Article
Education, Scientific Disciplines
Jung G. Kim, Hector P. Rodriguez, Stephen M. Shortell, Bruce Fuller, Eric S. Holmboe, Diane R. Rittenhouse
Summary: Despite the importance of ambulatory care training in primary care residency programs, the study found that the percentage of time spent in ambulatory care by PGY-1 residents varies due to factors such as program size, funding sources, and patient populations. Larger ACGME-accredited family medicine and internal medicine programs, as well as those receiving federal THC GME funding, had more PGY-1 time spent in ambulatory care settings.
Article
Medicine, General & Internal
Ailin Song, Jay B. Lusk, Kyung-Min Roh, Kevin J. Jackson, Karen A. Scherr, Ryan P. McNabb, Ranee Chatterjee, Anthony N. Kuo
Summary: Fundoscopic examination is rarely performed and not sensitive for detecting DR in primary care practice. Research is needed to explore and overcome barriers to implementing effective primary care-based DR screening strategies.
Article
Endocrinology & Metabolism
Chai Li Tay, Wei Leik Ng, Hooi Chin Beh, Wan Chieh Lim, Narwani Hussin
Summary: There is insufficient knowledge and a low level of screening and managing osteoporosis among primary care physicians in Malaysia. A national structured health program is needed to address the knowledge gap and improve screening practices, as well as enhance accessibility to bone mineral densitometry and anti-osteoporosis medication in primary care.
ARCHIVES OF OSTEOPOROSIS
(2022)
Article
Education & Educational Research
Abdul Jalil Khan, Ahsan Sethi, Sheraz Fazid, Zia Ul Haq, Javaria Raza, Mumtaz Patel
Summary: This study examines the impact of a one-year Postgraduate Diploma in Family Medicine on primary care doctors in Khyber Pakhtunkhwa, Pakistan. The findings suggest that the program has a positive effect on the participants' clinical and consultation skills, resulting in increased patient satisfaction.
BMC MEDICAL EDUCATION
(2022)
Article
Medicine, General & Internal
Aileen Callanan, Diarmuid Quinlan, Susanne O'Sullivan, Colin P. Bradley, Patricia M. Kearney, Aileen Murphy, Claire Mary Buckley
Summary: Atrial fibrillation (AF) is a major risk factor for stroke and is often asymptomatic. Early detection of AF can significantly reduce stroke risk. International experts recommend AF screening, but there are multiple screening methods.
Article
Health Policy & Services
Sarah R. Blackstone, Amanda N. Sebring, Claudia Allen, Joseph S. Tan, Rebekah Compton
Summary: This study describes a quality improvement initiative to increase depression screening in five Family Medicine clinics, resulting in a significant increase in the proportion of up-to-date patients from 61.03% in September 2020 to 82.33% in April 2021. Patients aged 65+ and patients with comorbidities were more likely to be up-to-date on screening. Patients with telemedicine visits had lower odds of being up-to-date on depression screening.
JOURNAL OF COMMUNITY HEALTH
(2022)
Review
Pediatrics
Sophie Jullien, Gottfried Huss, Ralf Weigel
Summary: The editorial group of a WHO pocket book prioritized recommendations for preventing morbidity and mortality in children. They found consensus among institutions for single interventions like providing vitamins D and K and topical fluoride, but variability for multiple interventions like preventing sudden infant death syndrome and unintentional injuries. Screening interventions also had varying recommendations and evidence, highlighting the importance of transparent and independent processes in using existing evidence to inform guidelines.
Article
Medicine, General & Internal
Arlinda Ruco, Alexandra Cernat, Sabine Calleja, Jill Tinmouth, Aisha K. Lofters
Summary: This scoping review aims to report on PCP interventions that maximize cancer screening participation among marginalized patients. The review will focus on cancers with strong evidence for screening, including lung, cervical, breast, and colorectal cancers. Peer-reviewed literature published in English from January 1, 2000, to March 31, 2022, describing PCP interventions for cancer screening will be included. The results will be disseminated to inform the development of interventions for marginalized patients.
Article
Medicine, General & Internal
Yoshifumi Sugiyama, Rieko Mutai, Hisashi Yoshimoto, Ryoko Horiguchi, Shuhei Yoshida, Masato Matsushima
Summary: This study verified the structural validity and internal consistency of the English version of the Patient Centred Assessment Method (PCAM) in a primary care setting in a Japanese island area. The previously reported two-factor and three-factor structures did not fit the data well, but exploratory factor analysis revealed a new two-factor structure with validated internal consistency.
Article
Medicine, General & Internal
Giacomo Pucci, Edoardo Santoni, Valeria Bisogni, Camilla Calandri, Alberto Cerasari, Irene Dominioni, Leandro Sanesi, Marco D'Abbondanza, Vito Veca, Gaetano Vaudo
Summary: Systematic AF screening using an automated blood pressure monitoring device is feasible and effective in detecting AF episodes in patients admitted to Internal Medicine wards, showing high sensitivity and specificity. AF screening can help timely diagnose AF in patients and prevent undiagnosed AF episodes.
INTERNAL AND EMERGENCY MEDICINE
(2021)
Article
Medicine, General & Internal
Sarah Griffiths, Emily Spencer, Jane Wilcock, Claire Bamford, Alison Wheatley, Greta Brunskill, Federica D'Andrea, Kate R. Walters, Natalia Lago, Aidan O'Keeffe, Rachael Hunter, Remco Tuijt, Karen Harrison Dening, Sube Banerjee, Jill Manthorpe, Louise Allan, Louise Robinson, Greta Rait, PriDem Study Team
Summary: This study aims to assess the feasibility and implementation of a person-centred intervention for dementia care led by Clinical Dementia Leads working in primary care. Data from patients, carers, and healthcare professionals will be collected and analyzed quantitatively and qualitatively to evaluate the acceptability and feasibility of the intervention.
Article
Medicine, General & Internal
Michael Reaume, Mehdi Farishta, Joseph A. Costello, Tyler Gibb, Thomas A. Melgar
Summary: This study aimed to identify diagnostic error lawsuits related to POCUS in internal medicine, pediatrics, family medicine, and critical care. After reviewing 131 cases, it was found that no physicians in these fields were subjected to adverse legal action for their diagnostic use of POCUS, suggesting concerns regarding lawsuits in these areas are not substantiated.
POSTGRADUATE MEDICAL JOURNAL
(2021)
Review
Medicine, General & Internal
Shiva P. Ponamgi, Konstantinos C. Siontis, David R. Rushlow, Jonathan Graff-Radford, Victor Montori, Peter A. Noseworthy
Summary: Atrial fibrillation is a common chronic disease that requires complicated and multifaceted care. Clinicians should prioritize individual patient needs, use diagnostic testing judiciously, consider novel therapeutic agents and procedures thoughtfully, and provide access to subspecialty expertise.
BMJ-BRITISH MEDICAL JOURNAL
(2021)
Article
Psychiatry
Laika D. Aguinaldo, Shayla Sullivant, Elizabeth C. Lanzillo, Abigail Ross, Jian-Ping He, Andrea Bradley-Ewing, Jeffrey A. Bridge, Lisa M. Horowitz, Elizabeth A. Wharff
Summary: The study aimed to validate the ASQ as an effective screening tool for identifying youth at elevated suicide risk in outpatient clinical settings. Results showed that the ASQ demonstrated high sensitivity and specificity in outpatient specialty and primary care clinics, with NPV reaching 100% in both settings.
GENERAL HOSPITAL PSYCHIATRY
(2021)
Article
Medicine, General & Internal
Rakesh Narendra Modi, Sarah Kelly, Sarah Hoare, Alison Powell, Isla Kuhn, Juliet Usher-Smith, Jonathan Mant, Jenni Burt
Summary: Screening programmes are important in healthcare activity and require careful delivery to generate net benefit. This study aims to explore and synthesize evidence on how screening programmes can be delivered in primary care, including barriers, facilitators, and strategies. Findings will be disseminated to academics, decision-makers, practitioners, and the public through various channels.
Review
Endocrinology & Metabolism
Linsey U. Gani, Chanika Sritara, Robert D. Blank, Weiwen Chen, Julia Gilmour, Ruban Dhaliwal, Ranjodh Gill
Summary: Dual-energy X-ray absorptiometry (DXA) is the gold standard method for measuring bone mineral density (BMD), which is strongly associated with fracture risk. The International Society for Clinical Densitometry (ISCD) has released new official positions on follow-up DXA examinations, highlighting the importance of considering the clinical context and individualized testing intervals.
JOURNAL OF CLINICAL DENSITOMETRY
(2024)
Article
Endocrinology & Metabolism
Andia Cheneymann, Josephine Therkildsen, Simon Winther, Louise Nissen, Jesper Thygesen, Bente L. Langdahl, Ellen-Margrethe Hauge, Morten Bottcher
Summary: Osteoporosis is often overlooked, and contrast-enhanced CT scans used for other diseases may overestimate bone mineral density. Adjustments for this effect are necessary before contrast-enhanced images can be clinically utilized for BMD screening.
JOURNAL OF CLINICAL DENSITOMETRY
(2024)