Race and ethnicity data are not just checkboxes. This study shows that open ended self-reporting captures more accurate, complete, and meaningful identities than EHR data, improving equity in research and clinical care. www.jabfm.org/content/39/1...

Kratom's low-risk reputation is being undermined by high potency 7-hydroxymitragynine (7-OH) semi-synthetic variants, which carry high opioid like overdose & dependence risks. 7-OH poses urgent regulatory & health challenges. www.jabfm.org/content/39/1...

The US environment for healthcare is not conducive to providing adequate family physicians to care for the needs of the US population. In this commentary, the author addresses issues preventing family medicine from making its most effective contributions. www.jabfm.org/content/39/1...

Why Are There Never Enough Family Physicians to Provide Care for the People of the United States?

The US environment for healthcare and healthcare research is not conducive to providing adequate family physicians to care for the needs of the US population. Medical student interest in family medici...

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From 2016–2023, fewer US adults reported having no personal doctor, but a 20-point gap by education persisted. Family medicine can target outreach and navigation support to patients with lower educational attainment. www.jabfm.org/content/39/1...

Every year our fellows visit our office to connect, collaborate, and dive deeper into their work with the journal. Thank you to our second year resident, Dr. Namita Bhardwaj, and first years, Drs. Tucker Marrison and Dave Garcia, for spending time with us in Augusta, GA!

To date, there has been limited research into loneliness in young adults who have the highest rates of loneliness. New findings show that it is feasible to identify emerging adults with loneliness and demonstrate the need for targeted interventions in primary care www.jabfm.org/content/39/1...

Demographic Disparities Among Emerging Adults Experiencing Loneliness

Background Loneliness has increased in recent years and is associated with poorer physical and mental health outcomes. While much research has focused on older adults, to date there has been limited r...

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Study found that states with more family physicians (FPs) have lower rates of abortion, even when controlling for rurality, pregnancy rate, abortion clinics, and state law. FPs providing abortion care could be part of a solution to improving patient access to abortion. www.jabfm.org/content/39/1...

Moving primary care compensation from volume to value increased panel growth and improved physician experience in an academic medical center, but long-term success requires addressing staffing and access constraints. www.jabfm.org/content/39/1...

A new qualitative study of 25 early-career women physicians identified three key themes addressing the biases they face in the clinical setting. Failing to address these experiences jeopardizes both equity and workforce sustainability. www.jabfm.org/content/39/1...

In this joint editorial, editors of the seven US-based family medicine journals underscore the evidence that a strong primary care infrastructure is clearly related to improved health: journals.stfm.org/familymedici... (1/4)

In this joint editorial, editors of the seven US-based #FamilyMedicine journals underscore the evidence that a strong #PrimaryCare infrastructure is clearly related to improved health. 🔗- doi.org/10.1370/afm.... @stfm-fm.bsky.social @aafp.org @jabfm.bsky.social

In this joint editorial, editors of the seven US-based family medicine journals underscore the evidence that a strong primary care infrastructure is clearly related to improved health. www.jabfm.org/content/39/1...

MASLD is a leading cause of cirrhosis and liver transplant, yet it remains underdiagnosed in primary care. This pilot study evaluated a clinical decision support tool embedded in the electronic medical record to flag patients at risk using the FIB-4 score. www.jabfm.org/content/39/1...

A Computerized Clinical Decision Support Tool Increases Rates of Confirmatory Testing in MASLD Patients at Risk for Advanced Fibrosis

Background and Aims Metabolic-dysfunction associated steatotic liver disease (MASLD) is highly prevalent in primary care. The Fibrosis-4 (FIB-4) index noninvasively risk-stratifies patients needing co...

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Not everything seen on a TV medical drama is fiction. Phytophotodermatitis, commonly known as “margarita burn,” is a skin reaction often associated with citrus exposure and sunlight, including while enjoying a margarita outdoors. www.jabfm.org/content/34/2...

Is team-based care the future of family medicine? Insights from FMLC highlight promise, pitfalls, and a path forward—emphasizing design, continuity, and adaptability over one-size-fits-all solutions www.jabfm.org/content/39/1...

To Team or Not to Team: A Foundational Debate for the Future of Family Medicine—Insights from the Family Medicine Leadership Council

In some form, team-based care is an essential element of family medicine practice; however, the composition, roles, and definitions of team members vary widely. Team-based care has been promoted as a strategy to address rising clinical complexity, workforce shortages, and clinician burnout in family medicine. This article synthesizes a structured dialogue convened by the Family Medicine Leadership Council (FMLC) that examined both the promise and limitations of team-based primary care. Drawing on evidence, national data, and leadership perspectives, the discussion highlights key design considerations, tensions related to continuity and professional identity, and the importance of context-sensitive implementation. The article argues for team models adapted to the specific circumstances of diverse practice settings that preserve continuity, accountability, and the core values of family medicine.

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Access and continuity are both critical for high-quality primary care, but improving one does not have to be at the expense of the other. This article describes models for improving access that simultaneously preserve or elevate continuity. @ucsfcepc.bsky.social www.jabfm.org/content/39/1...

School-Based Health Centers (SBHCs) provide key preventive healthcare to low-income and historically marginalized children. If adequately resourced and integrated with community health centers, SBHCs have potential to mitigate pediatric health disparities www.jabfm.org/content/39/1...

Characteristics of Children Seeking Care at School-Based Health Centers

Purpose There has yet to be a comprehensive multi-state study describing the children that use school-based health centers (SBHCs). This study seeks to determine sociodemographics, care utilization pa...

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Our newest collection brings together discussions from the Family Medicine Leadership Council (FMLC) August 2025 Meeting, highlighting ideas and perspectives shaping the future of family medicine. Read the collection: www.jabfm.org/content/fami...

Diabetes complications rise steadily in older adults. Race, language, geography, and insurance also affect risk. Strong blood pressure control protects, highlighting primary care’s role in prevention. www.jabfm.org/content/39/1...

Embedding EHR prompts boosts diabetes education referrals—clinics using a Best Practice Advisory saw a 10x increase. A simple tech tweak can drive better care for patients with type 2 diabetes www.jabfm.org/content/39/1...

Increasing Diabetes Self-Management Education and Support Referrals with an Electronic Best Practice Advisory

Introduction Diabetes self-management education and support (DSMES) services are often underutilized, partly due to low referral rates by clinicians. This examines if using a Best Practice Advisory (B...

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Prompt engineering bridges primary care clinicians and AI, moving them from passive users to co-developers. Researchers show how structured prompts can turn LLMs into tools that elevate primary care. www.jabfm.org/content/39/1...

The Importance of Primary Care Subject Matter Experts: Output Quality in Large Language Models Prompt Engineering

Large language models (LLMs) offer new opportunities to support primary care by generating documentation, summarizing records, answering messages, and providing education. While LLMs show promise, the...

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JABFM is soliciting papers that explore the clinical uses of GLP-1s and the experience of practicing family physicians with these medications. Click the link to learn more. www.jabfm.org/content/call...

Please join us in welcoming Dr. Garcia to the ABFM Research and Editing Fellowship. Congratulations, Dr. Garcia, we're thrilled to have you with us!

We are pleased to announce Dr. Tucker Marrison as one of this year's ABFM Research and Editing Fellows. Dr. Marrison will spend the next two years working with our editors to develop their skills in primary care research, manuscript writing, and medical editing. Welcome, Dr. Marrison!

The incidence of cutaneous melanoma is increasing while access to dermatology care remains limited. Despite barriers, PCPs are poised to identify and triage melanomas. New study shows that educating PCPs can be a powerful approach to address access to skin cancer care www.jabfm.org/content/39/1...

A Primary Care Intervention to Improve Melanoma Detection and Management

Background The incidence of cutaneous melanoma is increasing while access to dermatology care remains limited. Primary care clinicians are poised to identify and triage melanomas. However, barriers ex...

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Autistic women are too often excluded from reproductive care. This editorial highlights gaps in provider training and calls for inclusive, neurodiversity-affirming clinical guidelines and education. www.jabfm.org/content/39/1...

My Autistic Sister Deserves a Pap Smear Too: Closing the Reproductive Care Gap for Neurodiverse Patients

Autistic women face significant disparities in reproductive healthcare including receiving lower rates of Pap smears and human papillomavirus (HPV) vaccinations. This editorial explores how widespread...

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Inflammation has long been linked to the development and progression chronic diseases. Articles advise patients to decrease inflammation through their diet, yet many of the studies do not actually link data from human diets to clinical measures of inflammation www.jabfm.org/content/39/1...

Daily Nutrient Intake and Inflammation Among US Adults

Introduction Systemic inflammation has long been associated with chronic disease and mortality. Dietary interventions have been a proposed mechanism to decrease inflammation. Using high-sensitivity C-...

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Given high rates of burnout and significant EMR-related burden that primary care clinicians experience, the authors studied whether a 1000-character limit on patient e-messages helped to alleviate this. 🔗 www.jabfm.org/content/39/1...

Patient E-Message Character Limit Impact on Primary Care Clinician Burnout

Introduction Burnout is prevalent among primary care (PC) clinicians. One driver of this is asynchronous work, an important component of which is electronic messages (e-messages) between patients and ...

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Despite the increasing representation of women in family medicine, men continue to receive higher avg. NIH grant amounts compared to women. The differences are multifactorial & may include differences in academic productivity or grant committees’ heuristics 🔗https://www.jabfm.org/content/39/1/158310

Gender Differences in National Institutes of Health Funding for Family Medicine Faculty

Introduction The present study investigated the current trends of gender disparity in the National Institutes of Health (NIH) funding patterns for research within Family Medicine. Methods Funding dat...

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In community clinics, HPV vaccine programs for all Latinos, rather than by neighborhood-level social deprivation may be most effective, as the comprehensive care provided by these clinics may mitigate neighborhood social factors. www.jabfm.org/content/39/1...

The Association Between HPV Vaccination and Neighborhood-Level Social Deprivation Among Latinos by Nativity

Introduction Latino community members have increased risk for human papillomavirus (HPV)-related cancers. HPV vaccination may be influenced by neighborhood-level social determinants of health and nati...

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