2009
Are Screening Guidelines for Abdominal Aortic Aneurysms Being Implemented within a Large VA Primary Health Care System?
Federman DG, Carbone VG, Kravetz JD, Kancir S, Kirsner RS, Bravata DM. Are Screening Guidelines for Abdominal Aortic Aneurysms Being Implemented within a Large VA Primary Health Care System? Postgraduate Medicine 2009, 121: 132-135. PMID: 19179821, DOI: 10.3810/pgm.2009.01.1962.Peer-Reviewed Original ResearchConceptsAbdominal aortic aneurysmVA health care systemPrimary health care systemHealth care systemCare systemAortic aneurysmPrimary careCare settingsVA Connecticut Healthcare SystemPrimary health care settingsAAA-related mortalityRetrospective cohort studyPrimary care settingEvidence-based recommendationsRecent imagingHealth care settingsMagnetic resonance imagingAbdominal ultrasoundCohort studyScreening ratesUltrasonographic screeningImaging evaluationAAA screeningScreening practicesPatients
2006
Full-Body Skin Examinations and the Female Veteran: Prevalence and Perspective
Federman DG, Kravetz JD, Haskell SG, Ma F, Kirsner RS. Full-Body Skin Examinations and the Female Veteran: Prevalence and Perspective. JAMA Dermatology 2006, 142: 312-316. PMID: 16549706, DOI: 10.1001/archderm.142.3.312.Peer-Reviewed Original ResearchConceptsFull-body skin examinationPrimary care providersCare providersFemale veteransSkin cancerSkin examinationRisk factorsPrimary health care clinicsVeterans Affairs Medical CenterPatient risk factorsHealth care clinicsPercent of subjectsCare clinicsClinic appointmentsCutaneous malignanciesLower incidencePatient reportsMedical CenterCancer altersScreening testPatientsCancerConvenience sampleVeteransPersonal history
2005
Relationship between provider type and the attainment of treatment goals in primary care.
Federman DG, Krishnamurthy R, Kancir S, Goulet J, Justice A. Relationship between provider type and the attainment of treatment goals in primary care. The American Journal Of Managed Care 2005, 11: 561-6. PMID: 16159046.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseProvider typeArtery diseaseBlood pressureDiabetes mellitusTreatment goalsRecent low-density lipoprotein cholesterol levelsLow-density lipoprotein cholesterol levelsAdditional patient characteristicsBlood pressure goalsGoal blood pressureLipoprotein cholesterol levelsClinical Modification codesTreatment of dyslipidemiaTreatment of hypertensionElectronic medical recordsHealth care systemInternal medicine residentsPatient agePatient characteristicsHemoglobin levelsNinth RevisionPrimary careCholesterol levelsMedical records
2003
A rash decision.
Federman D, Kirsner R. A rash decision. Annals Of Internal Medicine 2003, 139: 869. PMID: 14623633, DOI: 10.7326/0003-4819-139-10-200311180-00028.Peer-Reviewed Original Research
2001
Dermatology in primary care: Prevalence and patient disposition
Lowell B, Froelich C, Federman D, Kirsner R. Dermatology in primary care: Prevalence and patient disposition. Journal Of The American Academy Of Dermatology 2001, 45: 250-255. PMID: 11464187, DOI: 10.1067/mjd.2001.114598.Peer-Reviewed Original ResearchMeSH KeywordsAdultDermatologyFemaleHumansMalePrimary Health CareReferral and ConsultationRetrospective StudiesSkin DiseasesConceptsPrimary care physiciansCare physiciansSkin diseasesPrimary carePrevalence of patientsRetrospective chart reviewFrequency of patientsPrimary care settingGeneral medicine clinicPrimary care providersDiagnosis of lesionsChart reviewPatient dispositionChief complaintMedicine clinicCutaneous diseaseDermatology officeCare settingsCare providersPatientsSuspect lesionsSkin careSkin problemsDiagnostic proceduresUnknown originThe Primary Care Provider and the Care of Skin Disease: The Patient's Perspective
Federman D, Reid M, Feldman S, Greenhoe J, Kirsner R. The Primary Care Provider and the Care of Skin Disease: The Patient's Perspective. JAMA Dermatology 2001, 137: 25-29. PMID: 11176657, DOI: 10.1001/archderm.137.1.25.Peer-Reviewed Original ResearchConceptsPrimary care providersDermatology clinicPrimary careSkin diseasesDermatologist's abilityPatient's perspectiveCare providersSkin problemsVeterans Affairs Medical CenterGroup 1 patientsGroup 2 patientsPrimary care clinicsCross-sectional surveyMost patientsCare clinicsPatient satisfactionSkin biopsiesPCP's abilityMedical CenterPatient confidenceCutaneous surgeryPatientsSkin disordersPrevious careDermatologic care
2000
THE PRIMARY CARE PHYSICIAN AND THE TREATMENT OF PATIENTS WITH SKIN DISORDERS
Federman D, Kirsner R. THE PRIMARY CARE PHYSICIAN AND THE TREATMENT OF PATIENTS WITH SKIN DISORDERS. Dermatologic Clinics 2000, 18: 215-221. PMID: 10791147, DOI: 10.1016/s0733-8635(05)70166-2.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceHumansInterprofessional RelationsPhotographyPrimary Health CareSkin DiseasesUnited StatesConceptsPrimary care providersCare providersPrimary care physiciansTreatment of patientsPrimary care medicineCare physiciansCutaneous diseaseDermatology consultationCare medicineSkin disordersCommon maladyHealth careAppropriate usePhysiciansTreatmentBroad spectrumPatientsProvidersDermatologistsDiseaseDiagnosisCare
1999
Skin cancer screening in primary care: Prevalence and barriers
Kirsner R, Muhkerjee S, Federman D. Skin cancer screening in primary care: Prevalence and barriers. Journal Of The American Academy Of Dermatology 1999, 41: 564-566. PMID: 10495376, DOI: 10.1016/s0190-9622(99)80053-x.Peer-Reviewed Original ResearchConceptsSkin cancer screeningPrimary care providersCancer screeningSkin cancerAdult patientsPrimary careCare providersSkin cancer screening practicesCancer screening practicesHigh-risk patientsPrimary care visitsHalf of physiciansPrimary care practitionersSkin cancer incidenceFrequent deterrentsCare visitsMortality benefitCancer incidenceScreening practicesPatient embarrassmentNew Haven CountyCare practitionersSuspect lesionsCounty Medical SocietyPhysicians' lackComparison of dermatologic diagnoses by primary care practitioners and dermatologists. A review of the literature.
Federman D, Concato J, Kirsner R. Comparison of dermatologic diagnoses by primary care practitioners and dermatologists. A review of the literature. Archives Of Family Medicine 1999, 8: 170-2. PMID: 10101989, DOI: 10.1001/archfami.8.2.170.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceDermatologyDiagnosis, DifferentialHumansPrimary Health CareSkin DiseasesUnited StatesConceptsPrimary care physiciansCare physiciansSkin diseasesPrimary care practitionersGroup of physiciansHealth care deliveryFamily practice residentsInternal medicine residentsCare practitionersDermatologic diagnosesCommon maladyCare deliveryInternal medicinePhysiciansCost containment effortsMedicine residentsFamily medicineDermatology residentsDermatologistsDiseaseDiagnosisMore trainingMedicineResidentsReview
1997
Screening for Skin Cancer in Primary Care Settings
Federman D, Concato J, Caralis P, Hunkele G, Kirsner R. Screening for Skin Cancer in Primary Care Settings. JAMA Dermatology 1997, 133: 1423-1425. PMID: 9371027, DOI: 10.1001/archderm.1997.03890470101016.Peer-Reviewed Original ResearchMeSH KeywordsAgedCohort StudiesFemaleHumansMaleMass ScreeningPrimary Health CareRetrospective StudiesSkin NeoplasmsConceptsPrimary care settingSkin examinationSkin cancerCare settingsFecal occult blood testingRetrospective observational cohort studyVeterans Affairs Medical CenterOccult blood testingObservational cohort studyPrimary care visitsMedical record reviewSkin cancer screeningOutpatient medical clinicSkin-related complaintsCare visitsCohort studyAmbulatory visitsRecord reviewRectal examinationBlood testingPhysical examinationCancer screeningProstate examinationMedical CenterMAIN OUTCOMEPrimary care in dermatology
Federman D, Kirsner R. Primary care in dermatology. Journal Of The American Academy Of Dermatology 1997, 37: 668. PMID: 9344219, DOI: 10.1016/s0190-9622(97)70199-3.Peer-Reviewed Original Research
1995
Managed care: The dermatologist as a primary care provider
Kirsner R, Federman D. Managed care: The dermatologist as a primary care provider. Journal Of The American Academy Of Dermatology 1995, 33: 535-537. PMID: 7657885, DOI: 10.1016/0190-9622(95)91410-2.Peer-Reviewed Original Research