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

The Health Policy Exchange

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. I stepped down as director of the Robert L. Phillips, Jr.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

Michelle Rockwell and colleagues at the Carilion Clinic in Roanoke, Virginia, performed a sludge audit of their colorectal cancer (CRC) screening services in 2021 and 2022. In contrast, patients who reported no or minimal sludge were more likely to complete screenings and less likely to report distrust in the health system.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

Preventive Services Task Force (USPSTF) updated its recommendations on screening for osteoporosis. Not only is it difficult to clinically predict osteoporosis risk, fragility fractures can occur in patients without osteoporosis. being perfect and 0.5 being no better than chance. being perfect and 0.5 being no better than chance.

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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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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. Watchful waiting refers to clinical observation only.

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

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What is primary care? Part 2

Noreta Family Medicine

Therefore, family physicians are trained to do minor surgical procedures in the office, care for kids and adults, provide various GYN services, among many other comprehensive services for patients. I love family medicine because as family physicians, we can be trained to provide care for patients in many different settings.