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

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

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

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.

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...

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? 👇

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

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

If everyone took the time to improve the soil on their own property, it would make a huge collective difference - not just farmers, but everyone.

The US Birthrate has been below replacement and still dropping, government support for children is the lowest in OECD and dropping with current regime. Is it a surprise that young people are not having kids? And what does this mean for primary care physician practice??? @aafp.bsky.social

Family medicine inside Gaza. pulsevoices.org/stories/repo...

These are the institutions more likely to produce medical students who choose primary care careers so of course Trump is trying to crush them. @aafp.bsky.social #familymedicine How Trump’s War on Higher Education Is Hitting Community Colleges www.nytimes.com/2025/08/04/m...

Farm workers are hard at work weeding this Central Coast lettuce field. They share: Our hands hurt from the repetitive motion of doing this work 8 hours a day. And our feet get tired from walking the long fields all day. But it's honest work and helps feed America. #WeFeedYou

“When I became a doctor, I decided to enter hematology to study and treat leukemia patients,” says Dr. Masao Tomonaga, a survivor of the 1945 Nagasaki bombing. “This continued over my entire life, because the diseases which developed from atomic bomb survivors continue even now.”

At least one region of the ancient world did not compete and creat an unequal world. They thrived. Ancient Europeans resisted inequality for 5000 years | Science | AAAS www.science.org/content/arti...

The Andes gave birth both to potatoes and tomatoes and they helped each other!! Thank ketchup for your French fries | Science | AAAS www.science.org/content/arti...

The EPA will only be hiring head-in-the-sand “scientists” going forward (or actually going backward(

Some US Medical schools (Northwestern/Feinberg) have been doing this for >50 years and doesn’t affect the primary care shortage, which is the most glaring. @aafp.bsky.social

In the US, family medicine residency education at Community Health Centers prepares physicians to practice in underserved communities. Community, not hospital based training. @aafp.bsky.social #familymedicine

Do patient records include available information about housing security? They should. nextcity.org/urbanist-new... @aafp.bsky.social

The cascade effect in elderly patients first described by Mold and Stein in 1986. Still going on. pubmed.ncbi.nlm.nih.gov/3945278/

The DeepEnd project (pmc.ncbi.nlm.nih.gov/articles/PMC... ) has clearly shown that deprived communities make work harder and patients who live in them more challenging. Not acknowledging that discourages doctors from working in the most difficult communities and enforces the Inverse Care Law.

The Know-Nothings from the 1800's now determine the future of US science - and abandon an entire continent which is the key to the environment. NSF plans abrupt end to lone U.S. Antarctic research icebreaker | Science | AAAS www.science.org/content/arti...

#MedSky #PrimaryCare #maine the current contract for physicians in Farmington, Maine via Maine health which now owns many hospitals in the state, says that no employee may speak about work conditions or for each in fraction they will be docked one year’s salary

"When PHC facilities have the authority to manage their own budgets and are held accountable for results, they can use resources to more effectively meet the needs of the communities they serve." The US Corporatization of medicine hasn't quite figured this out. @aafp.bsky.social

The Lancet now has a primary care journal. Still waiting for New England Journal and JAMA to acknowledge primary care research and education are as fundamental as other disciplines. @aafp.bsky.social

Refining and improving office and population management is a good start. Improving empathetic and personal attention away from computers should also be a goal. @aafp.bsky.social

Our first issue is out now! 🎉 #openaccess Explore and download at: hubs.li/Q03yqVNW0 Read our inaugural Editorial, a varied selection of comments and research articles, and more. Thank you to our authors and reviewers #medsky #familymedicinesky #primaryhealthcare #primarycare #communitycare

A primer for those unfamiliar with the origins and forces of the primary care crisis in the US. But need to talk about the loss of autonomy, patient and community orientation. Medical education reform to preserve primary care in the USA - The Lancet Primary Care www.thelancet.com/journals/lan...

A million children in the US are living with grandparents as care givers. Bigger numbers are not living with parent. Figure 1: Children in foster and kinship care, by placement www.brookings.edu/interactive/...

BJGPLife: Between inner sound and spoken word: Reflections on jazz, silence, and the unfolding art of the consultation bjgplife.com/between... #GeneralPractice #PrimaryCare #FamilyMedicine

Asynchronous e-visits can expand access with comparable outcomes for common #PrimaryCare concerns. @KPDOR Read in #JGIM: rdcu.be/euE2C

Nice study that establishes what we "older" docs have known - a followup call to patients to check on their status is reassuring for both patients and doctors. Simple idea but lost in technology. @aafp.bsky.social

Much better to dance together than alone: Delta-band audience brain synchrony tracks engagement with live and recorded dance: iScience www.cell.com/iscience/ful...

It is growing by primary care docs in the US who are fed up with the administrative burdens. There are national conferences to discuss www.dpcsummit.org/home.html Cons primarily have to do with lower income folks who can't pay for the service and are left out. Some are trying to change that.

www.theguardian.com/science/2025... We hear "quality not quantity" from promotion committees and universities but little has changed in 40 years - still bean counting and judging volume of work, not quality. The publishing industry is thriving on pay to publish system, though.

Hey #medsky #primarycaresky Mood:

speak up quietly, then with others, then let your voices ring everywhere.

Social prescribing/linking patients with resources in communities, is successful but only part of a larger issue that affects health. Social prescribing: bringing community back to health? - The Lancet www.thelancet.com/journals/lan... @aafp.bsky.social

Good to raise this issue but Family doctors in the US have been screening for domestic violence in our patients since the last century. If we have earned a patient’s trust, we can suggest resources but also to say we will not abandon patients but support them. @aafp.bsky.social

Lovely essay by med student watching a preceptor “notice things and learning the art of medicine from it: @aafp.bsky.social url:https://journals.stfm.org/familymedicine/2025/july-august/liu-0372/