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 2003

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Seasonality in onset of youth smoking parallels seasonality in cigarette sales, Robert J. Wellman and Joseph R. DiFranza

Publications from 2002

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Common Skin Cancers, Robert A. Baldor

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Assessing third-year medical students' breast cancer screening skills, Susan V. Barrett, Jane G. Zapka, Kathleen M. Mazor, and Roger S. Luckmann

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A New View of Women’s Sexual Problems—A Family Physician’s Response, Lucy M. Candib

A painful life - between multiple layers of oppression, Lucy M. Candib

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Centered in the Deep Connections, Lucy M. Candib

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Truth telling and advance planning at the end of life: Problems with autonomy in a multicultural world, Lucy M. Candib

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Working with suffering, Lucy M. Candib

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Response to Schirmer and Le, Lucy M. Candib and Jeffrey G. Stovall

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Office-based medical care for work-related conditions: findings from the National Ambulatory Medical Care Survey, 1997-1998, Allard E. Dembe, Judith A. Savageau, Benjamin C. Amick III, and Steven M. Banks

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Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study, 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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Development of symptoms of tobacco dependence in youths: 30 month follow up data from the DANDY study, Joseph R. DiFranza, Judith A. Savageau, Nancy A. Rigotti, Kenneth E. Fletcher, Judith K. Ockene, Ann D. McNeill, Mardia A. Coleman, and Constance Wood

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Pilot study of enhanced tobacco-cessation services coverage for low-income smokers, Mark P. Doescher, Melicent A. Whinston, Alvin Goo, Diane Cummings, Jane Huntington, and Barry G. Saver

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Culture, language, and the doctor-patient relationship, Warren J. Ferguson and Lucy M. Candib

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Disparities in health care by race, ethnicity, and language among the insured: findings from a national sample, Kevin Fiscella, Peter Franks, Mark P. Doescher, and Barry G. Saver

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Crossdisciplinary approaches and physiotherapy, Alice Kvale and Lucy M. Candib

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Using differences between perceptions of importance and competence to identify teaching needs of primary care preceptors, Mark E. Quirk, Sarah Stone, Alan Chuman, Sarah Devaney-O'Neil, Kathleen M. Mazor, Susan Starr, and Daniel H. Lasser

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Healthcare system factors and colorectal cancer screening, Jane G. Zapka, Elaine Puleo, Maureen Vickers-Lahti, and Roger S. Luckmann

Publications from 2001

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A survey of primary care physicians' perceptions and needs regarding the precepting of medical students in their offices, Robert A. Baldor, W. Blair Brooks, Marji Erickson Warfield, and Kathleen O'Shea

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Using the "Question of Scruples" game to teach managed care ethics to students, Robert A. Baldor, Terry S. Field, and Jerry H. Gurwitz

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Roundtable Discussion and Final Comments, Fran Butterfoss, Suzanne B. Cashman, Pennie Foster-Fishman, Michelle Kegler, and Bill Berkowitz

Walking a mile in the patient’s moccasins, Lucy M. Candib

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What should physicians tell about themselves to patients, Lucy M. Candib

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How will family physicians care for the patient in the context of family and community, Lucy M. Candib and Lillian Gelberg

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Community-oriented primary care: a model for public health nursing, Suzanne B. Cashman, Frances Kathleen Bushnell, and Hugh S. Fulmer

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What is the potential cost-effectiveness of enforcing a prohibition on the sale of tobacco to minors, Joseph R. DiFranza, Richard M. Peck, Thomas E. Radecki, and Judith A. Savageau

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Is the standard compliance check protocol a valid measure of the accessibility of tobacco to underage smokers, Joseph R. DiFranza, Judith A. Savageau, and Joseph Bouchard

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Racial/ethnic inequities in continuity and site of care: location, location, location, Mark P. Doescher, Barry G. Saver, Kevin Fiscella, and Peter Franks

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The effect of a global multiculturalism track on cultural competence of preclinical medical students, Michael A. Godkin and Judith A. Savageau

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Review: advice from doctors and nurses, behavioural interventions, nicotine replacement treatment, and several pharmacological treatments increase smoking cessation rates, Roger S. Luckmann

Publications from 2000

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Primary violence prevention. Taking a deeper look, Lucy M. Candib

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Initial symptoms of nicotine dependence in adolescents, Joseph R. DiFranza, Nancy A. Rigotti, Ann D. McNeill, Judith K. Ockene, Judith A. Savageau, Dorothy M. St. Cyr, and Mardia A. Coleman

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Physicians' advice to quit smoking. The glass remains half empty, Mark P. Doescher and Barry G. Saver

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Racial and ethnic disparities in perceptions of physician style and trust, Mark P. Doescher, Barry G. Saver, Peter Franks, and Kevin Fiscella

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An integrated residency in internal and preventive medicine, David L. Katz, Haq Nawaz, Ramin Ahmadi, James F. Jekel, Vincent A. DeLuca, Suzanne B. Cashman, and Hugh S. Fulmer

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Cancer control knowledge, attitudes, and perceived skills among medical students, Jane G. Zapka, Roger S. Luckmann, Sandra I. Sulsky, Karin V. Goins, Carol Bigelow, Kathleen M. Mazor, and Mark E. Quirk

Publications from 1999

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Book Review: Partnership for Health: Building Relationships Between Women and Health Caregivers, Lucy M. Candib

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Incest and other harms to daughters across cultures: Maternal complicity and patriarchal power, Lucy M. Candib

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When the doctor takes off her clothes: Reflections on being seen by patients in the exercise setting, Lucy M. Candib

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Qualitative Research: Perspectives on the Future, Lucy M. Candib, Kurt C. Stange, and Wendy Levinson

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Carrying out the Medicine/Public Health Initiative: the roles of preventive medicine and community-responsive care, Suzanne B. Cashman, Ron J. Anderson, Jonathan B. Weisbuch, M. Roy Schwarz, and Hugh S. Fulmer

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Determinants of counseling in primary care pediatric practice: physician attitudes about time, money, and health issues, Tina L. Cheng, Thomas G. DeWitt, Judith A. Savageau, and Karen G. O'Connor

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Health-related quality of life and symptom profiles of female survivors of sexual abuse, L. Miriam Dickinson, Frank Verloin deGruy, W. Perry Dickinson, and Lucy M. Candib

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Differences in discharge medication after acute myocardial infarction in patients with HMO and fee-for-service medical insurance, Danny McCormick, Jerry H. Gurwitz, Judith A. Savageau, Jorge L. Yarzebski, Joel M. Gore, and Robert J. Goldberg

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Use of hormone replacement therapy in Washington State: is prevention being put into practice, Barry G. Saver, Thomas R. Taylor, and Nancy F. Woods

Publications from 1998

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Ways of knowing in family medicine: contributions from a feminist perspective. 1988, Lucy M. Candib

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Complex posttraumatic stress disorder: evidence from the primary care setting, L. Miriam Dickinson, Frank Verloin deGruy, W. Perry Dickinson, and Lucy M. Candib

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Introducing managed care to the medical school curriculum: effect on student attitudes, Terry S. Field, Robert A. Baldor, Linda Casey, Alan Chuman, Daniel H. Lasser, Alan M. Ehrlich, and Jerry H. Gurwitz

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Prehospital delay in patients with acute coronary heart disease: concordance between patient interviews and medical records, Robert J. Goldberg, Paul G. McGovern, Thomas Guggina, Judith A. Savageau, Wayne D. Rosamond, and Russell V. Luepker

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Sex differences in symptom presentation associated with acute myocardial infarction: a population-based perspective, Robert J. Goldberg, Caitlin O'Donnell, Jorge L. Yarzebski, Carol Bigelow, Judith A. Savageau, and Joel M. Gore

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Deciding about hormone therapy: validation of a model, Nancy F. Woods, Sharon Falk, Barry G. Saver, Thomas R. Taylor, Nancy Grey Stevens, and Aileen MacLaren

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Attitudes toward menopause and hormone therapy among women with access to health care, Nancy F. Woods, Barry G. Saver, and Thomas R. Taylor

Publications from 1997

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Age-related trends (1986-1993) in the use of thrombolytic agents in patients with acute myocardial infarction. The Worcester Heart Attack Study, Harish Chandra, Jorge L. Yarzebski, Robert J. Goldberg, Judith A. Savageau, Colleen Singleton, Jerry H. Gurwitz, and Joel M. Gore

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Use of lipid-lowering medication in patients with acute myocardial infarction (Worcester Heart Attack Study), Robert J. Goldberg, Ira S. Ockene, Jorge L. Yarzebski, Judith A. Savageau, and Joel M. Gore

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Health insurance coverage and outcome following acute myocardial infarction. A community-wide perspective, Silvia Kreindel, Ronald Rosetti, Robert J. Goldberg, Judith A. Savageau, Jorge L. Yarzebski, Joel M. Gore, Arthur Russo, and Carol Bigelow

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Do physicians do as they say? The case of mammography, Barry G. Saver, Thomas R. Taylor, Jonathan R. Treadwell, and William G. Cole

Publications from 1996

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How medicine tried to make a man out of me (and failed, finally), Lucy M. Candib

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About losing it: The fear of impotence, Lucy M. Candib and Richard Schmitt

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Assessing mothers' attitudes about the physician's role in child health promotion, Tina L. Cheng, Judith A. Savageau, Carol Bigelow, Evan Charney, Sanjaya Kumar, and Thomas G. DeWitt

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Expectations, goals, and perceived effectiveness of child health supervision: a study of mothers in a pediatric practice, Tina L. Cheng, Judith A. Savageau, Thomas G. DeWitt, Carol Bigelow, and Evan Charney

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Effect of elevated leukocyte count on in-hospital mortality following acute myocardial infarction, Mark I. Furman, Richard C. Becker, Jorge L. Yarzebski, Judith A. Savageau, Joel M. Gore, and Robert J. Goldberg

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Gender differences and factors associated with the receipt of thrombolytic therapy in patients with acute myocardial infarction: a community-wide perspective, Jorge L. Yarzebski, Nananda F. Col, Paul Pagley, Judith A. Savageau, Joel M. Gore, and Robert J. Goldberg

Publications from 1995

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Medicine and the Family: A Feminist Perspective, Lucy M. Candib

Moving on to strengths, Lucy M. Candib

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Emergency department utilization in a large pediatric group practice, D. MacKoul, M. Feldman, Judith A. Savageau, and A. Krumholz

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Estimating annual charges for ambulatory care from limited utilization data, Barry G. Saver and Edward H. Wagner

The cluster committee: setting the stage for community-responsive care, Cindy Parks Thomas, Suzanne B. Cashman, and Hugh S. Fulmer

Publications from 1994

Consultant's Response, Lucy M. Candib

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Reconsidering Power in the Clinical Relationship, Lucy M. Candib

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Self-in-Relation Theory: Implications for Women's Health, Lucy M. Candib

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Public health nursing: a model for the 21st century, Suzanne B. Cashman, Hugh S. Fulmer, Ann A. Aaberg, and Lee Staples

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Community health: beyond care for individuals, Suzanne B. Cashman, Hugh S. Fulmer, and Lee Staples

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Resource utilization in home health care: results of a prospective study, Michael G. Trisolini, Cindy Parks Thomas, Suzanne B. Cashman, and Susan M. C. Payne

Publications from 1993

Domestic violence: it can happen to anyone. (includes related articles and patient information) (Special Issue: Women's Health), Sarah J. Buell, Lucy M. Candib, Joan Dauphine, and Marian R. Sassetti

Considering life-style, Lucy M. Candib

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Confidentiality in health care. A survey of knowledge, perceptions, and attitudes among high school students, Tina L. Cheng, Judith A. Savageau, Ann L. Sattler, and Thomas G. DeWitt

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Insurance, income, and access to ambulatory care in King County, Washington, Barry G. Saver and Nancy Peterfreund

Publications from 1992

Violence Against Women as a Gender Issue, Lucy M. Candib

Patient gender and cancer screening, Lucy M. Candib and Sandra K. Burge

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The use of a patient note to evaluate clinical skills of first-year residents who are graduates of foreign medical schools, Paula L. Stillman, Mary Beth Regan, Heather-Lyn Haley, John J. Norcini, Miriam Friedman, and Alton I. Sutnick

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Improving influenza vaccination rates in children with asthma: a test of a computerized reminder system and an analysis of factors predicting vaccination compliance, Peter G. Szilagyi, Lance E. Rodewald, Judith A. Savageau, Lorrie Yoos, and Cynthia Doane

Publications from 1991

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The patient population of a major chain of investor-owned ambulatory care walk-in centers, Suzanne B. Cashman, Arlene S. Ash, Cindy Lou Parks, and William J. Bicknell

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Investor-owned ambulatory care walk-in centers: how have primary care physicians responded, Suzanne B. Cashman, Cindy Lou Parks, and William J. Bicknell

Quality of care in a chain of walk-in centers, Cindy Lou Parks, Suzanne B. Cashman, David Hemenway, and William J. Bicknell

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Quality of acute episodic care in investor-owned ambulatory health centers, Cindy Lou Parks, Suzanne B. Cashman, Richard N. Winickoff, and William J. Bicknell

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Positive effects of a clinical performance assessment program, Paula L. Stillman, Heather-Lyn Haley, Mary Beth Regan, and Mary M. Philbin

Publications from 1990

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Book Review: The Family Interpreted: Feminist Theory in Clinical Practice, Lucy M. Candib

Naming the Contradiction: Family Medicine's Failure to Face Violence against Women, Lucy M. Candib

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Physician satisfaction in a major chain of investor-owned walk-in centers, Suzanne B. Cashman, Cindy Lou Parks, Arlene S. Ash, David Hemenway, and William J. Bicknell

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Physicians' responses to financial incentives. Evidence from a for-profit ambulatory care center, David Hemenway, Alice Killen, Suzanne B. Cashman, Cindy Lou Parks, and William J. Bicknell

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A comparison of free-response and cued-response diagnosis scores in an evaluation of clinical competence utilizing standardized patients, Paula L. Stillman, Mary Beth Regan, Heather-Lyn Haley, Mary M. Philbin, Joseph O'Donnell, Henry Pohl, and Stephen R. Smith

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Results of a survey on the use of standardized patients to teach and evaluate clinical skills, Paula L. Stillman, Mary Beth Regan, Mary M. Philbin, and Heather-Lyn Haley

Part-time doctors: reduced working hours for primary care physicians, Rachel Wheeler, Lucy M. Candib, and Meredith Martin

Publications from 1989

Family Life Cycle Theory--A Feminist Critique, Lucy M. Candib

Violence against women: no more excuses, Lucy M. Candib

Publications from 1988

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Ways of knowing in family medicine: contributions from a feminist perspective, Lucy M. Candib

Publications from 1987

Book Review: Women Physicians: Careers, Status and Power, Lucy M. Candib

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What doctors tell about themselves to patients: implications for intimacy and reciprocity in the relationship, Lucy M. Candib

Publications from 1986

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Book Review of Women, Health and Healing: Toward a New Perspective, Lucy M. Candib

Publications from 1985

The family approach at each moment, Lucy M. Candib