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Annals of Family Medicine

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https://www.readbyqxmd.com/read/30201655/are-new-residency-graduates-prepared-to-treat-opioid-use-disorder
#1
Sarah R Burbank
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201654/residency-faculty-fundamentals-certificate-program-wraps-up-successful-first-year
#2
Mary Theobald
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201653/new-center-for-professionalism-and-value-in-health-care-open-in-washington-dc
#3
Robert Cattoi
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201652/aafp-offers-resources-as-juuling-increases-among-youth
#4
Chris Crawford
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201651/2018-pbrn-conference-highlights-addressing-health-disparities-in-pbrn-research
#5
Donald E Nease, Denise Campbell-Scherer
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201650/opioid-prescribing-a-generational-perspective
#6
James W Jarvis, Katie Hartl, Jessica Bloom-Foster
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201649/-the-gme-initiative-and-gme-in-states
#7
Ardis Davis, Mannat Singh
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201648/using-the-humanism-pocket-tool-for-patients-with-challenging-behaviors
#8
Michael Soh, Andrew Shaner, Lillian Gelberg, Kristin Kopelson, Margaret Stuber, Daniel Fessler, Carole Warde
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201647/mentored-training-positions-for-early-career-general-practitioners
#9
Christopher James Weatherburn, Shawkat Hasan, Michelle Watts, David Shaw
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201646/circling-back-to-a-better-sexual-history
#10
Jonathan Kole
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201645/scaling-integrated-behavioral-health-rapidly
#11
Johnny Stoeckle, Amy Cunningham, Christine Arenson
No abstract text is available yet for this article.
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201644/professional-loneliness-and-the-loss-of-the-doctors-dining-room
#12
John J Frey
Historically, family physicians moved among all the venues of medical care- office, hospital, community-and were a part of a connected professional community. That connected community was sustained in great part through informal gatherings of clinicians in hospitals, clinics, and professional organizations. The current fragmentation of medicine into narrowly defined, boundaried workspaces and job descriptions, as well as the increasing size of practices has negatively affected the professional culture in which physicians work...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201643/employment-interventions-in-health-settings-a-systematic-review-and-synthesis
#13
REVIEW
Andrew D Pinto, Nadha Hassen, Amy Craig-Neil
PURPOSE: Employment is a key social determinant of health. People who are unemployed typically have worse health than those employed. Illness and disability can result in unemployment and be a barrier to regaining employment. We combined a systematic review and knowledge synthesis to identify both studies of employment interventions in health care settings and common characteristics of successful interventions. METHODS: We searched the peer-reviewed literature (1995-2017), and titles and abstracts were screened for inclusion and exclusion criteria by 2 independent reviewers...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201642/buprenorphine-provision-by-early-career-family-physicians
#14
Sebastian T Tong, Camille J Hochheimer, Lars E Peterson, Alex H Krist
Buprenorphine can be used in primary care to treat opioid use disorder, but many family physicians feel unprepared to care for patients with opioid addiction. We sought to describe preparedness to provide and current provision of buprenorphine treatment by early career family physicians using data from the 2016 National Family Medicine Graduate Survey. Of 1,979 respondents, 10.0% reported preparedness to provide buprenorphine treatment, and 7.0% reported current buprenorphine provision. Residency preparation to provide buprenorphine treatment was most highly associated with current provision (odds ratio = 13...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201641/opioid-prescribing-continuity-and-risky-opioid-prescriptions
#15
Sara E Hallvik, Peter Geissert, Wayne Wakeland, Christi Hildebran, Jody Carson, Nicole O'Kane, Richard A Deyo
We aimed to better understand the association between opioid-prescribing continuity, risky prescribing patterns, and overdose risk. For this retrospective cohort study, we included patients with long-term opioid use, pulling data from Oregon's Prescription Drug Monitoring Program (PDMP), vital records, and hospital discharge registry. A continuity of care index (COCI) score was calculated for each patient, and we defined metrics to describe risky prescribing and overdose. As prescribing continuity increased, likelihood of filling risky opioid prescriptions and overdose hospitalization decreased...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201640/top-20-poems-of-the-past-20-years-a-survey-of-practice-changing-research-for-family-physicians
#16
Mark H Ebell, Henry C Barry, Allen F Shaughnessy, David C Slawson, Nita Kulkarni, Linda Speer
POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify POEMs in the medical literature relevant to primary care practice. This article identifies the POEMs in each of the last 20 years that were highest ranked for having recommended a major and persistent change in practice that year...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201639/predicting-an-unfavorable-course-of-dizziness-in-older-patients
#17
Hanneke Stam, Otto R Maarsingh, Martijn W Heymans, Henk C P M van Weert, Johannes C van der Wouden, Henriëtte E van der Horst
PURPOSE: Because dizziness in older people is often chronic and can substantially affect daily functioning, it is important to identify those at risk for an unfavorable course of dizziness to optimize their care. We aimed to develop and externally validate a prediction model for an unfavorable course of dizziness in older patients in primary care, and to construct an easy-to-use risk prediction tool. METHODS: We used data from 2 prospective cohorts: a development cohort with 203 patients aged 65 years or older who consulted their primary care physician for dizziness and had substantial dizziness-related impairment (Dizziness Handicap Inventory [DHI] ≥30), and a validation cohort with 415 patients aged 65 years or older who consulted their primary care physician for dizziness of any severity...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201638/emergency-department-use-and-enrollment-in-a-medical-home-providing-after-hours-care
#18
Tara Kiran, Rahim Moineddin, Alexander Kopp, Eliot Frymire, Richard H Glazier
PURPOSE: Compared with other high-income countries, Canada and the United States have among the highest rates of emergency department use and the lowest rates of primary care physicians reporting arrangements for after-hours care. We assessed whether enrollment in a medical home mandated to provide after-hours care in Ontario, Canada, was associated with reduced emergency department use. METHODS: We conducted a retrospective cohort study using linked administrative data...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201637/excess-free-fructose-beverages-and-allergy-in-children-and-adolescents-results-from-nhanes-2005-2006
#19
Ruili Yu, Bo Yang, Lili Cai, Xuechun Lu, Xueyan Wang
PURPOSE: Our purpose was to investigate the relationship between intake of excess free fructose beverages and allergy among children and adolescents. METHODS: We analyzed data of 860 children (aged 6 to 12 years) and 1,142 adolescents (aged 13 to 19 years) from the National Health and Nutrition Examination Survey 2005-2006. Logistic regression analyses were performed to determine the associations between consumption of excess free fructose beverages and allergic symptoms or allergic sensitization...
September 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30201636/adoption-of-social-determinants-of-health-ehr-tools-by-community-health-centers
#20
Rachel Gold, Arwen Bunce, Stuart Cowburn, Katie Dambrun, Marla Dearing, Mary Middendorf, Ned Mossman, Celine Hollombe, Peter Mahr, Gerardo Melgar, James Davis, Laura Gottlieb, Erika Cottrell
PURPOSE: This pilot study assessed the feasibility of implementing electronic health record (EHR) tools for collecting, reviewing, and acting on patient-reported social determinants of health (SDH) data in community health centers (CHCs). We believe it is the first such US study. METHODS: We implemented a suite of SDH data tools in 3 Pacific Northwest CHCs in June 2016, and used mixed methods to assess their adoption through July 2017. We modified the tools at clinic request; for example, we added questions that ask if the patient wanted assistance with SDH needs...
September 2018: Annals of Family Medicine
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