Common Sense Family Doctor

DECEMBER 27, 2024

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients. Nevertheless, the U.S.

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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. hours per day, with more than one-half of that time (14.1 hours) allocated to preventive care.

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Primary Care Family Physician Preventive Care Preventative Care 52

BMJ

FEBRUARY 18, 2022

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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Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

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Primary Care Family Physician Clinical Practice Diagnose 52

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. Watchful waiting refers to clinical observation only.

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Common Sense Family Doctor

APRIL 12, 2025

In the two years since publication of the latest American Family Physician review article on osteoporosis , new guidelines and research studies have enhanced management of this common condition. Not only is it difficult to clinically predict osteoporosis risk, fragility fractures can occur in patients without osteoporosis.

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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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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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Primary Care Screening Family Physician Family Medicine 59

Common Sense Family Doctor

FEBRUARY 1, 2025

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

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Common Sense Family Doctor

DECEMBER 4, 2024

A JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

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Common Sense Family Doctor

MAY 11, 2025

Psychology Today maintains a national directory of therapists with training in CBT for gambling disorder. ** This post first appeared on the AFP Community Blog. A recent article in the BMJ summarized a National Institute for Health and Care Excellence (NICE) guideline on identification and management of gambling-related harms.

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Common Sense Family Doctor

FEBRUARY 15, 2025

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The ad states that patients may pay as little as $5 per dose, 4 times per year.… Who could blame a patient for believing the drug doesn’t cost much.

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Common Sense Family Doctor

JUNE 11, 2025

Several past colleagues in the family medicine department at Georgetown recently published an informative scoping review of specialty disrespect in the medical learning environment. The authors term "primary care yield" as the percentage of physicians who start training in primary care and complete it in primary care. in 2023-24.

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Common Sense Family Doctor

APRIL 25, 2025

The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." Before becoming a core faculty member at the Lancaster General Hospital Family Medicine Residency Program , I spent more than 15 years teaching in Georgetown's family medicine department. growth in the U.S.

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Common Sense Family Doctor

MARCH 23, 2025

Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. Sadly, when all medical waste is somebody's income, there is little enthusiasm in the medical-industrial complex or on Capitol Hill in allocating the $3 trillion the U.S.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

Common Sense Family Doctor

JUNE 20, 2025

For decades, five independent scientific advisory panels made evidence-based recommendations on clinical preventive services, community preventive services, newborn screening tests, infection prevention, and immunizations. The systematic unraveling of our vaccine infrastructure endangers our freedom to protect ourselves and our communities.

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