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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. The physician–patient encounter is health care’s choke point.

Patients 130
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Comprehensive and Focus Practice changes in the Family Physician Workforce in Ontario:1993-2022 [Population health and epidemiology]

Annals of Family Medicine

physicians who work <44 days per year with <5 patients per day) followed a U-shaped distribution, starting at 20.5% in 2009/2010 and ending at 20.4% The average number of patient visits for family physicians in focused practice steadily increased from 1,440 in 1993/1994 to 2,636 in 2021/2022. in 2021/2022.

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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

Background Team-based care (TBC) has established benefits for patient outcomes. In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients. In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients.

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Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

Objective: To validate the use of OASI among patients with knee OA to predict TKA in Veterans Health Affairs-Corporate Data Warehouse (VHA-CDW) administrative dataset. The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. Final sample size was 435,731.

Diagnosis 130
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Medicine is a Love that Finds Us

A Country Doctor Writes

In my day to day work I always look for the story behind each patient’s symptom and even behind their laboratory values. I Googled his name and found another article he had written, in 2009, in the Swedish Medical Journal, Läkartidningen. I often find myself circling around the concept of Narrative Medicine.

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Episode 288: WDx #23: Clinical Unknown Discussion with Dr Rebecca Berger

The Clinical Problem Solvers

In addition to her clinical work, she serves as the Director of Patient Safety for Inpatient Services for the Department ofMedicine and teaches medical students and residents, including leading small groups with students on their medicine clerkships focused on clinical reasoning and diagnosis.Rebecca obtained her undergraduate degree from Stanford (..)

Clinic 52
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Effects of repetitive head trauma on symptoms of sports-related concussion

Medical Xpress

In the study, patients with a history of multiple concussions reported greater cognitive, sleep, and neuropsychiatric symptoms, but not migraine symptoms. This important distinction may help guide decision-making regarding patient monitoring and return to play.