Allen F Shaughnessy, PharmD, MMedEd
@info-mastery.medsky.social
Professor of Family Medicine, Tufts University, Boston. Medical educator, researcher, EBMer. #fmsky #evidence-based-medicine #medsky #medtwitter #primarycare #fammed
Reposted by Allen F Shaughnessy, PharmD, MMedEd
DOs Are Quietly Becoming the Backbone of American Family Medicine www.medscape.com/viewarticle/... via @medscape.com
DOs Are Becoming the Backbone of American Family Medicine
Why are MDs avoiding primary care? Dr Kenny Lin details the systemic issues facing family medicine, and why DOs are filling the gap — for now.
www.medscape.com
November 20, 2025 at 11:29 PM
DOs Are Quietly Becoming the Backbone of American Family Medicine www.medscape.com/viewarticle/... via @medscape.com
Reposted by Allen F Shaughnessy, PharmD, MMedEd
As it turns out, escitalopram is just a marketing parachute for citalopram.
Oops!
/undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀
Oops!
/undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀
🆕 UBC TI Therapeutics Letter 159 🆕
Escitalopram vs citalopram
www.ti.ubc.ca/letter159
✅ Citalopram best choice for most new prescriptions
✅ Citalopram costs less + works just as well
#BetterPrescribing #prescribing #MedEd #antidepressants
Escitalopram vs citalopram
www.ti.ubc.ca/letter159
✅ Citalopram best choice for most new prescriptions
✅ Citalopram costs less + works just as well
#BetterPrescribing #prescribing #MedEd #antidepressants
November 13, 2025 at 10:59 PM
As it turns out, escitalopram is just a marketing parachute for citalopram.
Oops!
/undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀
Oops!
/undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀
Diabolical - Starbucks is pumping contemporary Christmas music into their stores like I use an ultrasonic repellent to keep mice out of my basement. I feel sorry for the @sbworkersunited.org
November 12, 2025 at 4:32 PM
Diabolical - Starbucks is pumping contemporary Christmas music into their stores like I use an ultrasonic repellent to keep mice out of my basement. I feel sorry for the @sbworkersunited.org
Reposted by Allen F Shaughnessy, PharmD, MMedEd
On this week's episode of the Primary Care Update podcast, @markebell.bsky.social and co-hosts discuss the optimal duration of anticoagulation after a provoked DVT, using low doses of mirtazapine or amitriptyline in adults with insomnia, and two other studies: podcasts.apple.com/us/podcast/e...
Episode 192: anticoag duration, old drugs for insomnia, lower dose Ozempic, and aspirin + anticoag or anticoag alone
Podcast Episode · Primary Care Update · 10/29/2025 · 30m
podcasts.apple.com
November 3, 2025 at 3:03 PM
On this week's episode of the Primary Care Update podcast, @markebell.bsky.social and co-hosts discuss the optimal duration of anticoagulation after a provoked DVT, using low doses of mirtazapine or amitriptyline in adults with insomnia, and two other studies: podcasts.apple.com/us/podcast/e...
One Mass. health system is turning to AI to ease shortage of primary care doctors. Some don’t like it www.statnews.com/2025/10/12/m... via @statnews.com
One Mass. health system is turning to AI to ease shortage of primary care doctors. Some don’t like it
Mass General Brigham has turned to AI to address a critical shortage of primary care doctors, launching an AI app that questions patients, reviews medical records, and produces a list of potential dia...
www.statnews.com
October 28, 2025 at 11:56 AM
One Mass. health system is turning to AI to ease shortage of primary care doctors. Some don’t like it www.statnews.com/2025/10/12/m... via @statnews.com
Reposted by Allen F Shaughnessy, PharmD, MMedEd
This 𝗡𝗘𝗪 study examined a patient-completed, EHR-integrated questionnaire with physician reminders to improve family history collection in #PrimaryCare. Resulting in better documentation & prompting screenings or specialist referrals. #FMsky #Medsky
www.annfammed.org/content/23/5...
www.annfammed.org/content/23/5...
September 23, 2025 at 1:56 PM
This 𝗡𝗘𝗪 study examined a patient-completed, EHR-integrated questionnaire with physician reminders to improve family history collection in #PrimaryCare. Resulting in better documentation & prompting screenings or specialist referrals. #FMsky #Medsky
www.annfammed.org/content/23/5...
www.annfammed.org/content/23/5...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇
A new study just published in the @annalsofem.bsky.social (Sept/Oct 2025) shows that integrating pharmacy technicians in team-based primary care:
- Reduces clinician and nurse admin burden
- Improves efficiency & care
- Expands patient medication access
👉https://www.annfammed.org/content/23/5/412
- Reduces clinician and nurse admin burden
- Improves efficiency & care
- Expands patient medication access
👉https://www.annfammed.org/content/23/5/412
September 23, 2025 at 3:35 PM
Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇
Reposted by Allen F Shaughnessy, PharmD, MMedEd
The September/October issue of Annals of Family Medicine is now available! Explore the newest research and insights shaping #FamilyMedicine and #PrimaryCare. #FMsky #Medsky
🎥Watch our video preview for a quick look at what’s inside: www.annfammed.org/content/23/5...
🎥Watch our video preview for a quick look at what’s inside: www.annfammed.org/content/23/5...
September 22, 2025 at 9:42 PM
The September/October issue of Annals of Family Medicine is now available! Explore the newest research and insights shaping #FamilyMedicine and #PrimaryCare. #FMsky #Medsky
🎥Watch our video preview for a quick look at what’s inside: www.annfammed.org/content/23/5...
🎥Watch our video preview for a quick look at what’s inside: www.annfammed.org/content/23/5...
Prescription to Ocean: The Hidden Impact of Medicines youtu.be/swCLNaAG5qY?...
Prescription to Ocean: The Hidden Impact of Medicines | Jamie Hayes | TEDxSwansea
YouTube video by TEDx Talks
youtu.be
September 4, 2025 at 2:46 PM
Prescription to Ocean: The Hidden Impact of Medicines youtu.be/swCLNaAG5qY?...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
We want to hear from you! Take our brief, anonymous 3-question survey—no names, no emails, just your perspective. Your input will guide the future of Annals of Family Medicine.
shorturl.at/peajC
shorturl.at/peajC
September 1, 2025 at 1:36 PM
We want to hear from you! Take our brief, anonymous 3-question survey—no names, no emails, just your perspective. Your input will guide the future of Annals of Family Medicine.
shorturl.at/peajC
shorturl.at/peajC
Overdiagnosis/treatment is a huge problem. However, iagnosis is not the same as disease definition and confusing the two can sometimes constrain thought and limit approaches to Tx
Viewpoint: The definition of disease is vital for clinical and public health, but broad criteria risk overdiagnosis and overtreatment.
ja.ma/420e6Hs
ja.ma/420e6Hs
August 31, 2025 at 4:08 PM
Overdiagnosis/treatment is a huge problem. However, iagnosis is not the same as disease definition and confusing the two can sometimes constrain thought and limit approaches to Tx
Reposted by Allen F Shaughnessy, PharmD, MMedEd
With comments due to CMS by September 12, the Primary Care Collaborative has created a useful guide to the major issues in the 2026 Medicare Physician Fee Schedule.
Give it a read ⬇️
thepcc.pub/cmsguide2026
Give it a read ⬇️
thepcc.pub/cmsguide2026
Modernizing and Improving Pay for Primary Care in Medicare - PCC
On July 14, the Centers for Medicare and Medicaid Services (CMS) unveiled its 2026 Medicare Physician Fee Schedule proposed rule. If finalized, the rule would set Medicare on a path to modernize the f...
thepcc.pub
August 23, 2025 at 5:52 PM
With comments due to CMS by September 12, the Primary Care Collaborative has created a useful guide to the major issues in the 2026 Medicare Physician Fee Schedule.
Give it a read ⬇️
thepcc.pub/cmsguide2026
Give it a read ⬇️
thepcc.pub/cmsguide2026
Reposted by Allen F Shaughnessy, PharmD, MMedEd
#BetterPrescribing -> Better Health ❤️💪
Physician? Nurse Practitioner? Pharmacist? Researcher? 👩🏾⚕️👨⚕️
✅Never miss another UBC Therapeutics Initiative webinar, workshop, or publication
✅SUBSCRIBE to our Letters & events: bit.ly/31oXMAK
#independent #MedEd #deprescribing
Physician? Nurse Practitioner? Pharmacist? Researcher? 👩🏾⚕️👨⚕️
✅Never miss another UBC Therapeutics Initiative webinar, workshop, or publication
✅SUBSCRIBE to our Letters & events: bit.ly/31oXMAK
#independent #MedEd #deprescribing
August 21, 2025 at 9:04 PM
#BetterPrescribing -> Better Health ❤️💪
Physician? Nurse Practitioner? Pharmacist? Researcher? 👩🏾⚕️👨⚕️
✅Never miss another UBC Therapeutics Initiative webinar, workshop, or publication
✅SUBSCRIBE to our Letters & events: bit.ly/31oXMAK
#independent #MedEd #deprescribing
Physician? Nurse Practitioner? Pharmacist? Researcher? 👩🏾⚕️👨⚕️
✅Never miss another UBC Therapeutics Initiative webinar, workshop, or publication
✅SUBSCRIBE to our Letters & events: bit.ly/31oXMAK
#independent #MedEd #deprescribing
Reposted by Allen F Shaughnessy, PharmD, MMedEd
AAP Immunization Schedule publications.aap.org/redbook/reso...
AAP Immunization Schedule
The American Academy of Pediatrics’ Recommended Child and Adolescent Immunization Schedule published August 19, 2025 can be found here.
publications.aap.org
August 20, 2025 at 12:02 PM
AAP Immunization Schedule publications.aap.org/redbook/reso...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
Spotlight 30-sec preview on #QualitativeResearch: youtu.be/H4eRJ5Ev2jA
Are you a qualitative researcher? BJGP outlines key theoretical concepts from Prof. @kathcheckland.bsky.social in this 30-min video youtu.be/FxvdAtJdhxk. Read this linked editorial, free till 31 August: bjgp.org/content/75/7...
Are you a qualitative researcher? BJGP outlines key theoretical concepts from Prof. @kathcheckland.bsky.social in this 30-min video youtu.be/FxvdAtJdhxk. Read this linked editorial, free till 31 August: bjgp.org/content/75/7...
Qualitative research: key theoretical concepts – preview
YouTube video by BJGP
youtu.be
August 20, 2025 at 12:24 PM
Spotlight 30-sec preview on #QualitativeResearch: youtu.be/H4eRJ5Ev2jA
Are you a qualitative researcher? BJGP outlines key theoretical concepts from Prof. @kathcheckland.bsky.social in this 30-min video youtu.be/FxvdAtJdhxk. Read this linked editorial, free till 31 August: bjgp.org/content/75/7...
Are you a qualitative researcher? BJGP outlines key theoretical concepts from Prof. @kathcheckland.bsky.social in this 30-min video youtu.be/FxvdAtJdhxk. Read this linked editorial, free till 31 August: bjgp.org/content/75/7...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...
Identifying Strategies to Improve Implementation of Integrative Pain Management in Primary Care
Background: Mounting evidence supports the use of integrative pain management (IPM) in primary care settings. There is limited understanding of primary care clinicians’ experiences, recommendations, a...
www.jabfm.org
August 15, 2025 at 6:46 PM
While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
#PrimaryCareUpdate Episode 187: incidental activity, new blood test for CRC, DORAs for sleep, and a new definition of Alzheimer's. #STFM #NAPCRG #AAFP #PrimaryCare #InfoPOEMs #EssentialEvidencePlus
open.spotify.com/episode/5gqd...
open.spotify.com/episode/5gqd...
Episode 187: incidental activity, a new definition of Alzheimers, blood test for CRC screening, and DORAs for sleep
Primary Care Update · Episode
open.spotify.com
August 12, 2025 at 9:59 PM
#PrimaryCareUpdate Episode 187: incidental activity, new blood test for CRC, DORAs for sleep, and a new definition of Alzheimer's. #STFM #NAPCRG #AAFP #PrimaryCare #InfoPOEMs #EssentialEvidencePlus
open.spotify.com/episode/5gqd...
open.spotify.com/episode/5gqd...
Probiotics are not new -- Rx from 1915
It consisted of Lactobacillus bulgaricus produced by a “Professor Metchnikoff” of France. According to an ad, it "pits the vigorous lactic ferment against the less resistant organisms of decomposition, with the result that the latter are immediately destroyed.”
It consisted of Lactobacillus bulgaricus produced by a “Professor Metchnikoff” of France. According to an ad, it "pits the vigorous lactic ferment against the less resistant organisms of decomposition, with the result that the latter are immediately destroyed.”
August 7, 2025 at 2:09 AM
Probiotics are not new -- Rx from 1915
It consisted of Lactobacillus bulgaricus produced by a “Professor Metchnikoff” of France. According to an ad, it "pits the vigorous lactic ferment against the less resistant organisms of decomposition, with the result that the latter are immediately destroyed.”
It consisted of Lactobacillus bulgaricus produced by a “Professor Metchnikoff” of France. According to an ad, it "pits the vigorous lactic ferment against the less resistant organisms of decomposition, with the result that the latter are immediately destroyed.”
Reposted by Allen F Shaughnessy, PharmD, MMedEd
Gift article
www.nytimes.com/interactive/...
Opinion
Guest Essay
How to Wreck the Nation’s Health, by the Numbers
By Steven H. Woolf Graphics by Taylor Maggiacomo
Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University.
June 30, 2025
www.nytimes.com/interactive/...
Opinion
Guest Essay
How to Wreck the Nation’s Health, by the Numbers
By Steven H. Woolf Graphics by Taylor Maggiacomo
Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University.
June 30, 2025
Opinion | How to Wreck the Nation’s Health, by the Numbers (Gift Article)
The administration's cuts to the Department of Health and Human Services are going to do irreparable harm to the nation’s health.
www.nytimes.com
August 6, 2025 at 1:36 PM
Gift article
www.nytimes.com/interactive/...
Opinion
Guest Essay
How to Wreck the Nation’s Health, by the Numbers
By Steven H. Woolf Graphics by Taylor Maggiacomo
Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University.
June 30, 2025
www.nytimes.com/interactive/...
Opinion
Guest Essay
How to Wreck the Nation’s Health, by the Numbers
By Steven H. Woolf Graphics by Taylor Maggiacomo
Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University.
June 30, 2025
Reposted by Allen F Shaughnessy, PharmD, MMedEd
I remember when Mark Ebell and collaborators started the POEM reviews. We were colleagues in MSU primary care back in the day.
Non-academic primary care docs should NOT bother with the primary literature other than as a hobby. Resources like POEM reviews and The Curbsiders are far better.
#medsky
Non-academic primary care docs should NOT bother with the primary literature other than as a hobby. Resources like POEM reviews and The Curbsiders are far better.
#medsky
August 4, 2025 at 3:48 PM
I remember when Mark Ebell and collaborators started the POEM reviews. We were colleagues in MSU primary care back in the day.
Non-academic primary care docs should NOT bother with the primary literature other than as a hobby. Resources like POEM reviews and The Curbsiders are far better.
#medsky
Non-academic primary care docs should NOT bother with the primary literature other than as a hobby. Resources like POEM reviews and The Curbsiders are far better.
#medsky
Reposted by Allen F Shaughnessy, PharmD, MMedEd
@markebell.bsky.social and co-hosts discuss new studies relevant to primary care clinicians: negative pressure wound therapy, comparative effectiveness of acute migraine treatments, metformin for knee pain in patients without diabetes, and more: podcasts.apple.com/us/podcast/e...
Episode 186: wound care, migraine tx, breast CA screening, and metformin for OA
Podcast Episode · Primary Care Update · 07/31/2025 · 32m
podcasts.apple.com
August 4, 2025 at 4:57 PM
@markebell.bsky.social and co-hosts discuss new studies relevant to primary care clinicians: negative pressure wound therapy, comparative effectiveness of acute migraine treatments, metformin for knee pain in patients without diabetes, and more: podcasts.apple.com/us/podcast/e...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
Annals of Family Medicine pub a machine learning study that predicts clinic "no-shows" w/ 85% accuracy & late cancellations w/ 92% accuracy. Data derived from >1.1 million appointments from 15 family medicine clinics in Pennsylvania between 2019 and 2023. www.annfammed.org/content/23/4...
Predicting Missed Appointments in Primary Care: A Personalized Machine Learning Approach
PURPOSE Factors influencing missed appointments are complex and difficult to anticipate and intervene against. To optimize appointment adherence, we aimed to use personalized machine learning and big…
www.annfammed.org
August 4, 2025 at 3:01 PM
Annals of Family Medicine pub a machine learning study that predicts clinic "no-shows" w/ 85% accuracy & late cancellations w/ 92% accuracy. Data derived from >1.1 million appointments from 15 family medicine clinics in Pennsylvania between 2019 and 2023. www.annfammed.org/content/23/4...
All “Feedback” Is Not the Same: Use Correction, Criticism, Feedback, Feedforward, and Grades at the Appropriate Time www.stfm.org/publications...
August 4, 2025 at 5:50 PM
All “Feedback” Is Not the Same: Use Correction, Criticism, Feedback, Feedforward, and Grades at the Appropriate Time www.stfm.org/publications...
Reposted by Allen F Shaughnessy, PharmD, MMedEd
"Top 20 2024 research studies" by two of the POEM team is excellent.
www.aafp.org/pubs/afp/iss...
I loved their take on the new Alz drugs:
"New monoclonal antibodies for patients with Alzheimer disease are minimally effective, harmful, and expensive..."
www.aafp.org/pubs/afp/iss...
I loved their take on the new Alz drugs:
"New monoclonal antibodies for patients with Alzheimer disease are minimally effective, harmful, and expensive..."
www.aafp.org
August 4, 2025 at 3:47 PM
"Top 20 2024 research studies" by two of the POEM team is excellent.
www.aafp.org/pubs/afp/iss...
I loved their take on the new Alz drugs:
"New monoclonal antibodies for patients with Alzheimer disease are minimally effective, harmful, and expensive..."
www.aafp.org/pubs/afp/iss...
I loved their take on the new Alz drugs:
"New monoclonal antibodies for patients with Alzheimer disease are minimally effective, harmful, and expensive..."