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 2004

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Patient education for colon cancer screening: a randomized trial of a video mailed before a physical examination, Jane G. Zapka, Stephenie C. Lemon, Elaine Puleo, Barbara Estabrook, Roger S. Luckmann, and Stephen Erban

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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Medicare and medicaid costs for schizophrenia patients by age cohort compared with costs for depression, dementia, and medically ill patients, Stephen J. Bartels, Robin E. Clark, William J. Peacock, Aricca R. Dums, and Sarah I. Pratt

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

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Progress in research on dual disorders, Robin E. Clark and Kim T. Mueser

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The Medical Home Index: development and validation of a new practice-level measure of implementation of the Medical Home model, W. Carl Cooley, Jeanne W. McAllister, Kathleen Sherrieb, and Robin E. Clark

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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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Cigarette Package Design: Opportunities for Disease Prevention, Joseph R. DiFranza, D. M. Clark, and R. W. Pollay

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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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Sexual health innovations in undergraduate medical education, Emily Ferrara, Michele P. Pugnaire, Julie A. Jonassen, Katherine K. O'Dell, Marjorie Clay, David S. Hatem, and Michele M. Carlin

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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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Rethinking quality in the context of persons with disability, Ann G. Lawthers, Glenn S. Pransky, Laura E. Peterson, and Jay S. Himmelstein

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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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Prescribing patterns for patients with posttraumatic stress disorder, Thomas A. Mellman, Robin E. Clark, and William J. Peacock

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The state of office-based interventions for youth tobacco use, Lori Pbert, Eric T. Moolchan, Myra L. Muramoto, Jonathan P. Winickoff, Susan J. Curry, Harry A. Lando, Deborah J. Ossip-Klein, Alexander V. Prokhorov, Joseph R. DiFranza, and Jonathan D. Klein

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A novel approach for mental health disease management: the Air Force Medical Service's interdisciplinary model, Christine Runyan, Vincent P. Fonseca, John G. Meyer, Mark S. Oordt, and G. Wayne Talcott

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Honing an advance care planning intervention using qualitative analysis: the Living Well interview, Carolyn E. Schwartz, Inga Lennes, Bernard Hammes, Carrie Lapham, Wayne Bottner, and Yunsheng Ma

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Altruistic social interest behaviors are associated with better mental health, Carolyn E. Schwartz, Janice Bell Meisenhelder, Yunsheng Ma, and George W. Reed

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An introduction to quality of life assessment in oncology: the value of measuring patient-reported outcomes, Carolyn E. Schwartz and Mirjam A. G. Sprangers

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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

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Approaching the suicidal patient, Jeffrey G. Stovall and Frank J. Domino

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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

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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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Labor market conditions and employment of the mentally ill, Ralph Catalano, Robert E. Drake, Deborah R. Becker, and Robin E. Clark

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Substitution between Formal and Informal Care for Persons with Severe Mental Illness and Substance Use Disorders, Robin E. Clark

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The economic benefits of supported employment for persons with mental illness, Robin E. Clark

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Recent trends in antipsychotic combination therapy of schizophrenia and schizoaffective disorder: implications for state mental health policy, Robin E. Clark, Stephen J. Bartels, Thomas A. Mellman, and William J. Peacock

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The RWJF workers' compensation health initiative: findings and strategies. Robert Wood Johnson Foundation, Allard E. Dembe, Sharon E. Fox, and Jay S. Himmelstein

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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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Cost-effectiveness of two vocational rehabilitation programs for persons with severe mental illness, Lisa Dixon, Jeffrey S. Hoch, Robin E. Clark, Richard Bebout, Robert E. Drake, Gregory J. McHugo, and Deborah R. Becker

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

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Surveying physicians: do components of the "Total Design Approach" to optimizing survey response rates apply to physicians?, Terry S. Field, Cynthia A. Cadoret, Martin L. Brown, Marvella Ford, Sarah M. Greene, Deanna Hill, Mark C. Hornbrook, Richard T. Meenan, Mary Jo White, and Jane G. Zapka

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

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Preparing medical students to teach, Susan J. Pasquale and Michele P. Pugnaire

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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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Costs of excess body weight among active duty personnel, U.S. Air Force, 1997, Anthony S. Robbins, Susan Y. Chao, Christine Runyan, and Vincent P. Fonseca

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Early intervention in planning end-of-life care with ambulatory geriatric patients: results of a pilot trial, Carolyn E. Schwartz, H. Brownell Wheeler, Bernard Hammes, Noreen Basque, Jean Edmunds, George W. Reed, Yunsheng Ma, Lynn Li, Patricia Tabloski, and Julianne Yanko

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Hunger: its impact on children's health and mental health, Linda F. Weinreb, Cheryl Wehler, Jennifer N. Perloff, Richard Scott, David W. Hosmer, Linda D. Sagor, and Craig Gundersen

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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

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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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Family support and substance use outcomes for persons with mental illness and substance use disorders, Robin E. Clark

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State and federal compliance with the Synar Amendment: federal fiscal year 1998, Joseph R. DiFranza

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Measuring statewide merchant compliance with tobacco minimum age laws: the Massachusetts experience, Joseph R. DiFranza, Carolyn C. Celebucki, and Paul D. Mowery

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Sources of tobacco for youths in communities with strong enforcement of youth access laws, Joseph R. DiFranza and Mardia A. Coleman

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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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Implementing dual diagnosis services for clients with severe mental illness, Robert E. Drake, Susan M. Essock, Andrew Shaner, Kate B. Carey, Kenneth Minkoff, Lenore Kola, David Lynde, Fred C. Osher, Robin E. Clark, and Lawrence Rickards

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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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Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening, Stephenie C. Lemon, Jane G. Zapka, Elaine Puleo, Roger S. Luckmann, and Lisa Chasan-Taber

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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

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Weight gain as a barrier to smoking cessation among military personnel, Christine Runyan, Vincent P. Fonseca, Alan L. Peterson, Lisa R. Blackman, and Anthony S. Robbins

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Implementing evidence-based practices for persons with severe mental illnesses, William C. Torrey, Robert E. Drake, Lisa Dixon, Barbara J. Burns, Laurie Flynn, A. John Rush, Robin E. Clark, and Dale Klatzker

Publications from 2000

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

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Underutilizers of mammography screening today: characteristics of women planning, undecided about, and not planning a mammogram, Lynn Clemow, Mary E. Costanza, W. P. Haddad, Roger Luckmann, Mary Jo White, D. Klaus, and Anne M. Stoddard

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Promoting mammography: results of a randomized trial of telephone counseling and a medical practice intervention, Mary E. Costanza, Anne M. Stoddard, Roger S. Luckmann, Mary Jo White, Jill S. Avrunin, and Lynn Clemow

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State and federal compliance with the Synar amendment: federal fiscal year 1997, Joseph R. DiFranza

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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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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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An investigation of the impacts of different generalizability study designs on estimates of variance components and generalizability coefficients, L. A. Keller, Kathleen M. Mazor, H. Swaminathan, and Michele P. Pugnaire

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Integrating Healthy Communities concepts into health professions training, Gretchen Kinder, Suzanne B. Cashman, Sarena D. Seifer, Alice Inouye, and Amy Hagopian

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University of Massachusetts Medical School, Michele P. Pugnaire

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Expanding the "standardized family" across three clerkships: a model for creating an interdisciplinary core curriculum in primary care, Michele P. Pugnaire, Frank J. Domino, and Eric J. Alper

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Emergency postcoital contraception, Randy E. Wertheimer

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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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Legal system involvement and costs for persons in treatment for severe mental illness and substance use disorders, Robin E. Clark, Susan K. Ricketts, and Gregory J. McHugo

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The effectiveness of using standardized patients to improve community physician skills in mammography counseling and clinical breast exam, Mary E. Costanza, Roger Luckmann, Mark E. Quirk, Lynn Clemow, Mary Jo White, and Anne M. Stoddard

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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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Are the federal and state governments complying with the Synar Amendment, Joseph R. DiFranza

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State and federal revenues from tobacco consumed by minors, Joseph R. DiFranza and John J. Librett

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Impediments to the enforcement of youth access laws, Joseph R. DiFranza and Nancy A. Rigotti

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Research on the individual placement and support model of supported employment, Robert E. Drake, Deborah R. Becker, Robin E. Clark, and Kim T. Mueser