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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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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. However, we know little about the views on implementing SDM in practice from the perspective of those who supervise and educate residents. Population: We interviewed family physician educators based at three teaching units in Montreal.

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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. To help you navigate these changes, we’ve compiled a list of timely resources for family physicians. We’d love to hear from you.

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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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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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Book Review: Has Medicine Lost Its Mind? by Dr. Robert C. Smith

Common Sense Family Doctor

Dr. Smith notes that less than 5 percent of the preclinical and clinical curricula in medical school, absent electives, is devoted to teaching students about behavioral health or psychiatry. Primary care medical and residency faculty will learn the principles of mental health care via a train-the-trainer approach.

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MyChart Messages the Wild West of Patient Communication

33 Charts

And as suggested recently in the New England Journal of Medicine , One of the most important factors at play in the clinical environment is the apparent tension between availability and attention. Some will convert their practice into a virtual clinic with late night pajama time ‘sessions’ while others will recognize the need for guardrails.