Interprofessional team based learning to enhance behavioral health care for Latinx patients: Results of a teleconsultation program.

Culturally sensitive behavioral health services are scarce, particularly in rural and underserved areas. To expand integrated behavioral health care training for providers, specifically those working in rural communities and federally qualified health centers, an interprofessional teleconsultation program was developed. Given the desire to focus on culturally informed care training, this was done in partnership with a nonprofit community mental health agency which focuses on behavioral health within Latinx populations.

Geriatric Care in the Community Setting: Welcome to Medicare and Annual Wellness Visits.

By 2030, 1 in 5 Americans will be older than 65 years, and the health care system will need to prioritize disease prevention in these patients to help them maintain their health. The Welcome to Medicare visit and Annual Wellness Visits (AWVs) were established to provide the opportunity for clinicians to screen older adult patients for geriatric conditions, review and implement preventive health recommendations, and create an individualized plan for health promotion for the next 5 to 10 years. Any patient enrolled in Medicare Part B is eligible for these visits.

Advanced Geriatrics Evaluation Skills.

Background And Objectives: Older adults are the fastest growing subset of the population and residency training in the basic concepts of care to the older adult is limited. We created a 1-day interactive training program, Advanced Geriatric Evaluation Skills (AGES), to upskill first-year primary care residents in the care of older adults.

Methods: An interprofessional faculty team developed and taught the IRB-approved course to a convenience sample of family medicine and internal medicine interns in 2017, 2018, and 2019.

Content Analysis of Family Medicine Resident Peer Observations.

Background And Objectives: Direct observation is a critical part of assessing learners' achievement of the Accreditation Council for Graduate Medical Education (ACGME) Milestones and subcompetencies. Little research exists identifying the content of peer feedback among residents; this study explored the content of residents' peer assessments as they relate to ACGME Milestone subcompetencies in a family medicine residency program.

Methods: Using content from a mobile app-based observation tool (M3App), we examined resident peer observations recorded between June 2014 and November 2017, tabulating frequency of observation for each ACGME subcompetency and calculating the proportion of observations categorized under each subcompetency, as well as for each postgraduate year (PGY) class.

Vitamin D Supplementation for Extraskeletal Indications in Older Persons.

Low levels of vitamin D have been implicated in a wide variety of conditions highly prevalent in the geriatric population, including fractures, functional limitations, cancer, cardiovascular disease, and depression. Vitamin D supplementation is often considered integral to the prevention of falls and fractures in the setting of osteoporosis. For other conditions, however, consensus is lacking, and the clinician may struggle to balance competing recommendations around screening, supplementation, and monitoring.

Evaluation and Management of the Nursing Home Resident With Respiratory Symptoms and an Equivocal Chest X-Ray Report.

Objectives: Pneumonia is a leading cause of morbidity and mortality in nursing home (NH) residents. Chest x-ray evidence is considered a key diagnostic criterion for pneumonia by the Infectious Disease Society of America (IDSA) diagnostic guidelines, the modified McGeer diagnostic criteria, and the Loeb criteria for initiating antibiotics; however, x-ray interpretation is often equivocal. We conducted chart audits of patients in NHs who had chest x-rays for new respiratory symptoms to determine the degree of ambiguity in the radiology reports and their relationship to antibiotic prescription decisions.

PURLs: surgery for persistent knee pain? Not so fast.

For patients with knee pain from a torn medial meniscus, but no osteoarthritis, arthroscopic partial meniscectomy may not be necessary.