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While More Americans Need Access to Essential Healthcare, Fewer Primary Care Clinicians Are Available to Treat Them. UVA Professor Says Increased Funding for Title VII Programs May Help Alleviate National Shortage of Primary Care Doctors and Dentists

"By offloading tasks from the 15-minute visit in order to prioritize the patient's agenda, adding group, telephone, and electronic encounters, and reorganizing services with the aim of maximizing the health of a practice's entire patient population, innovative primary care practices could lead primary care out of crisis into an era of renewal."

This article seems to advocate the trend in UK based primary care- but key questions remain unanswered, can trust be transferred from the individual doctor to the team? Does this dilute the 'doctor as drug' benefit?

" The SOC are based on the best available science and expert professional consensus. Because most of the research and experience in this field comes from a North American and Western European perspective, adaptations of the SOC to other parts of the world are necessary. The SOC articulate standards of care while acknowledging the role of making informed choices and the value of harm reduction approaches. In addition, this version of the SOC recognizes that treatment for gender dysphoria i.e., discomfort or distress that is caused by a discrepancy between persons gender identity and that persons sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) has become more individualized."

"They want you to study by yourself and become obsessed with how well you understanding the material. ergo - stop caring about whether anyone else understands it. It would be a great system to develop overconfident get-mine solo practice doctors, but everyone knows there's too much paperwork to run a solo practice these days. We're also coming upon the age of specialists when collaboration will be at a premium. A disease like diabetes is complex. You might need primary care physicians working with vascular surgeons, endocrinologists, ophthalmologists, I could list every specialty. Not to mention nutritionists, personal trainers, policy makers."

"The purpose of this paper is to introduce the concept of mental workload as a key determinant of the type of cognitive processing used by clinicians. Published research appears to be consistent with 'schemata' based cognition as the principle mode of working for those engaged in complex tasks under time pressure. Although conscious processing of factual data is also used, it may be the primary mode of cognition only in situations where time pressure is not a factor. "

"Greg Matthews (@chimoose) at the communications firm WCG says he now follows more than 500 doctors on Twitter and has started profiling those who've pioneered digital and social media tools at MDigitalLife, a blog series hosted by his employer."

Guideline Objective(s) * To provide helpful guidance to primary care providers serving individuals who are homeless * To contribute to improvements in both quality of care and quality of life for these patients

in a primary healthcare communication system

"PRODIGY (formerly CKS) is a reliable source of evidence-based information and practical 'know how' about the common conditions managed in primary care."

he principle aim of the NHS Evidence service is to provide easy access to a comprehensive evidence base for everyone in health and social care who takes decisions about treatments or the use of resources - including clinicians, public health professionals, commissioners and service managers - thus improving health and patient care. It will build on NICE's significant international reputation for developing high quality evidence-based guidance. It provides access to a range of information types, including primary research literature, practical implementation tools, guidelines and policy documents.

"With an ever-aging population, the presence of many chronic co-morbid conditions is a reality for a majority of patients. As such, the clinician would be best served to be up-to-date with the latest evidence-based medicine. "

Doctors with good communication less likely to be sued

Example of medical advocacy in Ontario

"During the 2-year period, 4282 patients were registered for the service. Patients made 2531 online visits, and billings were made for 1159 patients. E-visits were submitted primarily by women during working hours and involved 294 different conditions. Of the 2531 e-visits, 62 (2%) included uploaded photographs, and 411 (16%) replaced nonbillable telephone protocols with billable encounters. The e-visits made office visits unnecessary in 1012 cases (40%); in 324 cases (13%), the patient was asked to schedule an appointment for a face-to-face encounter. "

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