Contents tagged with perspective
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Texas Family Physician - Vol. 67 No. 2, Spring 2016
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Perspective
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TMF Health Quality Institute: Helping you succeed in the transformation from volume to value is … more
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Texas Family Physician - Vol. 67 No. 1, Winter 2016
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President’s letter
Perspective
CONTENTS
Texas Family Physician of the Year 2015-16: Antonio Falcon, MDBorn and bred in Rio Grande City, … more
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Accepting the maybe
By Janet Hurley, MD
In my leadership duties for the Texas Academy of Family Physicians and within my personal job as family physician and operational chief of primary care for Trinity Mother Frances Health System, I continue to see pockets of skepticism, frustration, and fear among my primary care physician colleagues. In some of my most difficult assignments, I have felt that the greatest barrier occurs when some physicians go straight to the negative with their thoughts as we begin discussions.
Our specialty is rife with physicians that go straight to the negative. When we consider the high rates of physician burnout in our country we begin to understand why this is true. Primary care physicians have felt overworked and underpaid for quite some time. The current fee-for-service payment system has created inefficient patient management practices that prevent care for simple conditions over the phone, lead to unnecessary follow-up appointments, and encourage physicians to pack more patients into their clinic day to generate volume. Transitioning these practices to a value-based payment world is truly a challenge.
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Texas Family Physician - Vol. 66 No. 4, Fall 2015
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Telemedicine: A disruptive revolutionPatients value access and convenience above all else and … more
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Why I precept medical students
By Adrian N. Billings, MD, PhD, FAAFP
Why do I precept medical students? Luckily, I ask myself this question less and less frequently because I enjoy having these junior colleagues with me, especially at 2 a.m. while delivering babies. However, I recently explored this question with some reflection on my past seven years of precepting around 100 medical students and 20 resident physicians in my practice.
Unequivocally, the answer to the preceding question is that I precept medical students because my patients receive better care if I have a medical student working with me. It does not matter how fresh a medical student is into clinical training, two sets of eyes and two sets of brains examining and thinking about a patient’s problem are better than my own brain by itself. I have had preclinical students consider and make diagnoses that I have not been able to. Even if the students don’t make the correct diagnosis and they hear zebra hoofbeats instead of horse hoofbeats, this mental task causes me to consider a broader and more thorough differential diagnosis with their valuable input. I consider it an honor and privilege to be entrusted by medical schools with these young student physicians.
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Texas Family Physician - Vol. 66 No. 3, Summer 2015
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Inside the coverage gapTexas is the only state left with at least 20 percent of its population … more
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First do no harm? A reflection on pain and intervention at the end of life
By Vincent J. Mandola, MD
March 25, 2015 was a day I will never forget. It was the day I watched my mother take her last breath. She was 56 years old and had battled cancer for two years. It was a surreal time stepping into the unknown for my close family, but it’s not the moment of her passing I want to write about here. It is the days leading up to that moment, as this experience has given me a new outlook on end-of-life care.
After surgery and nearly a year and a half of chemotherapy, mom was determined to have a couple of decent weeks before what she knew was inevitable. She had just been discharged from the hospital for uncontrolled pain and sent home under hospice care.
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Texas Family Physician - Vol. 66 No. 2, Spring 2015
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Back to the future with direct primary careRemember a time when you could treat your patients … more
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A new way to train family physicians
By Richard Young, MD
What is the best way to train comprehensive full-service family physicians to learn how to thrive in underserved rural Texas? How have duty hour restrictions affected residents’ training with this goal in mind? JPS might have some answers.
The John Peter Smith Hospital Family Medicine Residency Program was chosen to be one of 14 programs to participate in the Preparing the Personal Physician Practice (P4) experiment, which was conducted from 2007 to 2012. The leading organizations that regulate family medicine residencies allowed JPS and 13 other programs across the U.S. to blow up their curricula and start all over. JPS innovated its curriculum in two primary ways. This is a report on some of our preliminary results.
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Texas Family Physician - Vol. 66 No. 1, Winter 2015
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CONTENTS
Texas Family Physician of the Year 2014-15: Russell Thomas, Jr., DO, MPHThis year’s Physician … more