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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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An Escape Fire for Healthcare

Noreta Family Medicine

Bill Skelton, founder of the Acupuncture Clinic here in Columbia, SC, gave me the film to watch and said he thought that as a Direct Primary Care physician and owner of Noreta Family Medicine, I would appreciate it. As a family doctor who has worked for a large hospital system in the past, I fully agree with this contention.

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively.

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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. Explaining the AAFP’s position, Drs. Watchful waiting refers to clinical observation only.

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MyChart Messages the Wild West of Patient Communication

33 Charts

According to Epic, the number of patient messages spiked 151 percent nationally from the period covering the first 11 weeks of 2020 through the end of the year. You can prove it by asking a bunch of doctors and patients how they’re supposed to use MyChart messages you’ll get a wild range of responses. Crucial that we fix this.

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PSA screening: shared decision making is a flawed approach

Common Sense Family Doctor

In early 2020, I accepted an invitation to participate in a live debate with a nationally prominent academic urologist at the annual scientific meeting of the American Society for Men's Health. But over the past 5 years, I have watched with increasing dismay as family physicians and urologists (mis)interpreted the U.S.

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The burden of mental health on Canadian primary care following Covid-19 [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: In Canada, most of the population relies on their family doctor for their mental healthcare needs. The time horizon was anchored in January 2012: pre-pandemic period was defined as January 2012 to March 2020, and the pandemic period as April 2020 to June 2022. In April 2020 the MHV rate rose to 0.141/month.