Annals of Family Medicine articles from May 2008

Annals of Family Medicine archives from May 2008

In this issue: doctor-patient, doctor-system, doctor-public.(EDITORIAL)
May 1, 2008... This issue of the Annals contains a number of articles that look inside the doctor-patient relationship from the patient's, as well as the physician's, point of view. DOCTORS AND PATIENTS One of my teachers once reminded me to always...

Understanding uncertainty.(EDITORIAL)(Editorial)
May 1, 2008... This issue features studies concerning the presentation (1) and impact (2) of risk information, contributing to a huge literature on how people react to being told of what might be in store for them. I decided to put myself through the...

Understanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identity.
May 1, 2008... ABSTRACT PURPOSE Although concordance by race and sex in physician-patient relationships has been associated with patient ratings of better care, mechanisms through which concordance leads to better outcomes remains unknown. This...

Physician responses to a community-level trial promoting judicious antibiotic use.(Survey)
May 1, 2008... ABSTRACT PURPOSE In an environment of multiple campaigns promoting judicious antibiotic use in children, identification of effective strategies is important. We assessed physician responses to a community-level intervention with respect to...

Patients prefer pictures to numbers to express cardiovascular benefit from treatment.
May 1, 2008... ABSTRACT PURPOSE This study aimed to determine which methods of expressing a preventive medication's benefit encourage patients with known cardiovascular disease to decide to take the medication and which methods patients prefer. ...

Absolute cardiovascular disease risk and shared decision making in primary care: a randomized controlled trial.
May 1, 2008... ABSTRACT PURPOSE We wanted to determine the effect of promoting the effective communication of absolute cardiovascular disease (CVD) risk and shared decision making through disseminating a simple decision aid for use in family practice...

The experience of pay for performance in English family practice: a qualitative study.
May 1, 2008... ABSTRACT PURPOSE We conducted an in-depth exploration of family physicians' and nurses' beliefs and concerns about changes to the family health care service as a result of the new pay-for-performance scheme in the United Kingdom (Quality...

Diabetes flow sheet use associated with guideline adherence.
May 1, 2008... ABSTRACT PURPOSE Many intervention studies have found that flow sheet use improves patient care by drawing attention to a particular medical condition or needed preventive service and encouraging an immediate response from the health care...

Age-related pulmonary crackles (rales) in asymptomatic cardiovascular patients.
May 1, 2008... ABSTRACT PURPOSE The presence of age-related pulmonary crackles (rales) might interfere with a physician's clinical management of patients with suspected heart failure. We examined the characteristics of pulmonary crackles among patients...

Development of a brief diabetes distress screening instrument.
May 1, 2008... ABSTRACT PURPOSE Previous research has documented that diabetes distress, defined as patient concerns about disease management, support, emotional burden, and access to care, is an important condition distinct from depression. We wanted to...

Effect of nonergot dopamine agonists on symptoms of restless legs syndrome.(Clinical report)
May 1, 2008... ABSTRACT PURPOSE We performed a meta-analysis of randomized placebo-controlled trials of nonergot dopamine agonists (NEDAs) for the treatment of restless legs syndrome. METHODS A systematic literature search was conducted through July...

The unsustainable US health care system: a blueprint for change.
May 1, 2008... ABSTRACT As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the...

Today I'm grieving a physician suicide.(REFLECTION)
May 1, 2008... ABSTRACT An estimated 250 physicians will commit suicide this year. In this essay, the author shares her grief and guilt over the suicide of a colleague while reflecting on both the scale of this largely unacknowledged problem and the...

Journey to the Future of Family Medicine.(ON TRACK)
May 1, 2008... Family medicine has entered a fascinating period of transition and rebirth. In 2004 the Annals was pleased to publish the Future of Family Medicine (FFM) report (1) and to track the rich discussion of family physicians in practice, academia,...

Thank You, TRACK Participants.
May 1, 2008... The Annals of Family Medicine hosts an online discussion of articles called TRACK. Our sincere thanks to the following participants in this dialogue from April 2007 through March 2008. To read comments or add your voice to the discussion, visit...

Correction.(Correction notice)
May 1, 2008... Ann Fam Med 2008;6:274. DOI: 10.1370/afm.856. In the print version of the March/April issue of the Annals of Family Medicine, "Screening for Congenital Hypothyroidism: US Preventive Services Task Force Reaffirmation Recommendation" (Ann...

Organizing our academic organizations for the future of family medicine.(Family Medicine Updates)(Council of Academic Family Medicine )(Organization overview)
May 1, 2008... Introducing the Council of Academic Family Medicine (CAFM) Unless there are changes in the broader health system and within the specialty, the position of family medicine will be untenable in a 10-20 year timeframe. --Future of Family...

Core character traits for family medicine.(Family Medicine Updates)
May 1, 2008... Family medicine residency programs spend a lot of time and energy formulating their rank order lists for the National Match. Faculty, staff, and residents spend many hours carefully scrutinizing dean' s letters, transcripts, USMLE scores,...

Match results show resurgence in family medicine interest.(Family Medicine Updates)
May 1, 2008... Preliminary information from the 2008 National Resident Matching Program, or NRMP, indicates that 1,172 US medical school graduates--65 more than in 2007--chose family medicine for their careers, and 2,404 of 2,654 family medicine residency...

More flexibility for MC-FP participants and first sleep medicine examination.(Family Medicine Updates)(Maintenance of Certification for Family Physicians)
May 1, 2008... More Flexibility for MC-FP Participants The American Board of Family Medicine (ABFM) is continuing its efforts to make the transition to the' new' Maintenance of Certification for Family Physicians (MC-FP) as straightforward as possible...