Rebuilding after COVID: Planning Systems of Care for the Future
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Newton, W., Peterson, L., Morgan, Z. J., Bazemore, A., Magill, M., Brady, J., Phillips, R. Tags: Board News Source Type: research

Re: Does Prescription Opioid Misuse Affect the Level of Health Care Satisfaction Endorsed by Patients on Opioid Therapy?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Otufowora, A. Tags: Correspondence Source Type: research

The Unexpected Volunteer
In this narrative account, the author, a medical student, describes his encounters with several inpatients at a community hospital. He becomes acquainted with a patient's son, who, initially withdrawn, over the course of his mother's hospitalizations transforms into a compassionate volunteer. This change is made especially evident when the author meets another patient who recognizes the volunteer and reveals his very different past. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Bair, H. Tags: Reflections In Family Medicine Source Type: research

Breast Cancer Screening in Older Women: The Importance of Shared Decision Making
This article will review current recommendations for breast cancer screening in women over the age of 74. It will also present clear guidelines for primary care clinicians to follow that incorporate shared decision-making techniques, tools for estimating the risks and benefits of screening mammography, and strategies for integrating a patient's life expectancy and comorbidities into the decision-making process. We also emphasize the importance of using thoughtful communication strategies to fully engage older women in the breast cancer screening discussion. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Schrager, S., Ovsepyan, V., Burnside, E. Tags: Clinical Review Source Type: research

Primary Care Is an Essential Ingredient to a Successful Population Health Improvement Strategy
Primary care teams bridge health care to other sectors, making effective connections between health care and health. For health care systems to improve patient and population health, the important role of primary care must be recognized, celebrated, and strengthened. This commentary explores several of the current hot topics in policy discussions (eg, social determinants of health, population health) and gives examples of how these theoretical discussions are relevant to the real world of patient care. It concludes with a few key points on how the system can better support the important population health improvement work d...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: DeVoe, J. E. Tags: Special Communications Source Type: research

Integrating Community and Clinical Data to Assess Patient Risks with A Population Health Assessment Engine (PHATE)
Clinicians are concerned about their patients' social determinants of health (SDH); yet, they are unsure how to effectively gather patient-level SDH data and intervene without adding to current administrative burdens. Designed properly, clinical registries offer solutions to integrate neighborhood SDH data with clinical data from electronic health records, enabling the understanding of community factors to guide patient care. Federal and state interest in adjusting reimbursements based on SDH further underscores the need for strategies that integrate SDH and clinical data. The Population Health Assessment Engine (PHATE) ex...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Bambekova, P. G., Liaw, W., Phillips, R. L., Bazemore, A. Tags: Special Communications Source Type: research

Primary Care Physician Factors Associated with Inbox Message Volume
The objective of this study was to better understand the relationship between panel size, full-time status, and estimated socioeconomic status of a patient panel with types and number of primary care clinician inbox messages. Methods: The study used data from the Epic Signal database to examine inbox volume and types of messages for 86 primary care clinicians at 19 primary care sites. We measured correlations and performed multiple regression analysis to understand the relationship between inbox volume and types of messages and 3 factors: panel size, full-time status, and estimated socioeconomic status of patient panels. ...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Margolius, D., Siff, J., Teng, K., Einstadter, D., Gunzler, D., Bolen, S. Tags: Research Letters Source Type: research

Job Satisfaction and Its Associated Factors Among General Practitioners in China
Conclusion: These findings suggest that job satisfaction among Chinese GPs is at a moderate level. Region, sex, professional title, education level, working overtime, income level, emotional exhaustion, depersonalization, personal accomplishment, work stress, and occupational development opportunities were significant predictors of job satisfaction. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Li, L., Gan, Y., Jiang, H., Yang, Y., Zhou, X., Zheng, Y., Yu, F., Liu, J., Zhong, Y., Chen, Y., Yu, M., Liu, L., Liu, J., Lu, Z. Tags: Research Letters Source Type: research

High Volume Portal Usage Impacts Practice Resources
We describe the impact of high patient message volume on our fee-for-service academic family medicine practice. Practice adaptations are necessary to manage volume, length, and complexity of messages. Dedicated staff with specialized training to handle patient messages and ample protected time for providers are important to minimize clerical burden associated with patient portal use. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Chavez, A., Bracamonte, J., Kresin, M., Yardley, M., Grover, M. Tags: Brief Reports Source Type: research

Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians
Conclusions: We identified gendered differences in physician responses to burnout. Effectively mitigating burnout may require different individual-level approaches and different organizational support mechanisms for female and male physicians. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Eden, A. R., Jabbarpour, Y., Morgan, Z. J., Dai, M., Coffman, M., Bazemore, A. Tags: Brief Reports Source Type: research

Improving Resilience and Combating Burnout in US Army Health Care Teams
Introduction: In 2015, the Army Office of the Surgeon General adapted a Veterans Health Administration course for health care teams to implement holistic health practices to improve the resiliency of health care teams and patient care. The Army course Move to Health was piloted in health care teams at 8 military clinics. During the 20-hour course, health care teams learned techniques to improve their resiliency and created action plans to incorporate holistic health into the workplace, a known factor in decreasing burnout. Methods: A process and outcome evaluation of this course was conducted using a within-group design. ...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Coleman, A. M., Hartzell, M. M., Oh, R. C., Funari, T. S., Rivera, L. O., Brown, J. A. Tags: Brief Reports Source Type: research

Having a Primary Care Provider is the Strongest Predictor of Successful Follow-up of Participants in a Clinical Trial
Conclusions: Patients engaged with the health care system by having a PCP are significantly more likely to achieve follow-up. Successful follow-up is also associated with native English speaking. The potential of improving follow-up by facilitating connections with health care providers requires further study. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Friedman, S. H., Cunningham, C. O., Lin, J., Haramati, L. B., Levsky, J. M. Tags: Original Research Source Type: research

The Financial Cost of Medical Assistant Turnover in an Academic Family Medicine Center
Conclusion: Turnover rate in this practice was similar to other estimates of primary care clinic staff and allied health professionals. The estimated cost of MA turnover relative to annual salary was significantly greater than that in other fields, likely reflecting the costs of training MAs. Establishing a method for calculating the turnover rate and costs can allow other healthcare systems to better describe turnover and evaluate retention strategies. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Friedman, J. L., Neutze, D. Tags: Original Research Source Type: research

Subjective Versus Objective Assessment of Cognitive Functioning in Primary Care
This study examined the clinical utility of highly efficient subjective and objective screens of cognitive impairment. Method: Participants (N = 124, age ≥ 65, mean = 73.59, SD = 6.26) completed a 2-item questionnaire of subjective memory functioning, a brief computerized cognitive test, and the Montreal Cognitive Assessment (MoCA). Next, participants were assigned to 1 of 4 conditions, based on their subjective (low/high) and objective (impaired/unimpaired) levels of cognitive functioning. Further analysis divided the sample into age-based groups (ie, age
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Hess, C., Levy, B., Hashmi, A. Z., Hogan, J., Greenspan, S., Elber, A., Falcon, K., Driscoll, D. F. Tags: Original Research Source Type: research

Novel Models to Identify Census Tracts for Hepatitis C Screening Interventions
Background: Increased screening efforts and the development of effective antiviral treatments have led to marked improvement in hepatitis C (HCV) patient outcomes. However, many people in the United States are still believed to have undiagnosed HCV. Geospatial modeling using variables representing at-risk populations in need of screening for HCV and social determinants of health (SDOH) provide opportunities to identify populations at risk of HCV. Methods: A literature review was conducted to identify variables associated with patients at risk for HCV infection. Two sets of variables were collected: HCV Transmission Risk a...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Ludden, T., Shade, L., Thomas, J., de Hernandez, B. U., Mohanan, S., Russo, M. W., Leonard, M., Zamor, P. J., Patterson, C. G., Tapp, H. Tags: Original Research Source Type: research

A Machine Learning Approach to Identification of Unhealthy Drinking
Conclusion: Using commonly available data, a decision tool can identify a subset of patients who seem to warrant clinical attention for unhealthy drinking, potentially increasing the efficiency and reach of screening. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Bonnell, L. N., Littenberg, B., Wshah, S. R., Rose, G. L. Tags: Original Research Source Type: research

Characterization of Burnout Among Spanish Family Physicians Treating Fibromyalgia Patients: The EPIFFAC Study
Conclusions: One-quarter of family physicians reported feeling exhausted, detached from fibromyalgia patients, or less professionally accomplished. Several personal characteristics and contextual variables increased burnout. Several interventions to modify these variables and, thus, protect family physicians treating fibromyalgia from burnout are suggested. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Torres, X., Ojeda, B., Collado, A., Sole, E., Vergara, J., Gomez, E., Castells, X., Arias, A. Tags: Original Research Source Type: research

Indicators of Workplace Burnout Among Physicians, Advanced Practice Clinicians, and Staff in Small to Medium-Sized Primary Care Practices
Conclusions: Understanding individual behaviors and attitudes towards disruptive change may help practice leaders and policymakers develop strategies to reduce burnout among healthcare professionals. Programs should focus on strengthening the work environment of small to medium-sized practices to improve organizational capacity for change and address high levels of anxiety experienced by physicians, advanced practice clinicians and staff. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Goldberg, D. G., Soylu, T. G., Grady, V. M., Kitsantas, P., Grady, J. D., Nichols, L. M. Tags: Original Research Source Type: research

Team Configurations, Efficiency, and Family Physician Burnout
Conclusion: Most FPs practice in multidisciplinary teams. Regardless of the team structure, FPs who perceived their teams as having greater efficiency were less likely to be burned out. We found that optimal perceived teamwork efficiency was associated with significantly reduced odds of burnout for FPs in all types of team configurations. Improving teamwork efficiency may be an effective strategy for practice organizations to support not only team functioning but also physician well-being. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Dai, M., Willard-Grace, R., Knox, M., Larson, S. A., Magill, M. K., Grumbach, K., Peterson, L. E. Tags: Original Research Source Type: research

Joy in Work for Clinicians and Staff: Identifying Remedial Predictors of Burnout from the Mini Z Survey
Purpose: The CMS Transforming Clinical Practice Initiative (TCPI) provided coaching and learning support to practices during transition to new models of value-based care. Maryland ambulatory practices participated in the Garden Practice Transformation Network (GPTN) as a part of the TCPI. During practices assessment, we measured prevalence of burnout and identified its remediable predictors among GPTN-Maryland practices. Methods: A modified Mini Z tool survey was distributed among clinicians and staff in November 2018 - July 2019. Association between presence of burnout and burnout drivers was assessed using a Generalized...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Khanna, N., Montgomery, R., Klyushnenkova, E. Tags: Original Research Source Type: research

Burnout Among Family Physicians by Gender and Age
Using data from 2017 to 2018, we found that female family physicians, especially those younger than 40 years of age, experience burnout at higher rates than males. This has implications for the primary care workforce and suggests pathways for policy makers and health system administrators to more effectively tackle burnout in their organizations. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Eden, A. R., Jabbarpour, Y., Morgan, Z. J., Wilkinson, E., Peterson, L. E. Tags: Policy Brief Source Type: research

Women's Work: Why Are Women Physicians More Burned Out?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Gold, K. J. Tags: Commentary Source Type: research

Welcome New Associate Editor for Reflections in Family Medicine
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Neale, A. V., Binienda, J. Tags: Editorial Office News and Notes Source Type: research

Well-Being, New Technologies, and Clinical Evidence for Family Physicians
This special issue contains several articles on well-being. Not surprisingly, many of these articles are specifically about burnout. The evidence shows differences in the rates of burnout between men and women family physicians as well as their responses. Clinical team structure and organizational change also contribute to burnout. What about the electronic medical record? We are also reminded that burnout is an international issue. There are also several articles on how technology is changing the way family physicians practice. Two articles report on issues regarding screening for frequently seen clinical entities, specif...
Source: Journal of the American Board of Family Medicine - May 19, 2020 Category: Primary Care Authors: Seehusen, D. A., Bowman, M. A., Neale, A. V. Tags: Editors ' Note Source Type: research

Family Medicine Certification Longitudinal Assessment after One Year
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Newton, W. P., Rode, K., ONeill, T., Fain, R., Baxley, E., Peterson, L. Tags: Board News Source Type: research

Re: Primary Care Practices Implementation of Patient-Team Partnership: Findings from EvidenceNOW Southwest
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Bitencourt, S. E., Rodrigues de Aguiar, D., Baggio, A., Marcon, C. E. M. Tags: Correspondence Source Type: research

Re: Abnormally Low Hemoglobin A1c as Harbinger of Hemoglobinopathy
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Mungmungpuntipantip, R., Wiwanitkit, V., Bitencourt, S. E., Rodrigues de Aguiar, D., Baggio, A., Marcon, C. E. M. Tags: Correspondence Source Type: research

Crashing Out of a Career
This article is meant as a personal reflection on my unexpected retirement, and includes memories and thoughts about my career with the Indian Health Service near the border with Mexico, serving the Tohono O’odham tribe. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Neufeld, B. Tags: Reflections In Family Medicine Source Type: research

Prognostic Indices for Advance Care Planning in Primary Care: A Scoping Review
Conclusion: Of the 17 unique prognostic indices, 10 may be useful for implementation in the primary care setting to identify patients who may benefit from ACP discussions. An index classified as "clinically usable" may not be easy to use because of a large number of variables that are not routinely collected and the need to program the index into the electronic medical record. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Kim, P., Daly, J. M., Berry-Stoelzle, M. A., Schmidt, M. E., Michaels, L. C., Dorr, D. A., Levy, B. T. Tags: Clinical Review Source Type: research

Addressing Needs of Transgender Patients: The Role of Family Physicians
There are approximately 1 million transgender and gender-diverse adults in the United States. Despite increased awareness and acceptance, they frequently encounter medical settings that are not welcoming and/or health care providers who are not knowledgeable about their health needs. Use of correct terminology, following best practices for name and pronoun use, and knowledge of gender-affirming interventions can create office environments that are welcoming to transgender clients. Health disparities faced by transgender patients that impact access to care include higher rates of mental health issues, substance use disorder...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Radix, A. E. Tags: Clinical Review Source Type: research

Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management
Cervical spondylotic myelopathy (CSM) is a neurologic condition that develops insidiously over time as degenerative changes of the spine result in compression of the cord and nearby structures. It is the most common form of spinal cord injury in adults; yet, its diagnosis is often delayed. The purpose of this article is to review the pathophysiology, natural history, diagnosis, and management of CSM with a focus on the recommended timeline for physicians suspecting CSM to refer patients to a spine surgeon. Various processes underlie spondylotic changes of the canal and are separated into static and dynamic factors. Not all...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: McCormick, J. R., Sama, A. J., Schiller, N. C., Butler, A. J., Donnally, C. J. Tags: Clinical Review Source Type: research

Inhaled Corticosteroid Treatment in Chronic Obstructive Pulmonary Disease (COPD): Boon or Bane?
Inhaled corticosteroid (ICS)–based therapy is often used for patients with chronic obstructive pulmonary disease (COPD). However, this approach is under scrutiny because of ICS overuse in patients for whom it is not recommended and because of concerns about adverse events, particularly pneumonia, with long-term ICS use. Evidence suggests ICS may be beneficial in specific patients, namely, those with high blood eosinophil counts (eg, ≥300 cells/µL) or who are at a high risk of exacerbations. According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2020 ABCD assessment tool, these patient...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Kaplan, A. G. Tags: Clinical Review Source Type: research

Thyroid Hormone Use in the United States, 1997-2016
Conclusions: Thyroid hormone use nearly doubled over the last 20 years, and increased use was associated with being older, female, and non-Hispanic white. During the same time period, thyroid hormone expenditures almost tripled. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Johansen, M. E., Marcinek, J. P., Doo Young Yun, J. Tags: Brief Report Source Type: research

Direct-to-Consumer Prescription Drug Advertising and Patient-Provider Interactions
Discussion: These results suggest that direct-to-consumer advertising is driving some patients to discuss specific products with their health care providers but that most patients do not believe advertising has a negative influence on the patient-provider interaction itself. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Sullivan, H. W., Aikin, K. J., Berktold, J., Stein, K. L., Hoverman, V. J. Tags: Brief Report Source Type: research

Factors Influencing Uptake of Changes to Clinical Preventive Guidelines
Conclusions: Guideline uptake is influenced by a complex interplay of multiple levels of factors including the patient, clinician, practice, health system, environment, and guideline levels. Comprehensively understanding all levels of influence for each specific clinical setting may help to determine the optimal intervention(s) for improving uptake of evidence-based guidelines. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Jiang, V., Brooks, E. M., Tong, S. T., Heintzman, J., Krist, A. H. Tags: Brief Report Source Type: research

Designing and Evaluating a Prediabetes Shared Decision Aid
Discussion: It was feasible to cocreate a prediabetes shared decision aid within a PASAC and implement the tool within a primary care setting. Patients and clinicians reported a prediabetes discussion, which may mitigate rates of progression to diabetes and associated complications. Future research should evaluate which of the intervention components most effectively promotes discussion of prediabetes within a primary care setting. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Careyva, B. A., Shaak, K., Burgess, N. M., Johnson, M. B., Banerjee, E. S., Chung, Y., Davis, A. N., Payton, C. Tags: Brief Report Source Type: research

Modifying Provider Vitamin D Screening Behavior in Primary Care
This study aims to assess the effectiveness of 2 light-touch interventions on reducing vitamin D test orders. Methods: The outcomes were weekly average vitamin D rates, computed from adult primary care encounters (preventive or nonpreventive) with a family medicine (FM) or internal medicine (IM) provider from June 14, 2018 through December 12, 2018. We conducted an interrupted time series analysis and estimated the cost impact of the interventions. The interventions consisted of an educational memo (August 9, 2018) distributed to providers and removal of the vitamin D test (FM: August 15, 2018; IM: October 17, 2018) from ...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Rozario, N. L., Sparling, A., Burns, R., McWilliams, A., Brady, J. H., Kowalkowski, M., Roberge, J. Tags: Original Research Source Type: research

Marketing Messages in Continuing Medical Education (CME) Modules on Binge-Eating Disorder (BED)
Conclusions: It seems that CME is being used to promote lisdexamfetamine for weight loss (a contraindicated use) and to highlight benefits of lisdexamfetamine while underplaying the risks. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Jung, J., Fugh-Berman, A. Tags: Original Research Source Type: research

Dedicated Workforce Required to Support Large-Scale Practice Improvement
Conclusions: Supporting a large-scale facilitation workforce requires creating an infrastructure, including initial training, and ongoing support and monitoring, often borrowing from other ongoing initiatives. Facilitation that recognizes the need to support the vital integrating functions of primary care might be more efficient and effective than this fragmented approach to quality improvement. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Sweeney, S. M., Hemler, J. R., Baron, A. N., Woodson, T. T., Ono, S. S., Gordon, L., Crabtree, B. F., Cohen, D. J. Tags: Original Research Source Type: research

Eliminating Patient Identified Barriers to Decrease Medicaid Inpatient Admission Rates and Improve Quality of Care
Discussion: The team-based approach to eliminating patient-identified barriers decreased both admissions and avoidable readmissions for our Medicaid patients. It also improved quality-of-care measures. This approach has been shown to be beneficial at our clinic and can easily be replicated in other settings. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Davis, T., Beste, J., Batish, S., Watford, R., Farrell, S. Tags: Original Research Source Type: research

Turning Points as Opportunities to Partner with Patients Living with type 2 Diabetes or Prediabetes
Discussion: These turning points provide specific moments throughout diabetes care in which family physicians can effectively partner with patients. By prompting, facilitating, or attending to these turning points, family physicians can partner with patients throughout diabetes care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Ledford, C. J. W., Fisher, C. L., Cafferty, L. A., Jackson, J. T., Seehusen, D. A., Crawford, P. F. Tags: Original Research Source Type: research

Successful Health Care Provider Strategies to Overcome Psychological Insulin Resistance in United States and Canada
Conclusions: The study provides valuable insight that HCPs can use to help patients overcome psychological insulin resistance, which is a critical step in the design of effective intervention protocols. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Tang, T., Hessler, D., Polonsky, W. H., Fisher, L., Reed, B., Irani, T., Desai, U., Perez-Nieves, M. Tags: Original Research Source Type: research

Lowering Gestational Diabetes Risk by Prenatal Weight Gain Counseling
Purpose: Excess weight gain during pregnancy is at epidemic proportions, and pregnancy complications are also on the rise. We sought to determine whether better weight gain counseling of expectant mothers will improve obstetric outcomes. Methods: Our historic control study design included 2 years of preintervention data, then 6 months of physician and staff training in prenatal weight gain counseling in accordance with 2009 Institute of Medicine guidelines, and finally, 2 more years of data collection for postintervention outcomes. Seven family medicine residency clinics monitored 1571 continuity prenatal cases. Counselin...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Figueroa, E. M., Nitti, K., Sladek, S. M. Tags: Original Research Source Type: research

Despite Adequate Training, Only Half of Family Physicians Provide Womens Health Care Services
Access to services related to reproductive and sexual health is critical to the health of women but has been threatened in recent years. Family physicians are trained to provide a range of women’s health care services and are an essential part of the health care workforce in rural and underserved areas, where access to these services may be limited. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Coffman, M., Wilkinson, E., Jabbarpour, Y. Tags: Policy Brief Source Type: research

Trained and Ready, but Not Serving?--Family Physicians Role in Reproductive Health Care
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Chelvakumar, M., Shaw, J. G. Tags: Commentary Source Type: research

Complexities in Integrating Social Risk Assessment into Health Care Delivery
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Khanna, N. Tags: Commentary Source Type: research

When and How Do We Need Permission to Help Patients Address Social Risk?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: DeVoe, J. E. Tags: Commentary Source Type: research

Do Patients Want Help Addressing Social Risks?
Evaluations of health care–based screening programs for social risks often report that a relatively small proportion of patients screening positive for social risk factors are interested in receiving assistance from their health care teams to address them. The relatively low number of patients who desire assistance is relevant to the growing number of initiatives in US health care settings designed to collect data on and address patients’ social risks. We highlight multiple studies that have found differences between positive risks screens and desire for assistance. We explore possible explanations for those di...
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: De Marchis, E. H., Alderwick, H., Gottlieb, L. M. Tags: Commentary Source Type: research

Increasing Article Visibility: JABFM and Author Responsibilities and Possibilities
We describe the journal’s approach to dissemination and recommend a number of strategies for authors to implement, including press releases and social media. Providing the article’s digital object identifier (DOI) is most useful, compared with links that can break, or attaching the article PDF, which will depress reader metrics. All JABFM articles are freely accessible online worldwide. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Neale, A. V., Lupo, P., Bowman, M. A., Seehusen, D. A. Tags: Editorial Source Type: research

Peer Reviewers for the Journal of the American Board of Family Medicine in 2019
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 16, 2020 Category: Primary Care Authors: Bowman, M. A., Neale, A. V., Seehusen, D. A., Lupo, P. Tags: Editorial Office News and Notes Source Type: research