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In this piece from our archives, the writer shares the patient perspective on having a resident as a primary care provider.

By Susan Putnins

“I’ve been with my doctor for years and years,” an elderly man, voice hoarse but lilting with fondness for his caregiver, told a nurse in the primary care clinic where I was waiting to see a doctor. “He’s fantastic.”

I was coming to the clinic for a follow-up appointment about an injury for which I’d been seen a few months prior, but neither the initial appointment nor this follow-up were with my primary care doctor. In fact, I hadn’t been able to see my own doctor for any issue for months – and I’d recently learned that I might never again. I found myself feeling jealous of this man’s relationship with his doctor.
 

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Posted by Sonya Collins on Sep 30, 2014 12:39 PM EDT
We can hardly believe that PCP's 3rd annual Gregg Stracks Leadership Summit kicks off tomorrow night! Here's a throwback to the 2012 summit. #TBT #PCPSummit2012 #PCPSummit2014

By Joe Nelson, M.D.

When I got on the plane headed for the Greg Stracks Leadership Summit last year, I was skeptical. I'd recently been wondering if this Primary Care Progress thing was really for me. I believed in its principles, and enjoyed the time I'd spent with its leaders, but sometimes I wasn't sure that this was my fight. And with three young children and the demands of third-year clinical rotations, I was more often exhausted than excited to do more. But I told myself that even if the conference wasn't anything special, and even if I didn't have what it took to help lead PCP at Baylor, it isn't often that someone offers to fly you to Boston in the fall. So I went.

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Posted by Sonya Collins on Sep 25, 2014 11:41 AM EDT
PCP's 3rd annual Gregg Stracks Leadership Summit is just a few days away.  In today's Progress Notes, PCP's president tells the story of Gregg Stracks and why the summit is named for him.

By Andrew Morris-Singer, M.D.

My junior year of Internal Medicine residency was a difficult, confusing time. A trainee committed to a career in outpatient primary care, I found myself spending a great deal of time on inpatient hospital wards with some of the sickest, most complicated patients I’ve ever encountered. While the medical conditions were fascinating, most were preventable exacerbations of chronic problems or late outcomes of diseases that could have been caught earlier with screening. It felt like we were perpetuating a failed health care system that did little to manage and protect patients’ health but rather waited until they got really sick, and then dumped everything we had in our medical armamentarium on them. It seemed divorced from good economic sense and completely at odds with both the skills that I wanted to learn to keep patients out of the hospital and the values that brought me into health care in the first place.

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Posted by Sonya Collins on Sep 23, 2014 10:27 AM EDT
To celebrate the launch of their PCP chapter, students at Philadelphia College of Osteopathic Medicine joined forces with family medicine and pediatrics clubs to offer free physicals to local Boy Scouts so the Scouts could attend summer camp. Here's how they did it.

By Colin Peters

When PCOM’s PCP chapter, founded in November 2013, planned its launch event, we wanted to follow in the footsteps of other PCP chapters who had started student-run free clinics. However, we quickly realized that this wasn’t a realistic dream for our situation. PCOM already has several clinics scattered throughout the area. While none of these are student-run, we felt that convincing the institution that another clinic would be beneficial seemed a daunting task that our new chapter wasn’t ready to undertake. So we came up with the idea of public health screenings. After we struggled to secure any leads to pursue the idea, Ash Cochran, our chapter president, recalled his own Boy Scout leader’s initiative to hire a doctor to give their entire troop of 20 kids the physicals they needed to attend camp. We decided to return the kindness.

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Posted by Sonya Collins on Sep 18, 2014 10:43 AM EDT
Through hundreds of interviews with physicians, the author examines the characteristics of a good primary care doctor.

By Stephen Schimpff, M.D.

As a general rule, primary care physicians like people. This is true long before they start medical school and it continues to blossom during training. Ask these doctors, as I have during in-depth interviews, and they will tell you that certain types of individuals are drawn to primary care careers.

They like to converse with people. They enjoy getting to know details about a person — their ideals, goals, ambitions, cares and sorrows. They are interested in learning from the patient rather than talking down to the patient. They won’t impose themselves on the patient. They tend to not only want to know the patient but also to understand his or her place in family and society. These doctors want to know the “whole story.” They tend to see the patient as a whole person, as part of a family and community. They see the patient as a unique individual and the patient’s illness as part of that totality of the person, not just a diseased organ or system. Primary care physicians generally like to engage in an intellectual puzzle, with a mystery to solve. They have a “general contractor” mentality, meaning they see themselves as capable of getting most of the job done themselves but are comfortable drawing in others as necessary. In doing so, they are committed to coordinating everyone involved in the patient’s care. 

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Posted by Sonya Collins on Sep 16, 2014 9:59 AM EDT
Many members of the PCP community attended the Direct Primary Care Summit in Arlington, VA, this summer. We're sharing some of their perspectives here.

By Diana Huang

Like many students, I applied to medical school with the goal of helping others. I started classes unsure of what kind of medicine I wanted to pursue, but as time passed and I learned more about the state of health care, I came to the conclusion that the best way to make an impact on the nation’s health and on my future patients was to become a primary care provider. At that point, my dream of becoming a family physician, with the privilege of forming relationships with whole families over the years, was born. I wanted not only to follow that path myself but to inspire others to join me as well, doing my own small part to help shift the primary care physician-to-specialist ratio in the United States.

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Posted by Sonya Collins on Sep 11, 2014 10:58 AM EDT
As both the number of insured people in the U.S. and the diversity of our population grow rapidly, family physian Kenny Lin points to the need for a physician workforce that reflects that diversity.

By Kenny Lin, M.D.

Since joining my practice two years ago, I've noticed that I care for a disproportionate number of immigrants of Chinese and other Asian descent compared to my colleagues. Although both of my parents were born in Taiwan, I don't speak Mandarin nor do I have special expertise in medical conditions common in Asian Americans. Nonetheless, Asian patients seem more comfortable with me. U.S. health workforce analyses show that underrepresented minority physicians (black, Latino and Native American) are more likely to provide primary care and more likely to serve medically underserved populations. From a research standpoint, a diverse workforce of physician-scientists and physician-researchers will give rise to more diverse research and innovation to solve the problems of a diverse population.

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Posted by Sonya Collins on Sep 9, 2014 11:36 AM EDT
Today's post comes from our collaboration with Medstro, who is hosting the 2014 Primary Care Challenge live event co-sponsored by PCP. Like PCP, Medstro values clinical innovation in primary care. So we suggested a Q&A with our own CIN fellow Peter Meyers for Medstro's innovation series in their online publication MedTech Boston

Q&A with Jenni Whalen, managing editor of MedTech Boston, and Peter Meyers, PCP CIN Fellow


JW: First, tell us about Primary Care Progress’s Clinical Innovation Network (CIN). What do you do as the CIN content fellow? 

PM: CIN has two divisions: content and community. As the content fellow, my main responsibility is organizing and moderating online webinars aimed at medical students and residents. Our goal is to bring our audience to the cutting edge of innovation. The CIN community fellows work with local Primary Care Progress chapters to determine their understanding of clinical innovation, their areas of interest, and opportunities for improvement.

The big idea here is that we believe in connecting students to national and global ideas, helping them understand the context and relevance of their own local work. If we can connect students to interesting things happening at the national or global level, show them how it relates to their own communities, and give them to the tools to make an impact, a few of them might be motivated to become leaders in the field. That’s what we’re trying to do: motivate and train the next generation of leaders in primary care.

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Posted by Sonya Collins on Sep 4, 2014 11:26 AM EDT
Putting off her own routine preventive care, this nurse practitioner realized that follow-through isn't easy for patients. She tries to remember that during every patient visit.

By Katrin Moskowitz, N.P.

Before I started my nurse practitioner program, I was happy with where I was in terms of my health. I was at a great weight; my diet was free of any processed sugars and grains, and I worked out several times a week. By the time I started clinicals in my primary care site, however, I felt like a hypocrite. I had not seen my primary care provider in two years or my gyn in three – but at least I was up-to-date on my dental visits! My diet was filled with bad on-the-go choices; my full-time job was now a work-at-home position; the gym was a foreign place, and my weight was creeping up and up and up.

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Posted by Sonya Collins on Sep 2, 2014 1:39 PM EDT
Many primary care practices wish to become patient-centered medical homes, but the transformation process can be daunting. Here, three experts offer some professional advice.

By Joan D. Johnston, R.N.; Jaime Vallejos, M.D.; and Jeanne Cohen, R.N.

As soon as we walked through the doors of the urban community health center that we were going to help achieve patient-centered medical home recognition, we saw a practice that was passionate about obtaining the recognition, but overwhelmed to the point of paralysis. We are a team of certified patient-centered medical home content experts from the University of Massachusetts Medical School. In our work with health care organizations and practices seeking recognition from the National Committee for Quality Assurance (NCQA), we are always reminded that achieving this designation requires thoughtful planning, strategy and commitment. Through hard work and with our support and guidance, the community health center achieved Level 2 recognition from NCQA. And they learned it doesn’t have to start out so difficult. 

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Posted by Sonya Collins on Aug 28, 2014 11:21 AM EDT
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First-person stories from the front lines of primary care.

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Most Recent Comments

Thanks for the kind words. Kylia, yes it is important for physicians to "take care of themselves." You can't do your j...
Thank you so much for this post! What struck me the most was the concept that most of what one needs to know about being a...
Thanks for this thoughtful post, Dr. Schimpff. I appreciate your acknowledgement of the importance of self care fo...
Thanks, Dr. Lin! I really appreciate your perspective on this issue. The post reminds me of the buzz about teaching "...
Brett, Very well written commentary. Excellent questions raised. Dr Q, your response is thoughtful and helpful. I...

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