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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

So, instead, our patients end up going to walk-in clinics, seeing providers they don’t know who practice without the shackles of the family doctor of record. It is a vehicle for top-down government control of people’s care decisions and doctors’ behavior. Each provider is aided by one medical assistant.

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The role of primary care teams in identifying modifiable risk factors for food insecurity in rural dwelling older adults [Screening, prevention, and health promotion]

Annals of Family Medicine

Intervention: Our findings have been used to refine a food insecurity screening and assessment tool that we co-designed, pilot tested, and evaluated in partnership with community paramedics embedded in a FHT in 2023-24. The resulting tool will be pilot tested in FHT clinical settings and eventually validated in a randomized clinical trial.

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Resources for Family Physicians: Navigating Policy Changes

Minnesota Academy of Family Physicians

We’ve been hearing from family physicians across Minnesota about the rapid pace of recent federal policy changes and concerns about their impact on patient care and the communities we serve. Are there other ways we can support you on your journey as a family doctor? We’d love to hear from you. Email us at office@mafp.org.

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Perspectives of family physician educators on implementing shared decision making for preventive health care [Education and training]

Annals of Family Medicine

Context: Shared decision making (SDM) is often underutilised in clinical practice. Objective: To explore the views of family physician educators about the implementation of SDM in clinical practice, with a focus on the delivery of preventive health care. 1b) Participants identified why SDM is important (patient centred care).

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Staying psychologically safe as a doctor during the COVID-19 pandemic

BMJ

Reference: Benson J , Sexton R , Dowrick C , et al, Staying psychologically safe as a doctor during the COVID-19 pandemic As we face the ongoing global pandemic of COVID-19, doctors, and particularly general practitioners and family doctors (GPs), answer the call to serve in time-pressured, unfamiliar, chaotic, and often-traumatic environments.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

In its updated recommendations, the USPSTF recommends only a “clinical risk assessment” and notes that if FRAX is used, it “does not intend that these 10-year risk levels be used as mechanistic thresholds” to decide who should undergo dual-energy absorptiometry screening. 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

A study of an insurance claims database found that family physicians are more likely to perform colonoscopies in older, male patients residing in more rural areas of the Midwest, South, and Western United States. From 2016 to 2021, the percentage of screening colonoscopies performed by family physicians decreased from 11.3%