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Forecasting and adapting to the family medicine workforce shortage

The Health Policy Exchange

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Two decades later, there is a widespread consensus that the U.S.

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Advancing Primary Care through a Model Unit for Innovative Practice Enhancement [Practice management and organization]

Annals of Family Medicine

Intervention/Instrument: In its first phase, the MU incorporated three interventions tailored specifically to its context: nurse-led hypertension management, integration of blocks of telehealth consultations into routine clinician schedules, and a pilot of an ambient documentation system to supplant clinician-generated visit notes.

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Celebrating Ten Years of ECHO Ontario Chronic Pain and Opioid Stewardship [Pain management]

Annals of Family Medicine

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. The goal of ECHO Pain is to educate, support, and improve chronic pain and opioid management in Ontario’s rural, remote, and underserved areas.

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Insights from an Operational Survey within the NNE CO-OP PCBRN [Research capacity building]

Annals of Family Medicine

Study Design and Analysis: The structured questionnaire covered various aspects of primary care practice, including the scope of clinical learners, specialties offered, onsite services, telehealth, EMR data querying, patient advisory groups, and IRB affiliation. Intervention/Instrument: N/A.

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Primary Care Perspectives on Access to Specialty Care in Rural Communities: A Mixed-Method Study [Health care disparities]

Annals of Family Medicine

Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support. Telehealth services are underutilized; incentives for traveling specialists could increase access.

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MN Legislative Session 2025: Updates on Hearings and Bills

Minnesota Academy of Family Physicians

SENATE HEALTH AND HUMAN SERVICES COMMITTEE Patient-Centered Care Program ( SF 1059 ): Proposal: The bill proposes removing managed care from MA by having the Department of Human Services (DHS) make direct payments to providers. Supporters Say: This will improve care coordination.