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A Message from the President
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Puffer, J. C. Tags: Board News Source Type: research

Response: "Re: Predicting Risk for Opioid Misuse in Chronic Pain with a Single-Item Measure of Catastrophic Thinking"
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gross, R. T. Tags: Correspondence Source Type: research

Re: "Predicting Risk for Opioid Misuse in Chronic Pain with a Single-Item Measure of Catastrophic Thinking"
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Otufowora, A. Tags: Correspondence Source Type: research

Re: Dysrhythmias with Loperamide Used for Opioid Withdrawal
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Nakka, S., Riverdale, , Reddy, S., Mehta, N. Tags: Correspondence Source Type: research

Improving the Quality of Primary Care by Optimizing Implementation Research Reporting
The potential of implementation research in understanding strategies for changing practice is undermined by poor reporting, leaving readers unable to replicate such strategies and unclear whether they apply in the context of their practice. These challenges are particularly pertinent in the complex, diverse world of primary care. The recently published Standards for Reporting Implementation Studies (StaRI) provides a framework for comprehensive reporting of implementation research. A key concept is the consideration and reporting in "dual strands": on the one hand, the implementation strategy and on the other, th...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Grandes, G., Pinnock, H., Bazemore, A., Meissner, P., The StaRI Group Tags: Special Communications Source Type: research

Proactive Strategies to Address Health Equity and Disparities: Recommendations from a Bi-National Symposium
Discussion: The solution lies in intervening proactively to reduce disparities—developing risk-adjustment measures that integrate social factors; increasing the socioeconomic, racial, and ethnic diversity of health providers; teaching cultural humility; supporting community-oriented primary care; and integrating equity considerations into health system funding. We propose moving from retrospective analysis to proactive measures; from equality to equity; from needs-based to strength-based approaches; and from an individual to a population focus. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Haggerty, J., Chin, M. H., Katz, A., Young, K., Foley, J., Groulx, A., Perez-Stable, E. J., Turnbull, J., DeVoe, J. E., Uchendo, U. Tags: Special Communications Source Type: research

Dissemination and Implementation Science in Primary Care Research and Practice: Contributions and Opportunities
Dissemination and Implementation Science (DIS) is a growing research field that seeks to inform how evidence-based interventions can be successfully adopted, implemented, and maintained in health care delivery and community settings. In this article, an overview of DIS and how it has contributed to primary care delivery improvement, future opportunities for its use, and DIS resources for learning are described. Case examples are provided to illustrate how DIS can be used to solve the complex implementation and dissemination problems that emerge in primary care. Finally, recommendations are made to guide the use of DIS to i...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Holtrop, J. S., Rabin, B. A., Glasgow, R. E. Tags: Special Communications Source Type: research

Implementation of the Geriatric Patient-Aligned Care Team Model in the Veterans Health Administration (VA)
Conclusions: GeriPACT is one approach for bringing an interdisciplinary, patient-centric perspective to primary care in a manner that can likely support the higher staffing costs with economies realized from diminished reliance on institutional placement and highly technologic health care. It is a model which can provide training for the next generation of providers and clinicians. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Sullivan, J. L., Eisenstein, R., Price, T., Solimeo, S., Shay, K. Tags: Original Research Source Type: research

Using the Quadruple Aim Framework to Measure Impact of Heath Technology Implementation: A Case Study of eConsult
Conclusions: The eConsult service has been widely adopted in our region and is currently expanding to new jurisdictions across Canada. However, although we successfully demonstrated eConsult's impact on patient experience, provider satisfaction, and reducing costs, we met several challenges in evaluating its impact on population health. More work is needed to evaluate eConsult's impact on key population health metrics (eg, mortality, morbidity, and system use). Efforts to conduct such evaluations are underway. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Liddy, C., Keely, E. Tags: Original Research Source Type: research

Understanding Implementation of Complex Interventions in Primary Care Teams
Conclusion: Our findings contribute pragmatic strategies that can help practitioners and researchers to navigate interactions between context, intervention, and implementation factors to increase implementation success. We further developed an implementation framework that includes sustained engagement with stakeholders, facilitation of team sense-making, and dynamic evaluation and intervention design as integral parts of complex intervention implementation. Trial registration: NCT01967797. 18 October 2013 (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Luig, T., Asselin, J., Sharma, A. M., Campbell-Scherer, D. L. Tags: Original Research Source Type: research

Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review
Conclusions: A human factors engineering approach suggests that investigating the role of the clinic's processes or physical layout or external pressures' role in antibiotic prescribing may be a promising way to improve ambulatory AS. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Keller, S. C., Tamma, P. D., Cosgrove, S. E., Miller, M. A., Sateia, H., Szymczak, J., Gurses, A. P., Linder, J. A. Tags: Original Research Source Type: research

Implementation of Health Insurance Support Tools in Community Health Centers
We present strategies, early findings, and clinic reflections on the development and implementation of HIT tools designed to streamline and improve health insurance tracking at community health centers. Methods: We are conducting a hybrid implementation-effectiveness trial to assess novel health insurance enrollment and support tools in primary care clinics. Twenty-three clinics in 7 health centers from the OCHIN practice-based research network are participating in the implementation component of the trial. Participating health centers were randomized to 1 of 2 levels of implementation support, including arm 1 (n = 4 heal...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Huguet, N., Hatch, B., Sumic, A., Tillotson, C., Hicks, E., Nelson, J., DeVoe, J. E. Tags: Original Research Source Type: research

Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW
Conclusion: Facilitators can use a range of strategies to help practices perform data-driven QI when performance data are inaccurate, incomplete, or missing. Support is necessary to help practices, particularly those with EHR data challenges, build their capacity for conducting data-driven QI that is required of them for participating in practice transformation and performance-based payment programs. It is questionable how practices with data challenges will perform in programs without this kind of support. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Hemler, J. R., Hall, J. D., Cholan, R. A., Crabtree, B. F., Damschroder, L. J., Solberg, L. I., Ono, S. S., Cohen, D. J. Tags: Original Research Source Type: research

Missed Opportunities for Depression Screening and Treatment in the United States
Conclusions: Many Americans are not having their depression needs assessed. Certain populations are more likely to be missed, including men, people over 75 years old, minorities, and the uninsured. Additional efforts are needed to determine methods to increase screening recommended by the United States Preventive Services Task Force and to ensure that all Americans have their mental health needs met. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Kato, E., Borsky, A. E., Zuvekas, S. H., Soni, A., Ngo-Metzger, Q. Tags: Original Research Source Type: research

Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study
Discussion: Our clinic-based AOBP/HBPM program detected white-coat BP elevation in one third of enrolled patients, facilitated control of home BP, and was acceptable to staff and patients. We identified barriers to be addressed to ensure sustainability. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Doane, J., Buu, J., Penrod, M. J., Bischoff, M., Conroy, M. B., Stults, B. Tags: Original Research Source Type: research

A Latino Patient-Centered, Evidence-Based Approach to Diabetes Prevention
Conclusions: The 2-stage approach actively engaging patients, family members, providers, and health care system leaders reinforced the cultural congruence of the existing intervention while further strengthening it with adaptations promoting Latino family and community support. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Rosas, L. G., Lv, N., Lewis, M. A., Venditti, E. M., Zavella, P., Luna, V., Ma, J. Tags: Original Research Source Type: research

Clinician Experiences with Screening for Social Needs in Primary Care
Conclusions: Clinicians reported that knowing patients' social needs changed what they did and improved communication for many patients. However, more evidence is needed regarding the benefit of social needs screening in primary care before widespread implementation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Tong, S. T., Liaw, W. R., Kashiri, P. L., Pecsok, J., Rozman, J., Bazemore, A. W., Krist, A. H. Tags: Original Research Source Type: research

Living in "Cold Spot" Communities Is Associated with Poor Health and Health Quality
This study sought to understand the clinical associations of cold spots (census tracts with worse income, education, and composite deprivation). Methods: Across 12 practices, we assessed the relationship between cold spots and clinical outcomes (obesity, uncontrolled diabetes, pneumonia vaccination, cancer screening—colon, cervical, and prostate—and aspirin chemoprophylaxis) for 152,962 patients. We geocoded and linked addresses to census tracts and assessed, at the census tract level, the percentage earning less than 200% of the Federal Poverty Level, without high school diplomas, and the social deprivation i...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Liaw, W., Krist, A. H., Tong, S. T., Sabo, R., Hochheimer, C., Rankin, J., Grolling, D., Grandmont, J., Bazemore, A. W. Tags: Original Research Source Type: research

Strategies for Addressing the Challenges of Patient-Centered Medical Home Implementation: Lessons from Oregon
Conclusion: Clinic leaders benefited from understanding the local context in which they were operating. Despite differences in size, ownership, geography, and population, all clinic leaders were observed to be proponents of strategies commonly associated with a "learning organization": systems thinking, personal mastery, mental models, shared vision, and team. Clinics can draw on their own characteristics, use state resources, and look to established PCMHs to build the evidence base for implementation in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gelmon, S., Bouranis, N., Sandberg, B., Petchel, S. Tags: Original Research Source Type: research

Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries
Fewer family physicians are providing deliveries, which raises concern for access to obstetric care. We found that among recent family medicine graduates who would like to do deliveries, difficulty finding a position that supports including deliveries was a major barrier. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Barreto, T. W., Eden, A. R., Hansen, E. R., Peterson, L. E. Tags: Policy Brief Source Type: research

Family Medicine and Obstetrics: Let's Stop Pretending
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Young, R. A., Sundermeyer, R. L. Tags: Commentaries Source Type: research

Advancing Primary Care Through Alternative Payment Models: Lessons from the United States & Canada
This article reviews learnings from a 2017 binational symposium of 150 experts in policy and research that included a discussion of ongoing APM experiments in the United States and Canada. Discussions ranged from APM challenges and successes to their real and potential impact on primary care. The gathering yielded many lessons for policy makers, payors, researchers, and providers. Experts lauded recent APM experimentation on both sides of the border, while cautioning against the risk of "pilotitis," or developing, implementing, and evaluating new payment models without plan or ability scale them into broader prac...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Bazemore, A., Phillips, R. L., Glazier, R., Tepper, J. Tags: Commentaries Source Type: research

Advancing Social Prescribing with Implementation Science
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gottlieb, L., Cottrell, E. K., Park, B., Clark, K. D., Gold, R., Fichtenberg, C. Tags: Commentaries Source Type: research

Content Usage and the Most Frequently Read Articles of 2017
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Lupo, P., Neale, A. V., Bowman, M. A., Seehusen, D. Tags: Editorial Office News and Notes Source Type: research

Advancing the Science of Implementation in Primary Health Care
Implementation Science is commonly described as the study of methods and approaches that promote the uptake and use of evidence-based interventions into routine practice and policymaking. In this issue of JABFM, investigators share a wealth of new insights from the frontlines of Implementation Science in primary care: what it is, how we are doing it, and how it is advancing the evidence base of primary care. The breadth of implementation science in primary care is affirmed by the range of topics covered, from thought leader recommendations on future directions for the field, to reports on how best practices in policy and p...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Bazemore, A., Neale, A. V., Lupo, P., Seehusen, D. Tags: Editorial Source Type: research

Tammy Chang, MD, MPH, MS Selected as 2017 National Academy of Medicine Puffer/ABFM Fellow
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Ireland, J. Tags: Board News Source Type: research

Already 19: Further Reflections on Parenting, Aniridia, and Being a Doctor
The author, a family physician, reflects on raising a daughter with a rare eye disease, aniridia, and learning and memory disabilities as the daughter heads off to college. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Elder, N. Tags: Reflections in Family Medicine Source Type: research

Revisiting Primary Care's Critical Role in Achieving Health Equity: Pisacano Scholars' Reflections from Starfield Summit II
The second Starfield Summit was held in Portland, Oregon, in April 2017. The Summit addressed the role of primary care in advancing health equity by focusing on 4 key domains: social determinants of health in primary care, vulnerable populations, economics and policy, and social accountability. Invited participants represented an interdisciplinary group of primary care clinicians, researchers, educators, policymakers, community leaders, and trainees. The Pisacano Leadership Foundation was one of the Summit sponsors and held its annual leadership symposium in conjunction with the Summit, enabling several Pisacano Scholars t...
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Park, B., Coutinho, A. J., Doohan, N., Jimenez, J., Martin, S., Romano, M., Wohler, D., DeVoe, J. Tags: Special Communication Source Type: research

Moral Distress with Obstacles to Hepatitis C Treatment: A Council of Academic Family Medicine Educational Research Alliance (CERA) Study of Family Medicine Program Directors
Conclusions: Currently, important ethical dilemmas exist in the access and delivery of HCV therapy. Although a diversity of opinions is noted, a significant proportion of PDs are concerned about patients' inability to avail equitable care and experience distress. In some cases, this moral distress is in response to, and in conflict with, current guidelines. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Simha, A., Maria Webb, C., Prasad, R., Kolb, N. R., Veldkamp, P. J. Tags: Ethics Feature Source Type: research

Plantar Fascia Rupture: Ultrasound to Facilitate Recognition
Plantar fascia rupture in the absence of previous diagnosis of plantar fasciitis, corticosteroid injection, or injury is a rare occurrence with only 7 case reports in the literature since 1978. This is a case of spontaneous plantar fascia rupture in a 38-year-old active-duty US military member with current considerations in musculoskeletal ultrasound, other radiologic imaging, treatment, and followup of this diagnosis. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Servey, J. T., Jonas, C. Tags: Brief Report Source Type: research

Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice
Conclusions: The diabetes GMV was not associated with improvements in outcomes. Further studies should examine diabetes GMV implementation challenges to enhance their effectiveness in everyday practice. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Cunningham, A. T., Delgado, D. J., Jackson, J. D., Crawford, A. G., Jabbour, S., Lieberthal, R. D., Diaz, V., LaNoue, M. Tags: Research Letter Source Type: research

Humor During Clinical Practice: Analysis of Recorded Clinical Encounters
Conclusion: Humor is used commonly during counseling to discuss the patient's medical condition and to relate to general life events bringing warmth to the medical encounter. The timing and topic of humor and its use by all parties suggests humor plays a role in the social connection between patients and physicians and allows easier discussion of difficult topics. Further research is necessary to establish its impact on clinicians, patients, and outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Phillips, K. A., Singh Ospina, N., Rodriguez-Gutierrez, R., Castaneda-Guarderas, A., Gionfriddo, M. R., Branda, M., Montori, V. Tags: Original Research Source Type: research

Physician Multisite Practicing: Impact on Access to Care
Conclusions: Physician multisite practicing was prevalent and affected geographic access to care. More research and investment into health workforce information infrastructure seem warranted to accommodate changing physician practice patterns in data collection and dissemination. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Xierali, I. M. Tags: Original Research Source Type: research

A Model for Measuring Ambulatory Access to Care Recovery after Disasters
Conclusion: Quantifying care disruptions around disasters is an important step in assessing interventions to improve emergency preparedness and response for clinics. The illustrative example of measures captured the disaster event duration and severity in relation to ambulatory care appointments. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Radcliff, T. A., Chu, K., Der-Martirosian, C., Dobalian, A. Tags: Original Research Source Type: research

Moving Away from the Tip of the Pyramid: Screening and Brief Intervention for Risky Alcohol and Opioid Use in Underserved Patients
Conclusions: Providers mainly focus efforts on the relatively few patients at the tip of the pyramid (substance use dependence) rather than on the majority of patients who comprise the middle of the pyramid (risky substance use). Practice change strategies are needed to increase universal screening with a focus on risky substance use, particularly in practices serving racial/ethnic communities. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Venner, K. L., Sanchez, V., Garcia, J., Williams, R. L., Sussman, A. L. Tags: Original Research Source Type: research

Critical Factors to Practicing Medical Acupuncture in Family Medicine: Patient and Physician Perspectives
Discussion: The factors and barriers reported by physicians/patients help illustrate conditions needed to enhance physicians' ability to provide acupuncture and patients' willingness to engage and sustain it. Participants' experiences help to illustrate strategic approaches to managing these barriers—strategies that can be used by other individuals/institutions to enhance care delivery and patient engagement. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Ledford, C. J. W., Fisher, C. L., Moss, D. A., Crawford, P. F. Tags: Original Research Source Type: research

Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes (PCMHs)
Conclusions: Practice leaders need to be conscious of obstacles when they increase expectations of MAs, and they must be willing to invest time and resources into developing their MA workforce. An environment that allows open dialog with MAs and rewards and compensation that recognizes their increased efforts will help make expansion of MA roles occur more smoothly and efficiently. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Ferrante, J. M., Shaw, E. K., Bayly, J. E., Howard, J., Quest, M. N., Clark, E. C., Pascal, C. Tags: Original Research Source Type: research

Retrospective Comparison of Cardiac Testing and Results on Inpatients with Low Pretest Probability Compared with Moderate/High Pretest Probability for Coronary Artery Disease
Conclusion: Follow-up provocative testing of all patients admitted/observed after emergency department presentation with chest pain is unlikely to find CAD in patients with low pretest probability. Testing all low-probability patients puts them at increased risk for unnecessary invasive confirmatory testing. Further prospective testing is needed to confirm these retrospective results. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Lear, A., Huber, M., Canada, A., Robertson, J., Bosman, E., Zyzanski, S. Tags: Original Research Source Type: research

Greater Occipital Nerve Block for Acute Treatment of Migraine Headache: A Large Retrospective Cohort Study
Conclusions: Greater occipital block seems to be an effective option for acute management of migraine headache, with promising reductions in pain scores. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Allen, S. M., Mookadam, F., Cha, S. S., Freeman, J. A., Starling, A. J., Mookadam, M. Tags: Original Research Source Type: research

Delivering Interconception Care During Well-Child Visits: An IMPLICIT Network Study
Conclusion: WCVs provide a reliable point of contact with mothers and a unique opportunity to assess and address behavioral risks for future poor birth outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Srinivasan, S., Schlar, L., Rosener, S. E., Frayne, D. J., Hartman, S. G., Horst, M. A., Brubach, J. L., Ratcliffe, S. Tags: Original Research Source Type: research

Patient-Centered Guidelines for Geriatric Diabetes Care: Potential Missed Opportunities to Avoid Harm
Background: Clinicians strive to deliver individualized, patient-centered care. However, these intentions are understudied. This research explores how patient characteristics associated with an high risk-to-benefit ratio with hypoglycemia medications affect decision making by primary care clinicians. Methods: Using a vignette-based survey, we queried primary care clinicians on their intended management of geriatric patients with diabetes. The patients' ages, disease durations, and comorbidities were systematically varied. Clinicians indicated whether they would intensify glycemic control by adding a second-line hypoglycem...
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: McCreedy, E. M., Kane, R. L., Gollust, S. E., Shippee, N. D., Clark, K. D. Tags: Original Research Source Type: research

Menthol Cough Drops: Cause for Concern?
Background: Over-the-counter (OTC) cough remedies are lightly regulated and their potential side effects may go unrecognized. During 2015, over 282 million cough drops were sold in the United States. A Wisconsin community clinician (RM) made clinical observations suggesting that excessive use of OTC cough drops may exacerbate rather than benefit coughs. The goal of this project was to assess whether menthol in cough drops is related to worse cough symptoms. Methods: From April 2016 through May 2017, 5 Wisconsin primary care clinics invited adolescent and adult outpatients seeking medical care for an acute or subacute coug...
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Johnson, D., Mead, R., Kennelty, K., Hahn, D. Tags: Original Research Source Type: research

Wide Gap between Preparation and Scope of Practice of Early Career Family Physicians
We found substantial gaps between preparation for, and practice of, early career family physicians in nearly all clinical practice areas. With reported intentions of graduates for a broad scope of practice, gaps between practice and preparation suggest family physicians early in their careers may not be finding opportunities to provide comprehensive care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Peterson, L. E., Fang, B., Puffer, J. C., Bazemore, A. W. Tags: Policy Brief Source Type: research

Potentially Alarming Trends in the Scope of Practice for Family Physicians
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Carek, P. J. Tags: Commentary Source Type: research

Peer Reviewers for the Journal of the American Board of Family Medicine in 2017
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Bowman, M. A., Neale, A. V., Seehusen, D., Lupo, P. Tags: Editorial Office News and Notes Source Type: research

Real-Life Observational Studies Provide Actionable Data for Family Medicine
This issue includes several excellent observational studies prompted by physicians' clinical questions. Many people use lots of menthol cough drops—does the menthol overall lengthen the cough duration? When should we intensify treatment of older individuals with diabetes? Do occipital nerve blocks work for acute migraine headaches? Did you know that the plantar fascia can rupture? What happens to those patients with chest pain but low pretest probability for serious cardiac disease who are admitted to the hospital? Acupuncture can work well—for the patients—but how can we incorporate it into the usual pac...
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Bowman, M. A., Neale, A. V., Seehusen, D. A. Tags: Editors ' Note Source Type: research

American Board of Family Medicine Selects New Chief Executive Officer and President
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 12, 2018 Category: Primary Care Authors: Ireland, J. Tags: Board News Source Type: research

Re: The Numbers Quandary in Family Medicine Obstetrics
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 12, 2018 Category: Primary Care Authors: Barreto, T., Eden, A. R., Bazemore, A., Peterson, L. E. Tags: Correspondence Source Type: research

The Numbers Quandary in Family Medicine Obstetrics
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 12, 2018 Category: Primary Care Authors: Worth, A. Tags: Correspondence Source Type: research

Diplomate Status: A Matter of Distinction
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 12, 2018 Category: Primary Care Authors: Over, D. R. Tags: Correspondence Source Type: research