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Latest Posts

8ab6e4087f15be4cdc51c0e79e718ef1-huge-1eIn 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. more...
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
When she was still in elementary school, Take Your Daughter to Work Day set this med student on the path to caring for the elderly. 

By Paige Scholer

My first exposure to geriatric medicine happened on a Take Your Daughter to Work Day while I was in elementary school. My mother asked if I wanted to accompany her on rounds at the Rose Blumkin nursing home in Omaha. I happily agreed—I would get to spend time with my mom, and it would be interesting to see what her job was like. Little did I know, simply observing my mother’s bedside manner during her patient interactions would leave a lasting impression on me. I admired the dynamics of her relationships with her patients: how she made them feel important and that even their smallest complaints mattered. Whether the patient was new or under her care for many years, my mother made each visit feel like a conversation between friends. In addition, her patients were very appreciative of anything that could be done to improve their quality of life, even if it was only palliative. As a patient held my mother’s hand and thanked her for her time and care, I knew my mom was making a difference in their lives. The sense of satisfaction my mom derived from these interactions was palpable and became the foundation for my interest in geriatrics.

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Posted by Sonya Collins on Dec 15, 2015 10:55 AM EST
Sophie Davis chapter
Today on the blog, PCP chapter members at the Sophie Davis School of Biomedical Education explain how the institution’s focus on community and primary care puts it at the front lines in our mission to reverse the primary care crisis and revitalize the health care landscape – especially in underserved neighborhoods – using an accelerated curriculum, comprehensive community health assessments and frequent interaction with community members.
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Posted by Nate Leskovic on Dec 10, 2015 12:53 PM EST
This PCP chapter leader felt his research team was growing stagnant. He helped breathe new life into their work with leadership techniques he learned at PCP's fourth annual Gregg Stracks Leadership Summit. 

By Tuong Phan

Before attending the Gregg Stracks Leadership Summit, I was apprehensive. I expected it to be procedural. I assumed each chapter would present its projects for inquiry and critique, similar to poster presentations. Plus, it was the weekend before my neurology exam, and my plane landed an hour before the reception began, so my stress level was sky high.

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Posted by Sonya Collins on Dec 8, 2015 9:57 AM EST
Donut Hole poster
Today on the blog, two University of Utah School of Medicine students describe the detrimental effects of the Medicaid coverage gap, which creates barriers to health care access due to inabilities to pay for uncovered care. In response, they shot the documentary film, ‘Donut Hole: Life in the Medicaid Coverage Gap,’ which can be watched for free online. more...
Posted by Nate Leskovic on Dec 3, 2015 4:29 PM EST
Our second annual Hotspotting Cohort program is well underway. Today on the blog, Stephanie Nothelle -- a physician and an advisor on the Johns Hopkins hotspotting team -- describes the incredible role hotspotting can play in health professional education. 

By Stephanie Nothelle, M.D.

After spending close to three decades in school, I thought I was an expert on what works and doesn’t work in teaching. But as I started my year as chief resident in internal medicine charged with helping shape and administer our primary care curriculum, I quickly learned that I was no expert. I knew all the ideals and hot topics in medical education, such as patient-centered care, team-based care, inter-professional education and social determinants of health, but found myself facing the same struggles that many medical educators face — how to fit it into an already busy residency schedule in a practical but meaningful way. 

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Posted by Sonya Collins on Dec 1, 2015 1:48 PM EST
A family medicine intern reflects on his first weeks in residency and the many simple and sometimes unexpected ways family physicians show their patients that they care. 

By Cleveland Piggott, MD

I chose to be a primary care physician for many reasons. The mix of prevention and acute care, the broad scope of practice, and the variety of patients are just a few. But the main reason is my love of caring for others. I was reminded of that recently during a conversation with a patient at the hospital.

“I’ll never forget the look in your eyes. You wanted to help but just didn’t know how,” my patient told me. 

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Posted by Sonya Collins on Nov 24, 2015 11:33 AM EST
Krista EskayToday on the blog, physical therapy student Krista Eskay shows us the essential role physical therapists play in primary care - especially when seeing patients multiple times a week. As she explains, frequent patient visits enable strong relationship-building and almost unrivaled opportunity to improve access to care. more...
Posted by Nate Leskovic on Nov 19, 2015 11:12 AM EST
Columbia town hall meetingJust as a PCP’s Columbia chapter met to discuss re-energizing their efforts they were faced with the ultimate crisis: the planned closure of their family medicine program. Today on the blog, chapter members provide their perspective on the situation that propelled them back into action. more...
Posted by Nate Leskovic on Nov 17, 2015 10:20 AM EST
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Most Recent Comments

Dear Penny, You give us another wake-up call. Boundaries can get loose and good habits can get worn down in the nursing home. As you say, the way that things get paid for affects the doctor-patient relationship. In my HMO, there are financial incentives to keep our patients at home. And some of our patients who need long-term care but still value the sociali...
It is a great article to know what patients want. Each medical professional must read this to know more about patients and keep them happy.
This looks intresting one and thanks for sharing. Any decision patient only input ant output important.
Thank you for sharing such ideas...
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...

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