Category Archives: Family Medicine

Smart Creates Interactive Program to Increase Access to Healthcare, STEM-Related Fields | Newsroom – UNC Health and UNC School of Medicine

Danae Smart, MD, MS, second-year family medicine resident at the UNC School of Medicine, created Healthcare Sparks to inspire the next generation to consider professions in healthcare and related fields.

CHAPEL HILL, NC Danae Smart, MD, MS, noticed a disparity in many pre-college-aged students access to healthcare and STEM-related fields early in her time in medical school at Loma Linda University in California. In response, Smart, now a second-year resident at UNC Family Medicine, created Healthcare Sparks at the end of her first year of medical school to encourage professionals in training to engage with middle and high school students with the goal of sparking their interest in medicine and related scientific fields.

Smart emphasizes the need for representation in healthcare, stating,I believe there must be more diversity in healthcare. Lack of resources and lack of exposure to black and brown healthcare professionals are two barriers that inhibit minority students from pursuing health careers, barriers which Healthcare Sparks addresses.

The program, initially supported through the Healthy Neighborhood Projects program at Loma Linda, began with an afterschool enrichment program in San Bernadino and included many children coming from households of incarcerated parents. The sessions were led by medical students and explored basic anatomy and physiology concepts reinforced with educational games, using an interactive Healthcare booklet that Smart has now published.

Starting her residency at UNC Family Medicine, Smart hoped to expand the program to more institutions, noting the positive feedback from students.

I conducted a survey at the US Dream Academy in San Bernadino, and all of the respondents reported learning more about science and being more interested in health careers since starting Healthcare Sparks, Smart said. Feedback at Culbreth Middle School in Chapel Hill was similar, with students noting the session was better than they expected, and that they didnt know a science lesson would be so enjoyable.

With the use of the published Healthcare Sparks book and video resources available on the website, the goal is to have more professionals in training who can lead the learning sessions.

Ultimately, I hope Healthcare Sparks inspires students to pursue health careers and creates mentorship opportunities for volunteers who decide to start the program at their institutions, Smart said. I want students to see providers who look like them and to know they can achieve whatever goals they aspire to.

To learn more about the program, watch this video and visit healthcaresparks.org.

Media contact: Reid Johnson, Communications Director, UNC Family Medicine

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Smart Creates Interactive Program to Increase Access to Healthcare, STEM-Related Fields | Newsroom - UNC Health and UNC School of Medicine

NJ Doctor Practices the ‘Art’ of Primary Care with Patients – Hackensack Meridian Health

When family medicine doctorAmelia Pawaroo-Balram, M.D., was still in high school, she was considered a budding artist skilled at drawing and painting, who won awards in local competitions. Her parents thought she would follow that creative path in college, but she surprised them by saying, Im going to study medicine.

Born in New York, she grew up in Montville, New Jersey, with her parents, who are from Guyana, South America. With ancestors from India, she completed her academic studies at St. Matthews University School of Medicine Grand Cayman, and her residency at St. Josephs University Medical Center in Paterson, New Jersey.

Dr. Pawaroo-Balram began her practice withHackensack Meridian Health in September 2023, and is now affiliated withHackensack University Medical Center.

Because of my international background, I enjoy working with people from different backgrounds, and I can assimilate into different scenarios. I like working as a team with my patients to achieve a common goal. Just like my patients, I get excited when the information comes together perfectly to achieve that.

Spending time with my 5-year-old daughter, Madisonwho is going on age 20is such a joy. Shes into art, as well. She told me she wants to be a doctor because then she can work with me!

I fund the Wi-Fi at an orphanage in Guyana. When my daughter grows out of her clothes, I pack them up and send them there, too. I used to send baby bottlesI mean, I had 20 at one time, and I think of someone there who has none, and how important that one thing is to them. I want to continue to remain grounded, and this helps me.

Bill Gates. His story is so inspiring: dropping out of college, then starting Microsoft and doing so well as a global business leader and philanthropist. He used his creativity to mold technology, and its a big reason why we are where we are with tech today. I have a ton of questions for him!

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.

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NJ Doctor Practices the 'Art' of Primary Care with Patients - Hackensack Meridian Health

Mommy Minute: What to keep in your medicine cabinet – Yahoo! Voices

We keep all sorts of things in our medicine cabinets but whats really essential to have on hand?

Neha Vyas, MD, family medicine physician for Cleveland Clinic, said adhesive bandages are a must, but if theyre always falling off, you may want to try the liquid kind.

They actually make liquid bandages, which are really good for those cuts that are somewhat annoying and dont seem to hold very well with the adhesive bandages, said Dr. Vyas. They seem to hold up under water much better than the adhesive bandages.

Its also a good idea to have some type of pain reliever in your medicine chest.

And if youre prone to achy muscles, pain relieving patches may be useful.

Antacids can come in handy for the occasional bout with heart burn, upset stomach or diarrhea.

For itchy insect bites, hydrocortisone cream may provide relief.

Speaking of itch, people who suffer from allergies will want to stock up on some antihistamines.

Those are great to have around if you have the seasonal allergies, or right as youre starting to develop a respiratory infection and you have that runny nose or the sneezing, or the itchy, watery eyes, Dr. Vyas explained.

She recommends checking your medicine cabinet every six months to toss and replace expired items.

For the latest news, weather, sports, and streaming video, head to ABC27.

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Mommy Minute: What to keep in your medicine cabinet - Yahoo! Voices

Open House Held Thursday at Knoxville Hospital and Clinics – KNIA KRLS Radio

An open house was held Thursday at Knoxville Hospital and Clinics for the new Don and Margaret Long Infusion Center and Weiler Specialty Clinics.

The community came out to the hospital to celebrate the first phase of the $21 million expansion project. The Weiler Foundation Specialty Clinics, home to 24 visiting specialists, is located on the east side of the hospital and shares a waiting room with the Dr. Earl J. McKeever Clinic for family medicine. The Don & Margaret Long Infusion Center, located on the south side of the hospital, provides private treatment spaces featuring 12 treatment chairs with room for loved one support. Knoxville Hospital and Clinics CEO Kevin Kincaid says he was excited to see the communitys response to the effort.

People really wanted to have an open house. We were able to open this project about a month earlier than expected, so it kind of threw some of the original planning into a little bit of chaos when it came to, how do we do an open house when were already open? The community has been really flexible picking a good day that is good from a patient activity perspective. Its been a great turnout and we just love having people come see what we do.

The next phase of the construction project will focus on the Emergency Department, with work expected to begin this month.

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Open House Held Thursday at Knoxville Hospital and Clinics - KNIA KRLS Radio

Will $1 Billion Given to a Bronx Medical School Improve the Boroughs Health? – The New York Times

For Trevor Barker, a first-year student at Albert Einstein College of Medicine in the Bronx, the $1 billion gift from a longtime former professor that will eliminate tuition at the medical school could well be life-changing.

Mr. Barker works two campus jobs and sends money home to his mother in California. He had expected to graduate hundreds of thousands of dollars in debt. But the free tuition has made him ponder new options for his career.

I hadnt really been able to consider family medicine, but I might want to, he said.

Family medicine doctors do everything from delivering babies to caring for older people usually in underserved communities. Mr. Barker said he might consider practicing medicine in the Bronx, even though doctors there generally earn less.

The billion-dollar donation by Dr. Ruth Gottesman made national news last week for its generosity and because of her life story. It also resonated because it did not go to a school in Manhattan, where top medical and educational institutions are regularly feted with gifts from billionaires.

Instead her gift went to the only medical school in the poorest and unhealthiest county in New York State: Einstein, a well-regarded medical school with over 1,000 students that is affiliated with a major hospital, Montefiore Medical Center. Almost immediately, doctors and health experts began to consider what effect it would have on health care in a borough with high rates of chronic diseases like diabetes and asthma, and with relatively few primary care physicians.

Dr. Gottesmans gift is intended to help Einstein and its medical students and encourage more lower-income students to apply to medical school. It might also encourage students like Mr. Barker to practice medicine in the borough. And some health care experts and doctors were optimistic that the boon to Einstein would be felt beyond the campus, with a trickle-down effect that would eventually improve health care across the Bronx.

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Will $1 Billion Given to a Bronx Medical School Improve the Boroughs Health? - The New York Times

Five Questions to Consider to Maintain Your 2024 Health Goals – McLaren Health Care

January 05, 2024

Author: McLaren Flint

The new year brings about peoples collective resolutions, aiming to improve an aspect of their individual lives.

One of the most popular resolutions is health.

Countless people have resolved to better themselves and their overall general health through increased exercise, more conscious food choices, and the avoidance of some bad habits.

While you are setting your goals and cementing your commitment to them, set yourself up for lasting success by considering these five questions, and discussing them with your primary care provider.

What is the current state of your health?

Knowing your vital stats (such as blood pressure, heart rate, cholesterol, body mass index, etc.) is a great way to establish a baseline. This will allow you to create specific goals and track your progress.

What would you like to do?

Do you want to lose weight or body fat? Improve your diet? A persons general health is a vague subject. Increase your chances for success by clearly defining what youd like to improve upon.

Don't try to make big changes right away, said Heather Werlinger, certified family medicine nurse practitioner at McLaren Flint-Community Medical Center. Start with one small change. For instance, if you are trying to lose weight, instead of trying to rearrange your entire normal diet and exercise routine, start by reducing your portion size. Instead of eating out for lunch, start packing a lunch. Instead of taking the elevator, take the stairs. After you have implemented these changes for 3-4 weeks and they become a habit, then add more. This will help to make long term change by creating healthy habits.

What is your plan for achieving this goal?

Will you start exercising more or adjust your diet? Choose a path that best fits your routine and personality to create healthy habits that will create lasting success.

Keep a journal to track your progress, said Werlinger. Get your family involved so you can do it together. Make regular appointments with your health care provider so they can help keep you on track. I love it when patients come in and we can celebrate removing a blood pressure medication because they have lost weight.

Are your expectations realistic?

Its easy to say youll run 10 miles a day, but will you stick to it day in and day out? Is it even possible to lose 30 pounds in 30 days? Unrealistic expectations will ultimately lead to discouragement, prompting the abandonment of goals and any resolve to achieve them. Consult your doctor to set realistic expectations and reasonable timelines.

Joyce John, certified nurse practitioner at McLaren-Flint Grand Blanc Community Medical Center says being specific when setting goals and setting well defined goals that are concrete rather than broad, can help keep your expectations realistic. For example, instead of choosing a broad goal of "I want to exercise more, a more specific goal would be to walk 20 minutes a day. Its important to set reasonable, realistic, and attainable goals to prevent discouragement.

What is your motivation?

The steps taken to improve your general health are positive life changes, but what is your true motivation? Are you doing this for your family? To feel physically better? To feel mentally better? Know why youre striving after these goals, and remind yourself of it often.

It is all about creating healthy habits, said Werlinger. If you make small changes slowly, they eventually add up to bigchanges. Remember, you didn't get where you are overnight, you are not going to fix it overnight.

If you are in need of a primary care provider, visit us online at mclaren.org/primarycare.

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Five Questions to Consider to Maintain Your 2024 Health Goals - McLaren Health Care

How to Prioritize Preventative Health Care This Year – University of Colorado Anschutz Medical Campus

The beginning of the year often elevates health-focused resolutions, but one of the most beneficial goals may be one that keeps eluding your calendar: an annual check-up.

Preventative medicine has the ability to help people support their goals of staying healthy and help physicians catch any health concern early so that we can actually do more for them, says Cleveland Piggott, MD, MPH, associate professor of family medicine at the University of Colorado School of Medicine. When we catch illness later in its course, we're often more limited in what we can do.

Preventive health care screenings, vaccinations, and check-ins with a primary physician can save tens of thousands of lives each year, according to the U.S. Centers for Disease Control and Prevention, yet surveys continuously show that many Americans are putting it off.

There are several ways Piggott says people can put their health first this year by keeping up with regular preventative care and prioritizing important conversations with a family doctor.

The COVID-19 pandemic presented a major disruption in preventative health care for many, Piggott says. With the closure of some offices and fear of the coronavirus itself, many canceled or postponed visits, and may still be doing so.

Especially toward the later part of the pandemic phase, we found that people were presenting sicker, and there were illnesses that we could have caught and helped earlier, he says. This lapse in care made some elements of the pandemic worse, as we saw a huge drop off in vaccinations, especially in pediatric populations, for example. People couldnt get the preventative care that they needed to really stave off some of those illnesses.

Now, with more normal health care operations in place, Piggott says its a good time to commit to regular appropriate care, screenings, and vaccinations.

People associate an annual visit with bloodwork and recommended immunizations, but its also about talking through health goals and how we can support patients, especially when there may not be quick fixes, he says. We also try to support people with social determinants of health. That can mean pointing them toward resources if theyre struggling with food or housing insecurity and reminding them about other forms of care, including dental and vision check-ups.

The first step is making an appointment. Piggott recommends setting an annual reminder to schedule a doctors visit to keep from pushing it down the road.

Some of my patients make preventative health care part of their birthday month routine so they dont forget it, he says.

Its also important to pay attention to any reminders or messages coming from a provider. Doctors offices often also keep track of annual reminders.

Preventative health care can help doctors detect disease early, often allowing doctors more treatment and care options.

One example of this is colon cancer, Piggott says. Its generally a slow-growing cancer that, if caught early, has a good prognosis. Another is depression. If you haven't been feeling quite like yourself for a while, physicians have ways to support you, from getting access to a therapist to developing an exercise routine or prescribing necessary medications.

Building a relationship with a primary care doctor can also serve an important role in preventative health. Having a history with a provider can help them know when something is normal or not.

For those new or returning to preventative care this year, Piggott suggests doing some preparation work before the visit. Making a list of questions or concerns can be particularly helpful for both the patient and the doctor.

I think we've all been in moments where we have all these questions we want to talk to someone about and it floats out of our mind right when we are supposed to bring it up, he says.

Additionally, Piggott says to prioritize that list in order of most importance. A doctor may not be able to devote the thoroughness needed to a health concern if there are more than two or three concerns, but is happy to find a time to talk about them at a future visit. It can also be challenging or overwhelming as a patient as too many recommendations or changes from a doctor can be hard to follow through on.

Preventative care check-ins are a great time to learn and ask clarifying questions, especially as evidence and recommendations for screenings can change.

Your provider might not do labs or certain procedures at every preventative visit, for example, because of new evidence informing updated recommendations, Piggott explains. Evidence based preventative care in the context of a relationship with a trusted doctor is an important and often overlooked way to maintain health and improve your quality of life.

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How to Prioritize Preventative Health Care This Year - University of Colorado Anschutz Medical Campus

Column: Improve Medicaid payments for primary care in Virginia – The Virginian-Pilot

An ounce of prevention is worth a pound of cure. Despite this, we spend more than $4 trillion a year (18% of our GDP) on health care treatments with less than 6% of that amount going into primary care, which focuses on prevention of illness. Primary care providers include family physicians, internists, pediatricians, OB-GYN doctors, nurse practitioners and physician assistants that are the first stop for most people accessing our health care system.

Primary care in the United States is under tremendous stress. Office overhead expenses run 60-70%. Insurers require increased documentation in electronic health records and prior authorization requirements are frustrating and time consuming. There is an aging workforce and it is difficult to recruit new physicians into this challenging line of work. Many primary care doctors have retired or left private practice and joined large hospital-based systems.

Virginia expanded Medicaid coverage in 2018. Medicaid now insures nearly 1 in 4 Virginians, dramatically increasing the number of Virginians who have health insurance. There is a little discussed problem with Virginias Medicaid payment system however; the payment amount for services is only 72% of that for Medicare and even less than that compared to private insurance payments. Despite this, 76% of primary care providers continue to see Medicaid patients and 58% are taking new Medicaid beneficiaries.

I learned firsthand the financial problems that result from taking low Medicaid payments as the medical director of two large family medicine residency training practices over 17 years. More than a third of our patients had Medicaid and this percentage increased after Virginias 2018 Medicaid expansion. We continued to see more Medicaid patients who needed comprehensive care, but took significant financial losses for doing so. This led to eliminating essential staff positions, making it much more difficult to continue our mission of providing primary preventive care and treating chronic illnesses.

Many Medicaid patients have more severe chronic illnesses than those with private insurance, and thus it takes longer to see them and provide the complex care that they need. This contributes significantly to the stress of primary care doctors, since they are responsible for the many problems these patients have. Other insurance programs have a system for compensating providers with higher reimbursement for treating those with more severe illness and rewarding higher quality care with better payment. Medicaid has no effective system for doing this; payments remain 72% of the average Medicare reimbursement, despite many previous legislative efforts to get these payments to parity with Medicare.

Gov. Glenn Youngkin recently proposed his $84 billion budget for FY 2024 and has proposed tax cuts as noted by The Virginian-Pilot & Daily Press Editorial Board on Dec. 27 (A tax reform opportunity). There was a massive budget surplus in the last two years and much debate about how that money should be spent on many worthy causes. A compromise between tax cuts and spending in important areas was finally reached between Democrats and Republicans this past summer. This debate will go forward in the 2024 legislative session, which begins on Wednesday.

It would be a huge boost to our primary care workforce if the legislature were to act to provide Medicaid payments for primary care that are equal to those of Medicare. Estimates put the cost of this at $178 million dollars annually, which is only 0.2% of the total annual Virginia budget. Doing this would provide health care security to our less fortunate citizens by ensuring continued access to primary care services. Millions of future health care dollars would be saved by providing prevention and early treatment of chronic disease instead of treating much more expensive advanced illnesses. What could be a better investment in the future health of Virginians?

Dr. Bob Newman is a clinical professor of family medicine at Eastern Virginia Medical School in Norfolk. He is the author of Patients Compass, which is a guide to navigating the U.S. health care system, available online at yourpatientcompass.com.

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Column: Improve Medicaid payments for primary care in Virginia - The Virginian-Pilot

Rural America’s Obstetrical Care Crisis: The Vital Role of Family Physicians – BNN Breaking

Rural Americas Obstetrical Care Crisis: The Vital Role of Family Physicians

In the agricultural heartland of Cairo, Georgia, family physician Zita Magloire is a beacon of hope for pregnant women like Kenadie Evans. In a country grappling with high maternal and infant mortality rates, especially in states like Georgia and Louisiana, Magloire and her dedicated team at Cairo Medical Care deliver hundreds of babies every year. The clinic, nestled across from Archbold Grady Hospital, serves as a lifeline for an agricultural community, offering prenatal care and delivery services in an area where over half of all rural counties lack hospital delivery services.

The closure of many labor and delivery units across rural America is a chilling testament to the myriad challenges these regions face. High costs, declining populations, low Medicaid reimbursements, and staffing shortages have crippled healthcare services, leaving expectant mothers with few options for safe delivery.

In a bid to combat this healthcare void, the Department of Health and Human Services recently announced a substantial investment in rural programs. These include family medicine residencies equipped with obstetrical training, aimed at bolstering the ranks of rural healthcare providers. The American Academy of Family Physicians (AAFP) has found that family practice doctors are a crucial part of rural deliveries, with a recent survey indicating they deliver babies in the majority of rural hospitals.

Nationwide, provider teams are stepping in to keep rural obstetric units active. Federal grants are being utilized to train midwives who can contribute to these teams in rural areas. While family medicine doctors in rural locales face challenges such as low reimbursement, high liability costs, and the risk of burnout from being on call constantly, rural residency training programs are being enhanced to increase the teams of family physicians capable of providing obstetric care. Magloire, a product of rural residency training in Kansas, underscores the importance of family physicians in providing comprehensive care, from pregnancy to a gamut of other health concerns, to the communities they serve.

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Rural America's Obstetrical Care Crisis: The Vital Role of Family Physicians - BNN Breaking