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#HIV #Research #NIHRTakePart
#GPSky #AcademicSky
#PrimaryCareSky
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#PrimaryCareSky
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YAY!
After so many failed attempts, my #NIHR grant proposal examining care gaps of older people living with #HIV using primary care electronic health records has reached the second stage!
I got 6 weeks to work on it and submit before my annual leave!😅
#HIVSky #AcademicSky #PrimaryCareSky #GPSky
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Does anyone have any experience of recruiting a community psychiatric nurse that is practice or PCN based? Could it be an ARRS role?
We are finding more and more people with mental health problems slipping through the silos of statutory MH services.
#PrimaryCareSky #GPSky #MentalHealthSky
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Effective Date: October 2025
NOTE: Remission and Resolved from a coding stand point is different.
👉🏾👉🏾👉🏾 Stay Tuned For More 👈🏾👈🏾👈🏾
#signalboost #physiciansky #primarycaresky #familypracticesky #vitalmedsky #cimcsky #medicalcodingsky
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Figure showing the five-step human-centered design approach. The five-step human-centered design approach started with interviews of representative users and advisory group guidance (steps 1 and 2) to inform the development of a CD prototype (step 3). Usability testing helped to identify needs for improvement and the advisory group reviewed changes during iterative design cycles (step 4). After completion, we conducted the implementation effort evaluation (step 5).
NEW: Development and Evaluation of Clinical Decision Support for Immigrant #ChildHealth Screening in #PrimaryCare
www.thieme-connect.de/products/ejo...
#MedSky #PedSky #PrimaryCareSky #CDS #Usability
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A few things caught me eye in the 2025 @gmcuk.bsky.social National Training Survey 2025:
www.gmc-uk.org/education/ho...
#MedSky #PrimaryCareSky #GPSky #GeneralPractice
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podcasts.apple.com/us/podcast/t...
#medsky #primarycaresky #ruralmedicinesky
this pod should be mandatory 👂. This doc-advocate is incredible &bears compassionate witness on M’caid expansion ¤t threats 2it
2those who say med education should stay out of sociopolitical contributors, LISTEN 👇
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Hey #medsky #primarycaresky
When is enough enough?
When does a legislature finally legislate?
When is there a fiduciary responsibility when that is what should be legally expected?
h/t @drmommy.bsky.social on the share
Check the short doc out
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Hey #medsky #primarycaresky
H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share
Check this out for some #diplomaticdefiance skill building 👇👇
Of particular relevance, primary care …
www.fixmoralinjury.org/centerline/t...
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Hey #medsky #primarycaresky
Might have typed this to a friend in an Epic meeting this morning, stirring pot (nah!) from early retirement:
I want the EHRs to be as good at patient and panel centered documentation as they are at being billing instruments. That’s it, just say that and walk out.
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Hey #primarycaresky #medsky
So they’re coming for all our screening data now?
www.axios.com/2025/07/09/r...
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#medsky #primarycaresky #pediatricssky #obgynsky #geriatricssky
Newly retired, just wrote this to a group that works on preserving #healthcare in US :
-> 1/5
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Hey #medsky #primarycaresky
Just retired from medical center/residency teaching 33 year career reflection :
Exit interviews are important, they’re ok
I believe sooo much more in STAY interviews, though
Support each other, touch base, mentor!
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#primarycaresky #medsky
Political harm committed under the cover of ‘waste, fraud and abuse’ are bottomless
Social determinants of health are political - redlining, caste protection, inertia
When a single person w diabetes or asthma is bureaucratically denied coverage, it’s immoral &criminal
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Hey #primarycaresky #medsky
Budgets reveal values
Intended widening of fortunes, good and ill, is an expression of values
Hurting those who voted for you is betrayal, they’ll see it with the indignity of no access for medical care
This is a #healthcare denial bill. And for what?
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The multi source squeeze on the viability of #primarycaresky is palpable.
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Hey #medsky #primarycaresky
Love 💕 posts like this.
I learned
Breath of the freshest air in days like these
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#medsky #primarycaresky
There are just too many buffoons w horrific influence on our #patients right now
Hubris kills
Buffoons brimming with hubris and Dunning-Kruger, we’ve got to defend against them.
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#medsky #primarycaresky
#healthcare should be seen as a public good
Not an object of financialization
Swaths of humans are losing care sites, &financial cannibalism marches on
Legislators: why? Where are you?
CMS: Fee scales are compounding the mess
Doc-leaders: Please don’t get engulfed
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Hey #medsky #primarycaresky #hospitalmedicinesky
Near retirement, next reflection
There are a LOT of margin driven and greedy entities extrapolating profit off the backs of patients and communities in our spaces
Why isn’t there a shred of regulation aimed at that predatory space?
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Long hours. Buried in paperwork. Fighting for our patients while fighting against the system.
It’s not sustainable—it’s not what we signed up for.
We didn’t go to med school to check boxes. We went to care.
We need to change the system.
And we need to start now.
#MedSky #PrimaryCareSky #Burnout
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#medsky #primarycaresky #proudtobeGIM
Next near retirement reflection
So many suffer from #anxiety w so many societal &socioeconomic root causes
Access 2psychiatry is strained
So we are a busy safety net
There4, SDH care/behavioral hlth integration w primary care is a safety/quality essential
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#medsky #primarycaresky #healthcaresky
1/ I’m hearing a patient’s patriotism can be judged by their medical problem list!!
It’s patriotic to stay healthy?!?
Perhaps primary care docs not into weight/anxiety/depression/chronic pain/environmental asthma/non tobacco (&tobacco) related COPD/ .. ->
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#medsky #primarycaresky #mededsky
My wife, Dr Ru, found this today
Mother’s Day is a 🙏🏻 to every woman who has ever hugged a baby, kissed a boo-boo, taught a lesson, listened closely, cared deeply, &passed on her love &wisdom 2someone in the world who needed her
To all: your patients also 🙏🏻 you
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#medsky #primarycaresky
Another near retirement reflection:
Only.05 on the US #healthcare $ is spent on primary care, on our connective coordinators, preventers, diagnosis makers
Reform doesn’t seem 2be coming
We need laws aimed at CMS/payers setting a higher minimum of support 4the foundation
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Hey #mededsky #medsky #primarycaresky
Some impending retirement reflecting ..
Don’t be overly taken w the provider (🙄) or panel metric
Fulfillment doesn’t live there
Preserve your being taken by the human messy measureless space between the vulnerably ill &the compassionate talent u bring
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Hey #IMsky #primarycaresky #familymedicinesky #pediatricssky
What he 👇👇 said
The happiness of foundational primary care docs is a prime (indivisible!) determinant in anything calling itself a #healthcare system
There remain accelerants to our dwindling which MUST be addressed
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Hey #primarycaresky #pediatricssky #IMsky #medsky
Trust me. You’ll get all the ‘I’ve been seen’ feels from this excellent episode of this excellent podcast
🙏🏻🙏🏻 @wdeanmd.bsky.social @allisonpugh.bsky.social
podcasts.apple.com/us/podcast/4...
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