decision-Making Based on Reflexivity Strategies [Education and training]

Annals of Family Medicine

Introduction: Reflexivity-based training for healthcare professionals on shared decision-making (SDM) fosters critical thinking, encouraging reflection on one’s personal values while supporting patient needs. Methods: We performed a qualitative descriptive study.