Journal of the American Board of Family Medicine最新文献

Family Medicine Residency Match Is Not a "Field of Dreams". 家庭医学实习医师匹配不是一个“梦想的领域”。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250131R1

Morgan Stickler, W Mitchel Shaver, Adam M Franks

{"title":"Family Medicine Residency Match Is Not a \"Field of Dreams\".","authors":"Morgan Stickler, W Mitchel Shaver, Adam M Franks","doi":"10.3122/jabfm.2025.250131R1","DOIUrl":"10.3122/jabfm.2025.250131R1","url":null,"abstract":"Workforce projections predict a significant lack of primary care providers nationally. Increased family medicine residency programs and positions have been celebrated as the answer to these projections. Since 2012, the number of positions offered annually has increased almost 2-fold from 2,740 to 5,357. While this has the potential to help alleviate this disaster, very few are questioning the unintended consequences of additional family medicine positions. Over this same 14-year period, the number of programs failing to fill in the National Residency Match Program have increased 4.5-fold (64 to 288) with the number of unfilled slots increasing over 5.5-fold (142 to 805). Linear rates of change for unfilled residency programs per every 1,000 residency positions created have increased from 0.4 prior to 2018 to 69.3 between 2018 and 2021 to 271.5 after 2021. Unfilled programs experience multiple negative consequences including reputation damage and increase coverage responsibilities. Further addition of family medicine training position volume is therefore likely harmful to existing programs. Better solutions should be explored to creatively increase student interest in family medicine by emphasizing and leveraging the value of family medicine physicians and primary care.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"980-982"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accessing Patient Portals: Some Patients Want a Helping Hand. 访问患者门户：一些患者需要帮助之手。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250132R1

Erik Herbert, Mechelle R Sanders, Jack McKeown, Anjali Blow, Naomi Booker, Amaya Sanders, Sandy Wang, Kevin Fiscella

{"title":"Accessing Patient Portals: Some Patients Want a Helping Hand.","authors":"Erik Herbert, Mechelle R Sanders, Jack McKeown, Anjali Blow, Naomi Booker, Amaya Sanders, Sandy Wang, Kevin Fiscella","doi":"10.3122/jabfm.2025.250132R1","DOIUrl":"10.3122/jabfm.2025.250132R1","url":null,"abstract":"Background: Patient portals provide patients with access to their health information, including medical history and conditions, lab results, and upcoming appointments and ability to message their care team. However, not all patients have access to their portal.Methods: A cross-sectional survey of 233 adult family medicine patients from 4 community health clinics and a local community organization was conducted. The survey assessed patient demographics, internet usage, device ownership, and engagement with patient portals.Key results: Nearly half (47%) of patients had never accessed any portal, whether their own, a friend's, or family member's. Among patients without home internet, 66% had never used a portal. 36% of laptop owners, 37% of desktop owners, and 34% of tablet owners had never used a portal. Across different self-identified identities, 46% of White patients, 41% of Black patients, and 53% of Hispanic/Latino patients had never used a portal. Among English speakers, 42% had never used a portal, compared with 59% of Spanish speakers. Roughly one-third (32%) of patients were interested in portal training, with more than half preferring individualized training.Conclusions: Significant disparities in patient portal access exist in safety net practices. In addition to limited access to digital technology, lack of awareness of portal benefits and lack of clinician discussion and assistance likely contribute to inequities. Many patients desire individual portal training.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"995-1000"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Centralized Survey Model for Clinician Engagement in Practice-Based Research Networks (PBRNs). 临床医生参与实践研究网络（pbrn）的集中调查模型。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250087R1

William Lewis, Stacey Whanger, Jennifer Boyd, Tracy Sun, Madison Humerick, Jennifer Lukas, Rebecca Reece

{"title":"A Centralized Survey Model for Clinician Engagement in Practice-Based Research Networks (PBRNs).","authors":"William Lewis, Stacey Whanger, Jennifer Boyd, Tracy Sun, Madison Humerick, Jennifer Lukas, Rebecca Reece","doi":"10.3122/jabfm.2025.250087R1","DOIUrl":"10.3122/jabfm.2025.250087R1","url":null,"abstract":"Background: Practice-Based Research Networks (PBRNs) facilitate important clinical research by connecting primary care clinicians with research opportunities. The West Virginia Practice-Based Research Network (WVPBRN), supported by the West Virginia Clinical and Translational Science Institute (WVCTSI), developed the Collective Outcomes Research Engagement (CORE) Survey to reduce barriers and support clinician participation in research.Methods: The CORE Survey is an annual, centralized tool that combines investigator-driven questions into a single survey, aimed at reducing survey fatigue while supporting relevant research. Proposals are reviewed and selected based on relevance to primary care, feasibility, and alignment with WVPBRN priorities. The survey is distributed through the WVPBRN listserv using a snowball sampling approach. Investigators receive their results within 30 days to support analysis, dissemination, and grant development, with analytic support provided by network staff.Results: From 2018 to 2023, the CORE Survey received 39 proposals, with 21 selected for inclusion. Resulting outputs include 4 peer-reviewed publications, 1 policy change, multiple local and national presentations, and data used in successful grant submissions. Response levels have remained stable, with 68 respondents in 2023.Conclusion: The CORE Survey has become a sustainable and reproducible part of WVPBRN infrastructure that supports clinician-driven research across West Virginia. While research outputs vary year to year, the process has maintained steady engagement and contributed to a growing pipeline of scholarly activity. This model may benefit other PBRNs seeking to strengthen research participation in rural primary care.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"1012-1017"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characterizing Cervical Cancer Screening in the US: Preparing for the Era of Self-Collection. 美国子宫颈癌筛查的特征：为自我收集的时代做准备。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250040R1

Lisa F Soltani, Ilana Addis, Paul Lin, Neil Kamdar, Marie Claire O'Dwyer, Alisa P Young, Diane M Harper

{"title":"Characterizing Cervical Cancer Screening in the US: Preparing for the Era of Self-Collection.","authors":"Lisa F Soltani, Ilana Addis, Paul Lin, Neil Kamdar, Marie Claire O'Dwyer, Alisa P Young, Diane M Harper","doi":"10.3122/jabfm.2025.250040R1","DOIUrl":"10.3122/jabfm.2025.250040R1","url":null,"abstract":"Background: Cervical cancer screening (CCS) is shifting from in-office to self-screening. The primary aim of this study is to define a baseline distribution of in-office CCS providers by specialty and the race/ethnicity and age of those screened.Methods: We extracted electronic health record data (Truveta-multiple health systems in 34 states) of individuals eligible for CCS aged 21 to 65, documented between January 1, 2017-December 31, 2022. Those with a hysterectomy before 2017, had any gynecological cancer at any time, or had evidence of CCS after the hysterectomy, except if there was a history of cervical intraepithelial neoplasia grade 2 or 3 (CIN 2/3) disease were excluded. We reported the total number of CCS and colposcopies per eligible patient and the specialty of the performing clinician (medical taxonomy).Results: Among the 2,439,331 individuals included in the study, the average age was 42.9 (SD 11.7). There were 3,412,148 CCSs linked with 1 of 3 provider specialties: obstetrics & gynecology (OG), family medicine (FM), and general internal medicine (GIM). OG provided less than half of all CCS, dropping to 31.6% of those 50 to 65. While only 70.5% (1,718,914) of the population received at least 1 CCS during the study, the mean CCS per patient was 2.6 (SD 2.7). The rate of colposcopy after a CCS was 3.9%.Conclusions and relevance: Family and Internal Medicine clinicians provide the majority of CCS in the US (61.9%), particularly for people aged 50 to 65 (68.4%), when cervical cancer risk is the highest.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"1026-1048"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reimbursement and Policy Considerations of Point-of-Care Ultrasound (POCUS) in Rural Family Medicine. 农村家庭医学中定点超声（POCUS）的报销与政策考虑。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.240467R1

Kylie Long, Geoffrey Bocobo, Andrew Goldsmith

{"title":"Reimbursement and Policy Considerations of Point-of-Care Ultrasound (POCUS) in Rural Family Medicine.","authors":"Kylie Long, Geoffrey Bocobo, Andrew Goldsmith","doi":"10.3122/jabfm.2025.240467R1","DOIUrl":"10.3122/jabfm.2025.240467R1","url":null,"abstract":"Point-of-care ultrasound (POCUS) has emerged as a powerful tool for bedside diagnosis and management, offering real-time clinical insights and cost savings. Its integration into rural family medicine could reduce reliance on advanced imaging, improve patient satisfaction, and support physician versatility across primary, emergency, and procedural care. Despite these advantages, POCUS adoption remains limited, largely due to ambiguous and inconsistent reimbursement policies. Rural Health Clinic all-inclusive payment models, state Medicaid variability, and Local Coverage Determination gaps undermine financial sustainability. Cost analyses demonstrate meaningful system-level savings, yet physician revenue remains constrained, particularly in Medicare-heavy rural populations. Policy solutions include adjusting rural payment models, establishing national Local Coverage Determinations (LCDs), introducing visit modifiers, and leveraging tele-ultrasound and hybrid training approaches. Complementary pathways, such as limited out-of-pocket patient payments, may provide short-term support but risk inequities. Aligning reimbursement policy with demonstrated clinical and economic benefits is critical to scaling POCUS in rural family medicine and strengthening equitable access to care.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"967-973"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Retrospective Analysis of Soft Tissue Point-of-Care Ultrasound (POCUS) in Primary Care. 软组织即时超声（POCUS）在初级保健中的回顾性分析。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2024.240465R1

David Killeen, Frances Shofer, Nova Panebianco, Gwen Baraniecki-Zwil, Jeffery Kramer

{"title":"A Retrospective Analysis of Soft Tissue Point-of-Care Ultrasound (POCUS) in Primary Care.","authors":"David Killeen, Frances Shofer, Nova Panebianco, Gwen Baraniecki-Zwil, Jeffery Kramer","doi":"10.3122/jabfm.2024.240465R1","DOIUrl":"10.3122/jabfm.2024.240465R1","url":null,"abstract":"Introduction: Soft tissue concerns are common, yet most primary care physicians must refer patients to radiology for further imaging, leading to potential delays in diagnosis and management. Point-of-care ultrasound (POCUS) is increasingly available in primary care and has been shown to improve clinical decision making. However, current Family Medicine POCUS curricula focus primarily on cellulitis and abscess, overlooking other common soft tissue pathologies. This study aims to evaluate the frequency of soft tissue pathologies and associated follow-up recommendations on comprehensive radiology ultrasound exams ordered by Family Medicine physicians.Methods: A retrospective study of radiology-performed comprehensive ultrasound exams ordered by an academic urban Family Medicine practice over the course of the 2019 was performed. Data collected included patient demographics, ultrasound findings, anatomic location, and follow-up recommendations. Diagnoses were categorized, and time from order to completion was calculated.Results: Soft tissue ultrasounds comprised 10% (n = 168) of all ultrasound studies ordered. The most common diagnosis were lymph nodes, n = 44 (25%), lipomas n = 32 (18%), and no lesion/normal n = 23 (13%). Only 2 studies diagnosed abscess (1%). The median time from order date to completion was 6 days (IQR 2 to 22 days), with 48% waiting over a week. Half (51%) of studies required no further follow up, while 26% required additional imaging or biopsy.Discussion: These findings highlight the need for expanded Family Medicine POCUS training to include high-yield diagnoses such as lipomas, lymph nodes, and cysts. POCUS could reduce unnecessary referrals, expedite care, and improve diagnostic confidence. Future research should explore primary care-specific POCUS protocols and their impact on patient outcomes.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"986-990"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do No Harm? Rethinking Urine Drug Screens in Treatment of Opioid Use Disorder. 不伤害？阿片类药物使用障碍治疗中尿液药物筛选的再思考。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250217R1

Cathleen Beliveau, Michael Baca-Atlas

引用次数: 0

Identifying Patients with Breast Cancer History Using Epic Electronic Health Record. 使用Epic电子健康记录识别乳腺癌病史患者。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250095R1

Sarah J Fadem, Ayana April-Sanders, Alicja Bator, Jeanne Ferrante, Jenna Howard, Jennifer R Hemler, Kennedy Ganti, Shawna V Hudson, Benjamin F Crabtree, Denalee O'Malley

{"title":"Identifying Patients with Breast Cancer History Using Epic Electronic Health Record.","authors":"Sarah J Fadem, Ayana April-Sanders, Alicja Bator, Jeanne Ferrante, Jenna Howard, Jennifer R Hemler, Kennedy Ganti, Shawna V Hudson, Benjamin F Crabtree, Denalee O'Malley","doi":"10.3122/jabfm.2025.250095R1","DOIUrl":"10.3122/jabfm.2025.250095R1","url":null,"abstract":"Introduction: Identifying patients with a history of cancer in primary care remains a barrier to implementing optimal survivorship care.Methods: As part of an intervention to support primary care practices to deliver breast cancer survivorship care, our team developed a process that uses electronic health record (EHR) reporting capabilities to systematically identify patients with breast cancer history. This intervention was fielded in 13 primary care practices in an integrated health system. End-user feedback throughout the intervention informed refinements of the procedure and provided insights into the appropriateness and feasibility of implementing this tool.Results: Practice members were able to successfully generate reports that included lists of patients with a history of breast cancer at both the practice and clinician level. Feedback from those implementing the intervention led to refinements that included expanding users who could generate and access the reports to include nonphysicians and adding additional search criteria.Discussion: Implementation of system-wide EHR reports and instruction of clinic champions on procedures to generate analytics of breast cancer survivors can facilitate informatics skill-building and enable primary care teams to engage in breast cancer survivorship care.Conclusion: This method of creating practice- and clinician-specific cancer survivor patient registries can be applied in other contexts to support the delivery of evidence-based survivorship care.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"1006-1011"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teens' Time Alone with Their Clinician: Receipt of Health Care Transition Preparation and Anticipatory Guidance. 青少年与他们的临床医生独处的时间：接受医疗保健过渡准备和预期指导。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250100R1

Lindsey I Black, Amanda E Ng, Benjamin Zablotsky, Jonaki Bose, Jessica R Jones, Stephen J Blumberg

{"title":"Teens' Time Alone with Their Clinician: Receipt of Health Care Transition Preparation and Anticipatory Guidance.","authors":"Lindsey I Black, Amanda E Ng, Benjamin Zablotsky, Jonaki Bose, Jessica R Jones, Stephen J Blumberg","doi":"10.3122/jabfm.2025.250100R1","DOIUrl":"10.3122/jabfm.2025.250100R1","url":null,"abstract":"Objectives: This study examines the receipt of health care transition (HCT) preparation and anticipatory guidance by whether the teen had time alone with a health care professional using self-reported data collected from a nationally representative sample of teens aged 12 to 17 years.Methods: Data from the National Health Interview Survey-Teen (NHIS-Teen) a follow-back survey to the National Health Interview Survey (NHIS) were used (n = 1635). Prevalence estimates of teens' receipt of time alone with a health care professional, HCT preparation (eg, understanding the changes in health care that happen at age 18) and anticipatory guidance discussions (eg, use of tobacco products) were examined. Logistic regression models tested for associations between receipt of time alone and each measure; analyses were adjusted for selected teen and family level sociodemographic characteristics.Results: Only 47.1% of teens with a medical care visit in the past 12 months had time alone with a health care professional. Approximately 25% of teens discussed changes in health care and 43.2% discussed gaining skills to manage their own health. In addition, 46.0% of teens discussed puberty and sexual health, 55.5% discussed use of tobacco products and 66.5% discussed mental or emotional health. Teens that had time alone with a health care professional were significantly more likely to receive HCT preparation and anticipatory guidance.Conclusions: Teen self-reported receipt of HCT preparation and anticipatory guidance was low. Having time alone with a health care professional was associated with increased receipt of HCT preparation and anticipatory guidance.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"1082-1090"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of Family Medicine Point-of-Care Ultrasound Screening (POCUS) for Abdominal Aortic Aneurysm. 家庭医学点对点超声筛查腹主动脉瘤的验证。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2026-02-27 DOI: 10.3122/jabfm.2025.250206R1

Ryan Paulus, John Doughton, Molly Duffy, Wesley Roten, Liza Straub, Kelli Hammond, Andy Liu, Aylin Memili, David Reed, Philip D Sloane

{"title":"Validation of Family Medicine Point-of-Care Ultrasound Screening (POCUS) for Abdominal Aortic Aneurysm.","authors":"Ryan Paulus, John Doughton, Molly Duffy, Wesley Roten, Liza Straub, Kelli Hammond, Andy Liu, Aylin Memili, David Reed, Philip D Sloane","doi":"10.3122/jabfm.2025.250206R1","DOIUrl":"10.3122/jabfm.2025.250206R1","url":null,"abstract":"Objective: Ruptured abdominal aortic aneurysms (AAA) carry a mortality rate as high as 80% . Early detection through a screening ultrasound can lead to a large mortality reduction. Point-of-care ultrasound (POCUS) has preliminary data suggesting it is as accurate as hospital-based ultrasounds performed by a sonographer. This validation study investigated the relative concordance of family physicians using POCUS to determine aortic diameter compared with hospital-based ultrasound studies.Methods: The study was a cross-sectional, multi-observation study conducted at 3 office practices. Five family physicians with varying degrees of training and experience utilized various ultrasound machines to measure maximal aortic diameter at the proximal, mid, and distal aorta. Hospital-based ultrasound or Computed Tomography (CT) served as the validation scan. Pairwise comparisons were made, with statistical testing for difference using the T-TEST command with the PAIRS subcommand.Results: Forty-four independent observations were completed by the 5 physicians on the 18 patients (n = 18). The mean difference between the POCUS and validation scans was 0.2 cm (95% CI -1.10 to 0.40). The family physicians generally underestimated the aortic diameter. The proximal aorta had the largest mean difference in aortic size (0.23 cm; P = .003). Type of ultrasound device used, the width of the largest aortic segment, and low patient body mass index had significant relations.Conclusion: This small study found data suggesting that family physicians with variable POCUS experience can accurately perform AAA screening in the ambulatory setting with either handheld or cart-based POCUS machines.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"1018-1025"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0