Nice to see but is not news to anyone who is awake in the US - we need to be working on radical reforms in medical school admissions and residency education - the US pipeline is dangerously low.

Call centers destroy a patient’s sense of connection to a practice. Please don’t use them for “efficiency” - study them. Easier to solve problems directly rather than skimming through “if you want this, push 5”

If “wellness visits” are not used to increase a physicians understanding of who the patient is, increase trust and emphasize continuity, and build a relationship, it is just a bunch of check marks. @aafp.bsky.social

we live in a prairie in North East Illinois. No buffalo but lots of flowers, wildlife and insects. Our community is a conservation community - and anyone can get closer to that idea.

How many patients does this facility serve, how far do they have to travel to get care, would 2-4 person practices throughout the city, networked and collaborating be better for everyone?? @aafp.bsky.social

Ominous as factors involved with decreased access and less continuity

Cultural And Structural Features Of Zero-Burnout Primary Care Practices | Health Affairs Journal Although much attention has been focused on individual-level drivers of burnout in primary care settings, examining the structural and cultural factors of practice environments with no burnout could i...

www.healthaffairs.org/doi/10.1377/...

Kirigami-inspired parachutes with programmable reconfiguration Nature volume 646, pages 88–94 (2025)

Pierre-Thomas Brun writes “a reminder that innovation often lies in unexpected places where the scientific method intersects with art, cultural heritage and modern fabrication techniques.”

Most studies in the US found that loan forgiveness/support for working in disciplines or locations that are needed most is the most effective driver for primary care. Lowering tuition just lets everyone get by cheaper. Tying loans to careers and locations is best.

The socioeconmic advantages of students from professional families negatively influences them from careers in primary care or working in underserved communities. Cutting loans will worsen the problem.

Student Loan Limits and Physician Workforce Diversity url: jamanetwork.com/journals/jam...

The September 25 meeting of our Standing Committee on #PrimaryCare will feature discussions on recently published consensus reports and beneficiary incentives.

Register to attend: buff.ly/LTodYIK

"General internal medicine" in communities has almost vanished in the past decade for all IM residents - the general IM residents are all taking hospitalist jobs and the training of IM is still hospital, rather than community based. Change that and you might see students more interested.

Without advanced practice nurses and physician assistant partners, primary care in the US would flounder worse than it already is. Teams - that include behavioralists and others are essential. @aafp.bsky.social

Changes in Family Physicians Over Time in Alberta, Canada: A 16-Year Population-Based Cohort Study PURPOSE Most studies evaluating access to primary care have focused on changes in family physicians (FPs), with less exploration of patient differences over time. We examined both physicians and patie...

An important longitudinal study that shows that more patient visits, more complexity, fewer physician working days in a system of universal health care is a recipe for impending crises in access and quality. www.annfammed.org/content/23/5... @aafp.bsky.social

Phase behavior of Cacio e Pepe sauce “Pasta alla Cacio e pepe” is a traditional Italian dish made with pasta, pecorino cheese, and pepper. Despite its simple ingredient list, achieving the perfect

A recipe for pasta that includes quadratic equations and discussion of the "mozarella" phase. Winner of IgNobel prize this year for Physics:

Phase behavior of Cacio e Pepe sauce pubs.aip.org/aip/pof/arti...

Looking broadly at a new group of meds, as positive as they are portrayed, keeps us honest. Too many times in history have long term consequences come back to haunt us. @aafp.bsky.social

If we are not IN communities and offering a wide range of care so that continuity and a relationship can be foster, it isn't primary care. As Bill Phillips MD said: "You can pretend to know, you can pretend to care, but you cannot pretend to be there"

What a country!!!

Food Insecurity Prevalence Among US Medical Students url:https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2838253?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=083125

A remarkable story of post disaster effects and recovery.

Hurricane Katrina’s Legacy and Lessons url:https://jamanetwork.com/journals/jama/fullarticle/2838466?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=082925

Spread the number of primary care ACO's and cancel hospital based ones. Hospital and health center programs are built to keep spending high.

Continuity of care in general practice and patient outcomes in Denmark: a population-based cohort study Our study suggests that longitudinal continuity at the clinic level in general practice can potentially reduce adverse patient outcomes and improve continuity across health-care sectors. Our findings ...

Only countries with national health systems and data bases can do this type of important research. @aafp.bsky.social

Continuity of care in general practice and patient outcomes in Denmark: a population-based cohort study - The Lancet Primary Care www.thelancet.com/journals/lan...

What is the USPSTF and why does it matter? The USPSTF is an independent advisory panel of experts who make evidence-based recommendations about clinical preventive services.

In the last few weeks, the little known agency called the U.S. Preventive Services Task Force (USPSTF) has made the news. The HHS has discussed removing all of the USPSTF members, similar to what was done to the ACIP. Just what is the USPSTF & why is it so important to protect health? 👇

Implementing High-Quality Primary Care in 2025: Key Policy Priorities - NAM Primary care is commonly the first point of contact for patients and is pivotal in the prevention and management of chronic disease. Yet despite primary

A new @nam.edu Perspectives discussion paper written by members of the NASEM Standing Committee on Primary Care underscores the need for continued leadership and action to support #PrimaryCare from the Administration *and* Congress. ⬇️

People across the U.S. are struggling to access timely, high-quality #PrimaryCare, which is essential to overall health. Our new report makes recommendations for how federal agencies and other key players can better address this: buff.ly/v9sSUTB

Nine recommendations from NASEM panel on building a primary care workforce and sustaing it. These are action items that need implementation if the disappearance of primary care in the US is to be avoided. nap.nationalacademies.org/resource/292... @aafp.bsky.social @stfm-fm.bsky.social

Quacks in charge……

We need thoughtful scientists looking carefully at national patient record data sets to find possible connections/relationships. A place for primary care research @aafp.bsky.social

HOPE

Look at GPs at the Deep End project - a brilliant, physician and community based process that has led to important changes first in Scotland and now around the world. @deependgp.bsky.social

Written by a paper mill +AI.