Quarterly Preceptor Communiqué Archive

- Teaching Points - A 2-Minute Mini-lecture: COPD Screening

- Clinical Guidelines to Improve Your Care: Evidence-based Guideline: Treatment of Painful Diabetic Neuropathy. Report of the American Academy of Neurology, the American Association of Neuromuscular and Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation

- Information Technology & Teaching in the Office: Newer Information Retrieval Tools for Primary Care Teaching With Technology

 - EBM HelpDesk: Does Wearing Sunglasses Prevent Cataracts?

- Information Technology & Teaching in the Office: Cloud Computing for Teaching Physicians

- Teaching Points - A 2-Minute Mini-lecture: Cardiac Risk Assessment 

- Clinical Guidelines to Improve Your Care: Child Passenger Safety.  Committee on Injury, Violence, and Poison Prevention, American Academy of Pediatrics

- Teaching Points - Aspirin Use 

- Clinical Guidelines to Improve Your Care: Methacillin Resistant Staph Aureus Infections in Adults and Children Information

- Teachnology & Teaching in the Office: Effective Use of the Web-based and Modile American Family Physician by Topic 

- POEMs for the Teaching Physician:  Capsaicin Gel and SAMe Improve Pain in Patients With Degenerative Joint Disease. 

 -Clinical Question:  Are any complementary and alternative medicines effective in treating patients with degenerative joint disease? 

- EBM: Are Adults With Nocturia More Lidely to Have Obstructive Sleep Apnea Than Adults Without Nocturia? 

Click on "The Teaching Physician" to access this resources.  

 Smoking Cessation Encounter Form:. www.fmdrl.org/3211  - This single page form will help you counsel patients to quit smoking.

 Teaching Learners the Patient-Centered Use of Technology in the Exam Room: www.fmdrl.org/3227  - This PowerPoint lecture is from the Norheast Regional AAMC Informatics Faculty Development Workshop site and will teach learners the patient-centered use of technology in the exam room.

 Aiming Higher...Because Fitness is Always Good Medicine!: www.fmdrl.org/3205  - AIM-HI challenges physicians to address their own personal "fitness" activities, assess the messages the physicians, staff, and office environment send to patients concerning physical activity, healthy eating, and emotional well-being and engage in helping promote "fitness" at the individual, family, and community levels.

- Clinical Guidelines That Can Improve Your Care: Preoperative Evaluation

- POEMs for the Teaching Physician: Tiotropium Added to Steroids Is Effective in Poorly Controlled Adult Asthmatics

- Evidence-Based Best Practice: "What Are Effective Treatments for Painful Varicose Veins?"

-  Information Technology and Teaching in the Office:  Working With Learners to Better Educate Our Patients and Their Families

-  Clinical Guidelines That Can Improve Your Care: University of Michigan Health System: Acute Low Back Pain

-  ARBs and ACE Inhibitors Prevent AFib - Clinical Question: Can angiotensin receptor blockers or angiotensin-converting enzyme inhibitors prevent atrial fibrillation in susceptible people?

-  Evidence-Based Best Practice:  “What Is the Best Treatment for Chlamydia in Pregnancy?”

         -  Household Teaspoons and Table­spoons Unreliable for Dosing Meds.  Clinical Question: Are commonly available household teaspoons and tablespoons accurate for dosing liquid  

             medications?  

- Teaching Points— A 2-minute Mini-lecture: Patient With Hyperglycemia - 50-year-old Caucasian man with a benign medical history, to this point, who had his fingerstick blood sugar checked at a community health fair, and it was 210. He reports no symptoms at all.

- Information Technology and Teaching in the Office: Using Digital Images to Enhance Patient Care, Learning, and Teaching

- Clinical Guidelines That Can Improve Your Care: Medicines Adherence: Involving Patients in Decisions About Prescribed Medicines and Supporting Adherence

- From the "Evidence-Based Practice" HelpDesk: What Is the Sensitivity and Specificity of Routine EEG in the Diagnosis of Epilepsy?

    - Cognitive Behavioral Therapy Effective for Depressed Elderly. Clinical Question: Is cognitive behavioral therapy effective in the    

        treatment of depressed patients who are 65 years or older?

    - ACE Inhibitor Preferred Over ARB in Patients With Ischemic Heart Disease. Clinical Question: In patients with stable ischemic heart

        disease, does treatment with an angiotensin-converting enzyme inhibitor, angiotensin II-receptor blockers, or both improve outcomes?

- Excerpted from "For the Office-based Teacher of Family Medicine: "Using the Electronic Health Record to Enhance Student Learning."

 -  Teaching Points— A 2-minute Mini-lecture:  Closing the Deal -  In this scenario, Dr Mallin (Dr M) works with a third-year student (M3) who is

    helping a patient make a healthy behavior change.

 -  Information Technology and Teaching in the Office:  Educating Learners and Ourselves About the Meaningful Use of Electronic Health

    Information.

Clinical Question: How often are serious problems identified among patients with acute back pain seeking care from primary care physicians?

Clinical Question: Can clinical factors identify children with head injury who are at low risk for clinically important traumatic brain injury?

- Teaching Points— A 2-minute Mini-lecture, The Rewards of Treating Chronic Headache

- Information Technology and Teaching in the Office: Advance Directives Online

- Clinical Guidelines That Can Improve Your Care: Management of Osteoarthritis of the Knee National Guideline Clearinghouse Synthesis

- Evidence-Based Best Practice: "What Treatments Are Safe and Effective for Vitiligo?"

- Mammography Identifies Many Women Who Will Not Benefit From Treatment

   -- Clinical Question: How frequently is breast cancer overdiagnosed; that is, how often do we detect disease that will not cause death or symptoms?

- Clinical Guidelines - A Guideline That Can Help Your Practice: Can We Prevent Prostate Cancer With 5-a-Reductase Inhibitor Chemoprevention?

- Teaching Points— A 2-minute Mini-lecture, Quality of Care

- Evidence-Based Best Practice: "Does Stretching Before or After Exercise Prevent Muscle Soreness?"

- Three-drug Approach More Effective Than Nicotine Replacement Alone: Is the combination of nicotine patch, nicotine inhaler, and bupropion more effective than nicotine patch alone in providing sustained smoking cessation?

- Single Intra-articular Hyaluronic Acid=Placebo in Hip DJD: Is a single intra-articular injection of hyaluronic acid effective in reducing pain or improving function in patients with symptomatic degenerative joint disease of the hip?

- Vitamin D, at High Doses, Prevents Fractures: Can vitamin D prevent important fractures related to osteoporosis?

- Information Technology and Teaching in the Office - Social Networking in Medical Education: Where Are We Going?

- Clinical Guidelines That Can Improve Your Care - Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement

- Teaching Points— A 2-minute Mini-lecture, When Will I Know It All?

- Evidence-Based Best Practice: What Interventions Are Effective for Prevention or Treatment of Childhood Obesity?

   - Stuttering Withdrawal of Life Support Better for Surviving Family

-  Information Technology and Teaching in the Office - The Patient-centered Medical Home

-  Two-Minute Teaching Tip: “The Mouth Is More Than Just Teeth”

-  Combination Antipyretics No Faster Than Ibuprofen But Longer Acting

-  Rosuvastatin Has No Effect on Clinical Outcomes in CHF

-  Most Endocarditis Prophylaxis No Longer Necessary: NICE Guideline?

-  Excerpt from For the Office-based Teacher of Family Medicine:  Using the Five Microskills With Different Learning Preferences 

- Lubricant Does Not Interfere With Pap Smears: Clinical Question: Does the use of water-soluble gel lubricant on the speculum interfere with the interpretation of Papanicolaou smears?

- Quality of Life Varies After Different Prostate Cancer Treatments: Clinical Question: What is the outcome of different approaches to the treatment of prostate cancer?

- Imiquimod, 5-FU Effective for Actinic Keratoses: Clinical Question: What is the best treatment for actinic keratoses?

  -- Clinical Question:  Should Clinicians recommend the use of pedometer for their adult patients to improve health outcomes?

  -- Clinical Question: Can drug treatment improve passage of uroteral stones?

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:
- POEMs for the Teaching Physician:

  -- Do oral hypoglycemic cause harm in patients with diabetes and heart failure?  Metformin Does Not Harm Patients With HF and Diabetes

  -- What are the key signs and symptoms for the diagnosis of polycystic ovarian syndrome?  Clinical Rule to Diagnose PCOS More Accurately

  -- Do patients expect antibiotics when they see a doctor for a respiratory infection?  Patients Want Explanation, Not Prescription

- Clinical Guidelines That Can Improve Your Care: A Guideline for Common Breast Problems

- Information Technology and Teaching in the Office Interpreting the Medical Literature—How Do We Train Learners (and Remind Ourselves) About the Role of Statistics

- What Anxiolytics Are Safe for Use in Breast-feeding Women?

- Teaching Learners to Care for Children and Youth With Special Health Care Needs

THIS QUARTER'S "The Teaching Physician" CONTENTS:

- Clinical Guidelines That Can Improve Your Care Use of Nonsteroidal Anti-inflammatory Drugs: An Update for Clinicians. A Scientific Statement From the American Heart Association

- Infectious Mononucleosis in a Young Athlete

- Using Images on the Internet to Enhance Patient Care, Learning, and Teaching

- Teaching Preventive Medicine in an Office-based Visit

- Should Children Be Screened for Diabetes?

    - POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician

      -- Clinical Question: Are there good alternatives to the twice-daily inhaled corticosteroids in patients with mild persistent asthma? Montelukast = Fluticasone + Salmeterol for Mild Persistent Asthma

        -- Clinical Question: Do inhaled corticosteroids really have to be taken daily by patients with mild persistent asthma?  As-needed Steroid + Betaagonist Works Well in Mild Persistent Asthma

        -- Clinical Question: What is the optimal dose of aspirin for secondary prevention of stroke or myocardial infarction? Aspirin Dose >81 mg Daily Not Beneficial for Secondary Prevention of CVD

Summer 2007

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

•  Teaching Points-A 2-minute Mini-lecture

• Information Technology and Teaching in the Office Safe Browsing for Health: Helping Patients and Learners Find Trustworthy Information

• Clinical Guidelines That Can Improve Your Care An Evidence-based Approach to the Management of Chronic Constipation in North America

• How Safe and Effective Is Metoclopramide for Increasing Milk Production in Lactating Women?

• Using the RIME Model for Learner Assessment and Feedback

- POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician

• Surgery Superior to Conservative Treatment for First-time Anterior Shoulder Dislocation

• Women More Likely to Use EC With Advance Provision

• One week=2-week Treatment for HP Eradication

Spring 2007

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

·  Information Technology and Teaching in the Office, The Family Medicine Digital Resources Library (FMDRL)—www.fmdrl.org

·  Clinical Guidelines That Can Improve Your Care, Good Guidelines That Say “Don’t Test”—Part II

·  Teaching Points—A 2-minute Mini-lecture, The Talkative Patient With Many Symptoms

·  Family Physicians Inquiries Network (FPIN) HelpDesk, Does Keeping a Surgical Wound Dry for the First 48 Hours After Repair Improve Outcomes Compared With Letting the Wound Get Wet?

- POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician

 ·  New Biomarkers Add Little to Current Predictors for CAD

 ·  Folic Acid Supplementation Does Not Reduce CVD Risk Nor Mortality Mifepristone Effective Treatment for Bleeding Due to Fibroids

 ·  Excerpted from “For the Office-based Teacher of Family Medicine”: Encouragement: Giving “Heart” to Our Learners in a Competency-based Education Model

Winter 2007

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

·  Information Technology and Teaching in the Office, Teaching Learners to Access Genetic Resources for Patient Care

·  Teaching Points—A 2-minute Mini-lecture: A Medical Mistake

·  Clinical Guidelines That Can Improve Your Care, Uncomplicated Urinary Tract Infection: Treating Them Over the Phone, Keeping Them Out of the Mini-clinics

·  Family Physicians Inquiries Network (FPIN) HelpDesk, Do Women With Symptoms of Urinary Tract Infection But Negative Dipstick Findings Benefit From Antibiotic Treatment?

    - POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician:

·  Rofecoxib, Diclofenac, and Indomethacin Increase Risk of CVD

·   Delayed Prescription for AOM Reduces Unnecessary Antibiotics

·  Excerpted from “For the Office-based Teacher of Family Medicine”: Antibiotics for Conjunctivitis Decreases Symptom Duration,

·  Teaching Essential Elements of Routine Encounters: The “A”s and “Ex”s of Achieving Patient-Physician Satisfaction

Fall 2006

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

- Is My Patient Drinking Too Much

- Screening for Skin Cancer

- What is the Best Treatment for Venous Stasis Ulcers?

- No Stirrups Preferred for Pelvic Exam

- Teaching the New Competencies Using the Gap Analysis Approach.

- POEMS (Patient Oriented Evidence that Matters) for the Teaching Physician:

    -- High-dose Gabapentin = Estrogen for hot flashes?

    -- Varenidine (Chantix) Effective for Smoking Cessation?

Summer 2006

Ø     Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

             THIS QUARTER'S "The Teaching Physician" CONTENTS:

      - Information Technology and Teaching in the Office Teaching Using Portable Ultrasound

Ø     -  Clinical Guidelines That Can Improve Your Care A Guideline to Improve Your Practice: Ahhh Summer—Let the Good Times and the Ankles Roll

Ø      - Teaching Points—A 2-minute Mini-lecture Presentation Skills and the HPI (History of Present Illness)

Ø      - Family Physicians Inquiries Network (FPIN) Help Desk What Is the Most Effective Treatment for de Quervain’s Tenosynovitis?

Ø      - POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician:

o            --Obesity Does Not Affect 5-year Knee Replacement Outcomes

§             --- Clinical Question: Do obese patients undergoing knee replacement have more long-term complications than patients who are not obese?

o         -- Antidepressant Drugs Increase Suicide Risk in Children

§             --- Clinical Question: Are antidepressant medications associated with an increased risk of suicidal behavior in children?

o         -- Ear Thermometry Is Unreliable in Detecting Fever

§            ---Clinical Question: How reliable is ear thermometry in detecting fever in children?

Ø      - Excerpted from “For the Office-based Teacher of Family Medicine” Evidence-based Office Teaching— The Five-step Microskills Model of Clinical Teaching

Spring 2006

        Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

                THIS QUARTER'S "The Teaching Physician" CONTENTS:

         -  Information Technology and Teaching in the Office: Focusing on the Patient—Using Technology Wisely

Ø      - Clinical Guidelines That Can Improve Your Care: Ordering the Most Appropriate X Rays: A Look at Renal Disease

Ø      - Teaching Points—A 2-minute Mini-lecture: Menopause and Life Transitions

Ø     -  Family Physicians Inquiries Network (FPIN) Help Desk: What is the Best Treatment of Carpal TunnelSyndrome in Pregnancy?

Ø      POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician:

-          - Yoga Effective for Back Pain

Ø         --Clinical Question: Is a specific yoga program more effective than exercise class or self-care in patients with chronic low back pain?

-         -  “Chest Cold” Instead of “Bronchitis” Decreases Unnecessary Antibiotic Use

n        --Clinical Question: Will calling it a “chest cold” instead of “acute bronchitis” improve patient satisfaction and reduce inappropriate antibiotic use?

Ø     -  Excerpted from “For the Office-based Teacher of Family Medicine”: Care of Patients With Disabilities: An Important and Often Ignored Aspect of Family Medicine Teaching

Winter 2006

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

- POEMs (Patient Oriented Evidence that Matters) for the Teaching Physician:

   -- Antibiotics With Atypical Bacteria Coverage Unnecessary

   -- Digital Mammography More Sensitive for Younger Women

   -- Silver Nitrate Relieves Pain of Aphthous Stomatitis

- Information Technology and Teaching in the Office: How to Choose Your Newest PDA

- Clinical Guidelines That Can Improve Your Care: A Review of Contraception

- Teaching Points—A 2-minute Mini-lecture: Teaching About Medical Mistakes

- Excerpted from “For the Office-based Teacher of Family Medicine”: Evidence-based Strategies That Help Office-based Teachers Give Effective Feedback

Fall 2005

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

· Herpes Zoster Vaccine Safe and Effective for Older Adults

· MRI More Sensitive than Mammography in High-risk Women

· Optimizing Student’s Use of Handheld Computers at the Point of Care

· Toward an Evidence-based Treatment of Fibromyalgia

· Head Injury

· The Family Medicine Curriculum Resource: Utility for Office-based Teachers of Family Medicine

Summer 2005

Dean's Note, Faculty Development Resource. OU-COM Clinical and Community Experiences (CCE) Note and "The Teaching Physician" from STFM with contents: 

THIS QUARTER'S "The Teaching Physician" CONTENTS:

- Your Practice, Students, and an Electronic Health Record

- Incontinence: Two Guidelines Give Us a More Complete Picture

- A Teenager Using Steroids 8

- Strategies for Efficient Office Precepting