Popular Top Ten Session Moves to the Big Stage

Frank J. Domino, MD

“If I read and review it and can help my peers understand it, then I feel like I’ve done something good.” - FRANK J. DOMINO, MD

It wouldn't be FMX without the annual "Top Ten Updates in Evidence-Based Medicine" session. In the past, attendees have needed to arrive early to secure a seat to hear Frank J. Domino, MD, summarize the key lessons of the past year.

Domino's popular presentation now becomes the centerpiece to Friday's General Session in the Stars at Night Ballroom. The General Session goes from 9–10:30 a.m., offers 0.75 Live Prescribed CME credits, and also features the announcement of the 2018 AAFP Family Physician of the Year.

Domino, professor and pre-doctoral education director, Department of Family Medicine and Community Health at the University of Massachusetts Medical School, Worchester, also serves as editor-in-chief for 5-Minute Clinical Consult and the just- released Fast Facts for the Family Medicine Boards, admits that the list usually goes past 10 topics. This year's update includes information on:

  • New data related to pediatric care
  • Prevention and screening, including a look at what the U.S. Preventive Task Force is thinking, with a look at the PROTECT trial about the impact of treatment for prostate cancer
  • Changes in commonly held beliefs in about appropriate use of statins and opioids
  • How to help people select dietary and other lifestyle changes
  • Diabetes

"I also want to add in some information about self-care," he said. "There's all this push on burnout and wellness, and the heart of the matter is we need to take responsibility for our own health, but it's something we're not very good at. We have to solve our own problems."

To select the topics, Domino reads and reviews several abstracting services daily, including American Family Physician and Family Practice Management. He looks for items that are practice-changing, curious, ironic, or even entertaining. Another consideration is whether a topic in something patients are likely to hear about in the media and then bring up during a visit with a physician.

Domino said his position with 5-Minute Clinical Consult gives him the time to consider the latest information in a way he didn't have when he worked as a community-based physician in the 1990s. He said he remembers that perspective when doing his reviews.

"There's an awful lot of stuff there to consider that clinicians just don't have the time to consider," he said. "Now, I do—it's part of my job. That's how I decide…. If I read and review it and can help my peers understand it, then I feel like I've done something good."

Domino, who also presented earlier in the week on motivational interviewing for weight loss and exercise, remains a big supporter of FMX and the value of going to live meetings. Listening to lectures live won't change a practice by itself without a deliberate, overt effort to change, but the lecture—and the interactions with others in the room—can alter perspective and make changing and improving easier.

"Live meetings present the ultimate opportunity not just to network, but expand your perspectives on delivering health care," he said. "And if you don't sit and turn to your neighbor over a cup of coffee, someone you've never met or a friend from residency, and say, 'Why do you do that in your practice?' you're missing out one of the best parts of going to a meeting. You should ask your peer 'What do you think?' It allows you to broaden your perspective."