Report of the Medical Schools Section Primary Care Task Force

Article Abstract:

The choice of a primary care career depends on the size of the community in which the physician or spouse was raised, age at entering medical school and gender. Rather than naming specific disciplines, the Primary Care Task Force of the Medical Schools Section of the American Medical Association defines primary care as comprehensive, accessible, longitudinal and coordinated services. To interest medical students in primary care and to encourage them to stay in primary care practice, methods must be developed to reduce the isolation and excessive paper work as well as perceived unequal reimbursement. Regional physician needs should be identified and medical school admissions, financial aid and curriculum should reflect these needs. Medical residencies should reflect national need both in number and distribution of primary care residencies with training balanced between in- and outpatient settings and with an emphasis on stress prevention and continuity of care.

Supply and demand, Statistics, Medical personnel

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Educational and organizational interventions to improve the management of depression in primary care: a systematic review

Article Abstract:

Researchers have identified several successful strategies for treating patients with depression in a primary care office based on their analysis of 36 studies. Unfortunately, they are complex and multidisciplinary. They include physician education, nurse case management, extensive medical consultation, telephone medication counseling, and follow-up. Simple practice guidelines and education of general practitioners is not enough but must be combined with organizational interventions.

Care and treatment, Evaluation, Depression, Mental, Depression (Mood disorder)

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Effect of a practice-based strategy on test ordering performance of primary care physicians: a randomized trial

Article Abstract:

Doctors can learn to order fewer inappropriate diagnostic tests, according to a study of 174 family doctors. The strategy included practice guidelines, personal feedback, and small group discussions. The doctors were able to reduce their inappropriate test orders by 8% to 12%, depending on the patient's medical condition.

Medical tests

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