If you are a dad pushing a stroller you are too old to wear a baseball cap backward . . . Also, stay off my lawn

In this week's episode of the Primary Care Update podcast, @markebell.bsky.social, Henry, and Kate discuss the safety of CBD, a new guideline for managing adults with hypertension, COVID-19 vaccines, and a living guideline to help choose the best diabetes drugs: podcasts.apple.com/us/podcast/e...

DOs Are Quietly Becoming the Backbone of American Family Medicine www.medscape.com/viewarticle/... via @medscape.com

As it turns out, escitalopram is just a marketing parachute for citalopram. Oops! /undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀

Diabolical - Starbucks is pumping contemporary Christmas music into their stores like I use an ultrasonic repellent to keep mice out of my basement. I feel sorry for the @sbworkersunited.org

On this week's episode of the Primary Care Update podcast, @markebell.bsky.social and co-hosts discuss the optimal duration of anticoagulation after a provoked DVT, using low doses of mirtazapine or amitriptyline in adults with insomnia, and two other studies: podcasts.apple.com/us/podcast/e...

One Mass. health system is turning to AI to ease shortage of primary care doctors. Some don’t like it www.statnews.com/2025/10/12/m... via @statnews.com

This 𝗡𝗘𝗪 study examined a patient-completed, EHR-integrated questionnaire with physician reminders to improve family history collection in #PrimaryCare. Resulting in better documentation & prompting screenings or specialist referrals. #FMsky #Medsky www.annfammed.org/content/23/5...

Are you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇

The September/October issue of Annals of Family Medicine is now available! Explore the newest research and insights shaping #FamilyMedicine and #PrimaryCare. #FMsky #Medsky 🎥Watch our video preview for a quick look at what’s inside: www.annfammed.org/content/23/5...

Prescription to Ocean: The Hidden Impact of Medicines youtu.be/swCLNaAG5qY?...

We want to hear from you! Take our brief, anonymous 3-question survey—no names, no emails, just your perspective. Your input will guide the future of Annals of Family Medicine. shorturl.at/peajC

Overdiagnosis/treatment is a huge problem. However, iagnosis is not the same as disease definition and confusing the two can sometimes constrain thought and limit approaches to Tx

With comments due to CMS by September 12, the Primary Care Collaborative has created a useful guide to the major issues in the 2026 Medicare Physician Fee Schedule. Give it a read ⬇️ thepcc.pub/cmsguide2026

#BetterPrescribing -> Better Health ❤️💪 Physician? Nurse Practitioner? Pharmacist? Researcher? 👩🏾‍⚕️👨‍⚕️ ✅Never miss another UBC Therapeutics Initiative webinar, workshop, or publication ✅SUBSCRIBE to our Letters & events: bit.ly/31oXMAK #independent #MedEd #deprescribing

AAP Immunization Schedule publications.aap.org/redbook/reso...

Spotlight 30-sec preview on #QualitativeResearch: youtu.be/H4eRJ5Ev2jA Are you a qualitative researcher? BJGP outlines key theoretical concepts from Prof. @kathcheckland.bsky.social in this 30-min video youtu.be/FxvdAtJdhxk. Read this linked editorial, free till 31 August: bjgp.org/content/75/7...

While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...

#PrimaryCareUpdate Episode 187: incidental activity, new blood test for CRC, DORAs for sleep, and a new definition of Alzheimer's. #STFM #NAPCRG #AAFP #PrimaryCare #InfoPOEMs #EssentialEvidencePlus open.spotify.com/episode/5gqd...

Probiotics are not new -- Rx from 1915 It consisted of Lactobacillus bulgaricus produced by a “Professor Metchnikoff” of France. According to an ad, it "pits the vigorous lactic ferment against the less resistant organisms of decomposition, with the result that the latter are immediately destroyed.”

Breaking: Med Student Saves Patient’s Life Using Krebs Cycle gomerblog.com/2017/10/odds...

Gift article www.nytimes.com/interactive/... Opinion Guest Essay How to Wreck the Nation’s Health, by the Numbers By Steven H. Woolf Graphics by Taylor Maggiacomo Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University. June 30, 2025

I remember when Mark Ebell and collaborators started the POEM reviews. We were colleagues in MSU primary care back in the day. Non-academic primary care docs should NOT bother with the primary literature other than as a hobby. Resources like POEM reviews and The Curbsiders are far better. #medsky

@markebell.bsky.social and co-hosts discuss new studies relevant to primary care clinicians: negative pressure wound therapy, comparative effectiveness of acute migraine treatments, metformin for knee pain in patients without diabetes, and more: podcasts.apple.com/us/podcast/e...

Annals of Family Medicine pub a machine learning study that predicts clinic "no-shows" w/ 85% accuracy & late cancellations w/ 92% accuracy. Data derived from >1.1 million appointments from 15 family medicine clinics in Pennsylvania between 2019 and 2023. www.annfammed.org/content/23/4...

All “Feedback” Is Not the Same: Use Correction, Criticism, Feedback, Feedforward, and Grades at the Appropriate Time www.stfm.org/publications...

"Top 20 2024 research studies" by two of the POEM team is excellent. www.aafp.org/pubs/afp/iss... I loved their take on the new Alz drugs: "New monoclonal antibodies for patients with Alzheimer disease are minimally effective, harmful, and expensive..."

This study reveals gender-based patterns in faculty assessments tinyurl.com/mvzkmb8c #MedEd

ICYMI: #prescribing WEBINAR on safety + efficacy of Bupropion 💊 Do you want to know: 🔎 Best avail evidence for #bupropion? ⚠️ Toxic thresholds, effects? 💊 What is known about bupropion dose response? 👉🏽Video: ti.ubc.ca/bupropion-sa... #medsafety #MedEd #ADHD #depression #anxiety

#PrimaryCareUpdate Negative pressure wound therapy, acute migraine tx, best test for women with dense breasts, and metformin for knee pain in patients without DM. #STFM #NAPCRG #EssentialEvidencePlus #InfoPOEMs #PrimaryCare #FamilyMedicine

Out now is the July/August 2025 edition of Annals of Family Medicine. 🔗 www.annfammed.org/content/23/4... Check out this video preview of the latest research in #FamilyMedicine and #PrimaryCare. #FMsky #Medsky

Shared understanding

a reasonably accessible explanation of overdiagnosis and why it matters in cancer screening: iai.tv/articles/50-...

What do #fammed residents want from outpatient preceptors? In addition to usual teaching, they want attention to time mgt, autonomy, a pre-precepting. #meded #fammed journals.stfm.org/familymedici...

Our hosp's mandatory training says that sadness, social distancing, complaining, confusion, and poor personal hygiene are warning signs of workplace violence. I call it a typical Monday morning

ICYMI - TI #BestEvidence Webinar recording: Oral vs IV Antibiotics ti.ubc.ca/antibiotics-... See also: TI Therapeutics Letter on #antibiotics: ✅ ti.ubc.ca/letter155 Patient handout: When are oral antibiotics the right choice? ✅ ti.ubc.ca/antibiotics-... #MedEd #CME #BetterPrescribing

Small improvements in personal GP continuity, achievable in most practices, resulted in reductions in hospital admissions and emergency department visits ‪doi.org/10.3399/bjgp... @liu.se.bsky.social #PrimaryCare #Continuity #GeneralPractice

This week, our intrepid primary care docs led by @markebell.bsky.social discuss 4 new POEMs: spironolactone vs amiloride for resistant hypertension, mirtazapine for insomnia in older adults, baloxivir for influenza post exposure prophylaxis, and more: podcasts.apple.com/us/podcast/e...

#PrimaryCareUpdate Episode 185: The best drug for resistant HTN, mirtazepine for sleep, baloxavir for prevention, and PRP for knee OA #STFM #NAPCRG #EBM #PrimaryCare #FamilyMedicine #AAFP #EssentialEvidencePlus #InfoPOEMs creators.spotify.com/pod/profile/...

Proportion of residency grads entering primary care: Fam Med 97%, Int Med 36%, Peds 54%. #meded #fammed @billphi.bsky.social Pathways To Primary Care: Charting Trajectories From Medical School Graduation Through Specialty Training. www.healthaffairs.org/doi/abs/10.1...

www.nytimes.com/interactive/... Opinion Guest Essay How to Wreck the Nation’s Health, by the Numbers By Steven H. Woolf Graphics by Taylor Maggiacomo Dr. Woolf is a physician and a professor of family medicine and population health at Virginia Commonwealth University. June 30, 2025

Inside the Collapse of the F.D.A. www.nytimes.com/2025/07/08/m... How the new health secretary, Robert F. Kennedy Jr., is dismantling the agency.

The president of the American Academy of Pediatrics, Dr. Susan J. Kressly, said "creation of federal immunization policy is ‘no longer a credible process.’”

RIP Bill Moyers. apple.news/A4P9y5IikSvi...

Anyone else heard from Elon yet?

Four ways to run a healthcare system, all imperfect richardswsmith.wordpress.com/2025/05/26/f...

Honored to be on this team @gumedcenter.bsky.social & humbled that Medical Teacher deemed it worthy of a BEME Guide: Specialty disrespect in the medical learning environment: What is known and how can we intervene? A scoping review: BEME review no. 93 #MedEd pubmed.ncbi.nlm.nih.gov/40380975/

As AI continues to evolve, editors from leading Family Medicine journals have come together to issue a unified statement offering guidance on its responsible use by authors and editors www.jabfm.org/content/38/1/4

All feedback is not the same. Pick the right type for the right time and purpose www.stfm.org/publications...