Re-Envisioning Family Medicine Residencies: The End in Mind
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Newton, W. P., Magill, M., Biggs, W., Brady, J., Conry, C., Wergin, R., Spogen, D., Bush, R. Tags: Board News Source Type: research

Dry Needling Treatment of the Miyofascial Trigger Point in Nocturnal Calf Cramp
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Bagcier, F., Yurdakul, O. V. Tags: Correspondence Source Type: research

Response: Re: Effects of Implementing a Comprehensive Opioid Reduction Protocol on Overall Opioid Prescribing Among Patients with Chronic, Non-Cancer Pain in a Rural Family Medicine Clinic: A Controlled Crossover Trial
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Stack, M. A. Tags: Correspondence Source Type: research

Re: Effects of Implementing a Comprehensive Opioid Reduction Protocol on Overall Opioid Prescribing Among Patients with Chronic, Non-Cancer Pain in a Rural Family Medicine Clinic: A Controlled Crossover Trial
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Gase, A. H. Tags: Correspondence Source Type: research

Provision of Early Pregnancy Loss Care in New York Federally Qualified Health Centers
Conclusions: Few New York FQHCs provided comprehensive EPL care. Supporting FQHCs to overcome barriers may expand access to EPL treatment in primary care and increase continuity and patient centeredness. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Nagle, A., Srinivasulu, S., Maldonado, L., deFiebre, G. Tags: Brief Report Source Type: research

Screening for Diabetic Retinopathy with a Nonmydriatic Ultra-Wide-Field Retina Camera by Family Medicine Physicians
Conclusion: To improve early detection of DR new screening methods should be considered. FM physicians were able to accurately identify DR on postlecture images but were not as accurate when evaluating images taken from patients in the FM clinic. Patients found the screening process to be easy and efficient. This study was limited by the small sample size, particularly the limited number of DR cases. Future studies that include cases with a wide variation of DR severity are needed to determine the accuracy of FM physicians at detecting DR in a clinical setting. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Farford, B. A., Ahuja, A. S., Stewart, M. W., Naessens, J. M., Keith, J. J. Tags: Brief Report Source Type: research

Association of Prediabetes Status Awareness With Behaviors and Perception of Health
Conclusions: Although participants who were aware of their prediabetes status were more likely to report a perceived threat of developing diabetes, they did not report increased engagement in health behaviors. Future research can better understand how these aspects of a health belief model affect engagement in health behaviors for people with prediabetes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Li, E., Silverio, A., Cunningham, A., LaNoue, M. D., Mills, G. Tags: Brief Report Source Type: research

Sudden Sensorineural Hearing Loss: A Diagnostic and Therapeutic Emergency
The family physician’s role in recognizing and managing sudden sensorineural hearing loss (SSNHL) is crucial. A recently updated otolaryngologic clinical practice guideline has been released for this emergency syndrome, but dissemination is limited to a specialty journal. As a result, the guidelines may not be widely available in the primary care setting where patients often present. We provide this focused review to clarify and disseminate SSNHL guidelines for the frontline family physician. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Prince, A. D. P., Stucken, E. Z. Tags: Clinical Review Source Type: research

Parents Report of Their Childrens Underinsurance Status After the Affordable Care Act
Objective: To determine the prevalence and correlates of children’s underinsurance pre- and post-implementation of the Affordable Care Act (ACA). Study Design: A cross-sectional survey of a convenience sample of 5043 parents of children greater than 6 months old who had health insurance in the previous 12 months. Respondents completed the Medical Expenses for Children Survey. Pre-ACA data were collected in summer/fall of 2009 to 2011 (n = 3966); post-ACA data were collected in summer/fall 2016 (n = 1077). All data were collected within the Southwestern Ohio Ambulatory Research Network (SOAR-Net). Results: Some stud...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Pascoe, J. M., Stolfi, A., Eberhart, G., Khamis, H. Tags: Original Research Source Type: research

A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine
The objective of this study was to identify demographic and practice characteristics associated with family physicians’ provision of care to children including a subgroup analysis of those who see pediatric patients younger or older than 5 years of age. Methods: This cross-sectional study used data from US family physicians taking the American Board of Family Medicine continuous certification examination registration questionnaire in 2017 and 2018. The outcome of interest was self-reported care of pediatric patients in practice. We performed bivariate and multivariate logistic regression examining the association be...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Jetty, A., Romano, M. J., Jabbarpour, Y., Petterson, S., Bazemore, A. Tags: Original Research Source Type: research

Factors Associated with Time Spent Practicing Sports Medicine by Those with a Certificate of Added Qualification
Conclusions: Those factors found to be associated with spending 75% or more of their time practicing sports medicine by SM-FPs seem to be consistent with recent trends in the recruitment and employment of these physicians and their ability to provide added value to the health care system by virtue of their additional training and expertise. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Nithyanandam, S., Peterson, L. E., Puffer, J. C. Tags: Original Research Source Type: research

Social Inequities Between Prenatal Patients in Family Medicine and Obstetrics and Gynecology with Similar Outcomes
This study investigated the social risk profile, as characterized by social determinants of health, of patients receiving prenatal care from FM versus Obstetrics and Gynecology (OB/Gyn) providers. Methods: Retrospective chart review of patients receiving prenatal care between 2015 to 2018 at Penn State Health Hershey Medical Center comparing social determinants of health between FM and OB/Gyn. Results: A total of 487 patient charts were reviewed with final analysis completed on 215 charts from each cohort. When compared with OB/Gyn, prenatal patients cared for by FM were more likely to be younger (27 vs 29 years old; P
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Partin, M., Sanchez, A., Poulson, J., Berg, A., Parascando, J., Ramirez, S. I. Tags: Original Research Source Type: research

Feasibility of Group Visits for Advance Care Planning Among Patients with Heart Failure and Their Caregivers
Conclusions: Disease-focused ACP group visits were feasible to conduct and acceptable to participants, underscoring their value as an efficient intervention to engage patients and caregivers in the otherwise time- and resource-intensive task of ACP. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Bandini, J. I., Kogan, A. C., Olsen, B., Phillips, J., Sudore, R. L., Bekelman, D. B., Ahluwalia, S. C. Tags: Original Research Source Type: research

US Primary Care Physicians Viewpoints on HPV Vaccination for Adults 27 to 45 Years
Conclusions: Physicians are interested in recommending HPV vaccination for adults age 27 to 45 years despite ACIP not routinely recommending it in this age range. The majority need more education about the optimal use of HPV vaccine in this age group. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Hurley, L. P., OLeary, S. T., Markowitz, L. E., Crane, L. A., Cataldi, J. R., Brtnikova, M., Beaty, B. L., Gorman, C., Meites, E., Lindley, M. C., Kempe, A. Tags: Original Research Source Type: research

Interdisciplinary Primary Care Team Expertise and Diabetes Care Management
Background: Interdisciplinary primary care team expertise can aid patient self management of type 2 diabetes, but small community health centers (CHCs) may not have the volume to consistently provide interprofessional care. We examine whether care team role expertise is associated with patients’ experiences of chronic care and whether the relationship is stronger for small CHC sites. Methods: Surveys of 1277 adults with diabetes (2012; response rate = 47%) that assessed nonphysician team roles involved in managing their chronic care, including community health workers, diabetes educators, nutritionists, pharmacists,...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Miller-Rosales, C., Rodriguez, H. P. Tags: Original Research Source Type: research

One-View Chest Radiograph for Initial Management of Most Ambulatory Patients with Rib Pain
Conclusion: Single-view chest radiograph provides sufficient information for the clinical management of ambulatory patients with rib pain. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Nishimura, E., Finger, A., Harris, M., Yoon, H.-C. Tags: Original Research Source Type: research

Low-Dose Aspirin Use Among African American Older Adults
Conclusions: Among underserved African-American middle-aged and older adults, many who could potentially benefit from aspirin are not taking it; and many taking aspirin have no indication to do so and risk unnecessary side effects. Compared with non-Hispanic Whites, African Americans are more likely to be diagnosed with diabetes, hypertension, and heart conditions at earlier stages of life; as a result, the role of preventive intervention, including safe and appropriate use of low-dose aspirin among this segment of our population, is more salient. Interventional studies are needed to promote safe and effective use of low-d...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Bazargan, M., Wisseh, C., Adinkrah, E., Boyce, S., King, E. O., Assari, S. Tags: Original Research Source Type: research

Perceptions of Patients with Primary Nonadherence to Statin Medications
Conclusions: Adults with primary nonadherence to statins describe seeking alternatives, avoiding perceived risks of statins, poor acceptance/understanding of CVD risk estimates, and doubts about the benefits of statins. Many do not disclose their decisions to providers, thus highlighting the need for provider awareness of the potential for primary nonadherence at the point of prescribing, and the need for future work to develop strategies to identify patients with potential primary nonadherence. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Tarn, D. M., Barrientos, M., Pletcher, M. J., Cox, K., Turner, J., Fernandez, A., Schwartz, J. B. Tags: Original Research Source Type: research

Uptake of Statin Guidelines to Prevent and Treat Cardiovascular Disease
We examined associations based on patient, clinician, and practice characteristics and interviewed 24 clinicians and practice leaders to inform findings. Results: The proportion of patients adherent with all recommendations 2 years after the guideline only increased from 18.5% to 20.3% (P
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Tong, S. T., Sabo, R. T., Hochheimer, C. J., Brooks, E. M., Jiang, V., Huffstetler, A. N., Lail Kashiri, P., Krist, A. H. Tags: Original Research Source Type: research

Changing Pharmaceutical Industry Interaction in US Family Medicine Residencies: A CERA Study
Conclusions: Interaction between trainees in US family medicine residencies and the pharmaceutical industry continued to decrease. A changing national legislative landscape combined with institutional policies and concerns about industry influence on prescribing habits may be important factors driving the limiting of interactions. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Brown, S. R., Fugh-Berman, A. Tags: Original Research Source Type: research

Mental Health and Benzodiazepine Use Among Patients on Chronic Opioid Therapy
This study adds to the evidence that odds of successfully tapering opioids may be significantly impacted by patients’ mental health diagnosis and opioid dose. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Smith, A. Y., Kirk, J. K., Smith, P. F., Wells, B. J. Tags: Original Research Source Type: research

Challenges and Approaches to Population Management of Long-Term Opioid Therapy Patients
Conclusions: We identified common challenges and approaches to tracking and monitoring patients using long-term opioid therapy for CNCP in primary care. Based on these findings we provide recommendations to build capacity for tracking and monitoring for organizations that are engaged in improving safe opioid-prescribing practices for CNCP in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Stephens, K. A., Ike, B., Baldwin, L.-M., Packer, C., Parchman, M. Tags: Original Research Source Type: research

Documenting New Ways of Delivering Care Under Oregons Alternative Payment and Advanced Care Model
Conclusions: These findings suggest that APCM is increasing CHCs’ capacity to experiment with new ways of providing care beyond the traditional face-to-face office visit with a physician or advanced practice provider. However, CHCs may choose different ways to change the delivery of care and some CHCs have implemented these changes more quickly than others. Future mixed-methods research is needed to understand barriers and facilitators to changing the delivery of care after APCM implementation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Cottrell, E. K., Dambrun, K., OMalley, J., Jacob, R. L., Mossman, N., Ashou, C., Heintzman, J. Tags: Original Research Source Type: research

Do Medical Scribes Help Primary Care Providers Respond More Quickly to Out-of-Visit Tasks?
Conclusions: Our study suggests that scribes are not associated with improved time to completion of inbox messages for PCPs. While scribes seem to have many benefits, our study suggests they may not improve time to completion of out-of-visit tasks. Reducing the time to completion for these tasks likely requires other interventions targeted to achieve those outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Zallman, L., Altman, W., Chu, L., Touw, S., Rajagopal, K., Dolat, S., Sayah, A. Tags: Original Research Source Type: research

Barriers to Follow-Up Colonoscopy After Positive FIT or Multitarget Stool DNA Testing
Conclusions: Follow-up colonoscopy was higher for mt-sDNA than FIT, which could be due in part to preselection by clinicians and/or patients. Among patients who did not follow-up, provider and system factors were as frequently encountered as patient factors. These findings reinforce the need for multi-level interventions to improve follow-up. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Cooper, G. S., Grimes, A., Werner, J., Cao, S., Fu, P., Stange, K. C. Tags: Original Research Source Type: research

Electronic Health Record Algorithm Development for Research Subject Recruitment Using Colonoscopy Appointment Scheduling
Conclusion: Development of an EHR algorithm saved time in that most individuals ineligible for the study were excluded before patient medical record review. Running daily reports that included cancellations and rescheduled appointments allowed for maximum recruitment in a time frame appropriate for the use of the FITs. This algorithm demonstrates that refining the algorithm iteratively and adding cancellations and reschedules of colonoscopies increased the accuracy of reaching all potential patients for recruitment. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Daly, J. M., Parang, K., Levy, B. T. Tags: Original Research Source Type: research

Engagement of Small to Medium-Sized Primary Care Practices in Quality Improvement Efforts
Conclusions: Clinicians and leadership involvement in QI efforts is critical. The findings suggest that QI plans should involve clinicians and leaders early in the process to foster commitment, establish practice readiness, and sustain improvement efforts. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Soylu, T. G., Cuellar, A. E., Goldberg, D. G., Kuzel, A. J. Tags: Original Research Source Type: research

A Taxonomy for External Support for Practice Transformation
Conclusions: This taxonomy and its use in more consistently documenting and characterizing external support interventions should facilitate communication and synergies between 3 areas (quality improvement, practice change research, and implementation science) that have historically tended to work independently. The taxonomy was designed to be as useful for practices or health systems managing change as it is for research. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Solberg, L. I., Kuzel, A., Parchman, M. L., Shelley, D. R., Dickinson, W. P., Walunas, T. L., Nguyen, A. M., Fagnan, L. J., Cykert, S., Cohen, D. J., Balasubramanaian, B. A., Fernald, D., Gordon, L., Kho, A., Krist, A., Miller, W., Berry, C., Duffy, D., N Tags: Original Research Source Type: research

Advancing the Patient EXperience (APEX) in COPD Registry: Study Design and Strengths
The Advancing the Patient Experience (APEX) in Chronic Obstructive Pulmonary Disease (COPD) registry (https://www.apexcopd.org/) is the first primary care health system-based COPD registry in the United States. While its ultimate goal is to improve the care of patients diagnosed with COPD, the registry is also designed to describe real-life experiences of people with COPD, track key outcomes longitudinally, and assess the effectiveness of interventions. It will retrospectively and prospectively collect information from 3000 patients enrolled in 5 health care organizations. Information will be obtained from electronic healt...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Yawn, B. P., Kaplan, A., Pace, W. D., Kocks, J. W. H., Bulathsinhala, L., Carter, V. A., Chang, K.-L., Edwards, C. L., Fox, C., Gaona, G., Gopalan, G., Han, M. K., Kruszyk, M., Le Lievre, C. E., Mahle, C. D., Make, B., Philip, Z. K., Price, C., Ratigan, A Tags: Original Research Source Type: research

Improving the Reporting of Primary Care Research: An International Survey of Researchers
Conclusions: Opportunities exist to improve the reporting of PC research to make it more useful for its many users, suggesting a role for a PC research reporting guideline. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Phillips, W. R., Sturgiss, E., Hunik, L., Glasziou, P., Hartman, T. o., Orkin, A., Reeve, J., Russell, G. M., van Weel, C. Tags: Original Research Source Type: research

The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Of family physicians who perform cesarean sections, more than half do so in rural communities and 38.6% provide cesarean sections in counties without any obstetrician/gynecologists. As policymakers in the United States struggle with a widening landscape of ‘obstetrical deserts,’ efforts to adequately train a family physician workforce prepared to provide cesarean sections could help maintain access to local obstetric services in rural communities and reduce perinatal morbidity and mortality. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Tong, S. T., Eden, A. R., Morgan, Z. J., Bazemore, A. W., Peterson, L. E. Tags: Policy Brief Source Type: research

Family Physicians Ability to Perform Cesarean Sections Can Reduce Maternal and Infant Mortality
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Cullen, J. Tags: Commentary Source Type: research

Systemic Racism and Health Disparities: A Statement From Editors of Family Medicine Journals
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Sexton, S. M., Richardson, C. R., Schrager, S. B., Bowman, M. A., Hickner, J., Morley, C. P., Mott, T. F., Pimlott, N., Saultz, J. W., Weiss, B. D. Tags: Commentary Source Type: research

Advancing Research Methods for Common Problems in Family Medicine and Family Medicine Practice Management
Several research groups from multiple institutions provide structure and methods to improve research for family medicine. Colon cancer research includes which common screening test for colon cancer most often results in completed colonoscopy. Authors explore how some cardiovascular preventive medications are overused while others are underused. Three research papers specifically advance improvements for practice management, 3 articles address diabetes, 3 others cover family physicians caring for specific populations (pregnant women, children, and those with sports-related issues). There are practical research articles on p...
Source: Journal of the American Board of Family Medicine - January 15, 2021 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A. Tags: Editors ' Note Source Type: research

Subject Index to Volume 33, 2020
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - December 14, 2020 Category: Primary Care Tags: Indices Source Type: research

Author Index to Volume 33, 2020
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - December 14, 2020 Category: Primary Care Tags: Indices Source Type: research

The Impact of the ACGMEs June 2019 Changes in Residency Requirements
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Newton, W. P., Magill, M. Tags: Board News Source Type: research

Response: Re: Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: McCormick, J. R., Sama, A. J., Schiller, N. C., Butler, A. J., Donnally, C. J. Tags: Correspondence Source Type: research

Re: Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Hernandez Fustes, O. J., Arteaga Rodriguez, C. Tags: Correspondence Source Type: research

Three Simple Rules in Pectoral Muscles Trigger Point Treatment, Which May Be a Cause of Chest Pain: Position, Palpation, and Perpendicular Needling
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Bagcier, F., Volkan Yurdakul, O., Ozduran, E. Tags: Correspondence Source Type: research

Current Indications for Tonsillectomy and Adenoidectomy
This paper reviews current indications for otolaryngology consultation for tonsillectomy and adenoidectomy (T&A). Despite often being performed concurrently, these procedures should be considered separate surgeries done for different indications. The American Academy of Otolaryngology - Head and Neck Surgery published tonsillectomy guidelines for children in 2019. These recommendations are often extrapolated to adults in clinical practice despite less robust literature support for this age group. T&A should be recommended for pediatric obstructive sleep apnea. Specific frequencies of tonsillitis have been identifie...
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Randall, D. A. Tags: Evidence-Based Clinical Medicine Source Type: research

Perspectives on Dermoscopy in the Primary Care Setting
Conclusion: Our sample of PCPs in the United States showed that although few use dermoscopy, most perceive it as a useful tool, particularly family medicine physicians. The main reported barriers preventing its use included the lack of training and poor access to dermatoscopes. The vast majority of PCPs in our sample want to be trained in dermoscopy, thereby providing an opportunity for educational initiatives that take into account the barriers and preferred learning strategies. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Williams, N. M., Marghoob, A. A., Seiverling, E., Usatine, R., Tsang, D., Jaimes, N. Tags: Research Letter Source Type: research

A Proposed Opioid Tapering Tool
Discussion: Our group plans to use this software in an upcoming pilot study to taper patients on COT for CNCP. We are exploring the possibility of transitioning our software into other available APIs with the goal of integrating this software into major electronic health record systems. Our group envisions that our software will provide an additional tool within a patient-centered, multi-modal framework in managing patients on COT for CNCP. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Lai, B., Witt, D., Thacher, T., Witt, T. Tags: Research Letter Source Type: research

Electronic Health Record Reminder Effect on Hepatitis C Antibody Screening
We examined data from 2 years before and after the addition of the reminder. Completed hepatitis C antibody testing increased from 733 to 6502, and the rate of positive testing decreased from 5.9% to 2.0%. Implementing the electronic health record reminder and educating providers on the routine use of the Health Maintenance section increased hepatitis C screening for at risk adults. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Mulhem, E., Brown, I., Song, K. Tags: Brief Report Source Type: research

The Golden Letter: Innovation Collaboration to Reduce Avoidable Hospital Admissions
Conclusion: This initiative effectively reduced the number of low-acuity admissions and 30-day hospitalizations. This concept can provide a significant reduction of health care resource utilization and cost by ensuring safe ED discharge and rapid outpatient follow-up for low-acuity patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Nanavati, M., Saenz, S., Swayne, K., Carek, P. Tags: Brief Report Source Type: research

Patients Understanding of the Relationship Between Their Diabetes and Periodontal Disease
Introduction: There is a paucity of research on awareness, education, and interventions that address increased risk of developing periodontal disease, the sixth complication of diabetes. Examining the knowledge of patients with diabetes and understanding of the bidirectional relationship between periodontal disease and diabetes could inform future diabetes self-management care. We assessed the knowledge and understanding of the bidirectional relationship between diabetes and periodontal disease; examined gender, education, and income differences in this knowledge and understanding, as well as other differences in dental hy...
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Oguntimein, O., Butler, J., Desmond, S., Green, K. M., He, X., Horowitz, A. M. Tags: Brief Report Source Type: research

The Impact on Future Prescribing Patterns of Opioid Use Disorder (OUD) Education and Waiver Provision During Residency
Background: Family medicine residency programs vary in the extent of training offered on opioid use disorder (OUD) in their curricula. The purpose of this study was to determine the impact of OUD education and buprenorphine waiver provision on postresidency buprenorphine prescribing patterns. Methods: Three North Carolina family medicine residency programs differed in the extent to which they taught OUD, including buprenorphine waiver provision. Program A required OUD education and assisted residents in obtaining a waiver; Program B offered OUD education and did not assist with obtaining a waiver; and Program C did not of...
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Boggiano, V., Gilmore Wilson, C., Fagan, E. B., Kirk, J., Bossenbroek-Fedoriw, K., Tak, C. R. Tags: Brief Report Source Type: research

A Systematic Approach to Opioid Prescribing
Conclusions: Safe opioid prescribing is essential to mitigate the opioid crisis. An evidence-based standardized protocol, coupled with support for providers and patients, can reduce prescribing and improve patient safety, thereby enhancing the comprehensiveness and quality of patient care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Bossenbroek Fedoriw, K., Prentice, A., Slatkoff, S., Myerholtz, L. Tags: Brief Report Source Type: research

Reliability of Peer Review of Abstracts Submitted to Academic Family Medicine Meetings
Conclusions: For abstracts submitted to North American academic family medicine meetings, inter-reviewer agreement is often low, compromising initial review reliability. For many submission categories, program committees should supplement initial review with independent postreview assessments. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Fenton, J. J., Tapp, H., Thakur, N. M., Pfeifle, A. L. Tags: Original Research Source Type: research

Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach
Conclusion: An interdisciplinary, team-based approach was effective for improving the health of COPD patients in an Appalachian academic primary care practice. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Peckens, S., Adelman, M. M., Ashcraft, A. M., Xiang, J., Sheppard, B., King, D. E. Tags: Original Research Source Type: research