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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. I stepped down as director of the Robert L.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. in 2019, with 78% receiving radiation therapy and 22% undergoing surgery.

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In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

A recent editorial in the Journal of the American Heart Association discussed a “paradigm shift” in management of severe aortic stenosis: 69% of Medicare fee-for-service beneficiaries who underwent aortic valve replacement from 2012-2019 had TAVI, with the percentage undergoing SAVR falling from 75% in 2012 to just 10% in 2019.

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Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. A quarter of a century later, the United States remains the only country besides New Zealand where DTCA for prescription drugs is completely legal. But it is not free.

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Book Review: Booster Shots by Dr. Adam Ratner

Common Sense Family Doctor

In two decades of practicing family medicine, I've never seen a patient with measles. to a massive resurgence in 2019, presaged by smaller blips in the prior years? But if there was ever a more fertile environment for this age-old contagion to come roaring back in the U.S., this is it. over the past 30 years.

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RFK Jr. and vaccine politics

Common Sense Family Doctor

In 2019, his anti-vaccine platform was powerful enough to convince a large portion of the population of Samoa to refuse measles, mumps, and rubella (MMR) vaccines after two children died after receiving MMR vaccines that were accidentally mixed with expired anesthetic rather than the appropriate diluent. See Samoa, 2019.)