A Country Doctor Writes
MAY 29, 2025
Glenda Cyr has been my patient for many years. She also follows with an endocrinologist in the city because of hypoparathyroid disease. She’s on varying doses of calcitrol and vitamin D and he follows her bloodwork regularly, even though he last saw her about two years ago. He works at the Catholic hospital across the city from the rival, bigger, Cityside hospital.
Mere Mortal MD
MAY 25, 2025
Friday was a special day at the rehabilitation hospital as we had what’s called a “clap out.” This is somewhat organized–as in, we will get an overhead page or text when it’s about to happen–and occurs when a patient has been at the hospital for a very long time. It’s the day when one of these long-term patients is finally walking out the door.
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Alabama Academy of Family Physicians
MAY 15, 2025
The 2025 Alabama Legislative Session concluded on May 14 at midnight. During the session, the Alabama Academy of Family Physicians actively represented the interests of its members on a range of healthcare initiatives. By engaging with lawmakers and key stakeholders, the Academy worked to ensure that the voices of family physicians were heard in discussions that have the potential to impact healthcare delivery and access for communities across the state.
Integrated Care News by CFHA
MAY 1, 2025
One evening, after wrapping up a full day of work, I stood in my kitchen staring at a bowl of fruit. My 12‑year‑old’s pediatrician had just urged us to add more produce to her diet but cajoling her into eating it felt impossible. I opened ChatGPT and typed: “I need smoothie recipes using bananas, strawberries and blueberries; I also have peanut butter and milk.
Rao Doctor
MAY 25, 2025
Understanding CT-Angiogram What is CT-Angiogram? A CT-angiogram of the heart, commonly referred to as cardiac CT angiography, is a sophisticated imaging technique that utilizes computed tomography (CT) technology to visualize the arteries of the heart, called the coronary arteries and assess blood flow within the heart. Earlier, I had written a similar detailed article about diagnosing coronary artery disease- you can access it here- Understanding Angiography of Heart.
Family Medicine Initiative
MAY 7, 2025
As you might have noticed, I often use the Number Needed to Treat (NNT) to communicate research results. While I strive to write evidence-based but easy-to-understand articles, I believe the NNT is a research concept every GP should know. What is the NNT? It’s the number of patients you need to treat to prevent one bad outcome. How to calculate it? 1 divided by the “absolute risk reduction” (= the risk in the control group minus the risk in the intervention group).
A Country Doctor Writes
MAY 18, 2025
16 years ago I was a newcomer, at age 56, in the northernmost part of Maine. In one way I was starting over, but in another way, I was continuing what I had done in my previous job near Bangor. There, as medical director, I had a friend and ally in the behavioral health director, and both our departments underwent years of rapid growth. This was in part because we shared patients and patient experiences between our departments and had a bidirectional way of making warm handoffs.
Primary Care Digest brings together the best content for architecture professionals from the widest variety of industry thought leaders.
Dr Chatterjee
MAY 27, 2025
Our posture, our breath, the way our feet strike the ground – all tell the story of how we move through life. But how often do we pay attention to this story - or even rewrite it?
Integrated Care News by CFHA
MAY 8, 2025
Vaccine hesitancy is the delay in accepting or refusing vaccination despite the availability of vaccination services. It falls on a spectrum of vaccine attitudes and intentions, from those who recognize the importance of vaccines and accept all vaccines on one end of the spectrum to those who refuse all vaccines. Addressing vaccine hesitancy requires tailored, evidence-based strategies to address the causes.
Dr. Shin's Notes
MAY 1, 2025
When booking your next vaccine appointment, you probably focus on the type of vaccine—not the arm it goes into. But it turns out, that choice might matter more than you think. A recent study published in Cell suggests that receiving your first and second vaccine doses in the same arm could trigger a faster and… Read More » Which Arm Should You Use for Vaccines?
AMMD
MAY 6, 2025
Menopause is not just a hormonal milestone; it’s a whole-body transition. After going through the change myself, I know how uncomfortable it menopausal symptoms can be. It’s common to experience fluctuating moods, sudden fatigue, hot flashes, digestive changes, and even declining strength. It’s true that menopause affects nearly every system in your body.
A Country Doctor Writes
MAY 31, 2025
I had this idea to write a post about quality, linking to the characterization of quality in the classic book Zen and the art of motorcycle maintenance. On a whim, I gave ChatGPT the task, formulated like this: Write a 500 word essay with the title Zen and the art of doctoring, borrowing the major concept of the book Zen and the art of motorcycle maintenance, applying the principles to the practice of medicine A Country Doctor Writes: is a reader-supported publication.
California Academy of Family Physicians (CAFP)
MAY 28, 2025
In this newly released episode, Drs. Shruti Javali and Adnaan Edun speak with Drs. Maryal Concepcion and Jeannine Rodems live from the CAFP All Member Advocacy Meeting to talk about Direct Primary Care (DPC), what DPC is, how it works with the patient relationship, and resources available for any family physician looking at DPC as a potential career.
Today's Hospitalist
MAY 27, 2025
DATA FROM OUR most recent survey show that on average, hospitalists who treat adults get $43,448 of their annual pay from bonuses and incentives. But that number effectively doubles for some in the specialty. Here’s an overview of incentive pay for different hospitalist groups. Bonuses by teaching status Academic hospitalists: $36,893 Nonacademic hospitalists: $44,123 Incentives by employer type Hospital/hosp. corporation: $41,271 Local hospitalist group: $79,000 Multispecialty/primary care: $60
Integrated Care News by CFHA
MAY 19, 2025
This position statement from the Collaborative Family Healthcare Association (CFHA) outlines our organizational commitment to Measurement-Based Care (MBC) as a foundational element of integrated healthcare. MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care.
Annals of Family Medicine
MAY 27, 2025
PURPOSE Understanding patients’ perspectives and readiness regarding deprescribing—a concept broader than mere drug cessation, encompassing dynamic interaction between patients and health care professionals—is essential for developing feasible and effective deprescribing interventions. The goal of our study was to qualitatively explore the perspectives of older adults regarding proactive deprescribing, as well as its barriers and enablers.
AMMD
MAY 6, 2025
Aging is not a decline; it is a shift. For many older women , aging gracefully is a goal many of us want to achieve. However, what does that look like? I t i s the ability to stay strong, healthy, and independent. As you might imagine, much of that relies on your health. For women aging, this shift is profound, involving hormonal transitions, metabolic changes, and new demands on bones, joints, and energy systems.
A Country Doctor Writes
MAY 9, 2025
Medicine is a love that finds us wherever we happen to be. It snatched me, a quiet four year old boy, almost sixty [ eight(!) ] years ago. I don’t know how it happened. I remember being in the hospital and having stomach X-rays and I have also been told we had a family doctor who made house calls. I couldn’t have seen doctors on TV, because television was only introduced in Sweden when I was three and I saw my first program at age 5, a show about an infantile doll named “Andy P
California Academy of Family Physicians (CAFP)
MAY 20, 2025
Are you ready to Lead Change in Health Care? The Leading Physician Well-being Certificate Program from AAFP is now accepting applications for 2025–26! This 10-month experience equips family physicians with leadership skills to drive change, improve performance, and champion well-being in their practices and beyond. CAFP Member, Lauren Brown-Berchtold, MD, FAAFP , participated in the program and had this to say, "Throughout my medical training, I had so many experiences that led to my intense des
Today's Hospitalist
MAY 16, 2025
Key takeaways: A Midwestern health system developed its own program to reduce readmissions from SNFs but didn’t have enough staff to cover all participating facilities. Contracting with an outside company brought the coverage and care coordination needed to prevent readmissions. The health system’s 30-day readmission rate from SNFs is now under 10%.
Minnesota Academy of Family Physicians
MAY 27, 2025
In today’s ever-shifting landscape, we know that family physicians face increasing strain caring for patients, administrative burden and navigating a system that undervalues primary care. That’s why advocating for family medicine is more important than ever. The Minnesota Academy of Family Physicians (MAFP) and the American Academy of Family Physicians (AAFP) are working to lift that burden at both the state and federal levels.
Annals of Family Medicine
MAY 27, 2025
PURPOSE The current structures of global health research and academic authorship have resulted in underrepresentation of authors from low- and middle-income countries. Although authorship inequity has been shown in other specialties, the current status of authorship in family medicine has not been examined. METHODS We conducted a bibliometric analysis of World Organization of Family Doctors (WONCA) journals based in high-income countries for articles describing research conducted in low-income c
AMMD
MAY 8, 2025
When you think of bone health, calcium and vitamin D are often viewed as the go-to nutrients. Did you know that calcium and vitamin D depend on one another? Too much or too little of one can cause issues with absorption or abundance. While calcium is critical for women aging , it is not just about taking more calcium. It is about ensuring it works with other nutrients, particularly vitamin D3 and K2.
A Country Doctor Writes
MAY 11, 2025
Jimmy has a bad back. He’s fused at every level, some of them done twice. After many prescriptions of oral pain medication, he landed on Butrans, the buprenorphine patch that stays on for a week, hits the mu receptor for pain just like the regular opiates but not the depression inducing kappa receptor. It has fewer side effects in general and is less likely to cause respiratory depression if somebody were to double up on their dose.
California Academy of Family Physicians (CAFP)
MAY 7, 2025
Our 2025 POP! Keynote, Emily Silverman, MD is an internal medicine doctor in San Francisco and Founder of The Nocturnists , an award winning podcast. She has a new 13-part documentary series called the Uncertainty in Medicine. One of the episodes, Through Thick and Thin, addresses primary care diagnostic uncertainty, persistence, and the quiet power of staying in it together through false starts, frustration, and finally, an answer.
Concierge Choice Physicians
MAY 13, 2025
As anyone who works for a large organization understands, time is often the biggest enemy. Many people have great ideas, but getting the team to actualize them can be a long and tedious process. There are consequences to delay, however. Your healthcare organization has a vital untapped resource: your patient relationships. With the right membership medicine approach, this resource can: Turn a primary care practice from a loss leader to a revenue center Improve physician morale and counter burnou
Permanente Medicine
MAY 28, 2025
Though value-based health care exists in different flavors, the most successful recipe prioritizes preventive care, physician leadership, innovations that drive quality outcomes, population health management rather than episodic care, and collaboration between physicians, clinicians, primary care, and specialty care. Speaking to the American Medical Association, 2 physician leaders recently summed up how Permanente Medicine is putting those ideals into practice.
Annals of Family Medicine
MAY 27, 2025
Promoting adherence to medical recommendations remains one of the oldest yet most persistent challenges of modern clinical practice. Although increasingly sympathetic to structural forces that affect health behavior, standard models frequently conceptualize nonadherence as a phenomenon of patient behavior, a self-evident quality belonging to patients that is responsible for a myriad of undesired outcomes.
AMMD
MAY 8, 2025
Bone health is one of the most important markers of long-term vitality that is often overlooked. This is especially true for aging women. As a functional medicine physician, I have seen countless women blindsided by mobility issues and an increase in fractures. The culprit is low bone density. Due to fluctuations in hormone levels, bone loss can accelerate rapidly during and after menopause.
Dr. Shin's Notes
MAY 22, 2025
Turns out, more screen time might mean more sad time. A large-scale study from the University of California, San Francisco, has found that the more preteens use social media, the more likely they are to show symptoms of depression.
California Academy of Family Physicians (CAFP)
MAY 1, 2025
Early Bird registration is open for Family Medicine POP! taking place on September 5-7, 2025, in San Diego. POP! is California's largest annual family medicine conference. Join us for a vibrant weekend filled with the latest in FM topics, inspiring keynotes, energetic workshops, and the largest CA Residency Recruitment Fair! POP! is where the passion for family medicine meets professional growth.
Dr Chatterjee
MAY 6, 2025
Our understanding of gut health has evolved dramatically over the past two decades, to the point where we now know it plays a crucial role in everything from our immune system, our ability to respond to stress, our skin and even our mental wellbeing.
Family Medicine Initiative
MAY 7, 2025
So far I had only one patient with a fishhook injury, but it was a story to remember! There are four common methods for removing a fishhook, which are explained well in the journal American Family Physician : Retrograde : the simplest method, but it only works in some cases. String-Yank : usually the least traumatic as it doesn’t create new wounds, but you must be familiar with the method, and bystanders should exercise caution!
Annals of Family Medicine
MAY 27, 2025
For the past 30 years, the Agency for Healthcare Research and Quality (AHRQ) has continuously supported primary care research, funding the first ECHO grant, pioneering patient-centered medical home models, and supporting primary care practice-based research networks. Until recently, these efforts were dispersed across AHRQ’s centers and difficult to recognize as a unified portfolio of work.
AMMD
MAY 8, 2025
As a woman in her 50s, I understand how much a woman’s body evolves throughout life. I have experienced it all– from my early reproductive years through perimenopause and now menopause. I am currently doing everything I can to be proactive about aging. Healthy eating is one of the most powerful tools you have to support your health through midlife and beyond.
TheHappyMD
MAY 25, 2025
Protecting the Front Line When You Are Not the Boss These questions work like magic because they force administrators to think about the human cost of their decisions without being confrontational. Simple, open ended question that interrupt the usual rush to maximize profits and remind everyone to think about the people implications of every decision.
The Medical Futurist
MAY 18, 2025
Assisting surgeries, disinfecting rooms, dispensing medication, keeping company: believe it or not these are the tasks medical robots will soon undertake in hospitals, pharmacies, or your nearest doctor’s office. These new ‘colleagues’ will definitely make a difference in every field of medicine. Here’s our overview to understand robotics in healthcare better so that everyone can prepare for the appearance of mechanic helpers in medical facilities.
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