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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.

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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.

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Once again, the Agency for Healthcare Research and Quality is in the line of fire

Common Sense Family Doctor

Now the Department of Government Efficiency is trying again, threatening 90% staff reductions that would decimate the agency. The proliferation of clinical practice guidelines of varying quality and conflicting recommendations has led to calls to systematically evaluate guidelines for their impact on patient outcomes.

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On chronic disease prevention, RFK Jr.'s actions speak louder than words

Common Sense Family Doctor

HHS has traditionally relied on panels of non-government experts to guide its work in prevention, and after the DOGE-driven cuts that resulted in the departure of 20 percent of its workforce , it needs outside help more than ever.