@jjfrey3md.bsky.social
Hope that others around the world working in similar programs might connect somehow to share ideas, experiences and research and not wait for publications. consider a substack. @aafp.bsky.social
A new MRFF $1.99M research project led by Prof Victoria J Palmer will investigate how participatory art, culture & storytelling initiatives can protect culture and Country while supporting mental health & wellbeing in communities affected by climate change. #mentalhealth #climatechange #primarycare
Need to get these guidelines to community groups -schools, workplaces, etc. so they know how and when to act
If in doubt, sit them out: concussion management in the community Improving outcomes for concussion requires greater public awareness, practical tools tailored to the realities of general practice, and the development of community-based concussion services. bjgp.org/content/76/... #BJGP #PrimaryCare
Health care metrics in rural communities everywhere remain problematic. How a country with the responsibility for universal care acts to improve outcomes. @aafp.bsky.social Rural health care: from policy ambition to local reality - The Lancet Primary Care www.thelancet.com/journals/lan...
Rural health care: from policy ambition to local reality
On Aug 11, 2026, a rural hospital in Devon, UK, announced the temporary suspension of birth services due to staff shortages. The announcement followed media coverage in the USA, where a third of all r...
thelancet.com
A remarkable story. Told with such honesty and pain. One of the many reasons the US health system is in crisis. Many capable people who don't have the author's persistence don't become physicians. www.annfammed.org/content/24/5... @aafp.bsky.social
What It Cost and What It Gave to Become an Undocumented Family Physician
Growing up as an undocumented immigrant in North Carolina shaped not only the author’s path to medicine, but also how they understand patients, systems, and belonging. In this reflective essay, they d...
annfammed.org
A positive association between receiving high continuity of care and lower health system costs was found in this 3-year observational study of ~70,000 patients with chronic disease doi.org/10.3399/BJGP... #BJGP #PrimaryCare #GeneralPractice
Cost savings from primary care clinic continuity among patients with chronic disease in Alberta, Canada: a retrospective population-level cross-sectional study | British Journal of General Practice
doi.org
Group visits enhance social capital in participants as well as improve outcomes. Particularly difficult group with excellent outcomes. www.annfammed.org/content/24/5... @aafp.bsky.social @familymedicinefam.bsky.social
Social Support in Group Medical Visits for Chronic Pain in Primary Care
PURPOSE Social support is associated with improved outcomes for people with chronic pain and is an important but understudied component of biopsychosocial pain care. We sought to explore how group med...
annfammed.org
Those of us with high %ages of Neanderthal genes are not overweight, just hunky. Neanderthal growth gene turns modern humans into muscle heads | Science | AAAS www.science.org/content/arti...
Neanderthal growth gene turns modern humans into muscle heads
People with DNA variant from our evolutionary cousins tend to have more lean muscle mass
science.org
BJGPLife: What we count, and what we miss: a case for measuring GP workload differently bjgplife.com/what-we... #GeneralPractice #PrimaryCare #FamilyMedicine
except advanced scheduling with lower income families who lack transportation, family support and consistent lives doesn't tend to work unless one sees them when they can come, not when it is convenient for docs. pubmed.ncbi.nlm.nih.gov/24136694/
A multi-method intervention to reduce no-shows in an urban residency clinic - PubMed
Indentifying a large at-risk population for no-shows and using a multi-method approach to addressing the issue can show persistent improvement and could be used in other residency training and communi...
pubmed.ncbi.nlm.nih.gov
Advanced access scheduling consistently reduces primary care wait times, often improves continuity of care and patient satisfaction, and may reduce avoidable ED use. #PrimaryCare #HealthServices #AccessToCare #SystematicReview
GP's everywhere are in the same boat as Wales - hard work getting harder with no more help. Investment saves money, under-investment costs money. @aafp.bsky.social
A new survey from the British Medical Association shows that GPs in Wales are battling increasing workloads and have to make difficult funding decisions due to a lack of investment. healthcaretoday.com/article/urge... #GeneralPractice #NHSWales #GPWorkforce #Healthcare #BMA
Unbelievable screwup in Trumpland - hiring incompetent people gets incompetent results. State Department Map Mislabels African Countries at AIDS Conference www.nytimes.com/2026/07/30/u...
U.S. Government Mislabels Map of African Countries at AIDS Conference
Nigeria, a coastal country in western Africa, was landlocked in the Sahara, among other errors. The department said it had been “hastily altered.”
nytimes.com
Small independent practices do just fine, "health systems" not so much......
Inadequate access to ambulatory care isn’t just inefficient—it’s a quality and safety problem. Health systems should be incentivized to track and improve access metrics just as they do medication errors and hospital-acquired infections #JGIM #PrimaryCare rdcu.be/e7MT3
Gastroenterologist can consult with a GP practice about management guidelines and have availability for questions - don't need to "manage" patients but help generalists do that. @aafp.bsky.social @annfammed.bsky.social
Many patients diagnosed with chronic hepatitis B were referred to gastroenterology but later returned only to #PrimaryCare for unrelated needs. www.annfammed.org/content/24/3...
GP's everywhere - especially US - have to work to retain adolescent patients and follow them through life cycle. Makes practice more interesting. @aafp.bsky.social
New research shows many GPs lack confidence when consulting with adolescents under the age of 18, particularly when discussing gender and sexuality, which can hinder the development of a strong patient-doctor relationship. Read full article here go.unimelb.edu.au/yh92 #adolescenthealth #primarycare
Every patient should be asked about their work setting an pattern - and social status: living alone or with people. Home alone: Remote work, isolation, and mental health | Science www.science.org/doi/10.1126/... @aafp.bsky.social @stfm-fm.bsky.social
Home alone: Remote work, isolation, and mental health
How does remote work affect isolation and mental health? We drew on five nationally representative surveys of American workers (N = 588,322) conducted from 2011 to 2024, omitting the peak pandemic yea...
science.org
requires balancing what we already know about the patient with a non-judgmental attitude and listening with an open mind. Hard to juggle.
BJGPLife: Against interpretive drift in the ten-minute consultation bjgplife.com/against... #GeneralPractice #PrimaryCare #FamilyMedicine
It is not just the public that worries: AI executives join call for stricter regulation of synthetic biology | Science | AAAS www.science.org/content/arti...
AI executives join call for stricter regulation of synthetic biology
Letter urges Congress to require DNA firms to screen orders to prevent AI-aided bioweapons
science.org
www.annfammed.org/content/24/3... Having a name in Japanese, Rousui, to replace the Western notion of "dying of old age" is a positive step for families, doctors and patients. . Home visits to assess would be essential. @aafp.bsky.social @annfammed.bsky.social
🧪 we are on the way to eliminate cervical cancer too insightplus.mja.com.au/2026/19/trac...
Trachoma successfully eliminated in Australia through Indigenous-led…
The World Health Organization (WHO) has validated that Australia is the 30th nation to eliminate Trachoma, a preventable infectious eye disease, which…
insightplus.mja.com.au
Why Did Some Whales Survive Industrial Whaling Better Than Others? open.substack.com/pub/climatea...
Why Did Some Whales Survive Industrial Whaling Better Than Others?
What nineteenth-century whaling records reveal about resilience, geography, and ocean conservation
open.substack.com
from 1868 to 2025 there was little dispute about what the birthright clause meant and the idea that the past year has been some great scholarly debate is absurd. a handful of partisans and hacks have churned out junk so that the president can get what he wants. that’s it.
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legaltheoryblog.com
Wisconsin’s electric bus test shows EV transit can survive real winter conditions 🚌🔋❄️ This matters for riders and planners across the Midwest designing clean, resilient transit systems #SustainableTransportation #CleanEnergy
Electric buses are passing a brutal cold-weather test in Wisconsin
Madison is proving electric buses can run through cold winters, providing a blueprint for zero-emissions transit in other frigid locales.
grist.org
The downward drift of US MD and DO students in light of increasing need for family doctors (and emergency med is NOT primary care except by default) the US system is in crisis. Long pipeline and not national workforce plan is huge problem. @aafp.bsky.social
Today in #Employer Coverage: Share Primary care residency slots not filled in the National Residency Match #PrimaryCare open.substack.com/pub/employer...
Excellent overview of loneliness screening and followup in practice summarizes need for practical screening and team approaches. www.annfammed.org/content/24/2... @aafp.bsky.social @stfm-fm.bsky.social
Loneliness in Primary Care Patients—From Understanding the Risk to Actionable Clinical Priority
An estimated 37% of Americans experience moderate to severe loneliness in any given year.[1][1] Loneliness is not a unitary construct, but a multidimensional, subjective experience encompassing distre...
annfammed.org
terrific data - but having a source is different from being able to get an appointment to see that source. Mine is 6 months because she works in a corporatized medical school practice.
🥼 A regular primary care clinician isn’t just convenient—it’s lifesaving. Adults ≥65 with a usual source of primary care lived 2.1 years longer in a nationally representative U.S. study. @Mara_Schonberg #PrimaryCare