Frank Domino, MD
Frank Domino, MD
Milk is good. Diet soda makes you fat. Daily exercise has no more benefits than
exercising twice a week. Drinking 15 to 21 alcoholic beverages a week for men has
better outcomes on all-cause and cardiovascular mortality than not drinking.
Those surprising tidbits were just part of the dizzying array of research shared by
Friday General Session keynote speaker Frank Domino, MD, in his talk "Top Ten
Updates in Evidence-Based Medicine."
Domino, professor and pre-doctoral education director, Department of Family
Medicine and Community Health, University of Massachusetts Medical School,
Worcester, reviewed what he called “practicing-changing publications that have
come out in the last year” in hopes of inspiring family physicians to make patient-
benefiting changes to their practices.
"Of all my peers from college, my peers from medical school, I don’t know anybody
that’s got as cool a job as we do as family physicians," he said.
Despite the coolness factor, though, he acknowledged a burnout factor also exists for
physicians and offered suggestions for combating that fatigue.
“We are terribly independent as family physicians. We hate having other people
help us. We have got to try to break that mold and set good limits,” he said. “Buy a
bird feeder. Just seeing life outside your window is beneficial.”
Domino offered up a study from the United Kingdom, which showed people living in
neighborhoods with higher levels of vegetation cover and afternoon bird
populations had reduced degrees of depression, anxiety, and stress. He also shared
results from a study on meditation showing it improved mindfulness and resiliency
while also helping fight stress, anxiety, and burnout in hospital-based physicians.
Other provocative research Domino shared included:
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Family Medicine Experience (FMX)
General Session keynote reviews practice-changing research from past year