RT Journal Article SR Electronic T1 High Volume Portal Usage Impacts Practice Resources JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 452 OP 455 DO 10.3122/jabfm.2020.03.190401 VO 33 IS 3 A1 Augustine Chavez A1 Jesse Bracamonte A1 Molly Kresin A1 Michael Yardley A1 Michael Grover YR 2020 UL http://www.jabfm.org/content/33/3/452.abstract AB Patient portals have both patient-centered benefits and substantial impacts on practices. Successful implementation of a patient portal can be achieved with a comprehensive team approach. Increased portal usage results in high-volume patient secure messaging. We describe the impact of high patient message volume on our fee-for-service academic family medicine practice. Practice adaptations are necessary to manage volume, length, and complexity of messages. Dedicated staff with specialized training to handle patient messages and ample protected time for providers are important to minimize clerical burden associated with patient portal use.