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This issue highlights climate change, its effects on patients, and actions clinicians can take to make a difference for their patients and communities. The issue also includes several reports on current trends in family physician practice patterns and the influence of practice structure. Four articles focus on controlled or illicit substances. Noteworthy among them is the description of an innovative yet simple device that allows patients to safely discard unused opioids. Other research covers adverse childhood experiences (ACEs), smoking cessation programs, and the impact of Medicare reimbursement rates on influenza vaccination., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2023 by the American Board of Family Medicine.)

In this issue of the Journal, several articles evaluate the strengths and weaknesses of telemedicine. Evidence demonstrates that telemedicine is not equally effective for all clinical situations. Another set of articles report research on the delivery of health care: electronic reminders for physicians, standing orders, guideline use, and screening for social determinants of health. Two studies report on the effects of the pandemic on the mental health of subpopulations. The impact of changing insurance status on chronic disease diagnoses, the implications of eliminating the X-waiver, and trends in early career family physician salaries are also studied., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright by the American Board of Family Medicine.)

One of the unique characteristics of family medicine is that although we cannot meet every specific need of each patient at each visit we continuously advance the health of the communities that surround our practices. Family physicians aim to improve overall health outcomes across our practice populations, not just individual by individual, nor just for those who arrive in our office for care. We strive to care for individuals who fall through the cracks, for the social circles who surround our patients, such as family members or neighbors; we implement systems to facilitate the broad scope and needed intensity of care; and we build collaborations that assist in population care. Family medicine improves outcomes for everyone, including the unseen. This JABFM issue epitomizes many of these distinguishing characteristics of family medicine-what does it take (how)? When? Where?, Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright by the American Board of Family Medicine.)

The articles in this issue are divided into 3 categories: 1) increasing our understanding of people's (patients') behaviors; 2) changing how we practice Family Medicine; and 3) rethinking common clinical problems. These categories include multiple topics: nonprescription antibiotic use, recording electronic smoking/vaping, virtual wellness visits, an electronic pharmacist consult service, documenting social determinants of health, medical-legal partnerships, local professionalism, implications of peripheral neuropathy, harm-reduction informed care, decreasing cardiovascular risk, persistent symptoms, and colonoscopy harm., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright by the American Board of Family Medicine.)

Family medicine continues to evolve in response to new technologies, new theories, and new problems to address. This issue of JABFM includes studies on the integration of artificial intelligence into primary care, thoughts on how medicine can address climate change, and some novel approaches to important issues in family medicine. Studies on medication assisted therapy, continuity of care, and periodontitis are among the original research in this issue. In addition, research on screening for social needs, updated guidelines, and case reports are included., Competing Interests: Conflicts of interest: The authors are editors of the JABFM., (© Copyright by the American Board of Family Medicine.)

This issue's teasers: A broad scope of care by family physicians could be incentivized and has positive outcomes. Family physicians could do more dermoscopy-a mixed specialty group of experts provide information on diagnosis with associated features and proficiency standards for primary care clinicians. Clinicians could trust more, and do less, such as adult measles-mumps-rubella boosters. Family physicians differ from pediatricians on how to deliver vitamin D to newborns. Practice scope varies by location. Is monetary incentive a key to incentivize COVID vaccination? A new, useful, easy functional status questionnaire. This issue also includes articles on both adult and pediatric obesity, a systematic review of social determinants of health and documentation thereof, plus more., Competing Interests: Conflicts of interest: The authors are editors of the JABFM., (© Copyright by the American Board of Family Medicine.)

The mental health of patients and clinicians before and during the pandemic are investigated and reported by multiple investigators. Improving health through practice change is challenging but possible. Telehealth increased dramatically since the beginning of the pandemic; what is its future?, Competing Interests: Conflicts of interest: The authors are the editors of JABFM., (© Copyright by the American Board of Family Medicine.)

As usual, this issue of the JABFM contains research as broad as the specialty of family medicine itself. The social determinants of health are again a prominent topic. COVID-19 topics in this issue include over-the-counter supplements as adjunct treatments and the influence of public health safety measures on influenza rates during the pandemic. Two separate reports look at the way cancer survivors interact with primary care and the difficulties encountered. A CERA study describes how departments of family medicine are tackling the challenge of training tomorrow's family physicians in point-of care-ultrasound. Physician workforce studies examine pay inequities and burnout. An impressive number other commonly encountered issues in family medicine are addressed using a wide variety of methods and data sources., Competing Interests: Conflicts of interest: The authors are the editors of JABFM., (© Copyright 2022 by the American Board of Family Medicine.)

After years of slow progress, the COVID-19 pandemic forced a rapid adoption of telehealth and telemedicine. The transition was not uniform across demographic groups, reflecting social determinants of health. This special issue of JABFM highlights many lessons learned and reviews insights gained by patients, clinicians, and health care administrators about telehealth and telemedicine during the pandemic. The focus on research on the COVID-19 pandemic is turning increasingly toward the long-term impact of the pandemic. Reports on Medicare wellness visits, drug safety, medical abortion, and the differences in scope and location of practice by race and ethnicity of family physicians can also be found in this issue., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2022 by the American Board of Family Medicine.)

This issue continues our tradition of advancing family medicine by publishing articles on issues that affect patients and the practice of family medicine, specifically with an emphasis on inequity and the COVID pandemic, which are often intertwined. We have articles on topical issues such as appropriate transgender care, newer diabetes medications, transportation as a social risk, and a thought-provoking commentary on ableism. A clinical review on olfactory loss takes on new meaning. Oregon Medicaid coverage policy supported family physicians assisting their patients by decreasing their opioid use, and a article suggests that buprenorphine should be decriminalized. Strengthening the desire to enter family medicine before starting medical school can help meet future patient needs., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2022 by the American Board of Family Medicine.)

This is the first of two sequential equity and diversity-themed JABFM issues. Multiple articles address the social justice tenet of family medicine; ie, diversity and equity issues within the family medicine field and health care equity in the delivery of care to diverse patient populations. Within the field, we have a paper on how ABFM attempts to ensure equity in the board examination through differential item analyses review. Other articles report on the diversity of family physicians, the languages they use in their practices, family medicine department chairs, and deans of schools of medicine, as well as the diversity of the patients in family physician practices. Gender inequity is also important for family medicine. For care of diverse populations, there is a discussion of pseudofolliculitis barbae implications, race-specific blood pressure medications and control, location of family physicians and of social services by need, and a large study of laboratory testing by gender. Articles on various clinical topics are also included., Competing Interests: Conflict of interest: MB, DS, and CL are editors of the JABFM. MM serves on the editorial board of the JABFM., (© Copyright 2022 by the American Board of Family Medicine.)

As a discipline, we continue to learn lessons from Coronavirus disease 2019 (COVID-19)-lessons for practice, systems, and patient care. This issue also includes articles focused on 2 other topics that attract increasing attention by family physicians. First, articles describe how the social determinants of health impact health and how family physicians can overcome those obstacles with their patients. Patients want assistance from health systems for 1 specific need related to social determinants of their health. Second, we see increasing evidence about opioid prescriptions in primary care. Multiple clinical articles are pertinent to family medicine, such as different implications of an elevated sedimentation rate compared with C-reactive protein, practice facilitation, adolescent vaccination, family physician accuracy with potentially malignant skin lesions, and more., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2021 by the American Board of Family Medicine.)

Competing Interests: Conflict of interest: The authors are editors of the JABFM.

Competing Interests: Conflicts of interest: The authors are editors of the JABFM.

This issue provides inspiring reports of family medicine during the Coronavirus disease 2019 (COVID-19) pandemic and the provision of just-in-time COVID-19 information for clinicians. Conversely, burnout - yes or no? The issue includes information that suggests the negative effects of social determinants are related to America's system of paying for medical care. The announcement of the availability of an on-line archive of the official first journal of family medicine gives us the chance to acclaim Dr. Geyman, who started the Journal of Family Practice and was the first editor of this journal. And, as usual, there is more!, Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2021 by the American Board of Family Medicine.)

Competing Interests: Conflict of interest: The author is the editor of the JABFM.

In addition to the collection of veterans' health articles, this edition of the journal contains a wide range of family medicine research reports, commentaries, clinical reviews, and scholarly observations. These articles clearly exemplify a key strength of family medicine scholarship: the focus is on our patients. Two articles look at modern care of patients with venous thromboembolic disease-the first on acute management and the second on long-term care. Two other articles explore the role of pharmacists in an interdisciplinary team. A clever use of big databases provides a thought-provoking answer about the long-term health of patients with methicillin-resistant Staphylococcus aureus Three articles give us possible glimpses into the future of family medicine, exploring a potential payment reform model, suggesting an alternative approach to cancer screening guideline development, and considering how family physicians remain relevant in the technology-laden medical world of tomorrow., Competing Interests: Conflicts of interest: The authors are editors of the JABFM., (© Copyright 2021 by the American Board of Family Medicine.)

Several research groups from multiple institutions provide structure and methods to improve research for family medicine. Colon cancer research includes which common screening test for colon cancer most often results in completed colonoscopy. Authors explore how some cardiovascular preventive medications are overused while others are underused. Three research papers specifically advance improvements for practice management, 3 articles address diabetes, 3 others cover family physicians caring for specific populations (pregnant women, children, and those with sports-related issues). There are practical research articles on practice management and others on common clinical problems. This issue also includes a clinical review on acute sensorineural hearing loss and human papilloma virus immunization guidelines that can cause confusion., Competing Interests: Conflict of Interest: The authors are editors of the JABFM., (© Copyright 2021 by the American Board of Family Medicine.)

This issue of the Journal contains some exceptional research articles. A few are truly "must-reads," including a fascinating look at the relationship between having a usual source of care and telomere length. Glucosamine/chrondroitin supplementation seems to be helpful for more than just arthritis pain. There is a very practical advice on keeping patients discharged from the emergency department out of the hospital and on reducing patient requests for inappropriate antibiotics. This issue also features 5 articles addressing how family physicians can combat the opioid epidemic. Three articles highlight research on diabetes and another 3 on breast cancer. Payment reform, dermoscopy, and telemedicine are among many other topics covered., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2020 by the American Board of Family Medicine.)

Competing Interests: Conflict of interest: The author is the editor of the JABFM.

Competing Interests: Conflict of interest: The authors are editors of the JABFM.

Medication therapy emerged as a theme for this issue-from many perspectives and for different conditions. We have several articles on opioids, including for pain/noncancer pain; use by older drivers and their reported driving; and the advantages of family medicine treatment sites. A related article explores chronic widespread pain and concurrent low back pain. In addition, this issue covers the gamut of prescribing inappropriate medications for older individuals and prescribing antibiotics when a CT scan of the abdomen would not have found an indication for such treatment. Other included topics include social complexity and impact on primary care physician income., Competing Interests: Conflict of Interest: The authors are editors of the JABFM., (© Copyright 2020 by the American Board of Family Medicine.)

This special issue contains several articles on well-being. Not surprisingly, many of these articles are specifically about burnout. The evidence shows differences in the rates of burnout between men and women family physicians as well as their responses. Clinical team structure and organizational change also contribute to burnout. What about the electronic medical record? We are also reminded that burnout is an international issue. There are also several articles on how technology is changing the way family physicians practice. Two articles report on issues regarding screening for frequently seen clinical entities, specifically breast cancer and alcohol misuse. There are also articles looking at the cost of medical assistant turnover in practices, the impact of continuity with a provider on the retention of patients in clinical trials, and much more of interest to family physicians., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2020 by the American Board of Family Medicine.)

JABFM seeks to widely disseminate its peer-reviewed publications, increasing article visibility for the purpose of advancing scientific knowledge. We describe the journal's approach to dissemination and recommend a number of strategies for authors to implement, including press releases and social media. Providing the article's digital object identifier (DOI) is most useful, compared with links that can break, or attaching the article PDF, which will depress reader metrics. All JABFM articles are freely accessible online worldwide., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2020 by the American Board of Family Medicine.)

Competing Interests: Conflict of interest: The authors are editors of the JABFM.

Competing Interests: Conflict of interest: Authors serve as editors of indexed journals. Dr. Bowman is Editor of the Journal of the American Board of Family Medicine. Dr. Saultz is Editor of Family Medicine. Dr. Phillips is Senior Associate Editor of the Annals of Family Medicine. Dr. Phillips served on the Literature Selection Technical Review Committee of the National Library of Medicine. The authors have no other conflicts of interest to declare.

Seconds count in a study on the best electronic health note format to reduce medical record charting time and increase accuracy. Directly observed family physician work is compared with Current Procedural Terminology (CPT) coding examples and notably under-recognized. This issue contains articles from single practices that that implemented new methods of care and other reports on practice innovations that can be more broadly implemented. We have articles on opioid medication use for acute low back pain in primary care, an electronic chronic pain consult service, a key question to identify potential opioid misuse risk, and newly implemented screening for other substances of abuse. Omissions (or gaps) in care are also highlighted: from the common types of omissions identified by primary care clinicians, self-reported low levels of substance use screening by family medicine prenatal care providers, and inadequate and inadequately available hospital discharge summaries. In addition, the most important alarm symptoms for a cancer diagnosis are reported., Competing Interests: Conflict of interest: The authors are editors of the JABFM., (© Copyright 2017 by the American Board of Family Medicine.)