PRiMER (Leawood, Kan.)最新文献

{"title":"An Analysis of a Family Medicine Residency Program's Social Media Engagement During the 2021-2022 Match Cycle.","authors":"Annie Phung,&nbsp;Katherine Wright,&nbsp;Natalie J S Choi","doi":"10.22454/PRiMER.2023.426399","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.426399","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic affected the 2021 and 2022 residency recruitment cycles. Many programs rapidly shifted their recruitment efforts to include a greater presence on social media (SoMe), assuming that applicants would use these avenues as supplemental sources of information. As this represents a deviation from traditional recruitment efforts, our research team sought to analyze social media trends during the 2021-2022 family medicine virtual Match.</p><p><strong>Methods: </strong>We obtained social media analytics from our program's Facebook, Instagram, and Twitter accounts to trend user engagement as well as sources of traffic to our program's website.</p><p><strong>Results: </strong>Our study shows the ratio of users reached per post correlated with Instagram and Twitter more than Facebook. The most users reached per post were in June, October, and February, corresponding to when Electronic Residency Application Service (ERAS) application opened, when interview invitations were mostly extended, and rank order list submission. GME website traffic sources revealed that Google was the greatest driver to our website, more than the three SoMe platforms combined.</p><p><strong>Discussion: </strong>Our findings suggest Instagram and Twitter engage more users per post compared to Facebook, and user engagement appeared more aligned with the Match cycle timeline than the number of posts generated. It is important to continue to explore effective ways for applicants and programs to engage with one another in the ongoing uncertainty of virtual interviewing.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121021/pdf/primer-7-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Social Circumstances in Primary Care: Expert Consensus via Delphi Technique.","authors":"Junki Mizumoto,&nbsp;Toshichika Mitsuyama,&nbsp;Satoshi Kondo,&nbsp;Masashi Izumiya,&nbsp;Shoko Horita,&nbsp;Masato Eto","doi":"10.22454/PRiMER.2023.765336","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.765336","url":null,"abstract":"<p><strong>Background and objective: </strong>In the Japanese primary care setting, a set of questions to screen patients' social circumstances has never been developed in a scientific manner. This project aimed to reach a consensus among diverse experts to develop a set of such questions, to meet the need for assessing patients' health-related social circumstances.</p><p><strong>Methods: </strong>We used a Delphi technique to generate expert consensus. The expert panel was composed of various clinical professionals, medical trainees, researchers, support members for marginalized people, and patients. We conducted multiple rounds of communication online. In round 1, the participants provided their opinions about what health care professionals should ask to assess patients' social circumstances in primary care settings. These data were analyzed into several themes. In round 2, all themes were confirmed by consensus.</p><p><strong>Results: </strong>Sixty-one people participated in the panel. All participants completed the rounds. Six themes were generated and confirmed: economic condition and employment, access to health care and other services, living in everyday life and leisure time, total physiological needs, tools and technology, and history of the patient's life. In addition, the panelists emphasized the importance of respecting the patient's preferences and values.</p><p><strong>Conclusion: </strong>A questionnaire, abbreviated by the acronym of HEALTH+P, was developed. Further research about its clinical feasibility and impact on patient outcomes is warranted.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"765336"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957451/pdf/primer-7-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10799982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Dermoscopy Training for Primary Care Practitioners on Number Needed to Biopsy to Detect Melanoma.","authors":"Elizabeth V Seiverling,&nbsp;Madeline A Prentiss,&nbsp;Kathryn Stevens,&nbsp;Henry Stoddard,&nbsp;Peggy R Cyr,&nbsp;Hadjh Ahrns","doi":"10.22454/PRiMER.2023.276659","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.276659","url":null,"abstract":"<p><strong>Introduction: </strong>The incidence of melanoma is on the rise. In trained hands, dermoscopy aids in the differentiation of melanoma from benign skin growths, including melanocytic nevi. This study evaluated the impact of dermoscopy training for primary care practitioners (PCPs) on the number of nevi needed to biopsy (NNB) to detect a melanoma.</p><p><strong>Methods: </strong>We conducted an educational intervention that included a foundational dermoscopy training workshop and subsequent monthly telementoring video conferences. We performed a retrospective observational study to evaluate the impact of this intervention on the number of nevi needed to biopsy to detect a melanoma.</p><p><strong>Results: </strong>The number of nevi biopsied to detect one melanoma decreased from 34.3 to 11.3 following the training intervention.</p><p><strong>Conclusion: </strong>Dermoscopy training for primary care practitioners resulted in a significant reduction in the NNB to detect melanoma.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"276659"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957456/pdf/primer-7-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10799986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Introductory Qualitative Exploration of Medical Student Perceptions of Professionalism at One Medical University.","authors":"Elana Sitnik,&nbsp;Briar Bertoch,&nbsp;Carrie Roseamelia,&nbsp;Lauren J Germain","doi":"10.22454/PRiMER.2023.937124","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.937124","url":null,"abstract":"<p><strong>Introduction: </strong>Professionalism as a competency in medical education has been defined in multiple ways. Irby and Hamstra offered three frameworks of professionalism in medical education. This study examines medical students' definitions of professionalism to assess whether they align with these frameworks.</p><p><strong>Methods: </strong>We administered an open-ended questionnaire to 92 medical students at a single university in the United States. We conducted thematic coding of responses and calculated code frequencies.</p><p><strong>Results: </strong>The response rate was 54%. There were no observable differences between the responses of students in clinical versus preclinical training phases. The majority of comments (84%) reflected aspects of multiple frameworks from Irby and Hamstra and three emergent themes were identified. Most respondents (96%) cited aspects of the behavior-based framework. Most students' (66%) responses also aligned with the virtue-based framework. Emergent themes were \"hierarchical nature of medicine,\" \"academic environment/hidden curriculum,\" and \"service and advocacy.\" \"Service and advocacy\" can be viewed as contexts for Irby and Hamstra's identity formation framework, but references did not align with the full definition.</p><p><strong>Conclusion: </strong>Our findings suggest that students view professionalism through multiple frameworks and indicate a predominance of the behavior-based framework. Experiences with organizational culture and values may be important in students' definitions of professionalism.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351428/pdf/primer-7-18.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9892136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Care Residency Perspectives on Medical Student Performance Evaluations.","authors":"Anthony B Dambro,&nbsp;Zakary Newberry,&nbsp;Jessica Parascando,&nbsp;Alyssa Anderson","doi":"10.22454/PRiMER.2023.763651","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.763651","url":null,"abstract":"<p><strong>Introduction: </strong>With the transition of the United States Medical Licensing Examination (USMLE) Step 1 exam to pass-fail, residency directors are exploring alternative objective approaches when selecting candidates for interviews. The Medical Student Performance Evaluations (MSPE) portion of the application may be an area where objectivity could be provided. This study explored program directors' (PDs) perspectives on the utility of the MSPE as a discriminating factor for residency candidate selection.</p><p><strong>Methods: </strong>We invited PDs of primary care residencies listed in the American Medical Association FRIEDA database to participate in a mixed-methods study assessing opinions on the MSPE, and the importance of student skills and application components when considering a candidate for interview. We obtained summary statistics for Likert-scale responses. We used inductive thematic analysis to generate themes from open-ended comments.</p><p><strong>Results: </strong>Two hundred forty-nine PDs completed the survey (response rate=15.9%). Patient communication (83.6%) and teamwork (81.9%) were rated as very/extremely important skills, and being a graduate of a US medical school in the past 3 years (73.1%), no failures on board exams (58.2%), and MSPEs (54.8%) were rated as very/extremely important application components. Six hundred seventy-eight open-ended comments yielded themes related to desire for more transparency and standardization, importance of student attributes and activities, and other important components of applications.</p><p><strong>Conclusion: </strong>PDs place a high value on the MSPE but find it limited by concerns over validity, objectivity, and lack of standardization. The quality of MSPEs may be improved by using a common language of skill attainment such as the Association of American Medical Colleges' Entrustable Professional Activities and using the document to discuss students' other attributes and contributions.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121025/pdf/primer-7-12.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-care Perception in Physicians and Patients With Type 2 Diabetes.","authors":"Naveen K Balakrishnan,&nbsp;Philip Day,&nbsp;Ronya Green,&nbsp;Inez Cruz,&nbsp;David Schneider,&nbsp;Neelima J Kale","doi":"10.22454/PRiMER.2023.437650","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.437650","url":null,"abstract":"<p><strong>Objectives: </strong>We sought to assess self-care perception consistency between patients with type 2 diabetes mellitus and their physicians and characterize the psychosocial parameters influencing their respective perceptions.</p><p><strong>Methods: </strong>We conducted a study of 627 patients with type 2 diabetes and their physicians throughout 12 family medicine residency clinics in Texas to analyze their respective perceptions of patient self-care. We utilized linear regression testing.</p><p><strong>Results: </strong>There was a lack of consistency in self-care perception between patients and physicians 31.2% of the time. Patient self-care perception was best predicted by the patients' diabetes distress scores (<i>P</i><.001) and last HbA1c (<i>P</i><.001).</p><p><strong>Conclusion: </strong>Measuring a patient's diabetes distress may help physicians better understand a patient's self-care perception. By understanding a patient's self-care perception, the physician may be able to explore these notions of positive or negative self-care perception and even gently correct them when necessary. This may allow physicians to better align themselves with the patient, provide behavioral health interventions, and better target and communicate effective plans.</p><p><strong>Practical implications: </strong>We suggest periodic assessment of diabetes distress and self-care perception to inform the need for education to improve self-efficacy.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351426/pdf/primer-7-20.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9837669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote Synchronous Laceration Repair Instruction With Summary Feedback.","authors":"Stephen K Stacey,&nbsp;Christopher L Boswell,&nbsp;Karen K Cowan,&nbsp;Anthony J Furlano,&nbsp;Mark D McEleney,&nbsp;Erin F Morcomb,&nbsp;Christopher J Tookey","doi":"10.22454/PRiMER.2023.863182","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.863182","url":null,"abstract":"<p><strong>Background and objectives: </strong>Social distancing and quarantine requirements imposed during the COVID-19 pandemic necessitated remote training in many learning situations that formerly focused on traditional in-person training. In this context, we developed an adaptive approach to teaching laceration repair remotely while allowing for synchronous instruction and feedback.</p><p><strong>Methods: </strong>In April 2020, 35 family medicine residents from 4 programs in the Midwest United States participated in a real-time, remotely-delivered, 2-hour virtual procedure workshop of instruction in suture techniques for laceration repair. Paired-sample <i>t</i> tests compared scores of learner self-confidence obtained during pre- and posttests. We interpreted short-answer responses with a mixed-methods analysis. Residents submitted photos and videos of suture techniques and received formative feedback based on a predefined rubric.</p><p><strong>Results: </strong>All residents completed the pre- and posttests. The posttest scores for self-confidence across the participants showed significant improvement for all suture techniques. Of the 67 short-answer responses, 38 responses (56.7%) were positive; 9 (13.4%) negative; 8 (11.9%) neutral; and 12 (17.9%) a combination of positive and negative. The workshop was rated by 34 residents (97.1%) as either \"about the same as prior training experiences,\" \"better than prior training experiences,\" or \"much better than prior training experiences.\"</p><p><strong>Conclusion: </strong>Learners reported that a remotely-delivered, real-time, synchronous suture technique workshop was a valuable experience. Further research is needed to establish the efficacy of this platform to promote procedural competence.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351430/pdf/primer-7-19.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9837674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Value of Public Health and Health Policy Information Among Medical Students: A Cross-sectional Study.","authors":"Sophia M Leonard,&nbsp;Katelyn Sanner Dixon,&nbsp;Jack M Ayres,&nbsp;Keith Cordner,&nbsp;K Allen Greiner,&nbsp;Daniel J Parente","doi":"10.22454/PRiMER.2023.758379","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.758379","url":null,"abstract":"<p><p><b>Introduction</b>: Health educators have had difficulty introducing health policy and public health training into an already intensive medical school curriculum. Although the COVID-19 pandemic may have changed perspectives on the importance of public health, it may not change educational approaches. Assessment of medical student opinions and perceptions of health policy and public health might influence the weight given to these topics in medical education.</p><p><strong>Methods: </strong>We used a 39-item instrument to cross-sectionally survey medical students, to assess their perceptions of the value of public health and health policy within their professional education.</p><p><strong>Results: </strong>One hundred two students completed the survey (13% response rate). Most students reported an interest in public health (94.1%) and health policy (92.2%). Although interested, most students lacked confidence in their knowledge of public health and health policy on both state (health policy 34.3% confident; public health 43.1%) and national (health policy 41.0%; public health 44.1%) levels. Most students perceived that their institution has not sufficiently prepared them to understand health policy (34% felt prepared) and most reported insufficient information to participate in policy discussions (30.3% sufficiently informed).</p><p><strong>Conclusions: </strong>Medical students reported an interest in public health and health policy while also reporting a lack of confidence in their level of preparedness to understand and participate in these fields, thus demonstrating a need for increased public health and health policy education within medical school curricula.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351429/pdf/primer-7-14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9837670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culture of Safety Quality Improvement Project: Longitudinal AHRQ Survey Results From a Family Medicine Residency Program.","authors":"Erin Jefferson,&nbsp;Tyler Braly,&nbsp;Brian Henriksen,&nbsp;Kim Harris","doi":"10.22454/PRiMER.2023.918491","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.918491","url":null,"abstract":"<p><strong>Objectives: </strong>This project analyzed the culture of safety quality improvement at the Family Medicine Center (FMC). The Agency for Healthcare Research and Quality (AHRQ) <i>Culture of Safety Survey</i> was used as a benchmark for internal and external comparison.</p><p><strong>Methods: </strong>The AHRQ <i>Culture of Safety Survey</i> was administered to health care staff in 2015, 2017, and 2019, respectively, at the Family Medicine Center. Baseline perceptions of safety and quality were established using the data from the AHRQ <i>Culture of Safety Survey</i> in 2015. We performed multiple large-scope quality improvement projects that focused on identified deficiencies. The changes in perception were monitored over time every 2 years. We analyzed the results using the Kruskal-Wallace test (<i>P</i>=.05).</p><p><strong>Results: </strong>The AHRQ <i>Culture of Safety Survey</i> showed statistically significant improvement in patient centeredness, effectiveness, timeliness, efficiency, equitableness, and overall patient safety from 2015 to 2019. Some inconsistencies were seen between different sections of responses, likely due to wording interpretations by the participants.</p><p><strong>Conclusion: </strong>Overall, the AHRQ <i>Culture of Safety Survey</i> is an effective way to help monitor employee perception of multiple domains that lead to a safe and effective clinical environment as compared to other practices across the country. Clinic-wide implementation of quality and patient care strategies resulted in significant improvements in nearly every category of the survey.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351433/pdf/primer-7-15.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9892134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorectal Cancer Screening Decisions From Student-Led Telemedicine Initiative During COVID-19.","authors":"Meghan Drastal,&nbsp;Kaitlin Shaw,&nbsp;Nicholas Hyman,&nbsp;Matthew Green,&nbsp;Cibel Quinteros Baumgart,&nbsp;Daniela Diaz","doi":"10.22454/PRiMER.2023.253936","DOIUrl":"https://doi.org/10.22454/PRiMER.2023.253936","url":null,"abstract":"<p><strong>Background and objectives: </strong>With the onset of the COVID-19 pandemic, there has been a significant decrease in colorectal cancer (CRC) screening leading to delayed diagnoses and increased cancer deaths. To mitigate these burgeoning gaps in care, we developed a medical student-led service learning project aimed at improving rates of colorectal cancer screening at the Farrell Health Center (FHC), a primary care practice within the Ambulatory Care Network (ACN) at New York-Presbyterian Hospital.</p><p><strong>Methods: </strong>A cohort of 973 FHC patients aged 50-75 years were identified as possibly overdue for screening. Student volunteers reviewed patient charts to confirm screening eligibility and then contacted patients to offer colonoscopy or stool DNA test. Following the patient outreach intervention, medical student volunteers completed a questionnaire to assess the educational value for the service-learning experience.</p><p><strong>Results: </strong>Fifty-three percent of identified patients were due for CRC screening; 67.8% of eligible patients were reached by volunteers. Among the patients reached, 47.0% were referred for CRC screening. No statistical significance was observed between likelihood of CRC screening acceptance and patient age or sex; 87% of medical student volunteers felt that the service-learning project was a valuable educational experience.</p><p><strong>Conclusion: </strong>The student-led patient telehealth outreach program is an effective model for identifying and referring patients overdue for CRC screening and an enriching educational experience for preclinical medical students. The structure provides a valuable framework to address gaps in health care maintenance.</p>","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"7 ","pages":"253936"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957458/pdf/primer-7-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10799985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}