Improving Health Through Family Medicine: New Opportunities, Missed Opportunities.

Abstract

This issue addresses evidence-based medicine, strengthening supports and resources for primary care, and clinical questions across the broad scope of primary care. Several articles address implementing evidence-based recommendations in primary care. How can you safely delabel low risk penicillin allergies in primary care? Which colorectal stool-DNA-FIT tests were preferred by patients and least difficult to use? Another group of articles address strengthening support and resources for clinicians, including the impact of a group-coaching intervention for burnout and a peer coaching approach to improve use of clinical performance data. Several articles address sexual and reproductive health. Does doxycycline postexposure prophylaxis (PEP) prevent bacterial sexual transmitted infections? What are the best methods to reduce pain and/or anxiety during IUD procedures? Is Mirena still effective at 8 years? Several articles address the care of transgender and gender-diverse patients, including the impact of testosterone on Papanicolaou test results. A variety of other articles provide recommendations related to common clinical concerns in primary care, including a novel, simplified approach to diagnosing and managing causes of shoulder pain.