Harm Reduction and Substance Use in Adolescents.

This article discusses the use of substances among adolescents, the unacceptable overdose death rates they bear, and the relevant evidence-based harm reduction strategies available in primary care, including medications for opioid use disorder. Access to these medications, as well as to harm reduction strategies generally, is insufficient for adolescents. Many adolescents who use substances and who are most at risk for overdose regularly visit primary care, which is an appropriate setting for treatment and harm reduction delivery.

More Than Half of Family Medicine Clerkships Do Not Address Systemic Racism: A CERA Study.

Background And Objectives: The influence of racism in medicine is increasingly acknowledged, and the negative effect of systemic racism on individual and population health is well established. Yet, little is known about how or whether medical students are being educated on this topic. This study investigated the presence and features of curricula related to systemic racism in North American family medicine clerkships.

Abortion and Contraception in Medical School Curricula: A Survey of North American Family Medicine Clinical Curriculum Directors.

Contraception and abortion care are commonly accessed health services, and physicians in training will encounter patients seeking this care. Curricula that teach contraception and abortion provision during medical school equip medical students with valuable skills and may influence their intention to provide these services during their careers. Family planning is nevertheless understood to be underrepresented in most medical curricula, including in North American medical schools where the laws on providing contraception and abortion have been consequentially changing.

Unintended Consequences? Assessing the Impact of Curricular Change on Medical Student Participation in a Student-Run Free Clinic.

Introduction: In a prior qualitative study of the impact of a new (ACE) medical school curriculum, students and faculty reported decreased participation in the student-run free clinic (SRFC) attributed to more intensive scheduling and more frequent testing compared to the previous (Legacy) curriculum.

Materials And Methods: To verify and understand this perception formed during curriculum reform, we conducted a mixed method study to measure student participation in the SRFC before and after curricular change and assessed student beliefs and motivations about SRFC participation using focus groups.

Results: Overall SRFC participation did not decrease among students in the ACE cohort following curriculum change.

Prescription Drug and Alcohol Use Disorders: Opioid Use Disorder.

More than 2 million Americans meet the criteria for opioid use disorder. This epidemic has been driven in part by overprescribing. Physicians have an obligation to respond through better opioid stewardship, universal screening for misuse, referral for management, and provision of opioid use disorder management.

Motivating factors for small and midsized businesses to implement worksite health promotion.

Objective: This study explores the decision-making process, including motivating factors, for small and midsized businesses in the Midwest to implement health promotion initiatives.

Method: This a replication of a study conducted in the Pacific Northwest. Semistructured qualitative interviews were conducted with key informants from 12 Midwestern metropolitan employers with fewer than 1,000 employees.