This collection showcases journal articles, book chapters, and other publications and presentations written by faculty and researchers of the Department of Family Medicine and Community Health at the University of Massachusetts Medical School.

The Department of Family Medicine and Community Health, one of the founding departments at the University of Massachusetts Medical School, is a dynamic, diverse, and broad-based academic and clinical department. Our mission statement both reflects and guides the work of our faculty and staff: Our mission is to provide leadership to achieve the highest standards of patient care, education, and research in family medicine and community health, and we are committed to improving the impact of this work on the health of populations with special emphasis on those most vulnerable. The words that attracted many members of our faculty to family medicine - continuity, coordination, commitment, caring, comprehensiveness, and community - still define our work, and in today's world are more important than ever.

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Publications from 2008

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Staging mammography nonadherent women: a qualitative study, Nancy R. LaPelle, Mary E. Costanza, Roger S. Luckmann, Milagros C. Rosal, Mary Jo White, and Jennifer Rider Stark

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The body mass index of teen mothers and their toddler children, Celeste A. Lemay, Dianne S. Elfenbein, Suzanne B. Cashman, and Marianne E. Felice

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Imaging brain activation in nicotine-sensitized rats, Zhixin Li, Joseph R. DiFranza, Robert J. Wellman, Praveen P. Kulkarni, and Jean A. King

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“Enough about Me, Let’s Get Back to You”: Physician Self-disclosure during Primary Care Encounters, Diane S. Morse, Susan H. McDaniel, Lucy M. Candib, and Mary Catherine Beach

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How patients perceive a doctor's caring attitude, Mark E. Quirk, Kathleen M. Mazor, Heather-Lyn Haley, Mary Philbin, Melissa A. Fischer, Kate Sullivan, and David S. Hatem

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Diminished autonomy over tobacco can appear with the first cigarettes, Robert Scragg, Robert J. Wellman, Murray Laugesen, and Joseph R. DiFranza

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The primary care physician workforce in Massachusetts: implications for the workforce in rural, small town America, Joseph Stenger, Suzanne B. Cashman, and Judith A. Savageau

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A survey of primary care provider attitudes and behaviors regarding treatment of adult depression: what changes after a collaborative care intervention, Carole C. Upshur and Linda F. Weinreb

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Assessing college students' autonomy over smoking with the Hooked On Nicotine Checklist, Robert J. Wellman, Robert McMillen, and Joseph R. DiFranza

Publications from 2007

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How turning a QI project into "research" almost sank a great program, Lucy M. Candib

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Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening, Mary E. Costanza, Roger S. Luckmann, Anne M. Stoddard, Mary Jo White, Jennifer Rider Stark, Jill S. Avrunin, Milagros C. Rosal, and Lynn Clemow

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Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study., Joseph R. DiFranza, Judith A. Savageau, Kenneth E. Fletcher, Jennifer L. O'Loughlin, Lori Pbert, Judith K. Ockene, Ann D. McNeill, Jennifer Hazelton, Karen Friedman, Gretchen Dussault, Constance Wood, and Robert J. Wellman

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Susceptibility to nicotine dependence: the Development and Assessment of Nicotine Dependence in Youth 2 study, Joseph R. DiFranza, Judith A. Savageau, Kenneth E. Fletcher, Lori Pbert, Jennifer L. O'Loughlin, Ann D. McNeill, Judith K. Ockene, Karen Friedman, Jennifer Hazelton, Constance Wood, Gretchen Dussault, and Robert J. Wellman

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Sensitization to nicotine: how the animal literature might inform future human research, Joseph R. DiFranza and Robert J. Wellman

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Racial differences in tumor stage and survival for colorectal cancer in an insured population, Chyke A. Doubeni, Terry S. Field, Diana S. M. Buist, Eli J. Korner, Carol Bigelow, Lois E. Lamerato, Lisa J. Herrinton, Virginia P. Quinn, Gene Hart, Mark C. Hornbrook, Jerry H. Gurwitz, and Edward H. Wagner

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Systematic review of randomized controlled trials of smoking cessation interventions for youth, Andre Gervais, Jennifer O'Loughlin, Erika N. Dugas, Mark J. Eisenberg, Robert J. Wellman, and Joseph R. DiFranza

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R-rated film viewing and adolescent smoking, Murray Laugesen, Robert Scragg, Robert J. Wellman, and Joseph R. DiFranza

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Adolescent mothers' attitudes toward contraceptive use before and after pregnancy, Celeste A. Lemay, Suzanne B. Cashman, Dianne S. Elfenbein, and Marianne E. Felice

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The video-based test of communication skills: description, development, and preliminary findings, Kathleen M. Mazor, Heather-Lyn Haley, Kate Sullivan, and Mark E. Quirk

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A tale of two studies: the importance of setting, subjects and context in two randomized, controlled trials of a web-based decision support for perimenopausal and postmenopausal health decisions, Barry G. Saver, David Gustafson, Thomas R. Taylor, Robert P. Hawkins, Nancy F. Woods, Susan Dinauer, Susan Casey, and Aileen MacLaren-Loranger

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Are statins associated with decreased tooth loss in chronic periodontitis, Barry G. Saver, Philippe P. Hujoel, Joana Cunha-Cruz, and Gerardo Maupome

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A qualitative study of depression in primary care: missed opportunities for diagnosis and education, Barry G. Saver, Victoria Van-Nguyen, Gina Keppel, and Mark P. Doescher

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Treatment practices and outcomes of patients with established peripheral arterial disease hospitalized with acute myocardial infarction in a community setting, Frederick A. Spencer, Darleen M. Lessard, Chyke A. Doubeni, Jorge L. Yarzebski, Joel M. Gore, and Robert J. Goldberg

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Physicians' perceptions of adult patients' history of child abuse in family medicine settings, Linda F. Weinreb, Kenneth E. Fletcher, Lucy M. Candib, and Gonzalo Bacigalupe

Publications from 2006

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Clinical health information technologies and the role of medicaid, Shaun T. Alfreds, Michael A. Tutty, Judith A. Savageau, Scott Young, and Jay S. Himmelstein

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Prediction of successful voiding immediately after outpatient mid-urethral sling, Kenneth I. Barron, Judith A. Savageau, Stephen B. Young, Lisa C. Labin, and Abraham N. Morse

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Writing troubles for women clinicians: Turning weakness into strength through writing-in-relation, Lucy M. Candib

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Paying physicians for quality: evidence and themes from the field, Douglas A. Conrad, Barry G. Saver, Beverly Court, and Sarah Heath

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Statin use and tooth loss in chronic periodontitis patients, Joana Cunha-Cruz, Barry G. Saver, G. Maupome, and Philippe P. Hujoel

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Early dating and smoking initiation: Some thoughts about a common cause, Joseph R. DiFranza and Robert J. Wellman

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The visiting specialist model of rural health care delivery: a survey in Massachusetts, Jacob Drew, Suzanne B. Cashman, Judith A. Savageau, and Joseph Stenger

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Effect of a global longitudinal pathway on medical students' attitudes toward the medically indigent, Michael A. Godkin, Judith A. Savageau, and Kenneth E. Fletcher

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Factors affecting the organizational responses of employers to workers with injuries, Yueng-Hsiang Huang, Glenn S. Pransky, William S. Shaw, Katy L. Benjamin, and Judith A. Savageau

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Characteristics of frequent attenders at a community health center, Judith A. Savageau, Martha McLoughlin, Alina Ursan, Yan Bai, Matthew J. Collins, and Suzanne B. Cashman

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Initial testing of an instrument to measure teacher identity in physicians, Susan Starr, Heather-Lyn Haley, Kathleen M. Mazor, Warren J. Ferguson, Mary Philbin, and Mark E. Quirk

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Primary care provider concerns about management of chronic pain in community clinic populations, Carole C. Upshur, Roger S. Luckmann, and Judith A. Savageau

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The relationship between level of cigarette consumption and latency to the onset of retrospectively reported withdrawal symptoms, W. W. Sanouri A. Ursprung, Robert J. Wellman, and Joseph R. DiFranza

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The effect of abstinence on cigarette consumption upon the resumption of smoking, Robert J. Wellman, Joseph R. DiFranza, Judith A. Savageau, Sameer Godiwala, Noelle Savageau, Karen Friedman, and Jennifer Hazelton

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Tobacco chippers report diminished autonomy over smoking, Robert J. Wellman, Joseph R. DiFranza, and Constance Wood

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A comparison of the Hooked on Nicotine Checklist and the Fagerstrom Test for Nicotine Dependence in adult smokers, Robert J. Wellman, Judith A. Savageau, Sameer Godiwala, Noelle Savageau, Karen Friedman, Jennifer Hazelton, and Joseph R. DiFranza

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The Impact of Personal Expectations on Counterfactual Thinking About Life and Death Medical Decisions, Robert J. Wellman and David B. Sugarman

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Together for Kids: Three-Year Project Report: A Project Administered by Community Healthlink, Inc., Melodie Wenz-Gross, Carole C. Upshur, and Lynn Hennigan

Publications from 2005

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Reliability of Group Health Cooperative automated pharmacy data by drug benefit status, Denise M. Boudreau, Mark P. Doescher, Barry G. Saver, J. Elizabeth Jackson, and Paul A. Fishman

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"Isolated Instances of Banal Illness" or Why the Biopsychosocial Model Is Always Relevant, Lucy M. Candib

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Health status of a low-income vulnerable population in a community health center, Suzanne B. Cashman, Judith A. Savageau, Maureen McMullen, Rebecca Kinney, Celeste A. Lemay, and Frances Anthes

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Applying a stage model of behavior change to colon cancer screening, Mary E. Costanza, Roger S. Luckmann, Anne M. Stoddard, Jill S. Avrunin, Mary Jo White, Jennifer Rider Stark, Lynn Clemow, and Milagros C. Rosal

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Racial and ethnic variations in office-based medical care for work-related injuries and illnesses, Allard E. Dembe, Judith A. Savageau, Benjamin C. Amick III, and Steven M. Banks

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A sensitization-homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature, Joseph R. DiFranza and Robert J. Wellman

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The Family Physician's Role in Identifying and Treating Tobacco Addiction among Adolescents, Joseph R. DiFranza and Robert J. Wellman

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Abnormal pocket depth and gingival recession as distinct phenotypes, Philippe P. Hujoel, Joana Cunha-Cruz, Herbert Selipsky, and Barry G. Saver

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Trends in professional advice to lose weight among obese adults, 1994 to 2000, J. Elizabeth Jackson, Mark P. Doescher, Barry G. Saver, and L. Gary Hart

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Teaching and medical errors: primary care preceptors' views., Kathleen M. Mazor, Melissa A. Fischer, Heather-Lyn Haley, David S. Hatem, and Mark E. Quirk

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Factors influencing preceptors' responses to medical errors: a factorial survey., Kathleen M. Mazor, Melissa A. Fischer, Heather-Lyn Haley, David S. Hatem, H. Jane Rogers, and Mark E. Quirk

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Early retirement due to occupational injury: who is at risk, Glenn S. Pransky, Katy L. Benjamin, and Judith A. Savageau

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Outcomes in work-related injuries: a comparison of older and younger workers, Glenn S. Pransky, Katy L. Benjamin, Judith A. Savageau, Douglas Currivan, and Kenneth E. Fletcher

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Primary care renewal: regional faculty development and organizational change, Mark E. Quirk, Heather-Lyn Haley, David S. Hatem, Susan Starr, and Mary Philbin

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Reliability and validity of checklists and global ratings by standardized students, trained raters, and faculty raters in an objective structured teaching environment, Mark E. Quirk, Kathleen M. Mazor, Heather-Lyn Haley, Scott Wellman, David M. Keller, David S. Hatem, and Lisa A. Keller

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Emergency Contraception: A Potential Solution, Sara G. Shields, Lucy M. Candib, and Nidhi Lal

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Measuring adults' loss of autonomy over nicotine use: the Hooked on Nicotine Checklist, Robert J. Wellman, Joseph R. DiFranza, Judith A. Savageau, Sameer Godiwala, Karen Friedman, and Jennifer Hazelton

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Implementing a computer-assisted telephone interview (CATI) system to increase colorectal cancer screening: a process evaluation, Mary Jo White, Jennifer Rider Stark, Roger S. Luckmann, Milagros C. Rosal, Lynn Clemow, and Mary E. Costanza

Publications from 2004

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Clinical prevention and population health: curriculum framework for health professions, Janet Allan, Timi Agar Barwick, Suzanne B. Cashman, James F. Cawley, Chris Day, Chester W. Douglass, Clyde H. Evans, David R. Garr, Rika Maeshiro, Robert L. McCarthy, Susan M. Meyer, Richard Riegelman, Sarena D. Seifer, Joan Stanley, Melinda Swenson, Howard S. Teitelbaum, Peggy Timothe, Kathryn E. Werner, and Douglas Wood

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Impact of healthcare delivery system on where HMO-enrolled seniors purchase medications, Denise M. Boudreau, Mark P. Doescher, J. Elizabeth Jackson, Paul A. Fishman, and Barry G. Saver

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Family Medicine in Ecuador: At Risk in a Developing Nation, Lucy M. Candib

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Making Sense of My Thumbs: Coming to Terms With Chronic Illness, Lucy M. Candib

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Applying service-learning through a community-academic partnership: depression screening at a federally funded community health center, Suzanne B. Cashman, Janet Hale, Lucy M. Candib, Tara Ann Nimiroski, and Deborah Brookings

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Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teams, Suzanne B. Cashman, Patricia Reidy, Kathleen Cody, and Celeste A. Lemay

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Patient health status and appointment keeping in an urban community health center, Suzanne B. Cashman, Judith A. Savageau, Celeste A. Lemay, and Warren J. Ferguson

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Recollections and repercussions of the first inhaled cigarette, Joseph R. DiFranza, Judith A. Savageau, Kenneth E. Fletcher, Judith K. Ockene, Nancy A. Rigotti, Ann D. McNeill, Mardia A. Coleman, and Constance Wood

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Trait anxiety and nicotine dependence in adolescents: a report from the DANDY study, Joseph R. DiFranza, Judith A. Savageau, Nancy A. Rigotti, Judith K. Ockene, Ann D. McNeill, Mardia A. Coleman, and Constance Wood

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Preventive Care: Does Continuity Count?, Mark P. Doescher, Barry G. Saver, Kevin Fiscella, and Peter Franks

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Training Faculty for Cultural Teaching, Warren J. Ferguson and David M. Keller

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Together for Kids: Second Year Report : A Project of Community Healthlink, Inc., Lynn Hennigan, Carole C. Upshur, and Melodie Wenz-Gross

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Prescription drug coverage, health, and medication acquisition among seniors with one or more chronic conditions, J. Elizabeth Jackson, Mark P. Doescher, Barry G. Saver, and Paul Fishman

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Suspected infant abuse: radiographic skeletal survey practices in pediatric health care facilities, Patricia L. Kleinman, Paul K. Kleinman, and Judith A. Savageau

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Effect of a low-cost intervention on recording body mass index in patients' records, Celeste A. Lemay, Suzanne B. Cashman, Judith A. Savageau, and Patricia A. Reidy

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Responsible and responsive knowing in medical diagnosis: the medical gaze revisited, Kirsti Malterud, Lucy M. Candib, and Lorraine Code

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Characteristics of patients at three free clinics, Rachel Mott Keis, Linda Gifford DeGeus, Suzanne B. Cashman, and Judith A. Savageau

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Seniors with chronic health conditions and prescription drugs: benefits, wealth, and health, Barry G. Saver, Mark P. Doescher, J. Elizabeth Jackson, and Paul Fishman

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Does payment drive procedures? Payment for specialty services and procedure rate variations in 3 HMOs, Barry G. Saver, Debra Pearson Ritzwoller, Michael Maciosek, Michael J. Goodman, Douglas A. Conrad, Eric Finkelstein, Martin Haase, Paul Barrett, and Kevin C. Cain

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Short term patterns of early smoking acquisition, Robert J. Wellman, Joseph R. DiFranza, Judith A. Savageau, and Gretchen Dussault

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Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist, Katherine Carter Wheeler, Kenneth E. Fletcher, Robert J. Wellman, and Joseph R. DiFranza

Publications from 2003

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Ethical Considerations in Disease Management: A Managed Care Perspective, Robert A. Baldor

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Anaphylaxis and anaphylactoid reactions, Robert A. Baldor and Judith A. Fisher

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A Venn diagram: feminism, family therapy, and family medicine, Lucy M. Candib

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Book review: First, Do No Harm: Power, Oppression, and Violence in Health Care, Lucy M. Candib

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The somatization in primary care study: a tale of three diagnoses, W. Perry Dickinson, L. Miriam Dickinson, Frank Verloin deGruy, Lucy M. Candib, Deborah S. Main, Anne M. Libby, and Kathryn Rost

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A randomized clinical trial of a care recommendation letter intervention for somatization in primary care, W. Perry Dickinson, L. Miriam Dickinson, Frank Verloin deGruy, Deborah S. Main, Lucy M. Candib, and Kathryn Rost

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Preventing cancer by controlling youth tobacco use, Joseph R. DiFranza and Robert J. Wellman

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Developing culturally competent community faculty: a model program, Warren J. Ferguson, David M. Keller, Heather-Lyn Haley, and Mark E. Quirk

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Do HMOs affect educational disparities in health care, Kevin Fiscella, Peter Franks, Mark P. Doescher, and Barry G. Saver

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The effect of medical students' international experiences on attitudes toward serving underserved multicultural populations, Michael A. Godkin and Judith A. Savageau

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Together for Kids: First Year Report: A Project of Community Healthlink, Inc., Lynn Hennigan, Carole C. Upshur, and Melodie Wenz-Gross

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Underdiagnosis of obesity at a community health center, Celeste A. Lemay, Suzanne B. Cashman, Judith A. Savageau, Kenneth E. Fletcher, Rebecca Kinney, and Ellen Long-Middleton

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Screening for colorectal cancer on the front line, Stephenie C. Lemon, Jane G. Zapka, Barbara Estabrook, Stephen Erban, and Roger S. Luckmann

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A randomized trial of telephone counseling to promote screening mammography in two HMOs, Roger S. Luckmann, Judith A. Savageau, Lynn Clemow, Anne M. Stoddard, and Mary E. Costanza

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Racial and ethnic disparities in the purchase of nongroup health insurance: the roles of community and family-level factors, Barry G. Saver, Mark P. Doescher, J. Morel Symons, George E. Wright, and C. Holly Andrilla

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Symptoms of nicotine dependence and other predictors of student smoking at school: implications for school smoking policy, Elpidoforos S. Soteriades, Joseph R. DiFranza, Judith A. Savageau, and Michael Nicolaou

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Community preceptors' views of their identities as teachers, Susan Starr, Warren J. Ferguson, Heather-Lyn Haley, and Mark E. Quirk

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Generalist-subspecialist communication for children with chronic conditions: a regional physician survey, Christopher J. Stille, William A. Primack, and Judith A. Savageau

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Development and implementation of an objective structured teaching exercise (OSTE) to evaluate improvement in feedback skills following a faculty development workshop, Sarah L. Stone, Kathleen M. Mazor, Sarah Devaney-O'Neil, Susan Starr, Warren J. Ferguson, Scott Wellman, Eric Jacobson, David S. Hatem, and Mark E. Quirk