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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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Development of a Multidisciplinary Clinic for the Treatment of Obesity in a Canadian University Family Medicine Group (U-FMG) [Obesity, exercise and nutrition]

Annals of Family Medicine

Pathways offered by Quebec’s public system are heterogeneous, often providing limited services, especially in a preventive setting. Setting The North of Lanaudière University Family Medicine Group (U-FMG) Intervention Upon referral from their family doctor, patients attend a group course on nutrition and metabolic health.

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

A total of 122,397 patients and 999 family physicians, 107 nurse practitioners and 411 administrative staff nested into 104 clinics answered the survey. Two patient-reported experiences were assessed: 1) difficulty having an appointment with regular family physician or nurse practitioners, and 2) unmet healthcare needs.

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Enhancing Advanced Access in Primary Healthcare: Key Change Strategies from a Quality Improvement Initiative [Health care services, delivery, and financing]

Annals of Family Medicine

Setting: 8 multidisciplinary FMGs in Quebec, Canada Population: All healthcare providers and administrative staff. FMGs included physicians, nurses, social workers, pharmacists. Data from field notes, QI action plans, and semi-structured interviews were triangulated to identify and describe impactful change strategies.

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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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Drowning in Paperwork: The Burden of Administrative Responsibilities in Primary Care [Qualitative research]

Annals of Family Medicine

physician assistants, nurse practitioners) to help "de-clutter the inbox" and manage referrals. The need for dedicated funding for an integrated EMR in the province and establishment of a centralized referral system were also proposed system solutions. burnout) and reduced time for direct patient care.

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Do they need a palliative care doctor, nurse practitioner?