Family medicine
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Opioid dependence is common among HIV-infected persons in the United States. Factors associated with HIV care providers recommending buprenorphine for opioid dependence are poorly defined. Using vignettes, we sought to identify HIV provider characteristics associated with endorsing buprenorphine treatment in primary care. ⋯ HIV providers infrequently endorsed buprenorphine treatment in primary care for vignette patients. Generalist and African American providers and those with previous buprenorphine prescribing experience are more likely to endorse buprenorphine treatment in primary care. Targeting generalist and minority providers may be one strategy to promote effective integration of HIV care and opioid addiction treatment.
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Our objective was to determine the level of adult understanding of dosage instructions for a liquid medication commonly prescribed for children. ⋯ Misinterpretation of pediatric liquid medication instructions is common. Limited literacy is a significant risk factor for misunderstanding and could contribute to racial disparities. Instructions should be written in a concise manner and standardized to ensure comprehension.
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Evidence-based medicine (EBM) is an important tool for lifelong learning by medical students. This study aimed to determine changes in self-reported attitudes and skills after integration of EBM into a medical school curriculum. ⋯ Medical students developed a positive attitude toward EBM and improved their skills after integration of EBM into a medical school curriculum.