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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

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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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. However, it wasn't clear to us how easy it would be to apply this information, given that we usually need to prioritize patients on the schedule for that day.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

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. Preventive Services Task Force (USPSTF) updated its recommendations on screening for osteoporosis. In early 2025, the U.S.

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

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. The USPSTF also has endorsed screening most adults for anxiety disorders and unhealthy drug use.

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You Know DPC is working when…

Noreta Family Medicine

I’ve written blogs that discuss my perspective on why Direct Primary Care (DPC) is helpful to both patients and physicians in Columbia, SC (and beyond!). patients feel heard and valued. patients feel supported, both in our office and between visits. patients feel supported, both in our office and between visits.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

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).

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PSA screening: shared decision making is a flawed approach

Common Sense Family Doctor

The topic: "The Great Debate of the 21st Century: To PSA screen or not to screen." By the time I was re-invited in 2021, my academic interests had drifted away from prostate cancer screening, so I declined. You can read my full editorial on PSA screening in the January issue of American Family Physician.