PRIMARY CARE
Clinical Resources
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The Latest in Primary Care
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Primary Care Clinical Resources
Primary Care Clinical Guideline Summaries
Opioid Prescribing Recommendations for Acute Pain Clinical Guidelines Summary
The CDC updated their opioid prescribing guidelines as part of a response to the ongoing opioid crisis. This summary focuses on their recommendations for outpatient management of acute pain (lasting less than one month) in adults. When deciding whether to prescribe opioids for acute pain in both opioid-tolerant and opioid-naïve patients, clinicians should first consider possible alternatives.
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Opioid Use in Non-Palliative Subacute and Chronic Pain Clinical Guidelines Summary
The CDC updated their opioid prescribing guidelines as part of a response to the ongoing opioid crisis. This summary focuses on their recommendations for outpatient management of subacute (lasting one to three months) and chronic (lasting longer than three months) pain in adults. Getting a thorough history of the pain, including prior treatments, comorbidities, and potential contraindications, is key in selecting the right medication for each individual patient.
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Painful Diabetic Polyneuropathy Clinical Guidelines Summary
Clinicians should assess patients with diabetes for peripheral neuropathic pain, and be counseled that the goal of medications is to reduce, and not necessarily eliminate, pain. Complete resolution of symptoms at this time is rarely achieved, with 30% pain reduction being considered a success in clinical trials.
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Primary Care Patient Cases
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Primary Care Clinical Quizzes
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Primary Care Videos
Listen and Learn: DDx Podcast
Young, fit, and female? Higher chance of misdiagnosis
Listen to the full first season of our DDx podcast, exploring a series of some physicians’ most memorable cases. Enjoy six real stories of patients presenting with obscure and uncommon symptoms.
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Discover how fluoroquinolones can increase risk of aortic dissection and which patients should avoid these antibiotics. Start activity >
Recognize the common presenting symptoms of measles, an extremely contagious, vaccine-preventable illness. Start activity >
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Related Research
Virtual Primary Care in High-income Countries During the COVID-19 Pandemic: Policy Responses and Lessons for the Future | PubMed
“Telemedicine, once defined merely as the treatment of certain conditions remotely, has now often been supplanted in use by broader terms such as ‘virtual care’, in recognition of its increasing capability to deliver a diverse range of healthcare services from afar. With the unexpected onset of COVID-19, virtual care (e.g., telephone, video, online) has become essential to facilitating the continuation of primary care globally. Over several short weeks, existing healthcare policies have adapted quickly and empowered clinicians to use digital means to fulfill a wide range of clinical responsibilities, which until then have required face-to-face consultations.”
Primary Care-based Interventions to Address the Financial Needs of Patients Experiencing Poverty: A Scoping Review of the Literature | PubMed
“It is broadly accepted that poverty is associated with poor health, and the health impact of poverty has been explored in numerous high-income country settings … Using a scoping review methodology, we searched five databases, the grey literature and the reference lists of relevant studies to identify studies on interventions to address the economic needs-related social determinants of health that occur in primary health care delivery settings, in high-income countries.”
Digital Health Needs for Implementing High-quality Primary Care: Recommendation from the National Academies of Sciences, Engineering, and Medicine | PubMed
“A National Academies of Sciences, Engineering, and Medicine committee developed a plan to implement high-quality primary care … The first action is developing the next phase of digital health certification standards that support relationship-based, continuous, person-centered care; simplify user experience; ensure equitable access; and hold vendors accountable. Second, the committee recommended adopting a comprehensive aggregate patient data system usable by any certified digital health tool.”
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