2022
Perspectives of internal medicine residency clinics: A national survey of US medical directors.
Fortuna R, Tobin D, Sobel H, Barrette E, Noroha C, Laufman L, Huang X, Staggers K, Nadkarni M, Lu L. Perspectives of internal medicine residency clinics: A national survey of US medical directors. Education For Health 2022, 35: 58-66. PMID: 36647933, DOI: 10.4103/efh.efh_75_22.Peer-Reviewed Original ResearchConceptsResident continuity clinicResidency clinicContinuity clinicResidency practicePatient-centered medical home certificationInternal medicine residency clinicMedical directorsMedical home certificationNew patient appointmentsInternal medicine resident continuity clinicInternal medicine residency programsMedicine residency programsNew patientsMedical director's role
2021
Opioids for chronic pain management in patients with dialysis-dependent kidney failure
Tobin DG, Lockwood MB, Kimmel PL, Dember LM, Eneanya ND, Jhamb M, Nolin TD, Becker WC, Fischer MJ. Opioids for chronic pain management in patients with dialysis-dependent kidney failure. Nature Reviews Nephrology 2021, 18: 113-128. PMID: 34621058, PMCID: PMC8792317, DOI: 10.1038/s41581-021-00484-6.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPain managementChronic painOpioid therapyKidney failureDialysis-dependent kidney failureLong-term opioid therapyHealth care resource useGuideline-recommended careOpioid Prescribing PatternsHalf of patientsChronic pain managementBurden of painEffectiveness of opioidsUnique pharmacological propertiesAnalgesic optionsPrescribing patternsAdult patientsMost patientsSevere painMaintenance haemodialysisOpioid analgesicsPainGeneral populationPatientsHaemodialysis
2020
Creating a Satisfying Continuity Clinic Experience for Primary Care Trainees
Holt S, Tobin D, Whitman L, Ellman M, Moriarty J, Doolittle B. Creating a Satisfying Continuity Clinic Experience for Primary Care Trainees. The American Journal Of Medicine 2020, 134: 547-553. PMID: 33385340, DOI: 10.1016/j.amjmed.2020.12.005.Peer-Reviewed Original ResearchResponding to Unsafe Opioid Use: Abandon the Drug, Not the Patient
Tobin DG, Holt SR, Doolittle BR. Responding to Unsafe Opioid Use: Abandon the Drug, Not the Patient. Journal Of General Internal Medicine 2020, 36: 790-791. PMID: 33037590, PMCID: PMC7947064, DOI: 10.1007/s11606-020-06281-4.Commentaries, Editorials and LettersThe day the residents left: lessons learnt from COVID-19 for ambulatory clinics
Doolittle BR, Richards B, Tarabar A, Ellman M, Tobin D. The day the residents left: lessons learnt from COVID-19 for ambulatory clinics. Family Medicine And Community Health 2020, 8: e000513. PMID: 32737058, PMCID: PMC7398102, DOI: 10.1136/fmch-2020-000513.Commentaries, Editorials and Letters
2019
Physicians Should Play a Role in Ensuring Safe Firearm Ownership
Holt SR, Rosenbaum J, Ellman M, Doolittle B, Tobin DG. Physicians Should Play a Role in Ensuring Safe Firearm Ownership. Journal Of General Internal Medicine 2019, 34: 1637-1640. PMID: 31062224, PMCID: PMC6667526, DOI: 10.1007/s11606-019-05034-2.Commentaries, Editorials and Letters
2018
A Balance of Burdens: Pain, Opioids, and the Cost of Prescription Drug Monitoring
Tobin DG. A Balance of Burdens: Pain, Opioids, and the Cost of Prescription Drug Monitoring. Pain Medicine 2018, 19: 1905-1906. PMID: 30007305, DOI: 10.1093/pm/pny134.Commentaries, Editorials and LettersFactors Affecting Resident Satisfaction in Continuity Clinic—a Systematic Review
Stepczynski J, Holt SR, Ellman MS, Tobin D, Doolittle BR. Factors Affecting Resident Satisfaction in Continuity Clinic—a Systematic Review. Journal Of General Internal Medicine 2018, 33: 1386-1393. PMID: 29736753, PMCID: PMC6082200, DOI: 10.1007/s11606-018-4469-8.Peer-Reviewed Original ResearchConceptsContinuity clinicAmbulatory trainingMethodsA systematic literature reviewCochrane Central RegisterControlled Clinical TrialsResultsThree hundred fiftyContinuity of careEnglish-language articlesQuality of lifeCentral RegisterClinical trialsHundred fiftyAmbulatory careExclusion criteriaPurposeIn recent yearsSystematic reviewLanguage articlesFinal reviewResident satisfactionSearch termsClinicRelevant databasesSystematic literature reviewCareTrainee satisfactionPharmacotherapy for Alcohol Use Disorder
Holt SR, Tobin DG. Pharmacotherapy for Alcohol Use Disorder. Medical Clinics Of North America 2018, 102: 653-666. PMID: 29933821, DOI: 10.1016/j.mcna.2018.02.008.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsAlcohol use disorderUse disordersNondrug therapiesUndertreated diseaseTreatment optionsPharmacotherapeutic agentsDrug interactionsTreatment goalsUS FoodDrug AdministrationSpecific patientDrug availabilityDisordersPatientsCounseling strategiesComorbiditiesMedicationsPharmacotherapyOptionsTherapyDiseaseAdministrationCarePain and Addiction in Specialty and Primary Care: The Bookends of a Crisis
Schottenfeld JR, Waldman SA, Gluck AR, Tobin DG. Pain and Addiction in Specialty and Primary Care: The Bookends of a Crisis. The Journal Of Law, Medicine & Ethics 2018, 46: 220-237. PMID: 30146986, DOI: 10.1177/1073110518782923.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2017
Modifying the Primary Care Exception Rule to Require Competency-Based Assessment
Tobin DG, Doolittle BR, Ellman MS, Ruser CB, Brienza RS, Genao I. Modifying the Primary Care Exception Rule to Require Competency-Based Assessment. Academic Medicine 2017, 92: 331-334. PMID: 27355783, DOI: 10.1097/acm.0000000000001293.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPrimary care practicesResident competenceClinical competenceGraduate Medical EducationResidents' clinical competenceMonths of trainingAmbulatory careCare practicesMedicaid ServicesExamination roomCarePhysiciansBilling requirementsTraining programMilestones frameworkBilling rulesResidents' readinessResidentsTeaching residentsA rational approach to opioid use disorder in primary care
Tobin DG. A rational approach to opioid use disorder in primary care. Cleveland Clinic Journal Of Medicine 2017, 84: 385-387. PMID: 28530891, DOI: 10.3949/ccjm.84a.17030.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2016
Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
Tobin DG, Keough Forte K, Johnson McGee S. Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy. Cleveland Clinic Journal Of Medicine 2016, 83: 827-835. PMID: 27824537, DOI: 10.3949/ccjm.83a.15172.Peer-Reviewed Original ResearchIn reply: Prescribing opioids (March 2016)
Tobin DG, Andrews R, Becker WC. In reply: Prescribing opioids (March 2016). Cleveland Clinic Journal Of Medicine 2016, 83: 554-555. PMID: 27505869, DOI: 10.3949/ccjm.83c.08002.Commentaries, Editorials and LettersContinuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate
Ellman MS, Tobin DG, Stepczynski J, Doolittle B. Continuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate. Journal Of Graduate Medical Education 2016, 8: 150-3. PMID: 27168879, PMCID: PMC4857489, DOI: 10.4300/jgme-d-15-00278.1.Peer-Reviewed Original ResearchPrescribing opioids in primary care: Safely starting, monitoring, and stopping
Tobin DG, Andrews R, Becker WC. Prescribing opioids in primary care: Safely starting, monitoring, and stopping. Cleveland Clinic Journal Of Medicine 2016, 83: 207-215. PMID: 26974992, DOI: 10.3949/ccjm.83a.15034.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsChronic opioid therapyChronic noncancer painPrimary care providersPrescription drug abuseNoncancer painOpioid therapyOpioid misusePrimary careCare teamCare providersEpidemic proportionsMeaningful benefitPatient communicationOpioidsDrug abuseAdverse effectsAbusePainOutpatientsPatientsTherapyCare
2015
Implementing the patient-centered medical home in residency education
Doolittle BR, Tobin D, Genao I, Ellman M, Ruser C, Brienza R. Implementing the patient-centered medical home in residency education. Education For Health 2015, 28: 74-78. PMID: 26261119, DOI: 10.4103/1357-6283.161916.Peer-Reviewed Original ResearchConceptsPatient-centered medical home (PCMH) modelPatient-centered medical homeEmergency room visitsMid-level providersHealth care personnelMedical home modelTeam-based approachThird-party payersRoom visitsPrimary careMedical homePhysician training programsCare personnelEfficient carePhysician groupsHome modelParty payersGraduate Medical EducationAccreditation CouncilCare
2011
Nonmedical Use of Opioid Analgesics Obtained Directly From Physicians: Prevalence and Correlates
Becker WC, Tobin DG, Fiellin DA. Nonmedical Use of Opioid Analgesics Obtained Directly From Physicians: Prevalence and Correlates. JAMA Internal Medicine 2011, 171: 1034-1036. PMID: 21670373, DOI: 10.1001/archinternmed.2011.217.Peer-Reviewed Original Research
2004
Full-Body Skin Examinations: The Patient's Perspective
Federman DG, Kravetz JD, Tobin DG, Ma F, Kirsner RS. Full-Body Skin Examinations: The Patient's Perspective. JAMA Dermatology 2004, 140: 530-534. PMID: 15148096, DOI: 10.1001/archderm.140.5.530.Peer-Reviewed Original ResearchConceptsPrimary care practitionersSkin cancerRisk factorsWest Haven Veterans Affairs Medical CenterVeterans Affairs Medical CenterPatient risk factorsPercent of participantsPatient questionnaireClinic appointmentsCutaneous malignanciesDermatology clinicExamination ratePrimary careLower incidencePatient reportsMedical CenterPatient's perspectiveCare practitionersCancer altersPatientsScreening testCancerConvenience samplePersonal historyLower rates