The Annals Journal Club is designed to develop a learning community of those seeking to improve health care and health through enhanced primary care. It is a forum where people who care can meet, share, learn and create change.
Current Selection
Feb/Mar, 2023: Nurse Navigator for Lung Cancer Screening
Previous Selections
How It Works
In each issue of the Annals, the editors select an article or articles and provide discussion questions. We encourage you to take a RADICAL approach to these materials, and to post a summary of your conversation in our eLetters section of the website. For details, see A, B, and C, below.
A) Discussion Questions
Annals Journal Club discussion questions can be used to stimulate reflection and conversation. In particular, these questions are designed to help journal club participants, a) identify key points addressed by the article, and put them in context, b) discuss the scientific validity of the findings, and c) consider how the findings apply to practice, policy, education or research. The current selection(s) (above) and previous selections (below) include article citation(s), discussion tips, and discussion questions.
B) A RADICAL Approach
We encourage you to take a RADICAL approach to these articles. RADICAL stands for Read, Ask, Discuss, Inquire, Collaborate, Act and Learn. Journal clubs can get RADICAL by adopting these steps:
Read the article critically.
Ask the key questions for yourself.
Discuss the meaning and shared interpretation.
Inquire into other sources of knowledge and insight.
Collaborate with others who know or care about the issues.
Act by sharing an online (TRACK) comment and working to change practice, policy, training, or research.
Learn from what others share online and from your actions and collaborations and re-start the cycle.
C) Online Discussion (eLetters)
The Annals eLetters online discussion forum, (formerly called TRACK), is a way for you to share insights and conversation themes with other journal clubs and with readers worldwide. After discussing an Annals article in your journal club, we ask you to consider summarizing your conversation in an eLetter. (Sample eLetter) This is a unique opportunity for your journal club to be part of a global learning community.
To submit a comment in the online discussion, open the article online and click on the eLetters tab. You may submit a brief, informal comment or a more structured, prepared letter. Comments may be as short as one sentence and usually do not exceed 400 words and up to 5 references. Prepared eLetters would be appropriate to cite in your CV.
- Introduction to the Annals Journal Club (Stange KS, Miller WL, McClellan LA, Annals journal club: it's time to get RADICAL. Ann Fam Med. 2006;4(3):196-197).
- Bibliography (Extensive references about journal clubs and how to read and evaluate medical literature)
Previous Selections
- Jan/Feb, 2023: Self-Rooming Patients in Health System?
- Nov/Dec, 2022: Continuity of Care as a Quality Metric
- Sept/Oct, 2022: Evaluation of Community Health Worker Intervention in San Antonio
- July/August, 2022: Discordance Between Clinician and Patient EHR Experiences
- May/June, 2022: Creating Avenues to Specialty Care—Could COVID-19 Force Change in the Way We Access Specialty Care?
- March/April, 2022: Use of Telephone Interview for Cognitive Status (TICS) for the Detection of Dementia in Primary Care
- January/February, 2022: The Next Step in Expanding Treatment of Opioid Use Disorder?
- November/December, 2021: How Are Primary Care Systems Engaging With Social Needs?
- September/October, 2021: Improving Team Dynamics Can Improve Patient Care
- July/August 2021: Improving Patient Care Through the Identification of Patients’ Social Needs at Various FQHC’s in Michigan
- May/June 2021: Successfully Reducing Rates of Cesarean Delivery
- March/April 2021: App-based treatment of urinary incontinence: is the time now?
- January/February 2021: Discrimination and medical mistrust in a racially and ethnically diverse sample of California adults.
- November/December 2020: Should We Screen for Hearing Loss in the Older Adult?
- September/October 2020: Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
- July/August 2020: Inappropriate Antibiotic Allergy Documentation
- May/June 2020: Lung Cancer Screening in Primary Care
- March/April 2020: Impacts of Operational Failures on Primary Care Physicians’ Work
- Jan/Feb 2020:Peer-Delivered Cognitive Behavioral Training and Reduced Pain
- Nov/Dec 2019: Effectiveness of Community-Links Practitioners in Areas of High Socioeconomic Deprivation
- September/October 2019: Diagnostic Accuracy of a Smartphone-Operated Single-Lead ECG for Detection of Rhythm and Conduction Abnormalities in Primary Care
Jul/Aug 2019: More Primary Care Appointments Scheduled With Advanced Practitioners by Medicaid Beneficiaries Post ACA Implementation Mar/Apr 2019: Antihypertensive Treatment, Low Systolic Blood Pressure, and Cognitive Decline - Jan/Feb 2019: Point-of-Care Ultrasound as a Tool for Family Medicine
- Nov/Dec 2018: Legacy Drug Prescribing Patterns in Primary Care: A Cohort Study
- Sep/Oct 2018: Are New Residency Graduates Prepared to Treat Opioid Use Disorder?
- Jul/Aug 2018: Association Between Alcohol Consumption and Nocturnal Leg Cramps
- May/Jun 2018: Case Management for Frequent Users of Medical Care
- Suppl 1, Apr 2018: Disruption is the Norm
- Mar/Apr 2018: A Primary Care-Driven eConsult Service
- Jan/Feb 2018: Managing Medical Requests From Family and Friends
- Nov/Dec 2017: Auscultation While Standing
- Sep/Oct 2017: Tethered to the EHR: A Physician Workload Assessment
- July/Aug 2017: Is Deprescribing Swimming Against the Tide?
- May/June 2017: Internet-Based Vestibular Rehabilitation for Chronic Dizziness
- Mar/Apr 2017: What Parents Believe about Antibiotics
- Jan/Feb 2017: Measuring Outcomes: Lessons From the World of Public Education
- Nov/Dec 2016: A Meta-Analysis of Peer-Support Interventions for Adults With Diabetes
- Sep/Oct 2016: Informing a Different Conversation About Medication
- Jul/Aug 2016: A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients
- May/Jun 2016: Prostate Cancer Patients' Survival Expectations With and Without Their Chosen Treatment
- Mar/Apr 2016: Individual Goals, Neighborhood Context
- Jan/Feb 2016: Pragmatic Method to Assess Blood Pressure Control From Home Blood Pressure Diaries
- Nov/Dec 2015: The Identity Crisis of Osteoarthritis
- Sep/Oct 2015: Implementation Science is Challenging: When RCT Evidence Doesn't Translate into Practice
- Jul/Aug 2015: Possible Unintended Consequence of an Evidence-Based Clinical Policy Change
- May/Jun 2015: When the Embers Grow Dim: The Emotional Toll of Primary Care Practice
- Mar/Apr 2015: Impact of Medical Assistants as Health Coaches
- Jan/Feb 2015: Using Spirometry to Appropriately Diagnose COPD
- Nov/Dec 2014: Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment
- Sep/Oct 2014: The Family Physician's Role in End-of-Life Care
- Jul/Aug 2014: A Paradoxical Effect?
- May/Jun 2014: Diagnosis or Risk Factors to Guide Statin Use?
- Mar/Apr 2014: Building Blocks of High-Performing Primary Care
- Jan/Feb 2014: Managing Expectations for Antibiotics When Seeing Patients With Upper Respiratory Tract Infections
- Nov/Dec 2013: Interacting With Patients
- Sep/Oct 2013: Diagnosing Urinary Tract Infections
- Jul/Aug 2013: Avoiding Hospitalizations for Ambulatory Care–Sensitive Conditions
- May/Jun 2013: The Surprising Chronicity of Abdominal Pain in Children
- Mar/Apr 2013: The Big Picture on Antibiotics for Respiratory Infections
- Jan/Feb 2013: Matching Illness Expectations with Clinical Reality
- Nov/Dec 2012: Vitamin D Supplementation for Nonspecific Musculoskeletal Pain: Ready for Prime Time?
- Sep/Oct 2012: How Might Team Approaches to Care Affect Panel Size?
- Jul/Aug 2012: Meditation and Exercise for the Common Cold? Who Knew?
- May/Jun 2012: Communities of Solution
- Mar/Apr 2012: An Evolving Tradition
- Jan/Feb 2012: Beginning to Integrate Care for Diabetes and Depression
- Nov/Dec 2011: Saying Good-bye to Practice and Patients
- Sep/Oct 2011: Patients' Reasons for Not Disclosing Depression
- Jul/Aug 2011: Nonspecific Abdominal Pain in Children
- May/Jun 2011: A Patient-Physician Journey
- Mar/Apr 2011: Guided Care
- Jan/Feb 2011: Symbiosis Instead of Competing Demands: A Tale of 2 Preventive Services
- Nov/Dec 2010: Mitigating the Effects of Discontinuity
- Sep/Oct 2010: The Capability Framework
- Jul/Aug 2010: Guided Care
- May/Jun 2010: Causes of Dizziness in the Elderly
- Mar/Apr 2010: Point-of-Care C-Reactive Protein to Assist Antibiotic Prescribing for Respiratory Tract Infections
- Jan/Feb 2010: Steroids to Reduce Pain in Acute Pharyngitis
- Nov/Dec 2009: Medical Assistants' Role in Improving Preventive and Chronic Illness Care
- Sep/Oct 2009: The 'Yield' of Targeted Screening for Type 2 Diabetes
- Jul/Aug 2009: Symbiosis Instead of Competing Demands: A Tale of 2 Preventive Services
- May/Jun 2009: A Dirty Little Secret Revealed: The Downside of Screening Tests
- Mar/Apr 2009: The Decline of Maternity Care in Family Medicine
- Jan/Feb 2009: Symbiosis Instead of Competing Demands: A Tale of Two Preventive Services
- Nov/Dec 2008: The Course of Fatigue
- Sep/Oct 2008: Mortality from White Coat vs Sustained Hypertension
- Jul/Aug 2008: Hospital Care
- May/Jun 2008: Identity, Beliefs, and the Patient-Physician Relationship
- Mar/Apr 2008: Balint Groups and 'The Joy of Being a Doctor'
- Jan/Feb 2008: Pedometers for Promoting Walking and Weight Loss
- Nov/Dec 2007: Exemplars in Reducing No-Shows and Maximizing Volume
- Sep/Oct 2007: Novel Staffing for Improved Patient Disease Management
- Jul/Aug 2007: Challenges in Counseling Adolescents about HPV Vaccine
- May/Jun 2007: Acanthosis Nigricans and Diabetes Risk Factors
- Mar/Apr 2007: The Art of Family Medicine
- Jan/Feb 2007: Diagnosis of Deep Venous Thrombosis
- Nov/Dec 2006: Antibiotics for Common Respiratory Infections
- Sep/Oct 2006: Hot Flashes & Other Sleep Disorders
- Jul/Aug 2006: Implementing the Chronic Care Model
- May/June 2006: Annals Journal Club: A RADICAL Approach