Annals of Family Medicine articles from July 2007

Annals of Family Medicine archives from July 2007

In this issue: clinical diagnosis and management.(EDITORIAL)
July 1, 2007... This issue provides insights into clinical diagnosis (1) and management (2-3) of patients with conditions commonly seen in primary care. A cohort study (4) and 2 clinical trials (5,6) offer new ways of managing or preventing common conditions....

Preventive induction of labor: potential benefits if proved effective.(Editorial)
July 1, 2007... Key words: Parturition; induction of labor; cesarean section; pregnancy/childbirth; term birth ********** The cesarean delivery rate in the United States has risen from 5.5% in 1970 to reach its highest level yet of 30.2% in 2005,...

Association not causation: what is the intervention?(Editorial)
July 1, 2007... Key words: Parturition; cesarean section; preventive care; induction of labor; term birth; epidural analgesia; birth outcomes; maternity care; practice-based research ********** Nicholson and colleagues have presented an intriguing and...

HPV and cervical cancer prevention counseling with younger adolescents: implications for primary care.
July 1, 2007... ABSTRACT PURPOSE Primary care clinicians will continue to play an important role in cervical cancer prevention, particularly with regard to administration of the newly licensed human papillomavirus (HPV) vaccine and continued...

Clinical diagnosis of herpes zoster in family practice.(Clinical report)
July 1, 2007... ABSTRACT PURPOSE Family physicians usually diagnose herpes zoster on clinical grounds only, possibly resulting in false-positive diagnoses and unnecessary treatment. We wanted to determine the positive predictive value of the physicians'...

A preventive approach to obstetric care in a rural hospital: association between higher rates of preventive labor induction and lower rates of cesarean delivery.
July 1, 2007... ABSTRACT PURPOSE Annual cesarean delivery rates in North America are increasing. Despite the morbidity associated with cesarean delivery, a safe preventive strategy to reduce the use of this procedure has not been forthcoming. During the...

Translation of an efficacious cancer-screening intervention to women enrolled in a Medicaid managed care organization.
July 1, 2007... ABSTRACT PURPOSE An earlier randomized controlled trial of prevention care management (PCM) found significant improvement in breast, cervical, and colorectal cancer-screening rates among women attending Community Health Centers but...

Effectiveness of a time-limited cognitive behavior therapy--type intervention among primary care patients with medically unexplained symptoms.(Clinical report)
July 1, 2007... ABSTRACT PURPOSE Patients seeking care for medically unexplained physical symptoms pose a major challenge at primary care sites, and there are very few well-accepted and properly evaluated interventions to manage such patients. ...

Operational definitions of attributes of primary health care: consensus among Canadian experts.
July 1, 2007... ABSTRACT PURPOSE In 2004, we undertook a consultation with Canadian primary health care experts to define the attributes that should be evaluated in predominant and proposed models of primary health care in the Canadian context. ...

Information needs and information-seeking behavior of primary care physicians.
July 1, 2007... ABSTRACT PURPOSE The aim of this study was to determine the information needs of primary care physicians in Spain and to describe their information-seeking patterns. METHODS This observational study took place in primary care...

Do religious physicians disproportionately care for the underserved?(Survey)
July 1, 2007... ABSTRACT PURPOSE Religious traditions call their members to care for the poor and marginalized, yet no study has examined whether physicians' religious characteristics are associated with practice among the underserved. This study examines...

Specialty referral completion among primary care patients: results from the ASPN referral study.(Ambulatory Sentinel Practice Network)
July 1, 2007... ABSTRACT PURPOSE This study describes referral completion from the perspectives of patients and primary care physicians and identifies predictors of adherence to the referral recommendation. METHODS We observed a cohort of 776 referred...

Five careers and eight airplanes: an oral history of John Geyman, MD.(REFLECTIONS)
July 1, 2007... ABSTRACT Each generation has an obligation to remind succeeding ones about the people, ideas, and events that have gotten us to this point. This essay and an accompanying oral history trace the origins of family medicine through the life...

Is 'clinical inertia' blaming without understanding? Are competing demands excuses?(ON TRACK)
July 1, 2007... COMPETING DEMANDS OR CLINICAL INERTIA? The online discussion of a study of competing demands in diabetes treatment in the last issue of Annals epitomizes 2 critical, polarizing questions. (1) These questions pit a fundamental feature of...

Call for nominations for STFM awards.(Family Medicine Updates)
July 1, 2007... The Society of Teachers of Family Medicine is now accepting nominations for the following STFM research, leadership, and teaching awards. These awards will be presented at the 2008 STFM Annual Spring Conference, April 30-May 4, in Baltimore,...

Priorities in medical student education in the face of increasing class size.(Survey)
July 1, 2007... The Association of American Medical Colleges (AAMC) and the Council on Graduate Medical Education (COGME) (1) have called for an increase in the size of medical school classes to address future physician workforce shortage projections. This...

Complexity science and its relevance for primary health care research.(FAMILY MEDICINE UPDATES)
July 1, 2007... Concepts from complexity science are familiar experiences for those working in primary health care. We work with people, each one different from every other. We have the privilege of knowing our patients over long periods of time, and this...

Medical home concept gains prominence thanks to academy's efforts.(FAMILY MEDICINE UPDATES)
July 1, 2007... The AAFP has been promulgating the idea of a medical home for patients since the Future of Family Medicine report was published in 2004. To those ends, the Academy has partnered with a number of organizations to get its message heard. Some...

American Board of Family Medicine elects new officers and board members.(David W. Price, Elizabeth Ann Garrett and Joseph Hobbs were elected)
July 1, 2007... The American Board of Family Medicine (ABFM) is pleased to announce the election of 4 new officers and 3 new board members. The new officers elected at the ABFM's spring board meeting in April are: David W. Price, MD (Broomfield, Colo), Chair;...