Reprise – Journal Club: Sinsky et al, Allocation of Physician Time in Ambulatory Practice

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David Rosenthal, Thomas Kim, and Audrey Provenzano discuss the landmark study published in Annals of Internal Medicine by Sinsky and colleagues, Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.

Have you ever wondered how much time you spend each month fighting with technology or filling out VNA forms? Well, Christine Sinsky and her colleagues studied this and have some answers for us…all of which raise more fascinating questions about how we practice medicine.

Tweet us your thoughts @RoSpodcast, and send us feedback at audrey@rospod.org!

Journal Club: Lightning Round! Primary care vs Specialty care, Doorknob moments & Cost effectiveness of buprenorphine initiation in the ED

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This week Thomas Kim, David Rosenthal, and Audrey Provenzano talk about three recently published manuscripts for a lightning round edition of Journal Club. Thomas shares a paper by Bynum et al, Outcomes in Older Adults with Multimorbidity Associated with Predominant Provider of Care Specialty, examining outcomes among patients primarily cared for by specialists vs primary care providers. David shares a paper describing a novel technology for agenda setting and evaluation of social determinants of health by Wittink et al, entitled Patient priorities and the doorknob phenomenon in primary care: Can technology improve disclosure of patient stressors? (H/T Primary Care Progress for tweeting it!). Lastly, Audrey shares a paper entitled Cost effectiveness of emergency department initiated treatment for opioid dependence by Susan Busch et al, which is a cost-effectiveness analysis of an RCT of ED-initiated buprenorphine performed at Yale, previously featured on the podcast in an interview with Gail D’Onofrio

If you enjoy the show, please give us 5 stars wherever you listen. Tweet us your thoughts @RoSpodcast and leave us a message on our facebook page at www.facebook.com/reviewofsystems. Or, you can email me at audrey@rospod.org. We’d love to hear from you, and thanks for listening.

Journal Club – Association Between Process Measures & Mortality in Individuals with Opioid Use Disorders

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This week, we are discussing a recent article from the journal Drug and Alcohol Dependence, entitled: Association between process measures and mortality in individuals with opioid use disorders, by Katherine Watkins and colleagues: Susan Paddock, Teresa Hudson, Songthip Ounpraseuth, Amy Schrader, Kimberly Hepner, and Bradley Stein. We are also joined by a guest discussant, Gabriel Wishik. Gabriel Wishik is a clinician educator in general and addiction medicine, and is an instructor at Boston University and Boston Medical Center. He is the clinic medical director at Boston’s Healthcare for the Homeless Program’s largest clinical site and practices harm reduction in primary care with a population at the front lines of the current opioid epidemic. You can find the obituary we shared on the show here.

If you like the show, please rate and review us on itunes, google play, stitcher or your favorite podcasting app, which makes the show easier for others to find; and share us on social media. We tweet at @RoSpodcastand are on facebook at www.facebook.com/reviewofsystems.  Please drop us a line at contact@rospod.org. We’d love to hear from you.

Listen at the end of the episode for a promo code to receive 15% off registration fees for an upcoming conference from the Harvard Center for Primary Care: Primary Care in 2020 – Future Challenges, Tips for Today.

This interview has been lightly edited for length and clarity.

Journal Club – Exploring the Patient and Staff Experience with the Process of Primary Care

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This week, we bring you a journal club on the manuscript: Exploring the Patient and Staff Experience with the Process of Primary Care, which was published in Annals of Family Medicine in the July/August 2015 issue by Elizabeth J Brown, Shreya Kangovi, Christopher Sha, Sarah Johnson, Casey Chanton, Tamala Carter, and David Grande.

If you like the show, please rate and review us on itunes, google play, stitcher or your favorite podcasting app, which makes the show easier for others to find; and share us on social media. We tweet at @RoSpodcast and are on facebook at www.facebook.com/reviewofsystems.  Please drop us a line at contact@rospod.org. We’d love to hear from you.

Journal Club – Do On-Site Mental Health Professionals Change Pediatricians’ Responses to Children’s Mental Health Problems?

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On our journal club this week, we talk about an article published in September 2016 in the journal Academic Pediatrics: Do On-Site Mental Health Professionals Change Pediatricians’ Responses to Children’s Mental Health Problems? By Sarah McCue Horwitz and colleagues.

If you like the show, please rate and review us on itunes or stitcher, which makes the show easier for others to find; and share us on social media. We tweet at @rospodcast and are on facebook at www.facebook.com/reviewofsystems.  Please drop us a line at contact@rospod.org. We’d love to hear from you.

Journal Club – Los Angeles Safety Net Program eConsult System Was Rapidly Adopted and Decreased Wait Times to See Specialists

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For this week’s journal club, we are talking about a recent paper from Health Affairs entitled: Los Angeles Safety Net Program eConsult System Was Rapidly Adopted and Decreased Wait Times to See Specialists  by Michael Barnett, Hal F. Yee Jr, Ateev Mehotra, and Paul Giboney. The paper describes and analyzes data from an e-consult system that was rolled out to a network of hundreds of safety-net clinics in Los Angeles County. We are thrilled to have the lead author, Michael Barnett, join us for our discussion! Michael is an Assistant Professor at Harvard T.H. Chan School of Public Health and a primary care physician at Brigham and Women’s Hospital. He publishes prolifically on a variety of topics, and is particularly interested in the primary care-specialty care interface.

Do you use e-consults in your practice? Or do you wish you had access to such a system? Please tweet us your thoughts @RoSpodcast, or drop us a line at contact@rospod.org. And, let us know what manuscripts you think we should look at in future journal clubs or who we should have on to talk about their work. We look forward to hearing from you, and thanks for listening.

Journal Club – How do Pregnant Women Use Quality Measures when Choosing Their Obstetric Provider?

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Today we’re discussing a paper published in the January 2017 issue of Birth titled: How do pregnant women use quality measures when choosing their obstetric provider? by Rebecca A. Gourevitch MS, Ateev Mehrotra MD, MPH, Grace Galvin MPH, Melinda Karp MBA, Avery Plough BA, Neel T. Shah MD, MPP.

The researchers utilized an online forum for pregnant women, Ovia Pregnancy to survey women about how and why they chose their obstetric provider. Interestingly, they found that most women did not utilize quality measures such as c-section rate or obstetric infection rates when choosing a provider. These fascinating findings were widely covered in the media and led to a great discussion. Please have a listen!

Please tweet us your thoughts @RoSpodcast, or drop us a line at contact@rospod.org. And, let us know what manuscripts you think we should look at in journal clubs and who we should have on to talk about their work. We look forward to hearing from you, and thanks for listening!

Less AND More Are Needed to Assess Primary Care – Rebecca S. Etz et al

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On this week’s journal club, David Rosenthal, Audrey Provenzano, and Thomas Kim discuss Less AND More are Needed to Assess Primary Care, which was recently published in the Journal of the American Board of Family Medicine by Rebecca Etz, PhD, Martha M. Gonzalez, BS, E. Marshall Brooks, PhD, and Kurt C. Stange, MD PhD.

The study utilized surveys to assess the lacuna between current quality measures and attributes of high quality primary care, and make the case that as policymakers and payers work to reduce the administrative burden of quality measurement more attention should be paid to measuring domains of high quality primary care.

What do you think? How do you know good primary care when you see it? How should the quality of primary care be assessed?

Please tweet us your thoughts @RoSpodcast, or drop us a line at contact@rospod.org. And, let us know what manuscripts you think we should look at in journal clubs and who we should have on to talk about their work. We look forward to hearing from you, and thanks for listening!

Journal Club: Powers et al – Non-Emergency Medical Transportation; Delivering Care in the Era of Uber and Lyft

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This week we’re excited to bring you a journal club episode, highlighting a study published in the September 2016 issue of JAMA by Brian Powers and colleagues Scott Rhinefort and Sachin Jain from Caremore Health, entitled NonEmergency Medical transportation, Delivering care in the Era of Lyft and Uber. Powers and colleagues report on their pilot study of Caremore Health patients utilizing Uber and Lyft for non-emergency medical transportation to and from appointments.

If you like the show, please rate and review us on itunes or stitcher, which makes the show easier for others to find; and share us on social media. We tweet at @rospodcast and are on facebook at www.facebook.com/reviewofsystems.  Please drop us a line at contact@rospod.org. We’d love to hear from you.