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Changes in patterns and referrals of Nova Scotians seeking mental health care through 2-1-1 Referral Service [Health care services, delivery, and financing]

Annals of Family Medicine

Context 2-1-1 is a designated phone help line in Canada and the US that provides referrals for individuals to local government and community-based services for a wide variety of needs, including social, health care, and mental health services. 2-1-1 Nova Scotia has operated since 2013 as a nonprofit that offers 24/7 assistance.

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Effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in practice [Education and training]

Annals of Family Medicine

Objective: To evaluate the effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in clinical practice. Population studied: Primary care providers (physicians, nurse practitioners, and physician assistants), 43 in phase 1 and 13 in phase 2.

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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

Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider. A referral order was created in the hospital system’s electronic health record to the "Hospital Discharge Clinic," and referrals were placed for urgent (7-day) or routine (14-day) TCM appointments.

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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

Context Healthcare sites provide an opportunity to identify and respond to human trafficking (HT). 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. Of these students, 97.5% completed the 6-month post-test, and 12.8%

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Flipping the Script: A Design thinking Approach to Enhancing Interprofessional Collaboration in Primary Care [Research capacity building]

Annals of Family Medicine

The first section lists one health condition per page and explains how and when each health professional can be involved, and the referral process. Context: The literature underscores how time-consuming and difficult it is to learn to collaborate.

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Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

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Provider Attitudes Regarding Osteopathic Manipulative Medicine: A Qualitative Study [Practice management and organization]

Annals of Family Medicine

Context: Currently, only 43% of doctors of osteopathic medicine (DOs) nationwide offer osteopathic manipulative treatments (OMT), with half of them providing OMT to ≤5% of their patients. Objective: This study investigates provider attitudes toward OMT and identifies barriers to referrals to address the unmet patient demand.