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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

Results: Significant differences were seen in patient demographics, fees, and referral patterns amongst boutique clinic practices compared to Toronto Central LHIN and Ontario physicians. Boutique clinics were more likely to see patients for musculoskeletal, dermatologic, and infectious disease illnesses.

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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

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. For patients screened positive, chart reviews were conducted and the number of referrals to SUD Clinic was tracked.

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Lupus Emergencies in Children and Adolescents

PEMBlog

Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies. Renal Disease (Lupus Nephritis) Signs & Symptoms: Children may present with new-onset hypertension, edema, or decreased urine output. Avoid transfusion unless clinically necessary.

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How frustrating work environment affects empathy in resident doctors?

Tiny Physician

There is an increasing trend in the number of medico-legal cases filed against doctors and doctors have started practicing defensive medicine (the ordering of tests, procedures, referrals, or avoidance of high-risk patients or procedures, to reduce medico-legal cases) for the sake of their safety. patients show their frustration at doctors.

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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive. You don’t want to mess around with that situation.

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. Adolescents with GERD often present similarly to adults with heartburn and regurgitation as the primary complaints. And the presentation for GERD varies by age. Now there are some risk factors for GERD.