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Mashup Score: 0Family physicians are natural health system leaders - 2 month(s) ago
Originally posted on Common Sense Family Doctor on May 26, 2014. ** Last week, the subtitle of a JAMA editorial on accountable care caught my attention: “the paradox of primary care physician leadership.” The authors observed that although a typical family physician’s or general internist’s patient panel accounts for about $10 million in annual health care spending (of which only $500,000 is primary care revenue), primary care physicians have been “underused” as role players in health system reform. They further suggested that claiming leadership positions in accountable care organizations could be “a powerful opportunity [for family physicians] to retain their autonomy and make a positive difference for their patients – as well as their practices’ bottom lines.”
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Mashup Score: 0Birthday blessings - 3 month(s) ago
The following is a guest post from my sister-in-law, Dr. Therese Duane, a trauma surgeon who is blogging about her medical mission in Uganda. You can read more about the essential work she and her colleagues have been doing at Mercy Trips Healthcare Outreach
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Mashup Score: 0
In an earlier post about my frustrating experience serving on a District of Columbia grand jury that handled indictments for drug-related offenses, I wrote approvingly about Portugal’s novel approach to decriminalizing illicit drug use. In short, rather than receiving criminal sentences and jail time, people caught using small amounts of drugs in Portugal receive citations and are offered counseling and medical treatment. Since then, the city of San Francisco and the state of Oregon have both implemented versions of Portugal’s non-punitive approach, with mixed results.
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Mashup Score: 0Common Sense Family Doctor - 3 month(s) ago
Common sense thoughts on public health and conservative medicine from Dr. Kenny Lin, a family doctor in Lancaster,
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Mashup Score: 0
A recent KFF Health News article highlighted misdiagnoses of type 2 diabetes in several Black female patients who actually had latent autoimmune diabetes in adults (LADA), a slowly progressive form of type 1 diabetes. Although the article suggested that the patients’ race may have played a role in delaying their LADA diagnoses, this condition commonly goes unrecognized in primary care. According to Dr. Jeff Unger in a 2010
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Mashup Score: 0A venerable family medicine journal exits the stage - 4 month(s) ago
Six years ago, I was promoted to the rank of deputy editor at American Family Physician. On the whole, I continue to find translating the latest scientific evidence into continuing medical education for family physicians and trainees to be satisfying and intellectually rewarding. As I pass the likely midpoint of my career, I have achieved all of my editorial goals, save one. In pursuit of that goal, in March 2023 I applied for the position of editor-in-chief at
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Mashup Score: 1Despite weak evidence, spinal cord stimulators are big business - 4 month(s) ago
A Cochrane for Clinicians article in the December 2023 issue of American Family Physician reviewed randomized trials assessing the effectiveness of surgically implanted spinal cord stimulation devices for the treatment of chronic low back pain. These devices come with a high price tag ($30,000) and
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Mashup Score: 1Why every screening test is a gamble - 4 month(s) ago
Originally published on Common Sense Family Doctor on January 6, 2015. ** I’m in Las Vegas for the first time in 15 years to attend the International Consumer Electronics Show, and earlier today participated in a panel of “early-adopter” family physicians discussing our perspectives on consumer (patient) health technology such as apps and wearable health data collection devices. I’m staying at one of Vegas’s many combination hotel and casinos, with a layout designed to funnel guests and other visitors through the gaming floor to get practically anywhere. While walking past a row of pulsating slot machines in the lobby this morning, I remembered the title of a terrific
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Mashup Score: 1What do the Air Force and family medicine have in common? AI - 5 month(s) ago
This year, I did a lot of reading about current and future applications of artificial intelligence (AI) in health care – for example, how it will reduce the grunt work of selecting future physicians; become a required competency in medical education; provide
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Mashup Score: 0The decline of VBAC: hearing hoofbeats, thinking zebras - 5 month(s) ago
Originally posted on Common Sense Family Doctor on March 10, 2010. Since then, the U.S. trial of labor after cesarean rate has risen from 14.4% to 19.6% and VBAC success rates have improved from 68.5% to 74.3%. ** My daughter, who turns two years old in June, is becoming something of a medical rarity. This isn’t because she is showing signs of a late-developing handicap or extraordinary ability for her age – it’s because she came into the world as a vaginal birth after Cesarean section (VBAC), delivered by a certified nurse midwife. Although more than three-quarters of women who choose a trial of labor over a repeat Cesarean section successfully deliver vaginally, studies showing slightly elevated risks of rupture or infection of the uterus with VBAC, pressure from insurance companies concerned about lawsuits, and
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Family physicians are natural health system leaders https://t.co/1BxtjUVqzi