The Annals of Family Medicine encourages readers to develop the learning community of those seeking to improve health care and health through enhanced primary care. You can participate by conducting a RADICAL journal club, and sharing the results of your discussions in the Annals online discussion for the featured articles. RADICAL is an acronym for Read, Ask, Discuss, Inquire, Collaborate, Act, and Learn. The word radical also indicates the need to engage diverse participants in thinking critically about important issues affecting primary care, and then acting on those discussions.1
HOW IT WORKS
In each issue, the Annals selects an article or articles and provides discussion tips and questions. We encourage you to take a RADICAL approach to these materials, and to post a summary of your conversation in our online discussion. (Open the article online and click on “TRACK Comments: Submit a response.”) You can find discussion questions and more information online at: http://www.AnnFamMed.org/misc/AJC.shtml.
CURRENT SELECTION
Article for Discussion
Kong AS, Williams RL, Smith M, et al, on behalf of RIOS Net Clinicians. Acanthosis nigricans and diabetes risk factors: prevalence in young persons seen in Southwestern US primary care practices. Ann Fam Med. 2007;5(3):202–208.
Discussion Tips
This article presents opportunities for many levels of learning about diabetes, diagnostic testing, and practice-based network (PBRN) research. (See the article by Tierney et al in this issue of Annals2 for an overview of US PBRNs). You can examine Supplemental Figure 1 online to see what acanthosis nigricans looks like.
Discussion Questions
What are the research questions and why are they important? What already is known about acanthosis nigricans and diabetes risk factors?
What are the limitations of the cross-sectional study design for answering the different study questions?
- To what degree are the findings affected by:
- How critical variables were measured and/or defined?
- Missing data?
- Confounding (false attribution of causality because 2 variables discovered to be associated actually are associated with a third factor)?
- Chance?
What are the main findings? How do they advance current knowledge?
How do you interpret the “unanticipated finding”?
How transportable are the findings to your setting and patients? How might the information be used to change practice?
REFERENCES
- 1.Stange KC, Miller WL, McLellan LA, et al. Annals Journal Club: It’s time to get RADICAL. Ann Fam Med. 2006;4(3):196–197. http://annfammed.org/cgi/content/full/4/3/196. [Google Scholar]
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