Pharm D training in US is increasing and they are working with GP clinics around many prescribing functions and uses. Invaluable, decrease interactions, and save lives. @aafp.bsky.social

All countries with access problems should understand why Denmark and Netherlands have a better system. There have to be controls on specialty training and rewards for becoming a GP. @aafp.bsky.social

The graph of the growth of health care as a fraction of the US economy - almost all new hirings in US labor market are in health care. Trump is cutting Medicaid and the ACA. Put those together and the Health Care bubble will be bursting. @aafp.bsky.social #familymedicine

Jack Medalie MD described the negative and positive effects of loving relationships on CHD in 1972!! Time to discover it - again. @aafp.bsky.social @annfammed.bsky.social \https://onlinecjc.ca/article/S0828-282X%2825%2901166-3/fulltext

A recommendation for letting physicians from other disciplines retrain for primary care without a 3 yr. residency. That was the case for the first decade of FM. @aafp.bsky.social Fix the Primary Care Doctor Shortage by Allowing Doctors to Practice Primary Care open.substack.com/pub/sensible...

Social isolation and access to cognitive disorder-related prespecialist care among older people: a 10-year nationwide cross-sectional study from the French National Alzheimer Database - The Lancet Primary Care www.thelancet.com/journals/lan...

Social isolation impedes access and care: Social isolation and access to cognitive disorder-related prespecialist care among older people: a 10-year nationwide cross-sectional study from the French National Alzheimer Database - The Lancet Primary Care www.thelancet.com/journals/lan...

A beautiful essay about how small things over a long time create marvels - essential to understanding the value of continuity @aafp.bsky.social #familymedicine Making Mosaics bjgplife.com/making-mosai...

I'm practicing in suburban #Connecticut. The #healthcare provider density in my area is pretty high. Even so, there are those of us still practicing this style of friendly neighborhood family medicine. Our competitors are the big-system PCPs. @nejm.org www.nejm.org/doi/full/10....

All FQHC's should move to full capitation ASAP. Better quality, dependable funding, higher clinician satisfaction. www.healthaffairs.org/doi/full/10.... @aafp.bsky.social @annfammed.bsky.social @stfm-fm.bsky.social

The Intellectual Basis of Family Practice has been reissued after being out of print for over forty years. A seminal book for generalists everywhere. It is what we have in common. @aafp.bsky.social url:https://journals.stfm.org/familymedicine/2025/november-december/br-chen-0366/

Gilchrist and Schrager engage in a fine essay about the increasing professional loneliness of medicine. It underlies much of the dissatisfaction with medicine. Taking time to talk is essential. url:https://journals.stfm.org/familymedicine/2025/november-december/editorial-nov25/

Practicing what we preach....

Using publicly available data to identify low resource neighborhoods for both pharmacy and food access helps focus services and planning for teaching clinics. A GIS approach to addressing one element of the Inverse Care Law. url:https://journals.stfm.org/primer/2025/adepoju-2025-0068/

The Physician–Podcaster–Patient Triangle "Patients do not need another dashboard; they need a compass that guides them toward meaning, resilience, and trust, rather than metrics, perfection, and transaction" url: jamanetwork.com/journals/jam...

"Civilization" has increased cancer risks - stress, conflict and chaos: Coevolution of cooperative lifestyles and reduced cancer prevalence in mammals | Science Advances www.science.org/doi/10.1126/...

The corporatization of health care has put shareholder and profit over patient care and community. The Antitrust Antidote to Hospital and Nursing Home Corporatization — Promises and Pitfalls | New England Journal of Medicine www.nejm.org/doi/full/10....

The U.S. experiment with profit-driven health care has failed https://www.statnews.com/2025/10/21/health-care-system-profit-failed/ 𝗚𝗲𝘁 𝘄𝗲𝗲𝗸𝗹𝘆 𝘂𝗽𝗱𝗮𝘁𝗲𝘀 ⇢ CanadaHealthwatch.ca/newsletter

A US specific grid of clinician autonomy and type of practice. Given that almost 60% of US family physicians are employed, where do they sit on the autonomy grid - mostly yellow and red. @aafp #familymedicine

Higher family income protects children from the risks of obesity #Obesity #Nursing #Primarycare #Childhealth #Publichealth #Nursesky

Hugely important for every country, not just NHS. @aafp.bsky.social

Science in the city. You gotta love Chicago.... Chicago’s beloved ‘rat hole’ was actually made by a squirrel Scientists reopen the case of “splatatouille” SCIENCE News 14 Oct 20257:01 PM ET ByCelina Zhao

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.”

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