Changing the business model for primary care medicine is a huge opportunity for healthcare cost savings.
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Nevertheless, one of the primary motivations for medicine's ethical code is the asymmetry of information that exists between doctor and patient.
Some experts argue that rather than fund additional residencies, Medicare should find ways to channel more U.S. medical students away from specialty fields and into primary-care medicine in rural areas.
Dr Dermot Ryan, a GP in Loughborough and clinical research fellow in primary care respiratory medicine at the University of Aberdeen, said the data on chest infections backed up previous research which had shown cuts in antibiotic use had driven up rates of pneumonia.
The current most popular subjects students in Jersey chose when going to university are sport, psychology, history, medicine and primary school teaching.
Residency applicants from foreign schools are likely to be squeezed out, medical educators say, which could make it more difficult to fill the nation's growing needs in primary care, which includes internal medicine, family medicine and pediatrics.
Over 90% of Family Medicine residents will remain in primary care, although their scope continues to decrease due to a number of factors and the addition of new fellowships for Family Doctors (sports medicine, obstetrics, adolescent medicine, hospitalist training, etc.).
Roughly 40% of medical school students enter in a primary-care related field such as Internal Medicine.
Internal medicine residencies should not be considered primary care residencies if an overwhelming majority do not practice primary care.
Keep in mind, before you rush to judge my answer, that I am a proud primary care physician, trained in general internal medicine.
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The move can help take stress off the primary health system and allow patients to get the medicine more quickly, he said.
If medical care is truly to be driven back to primary care we need to arm the waiters of medicine with purposefully designed tools and training to resolve ambiguity, aid diagnosis and inform therapy in the exam room.
Primary care is one of the lowest compensated specialties in medicine.
In 2010 America's respected Institute of Medicine (IOM) called for nurses to play a greater role in primary care.
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An increasing number of policy planners are sounding the alarm over the shortage of primary care physicians, a problem destined to grow as Obamacare adds millions to the subsidized medicine rolls.
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And they continue to measure health care against the golden age of fee-for-service medicine, when they could see specialists without the bother of getting a referral from their primary physicians, and when their hapless employers simply picked up the tab.
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