James A. Bobula

TL;DR: Adverse workflow (time pressure and chaotic environments), low work control, and unfavorable organizational culture were strongly associated with low physician satisfaction, high stress, burnout, and intent to leave, and no associations were seen between adverse physician reactions and the quality of patient care.

TL;DR: Daily hypertonic saline nasal irrigation improves sinus-related quality of life, decreases symptoms, and decreases medication use in patients with frequent sinusitis and primary care physicians can feel comfortable recommending this therapy.

TL;DR: A mismatch between family medicine and current approaches to quality assessment, guideline implementation, education, research, administration, and funding needs to be addressed to address the physician’s task of prioritizing and integrating care for multiple problems concurrently.

TL;DR: This randomized, controlled trial compared a capsule form of Echinacea purpurea herb and root and E. angustifolia root with placebo in 148 college students with symptoms of the common cold and found that echinacea had no effect on the duration or severity of cold symptoms.

TL;DR: Clinics serving higher proportions of minority patients have more challenging workplace and organizational characteristics and are more likely to have chaotic work environments, regression analyses show.