Lmst

"The American medical system relies heavily on physicians from other countries. One in five U.S. physicians was born and educated overseas, according to the Association of American Medical Colleges.

New doctors from other countries account for one in six medical residents and specializing fellows at U.S. teaching hospitals. "

https://www.nytimes.com/2025/06/18/health/medical-residents-travel-ban.html

#healthcare #hospitals #MedEd #GME #InternalMedicine #FamilyMedicine #pediatrics #PrimaryCare #immigrant #immigration #visa #USpol

From my Direct Primary Care (DPC) colleague Vance Lassey MD in Kansas- dpcnews.com/dpc_humor/th... #primarycare #familymedicine #healthinsurance

This is why healthcare is so e...

With five week's warning, the Australian Medicare arrangements for chronic disease management are being basically upended.

It's important to remember that the primary function of the CDM program is to encourage primary care general practitioners and general practices to direct bill (bulk-bill) Medicare rather than charging patients who could then claim a rebate. It was introduced as direct-billing rates started to slide in the 90s and successfully arrested it. My personal view is they are rarely clinically useful and largely perceived by patients as "a letter for free podiatry".

The changes - of course - come with a funding cut, somewhere between 10 and 50% depending on how you work it out.

#primarycare #auspol

Medical and health research is vital to medicine and public health. There are already real world impacts felt around the country and around the world. People are dying, medical breakthroughs being delayed or prevented, and we are dismantling protections against #environmentalhazards. To put it in terms of money: health research grant money has a tangible #roi. It is not a money sink: we get more than we put in.

Access to healthcare is also being threatened with cuts to Medicaid which would prevent many who currently qualify from qualifying in the future. This means more #humans being kept from health insurance. A trip to the doctor is no longer a question of time or coinsurance but instead a decision between #life with crippling #debt or #death. #republicans are pushing for these cuts so their rich buddies pay even less in taxes and we can spend more the military. They are responsible for when you or your loved ones are faced with the decision between debt and death.

Please share and for those in the #usa #CallYourReps! And if a medical professional, researcher, or practitioner of some kind please sign.

https://docs.google.com/forms/d/e/1FAIpQLSdhq2St53gp-r08lhI_mHlKUhVxBXIv8EtomzOaHa9JILusow/viewform?usp=header

(apologies for the wall of hashtags)
#medical #Science #medicine #MedicalCare #researcher #HealthResearcher #HealthProfessional #health #health_research #research #Medical_research #funding #researchfunding #fundingcuts #researchgrants #NSF #hhs #USDepartmentofHealthandHumanServices #hhs_secretary #Robert_kennedy_jr #brainworm #cdc #TheCDC #centers_for_disease_control #osha #occupationalhealth #nih #nationalinstitutesofhealth #EnvironmentalScience #environmentalhealth #pollution #GOPLies #gop #medicalresearch #primarycare #pediatrics #pediatrician #nurses #nursing #congress #uspol #uspolitics #mikejohnson #project2025 #globalhealth #safety #HealthMonitoring #InfectionPrevention #pathogen #infectious_disease #vaccine #VaccineTrust #measles #MMR #mmr_vaccine #covid #LongCovid #cancer #cancer_immunology #cancertreatment #cancer_research #cancerresearch #MentalHeath #psychology #therapy #healthequity #Treatment #cure #trump #TrumpRegime #TrumpLies #budget #medicare #medicaid #cms #insurance #healthinsurance #access #healthcareaccess #medicaidcuts #taxbreaks #human_rights #humanrights

Clinics are not pharmacies. They’re healthcare providers. Comparing med prices to retail ignores consultation, diagnosis, and continuity of care. You’re not just buying pills — you’re buying expertise.
https://www.nst.com.my/news/nation/2025/05/1211609/private-clinics-mark-medicine-prices-much-75pct-survey-reveals
#MedTwitter #PrimaryCare

Can conversational #AI improve #disease management?

"Articulate Medical Intelligence Explorer (AMIE)" outperformed 21 #PrimaryCare Physicians (PCPs) on benchmarks, including the #medication reasoning questions that pharmacists rated difficult.

https://doi.org/10.48550/arXiv.2503.06074

#medicine

Figure 2 | System architecture. AMIE is a symbiosis of two specialized agents: the Dialogue Agent, whose role is to converse with the patient to collect information and communicate clinical decisions, and the Mx Agent, whose role is to browse full-text clinical guidelines and compile tailored management plans, which are delivered to the Dialogue Agent.

Figure 4 | Evaluation: overview of randomized study design. A primary care physician (PCP) and AMIE perform (in a randomized order) three virtual remote OSCE visits with simulated patients via online multi-turn synchronous text chat, building upon an initial patient presentation with subsequent updates on symptoms, treatment responses, and test results. Both the PCP and AMIE have access to a corpus of clinical guidelines. After each visit, the PCP and AMIE complete a post-questionnaire, and both are evaluated by patient actors and specialist physicians across a range of axes, including diagnostic accuracy, guideline entailment, management reasoning, and clinical communication skills.

Figure 5 | The quality of management plans for each of three visits per scenario, measured as the proportion of cases where AMIE or PCPs received favorable ratings from specialist physicians. We present overall quality criteria alongside criteria specific to investigations and treatments respectively. For each category, we include two quality criteria address the use of clinical guidelines (right). Of 15 evaluation axes tested, 9 were based on Yes/No ratings scales. The remaining ones were binarized using the top-2 options on their respective scales: ‘Overall Appropriate’ (5-point scale), ‘Selected Applicable Guidelines’ (5-point scale), ‘Aligned with Guidelines’ (5-point scale), ‘References Guidelines’ (4-point scale). For each evaluation axis, cases with ‘N/A’ ratings on either study arm were excluded for each visit. The sample size is N=100 scenarios for all evaluation axes and visits, except ‘Sufficiently Precise’. FDR-corrected P-values from McNemar tests are highlighted.

Figure 7 | RxQA Medication Reasoning Accuracy. Question-answering accuracy of PCPs and AMIE on the RxQA medication reasoning benchmark. Results are presented separately for lower-difficulty (left) and higher-difficulty (right) questions as rated by a set of board-certified pharmacists. Here, we consider questions which pharmacists rated as “Trivial” or “Easy” to be lower-difficulty questions. We compare a “closed-book” setting in which neither PCPs nor AMIE have access to external knowledge resources, to an “open-book” setting where PCPs are given the relevant medication label for each question, and AMIE is permitted to retrieve relevant information from drug formularies. Error bars represent 95% confidence intervals for binomial proportions. The dashed horizontal line indicates accuracy achievable through random guessing.

"The #PrimaryCare Crisis: Navigating Canada’s Family Doctor Shortage

Q+A w/ Dr. @Tara_Kiran by @MichelleJobin"
https://podcasts.apple.com/ca/podcast/season-5-episode-10-the-primary-care-crisis/id1561057150?i=1000702042059 via @CaregiverON #caregiving

https://podcasts.apple.com/ca/podcast/season-5-episode-10-the-primary-care-crisis/id1561057150?i=1000702042059

New Primary Care Physician? My Roommate Thinks Antibiotics Are a Hoax and Has Tons of Health Podcasts To Show Me

https://fed.brid.gy/r/https://thehardtimes.net/blog/new-primary-care-physician-my-roommate-thinks-antibiotics-are-a-hoax-and-has-tons-of-health-podcasts-to-show-me/

Elite Health and Wellness - Now at 9353 Elam Rd, Dallas, TX!
📍 New Location Alert! Elite Health and Wellness is now serving at 9353 Elam Rd, Dallas, TX 75217.

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Elite Health and Wellness - Now at 9353 Elam Rd, Dallas, TX!

Supporting countries to ensure the continuum of integrated care for older people

"...importance of delivering personalised, comprehensive, coordinated #care to older people, supporting a shift from traditional disease-oriented approach towards more holistic care..."

"...ICOPE is consistent with and based on the large body of evidence built by geriatricians over the past decades..."

#Health #Geriatrics #PrimaryCare #Ageing #Aging #IntegratedCare #PublicHealth

https://link.springer.com/article/10.1007/s40520-025-02970-4

One of the better recent articles on Direct Primary Care (DPC) was in @bostonglobe.com this week. Several Massachusetts docs interviewed and it explains the differences between this and concierge medicine. #medsky #primarycare #familymedicine 1/n

A doctor you can text, call, a...

"...I tell my patients when they want me to squeeze them in for an appointment that I can squeeze more socks in my dresser drawer, but I cannot squeeze a human being into a time slot..." #primarycare #familymedicine #directprimarycare #massachusetts #boston 1/n

Mass General Brigham doctor: L...

Colleagues investigate how to counteract inequalities in harms caused by alcohol in the most deprived areas in #Scotland

Full project report
https://shaap.org.uk/downloads/reports/405-alcohol-management-deep-end-2022.html

Blog
https://vhscotland.org.uk/andreas-blog-supporting-people-from-disadvantaged-backgrounds-with-their-alcohol-problems/

The most recent paper stresses that
"...participants felt that the mainstream specialist alcohol services, the ADRS, did not provide the level of #PersonCentred care necessary to engage and support the patient group..."
https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-025-02755-8

#Nursing #PrimaryCare #AssertiveOutreach #Saidheans #Alba

Proud to have contributed to this article that presents a tentative of ecotoxicological classification for frequently used drugs in primary care.

A first step despite the lack of data.

#pharmaceuticals #ecotoxicology #primarycare #onehealth

https://www.mdpi.com/1660-4601/22/2/290

Primary Care Telemedicine : Transforming Healthcare Delivery

Primary care telemedicine provides quick, effective and easy access to the medical services.

In this blog post, we will briefly discuss how telemedicine is changing the way that primary care is provided to the patients living near as well as overseas and also many benefits that it brings to patients and doctors.

Read: https://nextdigitalhealth.com/healthcaretechnology/telemedicine/primary-care-telemedicine-transforming-healthcare-delivery/

#telemedicine #primarycare #TelemedicineSolutions #healthblog

75% of clinicians see inappropriate antibiotic prescribing as driven (in part) by delays in processing diagnostic tests or cultures.

This perception was 30% more prevalent in #PrimaryCare than #Hospitals (N = 180).

https://doi.org/10.1071/AH21197

#medicine #AMR #ethics #biology #xRisk

Pages 23 and 24 showing information about the sample and visualizations of both results described in the post.

Canada, Denmark and the Netherlands all have mixed systems of physician payment – some fee-for-service, some capitation, and some salaried.

Physicians in Denmark and the Netherlands, in general, take home markedly less than those in Canada, but have far more administrative support and, it seems, better work-life balance. Unlike Canada, family doctors are paid the same, or more, than other specialists.” #FamilyPhysicians #PrimaryCare https://med-mastodon.com/@picardonhealth/113956914412124948

From ME Association

NHS England Launches the Second E-learning Module on ME/CFS!

"We are pleased to share the latest NHS England E-Learning module, which is part of the DHSC Delivery Plan on ME/CFS......"

https://meassociation.org.uk/vfdd

#pwME #MECFS #MyalgicEncephalomyelitis #LongCovid #PrimaryCare @mecfs

@ShaulaEvans
I'm biased but getting a Direct Primary Care (DPC) doc would give you better access by phone or for visits than the usual crappy access to primary care in most of the US.
That won't always keep you out of the ER but would help avoid it for things that your primary care physician could handle.

https://dpcalliance.org/member-directory-map/
#primarycare

#PrimaryCare is the only kind of #Healthcare where more of it leads to lower costs and better #outcomes. https://buff.ly/4agEHmI

#primarycare

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