jjfrey3md.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

As the National Intern/Resident Match details become clear, the decreasing number of US MD and DO grads, the decreasing number of US IMG grads raise real questions about the future of many residency programs: number, location, and sponsorship. Time for an honest look at the future @aafp.bsky.social

submitted 21 hours ago • 0 comments

For those of us who have practiced and worked from the time of Medicare becoming law until now, the ACA has not only saved lives but has moved us toward the ultimate goal of universal coverage. A great article. @aafp.bsky.social www.healthaffairs.org/content/fore...

submitted 1 day ago • 0 comments

The demise of USAID: time to rethink foreign aid? - The Lancet www.thelancet.com/journals/lan...

submitted 3 days ago • 0 comments

Don McNeil, late of the NYT, with a scorcher on RFK Jr in the Washington Post: wapo.st/41ICahj

submitted 5 days ago • 354 comments

In today’s episode, we discuss the health impacts of adverse childhood experiences, and how our system for measuring them came to be. Listen here 🎧: pod.link/73329284/epi...

submitted 4 days ago • 30 comments

Health science students interacting with older patients virtually, learned a great deal about patients and their own attitudes. Now make it live, home based primary care, mixed with virtual and learn even more. url:https://journals.stfm.org/primer/2025/reilly-2024-0019/Me @aafmidlands.bsky.social

submitted 4 days ago • 0 comments

All communities can contribute to renewable energy. A community-led approach to electric transportation planning: nextcity.org/urbanist-new...

submitted 4 days ago • 0 comments

The progressive agenda for the next decade (it will take that long) is to achieve universal coverage for all Americans, simplify the process, and control insurance companies and private equity in health care. Americans Prioritize Strengthening Medicaid and Medicare www.milbank.org/2025/03/amer...

submitted 4 days ago • 0 comments

Over 100,000 seats are up for grabs in 2025 — governors, mayors, city councils, state representatives, judges, school boards, and more. Taking back our power starts now.

submitted 6 days ago • 1102 comments

We just wanted to take a moment to thank all our new supporters! Tomorrow, there will be more of us!

submitted 7 days ago • 1298 comments

Why can't a man be more like a woman?......."Women advocates and men critics: How referees' gender influences candidates' likelihood of receiving a promotion" www.sciencedirect.com/science/arti... @aafp.bsky.social @adfm.bsky.social @aafp.bsky.social @adfm.bsky.social

submitted 6 days ago • 0 comments

Unhoused individuals in rural communities are often less visible and have a different set of circumstances but suffer from many of the same causes as urban unhoused. wmjonline.org/wp-content/u... @aafp.bsky.social

submitted 8 days ago • 0 comments

A vivid story of what happens to patients in an over served community "teeming with specialists but lacking primary care clinicians" @aafp.bsky.social Primary care clinicians are the glue to health and wellness. Their shortage spells trouble www.statnews.com/2022/02/04/p... via @statnews.com

submitted 8 days ago • 0 comments

One of the worst "messages" from prevention I have seen: don't do anything, just sit there and wait for proof and until then, tick boxes. @familymedicinefam.bsky.social jamanetwork.com/journals/jam...

submitted 13 days ago • 0 comments

The US Preventive Services Task Force gives an "insufficient" recommendation to screening for food insecurity. Huh?? For primary care practices to be successful in communities and partner with appropriate agencies, they have to find ways to address insecurity locally. @aafp.bsky.social

submitted 13 days ago • 0 comments

#Caregiving is one of the most universal human experiences, yet stigma and barriers exist within the US workforce for family #caregivers. Our recent report offers recommendations to support and protect family caregivers in STEMM. Learn more: buff.ly/gz4YhNk

submitted 14 days ago • 0 comments

This always was and should still be a part of primary care practices. Piecework and “efficiency” push against it but community centered patient care (housecalls) works best in a practice that is comprehensive and continuous. @aafp.bsky.social

submitted 14 days ago • 0 comments

Pharmacists in general practice are popular with patients and with GP employers – but their recruitment from a struggling community pharmacy sector has left its mark. #PharmSky #MedSky #GPSky

submitted 15 days ago • 2 comments

Federally Qualified Community Health centers receive increased reimbursement from Medicaid to balance the care they provide for uninsured patients in needy urban and rural communities. Threatening that will eliminate care, force some FQHCs to close or reduce care and close more rural hospitals.

submitted 20 days ago • 0 comments

Collective action for better care for patients and communities and better working conditions for clinicians has a long history in the US. We did in 1970 in Chicago at Cook County. I suspect specialty docs feel the same way in many cases. Join together!! @aafp.bsky.social

submitted 20 days ago • 0 comments

Any system that invests in primary care, encourages long term relationships with a personal physician will have more positive results for patients and costs. @aafp.bsky.social

submitted 20 days ago • 0 comments

Government policies can improve health and life expectancy. Changing life expectancy in European countries 1990–2021: a subanalysis of causes and risk factors from the Global Burden of Disease Study 2021 - The Lancet Public Health www.thelancet.com/journals/lan...

submitted 20 days ago • 0 comments

I am looking for examples of urbanism and design of smaller communities that focus on walkable or public transportation to meet personal and family needs that include medical care - primary medical care - in small offices in neighborhoods. Would love to read about them and find out how they function

submitted 20 days ago • 0 comments

Shrinking social infrastructure : Covid protocols kept people away from their favorite spots and restaurants and ultimately led many businesses to shutter, a permanent loss for communities. www.nytimes.com/2025/02/28/b...

submitted 21 days ago • 0 comments

This process has been very important and needs wider audiences. @aafp.bsky.social @familymedicinefam.bsky.social

submitted 21 days ago • 0 comments

Nice article. Learning how to talk about uncomfortable issues requires trust and eye contact, not ticking boxes and looking at computers. Bring back the human to the clinical interaction. @aafp.bsky.social

submitted 21 days ago • 0 comments

time to take these data to local newspapers across America - talk with health reporters - they are the folks we need to reach. And have a local doc be interviewed and quoted. Public is getting their "data" from somewhere - we need to counter it.

submitted 21 days ago • 1 comment

Paramedic or GP consultations in primary care - Patients report similar outcomes with practice paramedics, but reduced confidence in care, poorer safety promotion, and communication issues. doi.org/10.3399/BJGP... #GPworkforce #GPParamedic #ParamedicSky #PrimaryCareSky

submitted 22 days ago • 0 comments

Light has been traveling from these stars that are 1000 times the size of the sun for 13 billion years to be seen by us. "the sea is so large and our boat is so small" Stars made from only primordial gas finally spotted, astronomers claim | Science | AAAS www.science.org/content/arti...

submitted 21 days ago • 0 comments

keep an eye on this process and let them know what you think.

submitted 22 days ago • 0 comments

The valuation process for #PrimaryCare services has systemic flaws that impact public and private sector health care payments. A new report from @NASEM_health recommends processes to address these flaws and improve primary care for all. Access the report: bit.ly/4bozVUz

submitted 24 days ago • 1 comment

(Health Affairs) Call me old school, but when Don Berwick talks...I listen. Investment in #primarycare, #SDOH, incentivizing #population health, and improving #transparency and #accountability sound like the ideal menu for #Canada, too.

submitted 26 days ago • 0 comments

New data suggest the public's top priority for the NHS is improving GP access But government's headline NHS pledge is reducing elective waiting times Hospitals risk crowding out other priorities Polling @healthfoundation.bsky.social @ipsosintheuk.bsky.social: www.health.org.uk/reports-and-...

submitted 27 days ago • 2 comments

I grew up on #Medicaid. I take Medicaid in my #PrimaryCare practice even though it pays much less than Medicare and other insurance. My patients and our country need Medicaid to be stronger for the future, not weaker. @aafp.org #medsky #fmsky www.aafp.org/news/blogs/a...

submitted 25 days ago • 0 comments

One last thing I’ll say about this is that judging by people’s messages, the audio version has some stuff not in the edited online transcript, including a discussion of the false tension around empathy in journalism, and a bit about paying attention to sparrows.

submitted 30 days ago • 17 comments

Have they solved the "too few family docs and fewer in places of need" that is vexing the rest of the world? Would love to know how....

submitted 29 days ago • 0 comments

As we drive around the country, try to notice and credit farmers who are using no till and planting in strips. www.washingtonpost.com/opinions/202...

submitted 29 days ago • 0 comments

GPs and patients are feeling the effects of the crisis in #GeneralPractice - especially in deprived areas. Gateshead GP Dr Paul Evans took @theguardian.com inside his surgery to show the impact of the crisis. #RebuildGP #TeamGP www.theguardian.com/uk-news/vide...

submitted 34 days ago • 0 comments

An strange article that shows that integrated behavioral health in community health centers had a high uptake and outlines reasons for success. The conclusions focus on barriers rather than celebrating successes. www.jabfm.org/content/37/5... @aafp.bsky.social

submitted 32 days ago • 0 comments