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Posts Tagged ‘ family physicians ’

The Cost-Effectiveness of Family Physicians –Aggressive Treatment Plans Aren’t Always the Best Care

July 29, 2013

Continuing my discussion of the findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians often believe aggressive treatment plans aren’t always the best care. This statement should be less of...
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The Cost-Effectiveness of Family Physicians – The Limits of Early Detection

July 21, 2013

Continuing my discussion of the findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians often believe early detection of a disease does not improve the ultimate outcome. This statement will...
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The Cost-Effectiveness of Family Physicians – The Harms of Aggressiveness

July 7, 2013

Continuing my series discussing our findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model. John was a 53-year-old man who went to an ER for several weeks of abdominal pain. It was never severe. He was never doubled...
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The Cost-Effectiveness of Family Physicians – Applying Probabilities

June 23, 2013

How can a family physician send home from clinic an 18-year-old woman who reports she’s been having chest pain? Couldn’t she be having a heart attack? Absolutely. How can a family physician reassure a person with hand tingling and numbness without ordering any tests? Couldn’t this be a stroke? Of course....
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The Cost-Effectiveness of Family Physicians – Comfort with Uncertainty

June 3, 2013

This post is the 3rd in a series discussing our findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model. Family physicians told us they are more comfortable with uncertainty than the ologists. For a little history, the Future...
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The Cost-Effectiveness of Family Physicians – Cost-Consciousness

May 19, 2013

I will now embark on a series of posts highlighting some of the key findings of our study on how family physicians report they deliver cost-effective care. One of our most basic findings was that family physicians felt that considering cost was one of the complexities that were just part of...
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Loss of Professional Joy

April 10, 2013

Larry Bauer, who is a leader in family medicine education in the northeast U.S., sent out a link to a piece written by teacher who complained about the over-emphasis on standardized tests in secondary education. He felt so bad about it, he quit teaching.  Here is the link: http://www.washingtonpost.com/blogs/answer-sheet/wp/2013/04/06/teachers-resignation-letter-my-profession-no-longer-exists/ Larry asked...
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More from Choosing Wisely and the AAFP

March 3, 2013

I must say, I’m very proud of the American Academy of Family Physicians for continuing to make statements about over-testing under the Choosing Wisely campaign umbrella. The Academy is more known for making wussy statements and taking wussy actions — the RUC wimp out being the prime example. So I salute...
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Medicalizing Normal Life — Mental Health and the Sandy Hook Shooting

January 6, 2013

Happy New Year! I hope everyone had a meaningful holiday season and that your personal family dramas were not too overwhelming. As many of you know, the suicide rate increases over the holiday season. Most suicide victims are depressed. A few have other mental health diagnoses, such as panic attacks or...
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The Amazing Breadth of Family Medicine

June 24, 2012

This post will be a little longer than usual. If you’re not sure what a full-service family physician can do, this story’s for you. The following is the body of an email sent by one of our 3rd-year JPS family medicine RESIDENTS about his experiences working at a regional hospital in...
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