With the lifetime prevalence of shoulder pain approaching 70%, accurate diagnosis and management remains essential. The shoulder is a complex joint with a vast range of motion making it susceptible to injury due to limited bony stabilization. This manuscript shares a simplified, novel approach...
Recent Resources
In-Office Knee Injection Technique: Tips for Success
Dr. Skelley demonstrates a technique for performing a sterile "no touch" technique for in-office knee injections. The rationale and steps for the procedure are described in this video.
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Adolescent-Centered Sexual and Reproductive Health Communication
This JAMA Insights explores how clinicians can effectively communicate person-centered health care information to adolescents regarding sexual and reproductive health, contraception, and sexually transmitted infection testing and treatment.
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Integrating Buprenorphine for Opioid Use Disorder into Rural, Primary Care Settings
Background: Medications for opioid use disorder (MOUD) including buprenorphine are effective, but underutilized. Rural patients experience pronounced disparities in access. To reach rural patients, the US Department of Veterans Affairs (VA) has sought to expand buprenorphine prescribing beyond...
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Improving behavioral health outcomes in primary care
Screening, Brief Intervention, and Referral to Treatment in Oklahoma (SBIRT-OK)
is an evidence-based, integrated approach to identify and intervene with patients whose
patterns of tobacco, alcohol, and/or drug use, or depression, put their health at risk.
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A GUIDE to help patients and families better understand serious illnesses: Mnemonic device provides way to teach learners about advance care planning
Advance care planning (ACP) was identified as a priority in the 2006 final report of the Public Information and Awareness Working Group of the Canadian Strategy on Palliative and End-of-Life Care.1 An important component of ACP is patients’ understanding of their prognoses, which might include...
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Nurse Standing Orders for Buprenorphine Follow-Up Care in a Community Health Center Network
Background: Less than 20% of individuals with opioid use disorder (OUD) are receiving a medication treatment for OUD in the United States. Though nurses can assume critical roles in outpatient models of OUD care, there are no published reports of buprenorphine standing orders for nurses that...
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Evaluation of a Dragons' Den-inspired symposium to spread primary health care innovations in Quebec, Canada: a mixed-methods study using quality-improvement e-surveys
Background: On May 24, 2017, the Quebec College of Family Physicians held an innovation symposium inspired by the television show Dragons' Den, at which innovators pitched their innovations to Dragon-Facilitators (i.e., decision-makers) and academic family medicine clinical leads. We evaluated...
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Integrating Physical Therapists Into Primary Care Within A Large Health Care System
Background: Bellin Health in Wisconsin has pioneered the colocation and integration of physical therapists into primary care pods.
Methods: This is an observational study based on one in-person visit and several interviews.
Results: For patients with musculoskeletal complaints,...
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Responding to Unsafe Opioid Use: Abandon the Drug, Not the Patient
Physicians have a legal and ethical duty to protect their patients and support them during times of clinical need; the decision to end a doctor-patient relationship should not be made lightly. However, in a recent survey of 794 primary care practices, 90% reported discharging patients in the...
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