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s between alternative cough augmentation techniques (216 participants, 9 RCTs). There was insufficient evidence to determine the effect of interventions on measures of gaseous exchange, pulmonary function, quality of life, general function, or participant preference and satisfaction.

We are very uncertain about the safety and efficacy of cough augmentation techniques in adults and children with chronic neuromuscular disorders and further studies are needed.

We are very uncertain about the safety and efficacy of cough augmentation techniques in adults and children with chronic neuromuscular disorders and further studies are needed.Lentil is the fifth most important grain legume growing in arid/semi-arid regions of the world. Drought is one of the major constraints leading up to 50% of production losses just in lentil. Application of silicon (Si) has been shown to be a promising solution to improve drought tolerance; however, the biochemical mechanisms and interactions involved are not fully understood, especially in legumes. This study was designed to evaluate the effects of Si on drought stress tolerance of lentil genotypes. Seven lentil genotypes with different drought tolerance levels (tolerant, moderately tolerant and sensitive) were subjected to moderate and severe drought stress at the onset of the reproductive stage. Results showed that different drought stress treatments significantly decreased the above ground biomass, water status and the concentration of chlorophyll pigments, whereas Si supplementation of drought stressed lentil genotypes significantly improved the same traits, irrespective of their drought tolerant levels. and severe drought stress, the defensive role of Si against drought stress was more conspicuous in drought sensitive genotypes than in the tolerant ones. Thus, this study suggests the protective role of Si on drought-stressed lentil genotypes through the modulation of nitro-oxidative homeostasis and antioxidant defence responses.

The patient panels of graduating residents must be reassigned by the end of residency. This process affects over 1 million patients annually within the specialty of family medicine. The purpose of this project was to implement a structured, year-end reassignment system in a family medicine residency program.

Our structured reassignment process took place from December 2017 through June 2020. Panel lists of current, active patients were generated and residents were responsible for reassigning their own panels during a panel reassignment night. We created a tip sheet that addressed patient complexity and continuity, a risk stratification algorithm based on patients' medical and social complexity, and a tool that tracked the number of patients assigned to each future provider. Outcome measures included a resident satisfaction survey administered in 2018-2020 and patient-provider continuity measured with a run chart from December 2016 through August 2020.

The resident survey response rate was 75%. Seventy-three percent felt the panel reassignment night was very helpful; 87% thought the reassignment timeline was extremely reasonable, and 87% indicated that they had the necessary information to reassign their patients. Residents also felt confident that their patients were reassigned appropriately (33% extremely confident, 67% somewhat confident). Patient continuity improved with a 13-point run above the median, indicating nonrandom variation. Patient continuity remained above the median until the impact of COVID-19 in April 2020.

Our structured reassignment process was received positively by residents and resulted in improved patient continuity.

Our structured reassignment process was received positively by residents and resulted in improved patient continuity.

Substance use disorders (SUD) remain a public health crisis and training has been insufficient to provide the skills necessary to combat this crisis. Rapamycin inhibitor We aimed to create and study an interactive, destigmatizing, skills-based workshop for medical students to evaluate if this changes students' self-reported knowledge, skills, and attitudes toward patients with SUD.

We surveyed students on a required family medicine outpatient rotation at a Pacific Northwest medical school during clerkship orientation on their views regarding SUDs utilizing the validated Drug and Drug Problems Perceptions Questionnaire containing a 7-point Likert scale. After attending a substance use disorder workshop, they repeated the survey. We calculated differences between the paired pre- to postsurveys.

We collected the pre- and postdata for 118 students who attended the workshop and showed statistically significant positive differences on all items.

The positive change in the medical students' reported attitudes suggests both necessity and feasibility in teaching SUD skills in a destigmatizing way in medical training. Positive changes also suggest a role of exposing students to family medicine and/or primary care as a strategy to learn competent care for patients with substance use disorders.

The positive change in the medical students' reported attitudes suggests both necessity and feasibility in teaching SUD skills in a destigmatizing way in medical training. Positive changes also suggest a role of exposing students to family medicine and/or primary care as a strategy to learn competent care for patients with substance use disorders.

Patients with severe mental illness often lack care coordination between primary care and mental health providers which can negatively impact patient outcomes. Team-based care is integral in the effective management of patients with multiple comorbidities, with the family physician central in coordinating holistic care. Family medicine residency programs must provide models of effective interprofessional collaboration and mental health treatment to prepare residents to navigate an evolving health care landscape. The objective of this study was to evaluate family medicine residents' learning about providing holistic care with an interprofessional team and medication safety monitoring from the interprofessional cross-organizational care conference experience.

To bridge care and cultivate the necessary skills, a family medicine clinic and mental health clinic implemented monthly interprofessional care conferences to coordinate care for their shared patients during 2019. Residents who participated in the care conference each (n=11) completed a retrospective pre/postsurvey (11/11=100% response rate) to gather perceptions of what they learned from the interprofessional care conference experience.