Revisiting Medical Professionalism and ABFM's Guidelines for Professionalism, Licensure, and Personal Conduct in a New Era
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Baxley, E. G., Shelton, R., Newton, W. P., Conry, C., Anderson, A., Dunahue, S., Back, A., Wallingford, W. Tags: Board News Source Type: research

Expanding Family Medicine Scholarship to All Faculty: The Minnesota Model for Harmonizing Clinical Care, Education, and Research Missions
Conclusions: Important lessons learned during the harmonized transformation included the following: (1) key elements of the transformation need to be balanced as an ensemble, (2) cultural and organizational shifts take concerted effort and time, (3) embrace iteration: allow "bumps in the road" to propel the work forward, (4) transformation is financially feasible, (5) career research faculty can mutually benefit from clinical faculty engaging in scholarship, and (6) honor skepticism or disinterest and let people cultivate enthusiasm for research and scholarship rather than being forced. (Source: Journal of the Am...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Berge, J. M., Peek, C., Pacala, J. T., Adam, P., Prasad, S., Finstead, D., Windenburg, D., Bengtson, J., Loth, K. A., Allen, M. L., Buffington, A. Tags: Special Communication Source Type: research

Association Between Service Agreements and Frequency of Primary Care Visits in a Chinese Community Health Service Center
Conclusions: The evidence provides an important consideration for reducing gaps in the use of primary care services during the nationwide transition from the fee-for-service specialty care system to the patient-centered primary care-driven medical home model. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Ding, J., Tuan, W.-J., Du, X., Kushner, K. Tags: Family Medicine - World Perspective Source Type: research

Reimaging and Rebuilding Primary Care as a Common Good
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Mahoney, M. R. Tags: Commentaries Source Type: research

Central versus Local Quality Efforts: The Need for Both
Healthcare is in need of improvement. It harms too often, costs too much, learns and improves too slowly, and burns out its workforce. Large healthcare systems (HCS) have an important role in influencing the quality and value of care. Still, as systems that, in most cases, have grown and emerged rapidly in the last 20 years, few have organizational structures to support and foster the last aim, creating the conditions for the healthcare workforce to find joy and meaning in their work. HCS struggle to develop quality improvement (QI) because they are diverse and dynamic in composition, size, resources, culture and social st...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Caron, A., Pronovost, P. Tags: Commentaries Source Type: research

Life in Private Practice
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Chavez, A. M. Tags: Commentaries Source Type: research

One-Third of Family Physicians Remain in Independently Owned Practice, 2017-2019
The rise of health system and hospital ownership of primary care practices raises policy questions about the survival of independent physician-owned practices. Our data indicate that a substantial proportion of FPs in 2017–2019 remained in independently owned practice: 81% of solo practitioners and 35% of FPs in practices with 2–5 clinicians. These findings suggest that independent practice is surviving, and that it's incumbent on researchers, payers, and policymakers to better understand their unique contributions and challenges in the effort to improve primary care access, quality, and cost. (Source: Journal ...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Rittenhouse, D. R., Bazemore, A. W., Morgan, Z. J., Peterson, L. E. Tags: Policy Brief Source Type: research

PRESSS: A New Patient-Centered Name for an Old Problem
There are many words for what physicians commonly refer to as Somatoform Disorder. However, none is particularly patient-centered; to greater or lesser extent, they are all framed by medical jargon. Based on his experience as a seasoned clinician, the author suggests family physicians consider adopting the word PRESSS—an acronym for "Physical Reaction to Emotional Stress of Some Sort"—when describing and explaining to patients with Somatoform Disorder the cause of their suffering. Using examples from practice, the author notes how PRESSS combines simplicity, ambiguity, and directness in one non-stigma...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Ventres, W. Tags: Reflections In Family Medicine Source Type: research

Management of Eye Trauma for the Primary Care Physician
This article elucidates a methodological approach to eye trauma. The first step is to address any life-threatening conditions. Then a focused history and exam is discussed, starting externally. Then, key history, physical, pathophysiology, and basic management of common, serious eye injuries are discussed: chemical injury, orbital fractures, open globe, traumatic hyphema, retinal detachment, traumatic optic neuropathy, and eyelid laceration. Finally, we highlight the practicality of telemedicine for areas where ophthalmology coverage is lacking. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Rho, J. Y., Dryden, S. C., Jerkins, B. M., Fowler, B. T. Tags: Clinical Guidelines [amp ] Primary Care Source Type: research

Should a Course of Prophylactic Probiotics Accompany Inpatient Antibiotic Treatment for Adults?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Venkatesan, V., Patel, J. I. Tags: Correspondence Source Type: research

Monitoring New Symptoms After COVID-19 Infection Among Primary Care Patients in New York City
Conclusion: This cross-sectional study provides support of a post-acute COVID syndrome, demonstrating that patients continue to experience symptoms after the acute infection period. Extensive follow-up data allowed for examining new symptoms up to 9 months after initial SARS-CoV-2 infection. Understanding of the course of multi-organ post-acute sequelae is restricted by cross-sectional study design limitations. Standardized, sequelae-related ICD-10-CM codes to specify the type and duration of post-acute COVID-related symptoms would enable better monitoring of the growing number of SARS-CoV-2 infection survivors. (Source: J...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Terlizzi, K., Kutscher, E., Yoncheva, Y. Tags: Research Letters Source Type: research

French General Practitioners Frequently See Patients with Long-COVID
A second epidemic has appeared among some patients infected with COVID-19 persistent disorders, commonly called "long COVID syndrome." Our study sought to identify the proportion of French GPs dealing with patients with potential long COVID syndrome and their symptoms in an online cross-sectional questionnaire-based survey among a representative national panel of GPs. The majority (53.8%) reported at least 1 patient with COVID-19 and persistent symptoms, and 33% 2 or more such patients. Their most frequent symptoms were respiratory difficulties (60.6%), psychological distress (42.8%), and anosmia-dysgeusia (40.8%...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Davin-Casalena, B., Lutaud, R., Scronias, D., Guagliardo, V., Verger, P. Tags: Research Letters Source Type: research

Partnerships to Care for Our Patients and Communities During COVID-19
The Coronavirus disease 2019 (COVID-19) pandemic forced not only rapid changes in how clinical care and educational programs are delivered but also challenged academic medical centers (AMCs) like never before. The pandemic made clear the need to have coordinated action based on shared data and shared resources to meet the needs of patients, learners, and communities. Family medicine departments across the country have been key partners in AMCs' responses. The Duke Department of Family Medicine and Community Health (FMCH) was involved in many aspects of Duke University's and Health System's responses, including leadership c...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Viera, A. J., Barnett, J., Case, M., Epling, C., Halstater, B., Lyn, M., Martinez-Bianchi, V., Ragsdale, J., Railey, K., Said, K., Sawin, G., Spotts, H., Vaughn, J., Weigle, N., Michener, J. L. Tags: Family Medicine and the Health Care System Source Type: research

Successful Trial of Practice Facilitation for Plan, Do, Study, Act Quality Improvement
Conclusion: In this trial, it was feasible for PFs to engage practices in at least 4 Key Driver quality improvement activities within 1 year, which will inform PF methods and protocol development in future trials. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Sutton, K. F., Richman, E. L., Rees, J. R., Pugh-Nicholson, L. L., Craft, M. M., Peaden, S. H., Mackey, M., Halladay, J. R., Southeastern Collaboration to Improve Blood Pressure Writing Group Tags: Original Research Source Type: research

Diagnostic Accuracy of Skin Cancer by Family Physicians
Conclusion: The calculated diagnostic accuracy of FPs is high and shows that FPs are especially accurate in excluding malignancy. This research shows the variety of skin problems in primary care and shows that the FP can deliver safe and effective dermatologic care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Trejić, S., Peters, H. J. G., Lubeek, S. F. K., van de Laar, F. A. Tags: Original Research Source Type: research

C-Reactive Protein versus Erythrocyte Sedimentation Rate: Implications Among Patients with No Known Inflammatory Conditions
Background: Measurements of C-reactive protein (CRP) concentration and erythrocyte sedimentation rate (ESR) are frequently ordered jointly in clinical practice. Aim: To investigate the factors associated with discordances between CRP concentration and ESR in adults. Methods: We conducted a cross-sectional study of 1472 adults with no known inflammatory disorders (44.5% male; median age, 52 years; range, 18–91 years), randomly selected from a municipality in Spain. The participants underwent simultaneous measurements of ESR, serum CRP, and interleukin-6 concentrations. Alcohol consumption, smoking, and physical acti...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Alende-Castro, V., Alonso-Sampedro, M., Fernandez-Merino, C., Sanchez-Castro, J., Sopena, B., Gude, F., Gonzalez-Quintela, A. Tags: Original Research Source Type: research

Yoga for Substance Use: A Systematic Review
Conclusions: Six out of 8 studies showed low concerns, while 2 studies showed some concerns about the risk of bias judgment. Although the results look encouraging, RCTs with larger sample size are needed to better evaluate the effectiveness of yoga as a treatment modality for substance use. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Walia, N., Matas, J., Turner, A., Gonzalez, S., Zoorob, R. Tags: Original Research Source Type: research

Patient, Provider, and Clinic Characteristics Associated with Opioid and Non-Opioid Pain Prescriptions for Patients Receiving Low Back Imaging in Primary Care
Conclusions: After adjusting for factors that could affect prescribing, the strongest differences observed in pain-medication prescribing were across racial categories and for patients with previous pain prescriptions. Further research is needed to understand these differences and to optimize prescribing. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Gold, L. S., Marcum, Z. A., Meier, E. N., Turner, J. A., James, K. T., Kallmes, D. F., Luetmer, P. H., Griffith, B., Sherman, K. J., Friedly, J. L., Suri, P., Deyo, R. A., Johnston, S. K., Avins, A. L., Heagerty, P. J., Jarvik, J. G. Tags: Original Research Source Type: research

Rural Adolescent Immunization: Delivery Practices and Barriers to Uptake
Background: Rural adolescent vaccination rates lag behind urban. We sought to assess rural-urban differences in barriers to adolescent vaccination, perceived parental vaccine attitudes, and immunization delivery practices among public health nursing (PHN), pediatric (Peds), and family medicine (FM) clinicians. Methods: Internet and mail survey of Colorado PHN, Peds, and FM clinicians from June-August 2019. Study population was recruited from local health plans and the American Medical Association Physician Masterfile. Rural and urban responses were compared using Cochran Armitage trend, Fisher's exact, and chi-square test...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Cataldi, J. R., Brewer, S. E., Perreira, C., Furniss, A., Nederveld, A., Suresh, K., Williams, C., O'Leary, S. T., Dempsey, A. F. Tags: Original Research Source Type: research

Barriers and Facilitators to Informed Decision-Making About Prostate Cancer Screening Among Black Men
Conclusions: Our results indicate that Black men may lack the prerequisite information to make informed decisions about PrCa screening, which is notable in light of known PrCa racial disparities. Clinicians can play an important role in facilitating IDM through fostering discussions about the benefits and risks of PrCa screening and educating Black men about racial disparities. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Shungu, N., Sterba, K. R. Tags: Original Research Source Type: research

Patient Interest in Receiving Assistance with Self-Reported Social Risks
Conclusions: Patients do not request assistance for all reported social needs. Our findings could help shape future work examining patients' reasons for not accepting assistance and developing interventions to help patients with high social risk more effectively. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Gruss, I., Varga, A., Brooks, N., Gold, R., Banegas, M. P. Tags: Original Research Source Type: research

Risk of New Hospitalization Post-COVID-19 Infection for Non-COVID-19 Conditions
This study reinforces the importance of preventing infection in patients at higher risk for severe COVID-19 cases. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Mainous, A. G., Rooks, B. J., Orlando, F. A. Tags: Original Research Source Type: research

Family Physicians' Perception of the New mRNA COVID-19 Vaccines
This study was conducted to assess family physicians' perception of the US Food and Drug Administration-approved mRNA Coronavirus disease 2019 (COVID-19) vaccines, their plans to be vaccinated with an approved mRNA COVID-19 vaccine, and their support for vaccination of patients and family members. Methods: The authors conducted a cross-sectional survey of 307 practicing family physicians, full-time faculty physicians, and resident physicians in Kansas from December 14, 2020, to December 31, 2020. The study participants completed an anonymous, 20-item survey assessing family physicians' concerns about exposure to COVID-19 ...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Ofei-Dodoo, S., Kellerman, R., Russell, T. Tags: Original Research Source Type: research

Associations of Race, Insurance, and Zip Code-Level Income with Nonadherence Diagnoses in Primary and Specialty Diabetes Care
Conclusions: Black race, non-private insurance, and lower-income zip codes were associated with disproportionately high rates of nonadherence labeling in both primary and specialty management of T2DM, possibly suggestive of racial or class bias. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Beltran, S., Arenas, D. J., Lopez-Hinojosa, I. J., Tung, E. L., Cronholm, P. F. Tags: Brief Reports Source Type: research

What You Need to Know About Hand Hygiene and Dermatitis During the Coronavirus Pandemic
Increased attention towards infection control measures during the COVID-19 pandemic have brought to light the dermatological consequences of intensified hand hygiene measures. Healthcare workers are inherently at an increased risk of developing both allergic and irritant contact dermatitis. Individuals with a history of atopy are especially vulnerable given their impaired native skin barriers and increased sensitivities at baseline. Examination gloves not only induce contact allergies from manufacturing chemicals, but also serve as an occlusive catalyst for facilitating contact sensitization and irritant dermatitis. Simila...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Nguyen, A. S., Thielen, B. V., Bigliardi, P. L., Farah, R. S. Tags: Brief Reports Source Type: research

The Right Report from the Right Source at the Right Time - The National Academies of Sciences, Engineering, and Medicine (NASEM) Primary Care Report
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Ledford, C. J. W. Tags: Editorial Source Type: research

Practical Clinical Topics, Digging Deeper into COVID-19, Social Determinants of Health, and Equity
As a discipline, we continue to learn lessons from Coronavirus disease 2019 (COVID-19)—lessons for practice, systems, and patient care. This issue also includes articles focused on 2 other topics that attract increasing attention by family physicians. First, articles describe how the social determinants of health impact health and how family physicians can overcome those obstacles with their patients. Patients want assistance from health systems for 1 specific need related to social determinants of their health. Second, we see increasing evidence about opioid prescriptions in primary care. Multiple clinical articles ...
Source: Journal of the American Board of Family Medicine - September 17, 2021 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Ledford, C. J. W. Tags: Editors ' Note Source Type: research

Family Medicine Certification Longitudinal Assessment Becomes Permanent
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Newton, W. P., Baxley, E., O'Neill, T., Rode, K., Fain, R., Stelter, K. Tags: Board News Source Type: research

Response: Re: One-View Chest Radiograph for Initial Management of Most Ambulatory Patients With Rib Pain
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Finger, A., Emily, N., Mark, H., Hyo-Chun, Y. Tags: Correspondence Source Type: research

Re: One-View Chest Radiograph for Initial Management of Most Ambulatory Patients With Rib Pain
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Zumblick, L., Marcon, C. E. M. Tags: Correspondence Source Type: research

Retirement Tea
In this narrative essay, the author, a family physician, remembers his encounters with patients at his 2008 retirement tea following 34 years in practice. The physician and the patients explored their experiences working together and expressed their gratitude to each other. The author looks back at how these long-standing relationships led to better care and better health. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Pine, D. Tags: Reflections in Family Medicine Source Type: research

Slow Medicine
This is an opinion piece that examines the dichotomy of "fast medicine" (which involves high medical use and spending) and what I refer to as "slow medicine". It discusses ethical questions around which of these two frameworks really confers better "health" to patients – using examples from a real patient scenario of mine who was considering undergoing a relatively high-risk carotid endarterectomy. It then re-affirms the importance of primary care to conferring health and the ultimate value of primary care, or "slow medicine". I believe it is a timely discussion as we continue ...
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Hill, E. Tags: Reflections in Family Medicine Source Type: research

Integrating Physical Therapists Into Primary Care Within A Large Health Care System
Conclusion: The Bellin Health program is a blueprint for other primary care practices to integrate physical therapists into primary care teams. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Bodenheimer, T., Kucksdorf, J., Torn, A., Jerzak, J. Tags: Family Medicine and the Health Care System Source Type: research

Implementing Primary Care Mediated Population Genetic Screening Within an Integrated Health System
Discussion: The analysis of test results and the engagement of an integrated healthcare system in the implementation of a genetic screening program suggests that it can have a large impact on population health outcomes and minimal referral burden to PCPs if identified risks can lead to preventive care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: David, S. P., Dunnenberger, H. M., Ali, R., Matsil, A., Lemke, A. A., Singh, L., Zimmer, A., Hulick, P. J. Tags: Research Letter Source Type: research

Point-of-Care Ultrasound Use by Primary Care Physicians
Despite the proven benefits, less than 10% of physicians have adopted point-of-care ultrasound in primary care. Physician and practice characteristics, such as being a family physician and working in rural settings, increase the odds that a physician will adopt POCUS in their practice. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Niblock, F., Byun, H., Jabbarpour, Y. Tags: Policy Brief Source Type: research

Family Medicine Billing for Point-of-Care Ultrasound (POCUS)
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Shen-Wagner, J. Tags: Commentaries Source Type: research

Use of Point-of-Care Ultrasonography in Primary Care to Redress Health Inequities
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Tanael, M. Tags: Commentaries Source Type: research

The Importance of Primary Care Research in Understanding Health Inequities in the United States
Eliminating health and health care inequities is a longstanding goal of multiple United States health agencies, but overwhelming scientific evidence suggests that health and health care inequities persist in the United States, despite decades of research and initiatives to alleviate them. Because of its comprehensiveness, studying health inequities in the context of primary care allows for the use of multiple paradigms and methodologic approaches to understanding almost any state of health, disease, social challenge, or societal circumstance a patient or group of patients might face. We argue in this special communication ...
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Heintzman, J., Marino, M. Tags: Special Communication Source Type: research

Diagnosis and Management of Hypermobility Spectrum Disorders in Primary Care
This article describes the incidence and prevalence, pathophysiology, diagnosis, and management of HSDs, including clinical cases exemplifying how joint hypermobility might present within a primary care setting. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., Schrager, S. Tags: Clinical Reviews Source Type: research

Human Papillomavirus-Associated Head and Neck Cancer
Oropharyngeal squamous cell carcinoma (OPSCC) has historically been attributable to tobacco and alcohol exposure and saw a decline in incidence after societal norms shifted away from smoking. In recent decades, this disease has had a re-emergence due to human papillomavirus (HPV) infection, now surpassing cervical cancer as the number 1 cause of HPV-related cancer in the United States. HPV-positive OPSCC differs from HPV-negative disease in epidemiology, prognosis, treatment, and prevention. Additionally, there is a deficit in awareness of the causal relationship between HPV and OPSCC. This, coupled with low vaccination ra...
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Nogues, J. C., Fassas, S., Mulcahy, C., Zapanta, P. E. Tags: Clinical Reviews Source Type: research

Provider Impacts of Socioeconomic Risk Screening and Referral Programs: A Scoping Review
Conclusions: Participation in screening and referral programs seems to influence providers' perception of implementation barriers. Future research should explore providers' concerns about addressing identified risks. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Quinones-Rivera, A., Wing, H. E., Barr-Walker, J., Yee, M., Harrison, J. M., Gottlieb, L. M. Tags: Clinical Reviews Source Type: research

Practice Patterns of Family Physicians With and Without Addiction Medicine Board Certification
Discussion: While only a small proportion of family physicians carry dual ADM board certification, those that do disproportionately serve vulnerable populations while retaining broad scope of care. Further work is needed to examine whether SUD treatment access could be addressed by implementing models that support dually certified physicians in consultative and educational efforts that would amplify their impact across the primary care workforce. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Tong, S. T., Morgan, Z. J., Bazemore, A. W., Eden, A. R., Fitzgerald, R. M., Peterson, L. E. Tags: Brief Reports Source Type: research

Cannabinoid Hyperemesis Syndrome in an Athlete
Cannabis (marijuana) is an increasingly prevalent substance used in college-aged adults. Cannabinoid Hyperemesis Syndrome (CHS) is 1 outcome of chronic cannabis use, which presents as cyclic intractable vomiting that can be temporarily relieved with hot baths or showers. This case discusses a collegiate football athlete who presents with intractable vomiting, and it underscores the importance of a detailed history to discern CHS from other more common diagnoses. The report will highlight key diagnostic characteristics, pathophysiology, and treatment options for patients with presumed CHS. (Source: Journal of the American B...
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Fleshman, B., Kaiser, K. Tags: Brief Reports Source Type: research

Cranial Nerve Palsy Secondary to Botulism After Black Tar Heroin Use
Discussion: Progressive cranial nerve palsy with symmetric descending paralysis with heroin abuse should raise the suspicion of WB and require prompt diagnosis and treatment. This case highlights raising awareness of the disease could help lead to early diagnosis and treatment. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Suzuki, H. T., Reddy, H. Tags: Brief Reports Source Type: research

Opioid Education and Prescribing Practices
Discussion: HCPs' exposure to opioid educational information was associated with less opioid prescribing for chronic pain. Findings indicated a difference in exposure and knowledge gaps across provider groups. More information is needed on the content of opioid educational information provided to HCPs. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Price, S. M., O'Donoghue, A. C., Rizzo, L., Sapru, S., Aikin, K. J. Tags: Brief Reports Source Type: research

Effects of Wearing Facemasks During Brisk Walks: A COVID-19 Dilemma
The objective of this study was to evaluate the effects of facemasks on gas exchange. Methods: Healthy adults were assessed at rest and during slow and brisk 5-minute walks, with and without masks. We monitored O2 saturation, end-tidal carbon dioxide (EtCO2), and heart and respiratory rates. Participants graded their subjective difficulty and completed individual sensations questionnaires. Results: Twenty-one participants with a median age of 38 years (range, 29–57 years) were recruited. At rest, all vital signs remained normal, without and with masks. However, during slow and brisk walks, EtCO2 increased; the rise...
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Bar-On, O., Gendler, Y., Stafler, P., Levine, H., Steuer, G., Shmueli, E., Prais, D., Mei-Zahav, M. Tags: Brief Reports Source Type: research

A Review of 50-Years of International Literature on the Internal Environment of Building Practice-Based Research Networks (PBRNs)
Conclusions: PBRNs across many countries contributed significantly to shaping the landscape of primary health care and became an integral part of it. Many common features within the sphere of PBRNs can be identified that seem to promote their establishment across the world. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Dania, A., Nagykaldi, Z., Haaranen, A., Muris, J. W. M., Evans, P. H., Mantyselka, P., van Weel, C. Tags: Original Research Source Type: research

Place Matters: Closing the Gap on Rural Primary Care Quality Improvement Capacity--the Healthy Hearts Northwest Study
Conclusions: Investing practice facilitation and sustained QI strategies in rural independent practices, where the need is high and resources are low, will yield benefits that outweigh centrally prescribed models. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Fagnan, L. J., Ramsey, K., Dickinson, C., Kline, T., Parchman, M. L. Tags: Original Research Source Type: research

Evaluating a Web-Based Adult ADHD Toolkit for Primary Care Clinicians
Conclusion: Availability and adoption of the Toolkit into the routine care of adults with ADHD measurably increased health care professionals' knowledge especially in those providers who regularly see adult patients with ADHD. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Loskutova, N. Y., Lutgen, C. B., Callen, E. F., Filippi, M. K., Robertson, E. A. Tags: Original Research Source Type: research

Psychiatric Medication Users by Age and Sex in the United States, 1999-2018
Conclusion: The rates of individuals reporting the use of any psychiatric medications increased over the last few decades. Rates and patterns of medication users have large variations by medication category, age, and sex, but these patterns of use were stable for most medication categories. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 26, 2021 Category: Primary Care Authors: Johansen, M. E. Tags: Original Research Source Type: research