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New Report: U.S. Primary Care System Crumbling Amid Historic Disinvestment and Surge in Chronic Diseases

The Physicians Foundation

Scorecard with National and State Level Data Reveals Workforce Shortages, Low Primary Care Reimbursement, and Reduced Patient Access to Vital Services February 18, 2025 – As the nation faces a widespread surge in chronic diseases, the third Primary Care Scorecard highlights how systemic disinvestment in U.S. Key findings include: 1.

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Hematology Board Meeting Summary | Spring 2025

ABIM

Gertz, MD, MACP, Chair, ABIM Hematology Board The Hematology Board , which meets twice a year and is responsible for oversight of ABIM policy and assessment in the specialty, held its spring meeting on May 2, 2025. Community Practice in ABIM Governance* Erica N. The following is a summary of the spring meeting.

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The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

GeriPal

I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics. We were never going to have all the geriatricians that folks had forecast, whether it was 25,000 in 2025 or 30,000 in 2030, we were never going to get there.

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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. So like as an example, in New York State, if someone has no healthcare proxy that they’ve designated, there is a legal structure by which we can assign a surrogate, whereas other states don’t have that same structure.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that. No difference.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

I remember as a fellow, I would come in and our nurse practitioner on our hospice team, I would say the word narcotics, and f or half an hour, she would just lay into me. ABIM MOC credit will be offered to subscribers in November, 2025. Alex 01:17 We had the wrong terms drilled into us. We just unlearn what we have learned.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? We have all of these models that are out there that have proven benefits for patients, for caregivers, and some of them for healthcare systems as far as saving money for, let’s say, Medicare. Why do we need to do more?