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Latest Posts

ab108b98b6d708508f8e184feb4556d9-huge-un"A year ago, I decided to get off the hamster wheel. I didn't quit practicing medicine -- my passion -- but I decided to practice medicine the way I had envisioned when I graduated from medical school 16 years ago." Read all about that practice today on the blog.

By Jeffrey Gold, MD

Every patient knows this story: Your physician rushes into an exam room, file folder in hand, stares into a computer screen, and then vanishes after spending 10-15 minutes with you. What patients probably don’t realize is that their doctor is thinking, “This is not what I signed up for when I decided to go into primary care medicine.”
 
Framing a new health care model is not for the faint of heart, but this is what we went to medical school to do. Patients and doctors deserve better, but it is up to us to change it. It is obvious we need a course correction when a highly respected medical journal reports “patients want their physicians to look at them — not their computer screens — while in the exam room.”

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Posted by Sonya Collins on Feb 2, 2016 1:50 PM EST
6da7a8af7ed526eb437fc0235abe13ef-huge-thThe Josiah Macy Jr. Foundation has helped make possible some of PCP's most important initiatives, including the Gregg Stracks Leadership Summit and the student hotspotting project. We sat down with President Dr. George Thibault of the foundation to discuss the need for improved primary care education and the importance of interprofessional teamwork and learning to care for the underserved -- among our many other shared values. See what Dr. Thibault had to say. 

Progress Notes: Like Primary Care Progress, the Macy Foundation values interprofessional education and interprofessional teamwork among health care professionals. Why is that? Is there a benefit for patients, professionals or both?
 
George Thibault: We have growing evidence that health care delivered by well-functioning teams leads to better outcomes for patients. Until recently, our education process has lagged behind that. We've educated our health professionals separately from each other. But the educational process should be interprofessional from the beginning as well. So that’s one of the things we’re trying to change.

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Posted by Sonya Collins on Jan 28, 2016 11:47 AM EST
e74758bf911dc7b62d1b9d38c24ba377-huge-piToday on the blog, family medicine professor Karly Pippitt and her former student Jerica Johnson discuss the value of the fourth-year continuity clinic. 

By Jerica Johnson, MD (right) and Karly Pippitt, MD

The Learner Perspective
 
My patient “Diana’s” migraines had increased in frequency since the last time I saw her. They were especially bad when she was in bright light or around loud noises, she told me, squeezing her eyes shut as she described the pain. She told me that her visual aura, which she described as strange “zig zags,” was getting more intense and more worrisome.
 
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Posted by Sonya Collins on Jan 26, 2016 10:38 AM EST
Spencer BlohowiakToday on the blog, Shenandoah pharmacy student Spencer Blohowiak demonstrates the importance of teams in chapter work - especially when including an interprofessional mix of members. Teams improve leadership abilities and, as he explains, different perspectives create vital synergies and balance. more...
Posted by Nate Leskovic on Jan 21, 2016 1:44 PM EST
Matt ReedToday on the blog, Shenandoah pharmacy student Matt Reed discusses his rotation at a patient-centered medical home worksite clinic - and his first-hand experiences demonstrating the invaluable efficiencies, both care and economic, its interprofessional teaming provided.

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Posted by Nate Leskovic on Jan 14, 2016 10:31 AM EST
d9f376b08128376a9b6041ecc2cc6b4e-huge-anAfter attending PCP's annual Gregg Stracks Leadership Summit, this med student and his fellow chapter members worked together more effectively and had greater success attracting new members.

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Posted by Sonya Collins on Jan 12, 2016 1:04 PM EST
Jethro Heiko headshotMy Gift of Grace, an innovative game from health care innovation company Common Practice, facilitates end-of-life conversations for people of all ages and life stages. Studies have shown that the game improves the quality of conversations about end-of-life issues - such as funeral planning, caregiving and family involvement - and drives advance care planning behaviors. It's played by asking and answering questions within a group, and receiving chips for your participation in the discussion.
 
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Posted by Nate Leskovic on Jan 7, 2016 9:56 AM EST
12c76da8248fcae782c69f6724bcbf2b-huge-piToday on the blog, a student volunteer in a shelter clinic describes the importance of resisting assumptions and building patient trust.
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Posted by Sonya Collins on Jan 5, 2016 10:12 AM EST
In our last post of 2015, PCP president and founder Andrew Morris-Singer sends us off with a call for leaders that focus on the "who" not the "what" of change in the health care system. 
 
By Andrew Morris-Singer, M.D.
 
Saul Alinsky, a founder of modern community organizing, once wrote of his activist contemporaries, “They have no illusions about [the problems of] the system, but plenty of illusions about how to change [the system].” It pains me to say this, but one could argue this is also true in contemporary efforts to transform health care. We’re all quite aware of the challenges of physician-centric, fee-for-service delivery models that lack transparency or accountability. Yet research shows that collective efforts to shift from this system through changes in policy, reimbursement, procedure and education are failing up to 75 percent of the time. What’s more, our profession seems to be running out of steam, likely a product of both the inherent dysfunction of the system and the unintentional consequences of sub-optimally planned quality improvement strategies. Bottom line: our change-making mojo seems to be missing something. Specifically, a focus on the who of change; the people whose individual and collective behavior will need to shift to achieve our grand health care visions.   

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Posted by Sonya Collins on Dec 22, 2015 10:48 AM EST
Teresa PorterToday on the blog, med student Teresa Porter describes her introduction to Primary Care Progress – and why she then joined her PCP Hawaii chapter. As you’ll see, PCP’s focus on telling our stories and sharing values brings together like-minded change makers dedicated to revitalizing primary care. more...
Posted by Nate Leskovic on Dec 17, 2015 12:10 PM EST
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Thanks for the full summary of events and new leadership directions we need to take in primary care. Student and resident leadership is vital to the future of primary care, especially Family Medicine, where many of our senior leaders are shifting into health system, regional, state and federal roles, thus creating large need for new and emerging leader...
I very much agree with Andrew's take home lessons. As someone based at another major medical school and academic health center, it has been inspiring to witness the effective mobilization among students, residents and allies to revive the Columbia FM residency program. It requires sustained effort to ensure that a victory like this translates into re...
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