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

A Country Doctor Writes

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

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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

There is a gap in the literature on understanding experiences of food insecurity in rural dwelling older adults and the role primary care providers can play in systematically screening older adults for age related food issues. Data were analyzed using reflexive thematic analysis.

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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.

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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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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

An article on acute migraine headaches in the April 2025 issue of American Family Physician reviewed current treatment strategies for acute migraine headaches, which “account for … 3.6 million primary care visits annually and are the fifth most common reason for emergency department visits” in the United States.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

Dr. 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. Finally, neither patients nor primary care clinicians could easily access the results of colonoscopies or stool-based tests.

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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.