Learning and growing together
The chief executive and chief medical officer of Spectrum Community Health CIC reflects on her experience as a clinical partner in the HMP Holme House drug recovery prison pilot Related items fromOnMedica Seaside towns top heroin deaths league table for England and Wales US Painkiller restrictions linked to rise in illegal drug trading NICE says new prisoners should be tested for infections Prisoners have right to health care as good as community care Drive to cut drug supply and use in prisons (Source: OnMedica Views)
Source: OnMedica Views - August 7, 2018 Category: Primary Care Source Type: news

Rise of'JUULing' Among Youth Sparks Sharp Response
JUUL, a popular brand of e-cigarette, is the focus of an FDA crackdown, multiple lawsuits and, most recently, an ongoing investigation by one state's attorney general. The AAFP has created resources to help educate family physicians and their patients about the device. (Source: AAFP News)
Source: AAFP News - August 6, 2018 Category: Primary Care Source Type: news

New Wichita health insurance platform ties provider incentives to outcomes
Primary care providers will be graded on metrics, such as improving access to care and identifying people who are at a high risk for illness or disease. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 6, 2018 Category: Biotechnology Authors: Josh Heck Source Type: news

Can You Identify These Famous Fictional Physicians? Can You Identify These Famous Fictional Physicians?
Take this Medscape quiz to see if you can you identify some of the most famous fictional physicians -- and their authors -- in literature.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 6, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Interactive Quiz Source Type: news

Round up: the story behind the resignation of NHS England's director of primary care
NHS England director of primary care Dr Arvind Madan resigned on 5 August following controversy over inflammatory online comments.  Dr Madan was appointed as NHS England director of primary care in October 2015 and part of his remit was to design and implement the General Practice Forward View.  So why did Dr Madan decide to resign? Here is a summary of his final turbulent days as NHS England's top GP. The straw that broke the camel's back Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - August 6, 2018 Category: Practice Management Authors: vfiore Tags: *** Editor ' s Pick Patients Practice development Latest News Source Type: news

Round up: the story behind the resignation of NHS England director of primary care
NHS England director of primary care Dr Arvind Madan resigned on 5 August following controversy over inflammatory online comments.  Dr Madan was appointed as NHS England director of primary care in October 2015 and part of his remit was to design and implement the General Practice Forward View.  So why did Dr Madan decide to resign? Here is a summary of his final turbulent days as NHS England's top GP. The straw that broke the camel's back Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - August 6, 2018 Category: Practice Management Authors: vfiore Tags: *** Editor ' s Pick Patients Practice development Latest News Source Type: news

Telepharmacy Boosts Drug Adherence (CME/CE)
(MedPage Today) -- Trial included patients with poorly controlled hypertension, hyperlipidemia, diabetes (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 6, 2018 Category: Primary Care Source Type: news

Medical Educator Is Keen on Evidence
Whether through conference presentations, journals, mentoring or podcasting, Steven Brown, M.D., is delivering evidence-based medicine to students, residents and physicians. (Source: AAFP News)
Source: AAFP News - August 6, 2018 Category: Primary Care Source Type: news

RCGP warns on website prescribers
BBC Panorama programme raises concerns about patients buying prescriptions online Related items fromOnMedica GPs should be told when patients have cosmetic surgery CQC finds safety concerns with online primary care Multidisciplinary prescribing can help reduce errors One in five antibiotics prescribed by GPs is unnecessary BNF made available on computer desktops (Source: OnMedica Latest News)
Source: OnMedica Latest News - August 6, 2018 Category: UK Health Source Type: news

Top GP quits over online posts
Dr Arvin Madan 'pleased' to see small GP practices close Related items fromOnMedica GPs warn government: fund service properly or it will collapse GP recruitment time-bomb ‘ready to explode’ GP numbers have fallen by 1,340 in just two years Primary Care Home has positive impact on care and services Study shows why GPs quit patient care (Source: OnMedica Latest News)
Source: OnMedica Latest News - August 6, 2018 Category: UK Health Source Type: news

Partnering with a purpose: making collaboration work
Better joined up services can only work with the full engagement of primary care and particularly general practice. (Source: NHS Networks)
Source: NHS Networks - August 6, 2018 Category: UK Health Source Type: news

Physician Productivity, Compensation Leveling Off: HealthLeaders Media
(MedPage Today) -- 2017 was the first year in more than a decade that physician compensation increased by less than 2% (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 5, 2018 Category: Primary Care Source Type: news

NHS England's most senior GP resigns over anonymous online posts
Dr Arvind Madan, NHS England's director of primary care, wrote remarks on a medical forum. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - August 5, 2018 Category: Consumer Health News Source Type: news

Severe Vasculitis Linked to Cocaine Adulterant
(MedPage Today) -- Skin lesions prominent in levamisole-associated vasculitis (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 5, 2018 Category: Primary Care Source Type: news

Bipolar Disorder & Finding the Right Psychiatrist
Finding the right psychiatrist is a difficult task. For me it took almost 10 years and three different doctors. It seems like finding a doctor would be a simple thing, however it’s very personal and you are putting yourself in a vulnerable position when you speak with a psychiatrist. By the time you get to a psychiatrist you have either spoken with your primary care doctor or a therapist who have referred you to go see the psychiatrist. So, you have already told someone your secret of not feeling well mentally and the fact that you feel like you need some help. Most people go to see a psychiatrist reluctantly. When...
Source: Psych Central - August 5, 2018 Category: Psychiatry Authors: Tosha Maaks Tags: Bipolar General Personal Stories Psychiatry Psychotherapy Bipolar Disorder Psychiatrist Therapeutic Relationship Source Type: news

Safety of Fentanyl REMS Questioned at FDA Advisors Meeting
(MedPage Today) -- Some researchers say'red flags'have been present for years (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 5, 2018 Category: Primary Care Source Type: news

Students, Residents Elect New Leaders for the Coming Year
Delegates to the National Congress of Family Medicine Residents and the National Congress of Student Members chose new leaders Aug. 4 to represent them in the coming year. (Source: AAFP News)
Source: AAFP News - August 4, 2018 Category: Primary Care Source Type: news

Is Being Busy Really Better?
(MedPage Today) -- Must reads about the latest news and trends in healthcare careers (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 3, 2018 Category: Primary Care Source Type: news

iMedicalApps: SmokerStop App Review
(MedPage Today) -- Can this motivational tool help patients? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 3, 2018 Category: Primary Care Source Type: news

Try These Techniques to Boost Adolescent Immunizations
Residency programs that won AAFP Foundation Adolescent Immunization Awards share techniques that helped them boost vaccination rates for the following vaccine-preventable diseases: influenza; tetanus, diphtheria and pertussis; HPV infection; and meningitis. (Source: AAFP News)
Source: AAFP News - August 3, 2018 Category: Primary Care Source Type: news

Study Clarifies Mutation Role in NSCLC
(MedPage Today) -- EGFR T790M status at osimertinib resistance may guide therapy (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 3, 2018 Category: Primary Care Source Type: news

' Not All About Genitalia': What We Heard This Week
(MedPage Today) -- Quotable quotes from MedPage Today's sources (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 3, 2018 Category: Primary Care Source Type: news

ECRI to Maintain Shuttered National Guideline Clearinghouse ECRI to Maintain Shuttered National Guideline Clearinghouse
The nonprofit organization plans to provide a centralized repository of evidence-based clinical practice guideline summaries and other information on a website set to launch in September.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 3, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

National Guidelines Clearinghouse Work to Continue National Guidelines Clearinghouse Work to Continue
The nonprofit organization plans to provide a centralized repository of evidence-based clinical practice guideline summaries and other information on a website set to launch in September.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 3, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

7 Questions on Complicated Headaches
Primary care clinicians may be the first to note an abornal headache pattern that calls for referral. What do you know about these not-so-simple headaches? (Source: ConsultantLive)
Source: ConsultantLive - August 2, 2018 Category: Internal Medicine Authors: Linda Peckel Tags: Headache and Migraine Source Type: news

Study Shows Antibiotic Prescribing Lowest in Medical Offices
Research recently published online inJAMA Internal Medicine found that clinicians in medical offices wrote the fewest antibiotic prescriptions per total number of visits compared with those in other clinical settings. (Source: AAFP News)
Source: AAFP News - August 2, 2018 Category: Primary Care Source Type: news

Cigar Makers Skirt Flavor Bans With Ambiguous Labels
(MedPage Today) -- Cigarillos increasingly have'flavor non-descriptive'names, study finds (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

Joint Replacements Linked to Gout?
(MedPage Today) -- Risk is elevated both before and after gout diagnosis (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

IL-23-Specific Antibody Ups Response in Anti-TNF-Refractory Crohn's
(MedPage Today) -- Subcutaneous risankizumab also looks promising for maintaining remission (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

Serena Williams: Women's Healthcare Hero?
(MedPage Today) -- Yes! She's a champ on the tennis court and could prevent maternal death (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

Patients With PCOS Lack Faith in Primary Care Physicians Patients With PCOS Lack Faith in Primary Care Physicians
In the survey comparing healthcare experiences, patients with polycystic ovary syndrome expressed a lack of confidence in the ability of primary care providers to adequately address their condition.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 2, 2018 Category: Consumer Health News Tags: Diabetes & Endocrinology News Source Type: news

Shh! You Never Know Who's Listening
(MedPage Today) -- A note to all providers -- mum's the word around patients (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

Doctors Who Can't Hack It
(MedPage Today) -- Are burnt-out MDs really just quitters? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 2, 2018 Category: Primary Care Source Type: news

Is It Right to Ask a 4-Year-Old to Donate Bone Marrow? Is It Right to Ask a 4-Year-Old to Donate Bone Marrow?
Can a young child really consent to a possibly-painful procedure to save a sibling? Dr Art Caplan discusses how to decide such cases.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

DaVita outsourcing most of pharmacy division
The move comes as the company is in the midst of selling its managed-care division and already has sold its direct-primary-care division. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 2, 2018 Category: American Health Authors: Ed Sealover Source Type: news

CCG loses high court battle to close urgent care centre
A High Court judge has thrown out plans by a CCG to replace a walk-in urgent care centre with an appointment only primary care hub. (Source: HSJ)
Source: HSJ - August 2, 2018 Category: UK Health Source Type: news

AAFP, Insurers Back Medicare Bid for'Site-Neutral' Pay AAFP, Insurers Back Medicare Bid for'Site-Neutral' Pay
Medical specialty groups and insurers are supporting a plan to end higher Medicare pay for hospital-owned practices for clinic visits.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Gender Pay Gap Persists for Doctors, Especially in Maryland Gender Pay Gap Persists for Doctors, Especially in Maryland
In Maryland, male physicians make 50% more, a survey shows, even though starting salaries are the same. Pay gaps persist even when comparing the same number of hours worked in the same specialty.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Clinical relevance of bacterial resistance in lower respiratory tract infection in primary care: secondary analysis of a multicentre European trial
This research article found no statistically significant difference in duration of symptoms, mean symptom severity and worsening of illness between antibiotic resistant and antibiotic sensitive infections (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 2, 2018 Category: Consumer Health News Source Type: news

The Integrator: Integrated care providers, finally, make a breakthrough
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by correspondent Rebecca Thomas (Source: HSJ)
Source: HSJ - August 2, 2018 Category: UK Health Source Type: news

Health Care Practices That Excel in Hypertension Control Health Care Practices That Excel in Hypertension Control
Are there common characteristics of health care practices that achieve effective hypertension control rates at or above 70%?Preventing Chronic Disease (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Burnout in Small Urban Independent Primary Care Practices Burnout in Small Urban Independent Primary Care Practices
Do burnout rates and associated factors differ between providers practicing in small independent primary care practices compared to those in hospital settings or large practices?Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 2, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

GP out-of-hours service in Wales floundering
RCGP launches five-step action plan Related items fromOnMedica Distress signal system needed to spot GPs at breaking point The incredible invisible bed crisis GPs in catch-22 over appointment length and rising demand Decade of underfunded primary care must end, says GP leader Winter A&E waiting time cases quadruple over seven years (Source: OnMedica Latest News)
Source: OnMedica Latest News - August 2, 2018 Category: UK Health Source Type: news

Mythbusters and tips
The Care Quality Commission has updated mythbusters and tips for general practice and dentistry. They are designed to help providers with the CQC inspection process and share agreed guidance and best practice. (Source: NHS Networks)
Source: NHS Networks - August 2, 2018 Category: UK Health Source Type: news

Disruptive innovation? Online consultation and general practice
New tools and services are already allowing general practice to work in new ways. They range from systems that enable practices to improve patient flows to AI based apps that do some of the work of GPs and services where the only face to face contact between doctor and patient is on a screen. (Source: NHS Networks)
Source: NHS Networks - August 2, 2018 Category: UK Health Source Type: news

Heavy Drinking, Abstinence Both Tied to Higher Dementia Rates
(MedPage Today) -- No evidence that 1 to 14 drinks/week was associated with increased dementia risk (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 1, 2018 Category: Primary Care Source Type: news

Cardiovascular Risk Assessment for Primary Care
Cardiovascular risk assessment is mostly science but also an art, in part. Get an at-a-glance review here of the risk factors and algorithms that combine both. (Source: ConsultantLive)
Source: ConsultantLive - August 1, 2018 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Cardiovascular Disease Source Type: news

AI for Adverse Drug Events: Pharmacy Practice News Report
(MedPage Today) -- Also, common causes for medication errors (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 1, 2018 Category: Primary Care Source Type: news

HBV Treatment Improves Liver Ca Surgery Outcomes
(MedPage Today) -- Microvascular invasion, early tumor recurrence reduced (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 1, 2018 Category: Primary Care Source Type: news

Short-Course Tx Feasible for Preventing Active TB
(MedPage Today) -- Four months of rifampin non-inferior to standard 9-month isoniazid regimen (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - August 1, 2018 Category: Primary Care Source Type: news