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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. We had lower referral completions than expected because of the difficulty connecting with patients asynchronously.

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Artificial Intelligence in Health Care

Integrated Care News by CFHA

Traylor and colleagues (2025) show that generative‑AI tools can boost health literacy by translating medical jargon into plain language. Evidence‑informed care was literally at his fingertips. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician.

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Evaluating the Impact of a Longitudinal Clerkship Lecture on Medical Students Knowledge and Response to Human Trafficking [Education and training]

Annals of Family Medicine

Few medical schools include this topic in their curriculum, and it is not standardized in undergraduate medical education. Training students to provide care and respond using a trauma informed approach can help ensure our healthcare sites are places of healing and not re-traumatization. Population Studied FM clerkship students.

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Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

Context: Medical legal partnerships (MLP) are an effective intervention for social determinants of health, like housing, education, and employment status. Despite consistent positive impact on health and wellbeing, public funding for MLP exists in less than a handful of states. Intervention/Instrument: Legal-needs screening tool.

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

Annals of Family Medicine

Three boutique clinics in Ontario were identified using publicly available information. Results: Significant differences were seen in patient demographics, fees, and referral patterns amongst boutique clinic practices compared to Toronto Central LHIN and Ontario physicians.

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Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Annals of Family Medicine

Intervention: The Navigator, a diabetes-trained medical scribe, contacted patients by phone to inform them about the Stanford Diabetes Care Program (SDCP) and engaged them in shared decision-making for necessary referrals. Navigators attempted to call 96 patients and reached 64 patients (67% response rate).

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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

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Study Design: Secondary data analysis of patient demographic, referral, and encounter-level data extracted from site eMR (Epic). 8% (n= 1,146) were ordered for medical condition management.

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