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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

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. They complete a commitment form and questionnaire before meeting with a nurse practitioner, clinical nurse, nutritionist, and doctor.

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

Annals of Family Medicine

These are related to shaping healthcare supply to patients’ demand by 1) providing an individual assessment of caseload size to all physicians and nurse practitioners (professionals with whom patients are affiliated; and 2) reinforcing communication in the appointment scheduling process.

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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

Study Design and analysis: Phase 1) Primary care providers completed a skin lesion identification test before and after brief dermoscopy training, and Phase 2) Diagnostic accuracy and biopsy and referral practices for the year prior to the course and the year following the course were compared.

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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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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

My wife, who’s a PhD nurse practitioner, who actually was a founding dean of the nursing school at GW, and I were thinking about, well, we’re not sure we want to work for somebody else all the time. Second thing to say is that I think referrals are really important. I have hired coaches based on referrals.