Journal of the American Board of Family Medicine

GI illnesses often occur as a consequence of long-term heavy alcohol use. Study suggests that primary care providers should screen their GERD patients for AUD, as they are at a higher risk of AUD diagnosis within 2 years.
www.jabfm.org/content/38/4...

Athletic trainers connect high school students & family medicine practices. In underserved communities, ATs can be students’ first contact with healthcare. New article found that students trusted ATs, and are positioned to support whole-person care
www.jabfm.org/content/38/4...

Be sure to stop by our table to learn more about JABFM, meet our editors, and learn more about our Research and Editing Fellowship! #NAPCRG2025

Care coordination is a promising strategy to navigate the complexities in primary care, but its effectiveness remains unclear. Researchers identified four types of care coordination, an important step in improving its effectiveness and patient outcomes
www.jabfm.org/content/38/3...

Is Cognitive Impairment Associated with Inadequate Bowel Preparation for Colonoscopy? Purpose: Inadequate bowel preparation (IBP) for colonoscopies is associated with missed polyps and cancers, prolonged procedure times, lower colonoscopy completion rates, and need for a repeat procedu...

Inadequate bowel preparation for colonoscopies is associated with missed diagnoses, prolonged procedure time, and need to repeat procedures. New research examines the association of cognitive impairment and participant demographic and clinical characteristics with IBP. www.jabfm.org/content/38/3...

A Snapshot of Family Medicine Physician Engagement with State Policy: Findings from the 2023 CERA Survey Background: Health care professionals are in a unique position to enact health-related social change. Medicine is subject to regulation at the organizational, local, state, and national levels. Federa...

Physicians are trained to advocate for their individual patients but could make significant impacts when intervening and advocating at the policy level. New research examines family medicine physician participation in the pollical process. www.jabfm.org/content/38/3...

Physician Experience of Discrimination in a Leadership and Well-Being Program Introduction: Physician workforce shortages are expected to reach 48,000 primary care physicians by 2034 with burnout, discrimination (gender, race, and others), and harassment as contributors. Physic...

The primary care workforce shortage is projected to worsen, studies indicate education costs, discrimination, burnout, & salary disparities as key factors. Understanding physicians’ experiences w/ discrimination is an important step towards addressing the shortage www.jabfm.org/content/38/3...

Most people who need OUD treatment do not receive medication for opioid use disorder (MOUD). Primary care can help increase MOUD access, yet only 6 to 10% of primary care clinicians prescribe MOUD. New research highlights barriers and strategies for MOUD implementation www.jabfm.org/content/38/3...

“Medicine Is Awesome”: A Critical Look at the Factors That Shape Thinking About Depression and Its Treatment No longer are prolonged sadness and despondency, with their effects on day-to-day functioning, conceived of as a response to someone’s internal world or external environment. Instead, the syndrome has...

Depression has been defined and redefined several times, now seen as a treatable, homogenous disorder. Focusing pharmaceutical treatments and away from an individual’s life experience has led to overdiagnosis and overtreatment of patients with depression symptoms www.jabfm.org/content/38/3...

Pooled cohort equations (PCE) are race- & sex-specific formulas that estimate a person’s 10-year risk of heart attack or stroke. Widely used to guide statin recommendations, there remains a significant gap between calculator-guided recommendations and actual statin use www.jabfm.org/content/38/3...

Guidelines are just a starting point, not the end goal, of successful implementation. Research has identified key facilitators and barriers that impact clinicians' ability to safely prescribe opioids www.jabfm.org/content/37/3...

New research evaluated the prevalence of lung cancer screening in Latino patients by place of birth, finding those without documented country of birth had lower odds of receiving screening #MedSky #FamilyMedicine www.jabfm.org/content/38/3...

Long COVID and Days of Work Missed Due to Illness or Injury by Adults in the United States, 2022 Introduction: There are concerns of postacute sequelae of COVID-19, but the impact of long COVID on the US workforce is unclear. Methods: We analyzed the nationally representative 2022 Medical Expend...

Long COVID impacts the daily lives of sufferers, including their work. This study aimed to understand the impact long COVID has on the workforce, finding those who had long COVID missed significantly more days of work than those who did not
www.jabfm.org/content/38/3...

Stroke survivors often report a lower QoL than the general population. The impacts of stroke can be improved through professional rehabilitation. This study compared the effectiveness of interventions in improving stroke patients’ QoL.
www.jabfm.org/content/38/3...

Prenatal Care Coordination (PNCC) is a Medicaid-funded intervention that supplements prenatal care with social & educational services to improve maternal and infant health. PNCC clinicians may also help beneficiaries attain Well Child Visits for their infants www.jabfm.org/content/38/3...

#AI & machine learning are reshaping #FamilyMedicine! Check out our living collection of the latest research from journals like Annals of Family Medicine, @jabfm.bsky.social and more. Updated automatically as new studies are published.

Learn more: www.annfammed.org/content/ai-f...

New research develops and internally validates a novel risk score for influenza that incorporates flu vaccination status. In the study’s external validation, it classified over 60% of patients in the low-risk group, with only a 6.8% probability of influenza.

www.jabfm.org/content/38/3...

Leukemias have been detected incidentally in the asymptomatic phase when running a complete blood count test for unrelated reasons. While a CBC does not constitute as screening, its role in detecting leukemias offers crucial insights into cancer screening in general www.jabfm.org/content/38/2...

New paper: care coordination in pregnancy improves well-child visit attendance for infants — even up to 2 years post-birth! doi.org/10.3122/jabf...

@jabfm.bsky.social @rushmedical.bsky.social @wifamilymedicine.bsky.social

30+ million people in the US live with type 2 diabetes, yet there is a gap between the recommended and actual care for their psychosocial needs. Interventions like INTEGRATE-D warrant further discovery to help primary care clinics better align with ADA recommendations www.jabfm.org/content/38/2...

We are excited to welcome Dr. Namita Bhardwaj as our newest Research and Editing Fellow! Click here to learn more about the ABFM Research and Editing Fellowship: www.jabfm.org/content/abfm...

Identifying Strategies to Improve Implementation of Integrative Pain Management in Primary Care Background: Mounting evidence supports the use of integrative pain management (IPM) in primary care settings. There is limited understanding of primary care clinicians’ experiences, recommendations, a...

While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...

In this original research, researchers saw greater frequency of preventative visits, cervical cancer screenings, and diabetes monitoring labs in participants who received electronically-delivered push notifications
www.jabfm.org/content/38/2...

Piroxicam Plus Plan B for Emergency Contraception Consider combination therapy using Levonorgestrel with Piroxicam as an option for female patients, seeking a noninvasive, affordable and practical option for emergency oral contraception.

Research has demonstrated improved effectiveness of the Levonorgestrel (Plan B) with the NSAID Piroxicam to address unwanted pregnancies without any increase in side effects www.jabfm.org/content/38/2...

Fragmented care, cost, access, and corporate medicine failing to increase the number of family physicians providing maternal care has exacerbated the maternal morbidity crisis in the United States. The FM OB model could help to alleviate these disparities www.jabfm.org/content/38/2...

Examining the Million Dollar Question: Why is There Still a Gender Wage Gap in Family Medicine? In their policy brief “Lifetime Impact of the Gender Wage Gap in Family Medicine,” Sanders et al. report that female§ family physicians in their early careers experience an annual wage gap of nearly $...

Female family physicians earn $32K less/year than men with similar roles, leading to them earning $1M less than their male colleagues. The gap is growing (2017: $32K → 2022: $57K) & won't be fixed through better negotiation, instead systemic changes are needed www.jabfm.org/content/38/2...

Many patients don’t ask for or understand the Medicare Annual Wellness Visit, making it harder for them to participate meaningfully. New research explores how this limits its effectiveness despite database analyses showing benefits. www.jabfm.org/content/38/2...

Barriers and Facilitators to Informed Decision-Making About Prostate Cancer Screening Among Black Men Background: Black men are disproportionately impacted by prostate cancer (PrCa). Current guidelines recommend that all men make informed decisions about whether to be screened for PrCa. Little is know...

Prostate cancer (PrCa) is the second-leading cause of cancer mortality among American men, and Black men are disproportionately impacted. New research sought to understand the barriers and facilitators of informed decision-making (IDM) about PrCa screening in Black men www.jabfm.org/content/34/5...

Blood Pressure Medication Side Effect Symptoms and Patient Treatment Satisfaction and Adherence Background: Side effect symptoms to blood pressure (BP) medications may be associated with medication nonadherence, treatment dissatisfaction, and worse BP control. This article describes the frequenc...

90% of patients with uncontrolled hypertension reported at least one BP med side effect—and 40% said it was a “big problem.” These symptoms were tied to lower satisfaction and poor adherence, especially when patients thought their meds were to blame. www.jabfm.org/content/38/2...

New research finds primary care utilization is associated with lower rates of ER use. Findings show increased ER use is more likely in communities w/ decreased primary care use, increased disease prevalence, higher proportions of Black residents, & being rural https://www.jabfm.org/content/38/2/247