Med Student Medical News about Primary Care; Demise

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The Demise of Primary Care: A Diatribe From the Trenches
Annals of Internal Medicine, 05/20/09

Norenberg DD - Medical school graduates are avoiding primary care. The very aspects that once attracted students have been subverted. The breadth of practice that was once appealing has become the breadth of heavy-handed scrutiny, as politicians and business leaders have demanded quality—simplistically defined as dogmatic adherence to a standard. Individualized clinical judgment has been devalued; thinking has been replaced by algorithms. Practice guidelines have been usurped by pay-for-performance police, on patrol for deviations—not understanding that knowing and allowing for exceptions is the heart and soul of primary care. The coercive surveillance of "Quality Improvement" has become oppressive, making single organ–system specialties increasingly attractive (or at least more tolerable). Generalists are spending so much time proving they are good doctors, they don't have time to be good doctors. A remedy is suggested: a pilot project of volunteer salaried internists (more trusted, less audited) commissioned to our expandable national health care program, Medicare.

National Primary Care Week Addresses Critical Shortage of Physicians in United States
American Medical Student Association, 10/21/09 Relevance Score: 72%

Provincial primary care and cancer engagement strategy
Canadian Family Physician, 11/16/09 Relevance Score: 71%

Short-term outcomes in patients attending a primary care-based addiction shared care program
Canadian Family Physician, 11/16/09 Relevance Score: 71%

ACPM recommends primary care have systems in place for screening and treating depression
EurekAlert, 10/07/09 Relevance Score: 71%

Screening adults for depression in primary care: A position statement of the American College of Preventive Medicine
The Journal of Family Practice, 10/02/09 Relevance Score: 71%