A Country Doctor Writes

JULY 1, 2025

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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Common Sense Family Doctor

MARCH 15, 2025

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Travel to the doctor’s office. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Wait times.

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Screening Insurance Primary Care Referral 52

Common Sense Family Doctor

APRIL 12, 2025

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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Screening Family Physician Community Clinic 52

Common Sense Family Doctor

JANUARY 19, 2025

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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Common Sense Family Doctor

FEBRUARY 28, 2025

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively.

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Common Sense Family Doctor

DECEMBER 14, 2024

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. Explaining the AAFP’s position, Drs. and 6.1%, respectively). in 2000 to 59.8%

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Common Sense Family Doctor

MAY 30, 2025

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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